BRAF V600E-mutant Metastatic Colorectal CancerPhase 3BEACON CRCNCT02928224
Study of Encorafenib + Cetuximab Plus or Minus Binimetinib vs. Irinotecan/Cetuximab or Infusional 5-Fluorouracil (5-FU)/Folinic Acid (FA)/Irinotecan (FOLFIRI)/Cetuximab With a Safety Lead-in of Encorafenib + Binimetinib + Cetuximab in Patients With BRAF V600E-mutant Metastatic Colorectal Cancer
A Phase 3 study testing Encorafenib, Binimetinib and Cetuximab in people with BRAF V600E-mutant Metastatic Colorectal Cancer, run by Pfizer at 418 sites in 27 countries.
Trial summary
This is a multicenter, randomized, open-label, 3-arm Phase 3 study to evaluate encorafenib + cetuximab plus or minus binimetinib versus Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab, as controls, in patients with BRAFV600E mCRC whose disease has progressed after 1 or 2 prior regimens in the… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- BRAF V600E-mutant Metastatic Colorectal Cancer
- What is being tested?
- Encorafenib, Binimetinib and Cetuximab
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 702 participants
- Where
- 418 sitesin 27 countries
- Study dates
- 13 Oct 2016to 10 Nov 2022
- Phase
- Phase 3
- 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
- Age ≥ 18 years at time of informed consent
- Histologically- or cytologically-confirmed CRC that is metastatic
- Presence of BRAFV600E in tumor tissue as previously determined by a local assay at any time prior to Screening or by the central laboratory
- Progression of disease after 1 or 2 prior regimens in the metastatic setting
- Evidence of measurable or evaluable non-measurable disease per RECIST, v1.1
- Adequate bone marrow, cardiac, kidney and liver function
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- Able to take oral medications
- Female patients are either postmenopausal for at least 1 year, are surgically sterile for at least 6 weeks, or must agree to take appropriate precautions to avoid pregnancy from screening through follow-up if of childbearing potential
- Males must agree to take appropriate precautions to avoid fathering a child from screening through follow-up
Who cannot join
- Prior treatment with any RAF inhibitor, MEK inhibitor, cetuximab, panitumumab or other epidermal growth factor receptor (EGFR) inhibitors
- Prior irinotecan hypersensitivity or toxicity that would suggest an inability to tolerate irinotecan 180 mg/m2 every 2 weeks
- Symptomatic brain metastasis or leptomeningeal disease
- History or current evidence of retinal vein occlusion or current risk factors for retinal vein occlusion (e.g., uncontrolled glaucoma or ocular hypertension, history of hyperviscosity or hypercoagulability syndromes)
- Known history of acute or chronic pancreatitis
- History of chronic inflammatory bowel disease or Crohn's disease requiring medical intervention (immunomodulatory or immunosuppressive medications or surgery) ≤12 months prior to randomization
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- Uncontrolled blood pressure despite medical treatment
- Impaired GI function or disease that may significantly alter the absorption of encorafenib or binimetinib (e.g., ulcerative diseases, uncontrolled vomiting, malabsorption syndrome, small bowel resection with decreased intestinal absorption)
- Concurrent or previous other malignancy within 5 years of study entry, except cured basal or squamous cell skin cancer, superficial bladder cancer, prostate intraepithelial neoplasm, carcinoma in-situ of the cervix, or other noninvasive or indolent malignancy
- History of thromboembolic or cerebrovascular events ≤ 6 months prior to starting study treatment, including transient ischemic attacks, cerebrovascular accidents, deep vein thrombosis or pulmonary emboli
- Concurrent neuromuscular disorder that is associated with the potential of elevated creatine (phosphor)kinase (CK) (e.g., inflammatory myopathies, muscular dystrophy, amyotrophic lateral sclerosis, spinal muscular atrophy)
- Residual common terminology criteria for adverse events (CTCAE) ≥ Grade 2 toxicity from any prior anticancer therapy, with the exception of Grade 2 alopecia or Grade 2 neuropathy
- Known history of HIV infection
- Active hepatitis B or hepatitis C infection
- Known history of Gilbert's syndrome
- Known contraindication to receive cetuximab or irinotecan at the planned doses
Trial locations and contacts
418 sites in 27 countries.
418 sites in 27 countries
United States90 sites
Rocky Mountain Lions Eye Institute
Aurora, Colorado, 80045
University of Colorado Cancer Center - Anschutz Cancer Pavilion
Aurora, Colorado, 80045
University of Colorado Denver CTO (CTRC)
Aurora, Colorado, 80045
University of Colorado Hospital - Anschutz Outpatient Pavilion (AOP)
Aurora, Colorado, 80045
University of Colorado Hospital Inpatient Pavillion'
Aurora, Colorado, 80045
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Baltimore, Maryland, 21287
The Investigational Drug Pharmacy (IDS) in the Sidney Kimmel Cancer Center at Johns Hopkins
Baltimore, Maryland, 21287
The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Baltimore, Maryland, 21287
Memorial Sloan Kettering: Basking Ridge
Basking Ridge, New Jersey, 07920
Illinois CancerCare- Bloomington
Bloomington, Illinois, 61704
Massachusetts General Hospital
Boston, Massachusetts, 02114
Ophthalmic Consultants of Boston Inc
Boston, Massachusetts, 02114
Brigham & Women's Hospital
Boston, Massachusetts, 02115
Dana-Farber Cancer Institute (DFCI)
Boston, Massachusetts, 02215
Dana-Farber Cancer Institute
Boston, Massachusetts, 02215
Gabrail Cancer Center Research
Canton, Ohio, 44718
University of Chicago Medical Center
Chicago, Illinois, 60637
Siteman Cancer Center - St Peters
City of Saint Peters, Missouri, 63376
Cleveland Clinic Taussig Cancer Institute
Cleveland, Ohio, 44195
Memorial Sloan Kettering: Commack
Commack, New York, 11725
The Lennar Foundation Medical Center
Coral Gables, Florida, 33146
Siteman Cancer Center - West County
Creve Coeur, Missouri, 63141
City of Hope (City of Hope National Medical Center, City of Hope Medical Center)
Duarte, California, 91010
The University of Kansas Clinical Research Center
Fairway, Kansas, 66205
Broward Health Medical Center
Fort Lauderdale, Florida, 33316
Dr. Clayton Berger (opthalmology)
Fort Lauderdale, Florida, 33316
Mehmet F. Hepgur, MD - Broward Health Medical Center
Fort Lauderdale, Florida, 33316
Compassionate Care Research Group, Inc. at Compassionate Cancer Care Medical Group, Inc.
Fountain Valley, California, 92708
Illinois CancerCare- Galesburg
Galesburg, Illinois, 61401
The University of Texas MD Anderson Cancer Center
Houston, Texas, 77030-4009
Indiana University Health Hospital
Indianapolis, Indiana, 46202
Indiana University Health Melvin and Bren Simon Cancer Center
Indianapolis, Indiana, 46202
Investigational Drug Services IUHSCC
Indianapolis, Indiana, 46202
Sidney &Lois Eskenazi Hospital
Indianapolis, Indiana, 46202
IU Health Springmill
Indianapolis, Indiana, 46290
University of Iowa Hospitals and Clinics
Iowa City, Iowa, 52242
Mayo Clinic Florida
Jacksonville, Florida, 32224
The University of Kansas Hospital
Kansas City, Kansas, 66160
Keck Hospital of USC - Norris Healthcare Center (HC3)
Los Angeles, California, 90033
Keck Hospital of USC
Los Angeles, California, 90033
LAC+USC Medical Center
Los Angeles, California, 90033
Norris Healthcare Center 3 (HC3)
Los Angeles, California, 90033
USC Eye Institute
Los Angeles, California, 90033
USC/Norris Comprehensive Cancer Center
Los Angeles, California, 90033
University of Wisconsin Clinical Science Center
Madison, Wisconsin, 53792
Sylvester Comprehensive Cancer Center/UMHC
Miami, Florida, 33136
Sylvester at Kendall
Miami, Florida, 33176
Henry-Joyce Cancer Clinic
Nashville, Tennessee, 37232
Vanderbilt Eye Institute
Nashville, Tennessee, 37232
Baptist Health Floyd Cancer Center
New Albany, Indiana, 47150
Smilow Cancer Hospital at Yale - New Haven
New Haven, Connecticut, 06510
Temple Medical Center
New Haven, Connecticut, 06510
Yale University, Yale Cancer Center
New Haven, Connecticut, 06520
University of Chicago Comprehensive Cancer Center at Silver Cross Hospital
New Lenox, Illinois, 60451
Ochsner Clinic Foundation
New Orleans, Louisiana, 70121
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
Memorial Sloan Kettering: Rockefeller Outpatient Pavilion
New York, New York, 10065
Hoag Memorial Hospital Presbyterian
Newport Beach, California, 92663
Smilow Cancer Hospital Care Center at North Haven
North Haven, Connecticut, 06473
Harvard Eye Associates
Orange, California, 92868
The University of Chicago Medicine Center for Advanced Care Orland Park
Orland Park, Illinois, 60462
Illinois CancerCare- Ottawa
Ottawa, Illinois, 61350
Illinois Cancer Care, PC
Peoria, Illinois, 61615
Illinois Eye Center
Peoria, Illinois, 61615
Mayo Clinic Hospital
Phoenix, Arizona, 85054
Mayo Clinic
Phoenix, Arizona, 85054
Casey Eye Institute-South Waterfront
Portland, Oregon, 97239
OHSU Center for Health and Healing
Portland, Oregon, 97239
OHSU Research Pharmacy Services
Portland, Oregon, 97239
Oregon Health and Science University
Portland, Oregon, 97239
KU Eye
Prairie Village, Kansas, 66208
Mayo Clinic
Rochester, Minnesota, 55905
Mayo Clinic
Scottsdale, Arizona, 85259
Spokane Eye Clinic
Spokane, Washington, 99204
Inland Imaging, LLC Holy Family Hospital
Spokane, Washington, 99208
Medical Oncology Associates, PS DBA Summit Cancer Centers
Spokane, Washington, 99208
Providence Holy Family Nuclear Medicine
Spokane, Washington, 99208
Medical Oncology Associates, PS DBA Summit Cancer Centers
Spokane Valley, Washington, 99216
SSM Health Saint Louis University Hospital
St Louis, Missouri, 63104
Barnes Jewish Hospital
St Louis, Missouri, 63110
Saint Louis University
St Louis, Missouri, 63110
SSM Health Saint Louis University Hospital
St Louis, Missouri, 63110
Washington University Infusion Center Pharmacy
St Louis, Missouri, 63110
Washington University School of Medicine
