Overview
Epidermal Growth Factor Receptor (EGFR) Antagonist Chimeric Anti-EGFR Monoclonal Antibody Trial
Status:
Recruiting
Recruiting
Trial end date:
2023-12-01
2023-12-01
Target enrollment:
0
0
Participant gender:
All
All
Summary
The study is an double blind, randomized, multicenter phase 3 trial. The efficacy analyses are based on 570 Chinese patients with RAS wt mCRC treated with mFOLFOX-6 ± cetuximab. Study treatment continues until disease progression or unacceptable toxicity (ie, not for a fixed number of courses). The primary endpoint of the study is progression-free survival (PFS) time according to RECIST 1.0; key secondary endpoints include overall survival (OS) time, overall response rate (ORR), and safety/tolerability.Phase:
Phase 3Accepts Healthy Volunteers?
NoDetails
Lead Sponsor:
Sichuan Kelun Pharmaceutical Research Institute Co., Ltd.Treatments:
Cetuximab
Criteria
Inclusion Criteria:- Signed written informed consent
- Male or female subjects, 18-75 years of age
- Medically accepted effective contraception if procreative potential exists
- Diagnosis of histologically confirmed adenocarcinoma of the colon or rectum
- RAS wild-type and BRAF-V600E wild-type status in tumor tissue
- At least one measurable lesion by computer tomography (CT) or magnetic resonance
imaging (MRI) according to RECIST
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 at trial entry
- Life expectancy of at least 12 weeks
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 at trial entry
- White blood cell count >= 3 × 10x9/L with neutrophils >= 1.5 × 10x9/L, platelet count
>=75 × 10x9/L and hemoglobin >= 8 g/dL; Total bilirubin <= 1.5 × upper limit of
reference range, Aspartate transaminase (AST) and alanine transaminase (ALT) <= 2.5 ×
upper limit of reference range or <= 5 × upper reference range in subjects with liver
metastasis;Serum creatinine <= 1.5 × upper limit of reference range
Exclusion Criteria:
- Known hypersensitivity or allergic reactions against any of the components of the
trial treatments
- Radiotherapy or surgery (excluding prior diagnostic biopsy) in the 28 days before
trial treatment
- Known brain metastasis and/or leptomeningeal disease. Subjects with neurological
symptoms should undergo a CT scan/MRI of the brain to exclude brain metastasis
- Acute or sub-acute intestinal occlusion or history of inflammatory bowel
disease,except the patient with fistulation or stenting
- Active clinically serious infections (> grade 2 National Cancer Institute-Common
Terminology Criteria for Adverse Events (NCI-CTCAE) version 3.0), including active
tuberculosis
- Uncontrolled diabetes mellitus, pulmonary fibrosis, acute pulmonary disorder,
interstitial pneumonia, or liver failure
- Clinically significant cardiovascular disease, e.g. cardiac failure of New York Heart
Association classes III-IV, uncontrolled coronary artery disease, cardiomyopathy,
uncontrolled arrhythmia, uncontrolled hypertension, or history of myocardial
infarction in the last 5 years, or left ventricular ejection fraction below the
institutional range of normal on a baseline multiple gated acquisition scan or
echocardiogram
- Renal replacement therapy
- Peripheral neuropathy > grade 1
- History of organ allograft, autologous stem cell transplantation, or allogeneic stem
cell transplantation
- Previous malignancy other than CRC in the last 5 years except basal cell cancer of the
skin or preinvasive cancer of the cervix
- Known and declared history of human immunodeficiency virus (HIV) infection or chronic
hepatitis B or C
- Known severe coagulation disorders
- Previous chemotherapy for CRC except adjuvant treatment if terminated > 12 months
(oxaliplatin-based chemotherapy) or > 6 months (non-oxaliplatin-based chemotherapy)
before the start of treatment in this trial
- Previous treatment with anti-EGFR monoclonal antibody therapy
- Other non-permitted concomitant anticancer therapies, chronic systemic immune therapy
or hormone therapy
- Granulocyte colony stimulating factor (G-CSF) or granulocyte macrophage colony
stimulating factor (GM-CSF) within 3 weeks of trial entry,blood transfusion,or blood
components transfusion
- Pregnancy (absence to be confirmed by serum β-human chorionic gonadotropin test) or
breastfeeding
- Ongoing alcohol or drug abuse
- Known neurological or psychiatric diseases
- Participation in another clinical trial within the past 4 weeks
- Legal incapacity or limited legal capacity
- Other significant disease that in the investigator's opinion should exclude the
subject from the trial