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A Study Of PF-05212384 Plus Irinotecan Vs Cetuximab Plus Irinotecan In Patients With KRAS And NRAS Wild Type Metastatic Colorectal Cancer
A RANDOMIZED PHASE 2 STUDY OF PF-05212384 PLUS IRINOTECAN VERSUS CETUXIMAB PLUS IRINOTECAN IN PATIENTS WITH KRAS AND NRAS WILD TYPE METASTATIC COLORECTAL CANCER
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Studietype
Inschrijving (Werkelijk)
Fase
- Fase 2
Contacten en locaties
Studie Locaties
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Aichi
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Nagoya, Aichi, Japan, 464-8681
- Aichi cancer center central hospital
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Chiba
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Kashiwa, Chiba, Japan, 277-8577
- National Cancer Center Hospital East
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Seoul, Korea, republiek van, 135-710
- Samsung Medical Center
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Seoul, Korea, republiek van, 138-736
- Asan Medical Center
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Seoul, Korea, republiek van, 110-744
- Seoul National University Hospital / Department of Internal Medicine
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Gyeonggi-do
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Goyang-si, Gyeonggi-do, Korea, republiek van, 410-769
- National Cancer Center
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Madrid, Spanje, 28009
- Hospital General Universitario Gregorio Marañón
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California
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Bakersfield, California, Verenigde Staten, 93309
- CBCC Global Research, Inc. at Comprehensive Blood and Cancer Center
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Los Angeles, California, Verenigde Staten, 90095-7349
- UCLA West Medical Pharmacy
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Los Angeles, California, Verenigde Staten, 90095
- Regulatory Management only: TRIO-US Central Administration
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Los Angeles, California, Verenigde Staten, 90095-7349
- Drug Management Only: UCLA West Medical Pharmacy
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Los Angeles, California, Verenigde Staten, 90095
- TRIO_US
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Los Angeles, California, Verenigde Staten, 90095-7349
- Drug Management Only: UCLA West Medical Pharmacy, Att: Steven L Wong, Pharm D
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Los Angeles, California, Verenigde Staten, 90095
- TRIO-US Central Administration (Regulatory Management only)
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Northridge, California, Verenigde Staten, 91328
- West Valley Hematology/Oncology Med Group
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Missouri
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Creve Coeur, Missouri, Verenigde Staten, 63141
- Siteman Cancer Center - West County
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Saint Louis, Missouri, Verenigde Staten, 63110
- Washington University School of Medicine
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Saint Louis, Missouri, Verenigde Staten, 63110
- Barnes-Jewish Hospital
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Saint Louis, Missouri, Verenigde Staten, 63129
- Siteman Cancer Center - South County
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Saint Peters, Missouri, Verenigde Staten, 63376
- Siteman Cancer Center - St Peters
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Nevada
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Henderson, Nevada, Verenigde Staten, 89074
- Comprehensive Cancer Centers of Nevada
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Henderson, Nevada, Verenigde Staten, 89052
- Comprehensive Cancer Centers of Nevada
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Henderson, Nevada, Verenigde Staten, 89014
- Regulatory Office: Comprehensive Cancer Centers of Nevada
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Las Vegas, Nevada, Verenigde Staten, 89148
- Comprehensive Cancer Centers of Nevada
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Las Vegas, Nevada, Verenigde Staten, 89128
- Comprehensive Cancer Centers of Nevada
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Las Vegas, Nevada, Verenigde Staten, 89169
- Comprehensive Cancer Centers of Nevada
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New York
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Buffalo, New York, Verenigde Staten, 14263
- Roswell Park Cancer Institute
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Washington
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Kennewick, Washington, Verenigde Staten, 99336
- Kadlec Clinic Hematology and Oncology
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Richland, Washington, Verenigde Staten, 99352
- Kadlec Medical Center
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Richland, Washington, Verenigde Staten, 99352
- Outpatient Imaging Center
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Spokane, Washington, Verenigde Staten, 99208
- Medical Oncology Associates, PS
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Spokane Valley, Washington, Verenigde Staten, 99216
- Spokane Valley Cancer Center
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
Inclusion Criteria:
- KRAS and NRAS wild type metastatic colorectal cancer
- Progression following treatment for colorectal cancer with irinotecan, oxaliplatin and fluoropyrimidine therapy in the metastatic setting.
