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Sym004 vs Standard of Care in Subjects With Metastatic Colorectal Cancer

Primary Purpose

Metastatic Colorectal Cancer

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Sym004 (12 mg/kg)
Sym004 (9/6 mg/kg)
Best Supportive Care (BSC)
Fluorouracil (5-FU)
Capecitabine
Sponsored by
Symphogen A/S
About
Eligibility
Locations
Arms
Outcomes
Full info

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

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

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

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

Arm A: Sym004 (12 mg/kg)

Arm B: Sym004 (9/6 mg/kg)

Arm C: Investigator's Choice

Arm Description

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.

Outcomes

Primary Outcome Measures

Overall Survival (OS) Time
OS based on product-limit (Kaplan-Meier) estimates. Confidence intervals for the median are calculated according to Brookmeyer and Crowley. If a subject had not died, survival time was censored at the last date the subject was known to be alive.

Secondary Outcome Measures

Best Overall Response (OR) According to the Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST v1.1)
Tumor assessments were done via computed tomography (CT) or magnetic resonance imaging (MRI) scans and evaluated per RECIST v1.1. The assessment for measurable disease during screening (within 14 days prior to Day 1) acts as the baseline assessment. Best OR was summarized for each treatment group by means of counts and percentages for the following categories: Complete Response (CR: disappearance of all target lesions), Partial Response (PR: at least a 30% decrease in the sum of diameters of target lesions), Progressive Disease (PD: at least a 20% increase in the sum of diameters of target lesions), Stable Disease (SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD) or Not Evaluable (NE).
Progression Free Survival (PFS) Time
PFS based on product-limit (Kaplan-Meier) estimates. Confidence intervals for the median are calculated according to Brookmeyer and Crowley. Death will only be considered as an event if it occurs within 12 weeks after last tumor response assessment without progression.
Time to Treatment Failure (TTF)
TTF based on product-limit (Kaplan-Meier) estimates. Confidence intervals for the median are calculated according to Brookmeyer and Crowley.
Occurrence and Nature of Adverse Events (AEs), as Assessed by the Common Terminology Criteria for AEs (Version 4.03) (CTCAE v4.03).
AEs were coded according to the Medical Dictionary for Regulatory Activities (MedDRA) classification. The incidence and type of AEs (i.e., serious AE [SAE], treatment-emergent AE [TEAE]) were summarized by dose cohort according to MedDRA system organ classes and preferred terms. An AE was considered as treatment-emergent if it occurred during or after the first IMP administration. An AE that occurred before the first IMP administration and worsened thereafter was also considered an AE. Worsening was reported as a new AE.
Relative Dose Intensity of Sym004
Treatment duration (weeks) is calculated as [(last dose date of Sym004 - first dose date of Sym004)+7] / 7 days. Sym004 dose received (mg/kg) is calculated as (total dose administered (mg)/weight (kg)). Dose Intensity is calculated as (cumulative Sym004 dose (mg/kg) / treatment duration (weeks)). Relative Dose Intensity is calculated as (dose intensity / planned dose intensity at randomization)*100. Percentages are based on the number of subjects in the safety analysis set.
Pharmacokinetic (PK) Parameters: Sym004 Concentrations
The Sym004 serum concentration used for the PK evaluation was calculated as the sum of the serum concentrations of the 2 component monoclonal antibodies of Sym004 (futuximab and modotuximab). Trough Concentration (Ctrough) is equivalent to the concentration collected at the pre-dose timepoint. Maximum Concentration (Cmax) is equivalent to the concentration collected at the end of infusion (EOI) timepoint.
Pharmacokinetic (PK) Parameters: Time of Maximum Plasma Concentration (Tmax)
Tmax was defined as the time the PK sample was taken at end of infusion (EOI) relative to the start time of infusion (i.e., time between the start of infusion and the time of the EOI sample). For presentation of individual PK parameters and calculation of mean parameters, half of the lower limit of quantitation (LLOQ) value was used for concentration values below the LLOQ. The Sym004 serum concentration used for the PK evaluation was calculated as the sum of the serum concentrations of the 2 component monoclonal antibodies of Sym004, futuximab and modotuximab.
Host Immune Response: Number of Subjects With Anti-drug Antibodies (ADAs) to Sym004 Over Time
A validated double antigen bridging ELISA was used for screening, confirmation, and titration of patient samples for anti-Sym004 ADA. Using rabbit anti-Sym004 as an ADA control antibody, the lower limit of detection was 54 ng/mL in the absence of Sym004 and 500 ng/mL in the presence of Sym004 at 5 µg/mL The timepoints for ADA sampling were chosen by the original sponsor for this trial. After the trial was transferred to Symphogen A/S, it was determined that not all samples were necessary for analysis. This is why the collection time points specified in the Outcome Measure Time Frame do not match with the Outcome Measure Data Table.
Quality of Life Assessed by the EORTC QLQ-C30 (Version 3)
Scale: European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (Version 3) [QLQ-C30, Version 3]. The QLQ-C30 is a 30-question scale used to assess cancer patients' quality of life based on 15 factors (e.g., global health status, physical functioning, role functioning, etc.). The scale is composed of both multi-item scales and single-item measures. All of the scales and single-item measures range in score from 0 to 100: A high score for a functional scale represents a healthy level of functioning. A high score for the global health status represents a high quality of life. A high score for a symptom scale/item represents a high level of symptomatology (problems).
Quality of Life Assessed by EORTC QLQ-CR29
Scale: European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire - Colorectal Cancer Module (QLQ-CR29). The QLQ-CR29 is a 29-question scale used to assess colorectal cancer patients' quality of life based on 22 factors (e.g., body image, anxiety, weight, etc.). The scale is composed of both multi-item scales and single-item measures. All of the scales and single-item measures range in score from 0 to 100: A high score for a functional scale/item represents an unhealthy level of functioning, with the exception of one (1) scale pertaining to sexual interest (separated by sex). A high score for a symptom scale/item represents a high level of symptomatology (problems).
Quality of Life Assessed by FACT-EGFRI-18 for Skin Rash
Scale: Functional Assessment of Cancer Therapy-Epidermal Growth Factor Receptor Inhibitor 18 (FACT-EGFRI-18). The FACT-EGFRI-18 is an 18-question scale used to assess EGFR-inhibitor-treated cancer patients' quality of life relative to their experience of skin rash based on three (3) multi-item subscales. The subscales combined (i.e., Symptom Index) range in score from 0 to 72. A higher score represents a high level of symptomatology (problems). High scores for all subscales represent a worse outcome: The Physical subscale ranges in score from 0 to 28. The Social/Emotional subscale ranges in score from 0 to 24. The Functional subscale ranges in score from 0 to 20.

