This is an open-label, unicentre, single-arm Phase 2 study of encorafenib and cetuximab as rechallenge treatment in patients with BRAF V600E-mutant metastatic colorectal cancer after previous therapy with BRAF inhibitors-based combinations. The study aims to evaluate the antitumor activity of encorafenib plus cetuximab as a rechallenge strategy measured by progression-free survival rate at 4 months. Eligible patients (a total of 25) will receive encorafenib 300 mg (four 75 mg capsules) once daily (q.d) in 28-day cycles plus intravenous cetuximab at 500 mg/m2 every 2 weeks (Q2W). Treatment will be administered until progression, unacceptable toxicity, patient request, physician's decision or subsequent anticancer therapy.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
25
Patients will receive encorafenib 300mg once daily plus cetuximab 500mg/m2 every 2 weeks until disease progression, unacceptable toxicity, patient request, physician's decision to withdraw treatment, subsequent anticancer therapy or death.
Hospital Universitari Vall d'Hebron
Barcelona, Barcelona, Spain
Progression free survival
Progression-free survival rate at 4 months (4-month PFS rate) according to RECIST V1.1 by Investigator assessment.
Time frame: 4 months since the start of treatment
Progression-free survival
Progression-free survival (PFS) according to RECIST V1.1 by Investigator assessment.
Time frame: From randomization until the first documented progression, assessed up to 30 months (expected)
Objective response rate
Description: Objective Response Rate (ORR) according to RECIST V1.1 by Investigator assessment.
Time frame: For the duration of the study, expected 30 months
Overal Survival
Overall survival (OS)
Time frame: From date of enrollment until death, up to the duration of the study (expected 30 months)
Evaluate the safety and tolerability profile
Incidence and severity of adverse events (AEs), graded by Common Terminology Criteria for Adverse Events (CTCAE) version 5.0. Change in clinical laboratory test parameters, vital signs, ECGs and echocardiogram/MUGA scans.
Time frame: Through study completion, an average of 1 year
Clinical efficacy
Clinical efficacy based on the presence or absence of acquired genomic mechanism of resistance detected in the NGS baseline to the rechallenge.
Time frame: Through study completion, an average of 1 year"
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