- ICH GCP
- US-Register für klinische Studien
- Klinische Studie NCT05004350
Eine Studie zur Bewertung der Kombination von Encorafenib und Cetuximab im Vergleich zu Irinotecan/Cetuximab oder Infusion von 5-Fluorouracil (5-FU)/Folinsäure (FA)/Irinotecan (FOLFIRI)/Cetuximab bei chinesischen Patienten mit metastasierendem Darmkrebs mit BRAF-V600E-Mutation. (NAUTICALCRC)
Eine multizentrische, randomisierte, offene, zweiarmige Phase-II-Studie mit einer Sicherheits-Lead-in-Phase zur Bewertung der Kombination von Encorafenib und Cetuximab im Vergleich zu Irinotecan/Cetuximab oder Infusion von 5-Fluorouracil (5-FU)/Folinsäure (FA) /Irinotecan (FOLFIRI)/Cetuximab bei chinesischen Patienten mit metastasierendem Darmkrebs mit BRAF-V600E-Mutation.
Studienübersicht
Status
Bedingungen
Intervention / Behandlung
Studientyp
Einschreibung (Tatsächlich)
Phase
- Phase 2
Kontakte und Standorte
Studienorte
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Beijing Municipality
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Beijing, Beijing Municipality, China, 100730
- Peking Union Medical College Hospital, Chinese Academy of Medical Sciences
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Beijing, Beijing Municipality, China, 100036
- Beijing Cancer Hospital
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Fujian
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Fuzhou, Fujian, China, 350014
- Fujian Medical University - Fujian Provincial Cancer Hospital
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Xiamen, Fujian, China, 361001
- The First Affiliated Hospital of Xiamen University
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Guangdong
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Foshan, Guangdong, China, 528010
- The First People's Hospital of Foshan
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Guangzhou, Guangdong, China, 510095
- Cancer Center of Guangzhou Medical University
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Guangzhou, Guangdong, China, 510655
- The Sixth Affiliated Hospital Sun Yat-sen University
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Shantou, Guangdong, China, 515041
- Cancer Hospital Affiliated to Shantou University Medical College
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Shenzhen, Guangdong, China, 518036
- Peking University Shenzhen Hospital
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Hebei
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Baoding, Hebei, China, 071000
- The Affiliated Hospital of Hebei University
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Heilongjiang
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Harbin, Heilongjiang, China, 150040
- Harbin Medical University Cancer Hospital
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Henan
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Zhengzhou, Henan, China, 450052
- The First Affiliated Hospital of Zhengzhou University
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Zhengzhou, Henan, China, 450008
- Henan Cancer Hospital
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Hubei
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Wuhan, Hubei, China, 430071
- Zhongnan Hospital of Wuhan University
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Wuhan, Hubei, China, 430022
- Union Hospital Tongji Medical College Huazhong University Of Science And Technology
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Wuhan, Hubei, China, 430030
- Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology
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Hunan
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Changsha, Hunan, China, 410008
- Xiangya Hospital Central South University
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Jiangsu
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Changzhou, Jiangsu, China, 213003
- The First People's Hospital of Changzhou
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Jiangxi
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Ganzhou, Jiangxi, China, 341001
- First Affiliated Hospital of Gannan Medical University
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Nanchang, Jiangxi, China, 330006
- The First Affiliated Hospital of Nanchang University
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Nanchang, Jiangxi, China, 330006
- The Second Affiliated Hospital of Nanchang University
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Jilin
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Changchun, Jilin, China, 130021
- The First Hospital of Jilin University
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Liaoning
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Jinzhou, Liaoning, China, 121011
- The First Affiliated Hospital of Jinzhou Medical University
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Shenyang, Liaoning, China, 110001
- The First Hospital of China Medical University
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Shenyang, Liaoning, China, 110042
- Liaoning Cancer Hospital & Institute
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Shaanxi
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Xi'an, Shaanxi, China, 710068
- Shaanxi Provincial People's Hospital
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Shanghai Municipality
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Shanghai, Shanghai Municipality, China, 200032
- Zhongshan Hospital Fudan University
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Shanghai, Shanghai Municipality, China, 200040
- Huashan Hospital Fudan University
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Shanghai, Shanghai Municipality, China, 200092
- Xinhua Hospital Affilliated to Shanghai Jiaotong University School of Medicine
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Shanghai, Shanghai Municipality, China, 200120
- Shanghai East Hospital, Tongji University
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Sichuan
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Neijiang, Sichuan, China, 641000
- The Second People's Hospital of Neijiang
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Tianjin Municipality
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Tianjin, Tianjin Municipality, China, 300060
- Tianjin Medical University Cancer Institute and Hospital
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Zhejiang
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Hangzhou, Zhejiang, China, 310003
- The First Affiliated Hospital - Zhejiang University School of Medicine
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Hangzhou, Zhejiang, China, 310016
- Sir Run Run Shaw Hospital - Zhejiang University School of Medicine
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Teilnahmekriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Beschreibung
Einschlusskriterien für das molekulare Vorscreening:
Die folgenden Einschlusskriterien müssen erfüllt sein, damit ein Teilnehmer an einem molekularen Tumor-Vorscreening teilnehmen kann:
- Chinesischer männlicher oder weiblicher Teilnehmer mit einem Alter von ≥ 18 Jahren zum Zeitpunkt der Einverständniserklärung.
- Histologisch oder zytologisch bestätigter Darmkrebs (CRC), der metastasiert ist.
- Berechtigt, Cetuximab gemäß dem in China zugelassenen Etikett in Bezug auf den Mutationsstatus des Ratten-Sarkom-viralen Onkogen-Homologs (RAS) (d. h. zugelassen für Rat Sarcoma Viral Oncogene Homologe Wild Type (RAS wt) Status).
- Kann eine ausreichende Menge an repräsentativen Tumorproben für zentrale prospektive Labortests des B-RAF-Proto-Onkogens, des Mutationsstatus der Serin-/Threoninkinase (BRAF) und auch des retrospektiven RAS-wt-Status und der Mikrosatelliteninstabilitätstests (MSI) bereitstellen.
Einschlusskriterien für den Behandlungszeitraum:
Die folgenden Einschlusskriterien müssen erfüllt sein, damit ein Teilnehmer an dieser Studie teilnehmen kann:
- Chinesischer männlicher oder weiblicher Teilnehmer mit einem Alter von ≥ 18 Jahren zum Zeitpunkt der Einverständniserklärung.
