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Badanie enkorafenibu plus cetuksymabu z chemioterapią lub bez niej u osób z wcześniej nieleczonym rakiem jelita grubego z przerzutami

15 maja 2026 zaktualizowane przez: Pfizer

OTWARTE, WIELOOŚRODKOWE, RANDOMIZOWANE BADANIE FAZY 3 PIERWSZEGO RYNKU ENKORAFENIBU I CETUKSYMABU Z CHEMIOTERAPIĄ LUB BEZ CHEMIOTERAPII W KONTRAST TERAPII STANDARDOWEJ Z WPROWADZENIEM BEZPIECZEŃSTWA CHEMIOTERAPII ENKORAFENIBEM I CETUXIMABEM PLUS U UCZESTNIKÓW Z PRZErzutami BRAF V600E-MUTANT RAKA JELITA JELITA

Celem tego badania jest ocena dwóch badanych leków (enkorafenibu i cetuksymabu) przyjmowanych samodzielnie lub razem ze standardową chemioterapią w potencjalnym leczeniu raka jelita grubego, które:

  • rozprzestrzenił się na inne części ciała (przerzuty);
  • ma pewien typ nieprawidłowego genu o nazwie „BRAF”; oraz
  • nie był wcześniej leczony.

Uczestnicy tego badania otrzymają jedną z następujących terapii:

  • Enkorafenib plus cetuksymab: Ci uczestnicy będą codziennie otrzymywać enkorafenib doustnie w domu i cetuksymab raz na dwa tygodnie we wlewie dożylnym (wstrzyknięcie do żyły) w klinice badawczej.
  • Enkorafenib plus cetuksymab z chemioterapią: Ci uczestnicy otrzymają enkorafenib i cetuksymab w sposób opisany w punkcie powyżej. Dodatkowo otrzymają standardową chemioterapię we wlewie dożylnym oraz leczenie doustne w domu.
  • Sama chemioterapia: Ci uczestnicy otrzymają chemioterapię, standardowe leczenie tego schorzenia, przez wlew dożylny w klinikach badawczych i leczenie doustne w domu.

Zespół badawczy będzie monitorował reakcję każdego uczestnika na badane leczenie przez okres do około 3 lat.

Przegląd badań

Szczegółowy opis

Celem badania jest ocena, czy enkorafenib plus cetuksymab (EC), sam lub w połączeniu z chemioterapią, może poprawić wyniki kliniczne w porównaniu z obecnym standardem chemioterapii u uczestników z wcześniej nieleczonym mCRC z mutacją BRAF V600E. Ponieważ enkorafenib nie był wcześniej łączony z chemioterapią, tolerancja i farmakokinetyka EC w skojarzeniu z mFOLFOX6 i w skojarzeniu z FOLFIRI zostaną ocenione w oddzielnych kohortach w początkowej części badania dotyczącej bezpieczeństwa w celu określenia, która kombinacja chemioterapii ma być być wykorzystane w fazie 3 badania.

Typ studiów

Interwencyjne

Zapisy (Rzeczywisty)

841

Faza

  • Faza 3

Kontakty i lokalizacje

Ta sekcja zawiera dane kontaktowe osób prowadzących badanie oraz informacje o tym, gdzie badanie jest przeprowadzane.

Lokalizacje studiów

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

Kryteria uczestnictwa

Badacze szukają osób, które pasują do określonego opisu, zwanego kryteriami kwalifikacyjnymi. Niektóre przykłady tych kryteriów to ogólny stan zdrowia danej osoby lub wcześniejsze leczenie.

