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Modified FOLFOX

Phase 2

Metastatic Colorectal Cancer | Small molecule | Oncology |Roche Holding AG|Last Updated: Jun 8, 2017

Target and mechanism

ModalitySmall molecule

Also known as FOLFOX

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment199

FDA Designations

No designations recorded

Clinical trial landscape

Modified FOLFOX · 1 trial · 1 indication

Phase 2 1
NCT00636610A Study of Vismodegib (GDC-0449, Hedgehog Pathway Inhibitor) With Concurrent Chemotherapy and Bevacizumab As First-Line Therapy for Metastatic Colorectal CancerMetastatic Colorectal Cancer
COMPLETED199 Analytics
PHASE2COMPLETED
A Study of Vismodegib (GDC-0449, Hedgehog Pathway Inhibitor) With Concurrent Chemotherapy and Bevacizumab As First-Line Therapy for Metastatic Colorectal Cancer
Metastatic Colorectal CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression-free Survival (PFS)
From first treatment through the data cut-off date of March 15, 2010, up to 90 weeks

Progression-free survival (PFS) was defined as the time from randomization to the earlier of documented disease progression (PD) or death from any cause. PD: At least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since treatment started, unequivocal progression of existing non-target lesions, or the appearance of one or more new lesions. For patients without measurable disease, PD was defined as an increase in the size of a lesion to one that is measurable or unequivocal progression of a non-target lesion.

Secondary Endpoints

Progression-free Survival (PFS) in Patients With Various Degrees of Hedgehog Antigen Tumor Expression
From first treatment through the data cut-off date of March 15, 2010, up to 90 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Vismodegib 150 mgEXPERIMENTALPatients received vismodegib 150 mg orally once daily starting on Day 3 of each 2-week treatment cycle. In addition, patients received either Modified FOLFOX (FOL=leucovorin calcium \[folinic acid\], F=fluorouracil, OX=oxaliplatin) + bevacizumab or FOLFIRI (FOL=leucovorin calcium \[folinic acid\] F=fluorouracil, IRI=irinotecan hydrochloride) + bevacizumab on Days 1-3 of each 2-week treatment cycle. The decision of which regimen (FOLFOX or FOLFIRI) to use was made by the treating physician and patient.
Placebo to vismodegibPLACEBO_COMPARATORPatients received placebo to vismodegib orally once daily starting on Day 3 of each 2-week treatment. In addition, patients received either Modified FOLFOX (FOL=leucovorin calcium \[folinic acid\], F=fluorouracil, OX=oxaliplatin) + bevacizumab or FOLFIRI (FOL=leucovorin calcium \[folinic acid\] F=fluorouracil, IRI=irinotecan hydrochloride) + bevacizumab on Days 1-3 of each 2-week treatment cycle. The decision of which regimen (FOLFOX or FOLFIRI) to use was made by the treating physician and patient.

Interventions

NameTypeDescription
Vismodegib 150 mgDRUGVismodegib 150 mg was provided in hard gelatin capsules in 3 different strengths, 25 mg, 125 mg, and 150 mg.
Placebo to vismodegibDRUGPlacebo to vismodegib consisted of the excipients for vismodegib without the active molecule in hard gelatin capsules matching the active drug product in color and size.
BevacizumabDRUGBevacizumab 5 mg/kg was administered intravenously (IV) over 90 minutes for the first infusion, shortening to 60 and 30 minutes for subsequent infusions.
Modified FOLFOXDRUGFollowing administration of bevacizumab, patients received oxaliplatin 85 mg/m\^2 IV administered over 90 minutes concurrently with folinic acid 400 mg/m\^2 (d,I-racemic form, or 200 mg/m\^2 I-isomer form) IV administered over 120 minutes, then fluorouracil 400 mg/m\^2 administered as an IV bolus, then 2400 mg/m\^2 administered as a continuous IV infusion over 46 hours.
FOLFIRIDRUGFollowing administration of bevacizumab, patients received irinotecan 180 mg/m\^2 IV administered over 90 minutes concurrently with folinic acid 400 mg/m\^2 (d,I-racemic form, or 200 mg/m\^2 I-isomer form) administered IV over 120 minutes, then fluorouracil 400 mg/m\^2 administered as an IV bolus, then fluorouracil 2400 mg/m\^2 administered as a continuous IV infusion over 46 hours.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Age ≥ 18 years * Histologically confirmed metastatic colorectal cancer (CRC) * Representative tumor specimens in paraffin blocks (preferred) or at least 15 unstained slides, with an associated pathology report, must be confirmed to be available and requested at any time prior ...

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Competitive Landscape -Colorectal Cancer 258 trials (matched to "Metastatic Colorectal Cancer")

Frequently asked questions about Modified FOLFOX

What is Modified FOLFOX used for?

Modified FOLFOX is a chemotherapy regimen being studied for the treatment of metastatic colorectal cancer. It is a small molecule oncology therapy developed by Roche Holding AG. The drug is currently in Phase 2 clinical development and is considered investigational, meaning it has not yet been approved by regulatory authorities.

Who makes Modified FOLFOX?

Modified FOLFOX is developed by Roche Holding AG, a biopharmaceutical company traded under the ticker RHHBY. The company is conducting clinical research to evaluate the drug's safety and efficacy in patients with metastatic colorectal cancer.

What phase is Modified FOLFOX in?

Modified FOLFOX is in Phase 2 clinical development. It is an investigational drug, meaning it has not been approved by regulatory agencies. The drug is being studied for the treatment of metastatic colorectal cancer, and its clinical trial has been completed.

What clinical trials is Modified FOLFOX in?

Modified FOLFOX has been studied in one completed Phase 2 clinical trial, identified as NCT00636610. This trial enrolled 199 participants and evaluated the drug in combination with concurrent chemotherapy and bevacizumab as first-line therapy for metastatic colorectal cancer. The trial was randomized, double-blind, and placebo-controlled.

Is Modified FOLFOX the same as FOLFOX?

Yes, Modified FOLFOX is also known as FOLFOX. The drug is referred to by both names in clinical research. It is being developed by Roche Holding AG for the treatment of metastatic colorectal cancer and is currently in Phase 2 clinical development.

How does Modified FOLFOX work?

Modified FOLFOX is a chemotherapy regimen that combines multiple small molecule agents to treat metastatic colorectal cancer. The specific molecular targets of the drug have not been disclosed in the available clinical trial information. The drug is being evaluated in combination with other therapies to improve outcomes for patients.