- Histologisch oder zytologisch bestätigtes CRC, das zum Zeitpunkt des Studieneintritts metastasiert und nicht resezierbar ist (d. h. nicht geeignet für eine vollständige chirurgische Resektion beim Screening).
- Vorhandensein einer BRAF-V600E-Mutation in Tumorgewebe, die zuvor durch einen lokalen Assay zu einem beliebigen Zeitpunkt vor dem Screening oder durch das Zentrallabor festgestellt wurde.
HINWEIS: Es können andere im Protokoll definierte Einschlusskriterien gelten
Ausschlusskriterien für das molekulare Vorscreening:
Teilnehmer, die eines der folgenden Kriterien erfüllen, sind nicht berechtigt, sich einem molekularen Tumor-Vorscreening zu unterziehen:
- Vorherige Behandlung mit Anti-Epidermal Growth Factor Receptor (Anti-EGFR).
- Mehr als zwei frühere Behandlungen in der metastasierten Umgebung.
- Bekannte Kontraindikation für die Verabreichung von Cetuximab oder Irinotecan in der geplanten Dosis gemäß der neuesten lokalen Kennzeichnung von Cetuximab und Irinotecan.
- Bekanntes Gilbert-Syndrom in der Vorgeschichte oder bekanntermaßen einer der folgenden Genotypen: Uridin-5'-Diphospho-Glucuronosyltransferase (UGT)1A1*6/*6, UGT1A1*28/*28 oder UGT1A1*6/*28.
- Leptomeningeale Krankheit.
Ausschlusskriterien für Behandlungsdauer:
- Vorherige Behandlung mit einem Proto-Onkogen-Serin/Threonin-Proteinkinase (RAF)-Inhibitor, Cetuximab, Panitumumab oder anderen EGFR-Inhibitoren.
- Symptomatische Hirnmetastasen.
- Leptomeningeale Krankheit.
- Verwendung von pflanzlichen Medikamenten / Nahrungsergänzungsmitteln oder Medikamenten oder Lebensmitteln, die mäßige oder starke Inhibitoren oder Induktoren von Cytochrom P450 (CYP) 3A4 / 5 sind ≤ 1 Woche vor Beginn der Studienintervention.
- Bekannte Vorgeschichte einer akuten oder chronischen Pankreatitis innerhalb von 6 Monaten vor Beginn der Studienintervention.
HINWEIS: Andere protokolldefinierte Ausschlusskriterien können gelten
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Keine (Offenes Etikett)
Waffen und Interventionen
Teilnehmergruppe / Arm |
Intervention / Behandlung |
|---|---|
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Experimental: Encorafenib und Cetuximab
Safety Lead-in (SLI) Phase: 28-Tage-Zyklen mit Encorafenib einmal täglich (QD) 300 mg (4 x 75-mg-Kapsel zum Einnehmen) und Cetuximab 400 mg/m² Anfangsdosis (120-minütige Infusion), dann 250 mg/m² (60-minütige Infusion) danach einmal wöchentlich Randomisierte Phase (Phase II): 28-Tage-Zyklen mit Encorafenib einmal täglich (QD) 300 mg (4 x 75-mg-Kapsel zum Einnehmen) und Cetuximab 400 mg/m² Anfangsdosis (120-minütige Infusion), dann 250 mg/m² (60-minütige Infusion) danach einmal wöchentlich |
orale Hartkapsel
Andere Namen:
intravenöse Infusion
Andere Namen:
|
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Experimental: Irinotecan und Cetuximab oder FOLFIRI und Cetuximab
Randomisierte Phase (Phase II): Entweder Irinotecan und Cetuximab oder FOLFIRI und Cetuximab in 28-Tage-Zyklen. Irinotecan und Cetuximab:
ODER FOLFIRI und Cetuximab:
|
orale Hartkapsel
Andere Namen:
intravenöse Infusion
Andere Namen:
Kombination von: Irinotecan (auch bekannt als: Camptosar, Camptothecin-11 und CPT-11) intravenöse Infusion, Folinsäure (auch bekannt als: 5-Formyltetrahydrofolsäure und Leucovorin) intravenöse Infusion und 5-FU (auch bekannt als Fluorouracil) intravenöser Bolus / intravenöse Infusion
Andere Namen:
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Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Safety Lead-in Phase (SLI): Incidence of Dose Limiting Toxicities (DLTs)
Zeitfenster: Cycle 1 (up to 28 days)
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DLT rate was estimated based on data from DLT-evaluable participants during the DLT-evaluation period (which is the first 28 days after the first dose of study intervention in the SLI) to assess the safety and tolerability of the doublet arm.
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Cycle 1 (up to 28 days)
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Randomized Phase 2: Progression-free Survival (PFS) by Blinded (to Treatment Received) Independent Central Review (BICR) at the Primary Completion Date
Zeitfenster: From first dose to the earliest documented progression or death due to any cause, with a minimal participant's follow-up of 36 weeks and a maximum treatment exposure of 68 weeks
|
PFS was defined as the time from the date of randomization to the earliest documented disease progression (PD) as determined by BICR assessment per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1, or death due to any cause.
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From first dose to the earliest documented progression or death due to any cause, with a minimal participant's follow-up of 36 weeks and a maximum treatment exposure of 68 weeks
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Randomized Phase 2: Progression-free Survival (PFS) by Blinded (to Treatment Received) Independent Central Review (BICR) at the Final Analysis
Zeitfenster: From first dose to the earliest documented PD or death due to any cause, with a minimal participant's follow-up of 19 months and a maximum treatment exposure of 116 weeks
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PFS was defined as the time from the date of randomization to the earliest documented disease progression as determined by BICR assessment per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1, or death due to any cause.
