RAXO trial - A population-based prospective study to evaluate clinical behaviour, resectability and survival in metastatic colorectal cancer patients in Finland

2024-520288-15-00 Therapeutic use (Phase IV) Ongoing, recruiting

Start 25 Jan 2025 · Status Ongoing, recruiting · 1 EU/EEA countries · 21 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruiting
Participants planned 60,000
Countries 1
Sites 21

Metastatic or locally advanced inoperable colorectal cancer

Primary objective: • To assess clinical behaviour of metastatic colorectal cancer and overall resectability, postoperative morbidity and outcomes after resection

Key facts

Sponsor
HUS-Yhtymae
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
25 Jan 2025 → ongoing
Decision date (initial)
2025-01-24
Transition trial
Yes
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-520288-15-00
EudraCT number
2011-003158-24
ClinicalTrials.gov
NCT01531621

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

Primary objective:
• To assess clinical behaviour of metastatic colorectal cancer and overall resectability, postoperative morbidity and outcomes after resection

Secondary objectives 6

  1. • To assess treatments for mCRC
  2. • To assess efficacy of chemotherapy and targeted drugs with overall response rates (ORR), failure free survival (FFS), progression free survival (PFS), and overall survival (OS)
  3. • To radiologically or with machine learning from scans or reports assess tumour sites ,density and morphology, and assess alternative radiologic response evaluation in comparison with RECIST response criteria
  4. • To evaluate whole blood, plasma, serum and tumour block biomarkers and DNA polymorphisms that may predict drug effects, resectability and clinical behaviour of the tumour in the prospective cohort.
  5. • Biomarker evaluation from diagnostic samples, mainly tumour blocks, in the retrospective data collection study in order to verify diagnosis and predictive & prognostic markers (from prospective clinical trial) in a big population based series.
  6. • Quality of life and health related qualify of life, Cost-utility, QALY and cost-benefit assessment in the subpopulation of 444/941+1000 patients.

Conditions and MedDRA coding

Metastatic or locally advanced inoperable colorectal cancer

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. Inclusion criteria 1. Patients with histologically confirmed CRC, who are scheduled to start or are getting first line chemotherapy for metastatic disease 2. Age  18 years 3. Metastatic disease (including locally advanced disease not amenable with surgery and/or (chemo)radiotherapy) 4. Signed written informed consent form (ICF) according to ICH/GCP and the regulatory authorities' approval will be obtained prior to study 5. No informed consent form will be obtained from patients participating in the data collection study obtaining data from hospital records and Finnish cancer registry and other health registries. No blood sampling, nor contacting of patients will be performed.

Exclusion criteria 1

  1. No exclusion criteria

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Primary objective: • To assess clinical behaviour of metastatic colorectal cancer and overall resectability, postoperative morbidity and outcomes after resection

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

Capecitabine Orion 500 mg kalvopäällysteiset tabletit

PRD1625261 · Product

Active substance
Capecitabine
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
2500 mg/m2 milligram(s)/square meter
Max total dose
3000000 mg/m2 milligram(s)/square meter
Max treatment duration
60 Month(s)
Authorisation status
Authorised
ATC code
L01BC06 — CAPECITABINE
Marketing authorisation
31392
MA holder
ORION CORPORATION
MA country
Finland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Fluorouracil Accord 50 mg/ml injektio-/infuusioneste, liuos

PRD1972814 · Product

Active substance
Fluorouracil
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INFUSION
Max daily dose
2000 mg/m2 milligram(s)/square meter
Max total dose
120000 mg/m2 milligram(s)/square meter
Max treatment duration
60 Month(s)
Authorisation status
Authorised
ATC code
L01BC02 — FLUOROURACIL
Marketing authorisation
23977
MA holder
ACCORD HEALTHCARE B.V.
MA country
Finland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

HUS-Yhtymae

Sponsor organisation
HUS-Yhtymae
Address
Stenbackinkatu 9
City
Helsinki
Postcode
00290
Country
Finland