- Eastern Cooperative Oncology Group [ECOG] Performance Status of 0, 1, or 2
- At least one measurable lesion by Response Evaluation Criterion in Solid Tumors [RECIST]
Exclusion Criteria:
- More than 2 prior cytotoxic chemotherapy regimens for metastatic colorectal cancer.
- Prior treatment with a PI3K, mTOR, AKT or EGFR inhibitor
- Patients who have discontinued treatment with prior irinotecan therapy due to toxicity.
- Prior radiation to the pelvis or abdomen
- Patients with history of interstitial lung disease.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
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Experimenteel: Arm A
PF-05212384 plus Irinotecan
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30 minute IV infusion of PF-05212384 on days 2, 9, 16 and 23 of each cycle.
Intra-patient dose escalation will commence with 110mg and will increase depending on tolerability.
Andere namen:
90 minutes IV infusion of irinotecan 180mg/m^2 on days 1 and 15 of each cycle
Andere namen:
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Actieve vergelijker: Arm B
Cetuximab plus Irinotecan
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120 minute IV infusion of cetuximab 400mg/m^2 on cycle 1 day 1; 60 minute IV infusion of cetuximab on days 8, 15, and 22 of each cycle, and on day 1 of each cycle after cycle 1
Andere namen:
90 minutes IV infusion of Irinotecan 180mg/m^2 on days 1 and 15 of each cycle
Andere namen:
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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Progression Free Survival (PFS) as Assessed by Investigators
Tijdsspanne: From date of first dose until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 2 years
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Progression-free survival (PFS) was the time from the first dose of study treatment to the first documentation of objective tumor progression or death due to any cause, whichever occurred first.
Objective progression was defined as 20% increase in the sum of diameters of target measurable lesions above the smallest sum observed (over baseline if no decrease in the sum was observed during therapy), with a minimum absolute increase of 5 mm.
Median PFS was estimated based on the Kaplan-Meier method.
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From date of first dose until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 2 years
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Number of Participants With Unacceptable Toxicity in Cycle 1 (Japanese LIC Only)
Tijdsspanne: 28 days
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Unacceptable toxicity (according to Common Terminology Criteria for Adverse Events [CTCAE], Version 4.0) was any of the following occurrences: (1) Grade 4 neutropenia >7 days, or febrile neutropenia, or Grade 4 thrombocytopenia; (2) Grade >=3 nausea/vomiting despite optimal antiemetic treatment, or Grade >=3 diarrhea despite optimal anti diarrheal treatment; (3) unmanageable Grade >=3 hyperglycemia; (4) mean QTc interval (time from electrocardiogram [ECG] Q wave to the end of the T wave corresponding to electrical systole, corrected for heart rate) >501 msec in triplicate 12-lead ECG, or myocardial infarction, or ventricular arrhythmia; (5) Grade >=3 non-hematologic toxicity; (6) treatment delay of >=2 weeks due to study drug related toxicity; (7) persistent, intolerable toxicities which resulted in failure to deliver at least 75% of doses of both PF-05212384 and irinotecan during Cycle 1; (8) Grade >=2 respiratory toxicities.
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28 days
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Percentage of Participants With Objective Response
Tijdsspanne: 2 years
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Percentage of participants with objective response was based on assessment of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria In Solid Tumors (RECIST), version 1.1.
Confirmed PR was defined as disappearance of all target lesions.
Confirmed PR was defined as >=30% decrease in sum of the longest dimensions of the target lesions taking the baseline sum as a reference.
Confirmed responses were those that persisted on repeat imaging study >=4 weeks after initial documentation of response.
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2 years
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Duration of Response
Tijdsspanne: 2 years
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For participants with an objective response (CR or PR), duration of response was defined as the time from first documentation of CR or PR to date of first documentation of objective progression or death.
Date of first documentation of progression and date of first documentation of CR or PR were based on Investigator's assessment of response.
