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. Author manuscript; available in PMC: 2020 Mar 1.
Published in final edited form as: Clin Colorectal Cancer. 2018 Aug 20;18(1):44–51. doi: 10.1016/j.clcc.2018.08.001

Table 1:

Phase II and III ECOG-ACRIN Trials of 5FU and/or Capecitabine – Description of studies, Cardiovascular (CV) exclusion criteria, and ascertainment of CV events

Study Agent(s) Cancer type Phase, and Accrual Year study activated CV exclusion criteria Baseline CV Data Collected CTCAE version, grades and attribution* CV event definitions/ascertainment on Adverse Event (AE) Case Report Form (CRF)
E1103 Capecitabine 1000mg/m2 twice daily + tipifarnib Metastatic Breast Cancer Phase II
N=71
2004 Symptomatic cardiovascular disease None CTC v2, all grades, treatment related** AE CRF includes:
  • Cardiac ischemia/infarction

  • Dyspnea

E2200 5-FU 400mg/m2 weekly bolus + irinotecan + leucovorin + bevacizumab Advanced Colorectal Phase II
N=92
2000 None None CT v2, all grades, treatment related** AE CRF includes:
  • Hypertension

  • Dyspnea

  • Thromboembolism

E2204 Capecitabine 825mg/m2 twice daily
Arm A: + cetuximab + gemcitabine
Arm B: + bevacizumab + gemcitabine
Completely resected pancreatic CA Phase II(randomized)
N=137
2006
  • Cardiac arrhythmia

  • TIA/stroke

  • Arterial thromboembolic events

  • UA/MI within 12 months of study entry

None CTCAE v3, all grades, treatment related** AE CRF includes:
  • Cardiac ischemia/infarction

  • CNS cerebrovascular ischemia

  • Hypertension

  • Dyspnea

  • Thrombosis/thrombus/embolism


Grade 3+ TIA/CVA/MI/angina specifically included in the primary endpoint
E2205 5-FU 180mg/m2 CI over 24 hours D 1–35 + oxaliplatin + cetuximab Operable esophageal cancer Phase II
N=22
2008
  • Heart failure

  • Stroke/TIA, UA/MI within 6 months of study entry

None CTCAE v3,grade 3–5, treatment related** No cardiac AEs specifically ascertained
E2211 Capecitabine 750mg/m2 twice daily only or with
Arm A: + temozolomide
Arm B: temozolomide only no 5FU
Advanced pancreatic neuroendocrine tumors Phase II (randomized)
N=144***
2013
  • Arterial thromboembolic events

  • PVD

  • UA, MI within 12 months of study entry

None CTCAE v4*** No cardiac AEs specifically ascertained
E3200 5FU 400mg/m2 bolus followed by 600mg/m2 CI over 22 hours in arms A and B
A: oxaliplatin + leucovorin + bevacizumab
B: oxaliplatin + leucovrin
C: bevacizumab alone no 5Fu
Advanced Colorectal Phase III
N=829
2001
  • Heart failure

  • UA/MI within 3 months

None CTC v2, grade 4–5 hematologic and grade 3–5 non-hematologic, treatment related** No cardiac AEs specifically ascertained
E3201 5FU bolus followed by CI 2400 mg/m2 over 46 hours adjuvant
Arms A, B, D, and E
Arms C and F 5FU bolus only
Stage II or III Rectal Phase III
N=179
2003 None None CTCAE v3, grade 3–5, treatment related** No cardiac AEs specifically ascertained
E3204 Capecitabine 825mg/m2 twice daily + oxaliplatin + bevacizumab + radiation then surgery, then adjuvant 5FU
400mg/m2 followed by 2400mg/m2 CI 46 hours + leucovorin +oxaliplatin + bevacizumab
Locally advanced rectal cancer Phase II
N=57
2006
  • Heart failure

  • PVD.

