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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
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

Full criteria on ClinicalTrials.gov

Sites (49)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Noordwest Ziekenhuisgroep Stichting
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AlkmaarNetherlandsRecruiting
Ziekenhuisgroep Twente Stichting
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AlmeloNetherlandsRecruiting
Meander Medisch Centrum
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AmersfoortNetherlandsRecruiting
Ziekenhuis Amstelland
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AmstelveenNetherlandsRecruiting
Amsterdam UMC Stichting
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AmsterdamNetherlandsRecruiting
Stichting OLVG
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AmsterdamNetherlandsRecruiting
Rijnstate Ziekenhuis Stichting
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ArnhemNetherlandsRecruiting
Wilhelmina Ziekenhuis Assen
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AssenNetherlandsRecruiting
Maasziekenhuis Pantein B.V.
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BeugenNetherlandsRecruiting
Rode Kruis Ziekenhuis B.V.
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BeverwijkNetherlandsRecruiting
IJsselland Ziekenhuis
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Capelle aan den IJsselNetherlandsRecruiting
Reinier de Graaf Groep
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DelftNetherlandsRecruiting
Deventer Ziekenhuis
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DeventerNetherlandsRecruiting
Slingeland Ziekenhuis
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DoetinchemNetherlandsRecruiting
Ziekenhuis Nij Smellinghe
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DrachtenNetherlandsRecruiting
Ziekenhuis Gelderse Vallei Stichting
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Ede GldNetherlandsRecruiting
Catharina Ziekenhuis Stichting
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EindhovenNetherlandsRecruiting
Treant Ziekenhuiszorg Stichting
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EmmenNetherlandsRecruiting
Medisch Spectrum Twente
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EnschedeNetherlandsRecruiting
Admiraal De Ruyter Ziekenhuis B.V.
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GoesNetherlandsRecruiting
Beatrix Ziekenhuis
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GorinchemNetherlandsRecruiting
Groene Hart Ziekenhuis
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GoudaNetherlandsRecruiting
Ziekenhuis St Jansdal
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HarderwijkNetherlandsRecruiting
Elkerliek ziekenhuis
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HelmondNetherlandsRecruiting
Tergooiziekenhuizen
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HilversumNetherlandsRecruiting
Spaarne Gasthuis Stichting
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HoofddorpNetherlandsRecruiting
Medisch Centrum Leeuwarden B.V.
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LeeuwardenNetherlandsRecruiting
Leids Universitair Medisch Centrum (LUMC)
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LeidenNetherlandsRecruiting
Alrijne Zorggroep Stichting
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LeiderdorpNetherlandsRecruiting
Sint Antonius Ziekenhuis Stichting
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NieuwegeinNetherlandsRecruiting
Canisius Wilhelmina Ziekenhuis
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NijmegenNetherlandsRecruiting
Laurentius Ziekenhuis Roermond
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RoermondNetherlandsRecruiting
Bravis Ziekenhuis
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RoosendaalNetherlandsRecruiting
Ikazia Ziekenhuis
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RotterdamNetherlandsRecruiting
Maasstad Ziekenhuis Stichting
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RotterdamNetherlandsRecruiting
Ommelander Ziekenhuis Groningen B.V.
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ScheemdaNetherlandsRecruiting
Sint Franciscus Vlietland Groep Stichting
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SchiedamNetherlandsRecruiting
Medical Center Haaglanden
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's-GravenhageNetherlandsRecruiting
Haga Hospital
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's-GravenhageNetherlandsRecruiting
Jeroen Bosch Ziekenhuis
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's-HertogenboschNetherlandsRecruiting
Antonius Ziekenhuis Sneek
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SneekNetherlandsRecruiting
ZorgSaam Ziekenhuis
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TerneuzenNetherlandsRecruiting
Bernhoven B.V.
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UdenNetherlandsRecruiting
Diakonessenhuis Stichting
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UtrechtNetherlandsRecruiting
Maxima Medisch Centrum
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VeldhovenNetherlandsRecruiting
Stichting Viecuri Medisch Centrum voor Noord-Limburg
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VenloNetherlandsRecruiting
Streekziekenhuis Koningin Beatrix
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WinterswijkNetherlandsRecruiting
Zaans Medisch Centrum Stichting
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ZaandamNetherlandsRecruiting
Isala Klinieken Stichting
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ZwolleNetherlandsRecruiting

This page is information, not medical advice. Discuss any trial with your doctor.