TABLE 3.
Pivotal adjuvant CC clinical trials
Author Trial Namea |
Journal | Regimen Tested |
Number of Patients |
Stage | Primary Endpointb |
Significance |
---|---|---|---|---|---|---|
OXALIPLATIN TRIALS | ||||||
Kuebler et al75 NSABP- C-07 |
JCO, 2007 |
FLOX vs 5FULV |
1207 vs 1200 |
II – 28.9% III-70.9% vs II-28.8% III-70.5% |
4 yr DFS 73.2% vs 67% 4 yr OS 78.5% vs 76% |
p<0.0034 |
Andre et al74,76 MOSAIC |
JCO, 2009 |
FOLFOX4 vs LV5FU2 |
1108 vs 1111 |
II - 40.2% III-59.8% vs II-39.9% III-60.1% |
6 yr DFS 73.3% vs 67.4% 6 yr OS 78.5% vs 76% |
p<0.003 |
Haller et al XELOXA NO16968 |
GI ASCO, 2010 Abstr. 284 |
CapeOx vs 5FULV |
N= 1886 |
III only |
5 yr DFS 66.1% vs 59.8% OS Not reported |
p<0.0045 |
RINOTECAN TRIALS | ||||||
Saltz et al78 CALGB 89803 |
JCO, 2007 |
IFL vs 5FULV |
635 vs 629 |
III only |
5 yr OS 68% vs 71% |
p=0.85 NS |
Van Cutsem et al80 PETACC-3 |
JCO, 2009 |
FOLFIRI vs LV5FU2 |
1485 vs 1497 |
II – 29.3% III-70.3% vs II-29.7% III-70% |
5 yr DFS 56.7% vs 54.3% 5 yr OS 73.6% vs 71.3% NS |
p=0.106 NS |
Ychou et al79 ACCORD-2 |
Ann Oncol, 2009 |
FOLFIRI vs LV5FU2 |
161 vs 160 |
Resected IV |
DFS 24.7 vs 21.6 3 yr OS 73% vs 72% NS |
p=0.44 NS |
CAPECITABINE | ||||||
Twelves et al81 X-ACT |
NEJM, 2005 |
Cape vs 5FULV |
1004 vs 983 |
III only |
3 yr DFS non-inferiority 64.2% vs 60.6% 3 yr OS 81.3% vs 77.6% NS |
Superiority p=0.12 NS Equivalence p<001 |
Haller et al XELOXA NO16968 |
GI ASCO, 2010 Abstr. 284 |
CapeOx vs 5FULV |
N= 1886 |
III only |
5 yr DFS 66.1% vs 59.8% OS Not reported |
p<0.0045 |
ANTI-ANGIOGENESIS: BEVACIZUMAB | ||||||
Wolmark et al NSABP C-08 |
ASCO, 2009 Abstr. LBA4 |
FOLFOX6 + bev vs FOLFOX6 |
1334 vs 1338 |
II – 24.9% III –75.1% |
3 yr DFS 77.4% vs 75.5% |
p=0.15 NS |
AVANT | Ongoing | FOLFOX4 + bev or XELOX + bev vs FOLFOX4 |
1150 vs 1150 |
High risk II + III |
DFS | |
ANTI-EGFR: CETUXIMAB | ||||||
Alberts et al N0147 |
ASCO, 2010 Abstr. CRA- 3507 |
FOLFOX6 + cetuximab vs FOLFOX6 |
902 vs 858 |
III only KRAS wt only |
3 yr DFS 74.1% vs 73.3% 3 yr OS 87.3% vs 82.1% NS |
p=0.33 NS |
PETACC-8 | Ongoing | FOLFOX+ cetuximab vs FOLFOX |
N= >6000 |
III only KRAS wt only |
3 yr DFS | First interim analysis planned 2011 |
Randomized Phase III trials unless otherwise specified.
Units indicated in months unless otherwise indicated.
DFS, disease free survival; OS, overall survival; Cape, capecitabine; NS, not significant; Bev, bevacizumab; wt, wild type.