Sym004 vs Standard of Care in Subjects With Metastatic Colorectal Cancer
Metastatic Colorectal Cancer
About this trial
This is an interventional treatment trial for Metastatic Colorectal Cancer focused on measuring Metastatic Colorectal Cancer, Best Supportive Care, Capecitabine, Fluorouracil (5-FU), Sym004
Eligibility Criteria
Inclusion Criteria:
- Written informed consent obtained before undergoing any study-related activities
- Male or female, at least 18 years of age
- Subjects with histologically or cytologically confirmed mCRC, Kirsten rat sarcoma wild-type (KRAS WT) at initial diagnosis
- Failure of or intolerance to 5-FU, Oxaliplatin, and Irinotecan
- Acquired resistance to marketed anti-EGFR mAbs as defined in the protocol
- Measurable disease defined as one or more target lesions according to RECIST
- Life expectancy of at least 3 months
- Eastern Cooperative Oncology Group (ECOG) performance status less than or equal to 1
- Other protocol defined inclusion criteria could apply
Exclusion Criteria:
- Pretreatment with regorafenib.
- Subjects who in the opinion of the subject and investigator would benefit more from regorafenib treatment (except where regorafenib is not reimbursed in the country)
- Skin rash Common Terminology Criteria for AEs (CTCAE) Grade greater than 1 from previous anti-EGFR therapy at time of randomization
- Magnesium less than 0.9 milligram per deciliter (mg/dL)
- Known hypersensitivity to any of the treatment ingredients. Known previous Grade 3-4 infusion related reactions with anti-EGFR mABs
- Other protocol defined exclusion criteria could apply
Sites / Locations
- USC Norris Comprehensive Cancer Center
- Sharp Memorial Hospital
- Florida Cancer Specialists-Broadway
- Hematology - Oncology Associates of Treasure Coast
- Florida Cancer Specialists
- Washington University School of Medicine
- Mercy Research
- Comprehensive Cancer Centers of Nevada
- Texas Oncology, P.A.
- SMZ Süd - Kaiser Franz Josef Spital Wien
- ULB Hôpital Erasme
- Cliniques Universitaires Saint-Luc
- Universitair Ziekenhuis Gent
- UZ Leuven
- CHU Ambroise Paré
- Clinique et Maternité Sainte-Elisabeth
- CHU Mont-Godinne
- ICO - Site Paul Papin
- Institut Sainte Catherine
- Groupe Hospitalier Saint André - Hôpital Saint André
- Centre Georges François Leclerc
- Centre Léon Bérard
- CRLCC Eugene Marquis
- ICO - Site René Gauducheau
- CHU de Toulouse - Hôpital Rangueil
- Universitaetsklinikum Carl Gustav Carus TU Dresden
- Klinikum der Johann Wolfgang Goethe-Universitaet
- Uzsoki Utcai Korhaz
- Borsod-Abauj-Zemplen Megyei Korhaz es Egyetemi Oktato Korhaz
- SzSzB Megyei Korhazak es Egyetemi Oktatokorhaz
- Jasz-Nagykun-Szolnok Megyei Korhaz-Rendelointezet
- Azienda Ospedaliero Universitaria Ospedali Riuniti
- Azienda Ospedaliero Universitaria San Martino
- Azienda Ospedaliera Ospedale Niguarda Ca' Granda
- Seconda Università degli Studi di Napoli
- IOV - Istituto Oncologico Veneto IRCCS
- Azienda Ospedaliero Universitaria Pisana
- Policlinico Universitario Agostino Gemelli
- Presidio Ospedaliero SS. Trinità Sora
- Azienda Ospedaliera S. Maria Di Terni
- SPZOZ MSW zWarmińsko-MazurskimCen.Onko.wOlsztynie
- Wielkopolskie Centrum Onkologii
- Wojewodzki Szpital Zespolony im. L. Rydygiera w Toruniu
- Centrum Onkologii-Instytut im. M. Sklodowskiej Curie
- BHI of Omsk region "Clinical Oncology Dispensary"
- St. Petersburg SHI "City Clinical Oncology Dispensary"
- Hospital del Mar
- Hospital Universitari Vall d'Hebron
- Hospital Clinic i Provincial de Barcelona
- ICO l´Hospitalet - Hospital Duran i Reynals
- Hospital General Universitario Gregorio Marañon
- Centro Integral Oncologico Clara Campal
- Hospital Universitario Central de Asturias
- Hospital Universitario Virgen del Rocio
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Active Comparator
Arm A: Sym004 (12 mg/kg)
Arm B: Sym004 (9/6 mg/kg)
Arm C: Investigator's Choice
Sym004 will be administered as an intravenous infusion at a dose of 12 milligrams per kilogram (mg/kg) weekly until unacceptable toxicity, disease progression, or consent withdrawal.
Sym004 will be administered as an intravenous infusion at a loading dose of 9 mg/kg followed by 6 mg/kg weekly until unacceptable toxicity, disease progression, or consent withdrawal.
Best supportive care (BSC) or Fluorouracil (5-FU) or Capecitabine will be given as per Investigator's discretion.