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Tutkimus Encorafenib Plus Setuksimabista kemoterapian kanssa tai ilman sitä ihmisillä, joilla on aiemmin hoitamaton metastaattinen paksusuolen syöpä

perjantai 15. toukokuuta 2026 päivittänyt: Pfizer

AVOIN, MONIKESKUS, SATUNNAISTUETTU VAIHE 3 -TUTKIMUS ENSIMMÄISEN LINJAAN ENCORAFENIBISTA JA SETUKSIMABISTA KEMOTERAPIALLA TAI ILMAN HOITOHOIDON STANDARDIA VERSIOON HOIDON STANDARDIN KÄYTTÖÖNOTTOA, JOKA ON C-KOHTAINEN C-OSUUSTURVALLINEN TURVALLINEN JOHDANTO 6 ENCORAFENITIPABOLUUDEN JA TURVALLISUUDEN JOHDANTO

Tämän tutkimuksen tarkoituksena on arvioida kahta tutkimuslääkettä (enkorafenibi ja setuksimabi), jotka otetaan yksinään tai yhdessä tavanomaisen kemoterapian kanssa kolorektaalisyövän mahdollisessa hoidossa, jotka:

  • on levinnyt muihin kehon osiin (metastaattinen);
  • sillä on tietyntyyppinen epänormaali geeni nimeltä "BRAF"; ja
  • ei ole saanut aikaisempaa hoitoa.

Tämän tutkimuksen osallistujat saavat yhden seuraavista tutkimushoidoista:

  • Enkorafenibi ja setuksimabi: Nämä osallistujat saavat encorafenibia suun kautta kotona joka päivä ja setuksimabia kerran kahdessa viikossa suonensisäisenä (IV) infuusiona (injektio laskimoon) tutkimusklinikalla.
  • Enkorafenibi ja setuksimabi kemoterapian kanssa: Nämä osallistujat saavat enkorafenibia ja setuksimabia yllä olevassa luettelossa kuvatulla tavalla. Lisäksi he saavat normaalia kemoterapiaa IV-infuusiona ja suun kautta annettavaa hoitoa kotona.
  • Pelkästään kemoterapia: Nämä osallistujat saavat kemoterapiaa, tämän sairauden vakiohoitoa, suonensisäisenä infuusiona tutkimusklinikoilla ja suun kautta kotona.

Tutkimusryhmä seuraa, kuinka kukin osallistuja reagoi tutkimushoitoon noin kolmen vuoden ajan.

Tutkimuksen yleiskatsaus

Yksityiskohtainen kuvaus

Tutkimuksen tarkoituksena on arvioida, voivatko enkorafenibi ja setuksimabi (EC) yksinään tai yhdessä solunsalpaajahoidon kanssa parantaa kliinisiä tuloksia verrattuna nykyiseen hoitoon tarkoitettuun kemoterapiaan potilailla, joilla on aiemmin hoitamaton BRAF V600E -mutantti mCRC. Koska enkorafenibia ei ole aiemmin yhdistetty kemoterapiaan, EC:n siedettävyys ja farmakokinetiikka yhdessä mFOLFOX6:n kanssa ja yhdessä FOLFIRI:n kanssa arvioidaan erillisissä kohortteissa tutkimuksen turvallisuutta koskevassa aloitusosassa, jotta voidaan määrittää, mikä kemoterapiayhdistelmä on tarkoitettu. käytetään tutkimuksen vaiheen 3 osassa.

Opintotyyppi

Interventio

Ilmoittautuminen (Todellinen)

841

Vaihe

  • Vaihe 3

Yhteystiedot ja paikat

Tässä osiossa on tutkimuksen suorittajien yhteystiedot ja tiedot siitä, missä tämä tutkimus suoritetaan.