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2 years
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Overall Survival (OS)
Tijdsspanne: 2 years
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Overall survival (OS) was defined as the duration from enrollment to death.
Participants last known to be alive were censored at date of last contact.
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2 years
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Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)
Tijdsspanne: Administration of the first dose of study drug through 28 calendar days after the last administration of study drug
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An AE was defined as any untoward medical occurrence in a clinical investigation participant administered a product or medical device; the event need not necessarily have a causal relationship with the treatment or usage.
An SAE was defined as any untoward occurrence at any dose that resulted in death; was life threatening (immediate risk of death); required inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); resulted in congenital anomaly/birth defect.
AEs included both serious and non-serious AEs.
Treatment-emergent AEs were those with initial onset or increasing in severity after the first dose of study drug.
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Administration of the first dose of study drug through 28 calendar days after the last administration of study drug
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Number of Participants With Treatment-Emergent Adverse Events (TEAEs) by Common Terminology Criteria for Adverse Events (CTCAE) Grade
Tijdsspanne: Administration of the first dose of study drug through 28 calendar days after the last administration of study drug
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TEAEs were those AEs with initial onset or increasing in severity after the first dose of study drug.
CTCAE version 4.0 was used to grade the severity of TEAEs.
Grade 1 referred to mild AEs; Grade 2 referred to moderate AEs; Grade 3 referred to severe AEs; Grade 4 referred to AEs with life-threatening consequences, and urgent intervention was needed to manage them; Grade 5 referred to death related to AE.
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Administration of the first dose of study drug through 28 calendar days after the last administration of study drug
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Number of Participants With Laboratory Test (Hematology) Abnormalities
Tijdsspanne: 2 years
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The following hematology parameters were evaluated in this study: hemoglobin, white blood cells (WBC) with differential, and platelets.
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2 years
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Number of Participants With Laboratory Test (Chemistry) Abnormalities
Tijdsspanne: 2 years
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The following chemistry parameters were evaluated in this study: sodium, potassium, magnesium, chloride, aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase, total bilirubin, albumin, blood urea nitrogen (BUN) or urea, creatinine, total calcium, glycosylated hemoglobin (HbA1c), glucose, uric acid, phosphorus or phosphate, insulin, and C-peptide.
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2 years
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Number of Participants With Laboratory Test (Urinalysis) Abnormalities
Tijdsspanne: 2 years
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Urinalysis included urine dipstick for protein and blood: if positive, perform a microscopic analysis.
Number of participants with urine protein tested positive is presented.
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2 years
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Number of Participants With Laboratory Test (Coagulation) Abnormalities
Tijdsspanne: 2 years
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Coagulation analysis included partial thromboplastin time (PTT) and international normalized ratio (INR) or prothrombin time (PT).
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2 years
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Number of Participants With ECG Post-Baseline Maximum Absolute Values Meeting Pre-defined Criteria
Tijdsspanne: 2 years
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The number of participants with ECG post-baseline maximum absolute values meeting the following criteria was reported: (1) maximum QTc interval ranged from 450 to 480 msec; >480-500 msec; >500 msec; (2) maximum QTcB (QT corrected for heart rate using Bazett's formula) interval ranged from 450 to 480 msec; >480-500 msec; >500 msec; (3) maximum QTcF (QT corrected for heart rate using Fridericia's formula) interval ranged from 450 to 480 msec; >480-500 msec; >500 msec.
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2 years
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Number of Participants With ECG Maximum Increase From Baseline Meeting Pre-defined Criteria
Tijdsspanne: 2 years
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The number of participants with ECG maximum increase from baseline meeting the following criteria was reported: Criterion A: maximum QTc interval increase from baseline >30 msec and ≤60 msec; criterion B: maximum QTc interval increase from baseline >60 msec; criterion C: maximum QTcB interval increase from baseline >30 msec and ≤60 msec; criterion D: maximum QTcB interval increase from baseline >60 msec; criterion E: maximum QTcF interval increase from baseline >30 msec and ≤60 msec; criterion F: maximum QTcF interval increase from baseline >60 msec. |
2 years
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Maximum Plasma Concentration (Cmax) of PF-05212384
Tijdsspanne: Pre-dose (0 hour), 0.5, 1, 2, 4, 6, 24, 72, 120 hours post PF-05212384 infusion on Cycle 1 Day 9 and Cycle 1 Day 16.
