Description:
Recruitment to phase I of the PANTHER trial is complete.
Phase II, is to evaluate the best overall response rate for AZD8931 + FOLFIRI treatment.
Title
- Brief Title: Phase I/II Trial of Antagonism of HER in GI Cancer
- Official Title: AZD8931, an Inhibitor of EGFR, ERBB2 and ERBB3 Signalling, in Combination With FOLFIRI: a Phase I/II Study to Determine the Importance of Schedule and Activity in Colorectal Cancer
Clinical Trial IDs
- ORG STUDY ID:
UCL/12/0136
- NCT ID:
NCT01862003
Conditions
- Metastatic Colorectal Cancer
- Recurrent Colorectal Cancer
Interventions
Drug | Synonyms | Arms |
---|
AZD8931 | | Arm 1 |
Irinotecan | | Arm 1 |
Folinic Acid | | Arm 1 |
Fluorouracil | | Arm 1 |
Fluorouracil | | Arm 1 |
Purpose
Recruitment to phase I of the PANTHER trial is complete.
Phase II, is to evaluate the best overall response rate for AZD8931 + FOLFIRI treatment.
Detailed Description
PANTHER is a registered phase I/phase II trial in patients with recurrent or metastatic
colorectal cancer.
The phase II part of the study will be a single arm trial. Patients will receive AZD8931 (an
EGFR/ERBB inhibitor) in combination with FOLinic acid, Fluorouracil and IRInotecan (FOLFIRI),
Treatment will be given in two-weekly cycles. Phase II's primary objective is to evaluate the
Best overall response
Trial Arms
Name | Type | Description | Interventions |
---|
Arm 1 | Experimental | AZD8931 160 mg bd, on days 1-4, + FOLFIRI in a 2 weekly schedule | - AZD8931
- Irinotecan
- Folinic Acid
- Fluorouracil
- Fluorouracil
|
Eligibility Criteria
Inclusion Criteria:
1. Histopathological/cytological diagnosis of non-resectable, recurrent or metastatic
colorectal cancer
2. Tumour with wild-type RAS
3. Measurable disease evaluated by RECIST criteria v1.1
4. WHO performance status 0 or 1
5. Age ≥ 16
6. Estimated life expectancy > 3 months
7. Adequate haematological function:
- Haemoglobin ≥100 g/L
- Absolute neutrophil count ≥1.5 x 10^9/L
- Platelet count ≥100 x 10^9/L
8. Adequate liver function:
- Total bilirubin ≤1.5 x upper limit of normal (ULN) (except for patients with
known documented cases of Gilbert's syndrome)
- ALT, AST & ALP ≤2.5 x ULN in the absence of noted liver metastases
- ALT, AST & ALP ≤5 x ULN in the presence of liver metastases
9. Adequate renal function:
- Serum creatinine ≤1.5 x ULN
- Calculated creatinine clearance ≥30 mL/min
10. Adequate biliary drainage (patients with stents are eligible)
11. Adequate venous access for collection of exploratory biological samples
12. Women of child-bearing potential must have a negative pregnancy test prior to study
entry. Female patients and male patients with partners of child-bearing potential must
agree to use an adequate contraception method, which must be continued for 6 months
after completion of chemotherapy
13. Must be able to swallow AZD8931 tablets
14. Capable of giving written informed consent
15. The following prior therapy is allowed:
- Surgery - patients may have undergone a non-curative operation or palliative
bypass surgery only. Patients who have previously undergone curative surgery must
have evidence of non-resectable disease relapse
- Radiotherapy - for localised disease
- Prior adjuvant chemotherapy - provided this was completed at least 6 months
before trial entry
Exclusion Criteria:
1. Patients undergoing treatment with curative intent
2. Any prior treatment with agents targeting the ERBB pathway
3. Treatment with experimental drugs within 30 days or 5 half-lives of first dose of
AZD8931
4. Previous palliative chemotherapy
5. Prior treatment with anthracyclines or mitoxantrone
6. Current disease or condition known to interfere with absorption, distribution,
metabolism or excretion of drugs (including refractory nausea and vomiting, chronic
gastrointestinal disease (e.g. inflammatory bowel disease), or significant bowel
resection)
7. History of prior malignancy that will interfere with the response evaluation
(exceptions listed in protocol)
8. Evidence of severe/uncontrolled systemic diseases or laboratory finding that makes it
undesirable for the patient to participate in the trial
9. Evidence of active uncontrolled infection
10. Patients with clinically significant ascites and/or effusions
11. Regular use of anti-diarrhoeal
12. Pregnant or lactating women
13. Cardiac conditions (as detailed in the trial protocol)
14. Any psychiatric or other disorder (e.g. brain metastases) likely to impact the ability
to give informed consent
15. Eye conditions (as detailed in the trial protocol)
16. Patients with chronic skin conditions e.g. acne rosacea, psoriasis, severe atopic
eczema
17. Past medical history of interstitial lung disease, drug-induced interstitial lung
disease, radiation pneumonitis which required steroid treatment, or any evidence of
clinically active interstitial lung disease
18. History or repeated unexplained episodes of syncope/dizziness
19. Known hypersensitivity to AZD8931, its excipients, or drugs in its class
20. The use of drugs/substances known to inhibit or induce CYP3A4 or CYP2D6, or those
known to prolong QT interval, which cannot be discontinued for the duration of trial
treatment
21. Patients with hereditary fructose intolerance
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 16 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Best overall response |
Time Frame: | From registration to date of documented best response, assessed up to 36 months |
Safety Issue: | |
Description: | Best overall response will be assessed according to RECIST v1.1. |
Secondary Outcome Measures
Measure: | To evaluate the efficacy of AZD8931 plus FOLFIRI |
Time Frame: | Baseline to 12 weeks post treatment start |
Safety Issue: | |
Description: | Percentage change in tumour size will be considered the best response only if a second assessment has been carried out which confirms SD at least four weeks after trial entry. Assessment will be determined using CT scans performed at baseline, 12 weeks after start of chemotherapy, then every 3 months until disease progression up to 3 years from registration/ randomisation |
Measure: | Progression Free Survival |
Time Frame: | From date of randomisation to date of documented disease progression or death from any cause, whichever comes first, assessed up to 3 years from date of registration/ randomisation |
Safety Issue: | |
Description: | Progression-free survival time will be calculated from the date of trial entry to the date of documented progression, or death from any cause. In cases where progression is suspected and subsequently confirmed by scans, the date of documented suspected progression will be used. |
Measure: | Overall Survival |
Time Frame: | From date of registration/ randomisation until date of death or date of last follow-up assessment (up to 3 years from date of registration/ randomisation) |
Safety Issue: | |
Description: | Overall survival time will be calculated from the date of trial entry to the date of death from any cause or end of trial follow-up. |
Measure: | Occurrence and Severity of Adverse Events |
Time Frame: | From date of registration/ randomisation until 30 days after completion of trial treatment (AZD8931 and FOLFIRI) |
Safety Issue: | |
Description: | Will include all grade 1-5 adverse events |
Details
Phase: | Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Completed |
Lead Sponsor: | University College, London |
Trial Keywords
- Colorectal cancer
- Metastatic Colorectal cancer
- Recurrent Colorectal cancer
- FOLFIRI
- AZD8931
- Chemotherapy
- EGFR
Last Updated
August 19, 2019