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An Open-label, Randomized, Controlled, Multicenter, Phase I/II Trial Investigating 2 EMD 525797 Doses in Combination With Cetuximab and Irinotecan Versus Cetuximab and Irinotecan Alone, as Second-line Treatment for Subjects With K-ras Wild Type Metastatic Colorectal Cancer.


Phase 1/Phase 2
18 Years
N/A
Open (Enrolling)
Both
Metastastic Colorectal Cancer

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Trial Information

An Open-label, Randomized, Controlled, Multicenter, Phase I/II Trial Investigating 2 EMD 525797 Doses in Combination With Cetuximab and Irinotecan Versus Cetuximab and Irinotecan Alone, as Second-line Treatment for Subjects With K-ras Wild Type Metastatic Colorectal Cancer.


Inclusion Criteria:



Subjects with histologically confirmed k ras wildtype (WT) colorectal carcinoma (CRC) with
documented distant metastasis;

- Prior oxaliplatin/fluoropyrimidine-containing regimen for the first-line treatment of
metastatic disease;

- Failed an oxaliplatin regimen for metastatic colorectal carcinoma (mCRC). Failure is
defined as either progressive disease (PD) (clinical or radiologic) within 6 months
of the last dose of any agent of an oxaliplatin-based regimen or intolerance to an
oxaliplatin regimen. Intolerance to an oxaliplatin regimen is defined as
discontinuation due to any of the following: severe allergic reaction, persistent
severe neurotoxicity, or delayed recovery from toxicity preventing retreatment;

- At least 1 radiographically documented measurable lesion in a previously non
irradiated area according to Response Evaluation Criteria In Solid Tumors (RECIST,
Version 1.0), i.e., this lesion must be adequately measurable in at least 1 dimension
(longest diameter to be recorded) as ≥2 cm by conventional techniques or ≥1 cm by
spiral CT scan;

- Eastern Cooperative Oncology Group (ECOG) performance status 0 1, or KPS ≥80%;

- Absolute Neutrophil Count(ANC) ≥1.5 x 10E9/L;

- Platelets ≥100 x 10E9/L;

- Hemoglobin ≥9 g/dL (without transfusions);

- Bilirubin ≤1.5 x ULN;

- ASAT ≤5 x ULN and ALAT ≤5 x ULN;

- Serum creatinine ≤1.25 x Upper limit of normal (ULN) and/or creatinine clearance ≥50
ml/min;

- International Nationalized Ratio (INR), and partial thromboplastin time (PTT) within
normal limits;

- Sodium and potassium within normal limits or ≤10% above or below (supplementation
permitted);

Exclusion Criteria:

- Previous treatment with any inhibitor of Epidermal Growth Factor Receptor (EGFR);

- Known brain metastasis and/or leptomeningeal disease;

- Radiotherapy (except localized radiotherapy for pain relief), major surgery, or any
investigational drug in the 30 days before the start of trial treatment entry;
planned major surgery during the trial;

- Concurrent chronic systemic immune or hormone therapy not indicated in this trial
protocol (except for physiologic replacement; steroids up to 10 mg of prednisone
equivalent or topical and inhaled steroids are allowed);

- Clinically relevant coronary artery disease (New York Heart Association [NYHA]
functional angina classification III/IV), congestive heart failure (NYHA III/IV),
clinically relevant cardiomyopathy, history of myocardial infarction in the last 12
months, or high risk of uncontrolled arrhythmia;

- Uncontrolled hypertension defined as systolic blood pressure ≥160 mmHg and/or
diastolic blood pressure ≥100 mmHg under resting conditions;

- History of coagulation disorder associated with bleeding or recurrent thrombotic
events;

- History of recent peptic ulcer disease (endoscopically proven gastric, duodenal or
esophageal ulcer) within 6 months of trial treatment start;

- Chronic inflammatory bowel disease, or acute/chronic ileus;

- Active infection (requiring i.v. antibiotics), including active tuberculosis, active
or chronic Hepatitis B or C, or ongoing HIV infection

Type of Study:

Interventional

Study Design:

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Primary endpoint of Safety Part: Number and proportion of subjects experiencing DLTs (dose limiting toxicity) using the NCI-CTCAE Version 3.0 in each dose level over the first 2 weeks after first drug intake

Outcome Time Frame:

the first 2 weeks after first drug intake (14 days)

Safety Issue:

Yes

Principal Investigator

Ilona Rybicka, MD

Investigator Role:

Study Director

Investigator Affiliation:

Merck KGaA

Authority:

Belgium: Federal Agency for Medicinal Products and Health Products

Study ID:

EMR62242-004

NCT ID:

NCT01008475

Start Date:

October 2009

Completion Date:

December 2014

Related Keywords:

  • Metastastic Colorectal Cancer
  • EMD 525797 in cominbation with cetuximab and irinotecan, second line therapy of metastatic colorectal cancer patients,
  • POSEIDON
  • Colorectal Neoplasms

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