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JOURNAL ONKOLOGIE – STUDIE

A Study Evaluating the Safety and Efficacy of Targeted Therapies in Subpopulations of Patients With Metastatic Colorectal Cancer (INTRINSIC)

Rekrutierend

NCT-Nummer:
NCT04929223

Studienbeginn:
Oktober 2021

Letztes Update:
02.04.2024

Wirkstoff:
Inavolisib, Bevacizumab, Cetuximab, Atezolizumab, Tiragolumab, SY-5609, Divarasib, FOLFOX, FOLFIRI

Indikation (Clinical Trials):
Colorectal Neoplasms

Geschlecht:
Alle

Altersgruppe:
Erwachsene (18+)

Phase:
Phase 1

Sponsor:
Hoffmann-La Roche

Collaborator:
-

Studienleiter

Clinical Trials
Study Director
Hoffmann-La Roche

Kontakt

Reference Study ID Number: WO42758 https://forpatients.roche.com/
Kontakt:
Phone: 888-662-6728 (U.S. and Canada)
E-Mail: global-roche-genentech-trials@gene.com
» Kontaktdaten anzeigen

Studienlocations
(3 von 75)

Charité Universitätsmedizin Berlin; Hämatologie/Onkologie und Tumorimmunologie
13353 Berlin
(Berlin)
GermanyRekrutierend» Google-Maps
Katholisches Klinikum Bochum gGmbH - St. Josef-Hospital; Klinik für Hämatologie und Onkologie
44791 Bochum
(Nordrhein-Westfalen)
GermanyRekrutierend» Google-Maps
Universitätsklinikum Düsseldorf; Klinik für Gastroenterologie Infektologie u. Hepatologie
40225 Düsseldorf
(Nordrhein-Westfalen)
GermanyRekrutierend» Google-Maps
Asklepios Klinik Altona; Hämatologie, Onkologie, Palliativmedizin und Rheumatologie
22763 Hamburg
(Hamburg)
GermanyRekrutierend» Google-Maps
SLK-Kliniken Heilbronn GmbH; Klinik für Innere Medizin III; Schwerpunkt Häma./Onko./Palliativm.
74078 Heilbronn
(Baden-Württemberg)
GermanyRekrutierend» Google-Maps
Klinikum der Universität München, Campus Großhadern; Medizinische Klinik und Poliklinik III
81377 München
(Bayern)
GermanyRekrutierend» Google-Maps
Universitätsklinikum Ulm; Zentrum für Innere Medizin Klinik für Innere Medizin I
89081 Ulm
(Baden-Württemberg)
GermanyRekrutierend» Google-Maps
UAB Comprehensive Cancer Center; Clinical Studies Unit
35249-3300 Birmingham
United StatesRekrutierend» Google-Maps
Mayo Clinic Arizona
85259 Phoenix
United StatesAktiv, nicht rekrutierend» Google-Maps
City of Hope Comprehensive Cancer Center
91010 Duarte
United StatesAktiv, nicht rekrutierend» Google-Maps
USC Norris Cancer Center
90033 Los Angeles
United StatesRekrutierend» Google-Maps
Cedars-Sinai Medical Center
90048 Los Angeles
United StatesRekrutierend» Google-Maps
Hoag Memorial Hospital Presbyterian
92663 Newport Beach
United StatesZurückgezogen» Google-Maps
Stanford Cancer Center
94304 Palo Alto
United StatesAktiv, nicht rekrutierend» Google-Maps
University of Colorado Cancer Center
80045 Aurora
United StatesAktiv, nicht rekrutierend» Google-Maps
Eastern Ct Hema/Onco Assoc; Dept of Oncology
06360 Norwich
United StatesRekrutierend» Google-Maps
Mayo Clinic in Florida; Department of Hematology
32224 Jacksonville
United StatesAktiv, nicht rekrutierend» Google-Maps
Moffitt Cancer Center
33612 Tampa
United StatesAktiv, nicht rekrutierend» Google-Maps
University of Chicago Medical Center; Cancer Research Center
60637-1470 Chicago
United StatesZurückgezogen» Google-Maps
Mary Bird Perkins Cancer Ctr
70809 Baton Rouge
United StatesRekrutierend» Google-Maps
Massachusetts General Hospital
02114 Boston
United StatesRekrutierend» Google-Maps
Beth Israel Deaconess Medical Center, Harvard Medical School; Department of Medicine
02215 Boston
United StatesZurückgezogen» Google-Maps
Karmanos Cancer Institute
48201 Detroit
United StatesRekrutierend» Google-Maps
Mayo Clinic Rochester
55902 Rochester
United StatesRekrutierend» Google-Maps
New York Cancer & Blood Specialists - Bronx
10469-5930 Bronx
United StatesRekrutierend» Google-Maps
New York Cancer & Blood Specialists - New Hyde Park
11042-1116 New Hyde Park
United StatesRekrutierend» Google-Maps
New York Cancer and Blood Specialists-Central Park Hematology & Oncology
10028 New York
United StatesRekrutierend» Google-Maps
Memorial Sloan Kettering Cancer Center
10065 New York
United StatesZurückgezogen» Google-Maps
New York Cancer & Blood Specialists
11967 Shirley
