NCT01925274

Brief Summary

This study will investigate whether the combination of PF-05212384 plus Irinotecan improves progression free survival in patients with KRAS and NRAS wild type metastatic colorectal cancer when compared with the combination of cetuximab plus Irinotecan. A Japanese Lead in Cohort will assess the safety of the combination of PF-05212384 + irinotecan in patients enrolled at Japanese sites.

Trial Health

60
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
19

participants targeted

Target at below P25 for phase_2

Timeline
Completed

Started Nov 2013

Geographic Reach
4 countries

32 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 15, 2013

Completed
4 days until next milestone

First Posted

Study publicly available on registry

August 19, 2013

Completed
3 months until next milestone

Study Start

First participant enrolled

November 15, 2013

Completed
2.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 6, 2016

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 6, 2016

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

April 27, 2017

Completed
Last Updated

January 8, 2019

Status Verified

December 1, 2018

Enrollment Period

2.4 years

First QC Date

August 15, 2013

Results QC Date

January 9, 2017

Last Update Submit

December 19, 2018

Conditions

Keywords

metastatic colorectal cancercolorectal cancerKRAScolon cancermCRCCRCPF-05212384KRAS wild type colorectal canceririnotecancetuximabNRAS

Outcome Measures

Primary Outcomes (1)

  • Progression Free Survival (PFS) as Assessed by Investigators

    Progression-free survival (PFS) was the time from the first dose of study treatment to the first documentation of objective tumor progression or death due to any cause, whichever occurred first. Objective progression was defined as 20% increase in the sum of diameters of target measurable lesions above the smallest sum observed (over baseline if no decrease in the sum was observed during therapy), with a minimum absolute increase of 5 mm. Median PFS was estimated based on the Kaplan-Meier method.

    From date of first dose until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 2 years

Secondary Outcomes (30)

  • Number of Participants With Unacceptable Toxicity in Cycle 1 (Japanese LIC Only)

    28 days

  • Percentage of Participants With Objective Response

    2 years

  • Duration of Response

    2 years

  • Overall Survival (OS)

    2 years

  • Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)

    Administration of the first dose of study drug through 28 calendar days after the last administration of study drug

  • +25 more secondary outcomes

Study Arms (2)

Arm A

EXPERIMENTAL

PF-05212384 plus Irinotecan

Drug: PF-05212384Drug: irinotecan

Arm B

ACTIVE COMPARATOR

Cetuximab plus Irinotecan

Drug: CetuximabDrug: Irinotecan

Interventions

30 minute IV infusion of PF-05212384 on days 2, 9, 16 and 23 of each cycle. Intra-patient dose escalation will commence with 110mg and will increase depending on tolerability.

Also known as: PKI-587
Arm A

90 minutes IV infusion of irinotecan 180mg/m\^2 on days 1 and 15 of each cycle

Also known as: Camptosar, Campto, CPT-11
Arm A

120 minute IV infusion of cetuximab 400mg/m\^2 on cycle 1 day 1; 60 minute IV infusion of cetuximab on days 8, 15, and 22 of each cycle, and on day 1 of each cycle after cycle 1

Also known as: Erbitux
Arm B

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • KRAS and NRAS wild type metastatic colorectal cancer
  • Progression following treatment for colorectal cancer with irinotecan, oxaliplatin and fluoropyrimidine therapy in the metastatic setting.
  • Eastern Cooperative Oncology Group \[ECOG\] Performance Status of 0, 1, or 2
  • At least one measurable lesion by Response Evaluation Criterion in Solid Tumors \[RECIST\]

You may not qualify if:

  • More than 2 prior cytotoxic chemotherapy regimens for metastatic colorectal cancer.
  • Prior treatment with a PI3K, mTOR, AKT or EGFR inhibitor
  • Patients who have discontinued treatment with prior irinotecan therapy due to toxicity.
  • Prior radiation to the pelvis or abdomen
  • Patients with history of interstitial lung disease.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (32)