Opiskelupaikat

      • Utrecht, Alankomaat, 3584 CX
        • Universitair Medisch Centrum Utrecht
    • North Brabant
      • Eindhoven, North Brabant, Alankomaat, 5623 EJ
        • Catharina Ziekenhuis
    • North Holland
      • Amsterdam, North Holland, Alankomaat, 1066 CX
        • Nederlands Kanker Instituut - Antoni van Leeuwenhoek (NKI-AVL)
      • Buenos Aires, Argentiina, 1426
        • Instituto Medico Especializado Alexander Fleming
      • Córdoba, Argentiina, X5004FHP
        • Clínica Universitaria Reina Fabiola
      • Córdoba, Argentiina, X5016KEH
        • Hospital Privado Centro Medico de Cordoba
    • Tucumán Province
      • San Miguel de Tucumán, Tucumán Province, Argentiina, 4000
        • Centro Medico San Roque
    • New South Wales
      • Camperdown, New South Wales, Australia, 2050
        • Chris O'Brien Lifehouse
      • Liverpool, New South Wales, Australia, 2170
        • Liverpool Hospital
      • St Leonards, New South Wales, Australia, 2065
        • GenesisCare North Shore
      • St Leonards, New South Wales, Australia, 2065
        • GenesisCare - North Shore
    • Queensland
      • Herston, Queensland, Australia, 4029
        • Royal Brisbane and Women's Hospital
      • Woolloongabba, Queensland, Australia, 4102
        • Princess Alexandra Hospital
    • South Australia
      • Adelaide, South Australia, Australia, 5011
        • The Queen Elizabeth Hospital
      • Adelaide, South Australia, Australia, 5000
        • Central Adelaide Local Health Network Incorporated
    • Victoria
      • Clayton, Victoria, Australia, 3168
        • Monash Health
      • Heidelberg, Victoria, Australia, 3084
        • Austin Health
      • Melbourne, Victoria, Australia, 3000
        • Peter MacCallum Cancer Centre
      • Melbourne, Victoria, Australia, 3004
        • Alfred Health
      • Antwerp, Belgia, 2020
        • ZNA Middelheim
      • Leuven, Belgia, 3000
        • UZ Leuven
      • Liège, Belgia, 4000
        • Centre Hospitalier Universitaire de Liège - Domaine Universitaire du Sart Tilman
      • Wilrijk, Belgia, 2610
        • ZAS Augustinus
    • Bruxelles-capitale, Région de
      • Brussels, Bruxelles-capitale, Région de, Belgia, 1070
        • Université Libre de Bruxelles - Hôpital Erasme
      • Brussels, Bruxelles-capitale, Région de, Belgia, 1200
        • Cliniques universitaires Saint-Luc
    • Hainaut
      • Charleroi, Hainaut, Belgia, 6060
        • Grand Hôpital de Charleroi
    • West-vlaanderen
      • Kortrijk, West-vlaanderen, Belgia, 8500
        • AZ Groeninge Campus Kennedylaan
    • Rio Grande do Sul
      • Porto Alegre, Rio Grande do Sul, Brasilia, 90035-903
        • Hospital de Clinicas de Porto Alegre
    • Rio de Janeiro
      • Rio de Janeiro, Rio de Janeiro, Brasilia, 20230-130
        • Instituto Nacional de Câncer José Alencar Gomes da Silva - INCA
    • Santa Catarina
      • Blumenau, Santa Catarina, Brasilia, 89010-340
        • Reichow - Centro de Ensino e Pesquisa
      • Itajaí, Santa Catarina, Brasilia, 88301-220
        • Clinica de Neoplasias Litoral
    • São Paulo
      • Barretos, São Paulo, Brasilia, 14784400
        • Fundacao Pio XII - Hospital de Cancer de Barretos
      • Barretos, São Paulo, Brasilia, 14.780-070
        • Fundacao Pio XII - Hospital de Cancer de Barretos
      • Santo André, São Paulo, Brasilia, 09060-650
        • CEPHO - Centro de Estudos e Pesquisas de Hematologia e Oncologia - Faculdade de Medicina do ABC
      • Santo André, São Paulo, Brasilia, 09060-870
        • FUNDAÇÃO DO ABC - Faculdade de Medicina do ABC - Centro de Estudos e Pesquisas de Hematologia e Onco
      • São José do Rio Preto, São Paulo, Brasilia, 15090000
        • Fundação Faculdade Regional de Medicina de São José do Rio Preto
      • Gabrovo, Bulgaria, 5300
        • MHAT "Dr. Tota Venkova" AD
      • Plovdiv, Bulgaria, 4000
        • MHAT Central Onco Hospital OOD
      • Plovdiv, Bulgaria, 4004
        • Complex Oncology Center - Plovdiv EOOD
      • Sofia, Bulgaria, 1303
        • Medical Center Nadezhda Clinical EOOD
      • Sofia, Bulgaria, 1407
        • Acibadem City Clinic MHAT Tokuda
      • Sofia, Bulgaria, 1750
        • University Multiprofile Hospital for Active Treatment Sofiamed
    • Pazardzhik
      • Panagyurishte, Pazardzhik, Bulgaria, 4500
        • MHAT Uni Hospital OOD
      • Barcelona, Espanja, 08035
        • Hospital Universitario Vall d'Hebron
      • Barcelona, Espanja, 08036
        • Hospital Clinic Barcelona
      • Madrid, Espanja, 28034
        • Hospital Universitario Ramon y Cajal
      • Madrid, Espanja, 28041
        • Hospital Universitario 12 de Octubre
      • Madrid, Espanja, 28007
        • Hospital General Universitario Gregorio Marañón
      • Seville, Espanja, 41013
        • Hospital Universitario Virgen del Rocío
      • Valencia, Espanja, 46010
        • Hospital Clínico Universitario de Valencia
      • Valencia, Espanja, 46014
        • Hospital General Universitario de Valencia
      • Zaragoza, Espanja, 50009
        • Hospital Universitario Miguel Servet
    • A Coruña
      • Santiago de Compostela, A Coruña, Espanja, 15706
        • Complejo Hospitalario Universitario Santiago de Compostela
    • Alicante
      • Elche, Alicante, Espanja, 03203
        • Hospital General Universitario de Elche
    • Barcelona
      • L'Hospitalet de Llobregat, Barcelona, Espanja, 08908
        • ICO L'Hospitalet (Hospital Duran i Reynals)
      • Busan, Etelä -Korea, 49201
        • Dong-A University Hospital
      • Daegu, Etelä -Korea, 41404
        • Kyungpook National University Chilgok Hospital
      • Incheon, Etelä -Korea, 21565
        • Gachon University Gil Medical Center
      • Seoul, Etelä -Korea, 03080
        • Seoul National University Hospital
      • Seoul, Etelä -Korea, 05505
        • Asan Medical Center
      • Seoul, Etelä -Korea, 06351
        • Samsung Medical Center
      • Seoul, Etelä -Korea, 03722
        • Severance Hospital, Yonsei University Health System
      • Seoul, Etelä -Korea, 02841
        • Korea University Anam Hospital
    • Gyeonggi-do
      • Goyang-si, Gyeonggi-do, Etelä -Korea, 10408
        • National Cancer Center
      • Johannesburg, Etelä-Afrikka, 2193
        • Wits Health Consortium (Pty) Ltd
    • CAPE TOWN
      • Rondebosch, CAPE TOWN, Etelä-Afrikka, 7700
        • Cancercare Rondebosch Oncology
    • Eastern Cape
      • Port Elizabeth, Eastern Cape, Etelä-Afrikka, 6045
        • Cancercare Langenhoven Drive Oncology Centre
    • Maharashtra
      • Mumbai, Maharashtra, Intia, 400012
        • Tata Memorial Hospital
      • Pune, Maharashtra, Intia, 411 004
        • Deenanath Mangeshkar Hospital & Research Centre
      • Pune, Maharashtra, Intia, 411 004
        • Sahyadri Speciality Hospital
      • Thane, Maharashtra, Intia, 401107
        • Bhakti Vedanta Hospital and Research Institute
    • National Capital Territory of Delhi
      • New Delhi, National Capital Territory of Delhi, Intia, 110085
        • Rajiv Gandhi Cancer Institute And Research Centre
    • Rajasthan
      • Jaipur, Rajasthan, Intia, 302004
        • Sawai Man Singh Medical College Hospital (SMS Hospital)
      • Brescia, Italia, 25124
        • Fondazione Poliambulanza Istituto Ospedaliero
      • Milan, Italia, 20141
        • Istituto Europeo di Oncologia IRCCS
      • Naples, Italia, 80131
        • Azienda Ospedaliera Universitaria dell'Università "Luigi Vanvitelli" di Napoli
      • Padova, Italia, 35128
        • IRCCS Istituto Oncologico Veneto (IOV)
      • Reggio Emilia, Italia, 42123
        • Azienda USL - IRCCS di Reggio Emilia - Arcispedale Santa Maria Nuova
    • Cagliari
      • Monserrato (CA), Cagliari, Italia, 09042
        • Azienda Ospedaliera Universitaria di Cagliari - Presidio Policlinico Universitario "D.Casula"
    • Foggia
      • San Giovanni Rotondo, Foggia, Italia, 71013
        • IRCCS Casa Sollievo della Sofferenza
    • Milano
      • Milan, Milano, Italia, 20162
        • ASST Grande Ospedale Metropolitano Niguarda
    • Torino
      • Candiolo, Torino, Italia, 10060
        • Fondazione del Piemonte per l'Oncologia - Istituto di Candiolo IRCCS
      • Orbassano, Torino, Italia, 10043
        • Azienda Ospedaliero Universitaria San Luigi Gonzaga
      • Fukuoka, Japani, 811-1395
        • National Hospital Organization Kyushu Cancer Center
      • Osaka, Japani, 540-0006
        • National Hospital Organization - Osaka National Hospital - Institute For Clinical Research
    • Chiba
      • Chiba, Chiba, Japani, 260-8717
        • Chiba Cancer Center
      • Kashiwa, Chiba, Japani, 277-8577
        • National Cancer Center Hospital East
    • Hokkaido
      • Sapporo, Hokkaido, Japani, 060-8648
        • Hokkaido University Hospital
    • Ishikawa-ken
      • Kanazawa, Ishikawa-ken, Japani, 920-8641
        • Kanazawa University Hospital
    • Kanagawa
      • Kawasaki, Kanagawa, Japani, 216-8511
        • St. Marianna University Hospital
      • Yokohama, Kanagawa, Japani, 2418515
        • Kanagawa Cancer Center
    • Nagoya, Aichi
      • Nagoya, Nagoya, Aichi, Japani, 464-8681
        • Aichi Cancer Center Hospital
    • Osaka
      • Osaka, Osaka, Japani, 5418567
        • Osaka Prefectural Hospital Organization Osaka International Cancer Institute
      • Sayama, Osaka, Japani, 589-8511
        • Kindai University Hospital
      • Suita, Osaka, Japani, 565-0871
        • Osaka University Hospital
      • Takatsuki, Osaka, Japani, 569-8686
        • Osaka Medical and Pharmaceutical University Hospital
    • Saitama
      • Hidaka, Saitama, Japani, 350-1298
        • Saitama Medical University International Medical Center
      • Ina-machi, Saitama, Japani, 362-0806
        • Saitama Prefectural Cancer Center
    • Shizuoka
      • Nakatogari, Shizuoka, Japani, 411-8777
        • Shizuoka Cancer Center
    • Tokyo
      • Chuo-ku, Tokyo, Japani, 104-0045
        • National Cancer Center Hospital
      • Koto-ku, Tokyo, Japani, 135-8550
        • The Cancer Institute Hospital of JFCR
      • Shinjuku-ku, Tokyo, Japani, 160-8582
        • Keio University Hospital
    • Alberta
      • Calgary, Alberta, Kanada, T2N 4N2
        • Alberta Health Services - Cancer Care, Tom Baker Cancer Centre
      • Calgary, Alberta, Kanada, T3N 4N1
        • Arthur J.E. Child Comprehensive Cancer Centre
      • Edmonton, Alberta, Kanada, T6G 1Z2
        • Cross Cancer Institute
      • Edmonton, Alberta, Kanada, T6G 2C8
        • Alberta Health Services and The Governors of The University of Alberta
    • Ontario
      • London, Ontario, Kanada, N6A 5W9
        • London Regional Cancer Program, London Health Sciences Centre
      • Toronto, Ontario, Kanada, M4N 3M5
        • Sunnybrook Health Sciences Centre
    • Quebec
      • Montreal, Quebec, Kanada, H3T 1E2
        • Jewish General Hospital
      • Shanghai, Kiina, 201321
        • Fudan University Shanghai Cancer Center
      • Tianjin, Kiina, 300000
        • Tianjin Union Medical Center
    • Beijing Municipality
      • Beijing, Beijing Municipality, Kiina, 100142
        • Beijing Cancer Hospital
      • Beijing, Beijing Municipality, Kiina, 100034
        • Peking University First Hospital
      • Beijing, Beijing Municipality, Kiina, 100730
        • Beijing Hospital
      • Beijing, Beijing Municipality, Kiina, 100021
        • Cancer Hospital Chinese Academy of Medical Science
    • Chongqing Municipality
      • Chongqing, Chongqing Municipality, Kiina, 400030
        • Chongqing University Cancer Hospital
    • Fujian
      • Fuzhou, Fujian, Kiina, 350001
        • Fujian Medical University Union Hospital
    • Guangdong
      • Guangzhou, Guangdong, Kiina, 510655
        • The Sixth Affiliated Hospital of Sun Yat-sen University
    • Guangxi
      • Nanning, Guangxi, Kiina, 530200
        • Affiliated Tumor Hospital of Guangxi Medical University
    • Hubei
      • Wuhan, Hubei, Kiina, 430030
        • Tongji Hospital, Tongji Medical College, Huazhong University of Science & Technology
    • Hunan
      • Changsha, Hunan, Kiina, 410013
        • The Third XIANGYA Hospital of Central South University
      • Changsha, Hunan, Kiina, 410011
        • The Second Xiangya Hospital of Central South University
    • Jiangsu
      • Nanjing, Jiangsu, Kiina, 210008
        • Nanjing Drum Tower Hospital The Affiliated Hospital of Nanjing University Medical School
    • Liaoning
      • Shenyang, Liaoning, Kiina, 110022
        • Shengjing Hospital of China Medical University
    • Shandong
      • Jinan, Shandong, Kiina, 250117
        • Shandong province cancer hospital
    • Shanghai Municipality
      • Shanghai, Shanghai Municipality, Kiina, 200080
        • Shanghai General Hospital
      • Shanghai, Shanghai Municipality, Kiina, 201800
        • Ruijin Hospital Shanghai Jiaotong University School of Medicine
    • Sichuan
      • Chengdu, Sichuan, Kiina, 610041
        • Sichuan province cancer hospital
    • Yunnan
      • Kunming, Yunnan, Kiina, 650118
        • Yunnan Cancer Hospital(The Third Affiliated Hospital of Kunming Medical University)
    • Zhejiang
      • Hangzhou, Zhejiang, Kiina, 310000
        • The second Affiliated Hospital of College of Medicine, Zhejiang University
      • Oaxaca City, Meksiko, 68020
        • Centro de Investigacion Clinica de Oaxaca
    • Nuevo León
      • Monterrey, Nuevo León, Meksiko, 64000
        • Accelerium, S. de R.L. de C.V.
      • Oslo, Norja, 0379
        • Oslo universitetssykehus, Radiumhospitalet
      • Oslo, Norja, 0450
        • Oslo Universitetssykehus Ullevål
    • Sør-trøndelag
