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5-Fluorouracil

Phase 2

Colorectal Cancer (CRC) | Small molecule | Oncology |Bristol-Myers Squibb Company|Last Updated: Jan 28, 2020

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment17

FDA Designations

No designations recorded

Clinical trial landscape

5-Fluorouracil · 5 trials · 5 indications

Phase 2 3Phase 1 2
NCT00527111Pre-op Rectal ChemoRad +/- CetuximabRectal Cancer
COMPLETED139 Analytics
NCT00851045Ph II Trial of a Novel Anti-angiogenic Agent in Combination With Chemotherapy for the Second-line Treatment of Metastatic Colorectal CancerColorectal Cancer (CRC)
COMPLETED17 Analytics
NCT00193141Chemotherapy With or Without Surgical Resection in Locally Advanced Esophageal CancerEsophagus Cancer
COMPLETED200 Analytics
PHASE2COMPLETED
Pre-op Rectal ChemoRad +/- Cetuximab
Rectal CancerUnlock trial analytics
PHASE2COMPLETED
Ph II Trial of a Novel Anti-angiogenic Agent in Combination With Chemotherapy for the Second-line Treatment of Metastatic Colorectal Cancer
Colorectal Cancer (CRC)Unlock trial analytics
PHASE2COMPLETED
Chemotherapy With or Without Surgical Resection in Locally Advanced Esophageal Cancer
Esophagus CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Pathologic Response Rate (pCR) With 95% Confidence Interval.
5 years

A pathologic complete response (pCR) is defined as no pathologic evidence of invasive disease at the primary site in the bowel wall or in examined mesorectal tissue and/or lymph nodes.

Progression free survival based on tumor assessments (CT/MRI)
Every 6 weeks until documented progressive disease, initiation fo subsequent therapy for colorectal cancer, or withdrawal of consent
To compare the efficacy of full dose radiation therapy versus preoperative radiation therapy plus surgical resection, when used in combination with neo-adjuvant chemotherapy, in the treatment of localized esophageal cancer
Safety assessment based on reports of adverse events and clinical laboratory tests as graded by the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE)
Up to 30 days after the last dose of study medication
Determine the maximum tolerated dose (MTD) of Docetaxel/Cisplatin/5-Fluorouracil (TPF) induction chemotherapy when combined with cetuximab in an induction chemotherapy setting for locally advanced squamous cell cancer of the head and neck.
2 years

Secondary Endpoints

To Determine Objective Response Rate (ORR) Based on RECIST Local Recurrence-free Survival in These Patient Groups; Overall and Recurrence-free Survival in These Cohorts.
5 years
5- Year Overall Survival (OS) Rate
5 years
Recurrence-free Survival (RFS) Rate at 5 Years
5 years
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Chemoradiotherapy plus CetuximabEXPERIMENTALPelvic irradiation plus 5-fluorouracil plus cetuximab
Chemoradiotherapy aloneACTIVE_COMPARATORPelvic irradiation plus 5-fluorouracil
Arm 1ACTIVE_COMPARATORIrinotecan/5-Fluorouracil (bolus)/5-Fluorouracil (infusional)/Leucovorin calcium/CT-322
Arm 2ACTIVE_COMPARATORIrinotecan/5-Fluorouracil(bolus)/5-Fluorouracil(infusional)/Leucovorin calcium /Bevacizumab/Bevacizumab Placebo(saline solution)
Arm A: Paclitaxel + BMS-906024EXPERIMENTALPaclitaxel 80 mg/m2 solution and BMS-906024 4 mg or 6 mg solution intravenously once weekly continuously until disease progression or unacceptable toxicity
Arm B: FOLFIRI (5FU, Leucovorin, Irinotecan) + BMS-906024EXPERIMENTAL5FU Bolus 400 mg/m2, 5FU Infusion 2400 mg/m2, Irinotecan 180 mg/m2 solution, Leucovorin 400 mg/m2 solution intravenously once every 2 weeks and BMS- 906024 4 mg or 6 mg solution intravenously once weekly continuously until disease progression or unacceptable toxicity
Arm C: Carboplatin/Paclitaxel + BMS-906024EXPERIMENTALCarboplatin AUC 6 / Paclitaxel 200 mg/m2 solution once every 3 weeks and BMS-906024 4 mg or 6 mg solution once weekly intravenously continuously until disease progression or unacceptable toxicity
Arm D: Paclitaxel + BMS-906024EXPERIMENTALPaclitaxel 80 mg/m2 solution once weekly and BMS-906024 4 mg or 6 mg solution once every 2 weeks intravenously continuously until disease progression or unacceptable toxicity
Arm F: Carboplatin/Paclitaxcel and BMS-906024EXPERIMENTALCarboplatin AUC 6 / Paclitaxel 200 mg/m2 solution once every 3 weeks and BMS-906024 4 mg or 6 mg solution once every 3 weeks intravenously continuously until disease progression or unacceptable toxicity

