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Trial ยท NCT00154102

Cetuximab Combined With Irinotecan in First-line Therapy for Metastatic Colorectal Cancer (CRYSTAL)

NCT00154102, Phase 3, Completed, Merck KGaA, Darmstadt, Germany; results first posted 2011-02-23

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Cetuximab Combined With Irinotecan in First-line Therapy for Metastatic Colorectal Cancer (CRYSTAL). Trials, record NCT00154102. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00154102

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Cetuximab Combined With Irinotecan in First-line Therapy for Metastatic Colorectal Cancer (CRYSTAL)
NCT number
NCT00154102
Status
Completed
Phases
Phase 3
Enrollment
1,221 participants, actual
Lead sponsor
Merck KGaA, Darmstadt, Germany
Conditions
Epidermal Growth Factor Receptor (EGFR) Expressing Metastatic Colorectal Cancer
Interventions
Cetuximab, FOLFIRI (5-Fluorouracil, Folinic acid, Irinotecan)
First posted
2005-09-12
Last updated
2017-01-30
Results first posted
2011-02-23
Limitations and caveats
A non-specific outcome measure 'Safety' was deleted from the entry in error. A replacement outcome was created. The outcome refers to adverse events.

Source ClinicalTrials.gov

Registered outcomes15

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryProgression-free Survival (PFS) Time - Independent Review Committee (IRC) AssessmentsTime from randomisation to disease progression, death or last tumour assessment, reported between day of first patient randomised, 10 Aug 2004, until cut-off date, 27 July 2006
Duration from randomization until radiological progression (based on modified World Health Organisation (WHO) criteria) or death due to any cause. Only deaths within 60 days of last tumor assessment are considered. Patients without event are censored on the date of last tumor assessment.
PrimaryProgression-free Survival Time (Chinese V-Ki-ras2 Kirsten Rat Sarcoma Viral Oncogene Homolog (KRAS) Wild-Type Population) - Independent Review Committee (IRC) AssessmentsTime from randomisation to disease progression, death or last tumour assessment, reported between day of first patient randomised, 10 Aug 2004, until cut-off date, 27 July 2006
Duration from randomization until radiological progression (based on modified WHO criteria) or death due to any cause. Only deaths within 60 days of last tumor assessment are considered. Patients without event are censored on the date of last tumor assessment.
PrimaryProgression-free Survival Time (KRAS Mutant Population) - Independent Review Committee (IRC) AssessmentsTime from randomisation to disease progression, death or last tumour assessment, reported between day of first patient randomised, 10 Aug 2004, until cut-off date, 27 July 2006
Duration from randomization until radiological progression (based on modified WHO criteria) or death due to any cause. Only deaths within 60 days of last tumor assessment are considered. Patients without event are censored on the date of last tumor assessment.
SecondaryOverall Survival Time (OS)Time from randomisation to death or last day known to be alive, reported between day of first patient randomised, 10 Aug 2004, until cut-off date, 31 May 2009Time from randomization to death. Patients without event are censored at the last date known to be alive or at the clinical cut-off date, whichever is later.
SecondaryOverall Survival Time (KRAS Wild-Type Population)Time from randomisation to death or last day known to be alive reported between day of first patient randomised, 10 Aug 2004, until cut-off date, 31 May 2009Time from randomization to death. Patients without event are censored at the last date known to be alive or at the clinical cut-off date, whichever is later.
SecondaryOverall Survival Time (KRAS Mutant Population)Time from randomisation to death or last day known to be alive reported between day of first patient randomised, 10 Aug 2004, until cut-off date, 31 May 2009Time from randomization to death. Patients without event are censored at the last date known to be alive or at the clinical cut-off date, whichever is later.
SecondaryBest Overall Response Rate - Independent Review Committee (IRC) Assessmentsevaluations were performed every 6 weeks until progression reported between day of first patient randomised, 10 Aug 2004, until cut-off date, 27 July 2006
The best overall response rate is defined as the percentage of subjects having achieved confirmed Complete Response + Partial Response as the best overall response according to radiological assessments (based on modified WHO criteria).
SecondaryBest Overall Response Rate (KRAS Wild-Type Population) - Independent Review Committee (IRC) Assessmentsevaluations were performed every 6 weeks until progression reported between day of first patient randomised, 10 Aug 2004, until cut-off date, 27 July 2006
The best overall response rate is defined as the percentage of subjects having achieved confirmed Complete Response + Partial Response as the best overall response according to radiological assessments (based on modified WHO criteria).
SecondaryBest Overall Response Rate (KRAS Mutant Population) - Independent Review Committee (IRC) Assessmentsevaluations were performed every 6 weeks until progression reported between day of first patient randomised, 10 Aug 2004, until cut-off date, 27 July 2006
The best overall response rate is defined as the percentage of subjects having achieved confirmed Complete Response + Partial Response as the best overall response according to radiological assessments (based on modified WHO criteria).
SecondaryDisease Control Rate - Independent Review Committee (IRC) AssessmentsEvaluations were performed every 6 weeks until progression reported between day of first patient randomised, 10 Aug 2004, until cut-off date, 27 July 2006
The disease control rate is defined as the percentage of subjects having achieved confirmed Complete Response + Partial Response + Stable Disease as best overall response according to radiological assessments (based on modified WHO criteria).

