Trial intelligence / Profile preview

Modufolin vs Levoleucovorin PK/PD in Colon Cancer

NCT01681472Phase 2

Key facts

Status
Completed
Start
Sep 2012
Primary completion
Aug 2013
Countries
1
Modality
Small Molecules
Conditions
colon cancer
01

Overview

Phase 2, randomised, single-blind trial of arfolitixorin in colon cancer (4 arms), sponsored by Isofol Medical. Primary endpoints: Concentration of [6R]-5,10-methylene-THF in Tumor Tissue at 24 hours, Concentration of [6R]-5,10-methylene-THF in Adjacent Mucosa Tissue at 24 hours and 6 more. Started Sep 2012; status: completed.

02

Design

4 arms
Study design
RandomizedSingle-blind
  • Levoleucovorin 200 mg/m2

    Single i.v. bolus of Levoleucovorin 200 mg/m2

  • Levoleucovorin 60 mg/m2

    Single i.v. bolus of Levoleucovorin 60 mg/m2

  • 6R-MTHF 200 mg/m2

    Single i.v. bolus of Arfolitixorin 200 mg/m2

  • 6R-MTHF 60 mg/m2

    Single i.v. bolus of Arfolitixorin 60 mg/m2

03

Who it enrols

Patients with operable colon cancer amenable to curative surgery, aged 18 or older, with ECOG performance status 0-1.

04

Endpoints

Primary

  • Concentration of [6R]-5,10-methylene-THF in Tumor Tissue

  • Concentration of [6R]-5,10-methylene-THF in Adjacent Mucosa Tissue

  • Concentration of [6S]-5-THF in Tumor Tissue

  • Concentration of [6S]-5-THF in Adjacent Mucosa Tissue

  • Concentration of [6S]-5-methyl-THF in Tumor Tissue

Secondary

  • AUC(0-2h) of [6R]-5,10-methylene-THF, [6S]-5-THF, [6S]-5-methyl-THF, [6SR]-5-formyl-THF

  • AUC(Last) of [6R]-5,10-methylene-THF, [6S]-5-THF, [6S]-5-methyl-THF, [6S]-5-formyl-THF

  • Cmax of [6R]-5,10-methylene-THF, [6S]-5-THF, [6S]-5-methyl-THF, [6S]-5-formyl-THF

  • Tmax of [6R]-5,10-methylene-THF, [6S]-5-THF, [6S]-5-methyl-THF, [6S]-5-formyl-THF

  • T(1/2) of [6R]-5,10-methylene-THF, [6S]-5-THF, [6S]-5-methyl-THF, [6S]-5-formyl-THF

  • Correlation Between Plasma and Tissue Concentration (Tumor and Mucosa)

  • Gene Expression Ratios (Mucosa:Tumor)

  • Homocysteine Concentration

05

Results

Not all primary endpoints met

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