A Phase 2, Open-Label, Randomized, Master Protocol Study to Evaluate Safety and Efficacy of Multiple Treatment Combinations With Telisotuzumab Adizutecan in Subjects With Metastatic Colorectal Cancer
Summary
CRC is the third most common type of cancer diagnosed worldwide with developed countries at highest risk. The purpose of this study is to assess adverse events and change in disease activity when telisotuzumab adizutecan is given in combination with oxaliplatin, fluorouracil (5FU), leucovorin (LV) (FOLFOX), and bevacizumab or panitumumab. Telisotuzumab adizutecan is an investigational drug being developed for the treatment of mCRC. Fluorouracil and leucovorin are drugs approved for the treatment of mCRC. This study will be divided into two stages, with the first stage treating participants with increasing doses of telisotuzumab adizutecan with FOLFOX and bevacizumab or 5FU/LV and panitumumab until the dose reached is tolerable and expected to be efficacious. Participants will then be randomized into 3 groups called treatment arms where one group will receive one of two optimized doses of telisotuzumab adizutecan from the dose escalation phase with FOLFOX and bevacizumab or 5FU/LV and panitumumab, or a comparator of FOLFOX and bevacizumab or panitumumab. Approximately 390 adult participants with mCRC will be enrolled in the study in 100 sites worldwide. In the dose escalation stage participants will be treated with increasing intravenous (IV) doses of telisotuzumab adizutecan with FOLFOX and bevacizumab or 5FU/LV and panitumumab until the dose reached is tolerable and expected to be efficacious. In the dose optimization stage participants will be receive FOLFOX or receive 5FU/LV, but with one of two optimized doses of telisotuzumab adizutecan, or a comparator of FOLFOX and bevacizumab/pantitumumab. The study will run for a duration of approximately 6 years. 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.
Arms & interventions
- DrugTelisotuzumab Adizutecan
Intravenous (IV) Infusion
- DrugFluorouracil
IV Infusion; IV Injection
- DrugOxaliplatin
IV Infusion
- DrugLeucovorin
IV Infusion; IV Injection
- DrugBevacizumab
IV Infusion
- DrugPanitumumab
IV Infusion
Outcome measures
Primary
Objective Response (OR) as Assessed by the Investigator confirmed complete response (CR) or partial response (PR) as assessed by the investigator per response evaluation criteria in solid tumors (RECIST), version 1.1.
OR is defined as confirmed CR or PR as assessed by the investigator per RECIST, version 1.1.
Time frame: Up to 24 Weeks
Number of Participants with Adverse Events (AE)s
An adverse event is defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment.
Time frame: Up to Approximately 6 Years
Secondary
Progression-Free Survival (PFS) as Assessed by the Investigator
Time frame: Up to 22 Months
Duration of Response (DOR) as Assessed by the investigator
Time frame: Up to 14 Months
Overall Survival (OS)
Time frame: Up to Approximately 6 Years
Disease Control (DC) as Assessed by the Investigator
Time frame: Up to Approximately 6 Years
Eligibility criteria
Study locations (13)
City of Hope National Medical Center /ID# 270255
Duarte, California, 91010
UCLA - Santa Monica /ID# 270621
Santa Monica, California, 90404
Yale New Haven Hospital /ID# 270565
New Haven, Connecticut, 06510
University of Chicago Medical Center /ID# 271688
Chicago, Illinois, 60637
Hope And Healing Cancer Services /ID# 271562
Hinsdale, Illinois, 60521
Dana-Farber Cancer Institute /ID# 270624
Boston, Massachusetts, 02215
Saint Lukes Hospital of Kansas City /ID# 270633
Kansas City, Missouri, 64111
Nebraska Cancer Specialists - Omaha - Wright Street /ID# 271646
Omaha, Nebraska, 68130
University of North Carolina Medical Center /ID# 267786
Chapel Hill, North Carolina, 27514
Oncology Hematology Care - Eastgate /ID# 271493
Cincinnati, Ohio, 45245
Texas Oncology - Austin Midtown /ID# 271354
Austin, Texas, 78705
Texas Oncology - Deke Slayton Cancer Center /ID# 271355
Webster, Texas, 77598
Virginia Cancer Specialists - Fairfax /ID# 271351
Fairfax, Virginia, 22031