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Metastatic Colorectal CarcinomaPhase 1/2NCT01937715

A Study Of PF-05212384 Plus FOLFIRI Versus Bevacizumab Plus FOLFIRI In Metastatic Colorectal Cancer

A Phase 1/2 study testing PF-05212384, FOLFIRI regimen and Bevacizumab in people with Metastatic Colorectal Carcinoma, run by Pfizer at 39 sites in 3 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This is a multicenter, open label Phase 1b/2 study in patients with metastatic colorectal carcinoma. The Phase 1b will identify the dose of the combination of PF-05212384 plus FOLFIRI. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Metastatic Colorectal Carcinoma
What is being tested?
PF-05212384, FOLFIRI regimen and Bevacizumab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
18 participants
Where
39 sitesin 3 countries
Study dates
Feb 2014to Aug 2015
Phase
Phase 1/2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Advanced colorectal carcinoma.
  • Progression on prior oxaliplatin-containing regimen used in 1st line setting for mCRC or progression within 6 months of end of oxaliplatin-containing regimen in the adjuvant setting.
  • Tumor tissue available at time of screening for molecular profiling.
  • Adequate performance status.
  • Adequate glucose control, bone marrow, kidney, liver, and heart function.

Who cannot join

  • Participation in other studies involving investigational drug(s) (Phases 1-4) before the current study begins and/or during study participation.
  • Prior irinotecan treatment.
  • Prior radiation to the pelvis or abdomen in the metastatic or locally advanced setting.
  • History of Gilbert's syndrome.
  • Active brain metastases.
  • Deep vein thrombosis in the preceding 2 months.
  • History of interstitial lung disease.
  • RAS (KRAS/NRAS) wild type mCRC not previously treated with an anti-EGFR containing regimen (unless contraindicated or not considered standard practice per clinical site or country guidelines).

Trial locations and contacts

39 sites in 3 countries.

39 sites in 3 countries

United States35 sites
  • Metrohealth Medical Center

    Cleveland, Ohio, 44109

  • St. Jude Hospital Yorba Linda DBA St. Joseph Heritage Healthcare

    Fullerton, California, 92835

  • Comprehensive Cancer Centers of Nevada Research Department

    Henderson, Nevada, 89014

  • Comprehensive Cancer Centers of Nevada

    Henderson, Nevada, 89052

  • Comprehensive Cancer Centers of Nevada

    Henderson, Nevada, 89074

  • UCLA Hematology Oncology

    Irvine, California, 92604

  • Kadlec Clinic Hematology and Oncology

    Kennewick, Washington, 99336

  • Comprehensive Cancer Centers of NV

    Las Vegas, Nevada, 89128

  • COmprehensive Cancer Centers of Nevada

    Las Vegas, Nevada, 89148

  • Comprehensive Cancer Centers for Nevada

    Las Vegas, Nevada, 89169

  • Drug Management Only: UCLA West Medical Pharmacy, Attn Steven L. Wong, Pharm .D.

    Los Angeles, California, 90095-7349

  • Drug Management Only: UCLA West Medical Pharmacy

    Los Angeles, California, 90095-7349

  • UCLA West Medical Pharmacy, Att: Steven L. Wong, Pharm D.

