This is a randomized phase III study with a safety lead-in part in patients with KRAS/ NRAS and BRAF Wild Type metastatic colorectal cancer who have previously received treatment with oxaliplatin, irinotecan, fluoropyrimidines, anti-VEGF agents and anti-EGFR antibodies. The main objective of the safety lead-in part is to assess safety and tolerability of futuximab/modotuximab in combination with trifluridine/tipiracil. The primary objective of the phase III part is to compare Overall Survival of futuximab/modotuximab in combination with trifluridine/tipiracil vs trifluridine/tipiracil monotherapy in patients with tumours that are KRAS/NRAS and BRAF wild-type (WT).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
7
Concentrate for solution for infusion, futuximab/modotuximab will be administered via IV route, once weekly of each cycle at 9 mg/kg/dose at Cycle 1 Day 1 and then at 6 mg/kg/dose. Each cycle is up to 28 days.
Film-coated tablets of trifluridine/tipiracil (35 mg/m²/dose) will be administered orally before futuximab/ modotuximab administration, twice a day (BID) within 1 hour after completion of morning and evening meals, 5 days on/2 days off, over 14 days, followed by a 14-day rest. This treatment cycle will be repeated every 28 days.
Film-coated tablets of trifluridine/tipiracil (35 mg/m²/dose) will be administered orally twice a day (BID) within 1 hour after completion of morning and evening meals, 5 days on/2 days off, over 14 days, followed by a 14-day rest. This treatment cycle will be repeated every 28 days.
University of Michigan Oncology Clinic | Rogel Cancer Center
Ann Arbor, Michigan, United States
Cleveland Clinic Cleveland Clinic Lerner College of Medicine
Cleveland, Ohio, United States
UZA Edegem
Edegem, Belgium
UZ Leuven Campus Gasthuisberg
Leuven, Belgium
CHUUCL Namur site Godinne
Yvoir, Belgium
Rigshospitalet
Copenhagen, Denmark
Herning Regional Hospital (Regionhospitalet Godstrup)
Herning, Denmark
Odense Universitetshospital
Odense, Denmark
Docrates cancer center
Helsinki, Finland
TAYS (Tampere University Hospital)
Tampere, Finland
...and 5 more locations
Incidence of Dose-limiting Toxicities (DLTs) (Safety Lead-In Part)
DLTs observed during a 28-day period. A DLT is defined as the following: A clinically significant AE graded according to the NCI-CTCAE version 5.0, observed during the initial 28- day treatment period following the first IMP administration. Assessed as unrelated to underlying disease, disease progression, intercurrent illness, or concomitant medications. At least possibly related to the IMPs (futuximab/modotuximab or trifluridine/tipiracil or both) by the investigator and meeting criteria as outlined in the protocol.
Time frame: End of cycle 1 (Each cycle is up to 28 days)
Overall Survival (OS) (In Double Negative, KRAS/NRAS and BRAF Wild Type Patients) (Phase III Part)
Time elapsed from date of randomization until the date of death from any cause
Time frame: up to 4 years 9 months
Overall Survival (Safety Lead-In Part)
Time elapsed from the first IMP intake to death
Time frame: up to 24 months
Overall Survival (In Triple Negative) (Phase III Part)
Time elapsed from the date of randomization into the study to disease progression/death
Time frame: up to 4 years 9 months
Progression Free Survival (Phase III Part)
Time elapsed from the date of randomization into the study to disease progression/death
Time frame: up to 4 years 9 months
Adverse Events (Phase III Part)
Incidence, severity, and relationship of treatment emergent adverse event and treatment emergent serious adverse event
Time frame: Through study completion, up to 4 years 9 months
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