Samstag, 4. Mai 2024
Navigation öffnen
Anzeige:
Wefra Programatic
 
JOURNAL ONKOLOGIE – STUDIE
BERING-CRC

BRAF Inhibitor Encorafenib And Cetuximab Real Life Investigation of Next Generation CRC Treatment

Rekrutierend

NCT-Nummer:
NCT04673955

Studienbeginn:
September 2020

Letztes Update:
29.09.2022

Wirkstoff:
Encorafenib, Cetuximab

Indikation (Clinical Trials):
Carcinoma, Colorectal Neoplasms

Geschlecht:
Alle

Altersgruppe:
Erwachsene (18+)

Phase:
-

Sponsor:
Pierre Fabre Pharma GmbH

Collaborator:
iOMEDICO AG, Pierre Fabre Pharma AG, Pierre Fabre Pharma Austria,

Kontakt

Frank Reichenbach, Dr. rer. nat
Kontakt:
Phone: +4976145261846
E-Mail: frank.reichenbach@pierre-fabre.com
» Kontaktdaten anzeigen

Studienlocations
(3 von 76)

Practice
77654 Offenburg
(Baden-Württemberg)
GermanyRekrutierend» Google-Maps
Medical Care Centre
89073 Ulm
(Baden-Württemberg)
GermanyRekrutierend» Google-Maps
Medical Car Centre
63739 Aschaffenburg
(Bayern)
GermanyRekrutierend» Google-Maps
Medical Care Centre
14467 Potsdam
(Brandenburg)
GermanyRekrutierend» Google-Maps
Practice
18057 Rostock
(Mecklenburg-Vorpommern)
GermanyRekrutierend» Google-Maps
Practice
18107 Rostock
(Mecklenburg-Vorpommern)
GermanyRekrutierend» Google-Maps
Practice
18057 Rostock
(Mecklenburg-Vorpommern)
GermanyRekrutierend» Google-Maps
Practice
18107 Rostock
(Mecklenburg-Vorpommern)
GermanyRekrutierend» Google-Maps
Clinic
18059 Rostock
(Mecklenburg-Vorpommern)
GermanyRekrutierend» Google-Maps
Medical Care Centre
38642 Goslar
(Niedersachsen)
GermanyRekrutierend» Google-Maps
Medical Practice
30161 Hannover
(Niedersachsen)
GermanyRekrutierend» Google-Maps
Medical Practice
26389 Wilhelmshaven
(Niedersachsen)
GermanyRekrutierend» Google-Maps
Practice
46236 Bottrop
(Nordrhein-Westfalen)
GermanyRekrutierend» Google-Maps
Medical Care Centre
41239 Mönchengladbach
(Nordrhein-Westfalen)
GermanyRekrutierend» Google-Maps
Medical Care Centre
45468 Mülheim an der Ruhr
(Nordrhein-Westfalen)
GermanyRekrutierend» Google-Maps
Clinic
33098 Paderborn
(Nordrhein-Westfalen)
GermanyRekrutierend» Google-Maps
Medical Care Centre
41239 Mönchengladbach
(Nordrhein-Westfalen)
GermanyRekrutierend» Google-Maps
Medical Care Centre
41462 Neuss
(Nordrhein-Westfalen)
GermanyRekrutierend» Google-Maps
Clinic
33098 Paderborn
(Nordrhein-Westfalen)
GermanyRekrutierend» Google-Maps
Medical Care Centre
32457 Porta Westfalica
(Nordrhein-Westfalen)
GermanyRekrutierend» Google-Maps
Practice
52222 Stolberg
(Nordrhein-Westfalen)
GermanyRekrutierend» Google-Maps
Practice
53840 Troisdorf
(Nordrhein-Westfalen)
GermanyRekrutierend» Google-Maps
Clinic
42283 Wuppertal
(Nordrhein-Westfalen)
GermanyRekrutierend» Google-Maps
Practice
55543 Bad Kreuznach
(Rheinland-Pfalz)
GermanyRekrutierend» Google-Maps
Practice
67655 Kaiserslautern
(Rheinland-Pfalz)
GermanyRekrutierend» Google-Maps
Clinic
24939 Flensburg
(Schleswig-Holstein)
GermanyRekrutierend» Google-Maps
Euregio-Brust-Zentrum St.-Antonius-Hospital
Dechant-Deckers-Straße 8
52249 Eschweiler
(Nordrhein-Westfalen)
DeutschlandRekrutierend» Google-Maps
Euregio-Brust-Zentrum St.-Antonius-Hospital
Dechant-Deckers-Straße 8
52249 Eschweiler
(Nordrhein-Westfalen)
DeutschlandRekrutierend» Google-Maps
Private Practice
Heidelberg
(Baden-Württemberg)
GermanyRekrutierend» Google-Maps
Private Practice
Lübeck
(Schleswig-Holstein)
GermanyRekrutierend» Google-Maps
Private Practice
Offenburg
(Baden-Württemberg)
GermanyRekrutierend» Google-Maps
Private Practice
Oldenburg In Holstein
(Schleswig-Holstein)
GermanyRekrutierend» Google-Maps
Private Practice
Schorndorf
(Baden-Württemberg)
GermanyRekrutierend» Google-Maps
Alle anzeigen