St Louis, Missouri, 63110
Siteman Cancer Center - South County
St Louis, Missouri, 63129
Scott & White Clinic - Temple Pavilion
Temple, Texas, 76504
Scott & White Medical Center - Temple
Temple, Texas, 76508
Carle Cancer Center
Urbana, Illinois, 61801
The University of Kansas Cancer Center and Medical Pavilion
Westwood, Kansas, 66205
The University of Kansas Cancer Center, Investigational Drug Services
Westwood, Kansas, 66205
Brazil41 sites
Clinica Toller
Barretos, São Paulo, 14780-110
Olhos Centro Diagnostico e Laser LTDA
Barretos, São Paulo, 14780-300
Fundacao Pio XII
Barretos, São Paulo, 14784-400
Instituto Vizibelli
Belo Horizonte, Minas Gerais, 30110-921
CENANTRON - Centro Avancado de Tratamento Oncologic
Belo Horizonte, Minas Gerais, 30130-090
CEMES Centro Medico Especializado em Oftalmologia
Cachoeiro de Itapemirim, Espírito Santo, 29300-045
Centro de Pesquisas Clínicas em Oncologia
Cachoeiro de Itapemirim, Espírito Santo, 29308-014
Hospital Evangelico de Cachoeiro de Itapemirim
Cachoeiro de Itapemirim, Espírito Santo, 29308-055
Fundação Universidade de Caxias do Sul
Caxias do Sul, Rio Grande do Sul, 95070-560
Giuliano Santos Borges - ME / Clinica de Neoplasias Litoral - Centro de Novos Tratamentos Itajai
Itajaí, Santa Catarina, 88301-220
Daniel Lubisco Pandolfi
Lajeado, Rio Grande do Sul, 95900-000
Sociedade Beneficencia e Cardade de Lajeado/Hospital Bruno Born
Lajeado, Rio Grande do Sul, 95900-000
Sociedade Beneficencia e Cardade de Lajeado/Hospital Bruno Born
Lajeado, Rio Grande do Sul, 95900-010
Associacao Hospitalar Beneficente Sao Vicente de Paulo / Hospital Sao Vicente de Paulo
Passo Fundo, Rio Grande do Sul, 99010-080
Consultorio Medico de Oftalmologia - Dr. Ricardo Tres
Passo Fundo, Rio Grande do Sul, 99010-080
Hospital Sao Vicente de Paulo
Passo Fundo, Rio Grande do Sul, 99010-090
Thiago Vernetti Ferreira
Pelotas, Rio Grande do Sul, 96010-140
Leandro Becker
Pelotas, Rio Grande do Sul, 96015-280
Fernanda Mendes
Pelotas, Rio Grande do Sul, 96020-080
UPCO - Unidade de Pesquisas Clinicas em Oncologia
Pelotas, Rio Grande do Sul, 96020-080
Fernanda Lauermann
Pelotas, Rio Grande do Sul, 96020-260
Diogo Duarte Torre
Porto Alegre, Rio Grande do Sul, 90020-013
Farmacia Central da Irmandade da Santa Casa de Misericordia de Porto Alegre
Porto Alegre, Rio Grande do Sul, 90020-090
Irmandade da Santa Casa de Misericordia de Porto Alegre
Porto Alegre, Rio Grande do Sul, 90020-090
Nucleo de Novos Tratamentos em Cancer
Porto Alegre, Rio Grande do Sul, 90050-170
Centro de Pesquisa Clínica de Oncologia e Hematologia - Hospital Mãe de Deus/AESC
Porto Alegre, Rio Grande do Sul, 90110-270
Clinica de Oftalmologia Lavinsky
Porto Alegre, Rio Grande do Sul, 90470-340
Hospital Mãe de Deus
Porto Alegre, Rio Grande do Sul, 90880-480
Hospital do Olho
Salvador, Estado de Bahia, 41820-020
CENOB - Centro de Oncologia da Bahia SS Ltda / Oncovida
Salvador, Estado de Bahia, 41820-021
FUNDAÇÃO DO ABC - Faculdade de Medicina do ABC
Santo André, São Paulo, 09060-650
FUNDAÇÃO DO ABC - Faculdade de Medicina do ABC
Santo André, São Paulo, 09060-870
Fundacao Faculdade Regional de Medicina de Sao Jose do Rio Preto
São José do Rio Preto, São Paulo, 15090-000
Instituto de Ensino e Pesquisa São Lucas
São Paulo, 01236-030
Instituto de Ensino e Pesquisa São Lucas - Pharmacy
São Paulo, 01242-020
Hospital Leforte
São Paulo, 01507-000
IPEPO - Instituto da Visao
São Paulo, 04038-020
CEPOS - Centro de Estudos e Pesquisas Oncologicas de Sorocaba
Sorocaba, São Paulo, 18030-075
Instituto de Oncologia de Sorocaba "Dr. Gilson Delgado"
Sorocaba, São Paulo, 18030-200
Karen Miyuki Kubokawa Shorer
Sorocaba, São Paulo, 18040-425
Oftalmologia Diagnostica de Sorocaba (ODS)
Sorocaba, São Paulo, 18047-620
Italy41 sites
Oculistica, ASST Papa Giovanni XXIII
Bergamo, BG, 24127
Oncologia, ASST Papa Giovanni XXIII
Bergamo, BG, 24127
Policlinico S.Orsola Malpighi, AOU di Bologna - Oncologia Medica
Bologna, 40138
Divisione Anatomia Patologica Presidio San Giovanni di Dio
Cagliari, 09124
Oculistica AOU di Cagliari Presidio San Giovanni di Dio
Cagliari, 09124
Oculistica - ASST Cremona, Ospedale di Cremona
Cremona, CR, 26100
SC Farmacia Aziendale - ASST Cremona, Ospedale di Cremona
Cremona, CR, 26100
SC Oncologia - ASST Cremona, Ospedale di Cremona
Cremona, CR, 26100
Dipartimento Neuromuscoloscheletrico e Organi di Senso, "Oncologia Oculare Unit"
Florence, 50134
SC oncologia Medica I - Azienda Ospedaliero Universitaria Careggi
Florence, 50134
IRCCS Ospedale San Raffaele - U.O. di Medicina Oncologica
Milan, MI, 20132
Servizio di Farmacia - IRCCS Ospedale San Raffaele
Milan, MI, 20132
S.C. Radiologia diagnostica e interventistica - Fondazione IRCCS Istituto Nazionale dei Tumori
Milan, MI, 20133
SC Oncologia Medica 1, SS Oncologia Medica Gastroenterologica
Milan, MI, 20133
Radiologia
Milan, 20141
Unita di Oncologia Medica Gastrointestinale e Tumori Neuroendocrini
Milan, 20141
Grande Ospedale Metropolitano Niguarda
Milan, 20162
Dipartimento Interaziendale Farmaceutico - AOU Policlinico di Modena
Modena, 41124
SC di Oftalmologia - AOU Policlinico di Modena
Modena, 41124
SC di Radiologia, Dipartimento Interaziendale integrato Diagnostica per Immagini
Modena, 41124
SSD Day Hospital Oncologico - Dipartimento ad attivita integrata di Oncologia, Ematologia
Modena, 41124
Clinica di Oncologia Medica AOU di Cagliari Presidio Duilio Casula Monserrato
Monserrato, Cagliari, 09042
Farmacia AOU di Cagliari Presidio Duilio Casula Monserrato
Monserrato, Cagliari, 09042
Radiologia AOU di Cagliari Presidio Duilio Casula Monserrato
Monserrato, Cagliari, 09042
AOU Universita degli Studi della Campania L. Vanvitelli - DAI di Medicina Interna e Specialistica
Naples, 80131
AOU Universita degli Studi della Campania L. Vanvitelli - U. Ma.Ca.
Naples, 80131
AOU Universita degli Studi della Campania L. Vanvitelli
Naples, 80131
AOU Universita degli Studi della Campania L. Vanvitelli
Naples, 80138
Cardiologia per i pazienti oncologici - Istituto Oncologico Veneto I.R.C.C.S
Padova, PD, 35128
Clinica Oculistica - Azienda Ospedaliera di Padova
Padova, PD, 35128
U.O. Oncologia Medica 1 - Istituto Oncologico Veneto I.R.C.C.S
Padova, PD, 35128
UO Oculistica - AOU Pisana, Stabilimento Ospedaliero di Cisanello
Pisa, 56124
SOD Radiodiagnostica 3 - AOU Pisana, Stabilimento Ospedaliero di Santa Chiara
Pisa, 56126
UO Farmaceutica, Gestione del Farmaco - AOU Pisana, Stabilimento Ospedaliero di Santa Chiara
Pisa, 56126
UO Oncologia Medica 2 - AOU Pisana, Stabilimento Ospedaliero di Santa Chiara
Pisa, 56126
U.O.S.D. Oncologia Medica, Dipartimento di Medicina - Fondazione PTV Policlinico Tor Vergata
Roma, 00133
U.O.S.D. Patologie Retiniche - Fondazione PTV Policlinico Tor Vergata
Roma, 00133
U.O. Oculistica, Istituto Clinico HUMANITAS
Rozzano, Milano, 20089
U.O. di Oncologia ed Ematologia, Istituto Clinico HUMANITAS
Rozzano (MI), Milan, 20089
Ospedali Riuniti Umberto I
Torrette Di Ancona, Ancona, 60020
ASST Bergamo Ovest, Ospedale Treviglio Caravaggio di Trevigl
Treviglio, Bergamo, 24047
Germany34 sites
Evangelisches Waldkrankenhaus Spandau
Berlin, 13589
Institut f. Pathologie - Ruhr-Universitaet Bochum, Prof. Dr. med. Andrea Tannapfel
Bochum, North Rhine Westfalia, 44789
Universitaetsklinikum Carl Gustav Carus der Technischen Universitaet Dresden
Dresden, 01307
Kliniken Essen Mitte / Knappschaftskrankenhaus
Essen, North Rhine-Westphalia, 35136
Praxis fuer Augenheilkunde Dr. Edmund Meyer-Schwickerath
Essen, North Rhine-Westphalia, 45131
Kliniken Essen-Mitte
Essen, North Rhine-Westphalia, 45136
Universitaetsklinikum Essen (AoeR), Innere Klinik (Tumorforschung), Westdeutsches Tumorzentrum
Essen, North Rhine-Westphalia, 45147
Universitaetsklinikum Essen; Diagnostischeu. Interventionelle Radiologie u. Neuroradiologie
Essen, North Rhine-Westphalia, 45147
Universitaetsklinikum Essen; Nuklearmedizin
Essen, North Rhine-Westphalia, 45147
Universitaetsklinikum Essen; Zentralapotheke
Essen, North Rhine-Westphalia, 45147
Evang. Krankenhaus Essen - Werden; Klinik fuer Augenheilkunde
Essen, North Rhine-Westphalia, 45239
Kliniken Essen Mitte / Knappschaftskrankenhaus
Essen, North Rhine-Westphalia, 45276
Augenarzt-Gemeinschaftspraxis Dr.med.Andreas Kind & Dr.med. Ute Kariger-Schweigert
Falkensee, Brandenburg, 14612
Universitaetsklinikum Hamburg Eppendorf, Klinik fuer Augenheilkunde
Hamburg, 20246
Facharztzentrum Eppendorf
Hamburg, 20249
Universitaetsklinikum Hamburg Eppendorf, Zentrum fuer Radiologie und Endoskopie
Hamburg, 20251
ZytoService Deutschland GmbH, Standort-Hamburg-Jenfeld
Hamburg, 22045
HKS Kardiologische Praxis am Israelitischen Krankenhaus
Hamburg, 22297
Radiologie im Israelitischen Krankenhaus
Hamburg, 22297
Medizinische Hochschule Hannover (MHH)
Hanover, Lower Saxony, 30625
Medizinische Hochschule Hannover
Hanover, Lower Saxony, 30625
Augentagesklinik Maria-Hilf Krankenhaus
Mönchengladbach, North Rhine-Westphalia, 41063
Kliniken Maria Hilf GmbH - Franziskuskrankenhaus
Mönchengladbach, North Rhine-Westphalia, 41063
Kliniken Maria Hilf GmbH; Klinik fuer Radiologie
Mönchengladbach, North Rhine-Westphalia, 41063
Augenklinik der Universitaet Muenchen
Munich, Bavaria, 80336
LMU Klinikum der Universitaet Muenchen, Campus Grosshadern
Munich, Bavaria, 81377
Lukaskrankenhaus Neuss; Zentrale Apotheke
Neuss, North Rhine-Westphalia, 41464
Universitaetsklinikum Tuebingen
Tübingen, Baden-Wurttemberg, 72076
Universitaetsklinikum Ulm
Ulm, Baden-Wurttemberg, 89081
Augenarzt Praxis Dr. med. Petra Huelsmann
Worms, Rhineland-Palatinate, 67547
Gemeinschaftspraxis fuer Radiologie und Nuklearmedizin, Standort Worms
Worms, Rhineland-Palatinate, 67547
Martin Apotheke
Worms, Rhineland-Palatinate, 67547
Onkologische Schwerpunktpraxis Worms
Worms, Rhineland-Palatinate, 67547
Praxisgemeinschaft Kruse + Hofstaetter
Worms, Rhineland-Palatinate, 67547
Spain30 sites
Hospital del Mar
Barcelona, 08003
Clinica Corachan
Barcelona, 08017
Hospital Quiron Salud Barcelona
Barcelona, 08023
Cetir Centre Medic S.L.