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From first dose to the earliest documented PD or death due to any cause, with a minimal participant's follow-up of 19 months and a maximum treatment exposure of 116 weeks
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Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Safety Lead-in Phase: Confirmed Objective Response Rate (cORR) Per BICR
Zeitfenster: Every 6 weeks (± 7 days) from first dose for the first 24 week, then every 12 weeks (± 7 days) until 30 days safety follow-up, with a maximum treatment exposure of 111 weeks
|
cORR as determined by Blinded (to treatment received) Independent Central Review (BICR) per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1, was defined as the proportion of participants with a best overall response of either complete response (CR) or partial response (PR), where CR: disappearance of all target and and non-target lesions; any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm, and PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
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Every 6 weeks (± 7 days) from first dose for the first 24 week, then every 12 weeks (± 7 days) until 30 days safety follow-up, with a maximum treatment exposure of 111 weeks
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Safety Lead-in Phase: Confirmed Objective Response Rate (cORR) Per Investigator
Zeitfenster: Every 6 weeks (± 7 days) from first dose for the first 24 week, then every 12 weeks (± 7 days) until 30 days safety follow-up, with a maximum treatment exposure of 111 weeks
|
cORR as determined by investigator assessment per RECIST version 1.1, was defined as the proportion of participants with a best overall response of either complete response (CR) or partial response (PR), where CR: disappearance of all target and and non-target lesions; any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm, and PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
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Every 6 weeks (± 7 days) from first dose for the first 24 week, then every 12 weeks (± 7 days) until 30 days safety follow-up, with a maximum treatment exposure of 111 weeks
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Safety Lead-in Phase: Duration of Response (DOR) Per BICR
Zeitfenster: From time of response to the earliest documented PD or death due to underlying disease, with a maximum treatment exposure of 111 weeks
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DOR was defined for confirmed responders (CR or PR) only, as the time from the date of the first documented response to the earliest date of disease progression (PD) as determined by BICR per RECIST Version 1.1, or death due to any cause.
PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
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From time of response to the earliest documented PD or death due to underlying disease, with a maximum treatment exposure of 111 weeks
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Safety Lead-in Phase: Duration of Response (DOR) Per Investigator
Zeitfenster: From time of response to the earliest documented PD or death due to underlying disease, with a maximum treatment exposure of 111 weeks
|
DOR was defined for confirmed responders (CR or PR) only, as the time from the date of the first documented response to the earliest date of disease progression (PD) as determined by investigator assessment per RECIST Version 1.1, or death due to any cause.
PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
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From time of response to the earliest documented PD or death due to underlying disease, with a maximum treatment exposure of 111 weeks
|
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Safety Lead-in Phase: Overall Duration of Exposure to Study Treatment
Zeitfenster: Day 1 until 30 days after study intervention discontinuation, with a maximum treatment exposure of 111 weeks
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Exposure to the study intervention was defined as the time interval between the actual date of first study intervention administration (included) and the actual date of last study intervention administration (included), i.e., as the quantity "date of last study intervention administration date of first study intervention administration + 1 day".
Duration of exposure by treatment arm was computed as the maximum of all durations of exposure for each drug of the assigned regimen.
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Day 1 until 30 days after study intervention discontinuation, with a maximum treatment exposure of 111 weeks
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Safety Lead-in Phase: Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Zeitfenster: Day 1 until 30 days after study intervention discontinuation, with a maximum treatment exposure of 111 weeks
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A TEAE is any untoward medical occurrence in a participant temporally associated with the use of study drug, whether or not considered related to the study drug.
Number of participants reporting TEAEs were reported in this outcome measure.
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Day 1 until 30 days after study intervention discontinuation, with a maximum treatment exposure of 111 weeks
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Safety Lead-in Phase: Number of Participants With Serious TEAEs
Zeitfenster: Day 1 until 30 days after study intervention discontinuation, with a maximum treatment exposure of 111 weeks
|
A serious TEAE is a TEAE that results in significant health consequences, such as death, hospitalization, or permanent disability.
Number of participants reporting serious TEAEs were reported in this outcome measure.
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Day 1 until 30 days after study intervention discontinuation, with a maximum treatment exposure of 111 weeks
|
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Safety Lead-in Phase: Incidence of Dose Interruptions, Dose Modifications and Discontinuations Due to Adverse Events (AEs)
Zeitfenster: Day 1 until 30 days after study intervention discontinuation, with a maximum treatment exposure of 68 weeks
|
An AE is any untoward medical occurrence in a participant, whether or not considered related to the study intervention.
Number of participants with dose interruptions, dose modifications and dose discontinuations due to AEs were reported in this outcome measure.
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Day 1 until 30 days after study intervention discontinuation, with a maximum treatment exposure of 68 weeks
|
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Safety Lead-in Phase: Number of Participants With Clinically Notable Vital Sign Abnormalities
Zeitfenster: Day 1 until 30 days after last dose of study treatment, with a maximum treatment exposure of 111 weeks
|
Clinically notable changes were defined as participants meeting the elevated or low values criterion compared to baseline.
The criterion for clinically notable elevated values included: systolic blood pressure (BP): ≥ 160 millimeters of mercury (mmHg) and an increase ≥ 20 mmHg from baseline; diastolic BP: ≥ 100 mmHg and an increase ≥ 15 mmHg from baseline; heart rate : ≥ 120 beats/min (bpm) with increase from baseline of ≥ 15 bpm; weight (kg) increase from baseline of ≥ 10 percent; body temperature [degree Celsius (deg C)] ≥ 37.5 deg C. The criterion for clinically notable low values included: systolic BP: ≤ 90 mmHg with decrease from baseline of ≥ 20 mmHg; diastolic BP: ≤ 50 mmHg with decrease from baseline of ≥ 15 mmHg; heart rate: ≤ 50 bpm with decrease from baseline of ≥ 15 bpm; weight: ≥ 20 percent decrease from baseline; body temperature [deg C]: ≤ 36 °C.
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Day 1 until 30 days after last dose of study treatment, with a maximum treatment exposure of 111 weeks
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Safety Lead-in Phase: Number of Participants With Clinically Notable Electrocardiogram (ECG) Values
Zeitfenster: Day 1 until 30 days after last dose of study treatment, with a maximum treatment exposure of 111 weeks
|
Clinically notable ECG changes were defined as participants meeting the criterion for QT interval, QT interval corrected for heart rate using Fridericia's formula (QTcF), and heart rate compared to baseline.
The criterion for QT interval and QTcF included: increase from baseline > 30 msec (ms); increase from baseline > 60 ms, new > 450 ms, new > 480 ms, new > 500 ms.
The criterion for heart rate included: increase from baseline > 25 percent to a value > 100 beats per minute (bpm), decrease from baseline > 25 percent and to a value < 50 bpm.
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Day 1 until 30 days after last dose of study treatment, with a maximum treatment exposure of 111 weeks
|
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Safety Lead-in Phase: Number of Participants With Clinically Notable Shifts in Hematology and Coagulation Laboratory Parameters
Zeitfenster: Day 1 until 30 days after last dose of study treatment, with a maximum treatment exposure of 111 weeks
|
Clinically notable shift was defined as a worsening from baseline by at least 2 Grades, or to Grade 3 or above based on National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 4.03.