United StatesRekrutierend» Google-Maps
Duke University Medical Center
27705 Durham
United StatesAktiv, nicht rekrutierend» Google-Maps
Hematology Oncology Salem
97301 Salem
United StatesAktiv, nicht rekrutierend» Google-Maps
UPMC - Hillman Cancer Center
15232 Pittsburgh
United StatesAktiv, nicht rekrutierend» Google-Maps
Sarah Cannon Research Institute / Tennessee Oncology
37203 Nashville
United StatesRekrutierend» Google-Maps
Vanderbilt University Medical Center
37212 Nashville
United StatesAktiv, nicht rekrutierend» Google-Maps
Medical Oncology Associates
99208 Spokane
United StatesRekrutierend» Google-Maps
Univ of Wisconsin-Madison
53705 Madison
United StatesZurückgezogen» Google-Maps
Peter Maccallum Cancer Centre
3000 Melbourne
AustraliaRekrutierend» Google-Maps
Princess Margaret Cancer Center
M5G 2M9 Toronto
CanadaAktiv, nicht rekrutierend» Google-Maps
Jewish General Hospital; Clinical Research Unit
H3T 1E2 Montreal
CanadaRekrutierend» Google-Maps
McGill University Health Center
H4A 3J1 Montreal
CanadaZurückgezogen» Google-Maps
Rigshospitalet, Onkologisk Klinik; Klinisk Forskningsenhed
2100 København Ø
DenmarkRekrutierend» Google-Maps
Università degli Studi della Campania Luigi Vanvitelli
80131 Napoli
ItalyRekrutierend» Google-Maps
Policlinico Universitario Agostino Gemelli IRCCS; UOS Fase 1
00168 Roma
ItalyRekrutierend» Google-Maps
Irccs Istituto Nazionale Dei Tumori (Int);S.C. Medicina Oncologica 1
20133 Milano
ItalyRekrutierend» Google-Maps
Azienda Socio Sanitaria Territoriale Niguarda (Ospedale Niguarda Ca' Granda); Oncologico -Onc.Falck
20162 Milano
ItalyRekrutierend» Google-Maps
IRCCS Istituto Oncologico Veneto (IOV); Oncologia Medica Prima
35128 Padova
ItalyRekrutierend» Google-Maps
National Cancer Center
10408 Goyang-si
Korea, Republic ofRekrutierend» Google-Maps
Chonnam National University Hwasun Hospital
58128 Jeollanam-do
Korea, Republic ofRekrutierend» Google-Maps
Seoul National University Bundang Hospital
463-707 Seongnam-si
Korea, Republic ofAktiv, nicht rekrutierend» Google-Maps
Seoul National University Hospital
03080 Seoul
Korea, Republic ofAktiv, nicht rekrutierend» Google-Maps
Severance Hospital, Yonsei University Health System
03722 Seoul
Korea, Republic ofAktiv, nicht rekrutierend» Google-Maps
Asan Medical Center
05505 Seoul
Korea, Republic ofAktiv, nicht rekrutierend» Google-Maps
Samsung Medical Center
06351 Seoul
Korea, Republic ofRekrutierend» Google-Maps
Szpital Uniwersytecki w Krakowie, Oddzia? Kliniczny Kliniki Onkologii
30-688 Kraków
PolandRekrutierend» Google-Maps
Uniwersytecki Szpital Kliniczny w Poznaniu; Oddzia? Onkologii Klinicznej i Doswiadczalnej
Poznan
PolandRekrutierend» Google-Maps
Narodowy Instytut Onkologii im. M. Sklodowskiej-Curie; Oddzial Badan Wczesnych Faz
02-781 Warszawa
PolandRekrutierend» Google-Maps
Vall d?Hebron Institute of Oncology (VHIO), Barcelona
08035 Barcelona
SpainRekrutierend» Google-Maps
START Madrid-FJD, Hospital Fundacion Jimenez Diaz
28040 Madrid
SpainRekrutierend» Google-Maps
START Madrid. Centro Integral Oncologico Clara Campal; CIOCC
28050 Madrid
SpainRekrutierend» Google-Maps
Hospital Clínico Universitario de Valencia; Servicio de Oncología
46010 Valencia
SpainRekrutierend» Google-Maps
National Cheng Kung University Hospital; Oncology
00704 Tainan
TaiwanAktiv, nicht rekrutierend» Google-Maps
Taipei Veterans General Hospital; Department of Oncology
112201 Taipei City
TaiwanAktiv, nicht rekrutierend» Google-Maps
National Taiwan University Hospital; Oncology
10048 Zhongzheng Dist.
TaiwanRekrutierend» Google-Maps
Addenbrookes Hospital
CB2 0QQ Cambridge
United KingdomRekrutierend» Google-Maps
Velindre Cancer Centre
CF14 2TL Cardiff
United KingdomRekrutierend» Google-Maps
Royal Free Hospital; Dept of Oncology
NW3 2QG London
United KingdomRekrutierend» Google-Maps
Sarah Cannon Research Institute
W1G 6AD London
United KingdomAktiv, nicht rekrutierend» Google-Maps
Imperial College Healthcare NHS Trust
W2 1NY London
United KingdomAktiv, nicht rekrutierend» Google-Maps
The Christie NHS Foundation Trust
M20 4BX Manchester
United KingdomRekrutierend» Google-Maps
Alle anzeigen