Full Information

First Posted
March 7, 2014
Last Updated
April 9, 2019
Sponsor
Symphogen A/S
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1. Study Identification

Unique Protocol Identification Number
NCT02083653
Brief Title
Sym004 vs Standard of Care in Subjects With Metastatic Colorectal Cancer
Official Title
Open-label, Randomized, Controlled, Multicenter Phase II Trial Investigating 2 Sym004 Doses Versus Investigator's Choice (Best Supportive Care, Capecitabine, 5-FU) in Subjects With Metastatic Colorectal Cancer and Acquired Resistance to Anti-EGFR Monoclonal Antibodies
Study Type
Interventional

2. Study Status

Record Verification Date
April 2019
Overall Recruitment Status
Completed
Study Start Date
March 6, 2014 (Actual)
Primary Completion Date
October 24, 2016 (Actual)
Study Completion Date
April 26, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Symphogen A/S

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a Phase 2, open-label, randomized, 3-arm trial investigating the efficacy of two Sym004 doses (Arm A and Arm B) compared with a control group (Arm C) in subjects with metastatic colorectal cancer (mCRC) and acquired resistance to anti-epidermal growth factor receptor (EGFR) monoclonal antibodies (mAbs).
Detailed Description
This trial assesses the efficacy of two different weekly dosing regimens of Sym004 (Arm A: 12 mg/kg/week versus Arm B: 9 mg/kg loading dose followed by 6 mg/kg/week) compared with investigator's choice in terms of overall survival time in subjects with mCRC. Subjects assigned to Arm C will receive best supportive care (BSC), Fluorouracil (5-FU), or Capecitabine, per local standard of care. Subjects will receive treatment until unacceptable toxicity, disease progression, withdrawal of consent, or until the subject meets any of the criteria for treatment discontinuation or trial discontinuation. Therefore, the duration of treatment will differ among individuals and cannot be fixed in advance.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Metastatic Colorectal Cancer
Keywords
Metastatic Colorectal Cancer, Best Supportive Care, Capecitabine, Fluorouracil (5-FU), Sym004

