Colon Cancer Clinical Trial

FOLFOXIRI Plus Panitumumab in Metastatic RAS Wild-type, Left-sided Colorectal Cancer

Summary

This is a phase II, open-label, non-randomized study in subjects with histologically confirmed diagnosis of left-sided RAS WT advanced adenocarcinoma of the colon or rectum who have not received prior systemic therapy for metastatic disease.

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Full Description

This trial is designed to evaluate the efficacy of the combination of FOLFOXIRI and panitumumab as first-line therapy in patients with metastatic, left-sided, RAS WT CRC. The research hypothesis is that in this cohort of patients, the combination of triplet chemotherapy and anti-EGFR therapy will confer higher response rates and efficacy.

View Eligibility Criteria

Eligibility Criteria

Inclusion Criteria:

Subjects must have signed an approved informed consent.
Histologically confirmed diagnosis of advanced adenocarcinoma of the colon or rectum.

No previous systemic chemotherapy for metastatic disease

Subjects who have had prior adjuvant chemotherapy for non-metastatic disease are eligible if more than six months have elapsed after completing therapy
Subjects treated with adjuvant chemotherapy who relapse within six months after completion will not be eligible.
Bidimensionally measurable disease as defined in Section 3.3.1.

RAS wild-type tested in

KRAS exon 2 (codons 12/13)
KRAS exon 3 (codons 59/61)
KRAS exon 4 (codons 117/146)
NRAS exon 2 (codons 12/13)
NRAS exon 3 (codons 59/61)
NRAS exon 4 (codons 117/146)
ECOG Performance Status 0-1 (Appendix 1).
Recovery in full, from any previous surgical procedure.

Subjects >=18 years of age. Women of childbearing potential (WOCBP) must be using an adequate method of contraception to avoid pregnancy throughout the study and for up to 6 months after the study in such a manner that the risk of pregnancy is minimized.

WOCBP include any female who has experienced menarche and who has not undergone successful surgical sterilization (hysterectomy, bilateral tubal ligation or bilateral oophorectomy) or is not postmenopausal.

WOCBP must have a negative serum or urine pregnancy test (minimum sensitivity 25 IU/L or equivalent units of HCG) within 72 hours prior to the start of study medication.

Creatinine clearance ≥ 50 ml/min or serum creatinine ≤ 1.5 x upper limit of normal.
Bilirubin ≤ 1.5 x upper limit of normal
AST, ALT ≤ 2.5 x upper limit of normal in absence of liver metastases, or ≤ 5 x upper limit of normal in presence of liver metastases,
Albumin within normal institutional limits
Magnesium ≥ lower limit of normal; calcium ≥ lower limit of normal .
Absolute Neutrophil Count > 1500/mm3 and platelets > 100,000/mm3.

Exclusion Criteria:

WOCBP who are unwilling or unable to use an acceptable method to avoid pregnancy for the entire study period and for up to 6 months after the study. Subjects who are men must also agree to use effective contraception.
Women who are pregnant or breastfeeding.
Women with a positive pregnancy test on enrollment or prior to study drug administration.
Subjects with >grade 1 neuropathy except for loss of tendon reflex.
Any active or uncontrolled infection.
Clinically significant cardiovascular disease (myocardial infarction, unstable angina, symptomatic congestive heart failure, serious uncontrolled cardiac arrhythmia) ≤ 6 months before enrollment

Past or current history of malignancies except for the indication under this study and curatively treated:

Basal and squamous cell carcinoma of the skin
In-situ carcinoma of the cervix
Other malignant disease without recurrence after at least 3 years of follow-up
History or evidence upon physical examination of CNS disease unless adequately treated (e.g. primary brain tumor, seizure not controlled with standard medical therapy, brain metastases or history of stroke).
Clinically relevant interstitial lung disease (pneumonitis, pulmonary fibrosis, evidence of interstitial lung disease on baseline chest CT scan)
Allogeneic transplantation requiring immunosuppressive therapy.
Severe non-healing wounds, ulcers or bone fractures.
Evidence of bleeding diathesis or coagulopathy.
Patients not receiving therapeutic anticoagulation must have an INR < 1.5 x ULN and aPTT < 1.5 x ULN within 7 days prior to randomization. The use of full-dose anticoagulants is allowed as long as the INR or aPTT is within therapeutic limits (according to the medical standard in the institution) and the patient has been on a stable dose for anticoagulants for at least two weeks.
Concomitant therapy with certain anti-viral medicines (sorivudine and brivudine or analogue compounds).
Major surgical procedure, open biopsy, nor significant traumatic injury within 28 days prior to study treatment start, or anticipation of the need for major surgical procedure during the course of the study except for surgery for colorectal cancer with curative intent and central venous line placement for chemotherapy administration.
Subjects with known allergy to the study drugs or to any of its metabolites.
Known DPD deficiency.
Current or recent (within the 28 days prior to starting study treatment) treatment of another investigational drug or participation in another investigational study.
Known grade III/IV allergic reaction against monoclonal antibodies.
Any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule; those conditions should be discussed with the subject before registration in the trial.