      • Trondheim, Sør-trøndelag, Norja, 7030
        • St. Olavs Hospital
    • Vest-agder
      • Kristiansand, Vest-agder, Norja, N-4615
        • Sørlandet Sykehus Kristiansand
      • Brzozów, Puola, 36-200
        • Szpital Specjalistyczny W Brzozowie, Podkarpacki Osrodek Onkologiczny Im.Ks.B.Markiewicza
      • Bytom, Puola, 41-902
        • Wojewodzki Szpital Specjalistyczny Nr 4 w Bytomiu Oddzial Onkologii
      • Gdansk, Puola, 80-219
        • Copernicus Podmiot Leczniczy Sp. z o.o. Wojewódzkie Centrum Onkologii
      • Gdansk, Puola, 80-219
        • COPERNICUS PL sp. z. o. o. Wojewodzkie Centrum Onkologii w Gdansku Ambulatoryjna
    • Greater Poland Voivodeship
      • Konin, Greater Poland Voivodeship, Puola, 62-500
        • Przychodnia Lekarska KOMED
      • Stockholm, Ruotsi, 171 76
        • Department of Pelvic cancer, colorecta section, Karolinska University Hospital
    • Stockholms LÄN [se-01]
      • Solna, Stockholms LÄN [se-01], Ruotsi, 171 64
        • Karolinska Universitetssjukhuset Solna
    • Uppsala LÄN [se-03]
      • Uppsala, Uppsala LÄN [se-03], Ruotsi, 751 85
        • Akademiska Sjukhuset
    • Västerbottens LÄN [se-24]
      • Umeå, Västerbottens LÄN [se-24], Ruotsi, 90185
        • Norrlands universitetssjukhus
    • Västra Götalands LÄN [se14]
      • Gothenburg, Västra Götalands LÄN [se14], Ruotsi, 413 45
        • Sahlgrenska Universitetssjukhuset
      • Berlin, Saksa, 10707
        • Onkologische Schwerpunktpraxis Kurfuerstendamm
      • Berlin, Saksa, 13125
        • HELIOS Klinikum Berlin Buch GmbH
      • Charlottenburg, Saksa, 10719
        • Radiologie Berlin
      • Dresden, Saksa, 01307
        • Universitätsklinikum Carl Gustav Carus Dresden
      • Dresden, Saksa, 01307
        • Technische Universität Dresden, Medizinische Fakultät Carl Gustav Carus
      • Hamburg, Saksa, 20249
        • Facharztzentrum Eppendorf
      • Hamburg, Saksa, 22045
        • ZytoService Deutschland GmbH, Standort-Hamburg-Jenfeld
      • Hamburg, Saksa, 22297
        • Radiologie im Israelitischen Krankenhaus
    • Bavaria
      • Munich, Bavaria, Saksa, 81737
        • Muenchen Klinik Neuperlach, Klinik fuer Haematologie und Onkologie
    • Hesse
      • Frankfurt am Main, Hesse, Saksa, 60488
        • Institut für Klinisch Onkologische Forschung
    • Lower Saxony
      • Hanover, Lower Saxony, Saksa, 30625
        • Medizinische Hochschule Hannover
    • Saxony
      • Leipzig, Saxony, Saksa, 04103
        • Universitatsklinikum Leipzig
      • Bratislava, Slovakia, 833 10
        • Narodny onkologicky ustav
      • Košice, Slovakia, 04191
        • Vychodoslovensky onkologicky ustav, a.s.
      • Oulu, Suomi, 90220
        • Oulu University Hospital
      • Pori, Suomi, 28500
        • Satakunnan Keskussairaala
      • Tampere, Suomi, 33521
        • Tampereen yliopistollinen sairaala
      • Tampere, Suomi, 33520
        • Tampereen yliopistollinen sairaala
      • Turku, Suomi, 20520
        • Turku University Hospital
    • Southwest Finland
      • Turku, Southwest Finland, Suomi, 20520
        • Turku University Hospital
    • Uusimaa
      • Helsinki, Uusimaa, Suomi, 00290
        • Helsinki University Central Hospital
      • Helsinki, Uusimaa, Suomi, 00180
        • Docrates Syöpäsairaala
      • Kaohsiung City, Taiwan, 807
        • Kaohsiung Medical University Chung-Ho Memorial Hospital
      • Taichung, Taiwan, 404
        • China Medical University Hospital
      • Tainan, Taiwan, 704
        • National Cheng-Kung University Hospital
      • Tainan, Taiwan, 73657
        • Chi Mei Hospital, Liouying
      • Taipei, Taiwan, 100
        • National Taiwan University Hospital
      • Taipei, Taiwan, 11031
        • Taipei Medical University Hospital
      • Taipei, Taiwan, 112
        • Taipei Veterans General Hospital
      • Taoyuan, Taiwan, 333
        • Chang Gung Medical Foundation-Linkou Branch
      • Copenhagen, Tanska, 2100
        • Rigshospitalet
      • Herlev, Tanska, 2730
        • Herlev and Gentofte Hospital
      • Odense C, Tanska, 5000
        • Odense University Hospital
    • North Denmark
      • Aalborg, North Denmark, Tanska, 9000
        • Aalborg Universitetshospital, Syd
    • Region Syddanmark
      • Vejle, Region Syddanmark, Tanska, 7100
        • Vejle Sygehus
      • Vejle, Region Syddanmark, Tanska, 7100
        • Vejle Hospital-Sygehus Lillebaelt
      • Olomouc, Tšekki, 779 00
        • Fakultni Nemocnice Olomouc
      • Prague, Tšekki, 180 81
        • Fakultní nemocnice Bulovka
    • Brno-město
      • Brno, Brno-město, Tšekki, 625 00
        • Fakultní nemocnice Brno Bohunice
    • Hradec Králové
      • Hradec Králové, Hradec Králové, Tšekki, 500 05
        • Fakultni nemocnice Hradec Kralove
    • Praha 4
      • Prague, Praha 4, Tšekki, 14059
        • Fakultni Thomayerova nemocnice
      • Dnipro, Ukraina, 49102
        • Municipal Non-profit Enterprise "City Clinical Hospital #4" of Dnipro City Council
      • Ivano-Frankivsk, Ukraina, 76018
        • Ivano-Frankivsk National Medical University
      • Ivano-Frankivsk, Ukraina, 76018
        • MNPE "Prykarpatski Clinical Oncological Center" of Ivano-Frankivsk Regional Council"
      • Kryvyi Rih, Ukraina, 50048
        • Communal enterprise "Kryvyi Rih Oncology Dispensary" of Dnipropetrovsk Regional Council
      • Auckland, Uusi Seelanti, 1023
        • Auckland City Hospital
      • Chelyabinsk, Venäjä, 454087
        • GBUZ
      • Kaluga, Venäjä, 248007
        • Kaluga Regional Clinical Oncology Center
      • Moscow, Venäjä, 119991
        • FSAEI HE I.M Sechenov First MSMU MoH Russia (Sechenovskiy University),
      • Omsk, Venäjä, 644013
        • BHI of Omsk region "Clinical Oncology Dispensary"
      • Omsk, Venäjä, 644046
        • BHI of Omsk region "Clinical Oncology Dispensary"
      • Saint Petersburg, Venäjä, 191025
        • LLC "Medicina Severnoy Stolitsy"
      • Saint Petersburg, Venäjä, 192007
        • LLC "Severo-Zapadny Medical Center"
      • Saint Petersburg, Venäjä, 195271
        • Private Healthcare Institution "Clinical Hospital "RZD-Medicine" of St. Petersburg
      • Saint Petersburg, Venäjä, 197022
        • LLC "Eurocityclinic"
      • Saint Petersburg, Venäjä, 197758
        • FSBI "Russian Scientific Center For Radiology and Surgical Technologies n.a. Academician A.M. Granov
      • Yaroslavl, Venäjä, 150054
        • SHI YR Regional Clinical Oncology Hospital
    • Sankt-Peterburg
      • Pushkin, Sankt-Peterburg, Venäjä, 196603
        • Private Medical Institution "Euromedservice"
      • Birmingham, Yhdistynyt kuningaskunta, B9 5SS
        • Heartlands Hospital
      • London, Yhdistynyt kuningaskunta, W12 0HS
        • Hammersmith Hospital, Imperial College Healthcare NHS Trust
      • London, Yhdistynyt kuningaskunta, W6 8RF
        • Hammersmith Hospital
      • Oxford, Yhdistynyt kuningaskunta, OX3 7LE
        • Churchill Hospital - Oncology
    • HIGH Heaton
      • Newcastle upon Tyne, HIGH Heaton, Yhdistynyt kuningaskunta, NE7 7DN
        • Freeman Hospital
    • Surrey
      • Sutton, Surrey, Yhdistynyt kuningaskunta, SM2 5PT
        • Royal Marsden NHS Foundation Trust
    • Arizona
      • Phoenix, Arizona, Yhdysvallat, 85054
        • Mayo Clinic Hospital
      • Scottsdale, Arizona, Yhdysvallat, 85259
        • Mayo Clinic in Arizona - Scottsdale
    • California
      • Los Angeles, California, Yhdysvallat, 90033
        • USC / Norris Comprehensive Cancer Center
      • Los Angeles, California, Yhdysvallat, 90033
        • USC/Norris Comprehensive Cancer Center
      • Los Angeles, California, Yhdysvallat, 90033
        • Keck Hospital of USC
      • Los Angeles, California, Yhdysvallat, 90033
        • LAC & USC Medical Center
      • Los Angeles, California, Yhdysvallat, 90033
        • USC/Norris Comprehensive Cancer Center/Investigational Drug Services
      • Pasadena, California, Yhdysvallat, 91105
        • Keck Hospital of USC Pasadena
    • Florida
      • Aventura, Florida, Yhdysvallat, 33180
        • Mount Sinai Comprehensive Cancer Center, Aventura
      • Miami Beach, Florida, Yhdysvallat, 33140
        • Mount Sinai Medical Center
      • Miami Beach, Florida, Yhdysvallat, 33140
        • Mount Sinai Comprehensive Cancer Center
      • Plantation, Florida, Yhdysvallat, 33322
        • BRCR Medical Center Inc.
      • Plantation, Florida, Yhdysvallat, 33322
        • BRCR Global
    • Illinois
      • Chicago, Illinois, Yhdysvallat, 60637
        • University Of Chicago Medical Center
      • Chicago, Illinois, Yhdysvallat, 60611
        • UChicago Medicine - River East
      • Flossmoor, Illinois, Yhdysvallat, 60422
        • UChicago Medicine at Ingalls - Flossmoor
      • Harvey, Illinois, Yhdysvallat, 60426
        • UChicago Medicine Ingalls Memorial
      • New Lenox, Illinois, Yhdysvallat, 60451
        • University of Chicago Comprehensive Cancer Center at Silver Cross Hospital
      • Orland Park, Illinois, Yhdysvallat, 60462
        • The University of Chicago Medicine Center for Advanced Care Orland Park
      • Tinley Park, Illinois, Yhdysvallat, 60477
        • UChicago Medicine at Ingalls - Tinley Park
    • Louisiana
      • New Orleans, Louisiana, Yhdysvallat, 70121
        • Ochsner Clinic Foundation
    • Minnesota
      • Rochester, Minnesota, Yhdysvallat, 55905
        • Mayo Clinic Rochester
    • Missouri
      • City of Saint Peters, Missouri, Yhdysvallat, 63376
        • Siteman Cancer Center - St Peters
      • Creve Coeur, Missouri, Yhdysvallat, 63141
        • Siteman Cancer Center - West County
      • Florissant, Missouri, Yhdysvallat, 63031
        • Siteman Cancer Center - North County
      • St Louis, Missouri, Yhdysvallat, 63110
        • Washington University School of Medicine
      • St Louis, Missouri, Yhdysvallat, 63129
        • Siteman Cancer Center - South County
      • St Louis, Missouri, Yhdysvallat, 63110
        • Barnes- Jewish Hospital
    • Nebraska
      • Omaha, Nebraska, Yhdysvallat, 68130
        • Oncology Hematology West PC dba Nebraska Cancer Specialists
      • Omaha, Nebraska, Yhdysvallat, 68124
        • Oncology Hematology West PC dba Nebraska Cancer Specialists
      • Omaha, Nebraska, Yhdysvallat, 68114
        • Oncology Hematology West PC dba Nebraska Cancer Specialists
      • Papillion, Nebraska, Yhdysvallat, 68046
        • Oncology Hematology West PC dba Nebraska Cancer Specialists
    • New Jersey
      • Basking Ridge, New Jersey, Yhdysvallat, 07920
        • Memorial Sloan Kettering Cancer Center - Basking Ridge
      • Berkeley Heights, New Jersey, Yhdysvallat, 07922
        • Summit Medical Group
      • Florham Park, New Jersey, Yhdysvallat, 07932
        • Summit Medical Group
      • Middletown, New Jersey, Yhdysvallat, 07748
        • Memorial Sloan Kettering Cancer Center- Monmouth
      • Montvale, New Jersey, Yhdysvallat, 07645
        • Memorial Sloan Kettering Cancer Center- Bergen
    • New York
      • Commack, New York, Yhdysvallat, 11725
        • Memorial Sloan Kettering Cancer Center Commack
      • Harrison, New York, Yhdysvallat, 10604
        • Memorial Sloan Kettering Cancer Center - Westchester
      • New York, New York, Yhdysvallat, 10022
        • Memorial Sloan Kettering Cancer Center
      • New York, New York, Yhdysvallat, 10065
        • Memorial Sloan Kettering Cancer Center - Main Campus
      • Uniondale, New York, Yhdysvallat, 11553
        • Memorial Sloan Kettering Cancer Center- Nassau
    • Ohio
      • Cleveland, Ohio, Yhdysvallat, 44195
        • Cleveland Clinic
      • Cleveland, Ohio, Yhdysvallat, 44195
        • Cleveland Clinic Taussig Cancer Center Investigational Pharmacy
      • Columbus, Ohio, Yhdysvallat, 43221
        • Martha Morehouse Medical plaza
      • Columbus, Ohio, Yhdysvallat, 43210
        • The Ohio State University James Cancer Hospital and Solove Research Institute
      • Columbus, Ohio, Yhdysvallat, 43212
        • Stefanie Spielman Comprehensive Breast Cancer
      • Columbus, Ohio, Yhdysvallat, 43210
        • The Ohio State University Wexner Medical Center Investigational Drug Services
    • Oklahoma
      • Oklahoma City, Oklahoma, Yhdysvallat, 73104
        • University of Oklahoma Health Sciences Center, OU Health Stephenson Cancer Center
    • Oregon
      • Portland, Oregon, Yhdysvallat, 97213
        • Providence Cancer Institute Franz Clinic
      • Portland, Oregon, Yhdysvallat, 97213
        • Providence Portland Medical Center
      • Portland, Oregon, Yhdysvallat, 97225
        • Providence St Vincent Medical Center
      • Portland, Oregon, Yhdysvallat, 97225
        • Providence Onc and Heme Care Clinic - Westside
    • Pennsylvania
      • Pittsburgh, Pennsylvania, Yhdysvallat, 15232
        • UPMC Hillman Cancer Center
    • Tennessee
      • Germantown, Tennessee, Yhdysvallat, 38138
        • The West Clinic. PLLC. dba West Cancer Center
      • Nashville, Tennessee, Yhdysvallat, 37232
        • Vanderbilt-Ingram Cancer Center
      • Nashville, Tennessee, Yhdysvallat, 37232
        • Henry-Joyce Cancer Clinic
    • Texas
      • Houston, Texas, Yhdysvallat, 77030
        • The University of Texas MD Anderson Cancer Center
    • Virginia
      • Richmond, Virginia, Yhdysvallat, 23219
        • Virginia Commonwealth University
    • Washington
      • Seattle, Washington, Yhdysvallat, 98109
        • Seattle Cancer Care Alliance
      • Seattle, Washington, Yhdysvallat, 98195
        • University of Washington Medical Center
    • Wisconsin
      • Madison, Wisconsin, Yhdysvallat, 53792
        • University of Wisconsin Clinical Science Center