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
254 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Arm A: Sym004 (12 mg/kg)
Arm Type
Experimental
Arm Description
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.
Arm Title
Arm B: Sym004 (9/6 mg/kg)
Arm Type
Experimental
Arm Description
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.
Arm Title
Arm C: Investigator's Choice
Arm Type
Active Comparator
Arm Description
Best supportive care (BSC) or Fluorouracil (5-FU) or Capecitabine will be given as per Investigator's discretion.
Intervention Type
Drug
Intervention Name(s)
Sym004 (12 mg/kg)
Intervention Description
Sym004 is a 1:1 mixture of two mAbs (futuximab and modotuximab) which bind to two non-overlapping epitopes of the EGFR.
Intervention Type
Drug
Intervention Name(s)
Sym004 (9/6 mg/kg)
Intervention Description
Sym004 is a 1:1 mixture of two mAbs (futuximab and modotuximab) which bind to two non-overlapping epitopes of the EGFR.
Intervention Type
Other
Intervention Name(s)
Best Supportive Care (BSC)
Intervention Description
BSC is the best palliative care as per Investigator's discretion, excluding antineoplastic agents. BSC may include, but is not limited to, antibiotics, analgesics, antiemetics, blood transfusions, and nutritional support.
Intervention Type
Drug
Intervention Name(s)
Fluorouracil (5-FU)
Other Intervention Name(s)
Adrucil
Intervention Description
5-FU will be administered at doses and schedules as per Investigator's discretion and in line with the local package insert.
Intervention Type
Drug
Intervention Name(s)
Capecitabine
Other Intervention Name(s)
Xeloda
Intervention Description
Capecitabine will be administered at doses and schedules as per Investigator's discretion and in line with the local package insert.
Primary Outcome Measure Information:
Title
Overall Survival (OS) Time
Description
OS based on product-limit (Kaplan-Meier) estimates. Confidence intervals for the median are calculated according to Brookmeyer and Crowley. If a subject had not died, survival time was censored at the last date the subject was known to be alive.
Time Frame
From randomization until the date of death (assessed up to 32 months).
Secondary Outcome Measure Information:
Title
Best Overall Response (OR) According to the Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST v1.1)
Description
Tumor assessments were done via computed tomography (CT) or magnetic resonance imaging (MRI) scans and evaluated per RECIST v1.1. The assessment for measurable disease during screening (within 14 days prior to Day 1) acts as the baseline assessment. Best OR was summarized for each treatment group by means of counts and percentages for the following categories: Complete Response (CR: disappearance of all target lesions), Partial Response (PR: at least a 30% decrease in the sum of diameters of target lesions), Progressive Disease (PD: at least a 20% increase in the sum of diameters of target lesions), Stable Disease (SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD) or Not Evaluable (NE).
Time Frame
From randomization until first radiological confirmed or clinical progression event, or death due to any cause, within 12 weeks after last tumor assessment (assessed up to 32 months).
Title
Progression Free Survival (PFS) Time
Description
PFS based on product-limit (Kaplan-Meier) estimates. Confidence intervals for the median are calculated according to Brookmeyer and Crowley. Death will only be considered as an event if it occurs within 12 weeks after last tumor response assessment without progression.
Time Frame
From randomization until first event, where an event can be a progression (radiological confirmed or clinical progression) or death due to any cause (assessed up to 32 months).
Title
Time to Treatment Failure (TTF)
Description
TTF based on product-limit (Kaplan-Meier) estimates. Confidence intervals for the median are calculated according to Brookmeyer and Crowley.
Time Frame
From randomization until treatment discontinuation for any reason, including disease progression or death (assessed up to 32 months).
Title
Occurrence and Nature of Adverse Events (AEs), as Assessed by the Common Terminology Criteria for AEs (Version 4.03) (CTCAE v4.03).
Description