  • UA/MI within 12 months of study entry

None CTCAE v3, all grades, treatment related** AE CRF includes:
  • Chest/thorax Pain NOS

  • Dyspnea

  • Thrombosis/thrombus/embolism

E3205 5-FU 4000mg/m2 CI over 96 hours + cetuximab + cisplatin
Arm 1: two cycles
Arm 2: one cycle
Anal carcinoma Phase II
N=63
2007
  • Heart failure

  • Stroke/TIA

  • UA/MI within 6 months of study entry

None CTCAE v4, grade 3–5, treatment related** AE CRF includes:
  • Cardiac-ischemia/infarction

E4203 5-FU 400mg/m2 bolus followed by 2400mg/m2 CI over 46 hours
Arm B and C: + leucovorin + oxaliplatin + bevacizumab
Arm A: irinotecan + oxaliplatin + bevacizumab no 5FU
Metastatic
colorectal
Phase II
N=211
2005
  • NYHA III-IV heart failure

  • UA/MI within 6 months of study entry

None CTCAE v3, all grades, treatment related** No cardiac AEs specifically ascertained
E5202 5FU 400 mg/m2 bolus followed by 2.4gm/m2 over 46 hours Arm A
Arm B: + bevacizumab
Arm C: no chemotherapy
Stage II Colon Cancer Phase III
N=2432***
2005
  • UA/MI within prior 12 months

  • Symptomatic PVD NYHA III/IV HF

  • Symptomatic arrhythmias

  • TIA/Stroke

Perioperative MI CTCAE v3*** AE CRF includes:
  • Cardiac-ischemia/infarction

  • Cardiac arrhythmia

  • CNS cerebrovascular ischemia

  • Thrombosis/thrombus/embolism

E5204 5FU 400 mg/m2 bolus followed by 2400mg/m2 CI over 46 hours
Arm A and B
Arm B: + bevacizumab
Stage II or III Rectal cancer Phase III
N=355
2006
  • UA/MI within prior 12 months

  • PVD, NYHA III/IV HF

  • Symptomatic arrhythmias

  • TIA/Stroke

History of:
  • Diabetes

  • Hypertension

CTCAE v3 grades 3–5, treatment related** AE CRF includes:
  • Cardiac-ischemia/infarction

  • Pain-Chest/Thorax NOS

  • CNS cerebrovascular ischemia

  • Hypertension

  • Dyspnea

  • Thrombosis/thrombus/embolism

E1305 5FU 1000mg/m2 CI over 96 hours
Regimen 2: + cisplatin or carboplatin
Regimen 1: docetaxel + cisplatin or carboplatin no 5FU
Recurrent or Metastatic Head and Neck Cancer Phase III
N=403***
2008
  • UA/MI or Stroke within prior 6 months

  • PVD

  • NYHA II-IV HF

  • Serious cardiac arrhythmia requiring medication

  • PVD with symptoms or prior intervention

  • Stroke within the last 6 months

History of:
  • Arterial thromboembolic events

  • MI, stable angina, unstable angina,

  • HTN

  • Smoking status

CTCAE v4*** AE CRF includes:
  • Acute coronary syndrome

EA1131 Capecitabine 1000mg/m2 twice daily Arm C only
Arm A: observation
Arm B: cisplatin vs carboplatin
Triple Negative, Stage II or III Breast Cancer Phase III
Projected N=750^
2015 None None CTCAE v4^ No cardiac AEs specifically ascertained
EA2133 5FU 4000mg/m2 CI over 96 hours
Arm: A + cisplatin
Arm B: carboplatin + paclitaxel no 5FU
Advanced
Anal
Squamous
Cell
Carcinoma
Phase II
Projected
N=80^
2016
  • MI within last 6 months

  • Symptomatic CAD

  • Clinically significant cardiac failure

  • Uncontrolled cardiac arrhythmia

Hypertension CTCAE v4^ AE CRF includes:
  • Myocardial ischemia/infarction

  • Arrhythmia

  • LV dysfunction

EA2142 Capecitabine 750mg/m2 twice daily
Arm A: + temozolomide
Arm B: platinum + etoposide no capecitabine
Advanced non-small cell GI
Neuroendocrine carcinoma
Phase II
(randomized)
Projected
N=126^
2015
  • Symptomatic heart failure

  • Unstable angina

  • Cardiac arrhythmias

None CTCAE v4^ cardiac AEs not specifically ascertained
*

CTCAE version. grades, attribution as reported in the final Clinical Study Report (CSR).

**

includes the following attributions: possible, probably, definitely related to protocol treatment.

***

trial is closed to accrual and final CSR not available to date.

^

accrual to trial ongoing to date.