Osallistumiskriteerit

Tutkijat etsivät ihmisiä, jotka sopivat tiettyyn kuvaukseen, jota kutsutaan kelpoisuuskriteereiksi. Joitakin esimerkkejä näistä kriteereistä ovat henkilön yleinen terveydentila tai aiemmat hoidot.

Kelpoisuusvaatimukset

Opintokelpoiset iät

16 vuotta ja vanhemmat (Lapsi, Aikuinen, Vanhempi Aikuinen)

Hyväksyy terveitä vapaaehtoisia

Ei

Kuvaus

Sisällyttämiskriteerit:

  • Turvallisuusjohto = Mies/nainen ≥ 18 vuotta vanha
  • Vaihe 3: Mies/nainen ≥ 16 vuotta vanha (jos paikallisesti sallittu)
  • Histologisesti tai sytologisesti vahvistettu vaiheen IV CRC, joka sisältää BRAF V600E -mutaation
  • Aikaisempi systeeminen hoito metastaattisissa olosuhteissa
  • SLI: 0-1 hoito-ohjelma
  • Vaihe 3: Ei mitään
  • Aikaisempi adjuvantti- tai neoadjuvanttihoito katsottiin metastaattiseksi hoidoksi, jos relapsi/metastaasi < 6 kuukautta adj-/neoadjuvanttihoidon päättymisestä
  • Mitattavissa oleva sairaus (vaihe 3) / Mitattavissa oleva tai arvioitava sairaus (turvallisuusjohtaminen)
  • ECOG PS 0-1
  • Riittävä elinten toiminta

Poissulkemiskriteerit:

  • Kasvaimet, jotka on paikallisesti vahvistettu tai tuntematon MSI-H tai dMMR, ellei osallistuja ole oikeutettu saamaan immuunitarkastuspisteen estäjiä jo olemassa olevan sairauden vuoksi
  • Aktiiviset bakteeri- tai virusinfektiot 2 viikkoa ennen annostelun aloittamista
  • Oireiset metastaasit aivoissa

Opintosuunnitelma

Tässä osiossa on tietoja tutkimussuunnitelmasta, mukaan lukien kuinka tutkimus on suunniteltu ja mitä tutkimuksella mitataan.

Miten tutkimus on suunniteltu?

Suunnittelun yksityiskohdat

  • Ensisijainen käyttötarkoitus: Hoito
  • Jako: Satunnaistettu
  • Inventiomalli: Rinnakkaistehtävä
  • Naamiointi: Ei mitään (avoin tarra)