Kryteria kwalifikacji

Wiek uprawniający do nauki

16 lat i starsze (Dziecko, Dorosły, Starszy dorosły)

Akceptuje zdrowych ochotników

Nie

Opis

Kryteria przyjęcia:

  • Wejście bezpieczeństwa = mężczyzna/kobieta ≥ 18 lat
  • Faza 3: Mężczyźni/kobiety w wieku ≥ 16 lat (jeżeli jest to dozwolone lokalnie)
  • Potwierdzony histologicznie lub cytologicznie CRC w stadium IV, który zawiera mutację BRAF V600E
  • Wcześniejsze leczenie systemowe w przypadku przerzutów
  • SLI: schematy 0-1
  • Faza 3: Brak
  • Wcześniejsza terapia adiuwantowa lub neoadiuwantowa uważana za leczenie przerzutowe, jeśli nawrót/przerzut < 6 miesięcy od zakończenia leczenia adiuwantowego/neoadiuwantowego
  • Mierzalna choroba (faza 3) / Mierzalna lub możliwa do oceny choroba (wprowadzenie bezpieczeństwa)
  • ECOG PS 0-1
  • Odpowiednia funkcja narządów

Kryteria wyłączenia:

  • Guzy, które są lokalnie potwierdzone lub nieznane MSI-H lub dMMR, chyba że uczestnik nie kwalifikuje się do otrzymania inhibitorów immunologicznego punktu kontrolnego z powodu istniejącego wcześniej stanu medycznego
  • Aktywne infekcje bakteryjne lub wirusowe w ciągu 2 tygodni przed rozpoczęciem dawkowania
  • Objawowe przerzuty do mózgu

Plan studiów

Ta sekcja zawiera szczegółowe informacje na temat planu badania, w tym sposób zaprojektowania badania i jego pomiary.

Jak projektuje się badanie?

Szczegóły projektu

  • Główny cel: Leczenie
  • Przydział: Randomizowane
  • Model interwencyjny: Przydział równoległy
  • Maskowanie: Brak (otwarta etykieta)

