A Phase II Trial of MB-6 Plus FOLFOX4 for Metastatic Colorectal Cancer (FDA IND 103675)

Inclusion criteria

• Patient with histologically confirmed colorectal cancer and/or clinical evidence of metastasis;
• At least one measurable lesion either by computer tomography (CT) scan or magnetic resonance imaging (MRI);
• Aged 20 years old or above;
• Eastern Cooperative Oncology Group (ECOG) performance status < 2;
• Adequate bone marrow reserve (hemoglobin > 9 g/dl, absolute neutrophil count > 1.5 x 109/L, platelets > 100 x 109/L);
• Adequate renal and hepatic functions: total bilirubin < 1.25 x upper normal limit, creatinine < 1.25 x upper normal limit, alanine aminotransferase (ALT) or aspartate aminotransferase (AST) < 2.5 x upper normal limit;
• Patients willing to participate in the trial and giving written informed consent.

Exclusion criteria

• Pregnant or lactating patients;
• Patients (male or female) with reproductive potential not using adequate contraceptive measures;
• Patients with evidence of central nervous system metastasis;
• Subject with active infection which requires systemic treatment of antibiotic, antifungal, or antiviral agents
• Current history of chronic diarrhea;
• Other serious illness or medical conditions (e.g.: history of angina, myocardial infarction);
• History of second primary malignancies except for adequately treated basal cell carcinoma of the skin or carcinoma in situ of the cervix;
• Concurrent treatment with any other anticancer therapy;
• Patients with congestive heart failure (New York Heart Association Functional Classification III or IV), epilepsy, or other significant medical conditions as judged by the investigator;
• Patients treated with another investigational drug within 4 weeks of entry into this study.