Study is for people with:

Colon Cancer

Phase:

Phase 2

Estimated Enrollment:

35

Study ID:

NCT04169347

Recruitment Status:

Recruiting

Sponsor:

Criterium, Inc.

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There are 8 Locations for this study

See Locations Near You

University of Arizona Cancer Center
Tucson Arizona, 85724, United States More Info
Aaron Scott, MD
Contact
520-891-0957
[email protected]
Jaron Solsky
Contact
520-626-9001
[email protected]
Aaron Scott, MD
Principal Investigator
Rachna Shroff, MD
Sub-Investigator
Hani Babiker, MD
Sub-Investigator
Emad Elquza, MD
Sub-Investigator
Carolyn Jones, NP
Sub-Investigator
Yale Cancer Center
New Haven Connecticut, 06520, United States More Info
Christina Weiss
Contact
203-984-0020
[email protected]
Stacey Stein, MD
Principal Investigator
Mount Sinai Comprehensive Cancer Center
Miami Beach Florida, 33140, United States More Info
Mayra Ortiz
Contact
305-674-2625
[email protected]
Mike Cusnir, MD
Principal Investigator
University of Iowa Hospitals & Clinics
Iowa City Iowa, 52242, United States More Info
Susan Butcher
Contact
319-467-5827
[email protected]
Pashtoon Kasi, MS
Principal Investigator
Kansas University Cancer Center
Westwood Kansas, 66205, United States More Info
Anwaar Saeed, MD
Contact
816-898-9413
[email protected]
Benjamin Roberts, BS
Contact
913-588-6939
[email protected]
Anwaar Saeed, MD
Principal Investigator
Anup Kasi, MD
Sub-Investigator
Stephen Williamson, MD
Sub-Investigator
Lori Barbosa, MD
Sub-Investigator
Joaquina Baranda, MD
Sub-Investigator
Weijing Sun, MD
Sub-Investigator
Molly Silver, APRN/NP
Sub-Investigator
Raed Al-Rajabi, MD
Sub-Investigator
Erin Carroll, APRN/NP
Sub-Investigator
Erin L Shonkwiler, APRN/NP
Sub-Investigator
Laren Schaeffer, APRN/NP
Sub-Investigator
Mikala Lodder, ARNP
Sub-Investigator
Sarah A Walters, APRN/NP
Sub-Investigator
Venkatadri Beeki, MD
Sub-Investigator
Carrie Englert, APRN/NP
Sub-Investigator
Julie Hamlin, APRN/NP
Sub-Investigator
Larua Davidson, APRN/NP
Sub-Investigator
Nancy J Washburn, APRN/NP
Sub-Investigator
Gregory J Crane, MD
Sub-Investigator
Richard J McKittrick, MD
Sub-Investigator
Lindsey M Adam, APRN/NP
Sub-Investigator
Teresa A Hoffman, APRN/NP
Sub-Investigator
Christina Schmidt, APRN/NP
Sub-Investigator
Penelope Harris, MD
Sub-Investigator
Vinay Raja, MD
Sub-Investigator
Rutgers Cancer Institute of New Jersey
New Brunswick New Jersey, 08903, United States More Info
HOWARD HOCHSTER, MD
Contact
212-333-7775
[email protected]
SUTIRTHA DATTA
Contact
732-235-8996
[email protected]
Howard Hochster, MD
Principal Investigator
Elizabeth Poplin, MD
Sub-Investigator
Kristen Spencer, MD
Sub-Investigator
Jacqueline Norrell, DNP, APN
Sub-Investigator
Laura & Isaac Perlmutter Cancer Center at NYU Langone Health
New York New York, 10016, United States More Info
GI Clinical Research Team
Contact
[email protected]
Deirdre Cohen, MD
Principal Investigator
Swedish Cancer Institute
Seattle Washington, 98104, United States More Info
Philip Gold, MD
Contact
206-386-2121
[email protected]
Sara Teller
Contact
206-386-2370
[email protected]
Philip Gold, MD
Principal Investigator
Somasundaram Subramaniam, MD
Sub-Investigator
Heather Holdread, ARNP
Sub-Investigator
Sara Teller
Sub-Investigator

How clear is this clinincal trial information?

Study is for people with:

Colon Cancer

Phase:

Phase 2

Estimated Enrollment:

35

Study ID:

NCT04169347

Recruitment Status:

Recruiting

Sponsor:


Criterium, Inc.

How clear is this clinincal trial information?

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