Barcelona, 08029
Hospital Universitario Vall d'Hebron
Barcelona, 08035
Hospital Universitario de Burgos
Burgos, 09006
Hospital Universitario Reina Sofía
Córdoba, Cordona, 14004
Consulta Dr. Juan Carlos Castillo Dominguez
Córdoba, 14008
Complejo Hospitalario de Jaen
Jaén, Andalusia, 23007
Sercosa - Clinica de las Nieves
Jaén, Andalusia, 23007
Institut Catala d'Oncologia
L'Hospitalet de Llobregat, Barcelona, 08908
Hospital Nuestra Señora del Rosario
Madrid, Madrid, Communidad Delaware, 28006
Gabinete Radiologico Dr. Pita
Madrid, 28006
Hospital General Universitario Gregorio Maranon
Madrid, 28007
Hospital Universitario Ramón y Cajal
Madrid, 28034
Hospital Clinico San Carlos
Madrid, 28040
Hospital Universitario Fundacion Jimenez Diaz
Madrid, 28040
Hospital Universitario 12 de Octubre
Madrid, 28041
Hospital Universitario La Paz
Madrid, 28046
Hospital HM Universitario Sanchinarro
Madrid, 28050
Hospital Universitario Son Espases
Palma de Mallorca, Balearic Islands, 07010
Hospital Universitari Sant Joan de Reus
Reus, Tarragona, 43204
Hospital Universitari Parc Tauli
Sabadell, Barcelona, 08208
Hospital Universitario Virgen del Rocio
Seville, 41013
Clinica Oftalvist
Valencia, 46004
Fundacion Instituto Valenciano de Oncologia
Valencia, 46009
Hospital Clinico Universitario de Valencia
Valencia, 46010
Hospital General Universitario de Valencia
Valencia, 46014
Hospital Quiron Salud Zaragoza
Zaragoza, 50006
Hospital Universitario Miguel Servet
Zaragoza, 50009
France15 sites
Hopital Jean Minjoz
Besançon, 25030
CHU Morvan
Brest, 29609
Centre Ophtalmologique - Pole Vision - Clinique Val d'Ouest
Écully, 69130
Centre Leon Berard
Lyon, 69373
ICM Val d'Aurelle
Montpellier, 34298
CHU HOTEL-Dieu
Nantes, 44093
Hopital Georges Pompidou
Paris, 75015
Centre hospitalier national d'ophtalmologie des Quinze-Vingts
Paris, 75571
Centre Hospitalier National d'Opthalmologie des Quinze-Vingts (CHNO des XV-XX)
Paris, 75571
CHU Robert Debre
Reims, 51092
SCM Centre d'ophtalmologie
Saint Jeand de Vedas, 34430
CHU Toulouse - Purpan, hopital Pierre-Paul Riquet
Toulouse, 31057
CHU Toulouse-Institut Inuversitaire du Cancer Toulouse
Toulouse, 31059
CHU Toulouse-Rangueil
Toulouse, 31059
Gustave Roussy
Villejuif, 94805
Israel13 sites
The Barzilai Medical Center - Oncology Institute
Ashkelon, 7830604
Soroka University Medical Center
Beersheba, 8410101
MOR Institute
Bnei Brak, 5126413
Ein-Karem Department of Medical Imaging of Hadassah Medical Organization, Hadassah Medical Center,
Jerusalem, 9112001
Hadassah Medical Organization, Hadassah Medical Center, Ein-Karem
Jerusalem, 9112001
Pharmacy of Hadassah Medical Organization, Hadassah Medical Center, Ein-Karem
Jerusalem, 9112001
Mt. Scopus Department of Medical Imaging of Hadassah Medical Organization,
Jerusalem, 91240
Imaging Department of Meir Medical Center
Kfar Saba, 4428164
Meir Medical Center
Kfar Saba, 4428164
Pharmacy of Rabin Medical Center, Beilinson Hospital
Petah Tikva, 4941492
Rabin Medical Center, Beilinson Hospital
Petah Tikva, 4941492
Tel Aviv Sourasky Medical Center - Oncology
Tel Aviv, NAP, 6423906
The Chaim Sheba Medical Center
Tel HaShomer, 5262100
Japan13 sites
National Cancer Center Hospital
Chuo-ku, Tokyo, 104-0045
National Hospital Organization Kyushu Cancer Center
Fukuoka, 811-1395
Kyushu Central Hospital of the Mutual Aid Association of Public School Teachers
Fukuoka, 815-8588
Kanazawa University Hospital
Kanazawa, Ishikawa-ken, 920-8641
National Cancer Center Hospital East
Kashiwa-shi, Chiba, 277-8577
St. Marianna University School of Medicine Hospital
Kawasaki, Kanagawa, 216-8511
Chayagasaka Eye Clinic
Nagoya, Aichi-ken, 464-0092
Aichi Cancer Center Hospital
Nagoya, Aichi-ken, 464-8681
National Hospital Organization Osaka National Hospital
Osaka, 540-0006
Hokkaido University Hospital
Sapporo, Hokkaido, 060-8648
Osaka University Hospital Laboratory for Clinical Investigation
Suita, Osaka, 565-0871
Tsukahara Eye Clinic
Yokohama, Kanagawa, 241-0821
Kanagawa Cancer Center
Yokohama, Kanagawa, 241-8515
South Korea13 sites
Hallym University Sacred Heart Hospital
Anyang, Gyeonggido, 14068
Dong-A University Hospital
Busan, 49201
Chonnam National University Hwasun Hospital
Hwasun-gun, Jeollanam-do, 58128
Gachon University Gil Medical Center
Incheon, 21565
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, 13620
Korea University Guro Hospital
Seoul, Seoul Teugbyeolsi, 08308
Korea University Anam Hospital IRB
Seoul, 02841
Seoul National University Hospital
Seoul, 03080
Severance Hospital, Yonsei University Health System
Seoul, 03722
Asan Medical Center
Seoul, 05505
Samsung Medical Center
Seoul, 06351
The Catholic University of Korea, Seoul St. Mary's Hospital
Seoul, 06591
Ajou University Hospital
Suwon, Gyeonggi-do, 16499
Ukraine13 sites
Oftalmolohycheskyi tsentr "Vzghliad" MTs
Dnipropetrovsk, Dnipropetrovsk Oblast, 41100
Oftalmolohycheskyi tsentr "Vzghliad" MTs
Dnipropetrovsk, Dnipropetrovsk Oblast, 49027
Derzhavnyi zaklad, Dnipropetrovska medychna akademiia Ministerstva okhorony zdorovia Ukrainy
Dnipropetrovsk, Dnipropetrovsk Oblast, 49102
Komumalnyi zaklad, Dnipropetrovska miska bahatoprofilna klinichna likarnia Nº4
Dnipropetrovsk, Dnipropetrovsk Oblast, 49102
Kyivska klinichna likarnia na zaliznychnomu transporti No3 filii Tsentr okhorony zdorov'ia PAT
Kyiv, Kyivska Oblast', 02096
Natsionalnyi medychnyi universytet imeni O.O Bohomltsia, kafedra onkolohii
Kyiv, Kyivska Oblast', 02096
Natsionalnyi medychnyi universytet imeni O.O Bohomltsia, kafedra oftalmolohii
Kyiv, Kyivska Oblast, 01601
Oleksandrivska klinichna likarnia mista Kyieva
Kyiv, Kyivska Oblast, 01601
Kyivskyi miskyi klinichnyi onkotsentr
Kyiv, Kyivska Oblast, 03115
DVNZ "Uzhhorodskyi natsionalnyi universytet"
Uzhhorod, Zakarpattia Oblast, 88000
TOV "Zakarpatskyi Tsentr Mikrokhirurhii Oka"
Uzhhorod, Zakarpattia Oblast, 88000
Tsentralna miska klinichna likarnia, Miskyi onkolohichnyi tsentr
Uzhhorod, Zakarpattia Oblast, 88000
Vinnytskyi oblasnyi klinichnyi onkolohichnyi dyspanser, viddilennia khimioterapii
Vinnytsia, Vinnytsia Oblast, 21029
Czechia12 sites
Ocni ordinace Oftalpro s.r.o.
Brno, 603 00
Masarykuv onkologicky ustav
Brno, 656 53
Fakultni nemocnice Hradec Kralove
Hradec Králové, 500 05
Fingerlanduv ustav patologie
Hradec Králové, 500 05
I. interni kardioangiologicka klinika
Hradec Králové, 500 05
Klinika nemoci koznich a pohlavnich
Hradec Králové, 500 05
Nemocnicni lekarna - Usek klinickych studii
Hradec Králové, 500 05
Ocni klinika
Hradec Králové, 500 05
Radiologicka klinika
Hradec Králové, 500 05
Fakultni nemocnice Olomouc, I. interni klinika - kardiologicka
Olomouc, 779 00
Fakultni nemocnice Olomouc, Lekarna
Olomouc, 779 00
Fakultni nemocnice Olomouc
Olomouc, 779 00
Australia11 sites
Central Adelaide Local Health Network Inc. operating as Royal Adelaide Hospital
Adelaide, South Australia, 5000
Flinders Medical Centre
Bedford Park, South Australia, 5042
Monash Health Translation Precinct - Monash Health
Clayton, Victoria, 3168
St Vincent's Clinic
Darlinghurst, NEW South Wales (nsw), 2010
St Vincent's Hospital Sydney
Darlinghurst, NEW South Wales (nsw), 2010
Austin Health
Heidelberg, Victoria, 3084
Peter MacCallum Cancer Centre
Melbourne, Victoria, 3000
Marsden Eye Specialists
Parramatta, NEW South Wales (nsw), 2150
Mater Misericordiae Limited
South Brisbane, Queensland, 4101
Newcastle Eye Centre
Sydney, NEW South Wales (nsw), 2300
Central Adelaide Local Health Network Inc. operating as The Queen Elizabeth Hospital
Woodville South, South Australia, 5011
Belgium11 sites
Imelda Ziekenhuis
Bonheiden, 2820
AZ Sint-Jan Brugge - Oostende AV - Campus Sint-Jan - Oncology
Bruges, WEST Vlaanderen, 8000
Grand Hopital de Charleroi (GHdC)
Charleroi, 6000
UZ Antwerpen
Edegem, 2650
AZ Maria Middelares
Ghent, 9000
University Hospital Gasthuisberg (UZ Leuven)
Leuven, 3000
Centre Hospitalier de l'Ardenne - Site de Libramont
Libramont-Chevigny, Luxembourg, 6800
Centre Hospitalier Universitaire (CHU) de Liege
Liège, 4000
CHC Saint Joseph
Liège, 4000
AZ Delta Roeselaere-Menen
Roeselaere, 8800
Centre Hospitalier Regional (CHR) - Verviers
Verviers, 4800
Austria9 sites
DZU, Diagnose Zentrum Urania GmbH
Vienna, 1010
AKH Wien
Vienna, 1090
Medizinische Universitaet Wien/AKH Wien
Vienna, 1090
Medizinische Universität Wien/AKH Wien
Vienna, 1090
Klinikum Wels - Grieskirchen GmbH, Abteilung fuer Innere Medizin IV
Wels, Upper Austria, 4600
Klinikum Wels-Grieskirchen GmbH, Abteilung fuer Augenheilkunde und Optometrie
Wels, Upper Austria, 4600
Klinikum Wels-Grieskirchen GmbH, Abteilung fuer Innere Medizin II
Wels, Upper Austria, 4600
Klinikum Wels-Grieskirchen GmbH, Institut fuer Nuklearmedizin
Wels, Upper Austria, 4600
Klinikum Wels-Grieskirchen GmbH, Institut fuer Radiologie I
Wels, Upper Austria, 4600
Hungary9 sites
Szent Margit Kórház
Budapest, 1032
Eszak-Pesti Centrumkorhaz-Honvedkorhaz
Budapest, 1062
Magyar Honvedseg Egeszsegugyi Kozpont
Budapest, 1062
Egyesitett Szent Istvan es Szent Laszlo Korhaz-Rendelointezet
Budapest, 1097
Uzsoki Utcai Korhaz
Budapest, 1145
Debreceni Egyetem Klinikai Kozpont
Debrecen, 4032
Pecsi Tudomanyegyetem Altalanos Orvostudomanyi Kar
Pécs, 7624
Pecsi Tudomanyegyetem Klinikai Kozpont
Pécs, 7624
Zala Megyei Szent Rafael Korhaz - Onkologiai Osztaly
Zalaegerszeg, Zala County, H-8900
United Kingdom9 sites
NHS Grampian - Aberdeen Royal Infirmary
Aberdeen, Aberdeenshire Scotland, AB25 2ZN
University Hospitals Birmingham NHS Foundation Trust Queen Elizabeth Hospital
Birmingham, WEST Midlands, B15 2TH
Beatson West of Scotland Cancer Centre
Glasglow, Glasglow City, Scotland, G12 0YH
Hammersmith Hospital, Imperial College Healthcare NHS Trust
London, W12 0HS
Imperial College Healthcare NHS Trust, Hammersmith Hospital
London, W12 0HS
Sarah Cannon Research Institute UK
London, W1G 6AD
Imperial College Healthcare NHS Trust, Charing Cross Hospital
London, W6 8RF
The Christie NHS Foundation Trust - Christie Hospital
Manchester, M20 4BX
King Edward V11 Hospital
Windsor, Berkshire, SL4 3DP
Netherlands8 sites
The Netherlands Cancer Institute
Amsterdam, North Holland, 1066 CX
Onze Lieve Vrouwen Gasthuis
Amsterdam, North Holland, 1091 AC
Rijnstate Hospital Arnhem
Arnhem, Gelderland, 6815 AD
Maastricht University Medical Center (MUMC)
Maastricht, Limburg, 6229HX
Haga Ziekenhuis
The Hague, South Holland, 2545 AA
Universitair Medisch Centrum Utrecht
Utrecht, 3584 CX
Universitair Medisch Centrum Utrecht
Utrecht, 3584CX
Rijnstate Hospital Velp
Velp, Gelderland, 6883 AZ
Poland7 sites
Szpital Specjalistyczny W Brzozowie, Podkarpacki Osrodek Onkologiczny Im.Ks.B.Markiewicza
Brzozów, 36-200
Wojewodzki Szpital Zespolony, Oddzial Onkologiczny
Elblag, 82-300
Szpital Specjalistyczny im. L. Rydygiera w Krakowie Sp.z.o.o.