'Low' laboratory parameter thresholds are defined as values falling below the institutional Lower Limit of Normal (LLN) that meet the criteria for a Grade 1 or a higher decrease.
'High' laboratory parameter thresholds are defined as values exceeding the institutional Upper Limit of Normal (ULN) that meet the criteria for a Grade 1 or higher increase.
Where, Grade 1: mild, asymptomatic or mild symptoms, clinical or diagnostic observations only, intervention not indicated; Grade 2: moderate, minimal, local or noninvasive intervention indicated; Grade 3: severe or medically significant but not immediately life-threatening, hospitalization or prolongation of hospitalization indicated; Grade 4: life-threatening consequences, urgent intervention indicated; Grade 5: death.
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Day 1 until 30 days after last dose of study treatment, with a maximum treatment exposure of 111 weeks
|
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Safety Lead-in Phase: Number of Participants With Clinically Notable Shifts in Serum Chemistry Laboratory Parameters
Zeitfenster: Day 1 until 30 days after last dose of study treatment, with a maximum treatment exposure of 111 weeks
|
Clinically notable shift was defined as a worsening from baseline by at least 2 Grades, or to Grade 3 or above based on NCI-CTCAE version 4.03.
'Low' laboratory parameter thresholds are defined as values falling below the institutional Lower Limit of Normal (LLN) that meet the criteria for a Grade 1 or a higher decrease.
'High' laboratory parameter thresholds are defined as values exceeding the institutional Upper Limit of Normal (ULN) that meet the criteria for a Grade 1 or higher increase.
Where, Grade 1: mild, asymptomatic or mild symptoms, clinical or diagnostic observations only, intervention not indicated; Grade 2: moderate, minimal, local or noninvasive intervention indicated; Grade 3: severe or medically significant but not immediately life-threatening, hospitalization or prolongation of hospitalization indicated; Grade 4: life-threatening consequences, urgent intervention indicated; Grade 5: death.
|
Day 1 until 30 days after last dose of study treatment, with a maximum treatment exposure of 111 weeks
|
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Safety Lead-in Phase: Number of Participants With Notable Dermatological Abnormalities
Zeitfenster: From screening and every 8 weeks from Cycle 1 Day 1 (i.e. on Day 1 of Cycles 1, 3, 5, 7…), the end of treatment visit and the 30-day safety follow up visit, with a maximum treatment exposure of 111 weeks
|
Dermatological examination was performed to monitor for the possible development of keratoacanthoma and/or squamous cell carcinoma and primary melanoma, as these have been reported to occur with selective B-Raf proto-oncogene, serine/threonine kinase (BRAF) inhibitor treatment.
[1] The category "Other" includes all other dermatological findings identified during examination (e.g.
rash acneiform, skin hyperpigmentation...).
|
From screening and every 8 weeks from Cycle 1 Day 1 (i.e. on Day 1 of Cycles 1, 3, 5, 7…), the end of treatment visit and the 30-day safety follow up visit, with a maximum treatment exposure of 111 weeks
|
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Safety Lead-in Phase: Measurement of Performance Status Using the Eastern Co-operative Oncology Group (ECOG) Scale
Zeitfenster: Day 1 until 30 days after last dose of study treatment, with a maximum treatment exposure of 68 weeks
|
The performance status of participants was assessed using the Eastern Co-operative Oncology Group (ECOG) scale.
The scale was defined with the range from 0 to 5 with lower score mean a lower functional impairment, and a higher score (e.g. 5) corresponding to death.
|
Day 1 until 30 days after last dose of study treatment, with a maximum treatment exposure of 68 weeks
|
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Safety Lead-in Phase: Evaluation of the Plasma Concentrations of Encorafenib
Zeitfenster: First day of treatment (Cycle 1 Day I) and at steady state after 1 month treatment (Cycle 2 Day 1). Each cycle of 28 days.
|
Blood samples were collected at indicated time points for pharmacokinetic (PK) analysis of encorafenib.
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First day of treatment (Cycle 1 Day I) and at steady state after 1 month treatment (Cycle 2 Day 1). Each cycle of 28 days.
|
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Safety Lead-in Phase: Evaluation of the Serum Concentrations of Cetuximab
Zeitfenster: First day of treatment (Cycle 1 Day 1) and at steady state after 1 month treatment (Cycle 2 Day 1). Each cycle of 28 days.
|
Blood samples were collected at indicated time points for pharmacokinetic (PK) analysis of cetuximab.
|
First day of treatment (Cycle 1 Day 1) and at steady state after 1 month treatment (Cycle 2 Day 1). Each cycle of 28 days.
|
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Safety Lead-in Phase: Evaluation of the Area Under the Curve (AUC) Derived From Plasma Concentration of Encorafenib
Zeitfenster: First day of treatment (Cycle 1 Day 1) and at steady state after 1 month treatment (Cycle 2 Day 1). Each cycle of 28 days.
|
Blood samples were collected at indicated time points for pharmacokinetic (PK) analysis of encorafenib.
|
First day of treatment (Cycle 1 Day 1) and at steady state after 1 month treatment (Cycle 2 Day 1). Each cycle of 28 days.
|
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Safety Lead-in Phase: Evaluation of the Area Under the Curve (AUC) Derived From Serum Concentration of Cetuximab
Zeitfenster: First day of treatment (Cycle 1 Day 1) and at steady state after 1 month treatment (Cycle 2 Day 1). Each cycle of 28 days.
|
Blood samples were collected at indicated time points for pharmacokinetic (PK) analysis of cetuximab.
|
First day of treatment (Cycle 1 Day 1) and at steady state after 1 month treatment (Cycle 2 Day 1). Each cycle of 28 days.
|
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Safety Lead-in Phase: Evaluation of the Maximum Concentration (Cmax) Derived From Plasma Concentration of Encorafenib
Zeitfenster: First day of treatment (Cycle 1 Day 1) and at steady state after 1 month treatment (Cycle 2 Day 1). Each cycle of 28 days.
|
Blood samples were collected at indicated time points for pharmacokinetic (PK) analysis of encorafenib.
|
First day of treatment (Cycle 1 Day 1) and at steady state after 1 month treatment (Cycle 2 Day 1). Each cycle of 28 days.