Studien-Informationen

Brief Summary:

This open-label, exploratory study is designed to evaluate the safety and efficacy of

targeted therapies or immunotherapy as single agents or combinations, in participants with

metastatic colorectal cancer (mCRC) whose tumors are biomarker positive as per treatment

arm-specific definition. Eligible participants with mCRC will be enrolled into specific

treatment arms based on their biomarker assay results.

Ein-/Ausschlusskriterien

Inclusion Criteria

- Signed cohort-specific Informed Consent Form

- Age >= 18 years at time of signing Informed Consent Form

- Biomarker eligibility as determined at a College of American Pathologists/clinical

laboratory improvement amendments (CAP/CLIA)-certified or equivalently accredited

diagnostic laboratory using a validated test

- Eastern Cooperative Oncology Group (ECOG) Performance Status of <= 1

- Life expectancy >= 3 months, as determined by the investigator

- Histologically confirmed adenocarcinoma originating from the colon or rectum

- Metastatic disease

- Prior therapies for metastatic disease

- Ability to comply with the study protocol, in the investigators judgment

- Measurable disease (at least one target lesion) according to Response Evaluation

Criteria in Solid Tumors, Version 1.1 (RECIST v1.1)

- Baseline tumor tissue samples will be collected from all patients for exploratory

biomarker research

- Adequate hematologic and organ function within 14 days prior to initiation of study

treatment

- For women of childbearing potential: agreement to remain abstinent (refrain from

heterosexual intercourse) or use contraceptive measures

- For men: agreement to remain abstinent or use contraceptive measures, and agreement to

refrain from donating sperm

Exclusion Criteria

- Current participation or enrollment in another interventional clinical trial. Patients

who are participating in the follow-up period of an interventional clinical trial are

eligible for the study.

- Any systemic anti-cancer treatment within 2 weeks or 5 half-lives (whichever is

shorter) prior to start of study treatment

- Treatment with investigational therapy within 28 days prior to initiation of study

treatment

- Pregnant or breastfeeding, or intending to become pregnant during the study

- History of or concurrent serious medical condition or abnormality in clinical

laboratory tests that, in the investigator's judgment, precludes the patient's safe

participation in and completion of the study or confounds the ability to interpret

data from the study

- Severe infection within 4 weeks prior to initiation of study treatment or any active

infection that, in the opinion of the investigator, could impact patient safety

- Incomplete recovery from any surgery prior to the start of study treatment that would

interfere with the determination of safety or efficacy of study treatment

- Uncontrolled pleural effusion, pericardial effusion, or ascites requiring recurrent

drainage procedures (once monthly or more frequently)

- Uncontrolled tumor-related pain

- Uncontrolled or symptomatic hypercalcemia

- Clinically significant and active liver disease

- Negative HIV test at screening, with the following exception: Patients with a positive

HIV test at screening are eligible provided they are stable on anti-retroviral therapy

for at least 4 weeks, have a CD4 count greater than or equal to 200/uL, have an

undetectable viral load, and have not had a history of opportunistic infection

attributable to AIDS within the last 12 months.

