Overview
Regorafenib Plus FOLFIRI With Irinotecan Dose Escalated in Patients With Previously Treated Metastatic Colorectal Cancer
Status:
Recruiting
Recruiting
Trial end date:
2021-12-31
2021-12-31
Target enrollment:
0
0
Participant gender:
All
All
Summary
A prospective, multicenter, randomized in a 2:1 ratio, controlled, clinical trial with two parallel arms will be conducted to compare irinotecan dose escalated FOLFIRI according to UGT1A1 genotyping plus 120 mg regorafenib with 120 mg regorafenib alone in previously treated patients with metastatic colorectal cancer (mCRC).Phase:
Phase 2Accepts Healthy Volunteers?
NoDetails
Lead Sponsor:
Kaohsiung Medical University Chung-Ho Memorial HospitalTreatments:
Irinotecan
Leucovorin
Criteria
Inclusion Criteria:1. Cyto-/histological confirmed mCRC
2. Patients who have been previously treated with, or are not considered candidates for,
other locally approved standard treatment(s) and for whom the decision has been made
per investigator's routine treatment practice to prescribe regorafenib as 3rd line
(RAS mutant) or 4th line (RAS wild type) therapy
3. Aged no less than 20 years, at the time of acquisition of informed consent
4. Eastern Cooperative Oncology Group (ECOG) performance score of 0-1
5. Patients with measurable or non-measurable disease in the colon or rectum, according
to RECIST criteria version 1.1
6. Life expectancy more than 12 weeks
7. Women with childbearing potential must agree to perform adequate contraception
measures since informed consent till a least 12 weeks after the last study drug
administration.
The investigators or designee are requested to advise the patient to achieve adequate
birth control.
8. Adequate organ and bone marrow function as defined below:
- Total bilirubin <= 1.5 x the upper limit of normal (ULN)
- Alanine amino-transferase (ALT) and aspartate amino-transferase (AST) <= 2.5 x
ULN (<= 5 x ULN for patients with liver metastases)
- Alkaline phosphatase (ALP) <= 2.5 x ULN (<= 5 x ULN for patients with liver
metastases)
- Amylase and lipase <= 1.5 x ULN
- Serum creatinine <= 1.5 x ULN
- Glomerular filtration rate (GFR) >= 30 mL/min/1.73 m2, according to the modified
diet in renal disease (MDRD) abbreviated formula
- International normalized ratio (INR)/partial thromboplastin time (PTT) <= 1.5 x
ULN
- Platelet counts >= 100,000/mm3
- Hemoglobin level >= 9 g/dL
- Absolute neutrophil counts >= 1,500/mm3
9. Ability to understand and willingness to sign written Informed Consent Form (ICF)
Exclusion Criteria:
1. Prior treatment with regorafenib within 28 days
2. Other concurrent cancer or prior treatment for other carcinomas within the last five
years, except curatively treated non-melanoma skin cancer, superficial bladder tumors,
and cervical cancer in-situ
3. Extended field radiotherapy within 28 days or limited radiotherapy within 14 days
prior to randomization
4. Major surgery within 28 days prior to start of study treatment (diagnostic biopsy,
laparotomy, line placement is not considered as major surgery)
5. Uncontrolled intercurrent illness including, but not limited to, ongoing or active
infection, symptomatic congestive heart failure, myocardial infarction in the past 12
months, active gastrointestinal bleeding, central nervous system disorders or
psychiatric illness/social situation that would limit compliance with study
requirements or judged to be ineligible for the study by the investigator
6. History of myocardial infarction, deep venous or arterial thrombosis, or
cardiovascular accident (CVA) during the last 6 months
7. Uncontrolled cardiac arrhythmias, unstable angina, or newly-onset angina within 3
months prior to study entry
8. Uncontrolled hypertension despite optimal management (systolic blood pressure > 150
mmHg or diastolic pressure > 90 mmHg)
9. Patients with known central nervous system (CNS) metastases
10. Having received any investigational agents or participating in any investigational
drug study within 4 weeks prior to study enrollment
11. Pregnant or breast-feeding female (a pregnancy test must be performed on all female
patients with child-bearing potential within 7 days of treatment initiation, and the
result must be negative)
12. Inability to take oral medications
13. Poor compliance as judged by the investigator