Clinical Trials /

A Study of BBI608 in Adult Patients With Advanced Colorectal Cancer

NCT01776307

Description:

This is an open label, multi-center, Phase 2 study of BBI608 in combination with cetuximab, panitumumab or capecitabine in patients with advanced colorectal cancer.

Related Conditions:
  • Colorectal Carcinoma
Recruiting Status:

Completed

Phase:

Phase 2

Trial Eligibility

Document

Title

  • Brief Title: A Study of BBI608 in Adult Patients With Advanced Colorectal Cancer
  • Official Title: A Phase II Clinical Study of BBI608 in Adult Patients With Advanced Colorectal Cancer

Clinical Trial IDs

  • ORG STUDY ID: BBI608-224
  • NCT ID: NCT01776307

Conditions

  • Colorectal Cancer

Interventions

DrugSynonymsArms
BBI608Napabucasin, BB608, BBI-608BBI608 in combination with capecitabine
PanitumumabVectibixBBI608 in combination with panitumumab
CapecitabineXelodaBBI608 in combination with capecitabine
CetuximabErbituxBBI608 in combination with cetuximab

Purpose

This is an open label, multi-center, Phase 2 study of BBI608 in combination with cetuximab, panitumumab or capecitabine in patients with advanced colorectal cancer.

Detailed Description

      This is an open label, multi-center, Phase 2 study of BBI608 administered in combination with
      either cetuximab, or panitumumab, or capecitabine. A cycle will consist of daily and
      continuous oral administration of BBI608 for four weeks in combination with either cetuximab,
      or panitumumab, or capecitabine.
    

Trial Arms

NameTypeDescriptionInterventions
BBI608 in combination with cetuximabExperimental
  • BBI608
  • Cetuximab
BBI608 in combination with panitumumabExperimental
  • BBI608
  • Panitumumab
BBI608 in combination with capecitabineExperimental
  • BBI608
  • Capecitabine

Eligibility Criteria

        Inclusion Criteria:

          -  Signed written informed consent must be obtained and documented according to
             International Conference on Harmonization (ICH), Good Clinical Practice(GCP), the
             local regulatory requirements, and permission to use private health information in
             accordance with the Health Insurance Portability and Accountability Act (HIPPA) prior
             to study-specific screening procedures.

          -  A histologically or cytologically confirmed colorectal cancer that is metastatic,
             unresectable, or recurrent.

          -  Patients must have received at least 2 regimens containing 5-Fluorouracil,oxaliplatin,
             or irinotecan.

          -  Patients to be enrolled in the Cetuximab or Panitumumab combination arms must have
             colorectal cancer which is K-Ras wild-type.

          -  ≥ 18 years of age.

          -  Measurable disease as defined by Response Evaluation Criteria in Solid Tumors (RECIST
             1.1).

          -  Karnofsky performance Status ≥ 70%

          -  Male or female patients of child-producing potential must agree to use contraception
             or avoidance of pregnancy measures during the study and for 30 days after the last
             BBI608 dose.

          -  Females of childbearing potential must have a negative serum pregnancy test.

          -  Aspartate transaminase (AST) and alanine transaminase (ALT) ≤1.5 × upper limit of
             normal(ULN), or ≤ 2.5 × ULN with metastatic liver disease.

          -  Hemoglobin (Hgb) ≥ 10 g/dl.

          -  Total bilirubin ≤ 1.5 × ULN.

          -  Creatinine ≤ 1.5 × ULN or creatinine clearance > 60 mL/min/1.73 m^2 for patients with
             creatinine levels above institutional normal.

          -  Absolute neutrophil count ≥ 1.5 x 10^9/L.

          -  Platelets ≥ 100 x 10^9/L.

          -  Life expectancy ≥ 3 months.

        Exclusion Criteria:

          -  Anti-cancer chemotherapy, radiotherapy, immunotherapy, or investigational agents
             within four weeks of first dose with the exception for a single dose radiation up to 8
             Gray (equal to 800 RAD) with palliative intent for pain control up to 14 days before
             beginning the administration of BBI608.

          -  Surgery within 4 weeks prior to first dose.

          -  Any known symptomatic brain metastases requiring steroids. Patients with treated brain
             metastases must be stable for 4 weeks after completion of that treatment, with image
             documentation required. Patients must have no clinical symptoms from brain metastases
             and must be either off steroids or on a stable dose of steroids for at least 2 weeks
             prior to protocol enrollment. Patients with known leptomeningeal metastases are
             excluded, even if treated.

          -  Pregnant or breastfeeding

          -  Significant gastrointestinal disorder(s), in the opinion of the Principal
             Investigator, (e.g., Crohn's disease, ulcerative colitis, extensive gastric and small
             intestine resection)

          -  Unable or unwilling to swallow BBI608 capsules daily.

          -  Uncontrolled intercurrent illness including, but not limited to ongoing or active
             infection, clinically significant non-healing or healing wounds, symptomatic
             congestive heart failure, unstable angina pectoris, cardiac arrhythmia, significant
             pulmonary disease (shortness of breath at rest or mild exertion), uncontrolled
             infection or psychiatric illness/social situations that would limit compliance with
             study requirements.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Disease Control Rate
Time Frame:From the date of first treatment, every 8 weeks, until the date of first documented objective disease progression, up to 24 months
Safety Issue:
Description:Assessment of Disease Control Rate, defined as the proportion of patients with a documented complete response, partial response and stable disease based on RECIST 1.1, in patients with advanced colorectal cancer given napabucasin in combination with cetuximab, panitumumab or capecitabine

