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JOURNAL ONKOLOGIE – STUDIE
MOUNTAINEER-03

A Study of Tucatinib With Trastuzumab and mFOLFOX6 Versus Standard of Care Treatment in First-line HER2+ Metastatic Colorectal Cancer

Rekrutierend

NCT-Nummer:
NCT05253651

Studienbeginn:
Oktober 2022

Letztes Update:
06.08.2024

Wirkstoff:
Tucatinib, Trastuzumab, Bevacizumab, Cetuximab, Oxaliplatin, Leucovorin, levoleucovorin, Fluorouracil

Indikation (Clinical Trials):
Colorectal Neoplasms

Geschlecht:
Alle

Altersgruppe:
Erwachsene (18+)

Phase:
Phase 3

Sponsor:
Seagen Inc.

Collaborator:
Merck Sharp & Dohme LLC

Studienleiter

Medical Monitor
Study Director
Seagen Inc.

Kontakt

Studienlocations
(3 von 228)

Gemeinschaftspraxis Haematologie - Onkologie: Freiberg-Richter, Jacobasch, Illmer, Wolf
01307 Dresden
(Sachsen)
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Universitaetsklinikum Carl Gustav Carus Dresden
01307 Dresden
(Sachsen)
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Gynäkologisches Krebszentrum Agaplesion Markus Krankenhaus Frankfurt
Wilhelm-Epstein-Straße 4
60431 Frankfurt am Main
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Facharztzentrum Eppendorf
20249 Hamburg
(Hamburg)
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Leberkrebszentrum Medizinische Hochschule Hannover
Carl-Neuberg-Straße 1
30625 Hannover
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Klinikum Rechts der Isar der Technischen Universitaet Muenchen
81675 Muenchen
(Bayern)
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Darmzentrum der Kliniken Maria Hilf GmbH Mönchengladbach
Sandradstraße 43
41061 Mönchengladbach
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LMU - Klinikum der Universitaet Muenchen - Campus Grosshadern - Medizinische Klinik und Poliklinik III
81377 München
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Kaiser Permanente Southern California
90027 Los Angeles
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92663 Newport Beach
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Providence Medical Foundation
95403 Santa Rosa
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32503 Pensacola
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30303 Atlanta
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Winship Cancer Institute / Emory University School of Medicine
30322 Atlanta
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Ansprechpartner:
Kathleen M Coleman
Phone: 404-778-1900
E-Mail: kathleen.marie.coleman@emory.edu
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Gabrail Cancer Center Research
44718 Canton
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97225 Portland
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Texas Oncology - Baylor Sammons Cancer Center
75246 Dallas
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Ansprechpartner:
Dominique Marquez
Phone: 214-370-1705
E-Mail: DOMINIQUE.MARQUEZ1@usoncology.com
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75071 McKinney
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75460 Paris
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24014 Roanoke
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Ansprechpartner:
Natasha R Holt
Phone: 540-808-1704
E-Mail: natasha.holt@usoncology.com
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Studien-Informationen

Brief Summary:

This study is being done to find out if tucatinib with other cancer drugs works better

than standard of care to treat participants with HER2 positive colorectal cancer. This

study will also determine what side effects happen when participants take this

combination of drugs. A side effect is anything a drug does to the body besides treating

your disease.

Participants in this study have colorectal cancer that has spread through the body

(metastatic) and/or cannot be removed with surgery (unresectable).

Participants will be assigned randomly to the tucatinib group or standard of care group.

The tucatinib group will get tucatinib, trastuzumab, and mFOLFOX6. The standard of care

group will get either:

- mFOLFOX6 alone,

- mFOLFOX6 with bevacizumab, or

- mFOLFOX6 with cetuximab mFOLFOX6 is a combination of multiple drugs. All of the

drugs given in this study are used to treat this type of cancer.

Ein-/Ausschlusskriterien

Inclusion Criteria:

- Histologically and/or cytologically confirmed adenocarcinoma of the colon or rectum

which is locally advanced unresectable or metastatic

- Able to provide the most recently available formalin-fixed paraffin-embedded (FFPE)

tumor tissue blocks (or freshly sectioned slides) obtained prior to treatment

initiation to a central laboratory

- If archival tissue is not available, a newly-obtained baseline biopsy of an

accessible tumor lesion is required within 35 days prior to start of study

treatment

- HER2+ disease as determined by a tissue based assay performed at a central

laboratory.

- Participant has rat sarcoma viral oncogene homolog wild-type (RAS WT) disease as

determined by local or central testing. For central RAS analysis, tissue sample must

be analyzed within 1 year of biopsy date.

- Radiographically measurable disease per RECIST v1.1 with:

- At least one site of disease that is measurable and that has not been

previously irradiated, or

- If the participant has had previous radiation to the target lesion(s), there

must be evidence of progression since the radiation

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

- CNS Inclusion - based on contrast brain magnetic resonance imaging, participants may

have any of the following:

- No evidence of brain metastases

- Previously treated brain metastases which are asymptomatic

Exclusion Criteria:

- Prior systemic anticancer therapy for colorectal cancer (CRC) in the locally

advanced unresectable or metastatic setting; note that participants may have

received a maximum of 2 doses of mFOLFOX6 in the locally advanced/unresectable or

metastatic setting prior to randomization.