AEs were coded according to the Medical Dictionary for Regulatory Activities (MedDRA) classification. The incidence and type of AEs (i.e., serious AE [SAE], treatment-emergent AE [TEAE]) were summarized by dose cohort according to MedDRA system organ classes and preferred terms. An AE was considered as treatment-emergent if it occurred during or after the first IMP administration. An AE that occurred before the first IMP administration and worsened thereafter was also considered an AE. Worsening was reported as a new AE.
Time Frame
From Baseline up to 28 days after the last IMP administration.
Title
Relative Dose Intensity of Sym004
Description
Treatment duration (weeks) is calculated as [(last dose date of Sym004 - first dose date of Sym004)+7] / 7 days. Sym004 dose received (mg/kg) is calculated as (total dose administered (mg)/weight (kg)). Dose Intensity is calculated as (cumulative Sym004 dose (mg/kg) / treatment duration (weeks)). Relative Dose Intensity is calculated as (dose intensity / planned dose intensity at randomization)*100. Percentages are based on the number of subjects in the safety analysis set.
Time Frame
From first dose of study drug until disease progression (assessed up to 32 months).
Title
Pharmacokinetic (PK) Parameters: Sym004 Concentrations
Description
The Sym004 serum concentration used for the PK evaluation was calculated as the sum of the serum concentrations of the 2 component monoclonal antibodies of Sym004 (futuximab and modotuximab). Trough Concentration (Ctrough) is equivalent to the concentration collected at the pre-dose timepoint. Maximum Concentration (Cmax) is equivalent to the concentration collected at the end of infusion (EOI) timepoint.
Time Frame
Weeks 3, 5, and 7 and at the End of Treatment visit, including a Week 1 and Week 2 subset.
Title
Pharmacokinetic (PK) Parameters: Time of Maximum Plasma Concentration (Tmax)
Description
Tmax was defined as the time the PK sample was taken at end of infusion (EOI) relative to the start time of infusion (i.e., time between the start of infusion and the time of the EOI sample). For presentation of individual PK parameters and calculation of mean parameters, half of the lower limit of quantitation (LLOQ) value was used for concentration values below the LLOQ. The Sym004 serum concentration used for the PK evaluation was calculated as the sum of the serum concentrations of the 2 component monoclonal antibodies of Sym004, futuximab and modotuximab.
Time Frame
Day 1 on Weeks 1-3 followed by Week 5 Day 1 and Week 7 Day 1.
Title
Host Immune Response: Number of Subjects With Anti-drug Antibodies (ADAs) to Sym004 Over Time
Description
A validated double antigen bridging ELISA was used for screening, confirmation, and titration of patient samples for anti-Sym004 ADA. Using rabbit anti-Sym004 as an ADA control antibody, the lower limit of detection was 54 ng/mL in the absence of Sym004 and 500 ng/mL in the presence of Sym004 at 5 µg/mL The timepoints for ADA sampling were chosen by the original sponsor for this trial. After the trial was transferred to Symphogen A/S, it was determined that not all samples were necessary for analysis. This is why the collection time points specified in the Outcome Measure Time Frame do not match with the Outcome Measure Data Table.
Time Frame
Every two weeks (Days 15, 29, and 43) followed by every six weeks thereafter (Days 78, 120, 162, etc.) until the End of Treatment Visit
Title
Quality of Life Assessed by the EORTC QLQ-C30 (Version 3)
Description
Scale: European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (Version 3) [QLQ-C30, Version 3]. The QLQ-C30 is a 30-question scale used to assess cancer patients' quality of life based on 15 factors (e.g., global health status, physical functioning, role functioning, etc.). The scale is composed of both multi-item scales and single-item measures. All of the scales and single-item measures range in score from 0 to 100: A high score for a functional scale represents a healthy level of functioning. A high score for the global health status represents a high quality of life. A high score for a symptom scale/item represents a high level of symptomatology (problems).
Time Frame
Assessed every 6 weeks (week 1 and week 7 reported)
Title