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Cmax of PF-05212384 was observed directly from data.
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Pre-dose (0 hour), 0.5, 1, 2, 4, 6, 24, 72, 120 hours post PF-05212384 infusion on Cycle 1 Day 9 and Cycle 1 Day 16.
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Maximum Plasma Concentration (Cmax) of Irinotecan
Tijdsspanne: Pre-dose (0 hour), 1.5, 2, 4, 6 and 24 hours post irinotecan infusion on Cycle 1 Day 1 and Cycle 2 Day 1.
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Cmax of irinotecan was observed directly from data.
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Pre-dose (0 hour), 1.5, 2, 4, 6 and 24 hours post irinotecan infusion on Cycle 1 Day 1 and Cycle 2 Day 1.
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Maximum Plasma Concentration (Cmax) of SN-38
Tijdsspanne: Pre-dose (0 hour), 1.5, 2, 4, 6 and 24 hours post irinotecan infusion on Cycle 1 Day 1 and Cycle 2 Day 1.
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SN-38 is an irinotecan metabolite.
Cmax of SN-38 was observed directly from data.
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Pre-dose (0 hour), 1.5, 2, 4, 6 and 24 hours post irinotecan infusion on Cycle 1 Day 1 and Cycle 2 Day 1.
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Time for Maximum Plasma Concentration (Tmax) of PF-05212384
Tijdsspanne: Pre-dose (0 hour), 0.5, 1, 2, 4, 6, 24, 72, 120 hours post PF-05212384 infusion on Cycle 1 Day 9 and Cycle 1 Day 16.
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Tmax of PF-05212384 was observed directly from data as time of first occurrence.
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Pre-dose (0 hour), 0.5, 1, 2, 4, 6, 24, 72, 120 hours post PF-05212384 infusion on Cycle 1 Day 9 and Cycle 1 Day 16.
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Time for Maximum Plasma Concentration (Tmax) of Irinotecan
Tijdsspanne: Pre-dose (0 hour), 1.5, 2, 4, 6 and 24 hours post irinotecan infusion on Cycle 1 Day 1 and Cycle 2 Day 1.
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Tmax of irinotecan was observed directly from data as time of first occurrence.
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Pre-dose (0 hour), 1.5, 2, 4, 6 and 24 hours post irinotecan infusion on Cycle 1 Day 1 and Cycle 2 Day 1.
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Time for Maximum Plasma Concentration (Tmax) of SN-38
Tijdsspanne: Pre-dose (0 hour), 1.5, 2, 4, 6 and 24 hours post irinotecan infusion on Cycle 1 Day 1 and Cycle 2 Day 1.
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SN-38 is an irinotecan metabolite.
Tmax of SN-38 was observed directly from data as time of first occurrence.
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Pre-dose (0 hour), 1.5, 2, 4, 6 and 24 hours post irinotecan infusion on Cycle 1 Day 1 and Cycle 2 Day 1.
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Terminal Elimination Half Life (t½) of PF-05212384
Tijdsspanne: Pre-dose (0 hour), 0.5, 1, 2, 4, 6, 24, 72, 120 hours post PF-05212384 infusion on Cycle 1 Day 9 and Cycle 1 Day 16.
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T½ was calculated as loge(2)/kel, where kel was the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve.
Only those data points judged to describe the terminal log-linear decline were used in the regression.
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Pre-dose (0 hour), 0.5, 1, 2, 4, 6, 24, 72, 120 hours post PF-05212384 infusion on Cycle 1 Day 9 and Cycle 1 Day 16.
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Terminal Elimination Half Life (t½) of Irinotecan
Tijdsspanne: Pre-dose (0 hour), 1.5, 2, 4, 6 and 24 hours post irinotecan infusion on Cycle 1 Day 1 and Cycle 2 Day 1.
