NCT06275958RecruitingPhase 3
DOSAGE Study: Upfront Dose-Reduced Chemotherapy in Older Patients with Metastatic Colorectal Cancer
DOSAGE Study: a Multicenter Randomized Phase III Trial of DOSe-reduced Chemotherapy for Advanced Colorectal Cancer in Older Patients
Source: ClinicalTrials.gov · Last updated 16 Oct 2024 · Not updated for over 12 months - ask the site whether it is still open
Brief summary (registry, in English)
The goal of this phase III, open-label, non-inferiority randomized controlled clinical trial is compare upfront dose-reduced chemotherapy with the standard dose chemotherapy in older patients ( ≥70 years) with metastasized colorectal cancer, with regard to progression-free survival (PFS). The choice between monotherapy (a fluoropyrimidine) and doublet chemotherapy (a fluoropyrimidine with oxaliplatin) will be made for each individual patient based on expected risk of chemotherapy toxicity (according to the G8 screening). Patients classified as low risk of toxicity will be randomized between doublet chemotherapy in either full-dose, or with an upfront dose-reduction of 25%. Patients classified as high risk will be randomized between monotherapy in either full-dose or upfront dose-reduction. Primary outcome is PFS. Secondary endpoints include grade ≥3 toxicity, QoL, physical functioning, overall survival, number of treatment cycles, dose reductions, hospital admissions, cumulative received dosage and cost-effectiveness.
- Status (registry)
- Recruiting
- Phase (registry)
- Phase 3
- Study type
- Interventional
- Enrollment
- 587 (estimated)
- First submitted
- 6 Feb 2024
- Start date
- 1 Jul 2024
- Primary completion date
- Jun 2028
- Lead sponsor
- Leiden University Medical Center
- Diseases
- Colorectal cancer
- NCT number
- NCT06275958
- EU CT number
- 2023-506115-17-00
- EudraCT number
- 2023-506115-17
What you commit to
- Study type: Interventional · Phase 3
- Planned participants: 587
- From 1 Jul 2024 to the primary completion date, Jun 2028
- 49 sites in 1 country
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Prior treatment
- Patients who received prior palliative chemotherapy
- Patients in whom local treatment of metastases is scheduled (i.e. liver surgery or stereotactic radiotherapy)
- Candidates for triple chemotherapy
- Patients who received prior adjuvant chemotherapy in the one year before inclusion in the study (chemotherapy before that time is allowed)
Other illness
- Patients with Microsatellite instable (MSI)-high colorectal cancer
- Patients with HIV or active hepatitis
Lab values
- Patients with severe kidney failure (defined as GFR ≤30ml/min)
Other
- Patients with complete or incomplete dihydropyrimidine dehydrogenase (DPD) deficiency
- Patients with severe cognitive deficits making informed consent not possible
Who the study is looking for
- Patients aged 70 years or older with colorectal cancer and distant metastases without localized treatment options.
- Patients who are candidates for first-line palliative chemotherapy as judged by their treating oncologist
- Being able to understand the Dutch language
- Adequate bone marrow and organ function: Absolute neutrophil count (ANC) \> 1.5 x 10\^9 mmol/L, Hemoglobin (Hb) \> 6.0 mmol/L, Platelets \>100 x 109 / L, Serum bilirubin ≤ 2 x upper limit of normal (ULN), serum transaminases ≤ 3 x ULN without presence of liver metastases or ≤ 5x ULN with presence of liver metastases.
Age in the registry: 70 years to - · Sex: All · Does not accept healthy volunteers
Sites (49)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Noordwest Ziekenhuisgroep Stichting Coordinator of this site? Confirm its status | Alkmaar | Netherlands | Recruiting |
| Ziekenhuisgroep Twente Stichting Coordinator of this site? Confirm its status | Almelo | Netherlands | Recruiting |
| Meander Medisch Centrum Coordinator of this site? Confirm its status | Amersfoort | Netherlands | Recruiting |
| Ziekenhuis Amstelland Coordinator of this site? Confirm its status | Amstelveen | Netherlands | Recruiting |
| Amsterdam UMC Stichting Coordinator of this site? Confirm its status | Amsterdam | Netherlands | Recruiting |
| Stichting OLVG Coordinator of this site? Confirm its status | Amsterdam | Netherlands | Recruiting |
| Rijnstate Ziekenhuis Stichting Coordinator of this site? Confirm its status | Arnhem | Netherlands | Recruiting |
| Wilhelmina Ziekenhuis Assen Coordinator of this site? Confirm its status | Assen | Netherlands | Recruiting |
| Maasziekenhuis Pantein B.V. Coordinator of this site? Confirm its status | Beugen | Netherlands | Recruiting |