|
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Safety Lead-in Phase: Evaluation of the Maximum Concentration (Cmax) Derived From Serum Concentration of Cetuximab
Zeitfenster: First day of treatment (Cycle 1 Day 1) and at steady state after 1 month treatment (Cycle 2 Day 1). Each cycle of 28 days.
|
Blood samples were collected at indicated time points for pharmacokinetic (PK) analysis of cetuximab.
|
First day of treatment (Cycle 1 Day 1) and at steady state after 1 month treatment (Cycle 2 Day 1). Each cycle of 28 days.
|
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Safety Lead-in Phase: Evaluation of the Minimum Concentration (Cmin) Derived From Plasma Concentration of Encorafenib
Zeitfenster: First day of treatment (Cycle 1 Day 1) and at steady state after 1 month treatment (Cycle 2 Day 1). Each cycle of 28 days.
|
Blood samples were collected at indicated time points for pharmacokinetic (PK) analysis of encorafenib.
|
First day of treatment (Cycle 1 Day 1) and at steady state after 1 month treatment (Cycle 2 Day 1). Each cycle of 28 days.
|
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Safety Lead-in Phase: Evaluation of the Minimum Concentration (Cmin) Derived From Serum Concentration of Cetuximab
Zeitfenster: First day of treatment (Cycle 1 Day 1) and at steady state after 1 month treatment (Cycle 2 Day 1). Each cycle of 28 days.
|
Blood samples were collected at indicated time points for pharmacokinetic (PK) analysis of cetuximab.
|
First day of treatment (Cycle 1 Day 1) and at steady state after 1 month treatment (Cycle 2 Day 1). Each cycle of 28 days.
|
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Randomized Phase 2: Progression-free Survival (PFS) by Investigator
Zeitfenster: From first dose to the earliest documented PD or death due to any cause, with a minimal participant's follow-up of 19 months and a maximum treatment exposure of 116 weeks
|
PFS was defined as the time from the date of randomization to the earliest documented date of PD as determined by investigator assessment per RECIST Version 1.1, or death due to any cause.
PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
|
From first dose to the earliest documented PD or death due to any cause, with a minimal participant's follow-up of 19 months and a maximum treatment exposure of 116 weeks
|
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Randomized Phase 2: Confirmed Objective Response Rate (cORR) in ENCO + CETUX Arm vs Control Arm Per BICR
Zeitfenster: Every 6 weeks (± 7 days) from first dose for the first 24 week, then every 12 weeks (± 7 days) until 30 days safety follow-up, with a maximum treatment exposure of 116 weeks
|
cORR as determined by Blinded (to treatment received) Independent Central Review (BICR) per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1, was defined as the proportion of participants with a best overall response of either complete response (CR) or partial response (PR), where CR: disappearance of all target and and non-target lesions; any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm, and PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
|
Every 6 weeks (± 7 days) from first dose for the first 24 week, then every 12 weeks (± 7 days) until 30 days safety follow-up, with a maximum treatment exposure of 116 weeks
|
|
Randomized Phase 2: Confirmed Objective Response Rate (cORR) in ENCO + CETUX Arm vs Control Arm Per Investigator
Zeitfenster: Every 6 weeks (± 7 days) from first dose for the first 24 week, then every 12 weeks (± 7 days) until 30 days safety follow-up, with a maximum treatment exposure of 116 weeks
|
cORR as determined by investigator assessment per RECIST Version 1.1, was defined as the proportion of participants with a best overall response of either complete response (CR) or partial response (PR), where CR: disappearance of all target and and non-target lesions; any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm, and PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
|
Every 6 weeks (± 7 days) from first dose for the first 24 week, then every 12 weeks (± 7 days) until 30 days safety follow-up, with a maximum treatment exposure of 116 weeks
|
|
Randomized Phase 2: Duration of Response (DOR) in ENCO + CETUX Arm vs Control Arm Per BICR
Zeitfenster: From time of response to the earliest documented PD or death due to underlying disease, with a minimal participant's follow-up of 19 months and a maximum treatment exposure of 116 weeks
|
DOR was defined for confirmed responders (CR or PR) only, as the time from the date of the first documented response to the earliest date of disease progression (PD) as determined by BICR per RECIST Version 1.1, or death due to any cause.
PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
|
From time of response to the earliest documented PD or death due to underlying disease, with a minimal participant's follow-up of 19 months and a maximum treatment exposure of 116 weeks
|
|
Randomized Phase 2: Duration of Response (DOR) in ENCO + CETUX Arm vs Control Arm Per Investigator
Zeitfenster: From time of response to the earliest documented PD or death due to underlying disease, with a minimal participant's follow-up of 19 months and a maximum treatment exposure of 116 weeks
|
DOR was defined for confirmed responders (CR or PR) only, as the time from the date of the first documented response to the earliest date of disease progression (PD) as determined by investigator assessment per RECIST Version 1.1, or death due to any cause.
PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
|
From time of response to the earliest documented PD or death due to underlying disease, with a minimal participant's follow-up of 19 months and a maximum treatment exposure of 116 weeks
|
|
Randomized Phase 2: Confirmed Disease Control Rate (cDCR) in ENCO + CETUX Arm vs Control Arm Per BICR
Zeitfenster: Every 6 weeks (± 7 days) from first dose for the first 24 week, then every 12 weeks (± 7 days) until 30 days safety follow-up, with a maximum treatment exposure of 116 weeks
|
cDCR was defined as the proportion of participants with a confirmed Best Overall Response (BOR) of CR, PR or Stable Disease (SD), as determined by BICR per RECIST Version 1.1.
CR: disappearance of all target and and non-target lesions; any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm, PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters, and SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study.
|
Every 6 weeks (± 7 days) from first dose for the first 24 week, then every 12 weeks (± 7 days) until 30 days safety follow-up, with a maximum treatment exposure of 116 weeks
|
|
Randomized Phase 2: Confirmed Disease Control Rate (cDCR) in ENCO + CETUX Arm vs Control Arm Per Investigator
Zeitfenster: Every 6 weeks (± 7 days) from first dose for the first 24 week, then every 12 weeks (± 7 days) until 30 days safety follow-up, with a maximum treatment exposure of 116 weeks
|
cDCR was defined as the proportion of participants with a confirmed Best Overall Response (BOR) of CR, PR or Stable Disease (SD), as determined by investigator assesment per RECIST Version 1.1.
