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Colorectal CancerPhase 1NCT03798626

Gevokizumab With Standard of Care Anti-cancer Therapies for Metastatic Colorectal, Gastroesophageal, and Renal Cancers

A Phase 1 study testing Gevokizumab, Bevacizumab and Modified FOLFOX6 in people with Colorectal Cancer and Gastroesophageal Cancer, run by Novartis Pharmaceuticals at 34 sites in 15 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This study will determine the pharmacodynamically-active dose of gevokizumab and the tolerable dose of gevokizumab in combination with the standard of care anti-cancer therapy in patients with metastatic colorectal cancer, metastatic gastroesophageal cancer and metastatic renal cell carcinoma, and the preliminary… Read more about this study

Who is it for?
Ages 18 to 100 years
What is being tested?
Gevokizumab, Bevacizumab and Modified FOLFOX6
Could I receive a placebo?
No, everyone receives an active treatment
How many people
167 participants
Where
34 sitesin 15 countries
Study dates
22 May 2019to 5 Feb 2025
Phase
Phase 1
Are there results?
None posted in the registry

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 to 100 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • For All Cohorts:
  • Adult ≥ 18 years old.
  • Metastatic disease not amenable to potentially curative surgery and with available archival tumor tissue or fresh tumor tissue biopsy.
  • Presence of at least 1 measurable lesion assessed by CT and/or MRI according to RECIST 1.1.
  • Eastern Cooperative Oncology Group (ECOG) Performance Status 0 or 1.
  • Adequate bone marrow and organ function per defined criteria in the protocol.
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  • Recovered from acute laboratory and clinical toxicities of prior anti cancer treatment to NCI CTCAE v5.0 grade ≤1 at time of screening, except alopecia and amenorrhea.
  • For Cohort A:
  • First line metastatic colorectal adenocarcinoma.
  • For Cohort B:
  • Second line metastatic colorectal adenocarcinoma that has progressed on prior line of chemotherapy administered for metastatic disease and which must include a fluoropyrimidine and oxaliplatin.
  • For Cohort C:
  • Second line metastatic gastroesophageal adenocarcinoma that has progressed on prior line of chemotherapy administered for metastatic disease, and which must include a platinum agent and fluoropyrimidine doublet.
  • For Cohort D:
  • Second or third line metastatic renal cell carcinoma with a clear cell component and has received one or two lines of treatment for metastatic disease that included an anti angiogenic agent for at least 4 weeks with radiologic progression on that treatment.
  • For subjects starting from Part 1a in Cohorts A and B:
  • Serum hs CRP at screening ≥ 10 mg/L (per central laboratory assessment).
  • Not requiring immediate initiation of anti cancer therapy per investigator's best judgement.
  • For subjects starting from Part 2 in Cohort C:
  • Serum hs CRP at screening ≥ 10 mg/L (per central laboratory assessment).

Who cannot join

  • For All Cohorts:
  • Currently receiving any of the prohibited medications or has contraindications as outlined in the 'Contraindications' to SOC regimen components.
  • Symptomatic brain metastases or brain metastases that require directed therapy (such as focal radiotherapy or surgery).
  • Suspected or proven immunocompromised state, or infections (as defined in the protocol).
  • Conditions that have a high risk of clinically significant bleeding after administration of anti VEGF agents.
  • Clinically significant, uncontrolled or recent (within last 6 months) cardiovascular disease.
Show all 10Show fewer
  • For Cohort D:
  • Concomitant medications, herbal supplements, and/or fruits and their juices that are known as strong inhibitors or inducers of CYP3A4/5, and medications that have a narrow therapeutic window and are predominantly metabolized through CYP3A4/5.
  • Impairment of GI function or GI disease that may significantly alter the absorption of cabozantinib.
  • Other protocol-defined inclusion/exclusion criteria may apply

Trial locations and contacts

34 sites in 15 countries.

