Status:

UNKNOWN

Epidermal Growth Factor Receptor (EGFR) Antagonist Chimeric Anti-EGFR Monoclonal Antibody Trial

Lead Sponsor:

Sichuan Kelun Pharmaceutical Research Institute Co., Ltd.

Conditions:

Metastatic Colorectal Cancer

Eligibility:

All Genders

18-75 years

Phase:

PHASE3

Brief Summary

The study is an double blind, randomized, multicenter phase 3 trial. The efficacy analyses are based on 570 Chinese patients with RAS wt mCRC treated with mFOLFOX-6 ± cetuximab. Study treatment contin...

Eligibility Criteria

Inclusion

  • Signed written informed consent
  • Male or female subjects, 18-75 years of age
  • Medically accepted effective contraception if procreative potential exists
  • Diagnosis of histologically confirmed adenocarcinoma of the colon or rectum
  • RAS wild-type and BRAF-V600E wild-type status in tumor tissue
  • At least one measurable lesion by computer tomography (CT) or magnetic resonance imaging (MRI) according to RECIST
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 at trial entry
  • Life expectancy of at least 12 weeks
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 at trial entry
  • White blood cell count \>= 3 × 10x9/L with neutrophils \>= 1.5 × 10x9/L, platelet count \>=75 × 10x9/L and hemoglobin \>= 8 g/dL; Total bilirubin \<= 1.5 × upper limit of reference range, Aspartate transaminase (AST) and alanine transaminase (ALT) \<= 2.5 × upper limit of reference range or \<= 5 × upper reference range in subjects with liver metastasis;Serum creatinine \<= 1.5 × upper limit of reference range

Exclusion

  • Known hypersensitivity or allergic reactions against any of the components of the trial treatments
  • Radiotherapy or surgery (excluding prior diagnostic biopsy) in the 28 days before trial treatment
  • Known brain metastasis and/or leptomeningeal disease. Subjects with neurological symptoms should undergo a CT scan/MRI of the brain to exclude brain metastasis
  • Acute or sub-acute intestinal occlusion or history of inflammatory bowel disease,except the patient with fistulation or stenting
  • Active clinically serious infections (\> grade 2 National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 3.0), including active tuberculosis
  • Uncontrolled diabetes mellitus, pulmonary fibrosis, acute pulmonary disorder, interstitial pneumonia, or liver failure
  • Clinically significant cardiovascular disease, e.g. cardiac failure of New York Heart Association classes III-IV, uncontrolled coronary artery disease, cardiomyopathy, uncontrolled arrhythmia, uncontrolled hypertension, or history of myocardial infarction in the last 5 years, or left ventricular ejection fraction below the institutional range of normal on a baseline multiple gated acquisition scan or echocardiogram
  • Renal replacement therapy
  • Peripheral neuropathy \> grade 1
  • History of organ allograft, autologous stem cell transplantation, or allogeneic stem cell transplantation
  • Previous malignancy other than CRC in the last 5 years except basal cell cancer of the skin or preinvasive cancer of the cervix
  • Known and declared history of human immunodeficiency virus (HIV) infection or chronic hepatitis B or C
  • Known severe coagulation disorders
  • Previous chemotherapy for CRC except adjuvant treatment if terminated \> 12 months (oxaliplatin-based chemotherapy) or \> 6 months (non-oxaliplatin-based chemotherapy) before the start of treatment in this trial
  • Previous treatment with anti-EGFR monoclonal antibody therapy
  • Other non-permitted concomitant anticancer therapies, chronic systemic immune therapy or hormone therapy
  • Granulocyte colony stimulating factor (G-CSF) or granulocyte macrophage colony stimulating factor (GM-CSF) within 3 weeks of trial entry,blood transfusion,or blood components transfusion
  • Pregnancy (absence to be confirmed by serum β-human chorionic gonadotropin test) or breastfeeding
  • Ongoing alcohol or drug abuse
  • Known neurological or psychiatric diseases
  • Participation in another clinical trial within the past 4 weeks
  • Legal incapacity or limited legal capacity
  • Other significant disease that in the investigator's opinion should exclude the subject from the trial

Key Trial Info

Start Date :

February 1 2018

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2023

Estimated Enrollment :

570 Patients enrolled

Trial Details

Trial ID

NCT03426371

Start Date

February 1 2018

End Date

December 1 2023

Last Update

February 8 2018

Active Locations (1)

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1

307 Hospital of PLA

Beijing, Beijing Municipality, China, 100071