CR: disappearance of all target and and non-target lesions; any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm, PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters, and SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study.
|
Every 6 weeks (± 7 days) from first dose for the first 24 week, then every 12 weeks (± 7 days) until 30 days safety follow-up, with a maximum treatment exposure of 116 weeks
|
|
Randomized Phase 2: Time to Response (TTR) in ENCO + CETUX Arm vs Control Arm Per BICR
Zeitfenster: From day 1 until first documented response, with a maximum treatment exposure of 116 weeks
|
TTR for confirmed responses was defined for responders (CR or PR) as the time between the date of randomization until the first documented response of CR or PR as determined by BICR per RECIST Version 1.1.
CR: disappearance of all target and and non-target lesions; any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm, and PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
|
From day 1 until first documented response, with a maximum treatment exposure of 116 weeks
|
|
Randomized Phase 2: Time to Response (TTR) in ENCO + CETUX Arm vs Control Arm Per Investigator
Zeitfenster: From day 1 until first documented response, with a maximum treatment exposure of 116 weeks
|
TTR for confirmed responses was defined for responders (CR or PR) as the time between the date of randomization until the first documented response of CR or PR as determined by investigator assessment per RECIST Version 1.1.
CR: disappearance of all target and and non-target lesions; any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm, and PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
|
From day 1 until first documented response, with a maximum treatment exposure of 116 weeks
|
|
Randomized Phase 2: Overall Survival (OS)
Zeitfenster: From randomization to death due to any cause, with a maximum treatment exposure of 116 weeks
|
OS was defined as time from randomization until date of death due to any cause.
|
From randomization to death due to any cause, with a maximum treatment exposure of 116 weeks
|
|
Randomized Phase 2: Overall Duration of Exposure to Study Treatment
Zeitfenster: Day 1 until 30 days after study intervention discontinuation, with a maximum treatment exposure of 116 weeks
|
Exposure to the study intervention was defined as the time interval between the actual date of first study intervention administration (included) and the actual date of last study intervention administration (included), i.e., as the quantity "date of last study intervention administration date of first study intervention administration + 1 day".
Duration of exposure by treatment arm was computed as the maximum of all durations of exposure for each drug of the assigned regimen.
|
Day 1 until 30 days after study intervention discontinuation, with a maximum treatment exposure of 116 weeks
|
|
Randomized Phase 2: Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Zeitfenster: Day 1 until 30 days after study intervention discontinuation
|
A TEAE is any untoward medical occurrence in a participant temporally associated with the use of study drug, whether or not considered related to the study drug.
Number of participants reporting TEAEs were reported in this outcome measure.
|
Day 1 until 30 days after study intervention discontinuation
|
|
Randomized Phase 2: Number of Participants With Serious TEAEs
Zeitfenster: Day 1 until 30 days after study intervention discontinuation
|
A serious TEAE is a TEAE that results in significant health consequences, such as death, hospitalization, or permanent disability.
Number of participants reporting serious TEAEs were reported in this outcome measure.
|
Day 1 until 30 days after study intervention discontinuation
|
|
Randomized Phase 2: Number of Participants With Clinically Notable Vital Sign Abnormalities
Zeitfenster: Day 1 until 30 days after last dose of study treatment
|
Clinically notable changes were defined as participants meeting the elevated or low values criterion compared to baseline.
The criterion for clinically notable elevated values included: systolic blood pressure (BP): ≥ 160 millimeters of mercury (mmHg) and an increase ≥ 20 mmHg from baseline; diastolic BP: ≥ 100 mmHg and an increase ≥ 15 mmHg from baseline; heart rate : ≥ 120 beats/min (bpm) with increase from baseline of ≥ 15 bpm; weight (kg) increase from baseline of ≥ 10 percent; body temperature [degree Celsius (deg C)] ≥ 37.5 deg C. The criterion for clinically notable low values included: systolic BP: ≤ 90 mmHg with decrease from baseline of ≥ 20 mmHg; diastolic BP: ≤ 50 mmHg with decrease from baseline of ≥ 15 mmHg; heart rate: ≤ 50 bpm with decrease from baseline of ≥ 15 bpm; weight: ≥ 20 percent decrease from baseline; body temperature [deg C]: ≤ 36 °C.
|
Day 1 until 30 days after last dose of study treatment
|
|
Randomized Phase 2: Number of Participants With Clinically Notable Electrocardiogram (ECG) Values
Zeitfenster: Day 1 until 30 days after last dose of study treatment
|
Clinically notable ECG changes were defined as participants meeting the criterion for QT interval, QT interval corrected for heart rate using Fridericia's formula (QTcF), and heart rate compared to baseline.
The criterion for QT interval and QTcF included: increase from baseline > 30 msec (ms); increase from baseline > 60 ms, new > 450 ms, new > 480 ms, new > 500 ms.
The criterion for heart rate included: increase from baseline > 25 percent to a value > 100 beats per minute (bpm), decrease from baseline > 25 percent and to a value < 50 bpm.
|
Day 1 until 30 days after last dose of study treatment
|
|
Randomized Phase 2: Number of Participants With Clinically Notable Shifts in Hematology and Coagulation Laboratory Parameters
Zeitfenster: Day 1 until 30 days after last dose of study treatment
|
Clinically notable shift was defined as a worsening from baseline by at least 2 grades, or to grade 3 or above based on NCI-CTCAE version 4.03.
'Low' laboratory parameter thresholds are defined as values falling below the institutional Lower Limit of Normal (LLN) that meet the criteria for a Grade 1 or a higher decrease.
'High' laboratory parameter thresholds are defined as values exceeding the institutional Upper Limit of Normal (ULN) that meet the criteria for a Grade 1 or higher increase.
Where, Grade 1: mild, asymptomatic or mild symptoms, clinical or diagnostic observations only, intervention not indicated; Grade 2: moderate, minimal, local or noninvasive intervention indicated; Grade 3: severe or medically significant but not immediately life-threatening, hospitalization or prolongation of hospitalization indicated; Grade 4: life-threatening consequences, urgent intervention indicated; Grade 5: death.
|
Day 1 until 30 days after last dose of study treatment
|
|
Randomized Phase 2: Number of Participants With Clinically Notable Shifts in Serum Chemistry Laboratory Parameters
Zeitfenster: Day 1 until 30 days after last dose of study treatment
|
Clinically notable shift was defined as a worsening from baseline by at least 2 grades, or to grade 3 or above based on NCI-CTCAE version 4.03.
