The aim of this study is to determine the activity of encorafenib plus cetuximab in combination with FOLFIRI in patients with BRAF V600E mutated metastatic colorectal cancer progressing on encorafenib plus cetuximab administered in second line.
This is a prospective, multicentre, phase II single-arm trial, evaluating encorafenib plus cetuximab beyond progression in combination with irinotecan-based doublet chemotherapy (FOLFIRI) in patients affected by BRAF V600E mutated metatstic colorectal cancer progressing on encorafenib plus cetuximab administered in second line. Eligible patients are: * affected by BRAF V600E mutated metastatic colorectal cancer; * progressing on encorafenib plus cetuximab administered in second line; * achieved complete response, or partial response, or stable disease lasting more than 3 moths, as best response to encorafenib plus cetuximab administered in second line. All patients eligible according to inclusion and exclusion criteria will receive encorafenib plus cetuximab beyond progression in combination with irinotecan-based doublet chemoterapy (FOLFIRI) as follows: * encorafenib 300 mg (75 mgx4 hard capsules) orally once daily; * cetuximab 500 mg/sqm iv every 14 days; * FOLFIRI iv every 14 days (Irinotecan 180 mg/sqm, Folinic Acid 400 mg/sqm, 5Fluorouracil 400 mg/sqm iv bolus and 2400 mg/sqm iv continuous infusion over 46-48 hours). Treatment will be administered until disease progression, unacceptable toxic effects, withdrawal of consent, or death. The primary end point of this trial is investigator-assessed 6-month progression free survival rate and is defined as the proportion of patients alive and progression-free by the 6-month time point from start of investigational treatment (encorafenib plus cetuximab beyond progression in combination with FOLFIRI).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
25
encorafenib plus cetuximab beyond progression in combination with irinotecan-based doublet chemoterapy (FOLFIRI) as follows: * encorafenib 300 mg (75 mgx4 hard capsules) orally once daily; * cetuximab 500 mg/sqm iv every 14 days; * FOLFIRI iv every 14 days (Irinotecan 180 mg/sqm, Folinic Acid 400 mg/sqm, 5Fluorouracil 400 mg/sqm iv bolus and 2400 mg/sqm iv continuous infusion over 46-48 hours).
Fondazione IRCCS Istituto Nazionale dei Tumori
Milan, Italy
NOT_YET_RECRUITINGFondazione Policlinico Universitario Agostino Gemelli, IRCCS
Roma, Italy
RECRUITINGOspedale Cardinale G. Panico
Tricase, Italy
RECRUITING6-month Progression Free Survival rate
The proportion of patients alive and progression-free by the 6-month time point from start of investigational treatment (encorafenib plus cetuximab beyond progression in combination with FOLFIRI). Progression free survival is defined as the time elapsed between start of investigational treatment and the date of first event (progression or death, whichever occurs first).
Time frame: 6 months after the enrollment of the last patient.
Progression Free Survival (PFS)
Time elapsed from start of investigational treatment to the documentation of investigator-assessed disease progression, according to RECIST 1.1, or death due to any cause, whichever occurs first.
Time frame: 6 months after the enrollment of the last patient.
Overall Survival (OS)
Time elapsed from start of investigational treatment to the date of death due to any cause.
Time frame: 6 months after the enrollment of the last patient.
Duration of response (DOR)
Time from response, in patients who achieve partial response (PR) or complete response (CR), to disease progression or death.
Time frame: 6 months after the enrollment of the last patient.
Overall Response Rate (ORR)
Percentage of patients who achieve PR or CR as measured by RECIST 1.1 criteria.
Time frame: 6 months after the enrollment of the last patient.
Disease Control Rate (DCR)
percentage of patients who achieve PR, CR or stable disease (SD) as measured by RECIST 1.1 criteria.
Time frame: 6 months after the enrollment of the last patient.
Rate of adverse events
Number of participants with treatment-related adverse events (graded according to NCI CTCAE version 4.03)
Time frame: 6 months after the enrollment of the last patient.
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