CBCC Global Research, Inc. at Comprehensive Blood and Cancer Center

Bakersfield, California, 93309, United States

Location

Drug Management Only: UCLA West Medical Pharmacy, Att: Steven L Wong, Pharm D

Los Angeles, California, 90095-7349, United States

Location

Drug Management Only: UCLA West Medical Pharmacy

Los Angeles, California, 90095-7349, United States

Location

UCLA West Medical Pharmacy

Los Angeles, California, 90095-7349, United States

Location

Regulatory Management Only: TRIO-US Central Administration

Los Angeles, California, 90095, United States

Location

TRIO-US Central Administration (Regulatory Management only)

Los Angeles, California, 90095, United States

Location

TRIO_US

Los Angeles, California, 90095, United States

Location

West Valley Hematology/Oncology Med Group

Northridge, California, 91328, United States

Location

Siteman Cancer Center - St Peters

City of Saint Peters, Missouri, 63376, United States

Location

Siteman Cancer Center - West County

Creve Coeur, Missouri, 63141, United States

Location

Barnes-Jewish Hospital

St Louis, Missouri, 63110, United States

Location

Washington University School of Medicine

St Louis, Missouri, 63110, United States

Location

Siteman Cancer Center - South County

St Louis, Missouri, 63129, United States

Location

Regulatory Office: Comprehensive Cancer Centers of Nevada

Henderson, Nevada, 89014, United States

Location

Comprehensive Cancer Centers of Nevada

Henderson, Nevada, 89052, United States

Location

Comprehensive Cancer Centers of Nevada

Henderson, Nevada, 89074, United States

Location

Comprehensive Cancer Centers of Nevada

Las Vegas, Nevada, 89128, United States

Location

Comprehensive Cancer Centers of Nevada

Las Vegas, Nevada, 89148, United States

Location

Comprehensive Cancer Centers of Nevada

Las Vegas, Nevada, 89169, United States

Location

Roswell Park Cancer Institute

Buffalo, New York, 14263, United States

Location

Kadlec Clinic Hematology and Oncology

Kennewick, Washington, 99336, United States

Location

Kadlec Medical Center

Richland, Washington, 99352, United States

Location

Outpatient Imaging Center

Richland, Washington, 99352, United States

Location

Medical Oncology Associates, PS

Spokane, Washington, 99208, United States

Location

Spokane Valley Cancer Center

Spokane Valley, Washington, 99216, United States

Location

Aichi cancer center central hospital

Nagoya, Aichi-ken, 464-8681, Japan

Location

National Cancer Center Hospital East

Kashiwa, Chiba, 277-8577, Japan

Location

National Cancer Center

Goyang-si, Gyeonggi-do, 410-769, South Korea

Location

Seoul National University Hospital / Department of Internal Medicine

Seoul, 110-744, South Korea

Location

Samsung Medical Center

Seoul, 135-710, South Korea

Location

Asan Medical Center

Seoul, 138-736, South Korea

Location

Hospital General Universitario Gregorio Marañón

Madrid, 28009, Spain

Location

Related Links

MeSH Terms

Conditions

Colorectal NeoplasmsColonic Neoplasms

Interventions

gedatolisibIrinotecanCetuximab

Condition Hierarchy (Ancestors)

Intestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesColonic DiseasesIntestinal DiseasesRectal Diseases

Intervention Hierarchy (Ancestors)

CamptothecinAlkaloidsHeterocyclic CompoundsAntibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulins

Limitations and Caveats

This study was terminated by sponsor due to strategic reasons and not due to any safety or efficacy concerns with treatment of PF-05212384.

Results Point of Contact

Title
Pfizer ClinicalTrials.gov Call Center
Organization
Pfizer, Inc.

Study Officials

  • Pfizer CT.gov Call Center

    Pfizer

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 15, 2013

First Posted

August 19, 2013

Study Start

November 15, 2013

Primary Completion

April 6, 2016

Study Completion

April 6, 2016

Last Updated

January 8, 2019

Results First Posted

April 27, 2017

Record last verified: 2018-12

Data Sharing

IPD Sharing
Will share

Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.

More information

Locations