Krakow, 31-826
Europejskie Centrum Zdrowia Otwock, Szpital im. F. Chopina
Otwock, 05-400
NZOZ Centrum Medyczne HCP
Poznan, 61-485
NZOZ Przychodnia Specjalistyczna GUTMED
Poznan, 61495
MAGODENT Sp. z o.o. Szpital Elblaska
Warsaw, 01-748
Turkey (Türkiye)7 sites
Hacettepe University Medical Faculty
Ankara, 06230
Uludag University Hospital
Bursa, 16059
Trakya Universitesi Tip Fakultesi
Edirne, 22030
Medeniyet University Goztepe Training and Research Hospital
Istanbul, Kadikoy, 34722
Ege University Medical Faculty
Izmir, Bornova, 35040
Izmir Medical Park Hospital - Medical Oncology
Izmir, Izmir, Karsiyaka, 35575
Inonu Universitesi Turgut Ozal Medical Center
Malatya, 44280
Canada6 sites
Centre integre universitaire de sante et de services sociaux de l'Ouest-de-l'Ile-de-Montreal
Montreal, Quebec, H3T 1M5
The Ottawa Hospital Cancer Centre
Ottawa, Ontario, K1H 8L6
Sunnybrook Research Institute
Toronto, Ontario, M4N 3M5
Mount Sinai Hospital
Toronto, Ontario, M5G 1X5
Eye Care Centre, Vancouver General Hospital
Vancouver, British Columbia, V5Z 3N9
BC Cancer, Vancouver Center
Vancouver, British Columbia, V5Z 4E6
Russia6 sites
Evimed Llc
Chelyabinsk, 454048
Regional Budgetary Healthcare Institution Kursk Regional Clinical
Kursk, Kursk Oblast, 305524
Federal State Budget Institution "N.N. Blokhin Russian Cancer Research Center" of the
Moscow, 115478
Federal State Budget Institution "N.N. Blokhin Russian Cancer Research Center"
Moscow, 115478
A. Tsyb Medical Radiological Research Center - branch of the
Obninsk, 249036
State Budgetary Educational Institution of Higher Professional Education First Saint Petersburg
Saint Petersburg, 197022
Taiwan6 sites
Changhua Christian Hospital
Changhua, Changhua County, 500
Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, 807
China Medical University Hospital
Taichung, 40447
National Cheng Kung University Hospital
Tainan, 704
National Taiwan University Hospital
Taipei, 10002
Chang Gung Memorial Hospital, Linkou
Taoyuan City, 333
Argentina5 sites
Clinica Universitaria Reina Fabiola
Córdoba, X5004FHP
Centro Oncologico Riojano Integral - CORI
La Rioja, 5300
CLINICA PERGAMINO S.A. (Centro de Investigacion Pergamino S.A.)
Pergamino, Buenos Aires, 2700
Centro Medico CAIPO (Centro para la Atención del paciente Oncológico)
San Miguel de Tucumán, Tucumán Province, T4000GTB
Centro Medico INFINITO
Santa Rosa, La Pampa Province, L6300EAN
Norway4 sites
Colosseum Øyelegesenter C/O LB Holdings AS
Lommedalen, 1350
Colosseum Øyelegesenter C/O LB Holdings AS
Oslo, 0369
Oslo universitetssykehus, Radiumhospitalet
Oslo, 0379
Sykehusapoteket Oslo, Radiumhospitalet
Oslo, 0379
Chile2 sites
Instituto Clinico Oncologico del Sur (ICOS)
Temuco, Araucania, 4810469
Hospital Clinico Vina Del Mar
Viña del Mar, V Region Valparaiso, 2520612
Mexico2 sites
Superare Centro de Infusion S.A. de C.V.
Delegacion Cuauhtemoc, Mexico City, 06760
Consultorio dentro de la Torre Medica Dalinde (Oncologia Medica)
Mexico City, Cuauhtemoc, 06760
About this study
Official title: A Multicenter, Randomized, Open-label, 3-Arm Phase 3 Study of Encorafenib + Cetuximab Plus or Minus Binimetinib vs. Irinotecan/Cetuximab or Infusional 5-Fluorouracil (5-FU)/Folinic Acid (FA)/Irinotecan (FOLFIRI)/Cetuximab With a Safety Lead-in of Encorafenib + Binimetinib + Cetuximab in Patients With BRAF V600E-mutant Metastatic Colorectal Cancer
This is a multicenter, randomized, open-label, 3-arm Phase 3 study to evaluate encorafenib + cetuximab plus or minus binimetinib versus Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab, as controls, in patients with BRAFV600E mCRC whose disease has progressed after 1 or 2 prior regimens in the metastatic setting. The study contains a Safety Lead-in Phase in which the safety and tolerability of encorafenib + binimetinib + cetuximab will be assessed prior to the Phase 3 portion of the study.
- Being tested
- Encorafenib, Binimetinib, Cetuximab, Irinotecan, Folinic Acid
- Keywords
- Colorectal cancer, BRAF, BRAFV600E
- Medical subject headings
- Colorectal Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EncorafenibDrug
Orally, once daily.
BinimetinibDrug
Orally, twice daily.
CetuximabDrug
Standard of care.
IrinotecanDrug
Standard of care.
Folinic AcidDrug
Also called FA
Standard of care.
5-FluorouracilDrug
Also called 5-FU
Standard of care.
| Study group | Role | What they receive |
|---|---|---|
| Safety Lead-in, Triplet Arm | Experimental | Encorafenib + binimetinib + cetuximab. Receives: Drug: Encorafenib; Drug: Binimetinib; Drug: Cetuximab |
| Doublet Arm | Experimental | Encorafenib + cetuximab. Receives: Drug: Encorafenib; Drug: Cetuximab |
| Control Arm | Active comparator | Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab. Receives: Drug: Cetuximab; Drug: Irinotecan; Drug: Folinic Acid; Drug: 5-Fluorouracil |
What is being measured
The primary outcome is the main question the study is designed to answer.
(Safety Lead-in) Number of Participants With Dose-Limiting Toxicities (DLTs)
Measured: Cycle 1 (up to 28 days)
(Safety Lead-in) Number of Participants With Adverse Events (AEs)
An AE is any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study drug, whether or not considered related to the study drug. Number of participants reporting AEs were reported in this outcome measure.
Measured: Duration of safety lead-in, approximately 6 months (up to 28 days per cycle)
(Safety Lead-in) Incidence of Dose Interruptions, Dose Modifications and Discontinuations Due to Adverse Events (AEs) - Interim Analysis
An AE is any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study drug, whether or not considered related to the study drug. Number of participants with dose interruptions, dose modifications and dose discontinuations due to AEs were reported in this outcome measure.
Measured: Duration of safety lead-in, approximately 6 months (up to 28 days per cycle)
(Safety Lead-in) Incidence of Dose Interruptions, Dose Modifications and Discontinuations Due to Adverse Events (AEs) - Final Analysis
An AE is any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study drug, whether or not considered related to the study drug. Number of participants according to incidence of dose interruptions, dose modifications and dose discontinuations due to AEs were reported in this outcome measure.
Measured: From start of study treatment until 30 days post last dose of study treatment (maximum treatment exposure of 280 weeks)
(Phase 3) Overall Survival (OS) of Triplet Arm vs. Control Arm - Interim Analysis
OS was defined as the time from randomization to death due to any cause.
Measured: From randomization to death due to any cause until 204 deaths were observed (maximum treatment exposure of 89.1 weeks for triplet arm and 52.4 weeks for control arm)
(Phase 3) Objective Response Rate (ORR) by Blinded Independent Central Review (BICR) Per Response Evaluation Criteria in Solid Tumors (RECIST), v1.1 of Triplet Arm vs. Control Arm
ORR per RECIST, v1.1, was defined as the percentage of participants achieving an overall best response of complete response (CR) or partial response (PR), where CR: disappearance of all target and non-target lesions and normalization of tumor marker level, all lymph nodes must be non-pathological in size (<10 millimeter [mm] short axis), and PR: at least 30% decrease in sum of diameters of target lesions, taking as reference the baseline sum diameters persistence of one or more non-target lesions and/or maintenance of tumor marker level above the normal limits.
Measured: Duration of Phase 3, approximately 6 months (up to 28 days per cycle)
Secondary outcomes (63)
(Safety Lead-in) Objective Response Rate (ORR) by Investigator
ORR per RECIST, v1.1, was defined as the percentage of participants achieving an overall best response of CR or PR, where CR: disappearance of all target and non-target lesions and normalization of tumor marker level, all lymph nodes must be non-pathological in size (<10 mm short axis), and PR: at least 30% decrease in sum of diameters of target lesions, taking as reference the baseline sum diameters persistence of one or more non-target lesions and/or maintenance of tumor marker level above the normal limits.
Measured: From start of study treatment until 30 days post last dose of study treatment (maximum treatment exposure of 280 weeks)
(Safety Lead-in) Objective Response Rate (ORR) by BICR
ORR per RECIST, v1.1, was defined as the percentage of participants achieving an overall best response of CR or PR, where CR: disappearance of all target and non-target lesions and normalization of tumor marker level, all lymph nodes must be non-pathological in size (<10 mm short axis), and PR: at least 30% decrease in sum of diameters of target lesions, taking as reference the baseline sum diameters persistence of one or more non-target lesions and/or maintenance of tumor marker level above the normal limits.
Measured: From start of study treatment until 30 days post last dose of study treatment (maximum treatment exposure of 280 weeks)
(Safety Lead-in) Duration of Response (DOR) by Investigator
DOR was defined as the time from first radiographic evidence of response to the earliest documented disease progression (PD) or death due to underlying disease. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
Measured: From time of response to the earliest documented PD or death due to underlying disease (maximum treatment exposure of 280 weeks)
(Safety Lead-in) Duration of Response (DOR) by BICR
DOR was defined as the time from first radiographic evidence of response to the earliest documented PD or death due to underlying disease. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
Measured: From time of response to the earliest documented PD or death due to underlying disease (maximum treatment exposure of 280 weeks)
(Safety Lead-in) Time to Response by Investigator
Time to response was defined as the time from first dose to first radiographic evidence of response.
Measured: From first dose to first radiographic evidence of response (maximum treatment exposure of 280 weeks)
(Safety Lead-in) Time to Response by BICR
Time to response was defined as the time from first dose to first radiographic evidence of response.
Measured: From first dose to first radiographic evidence of response (maximum treatment exposure of 280 weeks)
(Safety Lead-in) Progression-Free Survival (PFS) by Investigator
PFS was defined as the time from first dose to the earliest documented PD or death due to any cause. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
Measured: From first dose to the earliest documented PD or death due to any cause (maximum treatment exposure of 280 weeks)
(Safety Lead-in) Progression-Free Survival (PFS) by BICR
PFS was defined as the time from first dose to the earliest documented PD or death due to any cause. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
Measured: From first dose to the earliest documented PD or death due to any cause (maximum treatment exposure of 280 weeks)
(Phase 3) Overall Survival (OS) in Doublet Arm vs. Control Arm
OS was defined as the time from randomization to death due to any cause.
Measured: From randomization to death due to any cause until 204 deaths were observed (maximum treatment exposure of 89.7 weeks for doublet arm and 52.4 weeks for control arm)
(Phase 3) Overall Survival (OS) in Triplet Arm vs. Doublet Arm
OS was defined as the time from randomization to death due to any cause.