Broń i interwencje

Grupa uczestników / Arm
Interwencja / Leczenie
Eksperymentalny: Kohorta wprowadzająca w zakresie bezpieczeństwa 1
Enkorafenib 300 mg doustnie raz dziennie Cetuksymab 500 mg/m2 (120-minutowy wlew IV) co dwa tygodnie Irynotekan 180 mg/m2 (90-minutowy wlew IV) co dwa tygodnie Leukoworyna 400 mg/m2 (120-minutowy wlew IV) co dwa tygodnie tygodnie 5-FU 400 mg/m2 dożylnie w bolusie, następnie 5-FU 2400 mg/m2 ciągły wlew dożylny przez 46-48 godzin co dwa tygodnie
Kapsułki 75 mg
Inne nazwy:
  • Braftovi, PF-07263896, LGX818, ONO-7702
Wstrzyknięcie do podania dożylnego 100 mg/fiolkę, 200 mg/fiolkę lub 500 mg/fiolkę
Inne nazwy:
  • Erbitux
Roztwór do infuzji dożylnych 40 mg/fiolkę, 100 mg/fiolkę lub 300 mg/fiolkę
Inne nazwy:
  • Campostar
Wstrzyknięcie 50 mg/fiolkę, 100 mg/fiolkę, 200 mg/fiolkę lub 350 mg/fiolkę
Inne nazwy:
  • Wellcovorin, Fusilev, Chapzory
Wstrzyknięcie do podania dożylnego 250 mg/fiolkę, 500 mg/fiolkę lub 1000 mg/fiolkę
Inne nazwy:
  • Fluorouracyl
Eksperymentalny: Kohorta wprowadzająca w zakresie bezpieczeństwa 2
Enkorafenib 300 mg doustnie raz dziennie Cetuksymab 500 mg/m2 (120-minutowy wlew IV) co dwa tygodnie Oksaliplatyna 85 mg/m2 (120-minutowy wlew IV) co dwa tygodnie Leukoworyna 400 mg/m2 (120-minutowy wlew IV) co dwa tygodnie 5-FU 400 mg/m2 IV bolus, następnie 5-FU 2400 mg/m2 ciągły wlew IV przez 46-48 godzin co dwa tygodnie
Kapsułki 75 mg
Inne nazwy:
  • Braftovi, PF-07263896, LGX818, ONO-7702
Wstrzyknięcie do podania dożylnego 100 mg/fiolkę, 200 mg/fiolkę lub 500 mg/fiolkę
Inne nazwy:
  • Erbitux
Wstrzyknięcie 50 mg/fiolkę, 100 mg/fiolkę, 200 mg/fiolkę lub 350 mg/fiolkę
Inne nazwy:
  • Wellcovorin, Fusilev, Chapzory
Wstrzyknięcie do podania dożylnego 250 mg/fiolkę, 500 mg/fiolkę lub 1000 mg/fiolkę
Inne nazwy:
  • Fluorouracyl
Proszek do sporządzania roztworu do podania dożylnego 50 mg/fiolkę, 100 mg/fiolkę lub 200 mg/fiolkę
Inne nazwy:
  • Eloksatyna
Eksperymentalny: Faza 3 Ramię A
Enkorafenib 300 mg doustnie raz dziennie Cetuksymab 500 mg/m2 (120-minutowy wlew dożylny) co dwa tygodnie
Kapsułki 75 mg
Inne nazwy:
  • Braftovi, PF-07263896, LGX818, ONO-7702
Wstrzyknięcie do podania dożylnego 100 mg/fiolkę, 200 mg/fiolkę lub 500 mg/fiolkę
Inne nazwy:
  • Erbitux
Eksperymentalny: Faza 3 Ramię B
Enkorafenib 300 mg doustnie raz dziennie Cetuksymab 500 mg/m2 (120-minutowy wlew IV) co dwa tygodnie Oksaliplatyna 85 mg/m2 (120-minutowy wlew IV) co dwa tygodnie Leukoworyna 400 mg/m2 (120-minutowy wlew IV) co dwa tygodnie 5-FU 400 mg/m2 IV bolus, następnie 5-FU 2400 mg/m2 ciągły wlew IV przez 46-48 godzin co dwa tygodnie
Kapsułki 75 mg
Inne nazwy:
  • Braftovi, PF-07263896, LGX818, ONO-7702
Wstrzyknięcie do podania dożylnego 100 mg/fiolkę, 200 mg/fiolkę lub 500 mg/fiolkę
Inne nazwy:
  • Erbitux
Wstrzyknięcie 50 mg/fiolkę, 100 mg/fiolkę, 200 mg/fiolkę lub 350 mg/fiolkę
Inne nazwy:
  • Wellcovorin, Fusilev, Chapzory
Wstrzyknięcie do podania dożylnego 250 mg/fiolkę, 500 mg/fiolkę lub 1000 mg/fiolkę
Inne nazwy:
  • Fluorouracyl
Proszek do sporządzania roztworu do podania dożylnego 50 mg/fiolkę, 100 mg/fiolkę lub 200 mg/fiolkę
Inne nazwy:
  • Eloksatyna
Aktywny komparator: Faza 3 Ramię C
Co dwa tygodnie: Oksaliplatyna 85 mg/m2 (120-minutowy wlew dożylny) Leukoworyna 400 mg/m2 (120-minutowy wlew dożylny) 5-FU 400 mg/m2 dożylnie w bolusie, następnie 5-FU 2400 mg/m2 w ciągłym wlewie dożylnym przez 46-48 godzin Bewacyzumab (opcjonalnie; podawany zgodnie z instrukcją) -LUB- Co dwa tygodnie: Irynotekan 165 mg/m2 (90-minutowy wlew dożylny) Oksaliplatyna 85 mg/m2 (120-minutowy wlew dożylny) Leukoworyna 400 mg/m2 ( 120-minutowy wlew dożylny) 5-FU 2400 lub 3200 mg/m2 ciągły wlew dożylny przez 46 48 godzin Bewacyzumab (opcjonalnie; podawany zgodnie z instrukcją) -LUB- Oksaliplatyna 130 mg/m2 (120-minutowy wlew dożylny) co 3 tygodnie Kapecytabina Tabletka doustna 1000 mg/m2 dwa razy dziennie w dniach 1-14 Bewacyzumab (opcjonalnie; podawany zgodnie z instrukcją)
Roztwór do infuzji dożylnych 40 mg/fiolkę, 100 mg/fiolkę lub 300 mg/fiolkę
Inne nazwy:
  • Campostar
Wstrzyknięcie 50 mg/fiolkę, 100 mg/fiolkę, 200 mg/fiolkę lub 350 mg/fiolkę
Inne nazwy:
  • Wellcovorin, Fusilev, Chapzory
Wstrzyknięcie do podania dożylnego 250 mg/fiolkę, 500 mg/fiolkę lub 1000 mg/fiolkę
Inne nazwy:
  • Fluorouracyl
Proszek do sporządzania roztworu do podania dożylnego 50 mg/fiolkę, 100 mg/fiolkę lub 200 mg/fiolkę
Inne nazwy:
  • Eloksatyna
Tabletki 150 mg lub 500 mg
Inne nazwy:
  • Xeloda
Opcjonalnie Wstrzyknięcie do podania dożylnego 100 mg/fiolkę lub 400 mg/fiolkę
Inne nazwy:
  • Zirabew
Eksperymentalny: Kohorta 3 Ramię D
Enkorafenib 300 mg doustnie raz dziennie Cetuksymab 500 mg/m2 (120-minutowy wlew IV) co dwa tygodnie Irynotekan 180 mg/m2 (90-minutowy wlew IV) co dwa tygodnie Leukoworyna 400 mg/m2 (120-minutowy wlew IV) co dwa tygodnie tygodnie 5-FU 400 mg/m2 dożylnie w bolusie, następnie 5-FU 2400 mg/m2 ciągły wlew dożylny przez 46-48 godzin co dwa tygodnie
Kapsułki 75 mg
Inne nazwy:
  • Braftovi, PF-07263896, LGX818, ONO-7702
Wstrzyknięcie do podania dożylnego 100 mg/fiolkę, 200 mg/fiolkę lub 500 mg/fiolkę
Inne nazwy:
  • Erbitux
Roztwór do infuzji dożylnych 40 mg/fiolkę, 100 mg/fiolkę lub 300 mg/fiolkę
Inne nazwy:
  • Campostar
Wstrzyknięcie 50 mg/fiolkę, 100 mg/fiolkę, 200 mg/fiolkę lub 350 mg/fiolkę
Inne nazwy:
  • Wellcovorin, Fusilev, Chapzory
Wstrzyknięcie do podania dożylnego 250 mg/fiolkę, 500 mg/fiolkę lub 1000 mg/fiolkę
Inne nazwy:
  • Fluorouracyl
Aktywny komparator: Kohorta 3 Ramię E
Irynotekan 180 mg/m2 (90-minutowy wlew IV) co 2 tygodnie, Leukoworyna 400 mg/m2 (120-minutowy wlew IV) co 2 tygodnie, 5-FU 400 mg/m2 IV bolus, następnie 5-FU 2400 mg/m2 ciągła infuzja dożylna przez 46-48 godzin co dwa tygodnie, bewacyzumab (opcjonalnie; podawany zgodnie z zaleceniami lekarza)
Roztwór do infuzji dożylnych 40 mg/fiolkę, 100 mg/fiolkę lub 300 mg/fiolkę
Inne nazwy:
  • Campostar
Wstrzyknięcie 50 mg/fiolkę, 100 mg/fiolkę, 200 mg/fiolkę lub 350 mg/fiolkę
Inne nazwy:
  • Wellcovorin, Fusilev, Chapzory
Wstrzyknięcie do podania dożylnego 250 mg/fiolkę, 500 mg/fiolkę lub 1000 mg/fiolkę
Inne nazwy:
  • Fluorouracyl
Opcjonalnie Wstrzyknięcie do podania dożylnego 100 mg/fiolkę lub 400 mg/fiolkę
Inne nazwy:
  • Zirabew