| Rode Kruis Ziekenhuis B.V. Coordinator of this site? Confirm its status | Beverwijk | Netherlands | Recruiting |
| IJsselland Ziekenhuis Coordinator of this site? Confirm its status | Capelle aan den IJssel | Netherlands | Recruiting |
| Reinier de Graaf Groep Coordinator of this site? Confirm its status | Delft | Netherlands | Recruiting |
| Deventer Ziekenhuis Coordinator of this site? Confirm its status | Deventer | Netherlands | Recruiting |
| Slingeland Ziekenhuis Coordinator of this site? Confirm its status | Doetinchem | Netherlands | Recruiting |
| Ziekenhuis Nij Smellinghe Coordinator of this site? Confirm its status | Drachten | Netherlands | Recruiting |
| Ziekenhuis Gelderse Vallei Stichting Coordinator of this site? Confirm its status | Ede Gld | Netherlands | Recruiting |
| Catharina Ziekenhuis Stichting Coordinator of this site? Confirm its status | Eindhoven | Netherlands | Recruiting |
| Treant Ziekenhuiszorg Stichting Coordinator of this site? Confirm its status | Emmen | Netherlands | Recruiting |
| Medisch Spectrum Twente Coordinator of this site? Confirm its status | Enschede | Netherlands | Recruiting |
| Admiraal De Ruyter Ziekenhuis B.V. Coordinator of this site? Confirm its status | Goes | Netherlands | Recruiting |
| Beatrix Ziekenhuis Coordinator of this site? Confirm its status | Gorinchem | Netherlands | Recruiting |
| Groene Hart Ziekenhuis Coordinator of this site? Confirm its status | Gouda | Netherlands | Recruiting |
| Ziekenhuis St Jansdal Coordinator of this site? Confirm its status | Harderwijk | Netherlands | Recruiting |
| Elkerliek ziekenhuis Coordinator of this site? Confirm its status | Helmond | Netherlands | Recruiting |
| Tergooiziekenhuizen Coordinator of this site? Confirm its status | Hilversum | Netherlands | Recruiting |
| Spaarne Gasthuis Stichting Coordinator of this site? Confirm its status | Hoofddorp | Netherlands | Recruiting |
| Medisch Centrum Leeuwarden B.V. Coordinator of this site? Confirm its status | Leeuwarden | Netherlands | Recruiting |
| Leids Universitair Medisch Centrum (LUMC) Coordinator of this site? Confirm its status | Leiden | Netherlands | Recruiting |
| Alrijne Zorggroep Stichting Coordinator of this site? Confirm its status | Leiderdorp | Netherlands | Recruiting |
| Sint Antonius Ziekenhuis Stichting Coordinator of this site? Confirm its status | Nieuwegein | Netherlands | Recruiting |
| Canisius Wilhelmina Ziekenhuis Coordinator of this site? Confirm its status | Nijmegen | Netherlands | Recruiting |
| Laurentius Ziekenhuis Roermond Coordinator of this site? Confirm its status | Roermond | Netherlands | Recruiting |
| Bravis Ziekenhuis Coordinator of this site? Confirm its status | Roosendaal | Netherlands | Recruiting |
| Ikazia Ziekenhuis Coordinator of this site? Confirm its status | Rotterdam | Netherlands | Recruiting |
| Maasstad Ziekenhuis Stichting Coordinator of this site? Confirm its status | Rotterdam | Netherlands | Recruiting |
| Ommelander Ziekenhuis Groningen B.V. Coordinator of this site? Confirm its status | Scheemda | Netherlands | Recruiting |
| Sint Franciscus Vlietland Groep Stichting Coordinator of this site? Confirm its status | Schiedam | Netherlands | Recruiting |
| Medical Center Haaglanden Coordinator of this site? Confirm its status | 's-Gravenhage | Netherlands | Recruiting |
| Haga Hospital Coordinator of this site? Confirm its status | 's-Gravenhage | Netherlands | Recruiting |
| Jeroen Bosch Ziekenhuis Coordinator of this site? Confirm its status | 's-Hertogenbosch | Netherlands | Recruiting |
| Antonius Ziekenhuis Sneek Coordinator of this site? Confirm its status | Sneek | Netherlands | Recruiting |
| ZorgSaam Ziekenhuis Coordinator of this site? Confirm its status | Terneuzen | Netherlands | Recruiting |
| Bernhoven B.V. Coordinator of this site? Confirm its status | Uden | Netherlands | Recruiting |
| Diakonessenhuis Stichting Coordinator of this site? Confirm its status | Utrecht | Netherlands | Recruiting |
| Maxima Medisch Centrum Coordinator of this site? Confirm its status | Veldhoven | Netherlands | Recruiting |
| Stichting Viecuri Medisch Centrum voor Noord-Limburg Coordinator of this site? Confirm its status | Venlo | Netherlands | Recruiting |
| Streekziekenhuis Koningin Beatrix Coordinator of this site? Confirm its status | Winterswijk | Netherlands | Recruiting |
| Zaans Medisch Centrum Stichting Coordinator of this site? Confirm its status | Zaandam | Netherlands | Recruiting |
| Isala Klinieken Stichting Coordinator of this site? Confirm its status | Zwolle | Netherlands | Recruiting |
This page is information, not medical advice. Discuss any trial with your doctor.