Outcomes15

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYProgression-free Survival (PFS) Time - Independent Review Committee (IRC) AssessmentsTime from randomisation to disease progression, death or last tumour assessment, reported between day of first patient randomised, 10 Aug 2004, until cut-off date, 27 July 2006Primary analysis on Intent to Treat (ITT) population i.e. all randomized subjects who have received at least one dose of randomized treatment (allocation to treatment groups as randomized).monthsMEDIAN
PRIMARYProgression-free Survival Time (Chinese V-Ki-ras2 Kirsten Rat Sarcoma Viral Oncogene Homolog (KRAS) Wild-Type Population) - Independent Review Committee (IRC) AssessmentsTime from randomisation to disease progression, death or last tumour assessment, reported between day of first patient randomised, 10 Aug 2004, until cut-off date, 27 July 2006Intent to Treat (ITT) population with KRAS Wild Type tumor status as collected until 28 August 2009monthsMEDIAN
PRIMARYProgression-free Survival Time (KRAS Mutant Population) - Independent Review Committee (IRC) AssessmentsTime from randomisation to disease progression, death or last tumour assessment, reported between day of first patient randomised, 10 Aug 2004, until cut-off date, 27 July 2006Intent to Treat (ITT) population with KRAS Mutant tumor status as collected until 28 August 2009monthsMEDIAN
SECONDARYOverall Survival Time (OS)Time from randomisation to death or last day known to be alive, reported between day of first patient randomised, 10 Aug 2004, until cut-off date, 31 May 2009ITT population (allocation to treatment groups as randomized and treated)monthsMEDIAN
SECONDARYOverall Survival Time (KRAS Wild-Type Population)Time from randomisation to death or last day known to be alive reported between day of first patient randomised, 10 Aug 2004, until cut-off date, 31 May 2009Intent to Treat (ITT) population with KRAS Wild Type tumor status as collected until 28 August 2009monthsMEDIAN
SECONDARYOverall Survival Time (KRAS Mutant Population)Time from randomisation to death or last day known to be alive reported between day of first patient randomised, 10 Aug 2004, until cut-off date, 31 May 2009Intent to Treat (ITT) population with KRAS Mutant tumor status as collected until 28 August 2009monthsMEDIAN
SECONDARYBest Overall Response Rate - Independent Review Committee (IRC) Assessmentsevaluations were performed every 6 weeks until progression reported between day of first patient randomised, 10 Aug 2004, until cut-off date, 27 July 2006ITT population (allocation to treatment groups as randomized and treated)percentage of participantsNUMBER
SECONDARYBest Overall Response Rate (KRAS Wild-Type Population) - Independent Review Committee (IRC) Assessmentsevaluations were performed every 6 weeks until progression reported between day of first patient randomised, 10 Aug 2004, until cut-off date, 27 July 2006Intent to Treat (ITT) population with KRAS Wild Type tumor status as collected until 28 August 2009percentage participantsNUMBER
SECONDARYBest Overall Response Rate (KRAS Mutant Population) - Independent Review Committee (IRC) Assessmentsevaluations were performed every 6 weeks until progression reported between day of first patient randomised, 10 Aug 2004, until cut-off date, 27 July 2006Intent to Treat (ITT) population with KRAS Mutant tumor status as collected until 28 August 2009percentage of participantsNUMBER
SECONDARYDisease Control Rate - Independent Review Committee (IRC) AssessmentsEvaluations were performed every 6 weeks until progression reported between day of first patient randomised, 10 Aug 2004, until cut-off date, 27 July 2006ITT population (allocation to treatment groups as randomized and treated)percentage of participantsNUMBER