Studien-Informationen

Detailed Description:

The presence of a BRAFV600E mutation is a marker of poor prognosis in patients with mCRC and

associated with a median overall survival (mOS) of approximately 12 to 14 months compared to

20 to 25 months for pa-tients with BRAF wild-type tumors. After 1st line therapy, treatment

out-comes with standard therapy are poor in patients with BRAF-mutated mCRC, with response

rates (ORR) of ≤ 11%, a median progression-free survival (mPFS) between 1.8 and 2.8 months,

and a mOS between 4.1 and 6.2 months.

Failure to achieve adequate survival outcomes with standard treatment regimens in patients

with BRAF-mutated mCRC has encouraged efforts to combine multiple targeted therapies: With

665 randomized patients, the BEACON CRC trial represents the largest trial and is currently

the only phase III study in patients with BRAFV600E-mutant mCRC. After a safety lead in for

dose confirmation of the triplet regimen, the phase III part was per-formed with a total of

665 patients, randomized 1:1:1 to either receive encorafenib plus binimetinib and cetuximab

(triplet) or encorafenib plus cetuximab (doublet) or FOLFIRI / IRI plus cetuximab (control).

The BEACON CRC study met its primary endpoints Overall Response Rate (ORR) and Overall

Survival (OS) comparing Encorafenib + Binimetinib + Cetuximab vs. Chemotherapy + Cetuximab

(ORR: 26 vs. 2%, p<0.001; OS: median 9.0 vs. 5.4 months, HR 0.52, p<0.001). The BEACON CRC

study was alpha-controlled also for the secondary endpoint comparing Encorafenib + Cetuximab

vs. Chemotherapy + Cetuximab in terms of ORR and OS and showed a statistically significant

advantage (ORR: 20 vs. 2%, p<0.001; OS: median 8.4 vs. 5.4 months, HR 0.60, p<0.001). In

terms of safety, the overall frequency of adverse events grade 3/4 was 58% (En-corafenib +

Binimetinib + Cetuximab) vs. 50% (Encorafenib + Cetuximab) vs. 61% (Chemotherapy +

Cetuximab). Analysis of Quality of Life data resulted in a longer maintenance of Quality of

Life in the Encorafenib + Binimetinib + Cetuximab arm and the Encorafenib + Cetuximab arm

com-pared to Chemotherapy + Cetuximab. Between Encorafenib + Binimetinib + Cetuximab and

Encorafenib + Cetuximab, no relevant differences were reported. With a longer Follow-Up (12.8

months) the updated OS data showed a median OS of 9.3 months in both the Encorafenib +

Binimetinib + Cetuximab arm and the Encorafenib + Cetuximab arm compared to 5.9 months in the

control arm. Updated ORR rates were 27% in the triplet arm (p<0.0001 vs. control), 20% in the

doublet arm (p<0.0001 vs. control) and 2% in the control arm. The safety and tolerability

were adequate, manage-able and consistent with the known profiles of BRAF-, MEK-, and

EGFR-inhibitors. Regarding the triplet combination, the most common adverse events of any

grade were diarrhea (triplet: 62%; control: 48%), dermatitis acneiform (triplet: 49%;

control: 39%), nausea (triplet: 45%; control: 41%), and vomiting (triplet: 38%; control:

29%). Regarding the doublet combina-tion, the most common adverse events of any grade were

nausea (34%), diarrhea (33%), fatigue (doublet 30%; triplet 33%; control 27%) and derma-titis

acneiform (29%).