Aseet ja interventiot

Osallistujaryhmä / Arm
Interventio / Hoito
Kokeellinen: Turvallisuuden aloituskohortti 1
Enkorafenibi 300 mg suun kautta kerran päivässä Setuksimabi 500 mg/m2 (120 minuutin IV-infuusio) kahden viikon välein Irinotekaani 180 mg/m2 (90 minuutin IV-infuusio) kahden viikon välein Leukovoriini 400 mg/m2 (120 minuutin IV-infuusio) kahden viikon välein viikkoa 5-FU 400 mg/m2 IV bolus, sitten 5-FU 2400 mg/m2 jatkuva IV-infuusio 46-48 tunnin ajan kahden viikon välein
75 mg kapselit
Muut nimet:
  • Braftovi, PF-07263896, LGX818, ONO-7702
Injektio suonensisäiseen käyttöön 100 mg/pullo, 200 mg/pullo tai 500 mg/pullo
Muut nimet:
  • Erbitux
Suonensisäinen infuusioliuos 40 mg/injektiopullo, 100 mg/pullo tai 300 mg/pullo
Muut nimet:
  • Campostar
Injektio 50 mg/pullo, 100 mg/pullo, 200 mg/pullo tai 350 mg/pullo
Muut nimet:
  • Wellcovorin, Fusilev, Khapzory
Injektio suonensisäiseen käyttöön 250 mg/pullo, 500 mg/pullo tai 1000 mg/pullo
Muut nimet:
  • Fluorourasiili
Kokeellinen: Turvallisuuden aloituskohortti 2
Enkorafenibi 300 mg suun kautta kerran päivässä Setuksimabi 500 mg/m2 (120 minuutin IV-infuusio) joka toinen viikko Oksaliplatiini 85 mg/m2 (120 minuutin IV-infuusio) kahden viikon välein Leukovoriini 400 mg/m2 (120 minuutin IV-infuusio) kahden viikon välein 5-FU 400 mg/m2 IV-bolus, sitten 5-FU 2400 mg/m2 jatkuva IV-infuusio 46-48 tunnin ajan kahden viikon välein
75 mg kapselit
Muut nimet:
  • Braftovi, PF-07263896, LGX818, ONO-7702
Injektio suonensisäiseen käyttöön 100 mg/pullo, 200 mg/pullo tai 500 mg/pullo
Muut nimet:
  • Erbitux
Injektio 50 mg/pullo, 100 mg/pullo, 200 mg/pullo tai 350 mg/pullo
Muut nimet:
  • Wellcovorin, Fusilev, Khapzory
Injektio suonensisäiseen käyttöön 250 mg/pullo, 500 mg/pullo tai 1000 mg/pullo
Muut nimet:
  • Fluorourasiili
Jauhe liuosta varten suonensisäiseen käyttöön 50 mg/injektiopullo, 100 mg/pullo tai 200 mg/injektiopullo
Muut nimet:
  • Eloksatiini
Kokeellinen: Vaihe 3 Varsi A
Enkorafenibi 300 mg suun kautta kerran päivässä Setuksimabi 500 mg/m2 (120 minuutin IV-infuusio) kahden viikon välein
75 mg kapselit
Muut nimet:
  • Braftovi, PF-07263896, LGX818, ONO-7702
Injektio suonensisäiseen käyttöön 100 mg/pullo, 200 mg/pullo tai 500 mg/pullo
Muut nimet:
  • Erbitux
Kokeellinen: Vaihe 3 Varsi B
Enkorafenibi 300 mg suun kautta kerran päivässä Setuksimabi 500 mg/m2 (120 minuutin IV-infuusio) joka toinen viikko Oksaliplatiini 85 mg/m2 (120 minuutin IV-infuusio) kahden viikon välein Leukovoriini 400 mg/m2 (120 minuutin IV-infuusio) kahden viikon välein 5-FU 400 mg/m2 IV-bolus, sitten 5-FU 2400 mg/m2 jatkuva IV-infuusio 46-48 tunnin ajan kahden viikon välein
75 mg kapselit
Muut nimet:
  • Braftovi, PF-07263896, LGX818, ONO-7702
Injektio suonensisäiseen käyttöön 100 mg/pullo, 200 mg/pullo tai 500 mg/pullo
Muut nimet:
  • Erbitux
Injektio 50 mg/pullo, 100 mg/pullo, 200 mg/pullo tai 350 mg/pullo
Muut nimet:
  • Wellcovorin, Fusilev, Khapzory
Injektio suonensisäiseen käyttöön 250 mg/pullo, 500 mg/pullo tai 1000 mg/pullo
Muut nimet:
  • Fluorourasiili
Jauhe liuosta varten suonensisäiseen käyttöön 50 mg/injektiopullo, 100 mg/pullo tai 200 mg/injektiopullo
Muut nimet:
  • Eloksatiini
Active Comparator: Vaihe 3 Varsi C
Kahden viikon välein: oksaliplatiini 85 mg/m2 (120 minuutin IV-infuusio) Leukovoriini 400 mg/m2 (120 minuutin IV-infuusio) 5-FU 400 mg/m2 IV-bolus, sitten 5-FU 2400 mg/m2 jatkuva IV-infuusio yli 46-48 tuntia Bevasitsumabi (valinnainen; annetaan reseptiohjeen mukaan) -TAI- Joka toinen viikko: Irinotekaani 165 mg/m2 (90 minuutin IV-infuusio) Oksaliplatiini 85 mg/m2 (120 minuutin IV-infuusio) Leukovoriini 400 mg/m2 ( 120 minuutin IV-infuusio) 5-FU 2400 tai 3200 mg/m2 jatkuva IV-infuusio 46 48 tunnin aikana Bevasitsumabi (valinnainen; annetaan reseptiohjeen mukaan) -TAI- Oksaliplatiini 130 mg/m2 (120 minuutin IV-infuusio) 3 viikon välein Kapesitabiini 1000 mg/m2 oraalinen tabletti kahdesti päivässä päivinä 1-14 Bevasitsumabi (valinnainen; annetaan reseptiohjeiden mukaan)
Suonensisäinen infuusioliuos 40 mg/injektiopullo, 100 mg/pullo tai 300 mg/pullo
Muut nimet:
  • Campostar
Injektio 50 mg/pullo, 100 mg/pullo, 200 mg/pullo tai 350 mg/pullo
Muut nimet:
  • Wellcovorin, Fusilev, Khapzory
Injektio suonensisäiseen käyttöön 250 mg/pullo, 500 mg/pullo tai 1000 mg/pullo
Muut nimet:
  • Fluorourasiili
Jauhe liuosta varten suonensisäiseen käyttöön 50 mg/injektiopullo, 100 mg/pullo tai 200 mg/injektiopullo
Muut nimet:
  • Eloksatiini
150 mg tai 500 mg tabletti
Muut nimet:
  • Xeloda
Valinnainen injektio suonensisäiseen käyttöön 100 mg/pullo tai 400 mg/pullo
Muut nimet:
  • Zirabev
Kokeellinen: Kohortti 3 käsivarsi D
Enkorafenibi 300 mg suun kautta kerran päivässä Setuksimabi 500 mg/m2 (120 minuutin IV-infuusio) kahden viikon välein Irinotekaani 180 mg/m2 (90 minuutin IV-infuusio) kahden viikon välein Leukovoriini 400 mg/m2 (120 minuutin IV-infuusio) kahden viikon välein viikkoa 5-FU 400 mg/m2 IV bolus, sitten 5-FU 2400 mg/m2 jatkuva IV-infuusio 46-48 tunnin ajan kahden viikon välein
75 mg kapselit
Muut nimet:
  • Braftovi, PF-07263896, LGX818, ONO-7702
Injektio suonensisäiseen käyttöön 100 mg/pullo, 200 mg/pullo tai 500 mg/pullo
Muut nimet:
  • Erbitux
Suonensisäinen infuusioliuos 40 mg/injektiopullo, 100 mg/pullo tai 300 mg/pullo
Muut nimet:
  • Campostar
Injektio 50 mg/pullo, 100 mg/pullo, 200 mg/pullo tai 350 mg/pullo
Muut nimet:
  • Wellcovorin, Fusilev, Khapzory
Injektio suonensisäiseen käyttöön 250 mg/pullo, 500 mg/pullo tai 1000 mg/pullo
Muut nimet:
  • Fluorourasiili
Active Comparator: Kohortti 3 käsivarsi E
Irinotekaani 180 mg/m2 (90 minuutin IV-infuusio) 2 viikon välein, Leucovorin 400 mg/m2 (120 minuutin IV-infuusio) 2 viikon välein, 5-FU 400 mg/m2 IV-bolus, sitten 5-FU 2400 mg/m2 jatkuva IV-infuusio 46-48 tunnin ajan kahden viikon välein, bevasitsumabi (valinnainen; annetaan reseptiohjeiden mukaan)
Suonensisäinen infuusioliuos 40 mg/injektiopullo, 100 mg/pullo tai 300 mg/pullo
Muut nimet:
  • Campostar
Injektio 50 mg/pullo, 100 mg/pullo, 200 mg/pullo tai 350 mg/pullo
Muut nimet:
  • Wellcovorin, Fusilev, Khapzory
Injektio suonensisäiseen käyttöön 250 mg/pullo, 500 mg/pullo tai 1000 mg/pullo
Muut nimet:
  • Fluorourasiili
Valinnainen injektio suonensisäiseen käyttöön 100 mg/pullo tai 400 mg/pullo
Muut nimet:
  • Zirabev

Mitä tutkimuksessa mitataan?

Ensisijaiset tulostoimenpiteet

Tulosmittaus
Toimenpiteen kuvaus
Aikaikkuna
SLI: Number of Participants With Dose Limiting Toxicity (DLTs)
Aikaikkuna: Cycle 1 (28 days)
DLT: Any AE/lab value during first 28 days (D) of treatment that met at least 1 criteria: AE/lab value unrelated to underlying disease,PD,intercurrent illness,concomitant medications resulting in inability to tolerate atleast 75% of planned dose intensity of study drug,fatigue grade (G)3>14 consecutive D, interstitial lung disease G>=2,rash,hand foot skin reaction G3>14 consecutive D or G4,diarrhea G3 >=48 hours or G4,nausea/vomiting G3>=48 hours or G4,mucositis G>=3,total bilirubin G>=3, aspartate aminotransferase/alanine aminotransferase G>=3 in conjunction with total bilirubin G>=2 or G3 >7 consecutive D or G4,Serum creatinine G>=3,absolute neutrophil count G4 >7 consecutive D, >=G3 febrile neutropenia,G3 platelet count decreased with signs of bleeding,platelet count G4,ECG QTcF prolonged >=G3,G>=3 uveitis >21 consecutive D,G4 confirmed by ophthalmic examination,paresthesia/dysesthesias G>=3,other G>=3 hematologic/nonhematologic toxicity except lymphocyte count decreased G>=3.
Cycle 1 (28 days)
Phase 3: Progression Free Survival (PFS) as Assessed by Blinded Independent Central Review (BICR) for Arm B vs Arm C - FAS
Aikaikkuna: From date of randomization to earliest documentation of PD by BICR or death or censoring date, whichever occurred first (maximum up to 37.25 months)
PFS was defined as the time from date of randomization to earliest documented disease progression (PD) per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 or death due to any cause as assessed by BICR. PD: 20% increase in sum of diameters of target measurable lesions above smallest sum observed, with minimum absolute increase of 5 millimeter (mm) for target disease or unequivocal progression of pre-existing lesions for non-target disease or any new lesion. Censoring details: no adequate baseline assessment, including no disease at baseline: participants were censored to randomization date; no PD, lost to follow-up, withdrawal of consent, PD or death >12 (or 16) weeks after the last adequate tumor assessment, and start of new anticancer treatment: participants were censored to last adequate tumor assessment documenting no PD prior to new anticancer therapy, or missed assessments. Analysis was performed using Kaplan Meier method.
From date of randomization to earliest documentation of PD by BICR or death or censoring date, whichever occurred first (maximum up to 37.25 months)
Phase 3: Objective Response Rate (ORR) as Assessed by BICR for Arm B vs Arm C - FAS ORR Subset
Aikaikkuna: From date of randomization to until documented PD by BICR, or start of subsequent anticancer therapy or death, whichever occurred first (maximum up to 24.71 months)
ORR was defined as the percentage of participants who achieved best overall response (BOR) of confirmed complete response (CR) or partial response (PR) according to RECIST v 1.1 as assessed by BICR. CR: complete disappearance of all target lesions (with the exception of nodal disease) and non-target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR: >=30% decrease under baseline of the sum of diameters of all target measurable lesions. PD: 20% increase in sum of diameters of target measurable lesions above smallest sum observed, with minimum absolute increase of 5 mm for target disease or unequivocal progression of pre-existing lesions for non-target disease or any new lesion.
From date of randomization to until documented PD by BICR, or start of subsequent anticancer therapy or death, whichever occurred first (maximum up to 24.71 months)
Cohort 3: ORR as Assessed by BICR for Arm D vs Arm E - FAS
Aikaikkuna: From date of randomization until documented PD by BICR, or start of subsequent anticancer therapy or death, whichever occurred first (maximum up to 14.1 months)
ORR was defined as the percentage of participants who achieved BOR of confirmed CR or PR according to RECIST v 1.1 as assessed by BICR. CR: complete disappearance of all target lesions (with the exception of nodal disease) and non-target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR: >=30% decrease under baseline of the sum of diameters of all target measurable lesions. PD: 20% increase in sum of diameters of target measurable lesions above smallest sum observed, with minimum absolute increase of 5 mm for target disease or unequivocal progression of pre-existing lesions for non-target disease or any new lesion.
From date of randomization until documented PD by BICR, or start of subsequent anticancer therapy or death, whichever occurred first (maximum up to 14.1 months)