Measured: From randomization to death due to any cause until 204 deaths were observed (maximum treatment exposure of 89.7 weeks for doublet arm and 89.1 weeks for triplet arm)
(Phase 3) Comparison of Progression-Free Survival (PFS) in Triplet Arm vs Control Arm Per BICR
PFS was defined as the time from first dose to the earliest documented PD or death due to any cause. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
Measured: From first dose to the earliest documented PD or death due to any cause (maximum treatment exposure of 277.4 weeks for triplet arm and 108 weeks for control arm)
(Phase 3) Comparison of Progression-free Survival (PFS) in Triplet Arm vs Control Arm Per Investigator
PFS was defined as the time from first dose to the earliest documented PD or death due to any cause. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
Measured: From first dose to the earliest documented PD or death due to any cause (maximum treatment exposure of 277.4 weeks for triplet arm and 108 weeks for control arm)
(Phase 3) Comparison of Progression-Free Survival (PFS) in Doublet Arm vs Control Arm Per BICR
PFS was defined as the time from first dose to the earliest documented PD or death due to any cause. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
Measured: From first dose to the earliest documented PD or death due to any cause (maximum treatment exposure of 268 weeks for doublet arm and 108 weeks for control arm)
(Phase 3) Comparison of Progression-Free Survival (PFS) in Doublet Arm vs Control Arm Per Investigator
PFS was defined as the time from first dose to the earliest documented PD or death due to any cause. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
Measured: From first dose to the earliest documented PD or death due to any cause (maximum treatment exposure of 268 weeks for doublet arm and 108 weeks for control arm)
(Phase 3) Comparison of Progression-Free Survival (PFS) in Triplet Arm vs Doublet Arm Per BICR
PFS was defined as the time from first dose to the earliest documented PD or death due to any cause. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
Measured: From first dose to the earliest documented PD or death due to any cause (maximum treatment exposure of 277.4 weeks for triplet arm and 268 weeks for doublet arm)
(Phase 3) Comparison of Progression-Free Survival (PFS) in Triplet Arm vs Doublet Arm Per Investigator
PFS was defined as the time from first dose to the earliest documented PD or death due to any cause. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
Measured: From first dose to the earliest documented PD or death due to any cause (maximum treatment exposure of 277.4 weeks for triplet arm and 268 weeks for doublet arm)
(Phase 3) Comparison of Objective Response Rate (ORR) in Triplet Arm vs Control Arm Per Investigator
ORR per RECIST, v1.1, was defined as the percentage of participants achieving an overall best response of CR or PR, where CR: disappearance of all target and non-target lesions and normalization of tumor marker level, all lymph nodes must be non-pathological in size (<10 mm short axis), and PR: at least 30% decrease in sum of diameters of target lesions, taking as reference the baseline sum diameters persistence of one or more non-target lesions and/or maintenance of tumor marker level above the normal limits.
Measured: Duration of Phase 3, approximately 6 months (up to 28 days per cycle)
(Phase 3) Comparison of Objective Response Rate (ORR) in Doublet Arm vs Control Arm Per BICR
ORR per RECIST, v1.1, was defined as the percentage of participants achieving an overall best response of CR or PR, where CR: disappearance of all target and non-target lesions and normalization of tumor marker level, all lymph nodes must be non-pathological in size (<10 mm short axis), and PR: at least 30% decrease in sum of diameters of target lesions, taking as reference the baseline sum diameters persistence of one or more non-target lesions and/or maintenance of tumor marker level above the normal limits.
Measured: Duration of Phase 3, approximately 6 months (up to 28 days per cycle)
(Phase 3) Comparison of Objective Response Rate (ORR) in Doublet Arm vs Control Arm Per Investigator
ORR per RECIST, v1.1, was defined as the percentage of participants achieving an overall best response of CR or PR, where CR: disappearance of all target and non-target lesions and normalization of tumor marker level, all lymph nodes must be non-pathological in size (<10 mm short axis), and PR: at least 30% decrease in sum of diameters of target lesions, taking as reference the baseline sum diameters persistence of one or more non-target lesions and/or maintenance of tumor marker level above the normal limits.
Measured: Duration of Phase 3, approximately 6 months (up to 28 days per cycle)
(Phase 3) Comparison of Objective Response Rate (ORR) in Triplet Arm vs Doublet Arm Per BICR
ORR per RECIST, v1.1, was defined as the percentage of participants achieving an overall best response of CR or PR, where CR: disappearance of all target and non-target lesions and normalization of tumor marker level, all lymph nodes must be non-pathological in size (<10 mm short axis), and PR: at least 30% decrease in sum of diameters of target lesions, taking as reference the baseline sum diameters persistence of one or more non-target lesions and/or maintenance of tumor marker level above the normal limits.
Measured: Duration of Phase 3, approximately 6 months (up to 28 days per cycle)
(Phase 3) Comparison of Objective Response Rate (ORR) in Triplet Arm vs Doublet Arm Per Investigator
ORR per RECIST, v1.1, was defined as the percentage of participants achieving an overall best response of CR or PR, where CR: disappearance of all target and non-target lesions and normalization of tumor marker level, all lymph nodes must be non-pathological in size (<10 mm short axis), and PR: at least 30% decrease in sum of diameters of target lesions, taking as reference the baseline sum diameters persistence of one or more non-target lesions and/or maintenance of tumor marker level above the normal limits.
Measured: Duration of Phase 3, approximately 6 months (up to 28 days per cycle)
(Phase 3) Comparison of Duration of Response (DOR) in Triplet Arm vs Control Arm Per BICR
DOR was defined as the time from first radiographic evidence of response to the earliest documented PD or death due to underlying disease. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
Measured: From time of response to PD or death due to underlying disease (maximum treatment exposure of 277.4 weeks for triplet arm and 108 weeks for control arm)
(Phase 3) Comparison of Duration of Response (DOR) in Triplet Arm vs Control Arm Per Investigator
DOR was defined as the time from first radiographic evidence of response to the earliest documented disease progression (PD) or death due to underlying disease. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
Measured: From time of response to PD or death due to underlying disease (maximum treatment exposure of 277.4 weeks for triplet arm and 108 weeks for control arm)
(Phase 3) Comparison of Duration of Response (DOR) in Doublet Arm vs Control Arm Per BICR
DOR was defined as the time from first radiographic evidence of response to the earliest documented PD or death due to underlying disease. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
Measured: From time of response to PD or death due to underlying disease (maximum treatment exposure of 268 weeks for doublet arm and 108 weeks for control arm)
(Phase 3) Comparison of Duration of Response (DOR) in Doublet Arm vs Control Arm Per Investigator
DOR was defined as the time from first radiographic evidence of response to the earliest documented PD or death due to underlying disease. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
Measured: From time of response to PD or death due to underlying disease (maximum treatment exposure of 268 weeks for doublet arm and 108 weeks for control arm)
(Phase 3) Comparison of Duration of Response (DOR) in Triplet Arm vs Doublet Arm by BICR
DOR was defined as the time from first radiographic evidence of response to the earliest documented PD or death due to underlying disease. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
Measured: From time of response to PD or death due to underlying disease (maximum treatment exposure of 277.4 weeks for triplet arm and 268 weeks for doublet arm)
(Phase 3) Comparison of Duration of Response (DOR) in Triplet Arm vs Doublet Arm by Investigator
DOR was defined as the time from first radiographic evidence of response to the earliest documented PD or death due to underlying disease. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
Measured: From time of response to PD or death due to underlying disease (maximum treatment exposure of 277.4 weeks for triplet arm and 268 weeks for doublet arm)
(Phase 3) Comparison of Time to Response in Triplet Arm vs Control Arm Per BICR
Time to response was defined as the time from first dose to first radiographic evidence of response.
Measured: From first dose to first radiographic evidence of response (maximum treatment exposure of 277.4 weeks for triplet arm and 108 weeks for control arm)
(Phase 3) Comparison of Time to Response in Triplet Arm vs Control Arm Per Investigator
Time to response was defined as the time from first dose to first radiographic evidence of response.
Measured: From first dose to first radiographic evidence of response (maximum treatment exposure of 277.4 weeks for triplet arm and 108 weeks for control arm)
(Phase 3) Comparison of Time to Response in Doublet Arm vs Control Arm Per BICR
Time to response was defined as the time from first dose to first radiographic evidence of response.
Measured: From first dose to first radiographic evidence of response (maximum treatment exposure of 268 weeks for doublet arm and 108 weeks for control arm)
(Phase 3) Comparison of Time to Response in Doublet Arm vs Control Arm Per Investigator
Time to response was defined as the time from first dose to first radiographic evidence of response.
Measured: From first dose to first radiographic evidence of response (maximum treatment exposure of 268 weeks for doublet arm and 108 weeks for control arm)
(Phase 3) Comparison of Time to Response in Triplet Arm vs Doublet Arm Per BICR
Time to response was defined as the time from first dose to first radiographic evidence of response.
Measured: From first dose to first radiographic evidence of response (maximum treatment exposure of 277.4 weeks for triplet arm and 268 weeks for doublet arm)
(Phase 3) Comparison of Time to Response in Triplet Arm vs Doublet Arm Per Investigator
Time to response was defined as the time from first dose to first radiographic evidence of response.
Measured: From first dose to first radiographic evidence of response (maximum treatment exposure of 277.4 weeks for triplet arm and 268 weeks for doublet arm)
(Phase 3) Change From Baseline in the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire for Cancer Participants (QLQ-C30) Triplet Arm vs Control Arm, Doublet Arm vs Control, and Triplet vs Doublet
The EORTC QLQ-C30 questionnaire consisted of 30 questions generating 5 functional scores (physical, role, cognitive, emotional, \& social); a global health (GH) status/global quality of life scale score; 3 symptom scale scores (fatigue, pain, \& nausea \& vomiting); \& 6 standalone one-item scores that capture additional symptoms (dyspnea, appetite loss, sleep disturbance, constipation, \& diarrhea) \& perceived financial burden. All items were graded by severity experienced during previous week \& used 4-point-scale (1: not at all, 2: a little, 3: quite a bit, 4: very much). The scores were converted to health-related quality of life (HRQoL) scale ranging from 0-100. Higher scores indicating higher response levels (i.e., higher functioning, higher symptom severity).
Measured: Baseline, Cycle(C)1 Day(D)1 , C2 D1, C3 D1, C4 D1, C5 D1, C6 D1, C7 D1, C8 D1, C9 D1, C10 D1, C11 D1, C12 D1, C13 D1, C14 D1, C15 D1, C16 D1, C17 D1, C18 D1, C19 D1, C20 D1, C21 D1, C22 D1, C23 D1, End of Treatment, 30 Day Follow Up(each cycle of 28 days)
(Phase 3) Change From Baseline in the Functional Assessment of Cancer Therapy-Colon Cancer (FACT-C) in Triplet Arm vs Control Arm, Doublet Arm vs Control, and Triplet vs Doublet
FACT-C= Functional Assessment of Chronic Illness Therapy (FACIT), which assessed HRQoL of cancer participants \& participants with other chronic illnesses. It consists of total 36 items (27 items of general version of FACT-C and disease-specific subscale containing 9 CRC-specific items), summarized to 5 subscales: physical well-being (7 items), functional well-being (7 items), social/family well-being (7 items); all 3 subscales range:0-28, emotional well-being (6 items) range: 0-24, colorectal cancer subscale (9 items) range: 0-36; higher subscale score= better QoL. All single-item measures range: 0= 'Not at all' to 4= 'Very much'. Table summarizes functional well-being subscale, individual questions are linearly scaled \& combined to form functional well-being subscale score (range 0-28). High score represents better QoL.
Measured: Baseline,Cycle (C)1 Day (D)1, C2 D1, C3 D1, C4 D1, C5 D1, C6 D1, C7 D1, C8 D1, C9 D1, C10 D1, C11 D1, C12 D1, C13 D1, C14 D1, C15 D1, C16 D1, C17 D1, C18 D1, C19 D1, C20 D1, C21 D1, C22 D1, C23 D1, End of Treatment, 30 Day Follow Up(each cycle of 28 days)
(Phase 3) Change From Baseline in the EuroQol-5D-5L Visual Analog Scale (EQ-5D-5L VAS) in Triplet Arm vs Control Arm, Doublet Arm vs Control, and Triplet vs Doublet
The EQ-5D-5L contains 1 item for each of 5 dimensions of health-related QoL (i.e., mobility, self-care, usual activities, pain or discomfort and anxiety or depression). Response options for each item varied from having no problems to moderate problems or extreme problems. The EQ-5D-5L (v4.0) is a standardized measure of health utility that provides a single index value for one's health status. The EQ-5D-5L is frequently used for economic evaluations of health care and has been recognized as a valid and reliable instrument for this purpose. The EQ visual analog scale (VAS) is a score that is directly reported by the participant and ranges from 0 to 100 (higher is better quality health).