The most common updated grade ≥3 adverse events regarding the triplet combination were

diarrhea (triplet: 11%; control: 10%), abdominal pain (triplet: 6%; control: 5%), nausea

(triplet: 5%; control: 2%,vomiting (triplet: 5%; control: 3%) and intestinal obstruction

(triplet 5%; control 3%). With the doublet regimen, the most common updated grade ≥3 adverse

events were intestinal obstruction (doublet 5%), asthenia (doublet 4%; triplet 4%; control

5%), fatigue (doublet 4%; triplet 2%; control 5%), diarrhea (3%) and abdominal pain (3%).

Based on these data, it is expected that the European Medicines Agency (EMA) will approve

encorafenib plus cetuximab for the treatment of adult patients with metastatic

BRAFV600E-mutant CRC, who have received prior systemic therapy.

Data from pivotal clinical trials are usually based on a selected patient population in order

to provide standardized results in the given indication. However, after marketing

authorization usage in a broader patient popula-tion is to be expected. Therefore, BERINGCRC

- designed as a prospective (allowing initial retrospective documentation), longitudinal,

non-interventional study - will investigate the real-world effectiveness, quality of life,

safety and tolerability of encorafenib and cetuximab in BRAFV600E-mutant mCRC patients, who

have received prior systemic therapy.

Ein-/Ausschlusskriterien

Inclusion Criteria:

- Written informed consent of the patient with regard to the pseudonymized documentation

of his/her data in the frame of this non-interventional study

- Legally capable patient ≥ 18 years of age (no upper limit)

- Metastatic colorectal carcinoma with BRAFV600E-mutation, pretreated with systemic

therapy

- Decision was taken to treat the patient with the doublet therapy (encorafenib and

cetuximab) in accordance with the current SmPC and by prescription; this decision was

taken prior to and independent from the inclusion into the study;

- Treatment with the doublet therapy (encorafenib plus cetuximab) has been started ≤ 3

months prior to providing written informed consent for this study or is planned to be

started in the near future.

Exclusion Criteria:

- More than 2 prior systemic regimens in the metastatic setting (adjuvant systemic

therapy with relapse ≤ 6 months will be counted as metastatic treatment line;

maintenance treatment will not be counted as separate metastatic treatment line)

- Prior treatment with any RAF-inhibitor or MEK-inhibitor.

- Presence of any contraindication with regard to the doublet therapy (encorafenib plus

cetuximab) as specified in the corresponding SmPCs

- Current or upcoming participation in an interventional clinical trial

- Current or upcoming systemic treatment of any other tumor than metastatic colorectal

carcinoma

- Prisoners or persons who are compulsorily detained (involuntarily incarcerated).

Studien-Rationale

Primary outcome:

1. Overall Survival (Time Frame - At 12 months after start of treatment):
Overall Survival rate



Secondary outcome:

1. Patient and disease profiles at start of treatment with encorafenib plus cetuximab (Time Frame - Baseline):
Demographic and disease chracteristics

2. BRAF-mutation assessment (Time Frame - Baseline):
Date and type of BRAFV600E testing

3. Type and sequence of treatments before and after encorafenib plus cetuximab (Time Frame - Through study completion, an average of 17 months):
Treatment sequence prior to and after encorafenib plus cetuximab

4. Characteristics of treatment with encorafenib plus cetuximab (Time Frame - Through encorafenib plus cetuximab treatment completion, an average of 9 months):
Evaluation of reason for treatment selection (efficacy, safety profile, quality of life, patients preference, physician's preference, comorbidities, other)

5. Effectiveness of treatment with encorafenib and cetuximab (Time Frame - Through encorafenib plus cetuximab treatment completion, an average of 9 months):
Further Overall Survival parameters

6. Effectiveness of treatment with encorafenib and cetuximab (Time Frame - Through encorafenib plus cetuximab treatment completion, an average of 9 months):
Best observed tumor response

7. Effectiveness of treatment with encorafenib and cetuximab (Time Frame - Through encorafenib plus cetuximab treatment completion, an average of 9 months):
Time to progression

