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OXALIPLATIN

Phase 3

Carcinoma, Hepatocellular | Small molecule | Oncology |Sanofi|Last Updated: Oct 28, 2021

Target and mechanism

ModalitySmall molecule

Also known as Oxaliplatin, 5-FU, Oxaliplatin (Eloxatin®), Oxaliplatin, Paclitaxel, Oxaliplatin (SR96669), Oxaliplatin, 5-Fluorouracil, Oxaliplatin, capecitabine, oxaliplatin, 5 FU, Oxaliplatin, capecitabine, radiotherapy

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials3
Total Enrollment409

FDA Designations

No designations recorded

Clinical trial landscape

OXALIPLATIN · 28 trials · 20 indications

Phase 3 5Phase 2 22Phase 1 1
NCT01121848Randomized Study With Oxaliplatin in 2nd Line Pancreatic CancerPancreatic Neoplasms
COMPLETED108 Analytics
NCT00471965Oxaliplatin + 5-FluoroUracil/LeucoVorin (5-FU/LV) (FOLFOX4) Versus Doxorubicin as Palliative Chemotherapy in Advanced Hepatocellular Carcinoma PatientsCarcinoma, Hepatocellular
COMPLETED371 Analytics
NCT00411229Capecitabine and Oxaliplatin Adjuvant Study in Stomach CancerStomach Neoplasms
COMPLETED1,035 Analytics
NCT00012389Irinotecan With or Without Oxaliplatin in Treating Patients With Metastatic Colorectal CancerColorectal Cancer
COMPLETED- Analytics
NCT00275210MOSAIC - Multicenter International Study of Oxaliplatin/ 5FU-LV in the Adjuvant Treatment of Colon CancerColonic Neoplasms
COMPLETED2,246 Analytics
PHASE3COMPLETED
Randomized Study With Oxaliplatin in 2nd Line Pancreatic Cancer
Pancreatic NeoplasmsUnlock trial analytics
PHASE3COMPLETED
Oxaliplatin + 5-FluoroUracil/LeucoVorin (5-FU/LV) (FOLFOX4) Versus Doxorubicin as Palliative Chemotherapy in Advanced Hepatocellular Carcinoma Patients
Carcinoma, HepatocellularUnlock trial analytics
PHASE3COMPLETED
Capecitabine and Oxaliplatin Adjuvant Study in Stomach Cancer
Stomach NeoplasmsUnlock trial analytics
PHASE3COMPLETED
Irinotecan With or Without Oxaliplatin in Treating Patients With Metastatic Colorectal Cancer
Colorectal CancerUnlock trial analytics
PHASE3COMPLETED
MOSAIC - Multicenter International Study of Oxaliplatin/ 5FU-LV in the Adjuvant Treatment of Colon Cancer
Colonic NeoplasmsUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression-Free Survival (PFS)
Within the 3 months of study treatment

PFS is defined as the time from the start of treatment to the date of disease progression or death from any cause.

Overall survival
From the date of randomization to the date of death due to any cause
Recurrence of the original cancer
From the beginning to end of the study
Development of a new gastric cancer
From beginning to end of study
Death due to any cause
From the beginning to the end of study
Adverse events
From beginning to end of study
Clinical laboratory tests
From beginning to end of study
To to detect occurrence of relapse the following examinations have to be performed for 5 years:
Every 6 months for ultrasound or abdominopelvic CT scan and CEA determination,
Every year for chest X-ray and colonoscopy for non polyp free patient,
Every 3 years colonoscopy for polyp free patient
Objective Response Rate (ORR), the Percentage of Patients Who Experience an Objective Benefit From Treatment
18 months

Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI or CT: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.

To evaluate PSA response rates (response will be defined as a > 50% reduction in PSA levels) in men who have failed primary chemotherapy.
Followed for survival

Subjects once off treatment wil be followed for survival

To determine efficacy in terms of response rate according to RECIST criteria
3-6 months
Tumor Response Rate evaluated using RECIST (Response Evaluation Criteria in Solid Tumors) by physical examination, chest X-ray, abdomen-pelvis CT (Computed tomography) scan
every 6 weeks
Response rate
from the signature of Informed Consent up to the end of the study
Overall response rate based on RECIST criteria
To determine the overall survival (OS) rate at 1 year in this patient population, treated with the combination therapy of bevacizumab plus gemcitabine and oxaliplatin
One year
Percentage of Participants With Pathological Complete Tumor Response
Up to Week 16

Pathological complete tumor response was defined as grade 3 or 4 in the histological grading of regression according to Dworak classification. Grade 0 is no regression; Grade 1 is dominant tumor mass with obvious fibrosis and/or vasculopathy; Grade 2 is dominantly fibrotic changes with few tumor cells or groups; Grade 3 is defined as very few (difficult to find microscopically) tumor cells in fibrotic tissue with or without mucous substance; Grade 4 is defined as no tumor cells, only fibrotic mass (total regression or response).