- Note: May have received chemotherapy for CRC in the adjuvant setting if it was

completed >6 months prior to enrollment

- Radiation therapy within 14 days prior to enrollment (or within 7 days in the

setting of stereotactic radiosurgery)

- Previous treatment with anti-HER2 therapy

- Ongoing Grade 3 or higher neuropathy

- Active or untreated gastrointestinal (GI) perforation at the time of screening.

Studien-Rationale

Primary outcome:

1. Progression-free survival (PFS) per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) by Blinded Independent Central Review (BICR) (Time Frame - Up to approximately 3 years):
The time from the date of randomization to the BICR assessment of disease progression according to RECIST v1.1 or death from any cause



Secondary outcome:

1. Overall survival (OS) (Time Frame - Up to approximately 6 years):
The time from randomization to death from any cause

2. Confirmed objective response rate (cORR) per RECIST v1.1 by BICR (Time Frame - Up to approximately 3 years):
The proportion of participants with confirmed complete response (CR) or partial response (PR) according to RECIST v1.1, as assessed by BICR

3. PFS per RECIST v1.1 by investigator assessment (Time Frame - Up to approximately 3 years):
The time from the date of randomization to the investigator assessment of disease progression according to RECIST v1.1 or death from any cause

4. cORR per RECIST v1.1 by investigator assessment (Time Frame - Up to approximately 3 years):
The proportion of participants with confirmed CR or PR according to RECIST v1.1, as assessed by investigators

5. Duration of response (DOR) per RECIST v1.1 by BICR (Time Frame - Up to approximately 3 years):
The time from first documentation of objective response (CR or PR that is subsequently confirmed) to the first documentation of disease progression per RECIST v1.1 or death from any cause

6. DOR per RECIST v1.1 by investigator assessment (Time Frame - Up to approximately 3 years):
The time from first documentation of objective response (CR or PR that is subsequently confirmed) to the first documentation of disease progression per RECIST v1.1 or death from any cause

7. Time to second progression or death (PFS2) (Time Frame - Up to approximately 3 years):
The time from randomization to disease progression on the next-line of therapy, or death from any cause

8. Incidence of adverse events (AEs) (Time Frame - Through 30 days after the last study treatment; approximately 1 year):
Any untoward medical occurrence in a clinical investigational participant administered a medicinal product and which does not necessarily have a causal relationship with this treatment.

9. Incidence of dose alterations (Time Frame - Through 30 days after the last study treatment; approximately 1 year)

10. Trough concentration (Ctrough) (Time Frame - Approximately 4 months):
PK parameter

11. Change from baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C30 (EORTC QLQC30) score (Time Frame - Through 30-37 days after the last study treatment; approximately 1 year):
Change from baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) scores. Scale scores range from 0-100. For functioning and global health status/quality of life (QoL) scales, higher scores indicate better functioning or global health status/quality of life (QoL). For symptom scales, higher scores indicate greater symptom burden.

12. Time to meaningful change in EORTC QLQ30 score (Time Frame - Through 30-37 days after the last study treatment; approximately 1 year):
The time from baseline to the first onset of a ≥10-point changes in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) scores. Scale scores range from 0-100. For functioning and global health status/QoL scales, higher scores indicate better functioning or global health status/QoL. For symptom scales, higher scores indicate greater symptom burden.

Studien-Arme

  • Experimental: Tucatinib Arm
    Tucatinib + trastuzumab + mFOLFOX6
  • Active Comparator: Standard of Care Arm
    mFOLFOX6 + (bevacizumab OR cetuximab). Either (1) mFOLFOX6, (2) mFOLFOX6 and bevacizumab, or (3) mFOLFOX6 and cetuximab

Geprüfte Regime

  • tucatinib (TUKYSA, ONT-380, ARRY-380, PF-07265792):
    300mg given by mouth (orally) twice daily
  • trastuzumab (Herceptin):
    8mg/kg loading dose will be given into the vein (IV; intravenously) on Cycle 1 day 1, followed by 6mg/kg given by IV every 3 weeks thereafter.
  • bevacizumab (Avastin):
    5mg/kg given by IV every 2 weeks
  • cetuximab (Erbitux):
    400mg/m2 loading dose will be given by IV on Cycle 1 day 1, followed by 250mg/m2 given by IV weekly
  • oxaliplatin:
    85mg/m2 given by IV every 2 weeks. Component of mFOLFOX6.
  • leucovorin:
    400mg/ m2 given by IV every 2 weeks. Component of mFOLFOX6.
  • levoleucovorin:
    200mg/ m2 given by IV every 2 weeks. May be given in place of leucovorin. Component of mFOLFOX6.
  • fluorouracil:
    400mg/m2 given by IV bolus then 2400mg/m2 given by continuous IV infusion (over 46-48 hours) every 2 weeks. Component of mFOLFOX6.

Quelle: ClinicalTrials.gov


Sie können folgenden Inhalt einem Kollegen empfehlen:

"A Study of Tucatinib With Trastuzumab and mFOLFOX6 Versus Standard of Care Treatment in First-line HER2+ Metastatic Colorectal Cancer"

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