'Low' laboratory parameter thresholds are defined as values falling below the institutional Lower Limit of Normal (LLN) that meet the criteria for a Grade 1 or a higher decrease.
'High' laboratory parameter thresholds are defined as values exceeding the institutional Upper Limit of Normal (ULN) that meet the criteria for a Grade 1 or higher increase.
Where, Grade 1: mild, asymptomatic or mild symptoms, clinical or diagnostic observations only, intervention not indicated; Grade 2: moderate, minimal, local or noninvasive intervention indicated; Grade 3: severe or medically significant but not immediately life-threatening, hospitalization or prolongation of hospitalization indicated; Grade 4: life-threatening consequences, urgent intervention indicated; Grade 5: death.
|
Day 1 until 30 days after last dose of study treatment
|
|
Randomized Phase 2: Number of Participants With Notable Dermatological Abnormalities
Zeitfenster: From screening and every 8 weeks from Cycle 1 Day 1 (i.e. on Day 1 of Cycles 1, 3, 5, 7…), the end of treatment visit and the 30-day safety follow up visit, with a maximum treatment exposure of 116 weeks
|
Dermatological examination was performed to monitor for the possible development of keratoacanthoma and/or squamous cell carcinoma and primary melanoma, as these have been reported to occur with selective B-Raf proto-oncogene, serine/threonine kinase (BRAF) inhibitor treatment.
[1] All other dermatological findings identified during examination (e.g.
rash acneiform, skin hyperpigmentation...).
|
From screening and every 8 weeks from Cycle 1 Day 1 (i.e. on Day 1 of Cycles 1, 3, 5, 7…), the end of treatment visit and the 30-day safety follow up visit, with a maximum treatment exposure of 116 weeks
|
|
Randomized Phase 2: Measurement of Performance Status Using the Eastern Co-operative Oncology Group (ECOG) Scale
Zeitfenster: Day 1 until 30 days after last dose of study treatment, with a maximum treatment exposure of 116 weeks
|
The performance status of participants was assessed using the Eastern Co-operative Oncology Group (ECOG) scale.
The scale was defined with the range from 0 to 5 with lower score mean a lower functional impairment, and a higher score (e.g. 5) corresponding to death.
[1] Participants with no assessment of ECOG in the time frame.
|
Day 1 until 30 days after last dose of study treatment, with a maximum treatment exposure of 116 weeks
|
|
Randomized Phase 2: Time to Definitive Deterioration in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire for Cancer Patients (EORTC QLQ-C30) Questionnaire Scores
Zeitfenster: Day 1 until 30 days safety follow-up, with a maximum treatment exposure of 116 weeks
|
The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire for Cancer Patients (EORTC QLQ-C30) questionnaire consisted of nine multi-item scales: five functional scales (physical, role, cognitive, emotional and social); three symptom scales (fatigue, pain, nausea and vomiting); and a global health and Quality of Life (QoL) scale.
Each scale in the questionnaire was scored (0 to 100).
High scores represented a high health/quality of life.
Time to definitive deterioration (at least 10% worsening relative to Baseline with no later improvement) was assessed for both randomized phase treatment arms.
|
Day 1 until 30 days safety follow-up, with a maximum treatment exposure of 116 weeks
|
|
Randomized Phase 2: Time to Definitive Deterioration in the European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L) Questionnaire
Zeitfenster: Day 1 until 30 days safety follow-up, with a maximum treatment exposure of 116 weeks
|
The European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L) consisted of the EQ-5D descriptive system and the EQ visual analogue scale (VAS).
The descriptive system consisted of five dimension (mobility, self-care, usual activities, pain/discomfort and anxiety/depression), each was rated according to a five-point verbal rating scale (VRS): 1. no problems, 2. slight problems, 3. moderate problems, 4. severe problems and 5. extreme problems) and translated into a five-digit number that described the participant's health state.
Time to definitive deterioration (at least 10% worsening relative to Baseline with no later improvement) was assessed for both randomized phase treatment arms.
|
Day 1 until 30 days safety follow-up, with a maximum treatment exposure of 116 weeks
|
|
Randomized Phase 2: Time to Definitive Deterioration in the Functional Assessment of Cancer Therapy-Colon Cancer (FACT-C) Questionnaire
Zeitfenster: Day 1 until 30 days safety follow-up, with a maximum treatment exposure of 116 weeks
|
The Functional Assessment of Cancer Therapy-Colon Cancer (FACT-C) was a validated quality of life questionnaire for patient reported outcome assessment.
The Functional Assessment of Cancer Therapy-Colon Cancer (FACT-C) consisted of 36 items, presented on a five-point Likert scale, in four domains of well-being (physical, emotional, social and functional) and the Colorectal Cancer Subscale.
Higher score reflects a better quality of life.
Time to definitive deterioration (at least 10% worsening relative to Baseline with no later improvement) was assessed for both randomized phase treatment arms.
|
Day 1 until 30 days safety follow-up, with a maximum treatment exposure of 116 weeks
|
|
Randomized Phase 2: Evolution in the Patient Global Impression of Change (PGIC) Questionnaire
Zeitfenster: Cycle 2 Day 1 until 30 days safety follow-up
|
The Patient Global Impression of Change (PGIC) questionnaire is a scale often used to anchor and characterize participant reported outcome (PRO) findings.
This consisted of questions that asked participants to evaluate their colorectal cancer symptoms since starting study intervention according to a seven-point verbal rating scale: 1. very much improved, 2. much improved, 3. minimally improved, 4. no change, 5. minimally worse, 6. much worse, 7. very much worse.
Completions of questionnaire are summarized per treatment group and study visits.