Secondary Outcome Measures

Measure:Progression Free Survival
Time Frame:The time from the date of first treatment to the date of first documentation of disease progression or death due to any cause, up to 24 months
Safety Issue:
Description:The effect of napabucasin given in combination with cetuximab, panitumumab or capecitabine on Progression Free Survival (PFS) of patients with advanced colorectal cancer.
Measure:Overall Survival
Time Frame:4 weeks after the patient has been off study treatment, every 3 months thereafter until death, up to 60 months.
Safety Issue:
Description:The effect of napabucasin given in combination with cetuximab, panitumumab or capecitabine on the Overall Survival of patients with advanced colorectal cancer
Measure:Determination of the Maximum Observed Concentration (Cmax) of Napabucasin When Administered 480mg, Twice Daily, on Day 5 of the First Study Cycle
Time Frame:Blood samples drawn on day 5 during the first study cycle
Safety Issue:
Description:To determine the maximum concentration of napabucasin when given at 480mg, twice daily, in combination with cetuximab, panitumumab, or capecitabine in patients with advanced colorectal cancer.
Measure:Determination of the Maximum Observed Concentration (Cmax) of Napabucasin When Administered 480mg, Twice Daily, on Day 21 of the First Study Cycle
Time Frame:Blood samples drawn on day 21 during the first study cycle
Safety Issue:
Description:To determine the maximum concentration of napabucasin when given at 480mg, twice daily, in combination with cetuximab, panitumumab, or capecitabine in patients with advanced colorectal cancer.
Measure:Determination of the Maximum Observed Concentration (Cmax) of Napabucasin When Administered 240mg, Twice Daily, on Day 21 of the First Study Cycle
Time Frame:Blood samples drawn on day 21 during the first study cycle
Safety Issue:
Description:To determine the maximum concentration of napabucasin when given at 240mg, twice daily, in combination with cetuximab, panitumumab, or capecitabine in patients with advanced colorectal cancer.
Measure:Determination of the Maximum Observed Concentration (Cmax) of Napabucasin When Administered 500mg, Twice Daily, on Day 5 of the First Study Cycle
Time Frame:Blood samples drawn on day 5 during the first study cycle
Safety Issue:
Description:To determine the maximum concentration of napabucasin when given at 500mg, twice daily, in combination with cetuximab, panitumumab, or capecitabine in patients with advanced colorectal cancer.
Measure:Determination of the Maximum Observed Concentration (Cmax) of Napabucasin When Administered 500mg, Twice Daily, on Day 21 of the First Study Cycle
Time Frame:Blood samples drawn on day 21 during the first study cycle
Safety Issue:
Description:To determine the maximum concentration of napabucasin when given at 500mg, twice daily, in combination with cetuximab, panitumumab, or capecitabine in patients with advanced colorectal cancer.
Measure:Area Under the Plasma Concentration vs. Time Curve (AUClast) of Napabucasin When Administered 480mg, Twice Daily, on Day 5 of the First Study Cycle
Time Frame:Blood samples drawn on day 5 during the first study cycle
Safety Issue:
Description:To determine the area under the plasma concentration vs. time curve of napabucasin when given at 480mg, twice daily, in combination with cetuximab, panitumumab, or capecitabine in patients with advanced colorectal cancer.
Measure:Area Under the Plasma Concentration vs. Time Curve (AUClast) of Napabucasin When Administered 480mg, Twice Daily, on Day 21 of the First Study Cycle
Time Frame:Blood samples drawn on day 21 during the first study cycle
Safety Issue:
Description:To determine the area under the plasma concentration vs. time curve of napabucasin when given at 480mg, twice daily, in combination with cetuximab, panitumumab, or capecitabine in patients with advanced colorectal cancer.
Measure:Area Under the Plasma Concentration vs. Time Curve (AUClast) of Napabucasin When Administered 240mg, Twice Daily, on Day 21 of the First Study Cycle
Time Frame:Blood samples drawn on day 21 during the first study cycle
Safety Issue:
Description:To determine the area under the plasma concentration vs. time curve of napabucasin when given at 240mg, twice daily, in combination with cetuximab, panitumumab, or capecitabine in patients with advanced colorectal cancer.
Measure:Area Under the Plasma Concentration vs. Time Curve (AUClast) of Napabucasin When Administered 500mg, Twice Daily, on Day 5 of the First Study Cycle
Time Frame:Blood samples drawn on day 5 during the first study cycle
Safety Issue:
Description:To determine the area under the plasma concentration vs. time curve of napabucasin when given at 500mg, twice daily, in combination with cetuximab, panitumumab, or capecitabine in patients with advanced colorectal cancer.
Measure:Area Under the Plasma Concentration vs. Time Curve (AUClast) of Napabucasin When Administered 500mg, Twice Daily, on Day 21 of the First Study Cycle
Time Frame:Blood samples drawn on day 21 during the first study cycle
Safety Issue:
Description:To determine the area under the plasma concentration vs. time curve of napabucasin when given at 500mg, twice daily, in combination with cetuximab, panitumumab, or capecitabine in patients with advanced colorectal cancer.
Measure:Pharmacodynamics
Time Frame:During the first 28 days of the study cycle
Safety Issue:
Description:To determine the response (increase or decrease) of biomarkers from biopsied tumors following the administration of napabucasin
Measure:Number of Patients With Adverse Events and Serious Adverse Events
Time Frame:The time from the date of first treatment, while the patient is taking napabucasin, and for 30 days after stopping therapy, an average of 4 months.
Safety Issue:
Description:Assessment of safety of napabucasin given in combination with cetuximab, panitumumab or capecitabine to patients with advanced colorectal cancer by reporting of adverse events and serious adverse events

Details

Phase:Phase 2
Primary Purpose:Interventional
Overall Status:Completed
Lead Sponsor:Sumitomo Dainippon Pharma Oncology, Inc

Trial Keywords

  • BBI608

Last Updated

June 18, 2021