    Los Angeles, California, 90095-7349

  • Ronald Reagan UCLA Medical Center

    Los Angeles, California, 90095

  • Ronald Regan UCLA Medical Center, Drug Information Center

    Los Angeles, California, 90095

  • TRIO-US Central Administration, Regulatory Management Only

    Los Angeles, California, 90095

  • TRIO-US Central Administration

    Los Angeles, California, 90095

  • TRIO_US

    Los Angeles, California, 90095

  • UCLA Hematology Oncology Administrative Address

    Los Angeles, California, 90095

  • Westwood Bowyer Clinic, Peter Morton Medical Building

    Los Angeles, California, 90095

  • West Valley Hematology/Oncology Med Group

    Northridge, California, 91328

  • UCLA/Pasadena Healthcare

    Pasadena, California, 91105

  • Kadlec Medical Center

    Richland, Washington, 99352

  • Outpatient Imaging Center

    Richland, Washington, 99352

  • Central Coast Medical Oncology Corporation

    Santa Maria, California, 93454

  • UCLA Hematology Oncology

    Santa Monica, California, 90404

  • UCLA Santa Monica Medical Center & Orthopaedic Hospital

    Santa Monica, California, 90404

  • Investigational Drug Services

    Seattle, Washington, 98101

  • Virginia Mason Medical Center

    Seattle, Washington, 98101

  • Medical Group of the Carolinas - Hematology Spartanburg

    Spartanburg, South Carolina, 29303

  • Spartanburg Regional Medical Center

    Spartanburg, South Carolina, 29303

  • Medical Oncology Associates, PS

    Spokane, Washington, 99208

  • Spokane Valley Cancer Center

    Spokane Valley, Washington, 99216

  • UCLA/Santa Clarita Valley Cancer Center

    Valencia, California, 91355

  • UCLA Cancer Center

    Westlake Village, California, 91361

Other trials in United States

Canada2 sites
  • The Ottawa Hospital Cancer Centre

    Ottawa, Ontario, K1H 8 L6

  • Princess Margaret Cancer Centre

    Toronto, Ontario, M5G 2M9

Other trials in Canada

Spain2 sites
  • Hospital Universitari Vall d'Hebron

    Barcelona, Spain, 08035

  • Hospital General Universitario Gregorio Marañón

    Madrid, Spain, 28009

Other trials in Spain

About this study

Official title: An Open-Label, Multi-Center, Randomized Phase 1b/2 Study Of PF-05212384 Plus 5-Fluorouracil-Leucovorin-Irinotecan (FOLFIRI) Versus Bevacizumab Plus FOLFIRI In Metastatic Colorectal Cancer

This is a multicenter, open label Phase 1b/2 study in patients with metastatic colorectal carcinoma. The Phase 1b will identify the dose of the combination of PF-05212384 plus FOLFIRI. The randomized, two-arm Phase 2 portion will compare the efficacy and safety of PF-05212384 plus FOLFIRI to that of bevacizumab plus FOLFIRI.

The study population will consist of patients with mCRC previously treated with an oxaliplatin-based regimen in the first line setting or who have progressed within 6 months of the end of an adjuvant oxaliplatin-based regimen.

Being tested
PF-05212384, FOLFIRI regimen, Bevacizumab, FOLFIRI
Medical subject headings
Colorectal Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PF-05212384Drug

    PF-05212384 at the Recommended phase 2 dose (RP2D/MTD) weekly

  • FOLFIRI regimenDrug

    The RP2D/MTD dose of FOLFIRI regimen every 2 weeks

  • BevacizumabBiological

    5 mg/m^2 every 2 weeks or 7.5 mg/m^2 every 3 weeks

  • FOLFIRIDrug

    Full dose FOLFIRI regimen every 2 weeks

Study groups in NCT01937715
Study groupRoleWhat they receive
Arm AExperimentalPF-05212384 plus FOLFIRI
Receives: Drug: PF-05212384; Drug: FOLFIRI regimen
Arm BActive comparatorBevacizumab plus FOLFIRI
Receives: Biological: Bevacizumab; Drug: FOLFIRI

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants With Dose-Limiting Toxicities (DLTs) in First Cycle of Therapy

    DLTs were classified according to Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 and defined as any of the following events judged to be attributed to the combination of PF-05212384 plus FOLFIRI: hematologic (febrile neutropenia or a sustained temperature >=38 degrees Celcius for >1 hour, grade >=3 neutropenic infection, grade 3 thrombocytopenia with bleeding, grade 4 thrombocytopenia); non-hematologic (grade >=2 pneumonitis, grade >=3 toxicities, toxicities which resulted in failure to deliver at least 75% of the planned total dose of PF-05212384 and/or 50% of the planned total dose of FOLFIRI during the first cycle, toxicities which resulted in delay of start of Cycle 2 by >2 weeks of scheduled day (Day 43 of study), Grade 3 QTc prolongation).

    Measured: Day 1 up to Day 28

  2. Progression-Free Survival (PFS)

    Progression-free survival was the time from randomization the date to date of first documentation of progression or death due to any cause, whichever occurred first. Documentation of progression was by objective disease assessment as defined by the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.