Number of participants analyzed correspond to the actual number of participants who completed the questionnaire at the corresponding visit.
|
Cycle 2 Day 1 until 30 days safety follow-up
|
|
Randomized Phase 2: Evaluation of the Plasma Concentrations of Encorafenib
Zeitfenster: First day of treatment (Cycle 1 Day 1) and at steady state after 1 month treatment (Cycle 2 Day 1). Each cycle of 28 days.
|
Blood samples were collected at indicated time points for pharmacokinetic (PK) analysis of encorafenib.
|
First day of treatment (Cycle 1 Day 1) and at steady state after 1 month treatment (Cycle 2 Day 1). Each cycle of 28 days.
|
|
Randomized Phase 2: Evaluation of the Serum Concentrations of Cetuximab
Zeitfenster: First day of treatment (Cycle 1 Day 1) and at steady state after 1 month treatment (Cycle 2 Day 1). Each cycle of 28 days.
|
Blood samples were collected at indicated time points for pharmacokinetic (PK) analysis of cetuximab.
|
First day of treatment (Cycle 1 Day 1) and at steady state after 1 month treatment (Cycle 2 Day 1). Each cycle of 28 days.
|
|
Randomized Phase 2: Evaluation of the Area Under the Curve (AUC) Derived From Plasma Concentration of Encorafenib
Zeitfenster: First day of treatment (Cycle 1 Day 1) and at steady state after 1 month treatment (Cycle 2 Day 1). Each cycle of 28 days.
|
Blood samples were collected at indicated time points for pharmacokinetic (PK) analysis of encorafenib.
|
First day of treatment (Cycle 1 Day 1) and at steady state after 1 month treatment (Cycle 2 Day 1). Each cycle of 28 days.
|
|
Randomized Phase 2: Evaluation of the Area Under the Curve (AUC) Derived From Serum Concentration of Cetuximab
Zeitfenster: First day of treatment (Cycle 1 Day 1) and at steady state after 1 month treatment (Cycle 2 Day 1). Each cycle of 28 days.
|
Blood samples were collected at indicated time points for pharmacokinetic (PK) analysis of cetuximab.
|
First day of treatment (Cycle 1 Day 1) and at steady state after 1 month treatment (Cycle 2 Day 1). Each cycle of 28 days.
|
|
Randomized Phase 2: Evaluation of the Minimum Concentration (Cmin) Derived From Plasma Concentration of Encorafenib
Zeitfenster: First day of treatment (Cycle 1 Day 1) and at steady state after 1 month treatment (Cycle 2 Day 1). Each cycle of 28 days.
|
Blood samples were collected at indicated time points for pharmacokinetic (PK) analysis of encorafenib.
|
First day of treatment (Cycle 1 Day 1) and at steady state after 1 month treatment (Cycle 2 Day 1). Each cycle of 28 days.
|
|
Randomized Phase 2: Evaluation of the Minimum Concentration (Cmin) Derived From Serum Concentration of Cetuximab
Zeitfenster: First day of treatment (Cycle 1 Day 1) and at steady state after 1 month treatment (Cycle 2 Day 1). Each cycle of 28 days.
|
Blood samples were collected at indicated time points for pharmacokinetic (PK) analysis of cetuximab.
|
First day of treatment (Cycle 1 Day 1) and at steady state after 1 month treatment (Cycle 2 Day 1). Each cycle of 28 days.
|
|
Randomized Phase 2: Evaluation of the Maximum Concentration (Cmax) Derived From Plasma Concentration of Encorafenib
Zeitfenster: First day of treatment (Cycle 1 Day 1) and at steady state after 1 month treatment (Cycle 2 Day 1). Each cycle of 28 days.
|
Blood samples were collected at indicated time points for pharmacokinetic (PK) analysis of encorafenib.
|
First day of treatment (Cycle 1 Day 1) and at steady state after 1 month treatment (Cycle 2 Day 1). Each cycle of 28 days.
|
|
Randomized Phase 2: Evaluation of the Maximum Concentration (Cmax) Derived From Serum Concentration of Cetuximab
Zeitfenster: First day of treatment (Cycle 1 Day 1) and at steady state after 1 month treatment (Cycle 2 Day 1). Each cycle of 28 days.
|
Blood samples were collected at indicated time points for pharmacokinetic (PK) analysis of cetuximab.
|
First day of treatment (Cycle 1 Day 1) and at steady state after 1 month treatment (Cycle 2 Day 1). Each cycle of 28 days.
|
Andere Ergebnismessungen
Ergebnis Maßnahme |
Zeitfenster |
|---|---|
|
Randomisierte Phase 2: Veränderungen gegenüber dem Ausgangswert des karzinoembryonalen Antigens (CEA) und des Krebsantigens 19-9 (CA19-9) im Blut zu Beginn jedes Zyklus und am Ende der Behandlung
Zeitfenster: Screening (Tag -28 bis -1) bis zum Abschluss der Studie, ungefähr 12 bis 29 Monate
|
Screening (Tag -28 bis -1) bis zum Abschluss der Studie, ungefähr 12 bis 29 Monate
|
|
Randomisierte Phase 2: Status der Mikrosatelliteninstabilität (MSI) in Formalin-fixierten und Paraffin-eingebetteten (FFPE) Proben unter Verwendung etablierter Polymerase-Kettenreaktions-(PCR)-Assays in Tumorprobe versus Keimbahnkontrolle beim Screening
Zeitfenster: Screening (Tag -28 bis Tag -1)
|
Screening (Tag -28 bis Tag -1)
|
Mitarbeiter und Ermittler
Sponsor
Mitarbeiter
Ermittler
- Hauptermittler: Shen Lin, MD, Peking University Cancer Hospital & Institute
Publikationen und hilfreiche Links
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Primärer Abschluss (Tatsächlich)
Studienabschluss (Tatsächlich)
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
- Neubildungen nach Standort
- Neubildungen
- Darmerkrankungen
- Gastrointestinale Neubildungen
- Neoplasmen des Verdauungssystems
- Erkrankungen des Verdauungssystems
- Magen-Darm-Erkrankungen
- Darmtumoren
- Rektale Erkrankungen
- Darmerkrankungen
- Kolorektale Neubildungen
- Aminosäuren, Peptide und Proteine
- Proteine
- Heterocyclische Verbindungen, 1-Ring
- Heterocyclische Verbindungen
- Heterocyclische Verbindungen, 2-Ring
- Heterocyclische Verbindungen, Fusionsring
- Camptothecin
- Alkaloide
- Enzyme und Coenzyme
- Antikörper, monoklonal, humanisiert
- Antikörper, monoklonal
- Antikörper
- Immunglobuline
- Immunoproteine
- Blutproteine
- Serumglobuline
- Globuline
- Pyrimidine
- Formyltetrahydrofolate
- Tetrahydrofolate
- Folsäure
- Pterins
- Pteridine
- Uracil
- Pyrimidinone
- Coenzyme
- Irinotecan
- Cetuximab
- Fluoruracil
- Leucovorin
- Encorafenib
- IFL -Protokoll
Andere Studien-ID-Nummern
- W00090GE202
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