Scientific contact point

Organisation
HUS-Yhtymae
Contact name
Pia Österlund

Public contact point

Organisation
HUS-Yhtymae
Contact name
Pia Österlund

Locations

1 EU/EEA country · 21 investigational sites

By country

CountryMS statusPlanned subjectsSites
Finland Ongoing, recruiting 60,000 21
Rest of world 0

Investigational sites

Finland

21 sites · Ongoing, recruiting
Kymenlaakson keskussairaala
Syövänhoito, Kotkantie 41, 48210, Kotka
Etelae-Karjalan hyvinvointialue
Syövänhoito, Valto Kakelan Katu 3 C, 53130, Lappeenranta
Tampere University Hospital
Syövänhoito, Elamanaukio 2, 33520, Tampere
Länsi-Pohjan keskussairaala
Syövänhoito, Kauppakatu 25, 94100, Kemi
Keski-Pohjanmaan hyvinvointialue
Syövänhoito, Mariankatu 16-20, 67200, Kokkola
Ahvenanmaan keskussairaala
Syövänhoito, Doktorsvägen 1, 22111, Mariehamn
Etelae-Savon hyvinvointialue
Syövänhoito, Porrassalmenkatu 35-37, 50100, Mikkeli
Vaasa Central Hospital
Syövänhoito, Hietalahdenkatu 2-4, 65130, Vaasa
Kuopio University Hospital
Syövänhoito, P. O. Box 1777, 70211, Kuopio
Pohjois-Karjalan hyvinvointialue
Syövänhoito, Tikkamaentie 16, 80210, Joensuu
Central Finland Hospital District Central Finland Hospital Nova
Syövänhoito, Hoitajantie 3, 40620, Jyvaskyla
Etela-Pohjanmaan Sairaanhoitopiiri
Syövänhoito, Hanneksenrinne 7, 60220, Seinajoki
Kanta-Haemeen hyvinvointialue
Syövänhoito, Sibeliuksenkatu 2, 13100, Hameenlinna
HUS-Yhtymae
Syövänhoito, Haartmaninkatu 4, 00290, Helsinki
Savonlinnan keskussairaala
Syövänhoito, Keskussairaalantie 6, 57120, Savonlinna
Oulu University Hospital
Syövänhoito, Kajaanintie 50, 90220, Oulu
Satakunnan hyvinvointialue
Syövänhoito, Sairaalantie 3 Pori Satakunta, 28500, Pori
Kainuu Central Hospital
Syövänhoito, Sotkamontie 13, 87300, Kajaani
Turku University Hospital
Syövänhoito, Kiinamyllynkatu 10, 20520, Turku
Paeijaet-Haemeen hyvinvointialue
Syövänhoito, Keskussairaalankatu 7, 15850, Lahti
Lapland Central Hospital
Syövänhoito, Ounasrinteentie 22, 96400, Rovaniemi

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Finland 2025-01-25 2025-01-25

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 8 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) RAXO_Kysymyspatteristo_FI_250817 1
Protocol (for publication) RAXO_protocol_V4.1_14Dec2025 4.1
Recruitment arrangements (for publication) Recruitment arrangements 3
Subject information and informed consent form (for publication) L1_SIS and ICF_Version_Secondary_ v4 4
Subject information and informed consent form (for publication) L1_SIS and ICF_Version_Tertiary_ v4 4
Summary of Product Characteristics (SmPC) (for publication) Fluorouracil_valmisteyhteenveto 2
Summary of Product Characteristics (SmPC) (for publication) Valmisteyhteenveto_kapesitabiini 2
Synopsis of the protocol (for publication) Summary and main publication 1

Application history

2 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-01-07 Finland Acceptable
2025-01-24
2025-01-24
2 SUBSTANTIAL MODIFICATION SM-1 2025-11-01 Finland Acceptable
2025-12-18
2025-12-19