34 sites in 15 countries

Spain6 sites
  • Novartis Investigative Site

    L'Hospitalet de Llobregat, Barcelona, 08907

  • Novartis Investigative Site

    Madrid, 28009

  • Novartis Investigative Site

    Madrid, 28034

  • Novartis Investigative Site

    Madrid, 28050

  • Novartis Investigative Site

    Seville, 41013

  • Novartis Investigative Site

    Valencia, 46010

Other trials in Spain

Japan5 sites
  • Novartis Investigative Site

    Bunkyo-ku, Tokyo, 113-8603

  • Novartis Investigative Site

    Kashiwa, Chiba, 2778577

  • Novartis Investigative Site

    Nagoya, Aichi-ken, 464 8681

  • Novartis Investigative Site

    Osaka, Osaka, 5418567

  • Novartis Investigative Site

    Sunto Gun, Shizuoka, 411 8777

Other trials in Japan

United States3 sites
  • University of California LA

    Los Angeles, California, 90095

  • Sarah Cannon Research Institute

    Nashville, Tennessee, 37203

  • WA Uni School Of Med

    St Louis, Missouri, 63110

Other trials in United States

Belgium3 sites
  • Novartis Investigative Site

    Brussels, 1000

  • Novartis Investigative Site

    Edegem, 2650

  • Novartis Investigative Site

    Leuven, 3000

Other trials in Belgium

Germany3 sites
  • Novartis Investigative Site

    Dresden, Saxony, 01307

  • Novartis Investigative Site

    Frankfurt am Main, Hesse, 60488

  • Novartis Investigative Site

    Ulm, 89081

Other trials in Germany

Canada2 sites
  • Novartis Investigative Site

    Calgary, Alberta, T2N4N2

  • Novartis Investigative Site

    Toronto, Ontario, M5G 2M9

Other trials in Canada

Israel2 sites
  • Novartis Investigative Site

    Ramat Gan, 5265601

  • Novartis Investigative Site

    Tel Aviv, 6423906

Other trials in Israel

Italy2 sites
  • Novartis Investigative Site

    Milan, MI, 20162

  • Novartis Investigative Site

    Rozzano, MI, 20089

Other trials in Italy

United Kingdom2 sites
  • Novartis Investigative Site

    London, SW3 6JJ

  • Novartis Investigative Site

    Manchester, M20 2BX

Other trials in United Kingdom

Australia1 site
  • Novartis Investigative Site

    Melbourne, Victoria, 3000

Other trials in Australia

Chile1 site
  • Novartis Investigative Site

    Santiago, Santiago Metropolitan, 8330074

Other trials in Chile

Czechia1 site
  • Novartis Investigative Site

    Brno, 656 53

Other trials in Czechia

Singapore1 site
  • Novartis Investigative Site

    Singapore, 119074

Other trials in Singapore

South Korea1 site
  • Novartis Investigative Site

    Seoul, 05505

Other trials in South Korea

Taiwan1 site
  • Novartis Investigative Site

    Tainan, 704302

Other trials in Taiwan

About this study

Official title: Phase Ib Study of Gevokizumab in Combination With Standard of Care Anti-cancer Therapies in Patients With Metastatic Colorectal Cancer, Gastroesophageal Cancer and Renal Cell Carcinoma

This study will determine the pharmacodynamically-active dose of gevokizumab and the tolerable dose of gevokizumab in combination with the standard of care anti-cancer therapy in patients with metastatic colorectal cancer, metastatic gastroesophageal cancer and metastatic renal cell carcinoma, and the preliminary efficacy of gevokizumab in combination with the SOC anti-cancer therapy in subjects with mCRC and mGEC.