Toissijaiset tulostoimenpiteet

Tulosmittaus
Toimenpiteen kuvaus
Aikaikkuna
SLI: Number of Participants With Adverse Events (AEs)
Aikaikkuna: Through end of the study
An AE was any untoward medical occurrence in clinical study participant temporally associated with use of study intervention, whether/ not considered related to study intervention. An Serious adverse event (SAE) was defined as any untoward medical occurrence that, at any dose, met one or more of the following criteria - resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, or other important medical event. AEs included both SAEs and all non-SAEs.
Through end of the study
SLI: Number of Participants With Grade 3 or 4 AEs and Grade 5 AEs
Aikaikkuna: Through end of the study
An AE was any untoward medical occurrence in clinical study participant temporally associated with use of study intervention, whether or not considered related to study intervention. AEs were graded according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version (v) 4.03 where grade 1= mild, grade 2= moderate, grade 3= severe, grade 4= life-threatening and grade 5= death related to AE. In this outcome measure, number of participants with grade 3 or 4 AEs and grade 5 AEs were reported.
Through end of the study
SLI: Number of Participants With Shift From Grade <=2 at Baseline to Grade >=3 Post-Baseline in Hematology and Coagulation Parameters
Aikaikkuna: Through end of the study
The following hematology and coagulation parameters were assessed: activated partial thromboplastin time prolonged, anemia, hemoglobin increased, international normalized ratio (INR) increased, leukocytosis, neutrophil count decreased, platelet count decreased, and white blood cell decreased. Laboratory abnormalities were graded according to NCI CTCAE version 4.03 where grade 1= mild, grade 2= moderate, grade 3= severe, grade 4= life-threatening event due to AE, and grade 5= death. Only those hematology and coagulation parameters in which at least 1 participant in any of the reporting arm had any shift from grade <=2 at baseline to grade >=3 post-baseline are reported in this outcome measure.
Through end of the study
SLI: Number of Participants With Shift From Grade <=2 at Baseline to Grade >=3 Post-Baseline in Chemistry Parameters
Aikaikkuna: Through end of the study
The following chemistry parameters were assessed: alanine aminotransferase increased, alkaline phosphatase increased, aspartate aminotransferase increased, blood bilirubin increased, creatinine increased, hypercalcemia, hyperglycemia, hyperkalemia, hypermagnesemia, hypernatremia, hypoalbuminemia, hypocalcemia, hypoglycemia, hypokalemia, hypomagnesemia, hyponatremia, and lipase increased. Laboratory abnormalities were graded according to NCI CTCAE v4.03 where grade 1= mild, grade 2= moderate, grade 3= severe, grade 4= life-threatening, and grade 5= death related to AE. Only those chemistry parameters in which at least 1 participant in any of the reporting arm had any shift from grade <=2 at baseline to grade >=3 post-baseline are reported in this outcome measure.
Through end of the study
SLI: Number of Participants According to Categorization of Vital Signs Data
Aikaikkuna: Through end of the study
The criteria for vital signs included: Systolic blood pressure (millimeters of mercury [mmHg]): value <= 90 mmHg and decrease from baseline >= 20 mmHg, and value >= 160 mmHg and increase from baseline >= 20 mmHg. Diastolic blood pressure (mmHg): value <= 50 mmHg and decrease from baseline >= 15 mmHg, and value >= 100 mmHg and increase from baseline >= 15 mmHg. Pulse rate (beats per minute [bpm]): value <= 50 bpm and decrease from baseline >= 15 bpm, and value >= 120 bpm and increase from baseline >= 15 bpm. Weight (kilograms [kg]): change >= 20 % decrease from baseline, and change >=10% increase from baseline. Temperature (degree Celsius): value <=36 degree Celsius, and value >=37.5 degree Celsius. Only those criteria in which at least 1 participant in any of the reporting arm had any vital signs data are reported in this outcome measure.
Through end of the study
SLI: Number of Participants According to Categorization of Electrocardiogram (ECGs) Findings
Aikaikkuna: Through end of the study
ECG criteria included: ECG mean heart rate (beats per minute [bpm]): increase from baseline >25% and to a value >100 bpm; decrease from baseline >25% and to a value <50 bpm, PR interval not otherwise specified (milliseconds [msec]): new >280 msec, QRS interval not otherwise specified (msec): new >120 msec, QT Interval Corrected Using Fridericia's Formula (QTcF) not otherwise specified: new >450 msec; new >480 msec; new >500 msec; increase from baseline >30 msec and increase from baseline >60 msec. Only those criteria in which at least 1 participant in any of the reporting arm had any ECG findings are reported in this outcome measure.
Through end of the study
SLI: Number of Participants With Dose Modification of Any Study Intervention Due to AEs
Aikaikkuna: Through end of the study
An AE was any untoward medical occurrence in clinical study participant temporally associated with use of study intervention, whether or not considered related to study intervention. Dose interruption: for encorafenib = 0 mg dose administered for >=1 days; for cetuximab, oxaliplatin, leucovorin, fluorouracil, irinotecan: >20 days between successive start dates with non-zero actual doses. Dose reduction: decrease in dose of at least 10%, from the protocol-planned dose and a decrease from the previous non-zero dose; for encorafenib to qualify as a dose reduction, it should have lasted for >=2 days. Dose modifications included both dose interruptions and reduction.
Through end of the study
SLI: Number of Participants With Dose Discontinuation of Any Study Intervention Due to AEs
Aikaikkuna: Through end of the study
An AE was any untoward medical occurrence in clinical study participant temporally associated with use of study intervention, whether or not considered related to study intervention. Number of participants with dose discontinuation due to AEs were reported in this outcome measure.
Through end of the study
SLI: ORR as Assessed by Investigator According to Line of Therapy - FAS
Aikaikkuna: From date of randomization until documented PD, or start of subsequent anticancer therapy or death, whichever occurred first (maximum up to 33.9 months)
ORR: percentage of participants who achieved BOR of confirmed CR/PR per RECIST v1.1 as assessed by response reported by investigator on eCRF. CR: complete disappearance of all target lesions (with exception of nodal disease) and non-target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis <10 mm. PR: >=30% decrease under baseline of sum of diameters of all target measurable lesions. PD: 20% increase in sum of diameters of target measurable lesions above smallest sum observed, with minimum absolute increase of 5 mm for target disease or unequivocal progression of pre-existing lesions for non-target disease or any new lesion. Percentage of participants with ORR for first line (no prior treatment) and second line (participant received prior treatment viz. advanced/metastatic or locoregional disease or maintenance or if neoadjuvant/adjuvant with a disease recurrence occurred during or within 6 months of last therapy dose) is presented.
From date of randomization until documented PD, or start of subsequent anticancer therapy or death, whichever occurred first (maximum up to 33.9 months)
SLI: Duration of Response (DOR) as Assessed by Investigator According to Line of Therapy - FAS
Aikaikkuna: From date of first radiographic evidence of response (CR or PR) to earliest documented PD or death due to any cause whichever occurred first (maximum up to 33.9 months)
DOR: time from date of first radiographic evidence of response (CR/PR) to earliest documented PD per RECIST v1.1 as assessed by response reported by investigator on eCRF, or death by any cause. CR: disappearance of all target lesions and non-target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis <10 mm. PR: >=30% decrease under baseline of sum of diameters of all target measurable lesions. PD: 20% increase in sum of diameters of target measurable lesions above smallest sum observed, with minimum absolute increase of 5 mm for target disease or unequivocal progression of pre-existing lesions for non-target disease or any new lesion. DOR for first line and second line is presented. Analysis performed by Kaplan Meier method.
From date of first radiographic evidence of response (CR or PR) to earliest documented PD or death due to any cause whichever occurred first (maximum up to 33.9 months)
SLI: PFS as Assessed by Investigator According to Line of Therapy - FAS
Aikaikkuna: From date of randomization to earliest documentation of PD or death or censoring date, whichever occurred first (maximum up to 33.9 months)
PFS: time from date of randomization to earliest documented PD per RECIST version 1.1 or death due to any cause as assessed by response reported by investigator on eCRF. PD: 20% increase in sum of diameters of target measurable lesions above smallest sum observed, with minimum absolute increase of 5 mm for target disease or unequivocal progression of pre-existing lesions for non-target disease or any new lesion. Censoring details: no adequate baseline assessment, including no disease at baseline: participants were censored to randomization date; no PD, lost to follow-up, withdrawal of consent, PD or death >12 (or 16) weeks after the last adequate tumor assessment, and start of new anticancer treatment: participants were censored to last adequate tumor assessment documenting no PD prior to new anticancer therapy, or missed assessments. Participants with PFS for first line and second line were presented. Analysis performed using Kaplan Meier method.
From date of randomization to earliest documentation of PD or death or censoring date, whichever occurred first (maximum up to 33.9 months)
SLI: Time to Response (TTR) as Assessed by Investigator According to Line of Therapy - FAS
Aikaikkuna: From date of first dose to first radiographic evidence of response (CR or PR) (maximum up to 33.9 months [147.3 weeks])
TTR was defined as the time from the date of first dose to first radiographic evidence of response (CR or PR) per RECIST v1.1 as assessed by response reported by investigator on eCRF. CR: disappearance of all target lesions and non-target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR: >= 30% decrease under baseline of the sum of diameters of all target measurable lesions. In this outcome measure, TTR for first line (no prior treatment) and second line (participant received a prior treatment defined as advanced/metastatic or locoregional disease or maintenance or if neoadjuvant/adjuvant with a disease recurrence occurred during or within 6 months of the last dose of therapy) were reported.
From date of first dose to first radiographic evidence of response (CR or PR) (maximum up to 33.9 months [147.3 weeks])
SLI: Overall Survival (OS) According to Line of Therapy - FAS
Aikaikkuna: From date of first dose to death due to any cause or censoring date, whichever occurred first (maximum up to 33.9 months)
OS was defined as the time from the date of first dose to death due to any cause. If a participant was not known to have died at the time of the cutoff for analysis, then OS was censored at the date of last contact. In this outcome measure, OS for first line (no prior treatment) and second line (participant received a prior treatment defined as advanced/metastatic or locoregional disease or maintenance or if neoadjuvant/adjuvant with a disease recurrence occurred during or within 6 months of the last dose of therapy) was presented. Analysis was performed using Kaplan Meier method.
From date of first dose to death due to any cause or censoring date, whichever occurred first (maximum up to 33.9 months)
SLI: Maximum Plasma Concentration (Cmax) of Encorafenib and Its Metabolite LHY746
Aikaikkuna: Cohort 1: Pre-dose (0 hour [hr]), 0.75, 1.5, 2.5, 3.5, 5.5, 7.5, and 48 hrs post-dose on Day 15 of Cycle 1; Cohort 2: Pre-dose (0 hr), 1, 2, 3, 4, 6, 8, and 48 hrs post-dose on Days 1 and 15 of Cycle 1
Cmax was observed directly from data. LHY746 is a metabolite of Encorafenib.
Cohort 1: Pre-dose (0 hour [hr]), 0.75, 1.5, 2.5, 3.5, 5.5, 7.5, and 48 hrs post-dose on Day 15 of Cycle 1; Cohort 2: Pre-dose (0 hr), 1, 2, 3, 4, 6, 8, and 48 hrs post-dose on Days 1 and 15 of Cycle 1
SLI: Area Under the Concentration Time Profile From Time Zero to 6 Hours (AUC6) for Encorafenib and Its Metabolite LHY746
Aikaikkuna: Cohort 1: Pre-dose (0 hr), 0.75, 1.5, 2.5, 3.5, 5.5, and 6 hrs post-dose on Day 15 of Cycle 1; Cohort 2: Predose (0 hr), 1, 2, 3, 4, and 6 hrs post-dose on Days 1 and 15 of Cycle 1
The AUC was estimated from time 0 to 6 hours post dose. AUC6 was computed using the Linear/Log trapezoidal method. LHY746 is a metabolite of Encorafenib.
Cohort 1: Pre-dose (0 hr), 0.75, 1.5, 2.5, 3.5, 5.5, and 6 hrs post-dose on Day 15 of Cycle 1; Cohort 2: Predose (0 hr), 1, 2, 3, 4, and 6 hrs post-dose on Days 1 and 15 of Cycle 1
SLI: Area Under the Concentration-time Profile From Time Zero to the Time Tau (AUCtau) of Encorafenib and Its Metabolite LHY746
Aikaikkuna: Cohort 1: Pre-dose (0 hr), 0.75, 1.5, 2.5, 3.5, 5.5, 7.5, and 48 hrs post-dose on Day 15 of Cycle 1; Cohort 2: Pre-dose (0 hr), 1, 2, 3, 4, 6, 8, and 48 hrs post-dose on Days 1 and 15 of Cycle 1
AUCtau was area under the concentration-time profile from time zero to time tau, the dosing interval. tau = 24 hrs for QD dosing of encorafenib. LHY746 is a metabolite of encorafenib. AUCtau can be calculated directly from the data using 24 hrs (tau) sample or can be approximately calculated by kel, where kel is the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve.
Cohort 1: Pre-dose (0 hr), 0.75, 1.5, 2.5, 3.5, 5.5, 7.5, and 48 hrs post-dose on Day 15 of Cycle 1; Cohort 2: Pre-dose (0 hr), 1, 2, 3, 4, 6, 8, and 48 hrs post-dose on Days 1 and 15 of Cycle 1
SLI: Time to Maximum Plasma Concentration (Tmax) of Encorafenib and Its Metabolite LHY746
Aikaikkuna: Cohort 1: Pre-dose (0 hr), 0.75, 1.5, 2.5, 3.5, 5.5, 7.5, and 48 hrs post-dose on Day 15 of Cycle 1; Cohort 2: Pre-dose (0 hr), 1, 2, 3, 4, 6, 8, and 48 hrs post-dose on Days 1 and 15 of Cycle 1
Tmax: time (hours) to Cmax. LHY746 is a metabolite of Encorafenib.
Cohort 1: Pre-dose (0 hr), 0.75, 1.5, 2.5, 3.5, 5.5, 7.5, and 48 hrs post-dose on Day 15 of Cycle 1; Cohort 2: Pre-dose (0 hr), 1, 2, 3, 4, 6, 8, and 48 hrs post-dose on Days 1 and 15 of Cycle 1
SLI: Apparent Total Clearance (CL/F) of Encorafenib
Aikaikkuna: Cohort 1: Pre-dose (0 hr), 0.75, 1.5, 2.5, 3.5, 5.5, 7.5, and 48 hrs post-dose on Day 15 of Cycle 1; Cohort 2: Pre-dose (0 hr), 1, 2, 3, 4, 6, 8, and 48 hrs post-dose on Days 1 and 15 of Cycle 1
Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. CL/F was calculated as Dose/AUCinf where dose is the dose administered divided by area under the concentration curve from time 0 extrapolated to infinite time (AUCinf). AUCinf was calculated as AUClast + (Clast*/kel), where Clast is last plasma concentration from the log-linear regression analysis, and kel is the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve.
Cohort 1: Pre-dose (0 hr), 0.75, 1.5, 2.5, 3.5, 5.5, 7.5, and 48 hrs post-dose on Day 15 of Cycle 1; Cohort 2: Pre-dose (0 hr), 1, 2, 3, 4, 6, 8, and 48 hrs post-dose on Days 1 and 15 of Cycle 1
SLI, Cohort 1: Cmax of Irinotecan and Its Metabolite SN-38
Aikaikkuna: Cohort 1: Pre-dose (0 hr), 0.75, 1.5, 2.5, 3.5, 5.5, 7.5, and 48 hrs post-dose on Days 1 and 15 of Cycle 1
Cmax was observed directly from data. SN-38 is a metabolite of Irinotecan.
Cohort 1: Pre-dose (0 hr), 0.75, 1.5, 2.5, 3.5, 5.5, 7.5, and 48 hrs post-dose on Days 1 and 15 of Cycle 1
SLI, Cohort 1: AUClast of Irinotecan and Its Metabolite SN-38
Aikaikkuna: Cohort 1: Pre-dose (0 hr), 0.75, 1.5, 2.5, 3.5, 5.5, 7.5, and 48 hrs post-dose on Days 1 and 15 of Cycle 1
AUClast was defined as area under the plasma concentration time curve from time zero to the last measurable concentration. AUClast was calculated using linear/log trapezoidal method. SN-38 is a metabolite of Irinotecan.
Cohort 1: Pre-dose (0 hr), 0.75, 1.5, 2.5, 3.5, 5.5, 7.5, and 48 hrs post-dose on Days 1 and 15 of Cycle 1
SLI, Cohort 1: Apparent Terminal Elimination Half-Life (t1/2) of Irinotecan and Its Metabolite SN-38
Aikaikkuna: Cohort 1: Pre-dose (0 hr), 0.75, 1.5, 2.5, 3.5, 5.5, 7.5, and 48 hrs post-dose on Days 1 and 15 of Cycle 1
t1/2 was the time measured for the drug concentration to decrease by one half. t1/2 was determined by Loge (2)/kel, where kel is the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve. SN-38 is a metabolite of Irinotecan.
Cohort 1: Pre-dose (0 hr), 0.75, 1.5, 2.5, 3.5, 5.5, 7.5, and 48 hrs post-dose on Days 1 and 15 of Cycle 1
SLI, Cohort 1: CL/F of Irinotecan
Aikaikkuna: Cohort 1: Pre-dose (0 hr), 0.75, 1.5, 2.5, 3.5, 5.5, 7.5, and 48 hrs post-dose on Days 1 and 15 of Cycle 1
Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. CL/F was calculated as dose administered divided by area under the concentration curve from time 0 extrapolated to infinite time (AUCinf). AUCinf was calculated as AUClast + (Clast*/kel), where Clast is the predicted plasma concentration at the last quantifiable time point from the log-linear regression analysis, and kel is the terminal phase rate constant calculated by a linear regression of the loglinear concentration-time curve.
Cohort 1: Pre-dose (0 hr), 0.75, 1.5, 2.5, 3.5, 5.5, 7.5, and 48 hrs post-dose on Days 1 and 15 of Cycle 1
SLI, Cohort 2: Cmax of Oxaliplatin
Aikaikkuna: Cohort 2: Pre-dose (0 hr), 1, 2, 3, 4, 6, 8, and 48 hrs post-dose on Days 1 and 15 of Cycle 1
Cmax was observed directly from data. Oxaliplatin was evaluated as total platinum in plasma and platinum in plasma ultrafiltrate.
Cohort 2: Pre-dose (0 hr), 1, 2, 3, 4, 6, 8, and 48 hrs post-dose on Days 1 and 15 of Cycle 1
SLI, Cohort 2: AUClast of Oxaliplatin
Aikaikkuna: Cohort 2: Pre-dose (0 hr), 1, 2, 3, 4, 6, 8, and 48 hrs post-dose on Days 1 and 15 of Cycle 1
AUClast was defined as area under the plasma concentration time curve from time zero to the last measurable concentration. AUClast was calculated using linear/log trapezoidal method. Oxaliplatin was evaluated as total platinum in plasma and platinum in plasma ultrafiltrate.
Cohort 2: Pre-dose (0 hr), 1, 2, 3, 4, 6, 8, and 48 hrs post-dose on Days 1 and 15 of Cycle 1
SLI, Cohort 2: CL/F of Oxaliplatin
Aikaikkuna: Cohort 2: Pre-dose (0 hr), 1, 2, 3, 4, 6, 8, and 48 hrs post-dose on Days 1 and 15 of Cycle 1
Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. CL/F was calculated as dose administered divided by area under the concentration curve from time 0 extrapolated to infinite time (AUCinf). AUCinf was calculated as AUClast + (Clast*/kel), where Clast is the predicted plasma concentration at the last quantifiable time point from the log-linear regression analysis, and kel is the terminal phase rate constant calculated by a linear regression of the loglinear concentration-time curve. Oxaliplatin consisted of platinum of plasma and platinum in plasma-ultrafiltrate. The clearance of platinum-ultrafiltrate has been presented in this outcome measure.
Cohort 2: Pre-dose (0 hr), 1, 2, 3, 4, 6, 8, and 48 hrs post-dose on Days 1 and 15 of Cycle 1
SLI, Cohort 1: Ratio of AUCinf on Cycle 1 Day 15 as Compared to Cycle 1 Day 1 for Irinotecan and Its Metabolite SN-38
Aikaikkuna: Cohort 1: Pre-dose (0 hr), 0.75, 1.5, 2.5, 3.5, 5.5, 7.5, and 48 hrs post-dose on Days 1 and 15 of Cycle 1
AUCinf was calculated as AUClast + (Clast*/kel), where Clast was the predicted plasma concentration at the last quantifiable time point from the log-linear regression analysis, and kel was the terminal phase rate constant calculated by a linear regression of the loglinear concentration-time curve. The ratio between geometric least square (LS) mean (within Cohort 1) for AUCinf on Cycle 1 Day 15 and geometric LS mean (within Cohort 1) for AUCinf on Cycle 1 Day 1 for irinotecan and its metabolite SN-38 has been presented in this outcome measure, which explains the data reported for this outcome measure using measure type as "Number".
