Metformin Plus Irinotecan for Refractory Colorectal Cancer

Overview[ - collapse ][ - ]

Purpose MetIri seeks to identify if metformin combined to irinotecan can improve tumor control.
ConditionColorectal Neoplasms
Adenocarcinoma
InterventionDrug: Metformin
Drug: Irinotecan
PhasePhase 2
SponsorBarretos Cancer Hospital
Responsible PartyBarretos Cancer Hospital
ClinicalTrials.gov IdentifierNCT01930864
First ReceivedAugust 26, 2013
Last UpdatedApril 17, 2014
Last verifiedApril 2014

Tracking Information[ + expand ][ + ]

First Received DateAugust 26, 2013
Last Updated DateApril 17, 2014
Start DateApril 2014
Estimated Primary Completion DateSeptember 2015
Current Primary Outcome MeasuresNon-Progression at week 12th of treatment [Time Frame: 12th week] [Designated as safety issue: No]
Current Secondary Outcome Measures
  • Progression-free survival [Time Frame: 12th week] [Designated as safety issue: No]
  • Overall Survival [Time Frame: 12th week] [Designated as safety issue: No]
  • Quality of life [Time Frame: 12th week] [Designated as safety issue: No]Measured by EORTC QLQ C30
  • Safety [Time Frame: 12th week] [Designated as safety issue: Yes]Assessment of toxicity according to CTC 4.0

Descriptive Information[ + expand ][ + ]

Brief TitleMetformin Plus Irinotecan for Refractory Colorectal Cancer
Official TitlePhase II Trial of Metformin Combined to Irinotecan for Refractory Metastatic or Recurrent Colorectal Cancer
Brief Summary
MetIri seeks to identify if metformin combined to irinotecan can improve tumor control.
Detailed Description
MetIri is a two-stage single arm Phase II assessing the role of combination of metformin to
irinotecan for colorectal cancer patients already treat with oxaliplatin, fluoropyrimidine,
irinotecan and anti-EGFr antibody if Kras wild type.
Study TypeInterventional
Study PhasePhase 2
Study DesignEndpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Condition
  • Colorectal Neoplasms
  • Adenocarcinoma
InterventionDrug: Metformin
metformin up to 2500mg/d
Drug: Irinotecan
Irinotecan 350 mg/m² IV q21d
Study Arm (s)Experimental: Metfomin + irinotecan
Irinotecan 350mg/m² q21d + metformin up to 2500mg/d until disease progression, prohibitive toxicity or consent withdrawal

Recruitment Information[ + expand ][ + ]

Recruitment StatusNot yet recruiting
Estimated Enrollment41
Estimated Completion DateSeptember 2015
Estimated Primary Completion DateSeptember 2015
Eligibility Criteria
Inclusion Criteria:

- 18 years or older

- Biopsy-proven colorectal adenocarcinoma

- Ineligibility for curative intent therapy, e.g., surgery or radiation

- Disease progression after oxaliplatin (either adjuvant or palliative),
fluoropyrimidine (either adjuvant or palliative), irinotecan, and if Kras wild type a
anti-EGFR therapy

- Assessable disease according to RECIST v1.1

Exclusion Criteria:

- known hypersensitivity to metformin or irinotecan

- SNC metastasis

- Acute or chronic severe infection
GenderBoth
Ages18 Years
Accepts Healthy VolunteersNo
ContactsContact: Joao Paulo SN Lima, MD
551733216600
jpsnlima@yahoo.com.br
Location CountriesBrazil

Administrative Information[ + expand ][ + ]

NCT Number NCT01930864
Other Study ID NumbersMetIri
Has Data Monitoring CommitteeNo
Information Provided ByBarretos Cancer Hospital
Study SponsorBarretos Cancer Hospital
CollaboratorsNot Provided
Investigators Principal Investigator: Joao Paulo SN Lima, MD, PhD Barretos Cancer Hospital
Verification DateApril 2014

Locations[ + expand ][ + ]

Barretos Cancer Hospital
Barretos, SP, Brazil, 14784-400
Contact: Joao Paulo SN Lima, MD | 5517332166007128 | joaopaulo.oncologia@hcancerbarretos.com.br
Principal Investigator: Joao Paulo SN Lima, MD, PhD
Recruiting
State University of Campinas
Campinas, São Paulo, Brazil, 1300000
Contact: Lígia T Macedo, MD | ligaimed@gmail.com
Principal Investigator: Ligia T Macedo, MD
Not yet recruiting