Measured: Baseline,Cycle (C)1 Day (D)1, C2 D1, C3 D1, C4 D1, C5 D1, C6 D1, C7 D1, C8 D1, C9 D1, C10 D1, C11 D1, C12 D1, C13 D1, C14 D1, C15 D1, C16 D1, C17 D1, C18 D1, C19 D1, C20 D1, C21 D1, C22 D1, C23 D1, End of Treatment, 30 Day Follow Up(each cycle of 28 days)
(Phase 3) Change From Baseline in the Participant Global Impression of Change (PGIC) in Triplet Arm vs Control Arm, Doublet Arm vs Control, and Triplet vs Doublet
The PGIC is a measure of participant's perceptions of change in their symptoms over time that can be used as an anchoring method to determine the minimal clinically important difference for other participant reported outcome (PROs). For this assessment, participants answered the following question: "Since starting treatment, my colorectal cancer symptoms are: (1) very much improved, (2) much improved, (3) minimally improved, (4) no change, (5) minimally worse, (6) much worse or (7) very much worse."
Measured: Baseline,Cycle (C)1 Day (D)1, C2 D1, C3 D1, C4 D1, C5 D1, C6 D1, C7 D1, C8 D1, C9 D1, C10 D1, C11 D1, C12 D1, C13 D1, C14 D1, C15 D1, C16 D1, C17 D1, C18 D1, C19 D1, C20 D1, C21 D1, C22 D1, C23 D1, End of Treatment, 30 Day Follow Up(each cycle of 28 days)
(Safety Lead-in) Evaluation of the Area Under the Concentration-Time Curve From Zero to the Last Measurable Time Point (AUClast) for Cetuximab
Measured: Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
(Safety Lead-in) Evaluation of the Area Under the Concentration-Time Curve From Zero to the Last Measurable Time Point (AUClast) for Encorafenib
Measured: Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
(Safety Lead-in) Evaluation of the Area Under the Concentration-Time Curve From Zero to the Last Measurable Time Point (AUClast) for Binimetinib
Measured: Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
(Safety Lead-in) Evaluation of the Area Under the Concentration-time Curve From Zero to the Last Measurable Time Point (AUClast) for Metabolite of Binimetinib (AR00426032)
Measured: Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
(Safety Lead-in) Evaluation of the Maximum Concentration (Cmax) for Cetuximab
Measured: Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
(Safety Lead-in) Evaluation of the Maximum Concentration (Cmax) for Encorafenib
Measured: Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
(Safety Lead-in) Evaluation of the Maximum Concentration (Cmax) for Binimetinib
Measured: Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
(Safety Lead-in) Evaluation of the Maximum Concentration (Cmax) for Metabolite of Binimetinib (AR00426032)
Measured: Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
(Safety Lead-in) Evaluation of the Time of Maximum Observed Concentration (Tmax) for Cetuximab
Measured: Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
(Safety Lead-in) Evaluation of the Time of Maximum Observed Concentration (Tmax) for Encorafenib
Measured: Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
(Safety Lead-in) Evaluation of the Time of Maximum Observed Concentration (Tmax) for Binimetinib
Measured: Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
(Safety Lead-in) Evaluation of the Time of Maximum Observed Concentration (Tmax) for Metabolite of Binimetinib (AR00426032)
Measured: Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
(Safety Lead-in) Evaluation of the Steady-State Concentration Measured Just Before the Next Dose of Study Drug (Ctrough) for Binimetinib
Measured: Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
(Safety Lead-in) Evaluation of the Steady-State Concentration Measured Just Before the Next Dose of Study Drug (Ctrough) for Encorafenib
Measured: Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
(Safety Lead-in) Evaluation of the Steady-State Concentration Measured Just Before the Next Dose of Study Drug (Ctrough) for Cetuximab
Measured: Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
(Safety Lead-in) Evaluation of the Steady-State Concentration Measured Just Before the Next Dose of Study Drug (Ctrough) for a Metabolite of Binimetinib
Measured: Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
(Phase 3) Evaluation of the Model-Based Oral Clearance (CL/F) for Encorafenib
The reported cross-arm CL/F value is a fixed-effect parameter determined from a population PK analysis. The analysis included pooled data from participants enrolled in multiple studies including those who were not enrolled in this study. The NCTID include: NCT01719380, NCT01543698, and NCT01436656. An additional study ARRAY-162-105 is not required to register.
Measured: 2 and 6 hours post-dose on Day 1 of Cycle 1, Predose and 2 hours post-dose on Day 1 of Cycle 2 (each cycle of 28 days)
(Phase 3) Evaluation of the Model-Based Oral Clearance (CL/F) for Binimetinib
The reported cross-arm CL/F value is a fixed-effect parameter determined from a population PK analysis. The analysis included pooled data from participants enrolled in multiple studies including those who were not enrolled in this study. The NCTID include: NCT01719380, NCT01543698, and NCT01436656. An additional study ARRAY-162-105 is not required to register.
Measured: 2 and 6 hours post-dose on Day 1 of Cycle 1, Predose and 2 hours post-dose on Day 1 of Cycle 2 (each cycle of 28 days)
(Phase 3) Evaluation of the Model-Based Clearance (CL) for Cetuximab
The reported cross-arm CL/F value is a fixed-effect parameter determined from a population PK analysis. The analysis included pooled data from participants enrolled in multiple studies including those who were not enrolled in this study. The NCTID include: NCT01719380, NCT01543698, and NCT01436656. An additional study ARRAY-162-105 is not required to register.
Measured: 2 and 6 hours post-dose on Day 1 of Cycle 1, Predose and 2 hours post-dose on Day 1 of Cycle 2 (each cycle of 28 days)
Phase 3: Number of Participants With Clinically Notable Shifts in Hematology and Coagulation Laboratory Parameters
Clinically notable shifts was defined as worsening by at least 2 grades or to more than or equal to (>=) Grade 3 based on Common Terminology Criteria for Adverse Events (CTCAE) version 4.03 where Grade 1: mild, Grade 2: moderate, Grade 3: severe, Grade 4: life threatening and Grade 5: death.
Measured: From start of study treatment until 30 days post last dose of study treatment (for triplet arm: maximum treatment exposure of 277.4 weeks; for doublet arm: maximum treatment exposure of 268 weeks; for Control arm: maximum treatment exposure of 108 weeks)
Phase 3: Number of Participants With Clinically Notable Shifts in Serum Chemistry Laboratory Parameters
Clinically notable shifts was defined as worsening by at least 2 grades or to >= Grade 3 based on CTCAE version 4.03 where Grade 1: mild, Grade 2: moderate, Grade 3: severe, Grade 4: life threatening and Grade 5: death.
Measured: From start of study treatment until 30 days post last dose of study treatment (for triplet arm: maximum treatment exposure of 277.4 weeks; for doublet arm: maximum treatment exposure of 268 weeks; for Control arm: maximum treatment exposure of 108 weeks)
Phase 3: Number of Participants With Clinically Notable Shifts in Urinalysis Laboratory Parameters
Clinically notable shifts was defined as worsening by at least 2 grades or to >= Grade 3 based on CTCAE version 4.03 where Grade 1: mild, Grade 2: moderate, Grade 3: severe, Grade 4: life threatening and Grade 5: death.
Measured: From start of study treatment until 30 days post last dose of study treatment (for triplet arm: maximum treatment exposure of 277.4 weeks; for doublet arm: maximum treatment exposure of 268 weeks; for Control arm: maximum treatment exposure of 108 weeks)
Phase 3: Number of Participants With Newly Occurring Clinically Notable Vital Sign Abnormalities
Newly occurring clinically notable changes was defined as participants not meeting the criterion at baseline and meeting criterion post-baseline. The criterion included: low/high systolic blood pressure (SBP): <= 90 millimeters of mercury (mmHg) with decrease from baseline of >= 20mmHg or >= 160mmHg with increase from baseline of >= 20mmHg, low or high diastolic blood pressure (DBP): <= 50mmHg with decrease from baseline of >= 15mmHg or >= 100mmHg with increase from baseline of >= 15mmHg, low or high pulse: <= 50 beats/min with decrease from baseline of >= 15 beats/min or >= 120 beats/min with increase from baseline of >= 15 beats/min, low or high temperature: <= 36 degree Celsius (deg C) or >= 37.5 deg C.
Measured: From start of study treatment until 30 days post last dose of study treatment (for triplet arm: maximum treatment exposure of 277.4 weeks; for doublet arm: maximum treatment exposure of 268 weeks; for Control arm: maximum treatment exposure of 108 weeks)
Phase 3: Number of Participants With Newly Occurring Clinically Notable Electrocardiogram (ECG) Values
Newly occurring clinically notable changes was defined as participants not meeting the criterion at baseline and meeting criterion post-baseline. The criterion included: heart rate- decrease from baseline > 25% and to a value < 50 and increase from baseline > 25% and to a value > 100. QT interval- new > 450 (millisecond) msec, new > 480 msec, new > 500 msec, increase from baseline > 30 msec and increase from baseline > 60 msec. QTcF- new > 450 msec, new > 480 msec, new > 500 msec, increase from baseline > 30 msec and increase from baseline > 60 msec.
Measured: From start of study treatment until 30 days post last dose of study treatment (for triplet arm: maximum treatment exposure of 277.4 weeks; for doublet arm: maximum treatment exposure of 268 weeks; for Control arm: maximum treatment exposure of 108 weeks)
Phase 3: Number of Participants With Shift in Visual Acuity Logarithm of the Minimum Angle of Resolution (LogMAR) Score
Visual acuity was measured using the Snellen visual acuity conversion chart. This was determined by establishing the smallest optotypes that could be identified correctly by the participant at a given observation distance. Snellen visual acuity was reported as a Snellen fraction (m/M) in which the numerator (m) indicated the test distance and the denominator (M) indicated the distance at which the gap of the equivalent Landolt ring subtends 1 minute of arc. The LogMAR score was calculated as - log(m/M). The maximum increase in score of <= 0, 0 to < 0.1, 0.1 to < 0.2, 0.2 to < 0.3 and >=0.3 relative to baseline in LogMAR were reported in this endpoint.
Measured: From start of study treatment until 30 days post last dose of study treatment (for triplet arm: maximum treatment exposure of 277.4 weeks; for doublet arm: maximum treatment exposure of 268 weeks; for Control arm: maximum treatment exposure of 108 weeks)
Phase 3: Number of Participants With Shifts in Left Ventricular Ejection Fraction (LVEF) From Baseline to Maximum Grade On-treatment
Left ventricular ejection fraction (LVEF) abnormalities were defined according to CTCAE version 4.03 where Grade 0: Non-missing value below Grade 2, Grade 2: LVEF between 40% and 50% or absolute change from baseline between -10% and < -20%, Grade 3: LVEF between 20% and 39% or absolute change from baseline <= -20%, Grade 4: LVEF lower than 20%. Categories with at least 1 non-zero data values showing any shift in Grade from baseline to 1 day after dose 1 (post-baseline) were reported. Participants whose grade category was unchanged (e.g. Grade 0 to Grade 0) were not reported.
Measured: From start of study treatment until 30 days post last dose of study treatment (for triplet arm: maximum treatment exposure of 277.4 weeks; for doublet arm: maximum treatment exposure of 268 weeks; for Control arm: maximum treatment exposure of 108 weeks)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Oct 2016 (estimated)
- Study start13 Oct 2016
- Primary completion11 Feb 2019
- Study completion10 Nov 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (7)Papers the sponsor has linked to this study.
- Other trials for BRAF V600E-mutant Metastatic Colorectal CancerStudies of the same condition, open and under way.
- More trials run by PfizerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Enrolment
- 702 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Merck KGaA, Darmstadt, Germany, Pierre Fabre Medicament, Ono Pharmaceutical Co., Ltd.
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02928224
- Sponsor's protocol ID
- ARRAY-818-302
- Other IDs
- BEACON CRC, 2015-005805-35, C4221009, 2015
- Acronym
- BEACON CRC
- Status last verified
- Dec 2023
- First submitted
- 16 Aug 2016
- Last updated
- 21 Dec 2023
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- Individual data sharing
- Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.
Publications
Kopetz S, Murphy DA, Pu J, Ciardiello F, Desai J, Van Cutsem E, Wasan HS, Yoshino T, Saffari H, Zhang X, Hamilton P, Xie T, Yaeger R, Tabernero J. Molecular profiling of BRAF-V600E-mutant metastatic colorectal cancer in the phase 3 BEACON CRC trial. Nat Med. 2024 Nov;30(11):3261-3271. doi: 10.1038/s41591-024-03235-9. Epub 2024 Sep 23.
PubMed 39313594Taieb J, Lonardi S, Desai J, Folprecht G, Gallois C, Marques EP, Khan S, Castagne C, Wasan H. Adverse Events Associated with Encorafenib Plus Cetuximab in Patients with BRAFV600E-mutant Metastatic Colorectal Cancer: An in-depth Analysis of the BEACON CRC Study. Clin Colorectal Cancer. 2023 Mar;22(1):59-66. doi: 10.1016/j.clcc.2022.12.003. Epub 2022 Dec 24.