- Symptomatic, untreated, or actively progressing CNS metastases

- History of leptomeningeal disease or carcinomatous meningitis

- History of malignancy other than CRC within 2 years prior to screening, with the

exception of malignancies with a negligible risk of metastasis or death

- Any other disease, unresolved toxicity from prior therapy, metabolic dysfunction,

physical examination finding, or clinical laboratory finding that contraindicates the

use of an investigational drug, may affect the interpretation of the results, or may

render the patient at high risk from treatment complications

- Requirement for treatment with any medicinal product that contraindicates the use of

any of the study treatments, may interfere with the planned treatment, affects patient

compliance, or puts the patient at higher risk for treatment-related complications

Studien-Rationale

Primary outcome:

1. Objective Response Rate (Time Frame - Approximately 60 months):
Defined as the proportion of patients with a complete response or partial response, as determined by the investigator according to RECIST v1.1



Secondary outcome:

1. Duration of Response (Time Frame - Approximately 60 months):
Defined as the time from the first occurrence of a documented objective response to disease progression or death from any cause (whichever occurs first), as determined by the investigator according to RECIST v1.1

2. Disease Control Rate (Time Frame - Approximately 60 months):
Defined as the proportion of patients with stable disease, or a complete or partial response, as determined by the investigator according to RECIST v1.1

3. Percentage of Participants with Adverse Events (AEs) (Time Frame - Approximately 60 months):
Percentage of participants with adverse events.

4. Plasma Concentrations of Divarasib (Time Frame - At pre-defined intervals from first administration of study drug up to approximately 60 months):
Plasma concentration of divarasib for divarasib + cetuximab + FOLFOX, divarasib + cetuximab, and divarasib + cetuximab+ FOLFIRI treatment arms.

Studien-Arme

  • Experimental: Inavolisib + Cetuximab
    Participants will receive 9 milligrams (mg) of inavolisib by mouth once daily (QD) on Days 8-28 of Cycle 1, then QD on Days 1-28 from Cycle 2 onwards (1 cycle=28 days). Participants will also receive cetuximab intravenous (IV) infusion 400 mg/m2 body surface area on Day 1 of Cycle 1. All subsequent weekly (QW) doses will be 250 mg/m2 each.
  • Experimental: Inavolisib + Bevacizumab
    Participants will receive 9 mg of inavolisib by mouth QD combined with bevacizumab 15 milligram/kilogram (mg/kg) IV once every three weeks (Q3W) on Day 1 of each cycle (1 cycle=21 days).
  • Experimental: Atezolizumab + Tiragolumab + Bevacizumab
    Participants in this randomized cohort will receive 1200 mg of atezolizumab by IV infusion on Day 1 of each cycle, combined with tiragolumab at a dose of 600 mg IV infusion on Day 1 of each cycle and bevacizumab IV infusion at a dose of 15 mg/kg on Day 1 of each cycle. (Cycle length=21 days)
  • Experimental: Atezolizumab + Tiragolumab
    Participants in this randomized cohort will receive 1200 mg of atezolizumab by IV infusion on Day 1 of each cycle combined with tiragolumab 600 mg IV infusion on Day 1 of each cycle. (Cycle length=21 days)
  • Experimental: Atezolizumab + SY-5609
    Participants will receive 1680 mg of atezolizumab by IV infusion on Day 1 of each cycle Q4W in repeated 28-day cycles combined with SY-5609 at a dose of 3, 4, 5, 6, 7 or 10 mg by mouth for 7 days, followed by 7 days off. (Cycle length=28 days) Open in the United States only. Enrollment is closed.
  • Experimental: Divarasib + Cetuximab + FOLFOX
    Participants will receive cetuximab IV 500 mg/m2 body surface area on Days 1 and 15 and FOLFOX on Days 1 and 15 with divarasib PO QD on Days 1-28. (Cycle length=28 days)
  • Experimental: Divarasib + Cetuximab
    Participants will receive cetuximab IV 500 mg/m2 body surface area on Days 1 and 15 with divarasib PO QD on Days 1-28. (Cycle length=28 days)
  • Experimental: Divarasib + Cetuximab + FOLFIRI
    Participants will receive cetuximab IV 500 mg/m2 body surface area on Days 1 and 15 and FOLFIRI on Days 1 and 15 with divarasib PO QD on Days 1-28. (Cycle length=28 days)

Geprüfte Regime

  • Inavolisib:
    Inavolisib will be administered orally as per schedule specified in the respective arms.
  • Bevacizumab (Avastin):
    Bevacizumab IV will be administered as per schedule specified in the respective arm.
  • Cetuximab:
    Cetuximab IV will be administered as per schedule specified in the respective arm.
  • Atezolizumab (Tecentriq):
    Atezolizumab IV infusion will be administered as per schedule specified in the respective arm.
  • Tiragolumab:
    Tiragolumab IV infusion will be administered as per schedule specified in the respective arm.
  • SY-5609:
    SY-5609 will be administered by mouth as per schedule specified in the respective arm.
  • Divarasib (GDC-6036):
    Divarasib will be administered orally as per schedule specified in the respective arms.
  • FOLFOX:
    FOLFOX (5-fluorouracil, leucovorin, oxaliplatin) IV will be administered as per schedule specified in the respective arm.
  • FOLFIRI:
    FOLFIRI (leucovorin, 5-fluorouracil, irinotecan) IV will be administered as per schedule specified in the respective arm.

Quelle: ClinicalTrials.gov


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