    Measured: Baseline (Day 1) up to disease progression or death whichever occurred first (up to 18 months)

Secondary outcomes (21)
  1. Number of Participants With Best Overall Response (Phase 1B)

    Best overall response is defined as the best response recorded from randomization (or first dose for patients in the Phase 1B) until disease progression, death, start of new anti-cancer treatment or end of study. The categories for best overall response include: complete response (CR) (complete disappearance of all target lesions with the exception of nodal disease and all target nodes must decrease to normal size (short axis <10 millimeters (mm)); partial response (PR) (at least a 30 percent (%) decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters); stable disease (SD) (not qualify for CR, PR or Progression); progressive disease (PD) (20% increase in the sum of diameters of target measurable lesions above the smallest sum observed (over baseline if no decrease in the sum is observed during therapy), with a minimum absolute increase of 5 mm); indeterminate (IND) (progression has not been documented).

    Measured: Every 8 weeks from Cycle 1 Day 1 until 28 days of last dose

  2. Number of Participants With All Causality Treatment-Emergent Adverse Events (AEs), Serious Adverse Events (SAEs), and Discontinuations by Relationship and Seriousness

    An AE was any untoward medical occurrence without regard to causality in a participant who received study drug. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. An AE was considered treatment emergent if the event occurred for the first time after the start of study treatment and within 28 days after final dose of study treatment and was not seen prior to the start of treatment; or the event was seen prior to the start of treatment but increased in CTCAE version 4.0 grade after the start of study treatment and within 28 days after final dose of study treatment.

    Measured: Baseline up to final study evaluation (within 28 days of last dose)

  3. Number of Participants With All Causality AEs by System Organ Class (SOC)

    An AE was any untoward medical occurrence without regard to causality in a participant who received study drug.

    Measured: Baseline up to final study evaluation (within 28 days of last dose)

  4. Number of Participants With Treatment-Emergent AEs by Worst On-Study Grade

    An AE was any untoward medical occurrence without regard to causality in a participant who received study drug. AE grades were defined according to Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 criteria.

    Measured: Baseline up to final study evaluation (within 28 days of last dose)

  5. Number of Participants With Hematological Test Abnormalities

    Number of participants with NCI CTCAE version 4.0 grade 1 to 4 hematological test abnormalities.

    Measured: Day 1 and Day 15 of each cycle

  6. Number of Participants With Coagulation Test Abnormalities

    Number of participants with NCI CTCAE version 4.0 grade 1 to 4 Coagulation test abnormalities.

    Measured: Day 1 and Day 15 of Cycle 1, Day 1 of Cycle 2 and subsequent cycles

  7. Number of Participants With Chemistry Test Abnormalities

    Number of participants with NCI CTCAE version 4.0 grade 1 to 4 Chemistry test abnormalities.

    Measured: Day 1 and Day 15 of each cycle

  8. Number of Participants With Urinalysis Test Abnormalities

    Number of participants with NCI CTCAE version 4.0 grade 1 to 4 Urinalysis test abnormalities.

    Measured: Day 1 and Day 15 of Cycle 1, Day 1 of Cycle 2 and subsequent cycles

  9. Maximum Observed Plasma Concentration (Cmax): PF-05212384, Irinotecan, and Fluorouracil

    Maximum Plasma Concentration of PF-05212384, Irinotecan, and Fluorouracil

    Measured: PF-05212384: Cycle 1 Day 3. Irinotecan: Cycle 1 Day 1. Fluorouracil: Cycle 1 Day 1.

  10. Time to Reach Maximum Observed Plasma Concentration (Tmax): PF-05212384, Irinotecan, and Fluorouracil

    Time to Reach Maximum Observed Plasma Concentration of PF-05212384, Irinotecan, and Fluorouracil

    Measured: PF-05212384: Cycle 1 Day 3. Irinotecan: Cycle 1 Day 1. Fluorouracil: Cycle 1 Day 1.

  11. Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast): PF-05212384 and Irinotecan

    Area Under the Curve From Time Zero to Last Quantifiable Concentration of PF-05212384, and Irinotecan

    Measured: PF-05212384: Cycle 1 Day 3. Irinotecan: Cycle 1 Day 1.

  12. Area Under the Plasma Concentration-Time Profile From Time 0 Extrapolated to Infinite Time (AUCinf): PF-05212384 and Irinotecan

    Area Under the Plasma Concentration-Time Profile From Time 0 Extrapolated to Infinite Time of PF-05212384 and Irinotecan

    Measured: PF-05212384: Cycle 1 Day 3. Irinotecan: Cycle 1 Day 1.

