XS-03 in combination with FOLFOX or FOLFIRI and Bevacizumab for treatment of metastatic colorectal cancer patients with RAS mutation
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
102
XS-03 orally Bevacizumab intravenously FOLFOX intravenously FOLFIRI intravenously
XS-03 orally
Bevacizumab intravenously FOLFOX intravenously FOLFIRI intravenously
Beijing Cancer Hospital
Beijing, China
Phase 1b: Number of participants with Dose-limiting Toxicities (DLTs) in experimental arm of XS-03 in combination with FOLFOX or FOLFIRI and Bevacizumab
Dose-limiting toxicities were defined as events related to XS-03 that were considered an adverse reaction or suspected adverse reaction during the first cycle of treatment
Time frame: up to day 28
Phase 1b: Determine the Maximum Tolerated Dose (MTD) in experimental arm of XS-03 in combination with FOLFOX or FOLFIRI and Bevacizumab
MTD is defined as at most 1 patient out of 6 experiencing DLT
Time frame: up to day 28
Phase 2: Objective Response Rate (ORR) of two experimental arms and comparator arm
Defined as the percentage of participants that achieve a best overall response of complete response (CR) or partial response (PR) (per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 criteria)
Time frame: up to 18 months after first dose of last patient
Phase 1b: Objective Response Rate (ORR) of all treated participants
Time frame: up to 18 months after first dose of last patient
Duration of response (DOR) of all treated participants
Duration of response defined as time from when response was first documented until first documented disease progression or death, whichever occurs first.
Time frame: up to 18 months after first dose of last patient
Progression-free survival (PFS) of treated participants
as determined based on RECIST version 1.1 criteria
Time frame: up to 18 months after first dose of last patient
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Overall survival (OS) of treated participants
Time in months from date of first dose for phase 1b and randomization for phase 2 to death due to any cause
Time frame: up to 18 months after first dose of last patient
Number of Participants With Adverse Events (AEs) of treated participants
The severity of each AE will be graded using the Common Terminology Criteria for Adverse Events (CTCAE).
Time frame: up to 28 days after last dose of study drug
Number of Participants With Clinically Significant Change From Baseline in safety monitoring
Time frame: up to 28 days after last dose of study drug
Number of Participants With dose adjustment
AE associated with dose reduction, interruption and discontinuation
Time frame: up to 28 days after last dose of study drug
Time to Reach Maximum Peak Plasma Concentration (Tmax)
Pharmacokinetic parameter
Time frame: From pre-dose on day 1 of cycle 1 to day 5 of cycle 3 (28-day cycle length)
Maximum Plasma Concentration(Cmax)
Pharmacokinetic parameter
Time frame: From pre-dose on day 1 of cycle 1 to day 5 of cycle 3 (28-day cycle length)
Area under the plasma concentration versus time curve from time zero to the last measurable concentration(AUC0-t)
Pharmacokinetic parameter
Time frame: From pre-dose on day 1 of cycle 1 to day 5 of cycle 3 (28-day cycle length)
Elimination Half-life (T1/2)
Pharmacokinetic parameter
Time frame: From pre-dose on day 1 of cycle 1 to day 5 of cycle 3 (28-day cycle length)
Systemic Clearance From Plasma Following Extravascular Administration (CL/F)
Pharmacokinetic parameter
Time frame: From pre-dose on day 1 of cycle 1 to day 5 of cycle 3 (28-day cycle length)
The volume of distribution(Vd/F)
Pharmacokinetic parameter
Time frame: From pre-dose on day 1 of cycle 1 to day 5 of cycle 3 (28-day cycle length)
Average concentration at steady state(Cavg,ss)
Pharmacokinetic parameter
Time frame: From pre-dose on day 1 of cycle 1 to day 5 of cycle 3 (28-day cycle length)
Minimum observed concentration at steady state(Cmin,ss)
Pharmacokinetic parameter
Time frame: From pre-dose on day 1 of cycle 1 to day 5 of cycle 3 (28-day cycle length)