About this trial
The aim of this study is to determine the activity of encorafenib plus cetuximab in combination with FOLFIRI in patients with BRAF V600E mutated metastatic colorectal cancer progressing on encorafenib plus cetuximab administered in second line.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
written informed consent to study procedures;
age ≥ 18 years;
histologically or cytologically confirmed diagnosis of colorectal adenocarcinoma;
radiological evidence of metastatic disease;
Disqualifiers
patients experiencing PD as best response to EC;
patients with specific BRAFi/AntiEGFR contraindications;
patients with specific irinotecan or fluoropyrimidines contraindications;
patients with DPYD deficiency;
Trial design
Single group
Treatments tested in this trial
encorafenib + cetuximab + FOLFIRI
Drugencorafenib plus cetuximab beyond progression in combination with irinotecan-based doublet chemoterapy (FOLFIRI) as follows: * encorafenib 300 mg (75 mgx4 hard capsules) orally once daily; * cetuximab 500 mg/sqm iv every 14 days; * FOLFIRI iv every 14 days (Irinotecan 180 mg/sqm, Folinic Acid 400 mg/sqm, 5Fluorouracil 400 mg/sqm iv bolus and 2400 mg/sqm iv continuous infusion over 46-48 hours).
Treatment groups
Trial outcomes
Primary outcomes
6-month Progression Free Survival rate
The proportion of patients alive and progression-free by the 6-month time point from start of investigational treatment (encorafenib plus cetuximab beyond progression in combination with FOLFIRI). Progression free survival is defined as the time elapsed between start of investigational treatment and the date of first event (progression or death, whichever occurs first).
Secondary outcomes
Progression Free Survival (PFS)
Time elapsed from start of investigational treatment to the documentation of investigator-assessed disease progression, according to RECIST 1.1, or death due to any cause, whichever occurs first.
Overall Survival (OS)
Time elapsed from start of investigational treatment to the date of death due to any cause.
Duration of response (DOR)
Time from response, in patients who achieve partial response (PR) or complete response (CR), to disease progression or death.
Overall Response Rate (ORR)
Percentage of patients who achieve PR or CR as measured by RECIST 1.1 criteria.
Sponsors and contacts
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Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Lead sponsor
Pierre Fabre Pharma GmbH
Collaborator