Colorectal cancer (CRC) is the third most common type of cancer diagnosed worldwide. The purpose of this study is to assess the adverse events and change in disease activity of telisotuzumab adizutecan plus bevacizumab compared to standard of care (SOC) of LONSURF (trifluridine and tipiracil) plus bevacizumab in adult participants with refractory metastatic colorectal cancer (mCRC). Telisotuzumab adizutecan is an investigational drug being developed for the treatment of CRC. Participants will then be randomized into 2 groups called treatment arms. One group will receive telisotuzumab adizutecan with bevacizumab in different doses. Another group will receive standard of care (SOC), trifluridine and tipiracil (LONSURF), with Bevacizumab. Up to approximately 990 adult participants with refractory mCRC, will be enrolled in the study in approximately 125 sites globally. In this Phase 3, one of two groups will receive doses of Intravenous (IV) telisotuzumab adizutecan + bevacizumab and other group will receive oral SOC of trifluridine/tipiracil (LONSURF)+ Intravenous (IV) bevacizumab. The study will run for a duration of approximately of 36 months. There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at an approved institution (hospital or clinic). The effect of the treatment will be frequently checked by medical assessments, blood tests, questionnaires and side effects.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
990
City Of Hope - Phoenix /ID# 279450
Goodyear, Arizona, United States
RECRUITINGHighlands Oncology Group - Springdale /ID# 279444
Springdale, Arkansas, United States
RECRUITINGCity of Hope National Medical Center /ID# 279449
Duarte, California, United States
RECRUITINGRocky Mountain Cancer Centers - Aurora /ID# 280112
Aurora, Colorado, United States
Phase 3: Objective Response (OR) as assessed by Blinded Independent Central Review (BICR)
Best overall response of confirmed complete response (CR) or confirmed partial response (PR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
Time frame: Up to Approximately 15 Months
Phase 3: Overall Survival (OS)
OS is defined as the time from date of randomization to the event of death from any cause.
Time frame: Up to Approximately 36 Months
Phase 3: Overall Survival (OS) in Participants With c-Met Subgroup >= 10%, 3+
OS is defined as the time from date of randomization to the event of death from any cause.
Time frame: Up to Approximately 36 Months
Phase 3: Overall Survival (OS) in Participants With c-Met Subgroup < 10%, 3+
OS is defined as the time from date of randomization to the event of death from any cause.
Time frame: Up to Approximately 36 Months
Phase 3: Progression-Free Survival (PFS) Assessed by Blinded Independent Central Review (BICR)
PFS is defined as the time from date of randomization to the first occurrence of radiographic progression based on RECIST v1.1 or death from any cause, whichever occurs earlier.
Time frame: Up to Approximately 24 Months
Phase 3: Duration Of Response (DoR) as assessed by BICR
DoR defined as time from the date of initial response of confirmed CR or PR to the first occurrence of radiographic progression per RECIST v1.1 or death from any cause, whichever occurs first. DoR is defined for subjects with confirmed CR/PR.
Time frame: Up to Approximately 24 Months
Phase 3: Disease Control (DC) as assessed by BICR:
DC is defined as best overall response of confirmed CR or confirmed PR, or stable disease (SD) based on RECIST, v1.1
Time frame: Up to Approximately 24 Months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Yale University School of Medicine /ID# 279373
New Haven, Connecticut, United States
RECRUITINGMoffitt Cancer Center /ID# 279325
Tampa, Florida, United States
RECRUITINGCity Of Hope - Atlanta /ID# 280017
Newnan, Georgia, United States
RECRUITINGUniversity of Chicago Medical Center /ID# 279365
Chicago, Illinois, United States
RECRUITINGSaint Lukes Hospital of Kansas City /ID# 279513
Kansas City, Missouri, United States
RECRUITINGAstera Cancer Care /ID# 279532
East Brunswick, New Jersey, United States
RECRUITING...and 67 more locations