PubMed 36653241Stintzing S, Seufferlein T, Rose C, Reichenbach F, Luftner D. Encorafenib in Combination With Cetuximab After Systemic Therapy in Patients With BRAFV600E Mutant Metastatic Colorectal Cancer: German Health Technology Assessment-Driven Analyses From the BEACON CRC Study. Clin Colorectal Cancer. 2022 Sep;21(3):244-251. doi: 10.1016/j.clcc.2022.04.002. Epub 2022 May 5.
PubMed 35654691Kopetz S, Grothey A, Van Cutsem E, Yaeger R, Wasan H, Yoshino T, Desai J, Ciardiello F, Loupakis F, Hong YS, Steeghs N, Guren TK, Arkenau HT, Garcia-Alfonso P, Belani A, Zhang X, Tabernero J. Quality of life with encorafenib plus cetuximab with or without binimetinib treatment in patients with BRAF V600E-mutant metastatic colorectal cancer: patient-reported outcomes from BEACON CRC. ESMO Open. 2022 Jun;7(3):100477. doi: 10.1016/j.esmoop.2022.100477. Epub 2022 May 30.
PubMed 35653981Tabernero J, Grothey A, Van Cutsem E, Yaeger R, Wasan H, Yoshino T, Desai J, Ciardiello F, Loupakis F, Hong YS, Steeghs N, Guren TK, Arkenau HT, Garcia-Alfonso P, Elez E, Gollerkeri A, Maharry K, Christy-Bittel J, Kopetz S. Encorafenib Plus Cetuximab as a New Standard of Care for Previously Treated BRAF V600E-Mutant Metastatic Colorectal Cancer: Updated Survival Results and Subgroup Analyses from the BEACON Study. J Clin Oncol. 2021 Feb 1;39(4):273-284. doi: 10.1200/JCO.20.02088.
PubMed 33503393Kopetz S, Grothey A, Yaeger R, Van Cutsem E, Desai J, Yoshino T, Wasan H, Ciardiello F, Loupakis F, Hong YS, Steeghs N, Guren TK, Arkenau HT, Garcia-Alfonso P, Pfeiffer P, Orlov S, Lonardi S, Elez E, Kim TW, Schellens JHM, Guo C, Krishnan A, Dekervel J, Morris V, Calvo Ferrandiz A, Tarpgaard LS, Braun M, Gollerkeri A, Keir C, Maharry K, Pickard M, Christy-Bittel J, Anderson L, Sandor V, Tabernero J. Encorafenib, Binimetinib, and Cetuximab in BRAF V600E-Mutated Colorectal Cancer. N Engl J Med. 2019 Oct 24;381(17):1632-1643. doi: 10.1056/NEJMoa1908075. Epub 2019 Sep 30.
PubMed 31566309Van Cutsem E, Huijberts S, Grothey A, Yaeger R, Cuyle PJ, Elez E, Fakih M, Montagut C, Peeters M, Yoshino T, Wasan H, Desai J, Ciardiello F, Gollerkeri A, Christy-Bittel J, Maharry K, Sandor V, Schellens JHM, Kopetz S, Tabernero J. Binimetinib, Encorafenib, and Cetuximab Triplet Therapy for Patients With BRAF V600E-Mutant Metastatic Colorectal Cancer: Safety Lead-In Results From the Phase III BEACON Colorectal Cancer Study. J Clin Oncol. 2019 Jun 10;37(17):1460-1469. doi: 10.1200/JCO.18.02459. Epub 2019 Mar 20.
PubMed 30892987
Study at a glance
From the registry record, last updated by the sponsor on 21 Dec 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Randomized, Open-label, 3-Arm Phase 3 Study of Encorafenib + Cetuximab Plus or Minus Binimetinib vs. Irinotecan/Cetuximab or Infusional 5-Fluorouracil (5-FU)/Folinic Acid (FA)/Irinotecan (FOLFIRI)/Cetuximab With a Safety Lead-in of Encorafenib + Binimetinib + Cetuximab in Patients With BRAF V600E-mutant Metastatic Colorectal Cancer
- ClinicalTrials.gov ID
- NCT02928224
- Acronym / sponsor ID
- BEACON CRC / ARRAY-818-302
- Keywords
- Colorectal cancer, BRAF, BRAFV600E
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 702 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Collaborators
- Merck KGaA, Darmstadt, Germany, Pierre Fabre Medicament, Ono Pharmaceutical Co., Ltd.
- Study start
- 13 Oct 2016 (actual)
- Primary completion
- 11 Feb 2019 (actual)
- Study completion
- 10 Nov 2022 (actual)
- First posted
- 10 Oct 2016 (estimated)
- Results
- Posted 14 Jul 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a multicenter, randomized, open-label, 3-arm Phase 3 study to evaluate encorafenib + cetuximab plus or minus binimetinib versus Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab, as controls, in patients with BRAFV600E mCRC whose disease has progressed after 1 or 2 prior regimens in the metastatic setting. The study contains a Safety Lead-in Phase in which the safety and tolerability of encorafenib + binimetinib + cetuximab will be assessed prior to the Phase 3 portion of the study.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Safety Lead-in, Triplet Arm | Experimental | Drug: Encorafenib, Drug: Binimetinib, Drug: CetuximabEncorafenib + binimetinib + cetuximab. |
| Doublet Arm | Experimental | Drug: Encorafenib, Drug: CetuximabEncorafenib + cetuximab. |
| Control Arm | Active comparator | Drug: Cetuximab, Drug: Irinotecan, Drug: Folinic Acid, Drug: 5-FluorouracilInvestigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Age ≥ 18 years at time of informed consent
- Histologically- or cytologically-confirmed CRC that is metastatic
- Presence of BRAFV600E in tumor tissue as previously determined by a local assay at any time prior to Screening or by the central laboratory
- Progression of disease after 1 or 2 prior regimens in the metastatic setting
- Evidence of measurable or evaluable non-measurable disease per RECIST, v1.1
Key exclusion criteria (16 listed)
- Prior treatment with any RAF inhibitor, MEK inhibitor, cetuximab, panitumumab or other epidermal growth factor receptor (EGFR) inhibitors
- Prior irinotecan hypersensitivity or toxicity that would suggest an inability to tolerate irinotecan 180 mg/m2 every 2 weeks
- Symptomatic brain metastasis or leptomeningeal disease
- History or current evidence of retinal vein occlusion or current risk factors for retinal vein occlusion (e.g., uncontrolled glaucoma or ocular hypertension, history of hyperviscosity or hypercoagulability syndromes)
- Known history of acute or chronic pancreatitis
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| EncorafenibOrally, once daily. | Drug | Doublet Arm, Safety Lead-in, Triplet Arm |
| BinimetinibOrally, twice daily. | Drug | Safety Lead-in, Triplet Arm |
| CetuximabStandard of care. | Drug | Control Arm, Doublet Arm, Safety Lead-in, Triplet Arm |
| IrinotecanStandard of care. | Drug | Control Arm |
| Folinic AcidAlso: FAStandard of care. | Drug | Control Arm |
| 5-FluorouracilAlso: 5-FUStandard of care. | Drug | Control Arm |
Primary outcome
(Safety Lead-in) Number of Participants With Dose-Limiting Toxicities (DLTs)
Time frame: Cycle 1 (up to 28 days)
(Safety Lead-in) Number of Participants With Adverse Events (AEs)
Time frame: Duration of safety lead-in, approximately 6 months (up to 28 days per cycle)
An AE is any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study drug, whether or not considered related to the study drug. Number of participants reporting AEs were reported in this outcome measure.
(Safety Lead-in) Incidence of Dose Interruptions, Dose Modifications and Discontinuations Due to Adverse Events (AEs) - Interim Analysis
Time frame: Duration of safety lead-in, approximately 6 months (up to 28 days per cycle)
An AE is any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study drug, whether or not considered related to the study drug. Number of participants with dose interruptions, dose modifications and dose discontinuations due to AEs were reported in this outcome measure.
(Safety Lead-in) Incidence of Dose Interruptions, Dose Modifications and Discontinuations Due to Adverse Events (AEs) - Final Analysis
Time frame: From start of study treatment until 30 days post last dose of study treatment (maximum treatment exposure of 280 weeks)
An AE is any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study drug, whether or not considered related to the study drug. Number of participants according to incidence of dose interruptions, dose modifications and dose discontinuations due to AEs were reported in this outcome measure.
(Phase 3) Overall Survival (OS) of Triplet Arm vs. Control Arm - Interim Analysis
Time frame: From randomization to death due to any cause until 204 deaths were observed (maximum treatment exposure of 89.1 weeks for triplet arm and 52.4 weeks for control arm)
OS was defined as the time from randomization to death due to any cause.
(Phase 3) Objective Response Rate (ORR) by Blinded Independent Central Review (BICR) Per Response Evaluation Criteria in Solid Tumors (RECIST), v1.1 of Triplet Arm vs. Control Arm
Time frame: Duration of Phase 3, approximately 6 months (up to 28 days per cycle)
ORR per RECIST, v1.1, was defined as the percentage of participants achieving an overall best response of complete response (CR) or partial response (PR), where CR: disappearance of all target and non-target lesions and normalization of tumor marker level, all lymph nodes must be non-pathological in size (<10 millimeter [mm] short axis), and PR: at least 30% decrease in sum of diameters of target lesions, taking as reference the baseline sum diameters persistence of one or more non-target lesions and/or maintenance of tumor marker level above the normal limits.
