Description:
Phase I: Determine the maximum tolerated dose of combination of Regorafenib with Refametinib
through a dose escalation study, all tumor types that meet certain inclusion/exclusion
criteria can be entered.
After the recommended dose is determined, the Phase II portion of the study will evaluate
tolerability and efficacy of the combination treatment in patients with breast cancer, lung
cancer, or colorectal cancer, respectively.
Title
- Brief Title: Refametinib (BAY86-9766) in Combination With Regorafenib (Stivarga, BAY73-4506) in Patients With Advanced or Metastatic Cancer
- Official Title: A Phase 1b/2, Multi-center, Uncontrolled, Open-label, Dose Escalation Study of Refametinib (BAY86-9766) in Combination With Regorafenib (BAY73-4506) in Patients With Advanced or Metastatic Cancer
Clinical Trial IDs
- ORG STUDY ID:
17064
- SECONDARY ID:
2013-004861-15
- NCT ID:
NCT02168777
Conditions
Interventions
Drug | Synonyms | Arms |
---|
Refametinib (BAY86-9766) | | Ph1b-Refametinib/Regorafenib Cohort -1 |
Regorafenib (Stivarga, BAY73-4506) | | Ph1b-Refametinib/Regorafenib Cohort -1 |
Purpose
Phase I: Determine the maximum tolerated dose of combination of Regorafenib with Refametinib
through a dose escalation study, all tumor types that meet certain inclusion/exclusion
criteria can be entered.
After the recommended dose is determined, the Phase II portion of the study will evaluate
tolerability and efficacy of the combination treatment in patients with breast cancer, lung
cancer, or colorectal cancer, respectively.
Detailed Description
Number of treatment-emergent Adverse Events (AEs) will be reported in Adverse Events section.
Study was originally designed with both Phase I and Phase II part, but sponsor decided not to
conduct Phase 2 part due to strategic portfolio re-prioritization.
Trial Arms
Name | Type | Description | Interventions |
---|
Ph1b-Refametinib/Regorafenib Cohort 0 | Experimental | Phase 1b part of study: Participants received different doses of Refametinib and Regorafenib combination therapy to determine recommended Phase 2 dose (RP2D) via dose-escalation. Cohort 0: Refametinib 30mg twice daily (b.i.d) + Regorafenib 80mg once daily (q.d), 3 weeks on/1 week off. | - Refametinib (BAY86-9766)
- Regorafenib (Stivarga, BAY73-4506)
|
Ph1b-Refametinib/Regorafenib Cohort -1 | Experimental | Phase 1b part of study: Participants received different doses of Refametinib and Regorafenib combination therapy to determine recommended Phase 2 dose (RP2D) via dose-escalation. Cohort -1: Refametinib 20mg b.i.d + Regorafenib 80mg q.d, 3 weeks on/1 week off. | - Refametinib (BAY86-9766)
- Regorafenib (Stivarga, BAY73-4506)
|
Ph1b-Refametinib/Regorafenib Cohort -1a | Experimental | Phase 1b part of study: Participants received different doses of Refametinib and Regorafenib combination therapy to determine recommended Phase 2 dose (RP2D) via dose-escalation. Cohort -1a: Refametinib 20mg b.i.d + Regorafenib 120mg q.d, 3 weeks on/1 week off. | - Refametinib (BAY86-9766)
- Regorafenib (Stivarga, BAY73-4506)
|
Eligibility Criteria
Inclusion Criteria:
- Criteria for the Phase 1b:
- Patients with locally advanced or metastatic solid tumors who have either
relapsed following, or progressed through, standard therapy; have a current
disease state for which there is no standard effective therapy; is not a
candidate for, or is unwilling to undergo, standard therapy in cases where no
curative option exists.
- Cohort-specific criteria for Phase 2:
- CRC (Colorectal cancer): Patients with metastatic CRC and known KRAS (Kirsten rat
sarcoma viral oncogene homolog) status who are eligible for treatment with
regorafenib in accordance with the approved labeling.