  13. Terminal Elimination Half-Life (t1/2): PF-05212384 and Irinotecan

    Terminal Elimination Half-Life of PF-05212384 and Irinotecan

    Measured: PF-05212384: Cycle 1 Day 3. Irinotecan: Cycle 1 Day 1.

  14. Number of Participants Meeting Maximum Post-Baseline QTc Interval Values

    Criteria for corrected QT interval using Fridericia's formula (QTcF) meeting potential clinical concern included: an absolute value >=450 - <480 msec, >=480-<500 msec, >500 msec; an absolute change 30 - <60, >=60 msec.

    Measured: Baseline, Cycle 1 Day 1, and Cycle 2 Day 2

  15. Number of Participants With Expression of Gene Sequences or Gene Amplications in Biopsied Tumor Tissue

    Biomarker evaluation were to be performed on fresh biopsies, as well as on archival biopsies collected during the study. Samples were to be analyzed for biomarkers indicative of pathway modulation or for genetic markers correlated to drug sensitivity.

    Measured: Baseline and Cycle 2 Day 17

  16. Number of Participants With Gene and/or Protein Expression Biomarkers Relating to the PI3K and/or mTOR Pathway Activation in Biopsied Tumor Tissue

    Biomarker evaluation were to be performed on fresh biopsies, as well as on archival biopsies collected during the study. Samples were to be analyzed for biomarkers indicative of pathway modulation or for genetic markers correlated to drug sensitivity.

    Measured: Baseline and Cycle 2 Day 17

  17. Number of Participants With Best Overall Response (Phase 2)

    Best overall response is defined as the best response recorded from randomization (or first dose for patients in the Phase 1B) until disease progression, death, start of new anti-cancer treatment or end of study. The categories for best overall response include: complete response (CR) (complete disappearance of all target lesions with the exception of nodal disease and all target nodes must decrease to normal size (short axis <10 millimeters (mm)); partial response (PR) (at least a 30 percent (%) decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters); stable disease (SD) (not qualify for CR, PR or Progression); progressive disease (PD) (20% increase in the sum of diameters of target measurable lesions above the smallest sum observed (over baseline if no decrease in the sum is observed during therapy), with a minimum absolute increase of 5 mm); indeterminate (IND) (progression has not been documented).

    Measured: Day 1 up to Day 28

  18. Duration of Response (Phase 2)

    Duration of response is the time from first documentation of CR or PR to date of first documentation of objective progression or death.

    Measured: Day 1 to Day 28

  19. Overall Survival (Phase 2)

    Overall survival is the time from randomization date to date of death due to any cause.

    Measured: Day 1 up to Day 28

  20. Number of Participants With Evidence of Pathway Signaling Related Genes and/or Proteins in Biopsied Tumor Tissue (Phase 2)

    Biomarker evaluation were to be performed on these fresh biopsies, as well as on archival biopsies collected during the study. Samples were to be analyzed for biomarkers indicative of pathway modulation or for genetic markers correlated to drug sensitivity.

    Measured: Baseline and Cycle 2 Day 17

  21. Change From Baseline in Functional Assessment of Cancer Therapy-Colorectal (FACT-C) (Phase 2)

    The FACT-C was to assess health-related quality of life and colorectal cancer (CRC)-related symptoms. It includes a total of 36 items, which are summarized into 6 subscales: physical well-being (7 items), functional well-being (7 items), social/family well-being (7 items), emotional well-being (6 items), CRC subscale (9 items) which addresses a subset of CRC concerns such as diarrhea.

    Measured: Day 1 of each cycle

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Sep 2013 (estimated)
  2. Study startFeb 2014
  3. Primary completionAug 2015
  4. Study completionAug 2015

Why it stopped: B2151007 was prematurely discontinued due to Pfizer's change in prioritization for the portfolio and is not due to any safety concerns or regulatory interaction

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
18 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01937715
Sponsor's protocol ID
B2151007
Other IDs
2013-002096-18
Status last verified
Jul 2016
First submitted
27 Aug 2013
Last updated
18 Aug 2016
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing PF-05212384, FOLFIRI regimen and Bevacizumab in people with Metastatic Colorectal Carcinoma, run by Pfizer at 39 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 18 Aug 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 39 sites in United States, Canada, Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 18 Aug 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants With Dose-Limiting Toxicities (DLTs) in First Cycle of Therapy (time frame: Day 1 up to Day 28). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Aug 2016; AzTrials last refreshed its copy on 7 Nov 2026.

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