Results by group50

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Progression-free Survival (PFS) Time - Independent Review Committee (IRC) AssessmentsCetuximab Plus FOLFIRI8.995% Confidence Interval 8.0 to 9.4months
Progression-free Survival (PFS) Time - Independent Review Committee (IRC) AssessmentsFOLFIRI Alone8.095% Confidence Interval 7.6 to 9.0months
Progression-free Survival Time (Chinese V-Ki-ras2 Kirsten Rat Sarcoma Viral Oncogene Homolog (KRAS) Wild-Type Population) - Independent Review Committee (IRC) AssessmentsCetuximab Plus FOLFIRI9.995% Confidence Interval 9.0 to 11.3months
Progression-free Survival Time (Chinese V-Ki-ras2 Kirsten Rat Sarcoma Viral Oncogene Homolog (KRAS) Wild-Type Population) - Independent Review Committee (IRC) AssessmentsFOLFIRI Alone8.495% Confidence Interval 7.4 to 9.2months
Progression-free Survival Time (KRAS Mutant Population) - Independent Review Committee (IRC) AssessmentsCetuximab Plus FOLFIRI7.495% Confidence Interval 6.1 to 8.0months
Progression-free Survival Time (KRAS Mutant Population) - Independent Review Committee (IRC) AssessmentsFOLFIRI Alone7.795% Confidence Interval 7.3 to 9.2months
Overall Survival Time (OS)Cetuximab Plus FOLFIRI19.995% Confidence Interval 18.5 to 21.3months
Overall Survival Time (OS)FOLFIRI Alone18.695% Confidence Interval 16.7 to 19.8months
Overall Survival Time (KRAS Wild-Type Population)Cetuximab Plus FOLFIRI23.595% Confidence Interval 21.2 to 26.3months
Overall Survival Time (KRAS Wild-Type Population)FOLFIRI Alone20.095% Confidence Interval 17.4 to 21.7months

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDCetuximab Plus FOLFIRI599
Overall StudySTARTEDFOLFIRI Alone599
Overall StudyCOMPLETEDCetuximab Plus FOLFIRI592
Overall StudyCOMPLETEDFOLFIRI Alone597
Overall StudyNOT COMPLETEDCetuximab Plus FOLFIRI7
Overall StudyNOT COMPLETEDFOLFIRI Alone2

Adverse events650

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherNEUTROPENIABlood and lymphatic system disordersCetuximab Plus FOLFIRI272600
otherNEUTROPENIABlood and lymphatic system disordersFOLFIRI Alone249602
otherLEUKOPENIABlood and lymphatic system disordersCetuximab Plus FOLFIRI127600
otherLEUKOPENIABlood and lymphatic system disordersFOLFIRI Alone120602
otherANAEMIABlood and lymphatic system disordersCetuximab Plus FOLFIRI121600
otherANAEMIABlood and lymphatic system disordersFOLFIRI Alone127602
otherTHROMBOCYTOPENIABlood and lymphatic system disordersCetuximab Plus FOLFIRI31600
otherTHROMBOCYTOPENIABlood and lymphatic system disordersFOLFIRI Alone20602
otherLYMPHOPENIABlood and lymphatic system disordersCetuximab Plus FOLFIRI29600
otherLYMPHOPENIABlood and lymphatic system disordersFOLFIRI Alone35602

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityCetuximab Plus FOLFIRI
Total, all-cause mortalityFOLFIRI Alone
Total, other adverse eventsCetuximab Plus FOLFIRI593600
Total, other adverse eventsFOLFIRI Alone591602
Total, serious adverse eventsCetuximab Plus FOLFIRI263600
Total, serious adverse eventsFOLFIRI Alone204602

Papers4

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
19339720RESULTPubMed
23265711DERIVEDPubMed
27722750DERIVEDPubMed
30657405DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons3

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Cetuximab Plus FOLFIRI vs FOLFIRI Alone: Safety - Number of Patients Experiencing Any Adverse EventTrial comparisons
Cetuximab Plus FOLFIRI vs FOLFIRI Alone: Participants With No Residual Tumor After Metastatic SurgeryTrial comparisons
Cetuximab Plus FOLFIRI vs FOLFIRI Alone: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00154102

GET https://conductscience.org/api/trials/v1/NCT00154102/results?page=2