- NSCLC (Non-small-cell lung cancer): Patients with NSCLC and known KRAS status
after platinum based chemotherapy.
- Breast cancer: Patients with Her-2 negative breast cancer after anthracycline and
taxane based chemotherapy.
- Baseline tumor tissue to conduct molecular and / or genetic studies should be
available from all study patients enrolled in this study. (optional in Phase 1b)
- Patients must have at least one uni-dimensional measurable lesion by CT or MRI
according to Response Evaluation Criteria in Solid Tumors (RECIST)version 1.1.
(applicable only in Phase 2)
- Male or female patients ≥ 18 years of age (only female patients in breast cancer
cohort of Phase 2).
- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
- Life expectancy of at least 3 months
- Adequate bone marrow, liver and renal function
- Cardiac function within normal range
Exclusion Criteria:
- Prior treatment with refametinib or regorafenib.
- Metastatic brain or meningeal tumors
- Uncontrolled hypertension despite optimal medical management
- History of cardiac disease
- Arterial or venous thrombotic or embolic events
- Any hemorrhage or bleeding event
- History or current evidence of retinal vein occlusion (RVO) or central serous
retinopathy (CSR).
- Any condition that was unstable or which could jeopardize the safety of the patient
and his/her compliance in the study.
- Excluded previous therapies and medications:
- Radiotherapy within 3 weeks prior to start of treatment
- Systemic anticancer therapy including cytotoxic therapy, signal transduction
inhibitors, immunotherapy, and hormonal therapy during this trial or within 28
days or 5 drug half-lives (if drug half-life in patients is known), whichever is
shorter (or within 6 weeks for mitomycin C) before start of the study treatment
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Maximum Drug Concentration in Plasma After Multiple Dose (Cmax,md) for Refametinib |
Time Frame: | Cycle 1 Day 21 at 0 (pre-dose), 0.5, 1, 2, 4, 8 and 12 hours post-dose |
Safety Issue: | |
Description: | Maximum drug concentration in plasma after multiple dose for Refametinib. Geometric mean and percentage geometric coefficient of variation (%CV) were reported. |
Secondary Outcome Measures
Measure: | Maximum Drug Concentration in Plasma After Single (First) Dose (Cmax) for Refametinib and Its Metabolite M-11 |
Time Frame: | Cycle 1 Day 1 at 0 (pre-dose), 0.5, 1, 2, 4 and 8 hours post-dose |
Safety Issue: | |
Description: | Maximum drug concentration in plasma after single (first) dose for Refametinib and its metabolite M-11. Geometric mean and percentage geometric coefficient of variation (%CV) were reported. |
Measure: | Time to Reach Maximum Drug Concentration in Plasma After Single (First) Dose (Tmax) for Refametinib and Its Metabolite M-11 |
Time Frame: | Cycle 1 Day 1 at 0 (pre-dose), 0.5, 1, 2, 4 and 8 hours post-dose |
Safety Issue: | |
Description: | Time to reach maximum drug concentration in plasma after single (first) dose for Refametinib and its metabolite M-11. Median and full range were reported. |
Measure: | Area Under the Plasma Concentration-time Curve From 0 to 8 h (AUC(0-8)) After Single (First) Dose for Refametinib and Its Metabolite M-11 |
Time Frame: | Cycle 1 Day 1 at 0 (pre-dose), 0.5, 1, 2, 4 and 8 hours post-dose |
Safety Issue: | |
Description: | Area under the plasma concentration-time curve from 0 to 8 h after single (first) dose for Refametinib and its metabolite M-11. Geometric mean and percentage geometric coefficient of variation (%CV) were reported. |
Measure: | Time to Reach Maximum Drug Concentration in Plasma After Multiple Dose (Tmax,md) for Refametinib and Its Metabolite M-11 |
Time Frame: | Cycle 1 Day 21 at 0 (pre-dose), 0.5, 1, 2, 4, 8 and 12 hours post-dose |
Safety Issue: | |
Description: | Time to reach maximum drug concentration in plasma after multiple dose for Refametinib and its metabolite M-11. Median and full range were reported. |
