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)
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
Interventions
Drug | Synonyms | Arms |
---|
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
Name | Type | Description | Interventions |
---|
Regorafenib | Experimental | Regorafenib 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