Clinical Trials /

Safety and Pharmacokinetics of Regorafenib and Cetuximab in Combination

NCT01973868

Description:

To establish safety, tolerability and pharmacokinetics of regorafenib and cetuximab in combination, and to determine the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D)

Related Conditions:
  • Colorectal Carcinoma
  • Malignant Solid Tumor
Recruiting Status:

Completed

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: Safety and Pharmacokinetics of Regorafenib and Cetuximab in Combination
  • Official Title: A Phase 1b, Multi-center, Non-randomized, Open Label, Dose Escalation Design Study of Regorafenib (BAY73-4506) in Combination With Cetuximab in Subjects With Locally Advanced or Metastatic Solid Tumors Who Are Not Candidates for Standard Therapy or in Whom Regorafenib or Cetuximab is Considered as a Standard Treatment

Clinical Trial IDs

  • ORG STUDY ID: 16547
  • NCT ID: NCT01973868

Conditions

  • Neoplasms

Interventions

DrugSynonymsArms
Regorafenib (Stivarga, BAY73-4506)Regorafenib
Cetuximab (ERBITUX)Regorafenib

Purpose

To establish safety, tolerability and pharmacokinetics of regorafenib and cetuximab in combination, and to determine the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D)

Trial Arms

NameTypeDescriptionInterventions
RegorafenibExperimentalRegorafenib will be administered once daily on Days 1-21 of each 28-day Cycle (3 weeks on / 1 week off). The starting dose of regorafenib is 120 mg q.d., if this is tolerable in combination with cetuximab the dose will be escalated to 160 mg q.d.; if it is not tolerated the dose will be de-escalated to 80 mg q.d. Subjects will receive an initial i.v. infusion of cetuximab (loading dose of 400 mg/ m2 BSA) on Pre-cycle Day -7. The treatment of regorafenib in combination with cetuximab maintenance dose (250 mg/m2 BSA) starts on Cycle 1 Day 1. Cetuximab infusions will be given in a once-weekly dosing-regimen as approved.
  • Regorafenib (Stivarga, BAY73-4506)
  • Cetuximab (ERBITUX)

Eligibility Criteria

        Inclusion Criteria:

          -  Patients with histologically or cytologically confirmed, locally advanced or
             metastatic solid tumors who are not candidates for standard therapy or in whom
             regorafenib or cetuximab is considered a standard treatment. Patients with metastatic
             colorectal cancer (mCRC) must have a record of K-ras gene mutational analysis
             available and no K-ras mutation is present.

          -  Male or female patients ≥ 18 years of age

          -  Women of childbearing potential must have a blood or urine pregnancy test performed a
             maximum of 7 days before start of study treatment, and a negative result must be
             documented before start of study treatment

          -  Life expectancy of at least 3 months

          -  Adequate bone marrow, liver and renal function as assessed by the following laboratory
             requirements conducted within 7 days of starting the study treatment:

               -  Platelet count ≥ 100,000/cubic millimeters (mm3), hemoglobin (Hb) ≥ 8.5 g/dl,
                  leukocyte count > 3,000/mm3, absolute neutrophil count (ANC) ≥ 1,000/mm3

               -  Total bilirubin ≤ 1.5 x the upper limit of normal (ULN). Mildly elevated total
                  bilirubin (< 6 mg/dL) is allowed if Gilbert's syndrome is documented.

               -  Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 2.5 x ULN
                  (≤ 5 x ULN for subjects with liver involvement of their cancer)

               -  Alkaline phosphatase limit ≤ 2.5 x ULN (≤ 5 x ULN for subjects whose cancer
                  involves their liver).

               -  Amylase and lipase ≤ 1.5 x ULN

               -  Serum creatinine ≤ 1.5 times ULN and creatinine clearance (CLcr) ≥ 30 mL/min
                  according to the Cockroft-Gault formula

          -  Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1

        Exclusion Criteria:

          -  Prior treatment with Regorafenib

          -  Prior discontinuation of cetuximab treatment due to toxicity or intolerance of
             cetuximab

          -  Major surgical procedure, open biopsy, or significant traumatic injury within 28 days
             before start of study medication

          -  Non-healing wound, ulcer, or bone fracture

          -  Systemic anticancer therapy within 28 days

          -  Patients unable to swallow and retain oral medications
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Maximum tolerated dose (MTD) of regorafenib in combination with cetuximab
Time Frame:1 month
Safety Issue:
Description:MTD is defined as the maximum dose at which the incidence of dose-limiting toxicities (DLTs) during Cycle 1 is below 20 %, or as the maximum dose administered, whichever is achieved first during dose escalation

Secondary Outcome Measures

Measure:Tumor response according to RECIST 1.1
Time Frame:Up to 2 years or longer
Safety Issue:
Description:
Measure:tmax,md (tmax after multiple-dose administration) for regorafenib, its metabolites M-2 (BAY75-7495) and M-5 (BAY81-8752) and cetuximab
Time Frame:Multiple time points on Day 15
Safety Issue:
Description:
Measure:tlast,md (tlast after multiple dosing) for regorafenib, its metabolites M-2 (BAY75-7495) and M-5 (BAY81-8752) and cetuximab
Time Frame:Multiple time points on Day 15
Safety Issue:
Description:
Measure:Cmax,md for metabolites M-2 (BAY75-7495) and M-5 (BAY81-8752)
Time Frame:Multiple time points on Day 15
Safety Issue:
Description:

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Completed
Lead Sponsor:Bayer

Trial Keywords

  • Regorafenib
  • Cetuximab
  • Solid tumors
  • Cancer
  • Safety
  • Tolerability
  • Pharmacokinetics

Last Updated

April 9, 2019