Interventions

NameTypeDescription
CetuximabDRUG -
5-fluorouracilDRUG -
Pelvic irradiationRADIATION -
IrinotecanDRUGSolution, IV, 180 mg/m2, Q14 days, Until PD
5-Fluorouracil (bolus)DRUGSolution, IV, 400 mg/m2, Q14 days, Until PD
5-Fluorouracil (infusional)DRUGSolution, IV, 2400 mg/m2, Q14 days, Until PD
Leucovorin calciumDRUGSolution, IV, 400 mg/m2, Q14 days, Until PD
CT-322DRUGSolution, IV, 2 mg/kg, Q7 days, Until PD
BevacizumabDRUGSolutions, IV, 5 mg/kg, Q14 days, Until PD
Bevacizumab Placebo (saline solution)DRUGSolution, IV, 0 mg/kg, On day 8 of a 2-week cycle, Until PD
PaclitaxelDRUG -
CarboplatinDRUG -
5-Fluorouracil (5FU)DRUG -
LeucovorinDRUG -
BMS-906024DRUG -
DocetaxelDRUGGiven intravenously on day 1 of each 21-day cycle for 3 cycles
CisplatinDRUGIntravenously on day 1 of each 21-day cycle for 3 cycles
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites41

Inclusion Criteria: Note: Please see Section 8.1 for the necessary "Prestudy Assessments". A patient will be eligible for inclusion in this study if s/he meets all of the following criteria: * Has a histologically confirmed diagnosis of newly diagnosed adenocarcinoma of the rectum (tumor within 1...

Countries:United StatesArgentinaItalyBelgiumCanada
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Competitive Landscape -Colorectal Cancer 258 trials (matched to "Colorectal Cancer (CRC)")

Frequently asked questions about 5-Fluorouracil

What is 5-Fluorouracil used for?

5-Fluorouracil is a small molecule oncology drug being developed by Bristol-Myers Squibb for the treatment of head and neck neoplasms, rectal cancer, esophagus cancer, colorectal cancer (CRC), and other cancers. It is currently in Phase 1 clinical development as an investigational therapy.

Who makes 5-Fluorouracil?

5-Fluorouracil is being developed by Bristol-Myers Squibb Company, which trades under the ticker BMY. The company is conducting clinical trials to evaluate the drug's safety and efficacy in various oncology indications.

What phase is 5-Fluorouracil in?

5-Fluorouracil is in Phase 1 clinical development. It is an investigational drug and has not been approved by the FDA. The drug is being studied in combination with other chemotherapy regimens for advanced or metastatic solid tumors.

What clinical trials is 5-Fluorouracil in?

5-Fluorouracil has been studied in several completed clinical trials, including NCT00193141 for esophageal cancer, NCT00402545 for head and neck cancer, NCT00527111 for rectal cancer, and NCT01653470 for advanced solid tumors. These trials have completed enrollment.

How does 5-Fluorouracil work?

5-Fluorouracil is a small molecule that works by interfering with DNA synthesis in cancer cells. It is a fluorinated pyrimidine analog that inhibits thymidylate synthase, an enzyme essential for DNA replication, thereby slowing or stopping tumor growth.