Study of Bevacizumab, Erlotinib, FOLFOX for Patients With Untreated Metastatic Colorectal Cancer

Inclusion Criteria

• •Eligible patients must have histologically or cytologically documented locally advanced or metastatic colorectal cancer
• •No prior chemotherapy treatment for advanced or metastatic colorectal cancer. Patients may have received prior adjuvant chemotherapy or radiation with radiosensitizing chemotherapy. The last course of adjuvant chemotherapy must have concluded \> 12 months prior to registration. Patients may not have previously received irinotecan, oxaliplatin, antiangiogenesis agent, or EGFR inhibitor therapy in either the adjuvant or metastatic setting. No concurrent use of additional investigational agents (including up to 4 weeks prior to enrollment) is allowed while participating in this study.
• •Palliative radiation for metastatic disease is allowed, however at least 4 weeks must elapse from last treatment to first cycle of therapy and patient must have fully recovered from side effects of radiation therapy.
• •Patients must have measurable disease
• •Age \> 18 years.
• •ECOG Performance Score of 0-1.
• •Patients should have completed any major surgery \> 4 weeks from registration. Patients must have completed any minor surgery (including CT or U/S guided biopsies) \> 7 days from registration. Patients must have fully recovered from the procedure. (Insertion of a vascular access device is not considered major or minor surgery).
• •Adequate bone marrow as evidenced by: \*Absolute neutrophil count \> 1,500/mL; \*Platelet count \> 100,000/mL
• •Adequate renal function as evidenced by serum creatinine \< 1.5 mg/dL
• •Adequate hepatic function as evidenced by: \*Serum total bilirubin \< 1.5 mg/dL; \*Alkaline phosphatase \< 3X the ULN (\< 5X the ULN for patients with known hepatic metastases);
• •* SGOT/SGPT \< 3X the ULN (\< 5X the ULN for patients with known hepatic metastases)
• •Patients of childbearing potential and their partners must agree to use an effective form of contraception during the study and for 90 days following the last dose of study medication.