Regorafenib, With Cetuximab or Panitumumab, for the Treatment of Unresectable, Locally Advanced, … (NCT04117945) | Clinical Trial Compass
Active — Not RecruitingPhase 2
Regorafenib, With Cetuximab or Panitumumab, for the Treatment of Unresectable, Locally Advanced, or Metastatic Colorectal Cancer
United States22 participantsStarted 2020-03-03
Plain-language summary
This phase II trial how well regorafenib and anti-EGFR therapy (cetuximab or panitumumab) works for the treatment of patients with colorectal cancer that cannot be removed by surgery (unresectable), has spread to nearby tissue or lymph nodes (locally advanced), or has spread to other places in the body (metastatic). Regorafenib may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Monoclonal antibodies, such as cetuximab or panitumumab, may interfere with the ability of cancer cells to grow and spread. Drugs used in chemotherapy, such as irinotecan, work in different ways to stop the growth of cancer cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. The purpose of this research study is to compare the effects, good and/or bad, of taking regorafenib follow by cetuximab or panitumumab, to those that receive cetuximab or panitumumab before regorafenib.
Who can participate
Age range18 Years
SexALL
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Inclusion Criteria:
* Histologically proven, unresectable distant metastatic or locally advanced colorectal adenocarcinoma
* KRAS, NRAS wild type
* BRAF v600E wildtype
* Measurable disease
* Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0, 1, or 2
* Life expectancy of \>= 3 months per estimation of treating physician
* Absolute neutrophil count (ANC) \>= 1200/mm\^3 (obtained =\< 7 days prior to randomization)
* Platelet count \>= 75,000/mm\^3 (obtained =\< 7 days prior to randomization)
* Hemoglobin \>= 9.0 g/dL (obtained =\< 7 days prior to randomization)
* Total bilirubin =\< 1.5 x upper limit of normal (ULN) (obtained =\< 7 days prior to randomization)
* Alanine aminotransferase (ALT) and aspartate amino-transferase (AST) =\< 2.5 x ULN (=\< 5 x ULN for subjects with liver involvement of their cancer) (obtained =\< 7 days prior to randomization)
* Serum creatinine =\< 1.5 x ULN (obtained =\< 7 days prior to randomization)
* International normalized ratio (INR)/partial thromboplastin time (PTT) =\< 1.5 x ULN (obtained =\< 7 days prior to randomization)
* NOTE: Patients who are therapeutically treated with an agent such as warfarin or heparin will be allowed to participate provided that no prior evidence of underlying abnormality in coagulation parameters exists. Close monitoring of at least weekly evaluations will be performed until INR/PTT is stable based on a measurement that is pre-dose as defined by the local standard of care
* Alkaline phosphatas…
What they're measuring
1
Overall Survival (OS)
Timeframe: 20 months
Trial details
NCT IDNCT04117945
SponsorAcademic and Community Cancer Research United