Efficacy: Tumor response rate based on Response Evaluation Criteria in Solid Tumour (RECIST) criteria
Baseline to end of study
Safety: Clinical and laboratory criteria
Baseline to end of study
The incidence of adverse events based on National Cancer Institute Common Terminology Criteria for Adverse Events version 3.0
Baseline to 30 days post treatment
Occurrence of serious adverse events (SAE)
Baseline to 30 days post treatment
Drop-out rate
End of study
Adverse events.
12 Cycles
Progression Free Survival
18 months

Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions

Time to Tumor Progression (TTP) and Response Rate: evaluated by RECIST
During the Study Conduct
To evaluate response rate according to RECIST criteria
To evaluate the progression-free survival in the ITT population
MRI staging and TME surgery
within 4 - 6 weeks after completion XELOX-RT
To evaluate the safety and efficacy of three oxaliplatin-fluoropyrimidine regimens when combined with bevacizumab as therapy for previously untreated metastatic colorectal cancer (TREE 2)
Response rate - RECIST criteria (unidimensional)
During the study conduct
Response rate (both clinical and pathological) of the primary rectal cancer observed after the chemoradiotherapy. Histologically confirmed complete resection rate (R0 rate).
3-years disease- free-survival or 3-years overall survival
Overall RR (World Health Organization [WHO]/Union Internationale Contre le Cancer [International Union Against Cancer] [UICC] criteria
during the study conduct
Evaluate efficacy of oxaliplatin-paclitaxel combination using established criteria in metastatic germ cell cancer patients
during the study conduct
To evaluate the efficacy of first line oxaliplatin in combination with 5-fluorouracil (5-FU) in patients with advanced inoperable or metastatic head and neck cancer.
Efficacy endpoints include tumor response, progression free and overall survival.
Throughout the whole study
Tumour response

Secondary Endpoints

Overall response rate (ORR)
12 weeks
Duration of response
12 weeks
Disease Controlled Rate (DCR)
12 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
5-FU & LVACTIVE_COMPARATOR* Day 1: LV 400 mg/m2 (given as a 2-hour infusion) * Day 1 and 2: 5-FU given as a bolus IV 400 mg/m2 dose on Day 1 followed by 2400 mg/m2 continuous infusion over 46 hours. * This chemotherapy regimen will be administered each two weeks.
XELOX or modified FOLFOX-6EXPERIMENTALXELOX: * Day 1: Oxaliplatin 130 mg/m2 (2 hours infusion) * This chemotherapy regimen will be administered each two weeks. OR modified FOLFOX-6: * Day 1: Oxaliplatin 85 mg/m2 (given as a 2-hour infusion) * Day 1: LV 400 mg/m2 (given as a 2-hour infusion simultaneous to oxaliplatin) * Day 1 and 2: 5-FU given as a bolus IV 400 mg/m2 dose on Day 1 followed by 2400 mg/m2 continuous infusion over 46 hours (Day 1 and 2) * This chemotherapy regimen will be administered each two weeks.
AEXPERIMENTALOxaliplatin + 5-Fluorouracil/Leucovorin
BACTIVE_COMPARATORDoxorubicin
1ACTIVE_COMPARATORCapecitabine + Oxalipatin
2NO_INTERVENTION -
InterventionEXPERIMENTALPatients with HER2 positive breast cancer received treatment with oxaliplatin 130 mg/m2 IV day 1 and trastuzumab 6 mg/kg (following 8 mg/kg loading dose during cycle 1). Cycles were repeated every 21 days.
Oxaliplatin and TaxotereEXPERIMENTALPatients will receive both docetaxel and oxaliplatin, IV on day 1 of each cycle. Treatment will be repeated every 21 days for up to 6 courses in the absence of disease progression, unacceptable toxicity, or \>50% increase in serum PSA.
interventional armEXPERIMENTALOxaliplatin, Irinotecan and Bevacizumab for 3 cycles followed by Docetaxel and Bevacizumab for a further 3 cycles. Upon completion of the combination therapy cycles Bevacizumab will be continued until progression.
Capecitabine+OxaliplatinEXPERIMENTALEligible participants received capecitabine 1000 milligrams per square meter (mg/m\^2) on Days 1-14, and 825 mg/m\^2 on Days 22-35 and 43-56 twice a day (bid) orally, along with oxaliplatin as a 2-hour intravenous (iv) infusion of 130 mg/m\^2/once a day (d) on Day 1 and 50 mg/m\^2/d on Days 22, 29, 43 and 50 prior to radiotherapy. Participants received radiation therapy having a fraction dose of 1.8 gray (Gy)/day, 5 days a week, for five consecutive weeks starting on Day 22 of the treatment period. Participants, who completed the treatment period, underwent surgery at Week 14.
Oxaliplatin/CapecitabineEXPERIMENTALAll patients received treatment with oxaliplatin 130mg/m2, given intravenously on day 1 of each 21 day cycle. Capecitabine 1000mg/m2 by mouth twice daily was administered on days 1-14 of each cycle.
Single armEXPERIMENTAL -
OxaliplatinEXPERIMENTAL -