Quality of Life Assessed by EORTC QLQ-CR29
Description
Scale: European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire - Colorectal Cancer Module (QLQ-CR29). The QLQ-CR29 is a 29-question scale used to assess colorectal cancer patients' quality of life based on 22 factors (e.g., body image, anxiety, weight, etc.). The scale is composed of both multi-item scales and single-item measures. All of the scales and single-item measures range in score from 0 to 100: A high score for a functional scale/item represents an unhealthy level of functioning, with the exception of one (1) scale pertaining to sexual interest (separated by sex). A high score for a symptom scale/item represents a high level of symptomatology (problems).
Time Frame
Assessed every 6 weeks (week 1 and week 7 reported)
Title
Quality of Life Assessed by FACT-EGFRI-18 for Skin Rash
Description
Scale: Functional Assessment of Cancer Therapy-Epidermal Growth Factor Receptor Inhibitor 18 (FACT-EGFRI-18). The FACT-EGFRI-18 is an 18-question scale used to assess EGFR-inhibitor-treated cancer patients' quality of life relative to their experience of skin rash based on three (3) multi-item subscales. The subscales combined (i.e., Symptom Index) range in score from 0 to 72. A higher score represents a high level of symptomatology (problems). High scores for all subscales represent a worse outcome: The Physical subscale ranges in score from 0 to 28. The Social/Emotional subscale ranges in score from 0 to 24. The Functional subscale ranges in score from 0 to 20.
Time Frame
Assessed every 3 weeks (week 1 and week 4 reported)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
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
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Josep Tabernero, MD, PhD
Organizational Affiliation
Vall d'Hebron University Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
USC Norris Comprehensive Cancer Center
City
Los Angeles
State/Province
California
ZIP/Postal Code
90033
Country
United States
Facility Name
Sharp Memorial Hospital
City
San Diego
State/Province
California
ZIP/Postal Code
92123
Country
United States
Facility Name
Florida Cancer Specialists-Broadway
City
Fort Myers
State/Province
Florida
ZIP/Postal Code
33916
Country
United States
Facility Name
Hematology - Oncology Associates of Treasure Coast
City
Port Saint Lucie
State/Province
Florida
ZIP/Postal Code
34952
Country
United States
Facility Name
Florida Cancer Specialists
City
Saint Petersburg
State/Province
Florida
ZIP/Postal Code
33705
Country
United States
Facility Name
Washington University School of Medicine
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States
Facility Name
Mercy Research
City
Springfield
State/Province
Missouri
ZIP/Postal Code
65807
Country
United States
Facility Name
Comprehensive Cancer Centers of Nevada
City
Henderson
State/Province
Nevada
ZIP/Postal Code
89074
Country
United States
Facility Name
Texas Oncology, P.A.
City
Tyler
State/Province
Texas
ZIP/Postal Code
75702
Country
United States
Facility Name
SMZ Süd - Kaiser Franz Josef Spital Wien
City
Wien
ZIP/Postal Code
1100
Country
Austria
Facility Name
ULB Hôpital Erasme
City
Bruxelles
ZIP/Postal Code
1070
Country
Belgium
Facility Name
Cliniques Universitaires Saint-Luc
City
Bruxelles
ZIP/Postal Code
1200
Country
Belgium
Facility Name
Universitair Ziekenhuis Gent
City
Gent
ZIP/Postal Code
9000
Country
Belgium
Facility Name
UZ Leuven
City
Leuven
ZIP/Postal Code
3000
Country
Belgium
Facility Name
CHU Ambroise Paré
City
Mons
ZIP/Postal Code
7000
Country
Belgium
Facility Name
Clinique et Maternité Sainte-Elisabeth
City
Namur
ZIP/Postal Code
5000
Country
Belgium
Facility Name
CHU Mont-Godinne
City
Yvoir
ZIP/Postal Code
5530
Country
Belgium
Facility Name
ICO - Site Paul Papin
City
Angers Cedex 9
ZIP/Postal Code
49933
Country
France
Facility Name
Institut Sainte Catherine
City
Avignon
ZIP/Postal Code
84000
Country
France
Facility Name
Groupe Hospitalier Saint André - Hôpital Saint André
City
Bordeaux Cedex
ZIP/Postal Code
33075
Country
France
Facility Name
Centre Georges François Leclerc
City
Dijon Cedex
ZIP/Postal Code
21079
Country
France
Facility Name
Centre Léon Bérard
City
Lyon
ZIP/Postal Code
69008
Country
France
Facility Name
CRLCC Eugene Marquis
