Phase Ib/II Study of Efficacy and Safety of MEK162 and Panitumumab, in Adult mCRC Patients With Mutant or Wild-type RAS Tumors
Metastatic Colorectal Cancer
About this trial
This is an interventional other trial for Metastatic Colorectal Cancer focused on measuring MEK162,, panitumumab,, mutant RAS,, wild-type RAS,, metastatic colorectal cancer,, adult mCRC patient
Eligibility Criteria
Inclusion Criteria:
- Age ≥ 18 years
- Metastatic colorectal cancer
- Progression on or following standard therapy, or no standard therapy (phase Ib). Progression on or following at least 2-prior fluoropyrimidine-containing chemotherapy regimens (phase II)
- Written documentation of mutant or wild-type RAS
- Life expectancy ≥ 3 months
- ECOG performance status ≤ 2
Exclusion Criteria:
Phase II arms 1 and 4 only: previous treatment with cetuximab, panitumumab, and/or other EGFR inhibitors
- Previous treatment with MEK-inhibitors
- History of severe infusion reactions to monoclonal antibodies.
- Symptomatic or untreated leptomeningeal disease
- Symptomatic brain metastasis
- Current evidence of retinal disease; history of CSR, RVO or ophthalmopathy as assessed by ophthalmologic examination at baseline that would be considered a risk factor for CSR/RVO and history of keratitis.
- Acute or chronic pancreatitis
- Clinically significant cardiac disease
- Not adequate hematologic, renal and hepatic function
Sites / Locations
- University of California at Los Angeles Dept of Onc
- Memorial Sloan Kettering Cancer Center Oncology Dept
- Pfizer Investigative Site
- Pfizer Investigative Site
- Pfizer Investigative Site
- Pfizer Investigative Site
- Pfizer Investigative Site
- Pfizer Investigative Site
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Experimental
Experimental
Experimental
Experimental
Experimental
Phase Ib: Dose escalation
Phase II: Patients with mutant RAS mCRC
Phase II: Patients with acquired mutant RAS mCRC
Phase II: Patients with WT RAS mCRC (pretreated)
Phase II: Patients with WT RAS mCRC (not pretreated)
Phase Ib: Dose escalation.
Patients with mutant RAS mCRC who have not been pretreated with an EGFR inhibitor (EGFRi), including EGFR tyrosine kinase inhibitor therapy and/or anti-EGFR monoclonal antibody therapy.
Patients with acquired mutant RAS mCRC who have been pretreated with anti-EGFR monoclonal antibody therapy, but have not been pre-treated with EGFR tyrosine kinase inhibitor therapy.
Patients with WT RAS mCRC who have been pretreated with an EGFRi, including EGFR tyrosine kinase inhibitor therapy and/or anti-EGFR monoclonal antibody therapy.
Patients with WT RAS mCRC who have not been pretreated with an EGFRi, including EGFR tyrosine kinase inhibitor therapy and/or anti-EGFR monoclonal antibody therapy.