Interventions

NameTypeDescription
LeucovorinDRUGPharmaceutical form:vials of 50 mg/5 mL or 500 mg/50mL Route of administration: IV Dose regimen:
OXALIPLATINDRUGPharmaceutical form: Lyophilized powder for injection (50 mg/vial or 100 mg/vial) or aqueous solution (50 mg/10 mL and 100 mg/20 mL) Route of administration: IV Dose regimen:
5-FluorouracilDRUGPharmaceutical form: vials of 5 g/100mL Route of administration: IV Dose regimen:
Oxaliplatin + 5-Fluorouracil/LeucovorinDRUGDay 1: Oxaliplatin 85mg/m² 2h IV infusion, leucovorin 200mg/m² 2h IV infusion, 5-fluorouracil 400mg/m² IV bolus, 5-fluorouracil 600mg/m2 22h IV infusion. Day 2: Leucovorin 200mg/m² 2h IV infusion, 5-fluorouracil 400mg/m² IV bolus, 5-fluorouracil 600mg/m² 22h IV infusion. Repeated every 2 weeks
DoxorubicinDRUGDay 1: Doxorubicin 50mg/m² iv infusion. Repeated every 3 weeks.
CapecitabineDRUG1,000 mg/m² twice daily. Film coated tablets of 500 mg, 150mg.
irinotecan hydrochlorideDRUG -
Oxaliplatin (SR96669)DRUG -
TrastuzumabDRUGTrastuzumab will be administered as an 8 mg/kg loading dose by intravenous (IV) infusion over 90 minutes on day 1 of cycle 1. Subsequent doses will be administered as a 6 mg/kg IV dose over 30 minutes.
TaxotereDRUG -
Oxaliplatin, Irinotecan, Bevacizumab, DocetaxelDRUG -
FluorouracilDRUG400mg/m², 2 hours IV bolus, Day 1; 22 hours continuous IV infusion 600mg/m², Day 1 and Day 2; Every 2 weeks
Oxaliplatin, capecitabineDRUGOXA 130 D1 + Capecitabine 2000 / day D1-D14 for 4 cycles. After 10 weeks of rest, XELOX-RT regimen x 5 weeks followed by surgery
bevacizumabDRUG10mg/kg IV on Day 1 Q 2 weeks
gemcitabineDRUG1000mg/m2 as fixed-rate infusion at 10mg/m2/min on Day 1 and Q 2 weeks.
Oxaliplatin, capecitabine, radiotherapyDRUG* Oxaliplatin 50mg/m² I.V. 2 hours weekly x 5 doses * Capecitabine 825mg/m² P.O. B.I.D. daily x 5 days x 5 weeks * Radiotherapy 45 Gy total (1.8Gy/dose) 25 fractions daily x 5 days x 5 weeks
fluoropyrimidineDRUG -
Oxaliplatin, 5-FluorouracilDRUG5FU 500 mg/m² per week in IV bolus infusion during 30 min AF 20mg/m²/week in infusion, during 10-20 minutes prior 5FU infusion; Eloxatin 85 mg/m² as IV infusion 2-6 hours, every 2 weeks. Three weeks of treatment, one week rest.
RadiotherapyRADIATIONPlanned total dose of 45-50.4Gy (with cone down) in 25-28 fractions
oxaliplatin, 5 FUDRUGOxaliplatin:130 mg/m² as a 2-hour intravenous (IV) infusion in 500 mL of 5% glucose solution on Day 1 and repeated every 3 weeks. 5-FU: following oxaliplatin administration, 1000 mg/m²/day as a continuous IV infusion from Day 1 to Day 4, repeated every 3 weeks.
Oxaliplatin, PaclitaxelDRUGOxaliplatin was provided in clear glass vials sealed with a rubber stopper and an aluminum seal with a flip-off cover. Each vial contained 50 or 100 mg of active ingredient with 450 or 900 mg, respectively, of lactose monohydrate as excipient Paclitaxel was supplied as single dose vials of 30 mg/5 mL or 100 mg/17 mL.
Oxaliplatin, 5-FUDRUGOxaliplatin: 130 mg/m² in 500 mL of 5% glucose solution as a 2-hour intravenous (IV) infusion on Day 1 and repeated every 3 weeks; 5-FU: following oxaliplatin administration, 1000 mg/m²/day as a continuous IV infusion from Day 1 toDay 4, every 3 weeks.Dose adjustments were made if the patient experienced AEs.
Oxaliplatin + cisplatin + 5-Fluorouracil (5-FU)DRUGOXALIPLATIN 60 mg/m2/d, CISPLATIN 55 mg/m2/d, 5-FU 600 mg/m2/d with dose range and followed by radiotherapy
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites15

Inclusion criteria: * Histologically or cytologically proven pancreatic carcinoma * Measurable locally advanced or metastatic disease * Patient previously treated with 5-FU as a "radiation sensitizer" and all toxicities must have been resolved * Patients must have received Gemcitabine-based chemoth...

Countries:CanadaChinaSouth KoreaTaiwanThailandUnited StatesBrazilCzechiaHungaryPolandUnited KingdomAustraliaAustriaBelgiumDenmarkFranceGermanyGreeceIsraelItalyNetherlandsNorwayPortugalSingaporeSpainSwedenSwitzerlandHong KongColombia
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