Cohort 1: Pre-dose (0 hr), 0.75, 1.5, 2.5, 3.5, 5.5, 7.5, and 48 hrs post-dose on Days 1 and 15 of Cycle 1
SLI, Cohort 1: Ratio of AUClast on Cycle 1 Day 15 as Compared to Cycle 1 Day 1 for Irinotecan and Its Metabolite SN-38
Aikaikkuna: Cohort 1: Pre-dose (0 hr), 0.75, 1.5, 2.5, 3.5, 5.5, 7.5, and 48 hrs post-dose on Days 1 and 15 of Cycle 1
AUClast was defined as area under the plasma concentration time curve from time zero to the last measurable concentration. AUClast was calculated using linear/log trapezoidal method. The ratio between geometric LS mean (within Cohort 1) for AUClast on Cycle 1 Day 15 and geometric LS mean (within Cohort 1) for AUClast on Cycle 1 Day 1 for irinotecan and its metabolite SN-38 has been presented in this outcome measure, which explains the data reported for this outcome measure using measure type as "Number".
Cohort 1: Pre-dose (0 hr), 0.75, 1.5, 2.5, 3.5, 5.5, 7.5, and 48 hrs post-dose on Days 1 and 15 of Cycle 1
SLI, Cohort 1: Ratio of Cmax on Cycle 1 Day 15 as Compared to Cycle 1 Day 1 for Irinotecan and Its Metabolite SN-38
Aikaikkuna: Cohort 1: Pre-dose (0 hr), 0.75, 1.5, 2.5, 3.5, 5.5, 7.5, and 48 hrs post-dose on Days 1 and 15 of Cycle 1
Cmax was observed directly from data. The ratio between geometric LS mean (within Cohort 1) for Cmax on Cycle 1 Day 15 and geometric LS mean (within Cohort 1) for Cmax on Cycle 1 Day 1 for irinotecan and its metabolite SN-38 has been presented in this outcome measure, which explains the data reported for this outcome measure using measure type as "Number".
Cohort 1: Pre-dose (0 hr), 0.75, 1.5, 2.5, 3.5, 5.5, 7.5, and 48 hrs post-dose on Days 1 and 15 of Cycle 1
SLI, Cohort 2: Ratio of AUClast on Cycle 1 Day 15 as Compared to Cycle 1 Day 1 for Oxaliplatin
Aikaikkuna: Cohort 2: Pre-dose (0 hr), 1, 2, 3, 4, 6, 8, and 48 hrs post-dose on Days 1 and 15 of Cycle 1
AUClast was defined as area under the plasma concentration time curve from time zero to the last measurable concentration. AUClast was calculated using linear/log trapezoidal method. Oxaliplatin was evaluated as total platinum in plasma and platinum in plasma ultrafiltrate. The ratio between geometric LS mean (within Cohort 2) for AUClast on Cycle 1 Day 15 and geometric LS mean (within Cohort 2) for AUClast on Cycle 1 Day 1 for Oxaliplatin has been presented in this outcome measure, which explains the data reported for this outcome measure using measure type as "Number".
Cohort 2: Pre-dose (0 hr), 1, 2, 3, 4, 6, 8, and 48 hrs post-dose on Days 1 and 15 of Cycle 1
SLI, Cohort 2: Ratio of Cmax on Cycle 1 Day 15 as Compared to Cycle 1 Day 1 for Oxaliplatin
Aikaikkuna: Cohort 2: Pre-dose (0 hr), 1, 2, 3, 4, 6, 8, and 48 hrs post-dose on Days 1 and 15 of Cycle 1
Cmax was observed directly from data. Oxaliplatin was evaluated as total platinum in plasma and platinum in plasma ultrafiltrate. The ratio between geometric LS mean (within Cohort 2) for Cmax on Cycle 1 Day 15 and geometric LS mean (within Cohort 2) for Cmax on Cycle 1 Day 1 for Oxaliplatin has been presented in this outcome measure, which explains the data reported for this outcome measure using measure type as "Number".
Cohort 2: Pre-dose (0 hr), 1, 2, 3, 4, 6, 8, and 48 hrs post-dose on Days 1 and 15 of Cycle 1
Phase 3: OS for Arm B vs Arm C - FAS
Aikaikkuna: From date of first dose to death due to any cause or censoring date, whichever occurred first (maximum up to 37.25 months)
OS was defined as the time from the date of first dose to death due to any cause. If a participant was not known to have died at the time of the cutoff for analysis, then OS was censored at the date of last contact. Analysis was performed using Kaplan Meier method.
From date of first dose to death due to any cause or censoring date, whichever occurred first (maximum up to 37.25 months)
Phase 3: ORR by Derived Investigator Assessment for Arm B vs Arm C - FAS ORR Subset
Aikaikkuna: From date of randomization until documented PD, or start of subsequent anticancer therapy, or death, whichever occurred first (maximum up to 24.71 months)
ORR was defined as the percentage of participants who achieved BOR of confirmed CR or PR according to RECIST v 1.1 by derived investigator assessment. CR: complete disappearance of all target lesions (with the exception of nodal disease) and non-target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR: >=30% decrease under baseline of the sum of diameters of all target measurable lesions. PD: 20% increase in sum of diameters of target measurable lesions above smallest sum observed, with minimum absolute increase of 5 mm for target disease or unequivocal progression of pre-existing lesions for non-target disease or any new lesion.
From date of randomization until documented PD, or start of subsequent anticancer therapy, or death, whichever occurred first (maximum up to 24.71 months)
Phase 3: ORR as Assessed by BICR - FAS
Aikaikkuna: From date of randomization until documented PD by BICR, or start of subsequent anticancer therapy, or death, whichever occurred first (maximum up to 37.25 months)
ORR was defined as the percentage of participants who achieved BOR of confirmed CR or PR according to RECIST v 1.1 as assessed by BICR. CR: complete disappearance of all target lesions (with the exception of nodal disease) and non-target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR: >=30% decrease under baseline of the sum of diameters of all target measurable lesions. PD: 20% increase in sum of diameters of target measurable lesions above smallest sum observed, with minimum absolute increase of 5 mm for target disease or unequivocal progression of pre-existing lesions for non-target disease or any new lesion.
From date of randomization until documented PD by BICR, or start of subsequent anticancer therapy, or death, whichever occurred first (maximum up to 37.25 months)
Phase 3: DOR as Assessed by BICR for Arm B Versus Arm C - FAS ORR Subset
Aikaikkuna: From date of first radiographic evidence of response (CR or PR) to earliest documented PD or death due to any cause, whichever occurred first (maximum up to 24.71 months)
DOR was defined as the time from the date of first radiographic evidence of response (CR or PR) to the earliest documented PD per RECIST v1.1 as assessed by BICR, or death due to any cause. CR: disappearance of all target lesions and non-target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR: >= 30% decrease under baseline of the sum of diameters of all target measurable lesions. PD: 20% increase in sum of diameters of target measurable lesions above smallest sum observed, with minimum absolute increase of 5 mm for target disease or unequivocal progression of pre-existing lesions for non-target disease or any new lesion. Analysis was performed using Kaplan Meier method.
From date of first radiographic evidence of response (CR or PR) to earliest documented PD or death due to any cause, whichever occurred first (maximum up to 24.71 months)
Phase 3: DOR by Derived Investigator Assessment for Arm B Versus Arm C - FAS ORR Subset
Aikaikkuna: From date of first radiographic evidence of response (CR or PR) to earliest documented PD or death due to any cause, whichever occurred first (maximum up to 24.71 months)
DOR was defined as the time from the date of first radiographic evidence of response (CR or PR) to the earliest documented PD per RECIST v1.1 by derived investigator assessment, or death due to any cause. CR: disappearance of all target lesions and non-target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR: >= 30% decrease under baseline of the sum of diameters of all target measurable lesions. PD: 20% increase in sum of diameters of target measurable lesions above smallest sum observed, with minimum absolute increase of 5 mm for target disease or unequivocal progression of pre-existing lesions for non-target disease or any new lesion. Analysis was performed using Kaplan Meier method.
From date of first radiographic evidence of response (CR or PR) to earliest documented PD or death due to any cause, whichever occurred first (maximum up to 24.71 months)
Phase 3: PFS as Assessed by BICR - FAS
Aikaikkuna: From date of randomization to earliest documentation of PD or death or censoring date, whichever occurred first (maximum up to 37.25 months)
PFS was defined as the time from date of randomization to earliest documented PD per RECIST version 1.1 or death due to any cause as assessed by BICR. PD: 20% increase in sum of diameters of target measurable lesions above smallest sum observed, with minimum absolute increase of 5 mm for target disease or unequivocal progression of pre-existing lesions for non-target disease or any new lesion. Censoring details: no adequate baseline assessment, including no disease at baseline: participants were censored to randomization date; no PD, lost to follow-up, withdrawal of consent, PD or death >12 (or 16) weeks after the last adequate tumor assessment, and start of new anticancer treatment: participants were censored to last adequate tumor assessment documenting no PD prior to new anticancer therapy, or missed assessments. Analysis was performed using Kaplan Meier method.
From date of randomization to earliest documentation of PD or death or censoring date, whichever occurred first (maximum up to 37.25 months)
Phase 3: OS - FAS
Aikaikkuna: From date of first dose to death due to any cause or censoring date, whichever occurred first (maximum up to 37.25 months)
OS was defined as the time from the date of first dose to death due to any cause. If a participant was not known to have died at the time of the cutoff for analysis, then OS was censored at the date of last contact. Analysis was performed using Kaplan Meier method.
From date of first dose to death due to any cause or censoring date, whichever occurred first (maximum up to 37.25 months)
Phase 3: PFS by Derived Investigator Assessment - FAS
Aikaikkuna: From date of first dose to death due to any cause or censoring date, whichever occurred first (maximum up to 37.25 months)
PFS was defined as the time from date of randomization to earliest documented PD per RECIST version 1.1 or death due to any cause by derived investigator assessment. PD: 20% increase in sum of diameters of target measurable lesions above smallest sum observed, with minimum absolute increase of 5 mm for target disease or unequivocal progression of pre-existing lesions for non-target disease or any new lesion. Censoring details: no adequate baseline assessment, including no disease at baseline: participants were censored to randomization date; no PD, lost to follow-up, withdrawal of consent, PD or death >12 (or 16) weeks after the last adequate tumor assessment, and start of new anticancer treatment: participants were censored to last adequate tumor assessment documenting no PD prior to new anticancer therapy, or missed assessments. Analysis was performed using Kaplan Meier method.
From date of first dose to death due to any cause or censoring date, whichever occurred first (maximum up to 37.25 months)
Phase 3: TTR as Assessed by BICR for Arm B vs Arm C - FAS ORR Subset
Aikaikkuna: From date of first dose to CR or PR (maximum up to 24.71 months [107.37 weeks])
TTR was defined as the time from the date of first dose to first radiographic evidence of response (CR or PR) per RECIST v1.1 as assessed by BICR. CR: disappearance of all target lesions and non-target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR: >= 30% decrease under baseline of the sum of diameters of all target measurable lesions.
From date of first dose to CR or PR (maximum up to 24.71 months [107.37 weeks])
Phase 3: TTR by Derived Investigator Assessment for Arm B vs Arm C - FAS ORR Subset
Aikaikkuna: From date of first dose to CR or PR (maximum up to 24.71 months [107.37 weeks])
TTR was defined as the time from the date of first dose to first radiographic evidence of response (CR or PR) per RECIST v1.1 by derived investigator assessment. CR: disappearance of all target lesions and non-target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR: >= 30% decrease under baseline of the sum of diameters of all target measurable lesions.
From date of first dose to CR or PR (maximum up to 24.71 months [107.37 weeks])
Phase 3: Progression After Next Line of Treatment (PFS2) - FAS
Aikaikkuna: From date of randomization to date of discontinuation of next-line treatment after PD or PD2 or death or censoring date, whichever occurred first (maximum up to 37.25 months)
PFS2 was defined as the time from the date of randomization to the date of discontinuation of next-line treatment after first objective PD by investigator assessment, to second objective disease progression (PD2), or death from any cause, whichever occurred first. PD2: was progressive disease after the start of subsequent anticancer therapy based on investigator assessment. PFS2 was censored at start date of next-line anticancer treatment (NTX) if PD date > NTX start date and there was no death, at last contact date if withdrawal of consent date >= date of randomization or end of study or if participant lost to follow-up or if no prior conditions are met or PD and no NTX and there was no death.
From date of randomization to date of discontinuation of next-line treatment after PD or PD2 or death or censoring date, whichever occurred first (maximum up to 37.25 months)
Phase 3: Number of Participants With AEs
Aikaikkuna: Through end of the study
An AE was any untoward medical occurrence in clinical study participant temporally associated with use of study intervention, whether/ not considered related to study intervention. SAE was defined as any untoward medical occurrence that, at any dose, met one or more of the following criteria - resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, or other important medical event. AEs included both SAEs and all non-SAEs.
Through end of the study
Phase 3: Number of Participants With Grade 3 or 4 AEs and Grade 5 AEs
Aikaikkuna: Through end of the study
An AE was any untoward medical occurrence in clinical study participant temporally associated with use of study intervention, whether/ not considered related to study intervention. AEs were graded according to NCI-CTCAE v4.03 where grade 1= mild, grade 2= moderate, grade 3= severe, grade 4= life-threatening and grade 5= death related to AE. In this outcome measure, number of participants with grade 3 or 4 AEs and grade 5 AEs were reported.
Through end of the study
Phase 3: Number of Participants With Shift From Grade <=2 at Baseline to Grade >=3 Post-Baseline in Hematology and Coagulation Parameters
Aikaikkuna: Through end of the study
The following hematology and coagulation parameters were assessed: activated partial thromboplastin time prolonged, anemia, hemoglobin increased, INR increased, leukocytosis, neutrophil count decreased, platelet count decreased, and white blood cell decreased. Laboratory abnormalities were graded according to NCI CTCAE v4.03 where grade 1= mild, grade 2= moderate, grade 3= severe, grade 4= life-threatening event due to AE, and grade 5= death. Only those hematology and coagulation parameters in which at least 1 participant in any of the reporting arm had any shift from grade <=2 at baseline to grade >=3 post-baseline are reported in this outcome measure.
Through end of the study
Phase 3: Number of Participants With Shift From Grade <=2 at Baseline to Grade >=3 Post-Baseline in Chemistry Parameters
Aikaikkuna: Through end of the study
The following chemistry parameters were assessed: alanine aminotransferase increased, alkaline phosphatase increased, aspartate aminotransferase increased, blood bilirubin increased, creatinine increased, hypercalcemia, hyperglycemia, hyperkalemia, hypermagnesemia, hypernatremia, hypoalbuminemia, hypocalcemia, hypoglycemia, hypokalemia, hypomagnesemia, hyponatremia, and lipase increased. Laboratory abnormalities were graded according to NCI CTCAE v4.03 where grade 1= mild, grade 2= moderate, grade 3= severe, grade 4= life-threatening and grade 5= death related to AE. Only those chemistry parameters in which at least 1 participant in any of the reporting arm had any shift from grade <=2 at baseline to grade >=3 post-baseline are reported in this outcome measure.
Through end of the study
Phase 3: Number of Participants According to Categorization of Vital Signs Data
Aikaikkuna: Through end of the study
The criteria for vital signs included: Systolic blood pressure (mmHg): value <= 90 mmHg and decrease from baseline >= 20 mmHg, and value >= 160 mmHg and increase from baseline >= 20 mmHg. Diastolic blood pressure (mmHg): value <= 50 mmHg and decrease from baseline >= 15 mmHg, and value >= 100 mmHg and increase from baseline >= 15 mmHg. Pulse rate (bpm): value <= 50 bpm and decrease from baseline >= 15 bpm, and value >= 120 bpm and increase from baseline >= 15 bpm. Weight (kg): change >= 20 % decrease from baseline, and change >=10% increase from baseline. Temperature (degree Celsius): value <=36 degree Celsius, and value >=37.5 degree Celsius. Only those criteria in which at least 1 participant in any of the reporting arm had any vital signs data are reported in this outcome measure.
Through end of the study
Phase 3: Number of Participants According to Categorization of ECGs Findings
Aikaikkuna: Through end of the study
ECG criteria included: ECG mean heart rate (bpm): increase from baseline >25% and to a value >100 bpm; decrease from baseline >25% and to a value <50 bpm, PR interval not otherwise specified (msec): new >280 msec, QRS interval not otherwise specified (msec): new >120 msec, QTcF not otherwise specified: new >450 msec; new >480 msec; new >500 msec; increase from baseline >30 msec and increase from baseline >60 msec. Only those criteria in which at least 1 participant in any of the reporting arm had any ECG findings are reported in this outcome measure.
Through end of the study
Phase 3: European Organization for Research and Treatment of Cancer Quality of Life Questionnaire for Cancer Patients - 30 Item Core Questionnaire (EORTC QLQC30) Global Health Status/Quality of Life Scores (QoL) at Baseline and Week 72
Aikaikkuna: Baseline and Week 72
EORTC QLQ-C30 contains 30 items and is composed of both multi-item scales and single-item measures. These included five functional scales (physical, role, emotional, cognitive and social functioning), three symptom scales (fatigue, nausea/vomiting, and pain), six single items (dyspnea, insomnia, appetite loss, constipation, diarrhea and financial impact) and a global health status/QoL scale. Global health status/QoL scale ranged from 0 to 100; the higher score represents better level of functioning. In this outcome measure, global health status/QoL scores are presented.
Baseline and Week 72
Phase 3: EuroQol Quality of Life 5-Dimension 5-Level Scale (EQ-5D-5L) Visual Analogue Score (VAS) at Baseline and Week 72
Aikaikkuna: Baseline and Week 72
EQ-5D-5L is a standardized measure of health status. The EQ-5D-5L consisted of EQ-5D-5L descriptive system and the EQ VAS. For EQ VAS participant rated their overall health status from 0 (worst imaginable) to 100 (best imaginable), higher scores indicating a better health state.
Baseline and Week 72
Phase 3: Number of Participants According to Response to Patient Global Impression of Severity (PGIS) Assessment at Baseline and at Week 30
Aikaikkuna: Baseline and Week 30
PGIS is a single-item scale where participants rated the severity of colorectal cancer as follows: none, mild, moderate, severe and very severe.
Baseline and Week 30
Phase 3: Number of Participants According to Response to Patient Global Impression of Change (PGIC) Assessment at Week 30
Aikaikkuna: Week 30
The PGIC is a single-item scale where participants rated the overall change in colorectal cancer since participant started taking the study medication as follows: much better, a little better, no change, a little worse, and much worse.
Week 30
Phase 3: Trough Plasma Concentration of Encorafenib and Its Metabolite LHY746
Aikaikkuna: Predose on Cycle 1 Day 1, Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1 and Cycle 6 Day 1
Trough plasma concentration of encorafenib and its metabolite LHY746 was measured in this outcome measure.
Predose on Cycle 1 Day 1, Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1 and Cycle 6 Day 1
Phase 3: Cmax of Encorafenib and Its Metabolite LHY746 in Mainland China Participants