63 secondary outcomes
(Safety Lead-in) Objective Response Rate (ORR) by Investigator
Time frame: From start of study treatment until 30 days post last dose of study treatment (maximum treatment exposure of 280 weeks)
(Safety Lead-in) Objective Response Rate (ORR) by BICR
Time frame: From start of study treatment until 30 days post last dose of study treatment (maximum treatment exposure of 280 weeks)
(Safety Lead-in) Duration of Response (DOR) by Investigator
Time frame: From time of response to the earliest documented PD or death due to underlying disease (maximum treatment exposure of 280 weeks)
(Safety Lead-in) Duration of Response (DOR) by BICR
Time frame: From time of response to the earliest documented PD or death due to underlying disease (maximum treatment exposure of 280 weeks)
(Safety Lead-in) Time to Response by Investigator
Time frame: From first dose to first radiographic evidence of response (maximum treatment exposure of 280 weeks)
(Safety Lead-in) Time to Response by BICR
Time frame: From first dose to first radiographic evidence of response (maximum treatment exposure of 280 weeks)
(Safety Lead-in) Progression-Free Survival (PFS) by Investigator
Time frame: From first dose to the earliest documented PD or death due to any cause (maximum treatment exposure of 280 weeks)
(Safety Lead-in) Progression-Free Survival (PFS) by BICR
Time frame: From first dose to the earliest documented PD or death due to any cause (maximum treatment exposure of 280 weeks)
(Phase 3) Overall Survival (OS) in Doublet Arm vs. Control Arm
Time frame: From randomization to death due to any cause until 204 deaths were observed (maximum treatment exposure of 89.7 weeks for doublet arm and 52.4 weeks for control arm)
(Phase 3) Overall Survival (OS) in Triplet Arm vs. Doublet Arm
Time frame: From randomization to death due to any cause until 204 deaths were observed (maximum treatment exposure of 89.7 weeks for doublet arm and 89.1 weeks for triplet arm)
(Phase 3) Comparison of Progression-Free Survival (PFS) in Triplet Arm vs Control Arm Per BICR
Time frame: From first dose to the earliest documented PD or death due to any cause (maximum treatment exposure of 277.4 weeks for triplet arm and 108 weeks for control arm)
(Phase 3) Comparison of Progression-free Survival (PFS) in Triplet Arm vs Control Arm Per Investigator
Time frame: From first dose to the earliest documented PD or death due to any cause (maximum treatment exposure of 277.4 weeks for triplet arm and 108 weeks for control arm)
(Phase 3) Comparison of Progression-Free Survival (PFS) in Doublet Arm vs Control Arm Per BICR
Time frame: From first dose to the earliest documented PD or death due to any cause (maximum treatment exposure of 268 weeks for doublet arm and 108 weeks for control arm)
(Phase 3) Comparison of Progression-Free Survival (PFS) in Doublet Arm vs Control Arm Per Investigator
Time frame: From first dose to the earliest documented PD or death due to any cause (maximum treatment exposure of 268 weeks for doublet arm and 108 weeks for control arm)
(Phase 3) Comparison of Progression-Free Survival (PFS) in Triplet Arm vs Doublet Arm Per BICR
Time frame: From first dose to the earliest documented PD or death due to any cause (maximum treatment exposure of 277.4 weeks for triplet arm and 268 weeks for doublet arm)
(Phase 3) Comparison of Progression-Free Survival (PFS) in Triplet Arm vs Doublet Arm Per Investigator
Time frame: From first dose to the earliest documented PD or death due to any cause (maximum treatment exposure of 277.4 weeks for triplet arm and 268 weeks for doublet arm)
(Phase 3) Comparison of Objective Response Rate (ORR) in Triplet Arm vs Control Arm Per Investigator
Time frame: Duration of Phase 3, approximately 6 months (up to 28 days per cycle)
(Phase 3) Comparison of Objective Response Rate (ORR) in Doublet Arm vs Control Arm Per BICR
Time frame: Duration of Phase 3, approximately 6 months (up to 28 days per cycle)
(Phase 3) Comparison of Objective Response Rate (ORR) in Doublet Arm vs Control Arm Per Investigator
Time frame: Duration of Phase 3, approximately 6 months (up to 28 days per cycle)
(Phase 3) Comparison of Objective Response Rate (ORR) in Triplet Arm vs Doublet Arm Per BICR
Time frame: Duration of Phase 3, approximately 6 months (up to 28 days per cycle)
(Phase 3) Comparison of Objective Response Rate (ORR) in Triplet Arm vs Doublet Arm Per Investigator
Time frame: Duration of Phase 3, approximately 6 months (up to 28 days per cycle)
(Phase 3) Comparison of Duration of Response (DOR) in Triplet Arm vs Control Arm Per BICR
Time frame: From time of response to PD or death due to underlying disease (maximum treatment exposure of 277.4 weeks for triplet arm and 108 weeks for control arm)
(Phase 3) Comparison of Duration of Response (DOR) in Triplet Arm vs Control Arm Per Investigator
Time frame: From time of response to PD or death due to underlying disease (maximum treatment exposure of 277.4 weeks for triplet arm and 108 weeks for control arm)
(Phase 3) Comparison of Duration of Response (DOR) in Doublet Arm vs Control Arm Per BICR
Time frame: From time of response to PD or death due to underlying disease (maximum treatment exposure of 268 weeks for doublet arm and 108 weeks for control arm)
(Phase 3) Comparison of Duration of Response (DOR) in Doublet Arm vs Control Arm Per Investigator
Time frame: From time of response to PD or death due to underlying disease (maximum treatment exposure of 268 weeks for doublet arm and 108 weeks for control arm)
(Phase 3) Comparison of Duration of Response (DOR) in Triplet Arm vs Doublet Arm by BICR
Time frame: From time of response to PD or death due to underlying disease (maximum treatment exposure of 277.4 weeks for triplet arm and 268 weeks for doublet arm)
(Phase 3) Comparison of Duration of Response (DOR) in Triplet Arm vs Doublet Arm by Investigator
Time frame: From time of response to PD or death due to underlying disease (maximum treatment exposure of 277.4 weeks for triplet arm and 268 weeks for doublet arm)
(Phase 3) Comparison of Time to Response in Triplet Arm vs Control Arm Per BICR
Time frame: From first dose to first radiographic evidence of response (maximum treatment exposure of 277.4 weeks for triplet arm and 108 weeks for control arm)
(Phase 3) Comparison of Time to Response in Triplet Arm vs Control Arm Per Investigator
Time frame: From first dose to first radiographic evidence of response (maximum treatment exposure of 277.4 weeks for triplet arm and 108 weeks for control arm)
(Phase 3) Comparison of Time to Response in Doublet Arm vs Control Arm Per BICR
Time frame: From first dose to first radiographic evidence of response (maximum treatment exposure of 268 weeks for doublet arm and 108 weeks for control arm)
(Phase 3) Comparison of Time to Response in Doublet Arm vs Control Arm Per Investigator
Time frame: From first dose to first radiographic evidence of response (maximum treatment exposure of 268 weeks for doublet arm and 108 weeks for control arm)
(Phase 3) Comparison of Time to Response in Triplet Arm vs Doublet Arm Per BICR
Time frame: From first dose to first radiographic evidence of response (maximum treatment exposure of 277.4 weeks for triplet arm and 268 weeks for doublet arm)
(Phase 3) Comparison of Time to Response in Triplet Arm vs Doublet Arm Per Investigator
Time frame: From first dose to first radiographic evidence of response (maximum treatment exposure of 277.4 weeks for triplet arm and 268 weeks for doublet arm)
(Phase 3) Change From Baseline in the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire for Cancer Participants (QLQ-C30) Triplet Arm vs Control Arm, Doublet Arm vs Control, and Triplet vs Doublet
Time frame: Baseline, Cycle(C)1 Day(D)1 , C2 D1, C3 D1, C4 D1, C5 D1, C6 D1, C7 D1, C8 D1, C9 D1, C10 D1, C11 D1, C12 D1, C13 D1, C14 D1, C15 D1, C16 D1, C17 D1, C18 D1, C19 D1, C20 D1, C21 D1, C22 D1, C23 D1, End of Treatment, 30 Day Follow Up(each cycle of 28 days)
(Phase 3) Change From Baseline in the Functional Assessment of Cancer Therapy-Colon Cancer (FACT-C) in Triplet Arm vs Control Arm, Doublet Arm vs Control, and Triplet vs Doublet
Time frame: Baseline,Cycle (C)1 Day (D)1, C2 D1, C3 D1, C4 D1, C5 D1, C6 D1, C7 D1, C8 D1, C9 D1, C10 D1, C11 D1, C12 D1, C13 D1, C14 D1, C15 D1, C16 D1, C17 D1, C18 D1, C19 D1, C20 D1, C21 D1, C22 D1, C23 D1, End of Treatment, 30 Day Follow Up(each cycle of 28 days)
(Phase 3) Change From Baseline in the EuroQol-5D-5L Visual Analog Scale (EQ-5D-5L VAS) in Triplet Arm vs Control Arm, Doublet Arm vs Control, and Triplet vs Doublet
Time frame: Baseline,Cycle (C)1 Day (D)1, C2 D1, C3 D1, C4 D1, C5 D1, C6 D1, C7 D1, C8 D1, C9 D1, C10 D1, C11 D1, C12 D1, C13 D1, C14 D1, C15 D1, C16 D1, C17 D1, C18 D1, C19 D1, C20 D1, C21 D1, C22 D1, C23 D1, End of Treatment, 30 Day Follow Up(each cycle of 28 days)
(Phase 3) Change From Baseline in the Participant Global Impression of Change (PGIC) in Triplet Arm vs Control Arm, Doublet Arm vs Control, and Triplet vs Doublet
Time frame: Baseline,Cycle (C)1 Day (D)1, C2 D1, C3 D1, C4 D1, C5 D1, C6 D1, C7 D1, C8 D1, C9 D1, C10 D1, C11 D1, C12 D1, C13 D1, C14 D1, C15 D1, C16 D1, C17 D1, C18 D1, C19 D1, C20 D1, C21 D1, C22 D1, C23 D1, End of Treatment, 30 Day Follow Up(each cycle of 28 days)
(Safety Lead-in) Evaluation of the Area Under the Concentration-Time Curve From Zero to the Last Measurable Time Point (AUClast) for Cetuximab
Time frame: Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
(Safety Lead-in) Evaluation of the Area Under the Concentration-Time Curve From Zero to the Last Measurable Time Point (AUClast) for Encorafenib
Time frame: Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
(Safety Lead-in) Evaluation of the Area Under the Concentration-Time Curve From Zero to the Last Measurable Time Point (AUClast) for Binimetinib
Time frame: Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Dec 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 39313594Kopetz S, Murphy DA, Pu J, Ciardiello F, Desai J, Van Cutsem E, Wasan HS, Yoshino T, Saffari H, Zhang X, Hamilton P, Xie T, Yaeger R, Tabernero J. Molecular profiling of BRAF-V600E-mutant metastatic colorectal cancer in the phase 3 BEACON CRC trial. Nat Med. 2024 Nov;30(11):3261-3271. doi: 10.1038/s41591-024-03235-9. Epub 2024 Sep 23.
- Derived from this study: PubMed 36653241Taieb J, Lonardi S, Desai J, Folprecht G, Gallois C, Marques EP, Khan S, Castagne C, Wasan H. Adverse Events Associated with Encorafenib Plus Cetuximab in Patients with BRAFV600E-mutant Metastatic Colorectal Cancer: An in-depth Analysis of the BEACON CRC Study. Clin Colorectal Cancer. 2023 Mar;22(1):59-66. doi: 10.1016/j.clcc.2022.12.003. Epub 2022 Dec 24.
- Derived from this study: PubMed 35654691Stintzing S, Seufferlein T, Rose C, Reichenbach F, Luftner D. Encorafenib in Combination With Cetuximab After Systemic Therapy in Patients With BRAFV600E Mutant Metastatic Colorectal Cancer: German Health Technology Assessment-Driven Analyses From the BEACON CRC Study. Clin Colorectal Cancer. 2022 Sep;21(3):244-251. doi: 10.1016/j.clcc.2022.04.002. Epub 2022 May 5.
- Derived from this study: PubMed 35653981Kopetz S, Grothey A, Van Cutsem E, Yaeger R, Wasan H, Yoshino T, Desai J, Ciardiello F, Loupakis F, Hong YS, Steeghs N, Guren TK, Arkenau HT, Garcia-Alfonso P, Belani A, Zhang X, Tabernero J. Quality of life with encorafenib plus cetuximab with or without binimetinib treatment in patients with BRAF V600E-mutant metastatic colorectal cancer: patient-reported outcomes from BEACON CRC. ESMO Open. 2022 Jun;7(3):100477. doi: 10.1016/j.esmoop.2022.100477. Epub 2022 May 30.
- Derived from this study: PubMed 33503393Tabernero J, Grothey A, Van Cutsem E, Yaeger R, Wasan H, Yoshino T, Desai J, Ciardiello F, Loupakis F, Hong YS, Steeghs N, Guren TK, Arkenau HT, Garcia-Alfonso P, Elez E, Gollerkeri A, Maharry K, Christy-Bittel J, Kopetz S. Encorafenib Plus Cetuximab as a New Standard of Care for Previously Treated BRAF V600E-Mutant Metastatic Colorectal Cancer: Updated Survival Results and Subgroup Analyses from the BEACON Study. J Clin Oncol. 2021 Feb 1;39(4):273-284. doi: 10.1200/JCO.20.02088.
- Derived from this study: PubMed 31566309Kopetz S, Grothey A, Yaeger R, Van Cutsem E, Desai J, Yoshino T, Wasan H, Ciardiello F, Loupakis F, Hong YS, Steeghs N, Guren TK, Arkenau HT, Garcia-Alfonso P, Pfeiffer P, Orlov S, Lonardi S, Elez E, Kim TW, Schellens JHM, Guo C, Krishnan A, Dekervel J, Morris V, Calvo Ferrandiz A, Tarpgaard LS, Braun M, Gollerkeri A, Keir C, Maharry K, Pickard M, Christy-Bittel J, Anderson L, Sandor V, Tabernero J. Encorafenib, Binimetinib, and Cetuximab in BRAF V600E-Mutated Colorectal Cancer. N Engl J Med. 2019 Oct 24;381(17):1632-1643. doi: 10.1056/NEJMoa1908075. Epub 2019 Sep 30.
- Derived from this study: PubMed 30892987Van Cutsem E, Huijberts S, Grothey A, Yaeger R, Cuyle PJ, Elez E, Fakih M, Montagut C, Peeters M, Yoshino T, Wasan H, Desai J, Ciardiello F, Gollerkeri A, Christy-Bittel J, Maharry K, Sandor V, Schellens JHM, Kopetz S, Tabernero J. Binimetinib, Encorafenib, and Cetuximab Triplet Therapy for Patients With BRAF V600E-Mutant Metastatic Colorectal Cancer: Safety Lead-In Results From the Phase III BEACON Colorectal Cancer Study. J Clin Oncol. 2019 Jun 10;37(17):1460-1469. doi: 10.1200/JCO.18.02459. Epub 2019 Mar 20.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Pfizer CT.gov Call Center study director
Pfizer
418 sites in 27 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Encorafenib, Binimetinib and Cetuximab in people with BRAF V600E-mutant Metastatic Colorectal Cancer, run by Pfizer at 418 sites in 27 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 9 inclusion and 16 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: finished, as of the sponsor's last update on 21 Dec 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 418 sites in United States, Brazil, Italy, Germany, Spain and 22 more countries. 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 phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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 14 Jul 2020). 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?
(Safety Lead-in) Number of Participants With Dose-Limiting Toxicities (DLTs) (time frame: Cycle 1 (up to 28 days)). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02928224, which also lists 7 linked publications.
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 21 Dec 2023.