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T½ was calculated as loge(2)/kel, where kel was the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve.
Only those data points judged to describe the terminal log-linear decline were used in the regression.
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Pre-dose (0 hour), 1.5, 2, 4, 6 and 24 hours post irinotecan infusion on Cycle 1 Day 1 and Cycle 2 Day 1.
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Terminal Elimination Half Life (t½) of SN-38
Tijdsspanne: Pre-dose (0 hour), 1.5, 2, 4, 6 and 24 hours post irinotecan infusion on Cycle 1 Day 1 and Cycle 2 Day 1.
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T½ was calculated as loge(2)/kel, where kel was the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve.
Only those data points judged to describe the terminal log-linear decline were used in the regression.
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Pre-dose (0 hour), 1.5, 2, 4, 6 and 24 hours post irinotecan infusion on Cycle 1 Day 1 and Cycle 2 Day 1.
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Area Under Plasma Concentration Time Profile From Time Zero to the Time for the Last Quantifiable Concentration (AUClast) of PF-05212384
Tijdsspanne: Pre-dose (0 hour), 0.5, 1, 2, 4, 6, 24, 72, 120 hours post PF-05212384 infusion on Cycle 1 Day 9.
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AUClast refers to the area under plasma concentration time profile from time zero to the time for the last quantifiable concentration.
AUClast of PF-05212384 was determined using linear/log trapezoidal method.
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Pre-dose (0 hour), 0.5, 1, 2, 4, 6, 24, 72, 120 hours post PF-05212384 infusion on Cycle 1 Day 9.
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Area Under Plasma Concentration Time Profile From Time Zero to the Time for the Last Quantifiable Concentration (AUClast) of Irinotecan
Tijdsspanne: Pre-dose (0 hour), 1.5, 2, 4, 6 and 24 hours post irinotecan infusion on Cycle 1 Day 1 and Cycle 2 Day 1.
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AUClast refers to the area under plasma concentration time profile from time zero to the time for the last quantifiable concentration.
AUClast of irinotecan was determined using linear/log trapezoidal method.
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Pre-dose (0 hour), 1.5, 2, 4, 6 and 24 hours post irinotecan infusion on Cycle 1 Day 1 and Cycle 2 Day 1.
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Area Under Plasma Concentration Time Profile From Time Zero to the Time for the Last Quantifiable Concentration (AUClast) of SN-38
Tijdsspanne: Pre-dose (0 hour), 1.5, 2, 4, 6 and 24 hours post irinotecan infusion on Cycle 1 Day 1 and Cycle 2 Day 1.
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AUClast refers to the area under plasma concentration time profile from time zero to the time for the last quantifiable concentration.
AUClast of SN-38 (an irinotecan metabolite) was determined using linear/log trapezoidal method.
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Pre-dose (0 hour), 1.5, 2, 4, 6 and 24 hours post irinotecan infusion on Cycle 1 Day 1 and Cycle 2 Day 1.
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Area Under Plasma Concentration Time Profile From Time Zero Extrapolated to Infinite Time (AUCinf) of PF-05212384
Tijdsspanne: Pre-dose (0 hour), 0.5, 1, 2, 4, 6, 24, 72, 120 hours post PF-05212384 infusion on Cycle 1 Day 9.
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AUCinf refers to the area under plasma concentration time profile from time zero extrapolated to infinite time.
AUCinf of PF-05212384 was calculated using the formula: AUCinf = AUClast + (Clast*/kel), where Clast* was the predicted plasma concentration at the last quantifiable time point estimated from the log-linear regression analysis.
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Pre-dose (0 hour), 0.5, 1, 2, 4, 6, 24, 72, 120 hours post PF-05212384 infusion on Cycle 1 Day 9.
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Area Under Plasma Concentration Time Profile From Time Zero Extrapolated to Infinite Time (AUCinf) of Irinotecan
Tijdsspanne: Pre-dose (0 hour), 1.5, 2, 4, 6 and 24 hours post irinotecan infusion on Cycle 1 Day 1 and Cycle 2 Day 1.
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AUCinf refers to the area under plasma concentration time profile from time zero extrapolated to infinite time.