Aikaikkuna: Pre-dose (0 hr), 0.5, 1, 2, 3, 4, 5, 6, 8 and 24 hrs post-dose on Days 1 and 15 of Cycle 1
Cmax was observed directly from data. LHY746 is a metabolite of Encorafenib.
Pre-dose (0 hr), 0.5, 1, 2, 3, 4, 5, 6, 8 and 24 hrs post-dose on Days 1 and 15 of Cycle 1
Phase 3: AUC6 of Encorafenib and Its Metabolite LHY746 in Mainland China Participants
Aikaikkuna: Pre-dose (0 hr), 0.5, 1, 2, 3, 4, 5 and 6 hrs post-dose on Days 1 and 15 of Cycle 1
The AUC was estimated from time 0 to 6 hours post dose. AUC6 was computed using the Linear/Log trapezoidal method. LHY746 is a metabolite of Encorafenib.
Pre-dose (0 hr), 0.5, 1, 2, 3, 4, 5 and 6 hrs post-dose on Days 1 and 15 of Cycle 1
Phase 3: AUCtau of Encorafenib and Its Metabolite LHY746 in Mainland China Participants
Aikaikkuna: Pre-dose (0 hr), 0.5, 1, 2, 3, 4, 5, 6, 8 and 24 hrs post-dose on Days 1 and 15 of Cycle 1
AUCtau was area under the concentration-time profile from time zero to time tau, the dosing interval. tau = 24 hrs for QD dosing of encorafenib. LHY746 is a metabolite of encorafenib.
Pre-dose (0 hr), 0.5, 1, 2, 3, 4, 5, 6, 8 and 24 hrs post-dose on Days 1 and 15 of Cycle 1
Phase 3: Tmax of Encorafenib and Its Metabolite LHY746 in Mainland China Participants
Aikaikkuna: Pre-dose (0 hr), 0.5, 1, 2, 3, 4, 5, 6, 8 and 24 hrs post-dose on Days 1 and 15 of Cycle 1
Tmax: time (hours) to Cmax. LHY746 is a metabolite of Encorafenib.
Pre-dose (0 hr), 0.5, 1, 2, 3, 4, 5, 6, 8 and 24 hrs post-dose on Days 1 and 15 of Cycle 1
Phase 3: CL/F of Encorafenib in Mainland China Participants
Aikaikkuna: Pre-dose (0 hr), 0.5, 1, 2, 3, 4, 5, 6, 8 and 24 hrs post-dose on Days 1 and 15 of Cycle 1
Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. CL/F was calculated as dose administered divided by area under the concentration curve from time 0 extrapolated to infinite time (AUCinf). AUCinf was calculated as AUClast + (Clast*/kel), where Clast is the predicted plasma concentration at the last quantifiable time point from the log-linear regression analysis, and kel is the terminal phase rate constant calculated by a linear regression of the loglinear concentration-time curve.
Pre-dose (0 hr), 0.5, 1, 2, 3, 4, 5, 6, 8 and 24 hrs post-dose on Days 1 and 15 of Cycle 1
Phase 3: Number of Participants Classified According to Microsatellite Instability (MSI) Status as Determined by Retrospective Central Testing of Baseline Tumor Tissue
Aikaikkuna: Baseline
MSI status was classified as follows; microsatellite instability-high (MSI-H): included participants with no negative test results and at least one positive test result, microsatellite stable (MSS): included participants with at least one negative test result and MSI-unknown: included participants with intermediate test results or not analyzed for MSI. The number of participants as per their MSI status (MSI-H, MSS, and MSI-unknown) have been reported in this outcome measure.
Baseline
Phase 3: Number of Participants According to Circulating Tumor Deoxyribonucleic Acid (ctDNA) Status
Aikaikkuna: Cycle 1 Day 1, Cycle 1 Day 15, Cycle 2 Day 15, Cycle 7 Day 1 and End of Treatment (anytime till maximum of 37.25 months)
ctDNA status was classified as follows; detected: overall variant allele frequency (VAF) was greater than zero, not detected: overall VAF equalled zero, and not evaluable: overall VAF could not be calculated. The VAF was defined as percentage of deoxyribonucleic acid (DNA) reads at a specific position that show a genetic variant instead of the normal (reference) sequence. The number of participants as per their ctDNA status (detected, not detected and not evaluable) have been reported in this outcome measure.
Cycle 1 Day 1, Cycle 1 Day 15, Cycle 2 Day 15, Cycle 7 Day 1 and End of Treatment (anytime till maximum of 37.25 months)
Phase 3: Number of Participants According to B-Raf Serine/Threonine-Protein Kinase (BRAF) Valine 600 (V600) Status From ctDNA
Aikaikkuna: Cycle 1 Day 1, Cycle 1 Day 15, Cycle 2 Day 15, Cycle 7 Day 1 and End of Treatment (anytime till maximum of 37.25 months)
BRAF V600 status from ctDNA was classified as follows; measurable: participants with detectable ctDNA had measurable BRAF V600 tumor biomarker alterations and not measurable: participants with detectable ctDNA did not have measurable BRAF V600 biomarker alterations or overall ctDNA was not detectable. The number of participants as per their BRAF V600 status from ctDNA (measurable and not measurable) have been reported in this outcome measure. In this outcome measure, data is presented for participants outside China and Mainland China participants.
Cycle 1 Day 1, Cycle 1 Day 15, Cycle 2 Day 15, Cycle 7 Day 1 and End of Treatment (anytime till maximum of 37.25 months)
Cohort 3: PFS as Assessed by BICR - FAS
Aikaikkuna: From date of randomization to earliest documentation of PD by BICR or death or censoring date, whichever occurred first
PFS was defined as the time from date of randomization to earliest documented PD per RECIST version 1.1 or death due to any cause as assessed by BICR. PD: 20% increase in sum of diameters of target measurable lesions above smallest sum observed, with minimum absolute increase of 5 mm for target disease or unequivocal progression of pre-existing lesions for non-target disease or any new lesion. Censoring details: no adequate baseline assessment, including no disease at baseline: participants were censored to randomization date; no PD, lost to follow-up, withdrawal of consent, PD or death >12 (or 16) weeks after the last adequate tumor assessment, and start of new anticancer treatment: participants were censored to last adequate tumor assessment documenting no PD prior to new anticancer therapy, or missed assessments. Analysis was performed using Kaplan Meier method.
From date of randomization to earliest documentation of PD by BICR or death or censoring date, whichever occurred first
Cohort 3: ORR by Derived Investigator Assessment - FAS
Aikaikkuna: From date of randomization until documented PD, or start of subsequent anticancer therapy, or death, whichever occurred first (maximum up to 14.1 months)
ORR was defined as the percentage of participants who achieved BOR of confirmed CR or PR according to RECIST v 1.1 by derived investigator assessment. CR: complete disappearance of all target lesions (with the exception of nodal disease) and non-target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR: >=30% decrease under baseline of the sum of diameters of all target measurable lesions. PD: 20% increase in sum of diameters of target measurable lesions above smallest sum observed, with minimum absolute increase of 5 mm for target disease or unequivocal progression of pre-existing lesions for non-target disease or any new lesion.
From date of randomization until documented PD, or start of subsequent anticancer therapy, or death, whichever occurred first (maximum up to 14.1 months)
Cohort 3: DOR as Assessed by BICR - FAS
Aikaikkuna: From date of first radiographic evidence of response (CR or PR) to earliest documented PD or death due to any cause, whichever occurred first (maximum up to 14.1 months)
DOR was defined as the time from the date of first radiographic evidence of response (CR or PR) to the earliest documented PD per RECIST v1.1 as assessed by BICR, or death due to any cause. CR: disappearance of all target lesions and non-target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR: >= 30% decrease under baseline of the sum of diameters of all target measurable lesions. PD: 20% increase in sum of diameters of target measurable lesions above smallest sum observed, with minimum absolute increase of 5 mm for target disease or unequivocal progression of pre-existing lesions for non-target disease or any new lesion. Analysis was performed using Kaplan Meier method.
From date of first radiographic evidence of response (CR or PR) to earliest documented PD or death due to any cause, whichever occurred first (maximum up to 14.1 months)
Cohort 3: DOR by Derived Investigator Assessment - FAS
Aikaikkuna: From date of first radiographic evidence of response (CR or PR) to earliest documented PD or death due to any cause, whichever occurred first (maximum up to 14.1 months)
DOR was defined as the time from the date of first radiographic evidence of response (CR or PR) to the earliest documented PD per RECIST v1.1 by derived investigator assessment, or death due to any cause. CR: disappearance of all target lesions and non-target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR: >= 30% decrease under baseline of the sum of diameters of all target measurable lesions. PD: 20% increase in sum of diameters of target measurable lesions above smallest sum observed, with minimum absolute increase of 5 mm for target disease or unequivocal progression of pre-existing lesions for non-target disease or any new lesion. Analysis was performed using Kaplan Meier method.
From date of first radiographic evidence of response (CR or PR) to earliest documented PD or death due to any cause, whichever occurred first (maximum up to 14.1 months)
Cohort 3: PFS by Derived Investigator Assessment - FAS
Aikaikkuna: From date of randomization to earliest documentation of PD or death or censoring date, whichever occurred first
PFS was defined as the time from date of randomization to earliest documented PD per RECIST version 1.1 or death due to any cause by derived investigator assessment. PD: 20% increase in sum of diameters of target measurable lesions above smallest sum observed, with minimum absolute increase of 5 mm for target disease or unequivocal progression of pre-existing lesions for non-target disease or any new lesion. Censoring details: no adequate baseline assessment, including no disease at baseline: participants were censored to randomization date; no PD, lost to follow-up, withdrawal of consent, PD or death >12 (or 16) weeks after the last adequate tumor assessment, and start of new anticancer treatment: participants were censored to last adequate tumor assessment documenting no PD prior to new anticancer therapy, or missed assessments. Analysis was performed using Kaplan Meier method.
From date of randomization to earliest documentation of PD or death or censoring date, whichever occurred first
Cohort 3: OS - FAS
Aikaikkuna: From date of first dose to death due to any cause or censoring date, whichever occurred first
OS was defined as the time from the date of first dose to death due to any cause. If a participant was not known to have died at the time of the cutoff for analysis, then OS was censored at the date of last contact. Analysis was performed using Kaplan Meier method.
From date of first dose to death due to any cause or censoring date, whichever occurred first
Cohort 3: TTR as Assessed by BICR - FAS
Aikaikkuna: From date of first dose to CR or PR (maximum up to 14.1 months [61.29 weeks])
TTR was defined as the time from the date of first dose to first radiographic evidence of response (CR or PR) per RECIST v1.1 as assessed by BICR. CR: disappearance of all target lesions and non-target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR: >= 30% decrease under baseline of the sum of diameters of all target measurable lesions.
From date of first dose to CR or PR (maximum up to 14.1 months [61.29 weeks])
Cohort 3: TTR by Derived Investigator Assessment - FAS
Aikaikkuna: From date of first dose to CR or PR (maximum up to 14.1 months [61.29 weeks])
TTR was defined as the time from the date of first dose to first radiographic evidence of response (CR or PR) per RECIST v1.1 by derived investigator assessment. CR: disappearance of all target lesions and non-target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR: >= 30% decrease under baseline of the sum of diameters of all target measurable lesions.
From date of first dose to CR or PR (maximum up to 14.1 months [61.29 weeks])
Cohort 3: Number of Participants With AEs
Aikaikkuna: Through end of the study
An AE was any untoward medical occurrence in clinical study participant temporally associated with use of study intervention, whether/ not considered related to study intervention. SAE was defined as any untoward medical occurrence that, at any dose, met one or more of the following criteria - resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, or other important medical event. AEs included both SAEs and all non-SAEs.
Through end of the study
Cohort 3: Number of Participants With Grade 3 or 4 AEs and Grade 5 AEs
Aikaikkuna: Through end of the study
An AE was any untoward medical occurrence in clinical study participant temporally associated with use of study intervention, whether/ not considered related to study intervention. AEs were graded according to NCI-CTCAE v4.03 where grade 1= mild, grade 2= moderate, grade 3= severe, grade 4= life-threatening and grade 5= death related to AE. In this outcome measure, number of participants with grade 3 or 4 AEs and grade 5 AEs were reported.
Through end of the study
Cohort 3: Number of Participants With Shift From Grade <=2 at Baseline to Grade >=3 Post-Baseline in Hematology and Coagulation Parameters
Aikaikkuna: Through end of the study
The following hematology and coagulation parameters were assessed: activated partial thromboplastin time prolonged, anemia, hemoglobin increased, INR increased, leukocytosis, neutrophil count decreased, platelet count decreased, and white blood cell decreased. Laboratory abnormalities were graded according to NCI CTCAE v4.03 where grade 1= mild, grade 2= moderate, grade 3= severe, grade 4= life-threatening event due to AE, and grade 5= death. Only those hematology and coagulation parameters in which at least 1 participant in any of the reporting arm had any shift from grade <=2 at baseline to grade >=3 post-baseline are reported in this outcome measure.
Through end of the study
Cohort 3: Number of Participants With Shift From Grade <=2 at Baseline to Grade >=3 Post-Baseline in Chemistry Parameters
Aikaikkuna: Through end of the study
The following chemistry parameters were assessed: alanine aminotransferase increased, alkaline phosphatase increased, aspartate aminotransferase increased, blood bilirubin increased, creatinine increased, hypercalcemia, hyperglycemia, hyperkalemia, hypermagnesemia, hypernatremia, hypoalbuminemia, hypocalcemia, hypoglycemia, hypokalemia, hypomagnesemia, hyponatremia, and lipase increased. Laboratory abnormalities were graded according to NCI CTCAE v4.03 where grade 1= mild, grade 2= moderate, grade 3= severe, grade 4= life-threatening and grade 5= death related to AE. Only those chemistry parameters in which at least 1 participant in any of the reporting arm had any shift from grade <=2 at baseline to grade >=3 post-baseline are reported in this outcome measure.
Through end of the study
Cohort 3: Number of Participants According to Categorization of Vital Signs Data
Aikaikkuna: Through end of the study
The criteria for vital signs included: Systolic blood pressure (mmHg): value <= 90 mmHg and decrease from baseline >= 20 mmHg, and value >= 160 mmHg and increase from baseline >= 20 mmHg. Diastolic blood pressure (mmHg): value <= 50 mmHg and decrease from baseline >= 15 mmHg, and value >= 100 mmHg and increase from baseline >= 15 mmHg. Pulse rate (bpm): value <= 50 bpm and decrease from baseline >= 15 bpm, and value >= 120 bpm and increase from baseline >= 15 bpm. Weight (kg): change >= 20 % decrease from baseline, and change >=10% increase from baseline. Temperature (degree Celsius): value <=36 degree Celsius, and value >=37.5 degree Celsius. Only those criteria in which at least 1 participant in any of the reporting arm had any vital signs data are reported in this outcome measure.
Through end of the study
Cohort 3: Number of Participants According to Categorization of ECGs Findings
Aikaikkuna: Through end of the study
ECG criteria included: ECG mean heart rate (bpm): increase from baseline >25% and to a value >100 bpm; decrease from baseline >25% and to a value <50 bpm, PR interval not otherwise specified (msec): new >280 msec, QRS interval not otherwise specified (msec): new >120 msec, QTcF not otherwise specified: new >450 msec; new >480 msec; new >500 msec; increase from baseline >30 msec and increase from baseline >60 msec. Only those criteria in which at least 1 participant in any of the reporting arm had any ECG findings are reported in this outcome measure.
Through end of the study
Cohort 3: EORTC QLQC30 Global Health Status/QoL
Aikaikkuna: Through end of the study
EORTC QLQ-C30 contains 30 items and is composed of both multi-item scales and single-item measures. These included five functional scales (physical, role, emotional, cognitive and social functioning), three symptom scales (fatigue, nausea/vomiting, and pain), six single items (dyspnea, insomnia, appetite loss, constipation, diarrhea and financial impact) and a global health status/QoL scale. Global health status/QoL scale ranged from 0 to 100; the higher score represents better level of functioning.
Through end of the study
Cohort 3: EQ-5D-5L VAS
Aikaikkuna: Through end of the study
EQ-5D-5L is a standardized measure of health status. The EQ-5D-5L consisted of EQ-5D-5L descriptive system and the EQ VAS. For EQ VAS participant rated their overall health status from 0 (worst imaginable) to 100 (best imaginable), higher scores indicating a better health state.
Through end of the study
Cohort 3: Number of Participants According to Response to PGIS Assessment
Aikaikkuna: Through end of the study
PGIS is a single-item scale where participants rated the severity of colorectal cancer as follows: none, mild, moderate, severe and very severe.
Through end of the study
Cohort 3: Number of Participants According to Response to PGIC Assessment
Aikaikkuna: Through end of the study
The PGIC is a single-item scale where participants rated the overall change in colorectal cancer since participant started taking the study medication as follows: much better, a little better, no change, a little worse, and much worse.
Through end of the study
Cohort 3: Trough Plasma Concentration of Encorafenib and Its Metabolite LHY746
Aikaikkuna: Predose on Cycle 1 Day 1, Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1 and Cycle 6 Day 1
Trough plasma concentration of encorafenib and its metabolite LHY746 was measured in this outcome measure.
Predose on Cycle 1 Day 1, Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1 and Cycle 6 Day 1
Cohort 3: Number of Participants Classified According to MSI Status as Determined by Retrospective Central Testing
Aikaikkuna: Through end of the study
MSI status was classified as follows; MSI-H: included participants with no negative test results and at least one positive test result, MSS: included participants with at least one negative test result and MSI-unknown: included participants with intermediate test results or not analyzed for MSI. The number of participants as per their MSI status (MSI-H, MSS, and MSI-unknown) have been reported in this outcome measure.
Through end of the study
Cohort 3: Number of Participants According to ctDNA Status
Aikaikkuna: Through end of the study
ctDNA status was classified as follows; detected: overall variant allele frequency (VAF) was greater than zero, not detected: overall VAF equalled zero, and not evaluable: overall VAF could not be calculated. The VAF was defined as percentage of deoxyribonucleic acid (DNA) reads at a specific position that show a genetic variant instead of the normal (reference) sequence. The number of participants as per their ctDNA status (detected, not detected and not evaluable) have been reported in this outcome measure.
Through end of the study
Cohort 3: Number of Participants According to BRAF V600 Status From ctDNA
Aikaikkuna: Through end of the study
BRAF V600 status from ctDNA was classified as follows; measurable: participants with detectable ctDNA had measurable BRAF V600 tumor biomarker alterations and not measurable: participants with detectable ctDNA did not have measurable BRAF V600 biomarker alterations or overall ctDNA was not detectable. The number of participants as per their BRAF V600 status from ctDNA (measurable and not measurable) have been reported in this outcome measure.
Through end of the study

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