City
Rennes Cedex
ZIP/Postal Code
35042
Country
France
Facility Name
ICO - Site René Gauducheau
City
Saint Herblain
ZIP/Postal Code
44805
Country
France
Facility Name
CHU de Toulouse - Hôpital Rangueil
City
Toulouse Cedex 9
ZIP/Postal Code
31059
Country
France
Facility Name
Universitaetsklinikum Carl Gustav Carus TU Dresden
City
Dresden
ZIP/Postal Code
01307
Country
Germany
Facility Name
Klinikum der Johann Wolfgang Goethe-Universitaet
City
Frankfurt
ZIP/Postal Code
60590
Country
Germany
Facility Name
Uzsoki Utcai Korhaz
City
Budapest
ZIP/Postal Code
1145
Country
Hungary
Facility Name
Borsod-Abauj-Zemplen Megyei Korhaz es Egyetemi Oktato Korhaz
City
Miskolc
ZIP/Postal Code
3526
Country
Hungary
Facility Name
SzSzB Megyei Korhazak es Egyetemi Oktatokorhaz
City
Nyiregyhaza
ZIP/Postal Code
4400
Country
Hungary
Facility Name
Jasz-Nagykun-Szolnok Megyei Korhaz-Rendelointezet
City
Szolnok
ZIP/Postal Code
5000
Country
Hungary
Facility Name
Azienda Ospedaliero Universitaria Ospedali Riuniti
City
Ancona
ZIP/Postal Code
60126
Country
Italy
Facility Name
Azienda Ospedaliero Universitaria San Martino
City
Genova
ZIP/Postal Code
16132
Country
Italy
Facility Name
Azienda Ospedaliera Ospedale Niguarda Ca' Granda
City
Milano
ZIP/Postal Code
20162
Country
Italy
Facility Name
Seconda Università degli Studi di Napoli
City
Napoli
ZIP/Postal Code
80138
Country
Italy
Facility Name
IOV - Istituto Oncologico Veneto IRCCS
City
Padova
ZIP/Postal Code
35128
Country
Italy
Facility Name
Azienda Ospedaliero Universitaria Pisana
City
Pisa
ZIP/Postal Code
56126
Country
Italy
Facility Name
Policlinico Universitario Agostino Gemelli
City
Roma
ZIP/Postal Code
00168
Country
Italy
Facility Name
Presidio Ospedaliero SS. Trinità Sora
City
Sora
ZIP/Postal Code
03039
Country
Italy
Facility Name
Azienda Ospedaliera S. Maria Di Terni
City
Terni
ZIP/Postal Code
05100
Country
Italy
Facility Name
SPZOZ MSW zWarmińsko-MazurskimCen.Onko.wOlsztynie
City
Olsztyn
ZIP/Postal Code
10-228
Country
Poland
Facility Name
Wielkopolskie Centrum Onkologii
City
Poznan
ZIP/Postal Code
61-866
Country
Poland
Facility Name
Wojewodzki Szpital Zespolony im. L. Rydygiera w Toruniu
City
Torun
ZIP/Postal Code
87-100
Country
Poland
Facility Name
Centrum Onkologii-Instytut im. M. Sklodowskiej Curie
City
Warszawa
ZIP/Postal Code
02-781
Country
Poland
Facility Name
BHI of Omsk region "Clinical Oncology Dispensary"
City
Omsk
ZIP/Postal Code
644013
Country
Russian Federation
Facility Name
St. Petersburg SHI "City Clinical Oncology Dispensary"
City
St. Petersburg
ZIP/Postal Code
197022
Country
Russian Federation
Facility Name
Hospital del Mar
City
Barcelona
ZIP/Postal Code
08003
Country
Spain
Facility Name
Hospital Universitari Vall d'Hebron
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
Facility Name
Hospital Clinic i Provincial de Barcelona
City
Barcelona
ZIP/Postal Code
08036
Country
Spain
Facility Name
ICO l´Hospitalet - Hospital Duran i Reynals
City
Barcelona
ZIP/Postal Code
08908
Country
Spain
Facility Name
Hospital General Universitario Gregorio Marañon
City
Madrid
ZIP/Postal Code
28007
Country
Spain
Facility Name
Centro Integral Oncologico Clara Campal
City
Madrid
ZIP/Postal Code
28050
Country
Spain
Facility Name
Hospital Universitario Central de Asturias
City
Oviedo
ZIP/Postal Code
33006
Country
Spain
Facility Name
Hospital Universitario Virgen del Rocio
City
Sevilla
ZIP/Postal Code
41013
Country
Spain

12. IPD Sharing Statement

Plan to Share IPD
Undecided
Citations:
PubMed Identifier
8433390
Citation
Aaronson NK, Ahmedzai S, Bergman B, Bullinger M, Cull A, Duez NJ, Filiberti A, Flechtner H, Fleishman SB, de Haes JC, et al. The European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst. 1993 Mar 3;85(5):365-76. doi: 10.1093/jnci/85.5.365.
Results Reference
background
Citation
Fayers PM, Aaronson NK, Bjordal K, Groenvold M, Curran D, Bottomley A, on behalf of the EORTC Quality of Life Group. The EORTC QLQ-C30 Scoring Manual (3rd Edition). Published by: European Organisation for Research and Treatment of Cancer, Brussels 2001.
Results Reference
background

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Sym004 vs Standard of Care in Subjects With Metastatic Colorectal Cancer

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