Co mierzy badanie?

Podstawowe miary wyniku

Miara wyniku
Opis środka
Ramy czasowe
SLI: Number of Participants With Dose Limiting Toxicity (DLTs)
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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)

Miary wyników drugorzędnych

Miara wyniku
Opis środka
Ramy czasowe
SLI: Number of Participants With Adverse Events (AEs)
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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

Współpracownicy i badacze

Tutaj znajdziesz osoby i organizacje zaangażowane w to badanie.

Sponsor

Śledczy

  • Dyrektor Studium: Pfizer CT.gov Call Center, Pfizer

Publikacje i pomocne linki

Osoba odpowiedzialna za wprowadzenie informacji o badaniu dobrowolnie udostępnia te publikacje. Mogą one dotyczyć wszystkiego, co jest związane z badaniem.

Publikacje ogólne

Daty zapisu na studia

Daty te śledzą postęp w przesyłaniu rekordów badań i podsumowań wyników do ClinicalTrials.gov. Zapisy badań i zgłoszone wyniki są przeglądane przez National Library of Medicine (NLM), aby upewnić się, że spełniają określone standardy kontroli jakości, zanim zostaną opublikowane na publicznej stronie internetowej.

Główne daty studiów

Rozpoczęcie studiów (Rzeczywisty)

21 grudnia 2020

Zakończenie podstawowe (Rzeczywisty)

1 marca 2025

Ukończenie studiów (Szacowany)

28 grudnia 2027

Daty rejestracji na studia

Pierwszy przesłany

5 października 2020

Pierwszy przesłany, który spełnia kryteria kontroli jakości

22 października 2020

Pierwszy wysłany (Rzeczywisty)

29 października 2020

Aktualizacje rekordów badań

Ostatnia wysłana aktualizacja (Rzeczywisty)

11 czerwca 2026

Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości

15 maja 2026

Ostatnia weryfikacja

1 maja 2026

Więcej informacji

Terminy związane z tym badaniem

Inne numery identyfikacyjne badania

  • C4221015
  • BREAKWATER (Inny identyfikator: Pfizer)
  • 2023-509405-77-00 (Identyfikator rejestru: CTIS (EU))

Plan dla danych uczestnika indywidualnego (IPD)

Planujesz udostępniać dane poszczególnych uczestników (IPD)?

TAK

Opis planu IPD

Firma Pfizer zapewni dostęp do danych poszczególnych uczestników, których dane identyfikacyjne zostały pozbawione elementów umożliwiających identyfikację, oraz związanych z nimi dokumentów badawczych (np. protokół, plan analizy statystycznej (SAP), raport z badania klinicznego (CSR)) na żądanie wykwalifikowanych badaczy i z zastrzeżeniem pewnych kryteriów, warunków i wyjątków. Więcej informacji na temat kryteriów udostępniania danych przez firmę Pfizer oraz procesu ubiegania się o dostęp można znaleźć na stronie: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.

Informacje o lekach i urządzeniach, dokumenty badawcze

Bada produkt leczniczy regulowany przez amerykańską FDA

Tak

Bada produkt urządzenia regulowany przez amerykańską FDA

Nie

Te informacje zostały pobrane bezpośrednio ze strony internetowej clinicaltrials.gov bez żadnych zmian. Jeśli chcesz zmienić, usunąć lub zaktualizować dane swojego badania, skontaktuj się z register@clinicaltrials.gov. Gdy tylko zmiana zostanie wprowadzona na stronie clinicaltrials.gov, zostanie ona automatycznie zaktualizowana również na naszej stronie internetowej .

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