Measure: | Maximum Drug Concentration in Plasma After Single (First) Dose (Cmax) for Regorafenib and Its Metabolites M-2 and M-5 |
Time Frame: | Cycle 1 Day 1 at 0 (pre-dose), 0.5, 1, 2, 4, 8 and 24 hours post-dose |
Safety Issue: | |
Description: | Maximum drug concentration in plasma after single (first) dose for Regorafenib and its metabolites M-2 and M-5. Geometric mean and percentage geometric coefficient of variation (%CV) were reported. |
Measure: | Time to Reach Maximum Drug Concentration in Plasma After Single (First) Dose (Tmax) for Regorafenib and Its Metabolites M-2 and M-5 |
Time Frame: | Cycle 1 Day 1 at 0 (pre-dose), 0.5, 1, 2, 4, 8 and 24 hours post-dose |
Safety Issue: | |
Description: | Time to reach maximum drug concentration in plasma after single (first) dose for Regorafenib and its metabolites M-2 and M-5. Median and full range were reported. |
Measure: | Area Under the Plasma Concentration-time Curve From 0 to 24 h (AUC(0-24)) After Single (First) Dose for Regorafenib and Its Metabolites M-2 and M-5 |
Time Frame: | Cycle 1 Day 1 at 0 (pre-dose), 0.5, 1, 2, 4, 8 and 24 hours post-dose |
Safety Issue: | |
Description: | Area under the plasma concentration-time curve from 0 to 24 h after single (first) dose for Regorafenib and its metabolites M-2 and M-5. Geometric mean and percentage geometric coefficient of variation (%CV) were reported. |
Measure: | Time to Reach Maximum Drug Concentration in Plasma After Multiple Dose (Tmax,md) for Regorafenib and Its Metabolites M-2 and M-5 |
Time Frame: | Cycle 1 Day 21 at 0 (pre-dose), 0.5, 1, 2, 4, 8, 12 and 24 hours post-dose |
Safety Issue: | |
Description: | Time to reach maximum drug concentration in plasma after multiple dose for Regorafenib and its metabolites M-2 and M-5. Median and full range were reported. |
Measure: | Tumor Response During Phase 1b as Assessed by Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 |
Time Frame: | From start of treatment until progression is documented |
Safety Issue: | |
Description: | Tumor Response was defined as the best tumor response (Complete Response (CR), Partial Response (PR), Stable Disease (SD) or Progressive Disease (PD)) observed during trial period assessed according to the Response Evaluation Criteria in Solid Tumors (RECIST). CR was defined as disappearance of all target and non-target tumor lesions, PR was defined as a decrease of at least 30% in the sum of diameters of target lesions, SD was defined neither sufficient shrinkage for PR nor sufficient increase for PD, PD was defined as an increase of at least 20% in the sum of diameters of target lesions. |
Measure: | Overall Survival During Phase 2 |
Time Frame: | Up to 12 months after last patient first visit |
Safety Issue: | |
Description: | Overall survival (OS) was defined as the time (days) from the treatment start date to the date of death due to any cause. For participants who were still alive or who were lost to follow-up as of the database cutoff date for the primary completion, OS was censored at the last known alive date on or prior to the database cutoff date. |
Measure: | Time to Progression During Phase 2 |
Time Frame: | From start of treatment until progression is documented |
Safety Issue: | |
Description: | Time to progression was defined as the time (days) from the treatment start date to the disease progression on or following the start date. Participants not experiencing progression at the database cutoff date for primary completion were censored at the last assessment. |
Measure: | Progression-free Survival During Phase 2 |
Time Frame: | From start of treatment until progression is documented |
Safety Issue: | |
Description: | Progression-free survival was defined as the time from date of treatment assignment to date of first observed disease progression or death due to any cause, if death occurred while the participant was in the study and before progression was observed. |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Terminated |
Lead Sponsor: | Bayer |
Trial Keywords
Last Updated
January 26, 2018