8. Effectiveness of treatment with encorafenib and cetuximab (Time Frame - Through encorafenib plus cetuximab treatment completion, an average of 9 months):
Overall response rate

9. Effectiveness of treatment with encorafenib and cetuximab (Time Frame - Through encorafenib plus cetuximab treatment completion, an average of 9 months):
Duration of response

10. Effectiveness of treatment with encorafenib and cetuximab (Time Frame - Through encorafenib plus cetuximab treatment completion, an average of 9 months):
Progression-free-survival

11. Effectiveness of treatment with encorafenib and cetuximab (Time Frame - Through encorafenib plus cetuximab treatment completion, an average of 9 months):
Disease control rate

12. Effectiveness of treatment with encorafenib and cetuximab (Time Frame - Through encorafenib plus cetuximab treatment completion, an average of 9 months):
Duration of disease control

13. Patient reported outcomes during treatment with encorafenib plus cetuximab - evaluated with EORTC QLQ C-30 (Time Frame - Through encorafenib plus cetuximab treatment completion, an average of 9 months):
EORTC QLQ C-30 questionnaires (European Organisation for Research and Treatment of Cancer Quality of Life C-30 questionnaires) to assess quality of life of cancer patients; comprises 30 items, 24 of which are aggregated into nine multi-item scales, that is, five functioning scales (physical, role, cognitive, emotional and social), three symptom scales (fatigue, pain and nausea/vomiting) and one global health status scale. The remaining six single-item (dyspnoea, appetite loss, sleep disturbance, constipation, diarrhoea and the financial impact) scales assess symptoms. Only in case of prospective inclusion.

14. Patient's treatment satisfaction - overall (Time Frame - Through encorafenib plus cetuximab treatment completion, an average of 9 months):
4-point scale: very satisfied, satisfied, dissatisfied, very dissatisfied

15. Physician's treatment satisfaction - differentiated by efficiency, safety and overall (Time Frame - Through encorafenib plus cetuximab treatment completion, an average of 9 months):
4-point scale: very satisfied, satisfied, dissatisfied, very dissatisfied

16. Safety and tolerability of treatment with encorafenib and cetuximab - Adverse events and adverse reactions including time to onset and time to resolution (Time Frame - Through encorafenib plus cetuximab treatment completion, an average of 9 months):
Number of patients with Adverse Events and maximum grade per patient, Adverse Drug Reactions, Adverse Drug Reactions grade 3/4, Serious Adverse Events, Serious Adverse Drug Reactions

17. Treatment duration (Time Frame - Through encorafenib plus cetuximab treatment completion, an average of 9 months):
From date to first treatment until date of last treatment (single compounds and whole treatment)

18. Treatment dose intensity (Time Frame - Through encorafenib plus cetuximab treatment completion, an average of 9 months):
From date to first treatment until date of last treatment (single compounds and whole treatment)

19. Number of treatment interruptions (Time Frame - Through encorafenib plus cetuximab treatment completion, an average of 9 months):
From date to first treatment until date of last treatment (single compounds and whole treatment)

20. Duration of treatment interruptions (Time Frame - Through encorafenib plus cetuximab treatment completion, an average of 9 months):
From date to first treatment until date of last treatment (single compounds and whole treatment)

Geprüfte Regime

  • Encorafenib (Braftovi):
    Observation of real-life treatment with encorafenib and cetuximab
  • Cetuximab (Erbitux):
    Observation of real-life treatment with encorafenib and cetuximab

Quelle: ClinicalTrials.gov


Sie können folgenden Inhalt einem Kollegen empfehlen:

"BRAF Inhibitor Encorafenib And Cetuximab Real Life Investigation of Next Generation CRC Treatment"

Bitte tragen Sie auch die Absenderdaten vollständig ein, damit Sie der Empfänger erkennen kann.

Die mit (*) gekennzeichneten Angaben müssen eingetragen werden!

Die Verwendung Ihrer Daten für den Newsletter können Sie jederzeit mit Wirkung für die Zukunft gegenüber der MedtriX GmbH - Geschäftsbereich rs media widersprechen ohne dass Kosten entstehen. Nutzen Sie hierfür etwaige Abmeldelinks im Newsletter oder schreiben Sie eine E-Mail an: rgb-info[at]medtrix.group.