Description:
A phase 1b/2a study evaluating the combination of MM-151 + nal-IRI + 5-FU + Leucovorin in
RAS/RAF wild-type Metastatic Colorectal Cancer.
Title
- Brief Title: Evaluation of MM-151 + Nal-IRI + 5-FU + Leucovorin in RAS/RAF Wild-type Metastatic Colorectal Cancer
- Official Title: A Phase 1 Study Combining MM-151 + Nal-IRI + 5-FU + Leucovorin in RAS/RAF Wild-type Metastatic Colorectal Cancer
Clinical Trial IDs
- ORG STUDY ID:
MM-151-06-12-04
- NCT ID:
NCT02785068
Conditions
Interventions
Drug | Synonyms | Arms |
---|
MM-151 | | Phase 1b/2a |
nal-IRI | MM-398, Onivyde | Phase 1b/2a |
Leucovorin | folinic acid | Phase 1b/2a |
5-FU | fluorouracil | Phase 1b/2a |
Purpose
A phase 1b/2a study evaluating the combination of MM-151 + nal-IRI + 5-FU + Leucovorin in
RAS/RAF wild-type Metastatic Colorectal Cancer.
Detailed Description
Part 1: Patients will be enrolled to determine the maximum tolerated dose, safety and
tolerability of MM-151 + nal-IRI + 5-FU + LV in patients with mCRC that are RAS/RAF
wild-type.
Part 2: Patients will be enrolled at the maximum tolerated dose of MM-151 in combination with
nal-IRI + 5-FU + LV to characterize initial efficacy in conjunction with levels of irinotecan
and SN-38 measured in tissue.
Trial Arms
Name | Type | Description | Interventions |
---|
Phase 1b/2a | Experimental | Phase 1b: Safety Evaluation - MM-151 (weekly dosing) in combination with fixed doses of nal-IRI 70mg/m2 + Leucovorin 400 mg/m2 + 5-FU 2400mg/m2 every two weeks.
Phase 2a: Expansion - MM-151 (Maximum Tolerated Dose or Recommended Phase 2 Dose) in combination with fixed doses of nal-IRI 70mg/m2 + Leucovorin 400 mg/m2 + 5-FU 2400 mg/m2. | - MM-151
- nal-IRI
- Leucovorin
- 5-FU
|
Eligibility Criteria
Inclusion Criteria:
- Patients must be greater than 18 years of age
- Patients must be able to provide informed consent
- Patients must have KRAS/NRAS/BRAF wild-type colorectal cancer
- Willing to abstain from sexual intercourse or to use an effective form of
contraception during the study and for 120 days following the last dose of any study
therapy). This applies to women of childbearing potential as well as fertile men and
their partners
Exclusion Criteria:
- Patients who have had previous pelvic radiation treatment
- Patients who are pregnant or lactating
- Patients who have untreated (primary) or uncontrolled Central Nervous System (CNS)
(primary or metastatic) malignancies; patients with CNS metastases who have undergone
surgery or radiotherapy or who have been on a stable dose of corticosteroids for at
least 2 weeks and whose disease is stable prior to the first scheduled day of dosing
will be eligible for the trial.
- History of any second malignancy in the last 3 years; patients with prior history of
in-situ cancer or basal or squamous cell skin cancer are eligible.
- Patients who have received other recent antitumor therapy including any standard
chemotherapy or radiation within 14 days and bevacizumab within 28 days (and having
passed the time of any actual or anticipated toxicities) prior to the first scheduled
dose of the study treatment
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | To find the phase II dose of MM-151 based on safety and tolerability of MM-151 + nal-IRI + 5-FU + Leucovorin that will be assessed through evaluation of dose limiting toxicity reporting. |
Time Frame: | The DLT timeframe is from date of first dose up until 42 days after that date |
Safety Issue: | |
Description: | |
Secondary Outcome Measures
Measure: | The number of participants with adverse events (AE) related to treatment with MM-151 + nal-IRI + 5-FU + leucovorin, assessed according to NCI CTCAE v4.0 |
Time Frame: | 2 years |
Safety Issue: | |
Description: | These will be described by abnormalities in hematology, blood chemistry and other laboratory abnormalities, ECG, physical examination, vital signs and other safety parameters.
Frequency, duration and severity of the adverse events according to NCI CTCAE v4.0 will be assessed. |
Measure: | The PK parameters of MM-151 and nal-IRI will be described per Cmax |
Time Frame: | Priming Phase Day 1, Priming Phase Day 8, C1D1, C1D8, C1D15, C1D22, C2D1, C2D15, C2D17, C2D22, C3D1, C5D1 |
Safety Issue: | |
Description: | |
Measure: | The PK parameters of MM-151 and nal-IRI will be described per AUC |
Time Frame: | Priming Phase Day 1, Priming Phase Day 8, C1D1, C1D8, C1D15, C1D22, C2D1, C2D15, C2D17, C2D22, C3D1, C5D1 |
Safety Issue: | |
Description: | |
Measure: | Objective response based on RECIST |
Time Frame: | 2 years |
Safety Issue: | |
Description: | |
Measure: | Measure pre-treatment and on-treatment levels of EGFR ligands |
Time Frame: | 2 years |
Safety Issue: | |
Description: | |
Measure: | Presence of anti-drug antibodies will be assessed |
Time Frame: | 2 years |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Withdrawn |
Lead Sponsor: | Merrimack Pharmaceuticals |
Trial Keywords
- Phase I
- Cancer
- EGFR
- Metastatic Colorectal Cancer
- Oncology
- RAS/RAF Wild-Type
- Nal-IRI
- EGFR Inhibitor
- Oligoclonal Antibody
- Nanoliposome
- Nanoliposomal Irinotecan
Last Updated
January 11, 2017