AUCinf of irinotecan was calculated using the formula: AUCinf = AUClast + (Clast*/kel), where Clast* was the predicted plasma concentration at the last quantifiable time point estimated from the log-linear regression analysis.
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Pre-dose (0 hour), 1.5, 2, 4, 6 and 24 hours post irinotecan infusion on Cycle 1 Day 1 and Cycle 2 Day 1.
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Area Under Plasma Concentration Time Profile From Time Zero Extrapolated to Infinite Time (AUCinf) of SN-38
Tijdsspanne: Pre-dose (0 hour), 1.5, 2, 4, 6 and 24 hours post irinotecan infusion on Cycle 1 Day 1 and Cycle 2 Day 1.
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AUCinf refers to the area under plasma concentration time profile from time zero extrapolated to infinite time.
AUCinf of SN-38 (an irinotecan metabolite) was calculated using the formula: AUCinf = AUClast + (Clast*/kel), where Clast* was the predicted plasma concentration at the last quantifiable time point estimated from the log-linear regression analysis.
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Pre-dose (0 hour), 1.5, 2, 4, 6 and 24 hours post irinotecan infusion on Cycle 1 Day 1 and Cycle 2 Day 1.
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Levels of Signaling Proteins in Paired and Single Tumor Biopsies
Tijdsspanne: 2 years
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Pre defined signaling proteins included Akt (protein kinase B), p-Akt (phosphorylated Akt), p-S6 (phosphorylated ribosomal protein S6), p-Met (phosphorylated Met, a receptor tyrosine kinase), p-mTOR (phosphorylated mammalian target of rapamycin), EGFR (epithelial growth factor receptor), and p-EGFR (phosphorylated EGFR).
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2 years
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Number of Participants With Expression of Pre-defined Gene Sequences in Biopsied Tumor Tissues
Tijdsspanne: 2 years
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Pre-defined gene sequences were those related to EGFR, PI3K (phosphoinositide-3 kinase) and other oncogenic pathways; examples included but were not limited to PIK3CA (this gene encodes the catalytic subunit of PI3K), PIK3R1 (this gene encodes the regulatory subunit of PI3K), KRAS, NRAS and BRAF (this gene encodes serine/threonine-protein kinase B-Raf) sequences and PIK3CA gene amplification.
Due to early termination of this study, these pre-defined gene sequences were not analyzed, except for KRAS and NRAS.
Number of participants who had KRAS and NRAS wild type status confirmed by the central laboratory is presented.
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2 years
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Change From Baseline in Functional Assessment of Cancer Therapy-Colorectal (FACT-C)
Tijdsspanne: 2 years
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Functional Assessment of Cancer Therapy-Colorectal (FACT-C) was used in this study to assess Health-Related Quality of Life (HRQoL) and CRC-related symptoms in participants enrolled to the randomized portion of the study.
The FACT-C is part of the Functional Assessment of Chronic Illness Therapy (FACIT) measurement system, a comprehensive and extensive set of self-reported instruments for the assessment of health-related quality of life in participants with cancer or other chronic illnesses.
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2 years
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Medewerkers en onderzoekers
Sponsor
Publicaties en nuttige links
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Werkelijk)
Studie voltooiing (Werkelijk)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Schatting)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
- Ziekten van het spijsverteringsstelsel
- Neoplasmata
- Neoplasmata per site
- Gastro-intestinale neoplasmata
- Neoplasmata van het spijsverteringsstelsel
- Gastro-intestinale aandoeningen
- Colon Ziekten
- Darmziekten
- Intestinale neoplasmata
- Rectale ziekten
- Colorectale neoplasmata
- Moleculaire mechanismen van farmacologische werking
- Enzymremmers
- Antineoplastische middelen
- Topoisomeraseremmers
- Antineoplastische middelen, immunologisch
- Proteïnekinaseremmers
- Topoisomerase I-remmers
- Irinotecan
- Cetuximab
- Gedatolisib
Andere studie-ID-nummers
- B2151005
- 2013-002095-40 (EudraCT-nummer)
Plan Individuele Deelnemersgegevens (IPD)
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