Being tested
Gevokizumab, Bevacizumab, Modified FOLFOX6, FOLFIRI, Ramucirumab
Keywords
colorectal cancer, gastroesophageal cancer, renal cell carcinoma, gevokizumab, bevacizumab, modified FOLFOX6, FOLFIRI, ramucirumab, paclitaxel, cabozantinib, CRC, GEC, RCC, VPM087
Medical subject headings
Colorectal Neoplasms, Carcinoma, Renal Cell

What participants receive

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

  • GevokizumabDrug

    Also called VPM087

    60 mg/mL concentration; administered intravenously (IV)

  • BevacizumabDrug

    25 mg/mL concentration; administered IV

  • Modified FOLFOX6Drug

    Also called oxaliplatin, leucovorin, 5-fluorouracil

    Oxaliplatin [5 mg/mL concentration; administered IV], leucovorin [10 mg/mL concentration; administered IV] (or levoleucovorin [10 mg/mL concentration; administered IV]), and 5-fluorouracil [50 mg/mL concentration; administered IV]

  • FOLFIRIDrug

    Also called irinotecan, leucovorin, 5-fluorouracil

    Irinotecan [20 mg/mL concentration; administered IV], leucovorin [10 mg/mL concentration; administered IV] (or levoleucovorin [10 mg/mL concentration; administered IV]), and 5-fluorouracil [50 mg/mL concentration; administered IV]

  • RamucirumabDrug

    10 mg/mL concentration; administered IV

  • PaclitaxelDrug

    6 mg/mL concentration; administered IV

  • CabozantinibDrug

    60 mg tablet; administered orally

Study groups in NCT03798626
Study groupRoleWhat they receive
Cohort A: 1st line colorectal cancerExperimentalTreatment for 1st line metastatic colorectal cancer (mCRC) with Gevokizumab, modified FOLFOX6, bevacizumab
Receives: Drug: Gevokizumab; Drug: Bevacizumab; Drug: Modified FOLFOX6
Cohort B: 2nd line colorectal cancerExperimentalTreatment for 2nd line mCRC with Gevokizumab, FOLFIRI, bevacizumab
Receives: Drug: Gevokizumab; Drug: Bevacizumab; Drug: FOLFIRI
Cohort C: 2nd line gastroesophageal cancerExperimentalTreatment for 2nd line metastatic gastroesophageal cancer (mGEC) with Gevokizumab, paclitaxel, ramucirumab
Receives: Drug: Gevokizumab; Drug: Ramucirumab; Drug: Paclitaxel
Cohort D: 2nd or 3rd line renal cell carcinomaExperimentalTreatment for 2nd or 3rd line metastatic renal cell carcinoma (mRCC) with Gevokizumab, cabozantinib
Receives: Drug: Gevokizumab; Drug: Cabozantinib

What is being measured

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

  1. Part 1a/b (Cohorts A and B): Change in high-sensitivity C-reactive protein (hs-CRP) after first dose of gevokizumab monotherapy

    Log scale change of hs-CRP at Day 15 from baseline

    Measured: Baseline, Day 15

  2. Part 1b (Safety run-in): Number of dose limiting toxicities (DLTs) [Cohort C and Cohort D]

    DLT is defined as an AE or abnormal laboratory value assessed as unrelated to disease, disease progression, inter-current illness, or concomitant medications that occurs within the beginning of treatment with gevokizumab in combination with the SOC anti-cancer therapies and meets any of the protocol specified criteria.

    Measured: First 4 weeks of combination treatment

  3. Part 1b (Safety run-in): Number of DLTs [Cohort A and Cohort B]

    DLT is defined as an AE or abnormal laboratory value assessed as unrelated to disease, disease progression, inter-current illness, or concomitant medications that occurs within the beginning of treatment with gevokizumab in combination with the SOC anti-cancer therapies and meets any of the protocol specified criteria.

    Measured: First 6 weeks of combination treatment

  4. Part 2 (Expansion) and Part 1b (Safety run-in): Progression free survival (PFS) rate [Cohort A subjects at RDE level]

    PFS rate is defined as the percentage of participants who have not progressed or died due to any cause within a specified timeframe after study treatment initiation. Progression will be assessed per investigator assessment using RECIST v1.1.

    Measured: At 15 months

  5. Part 2 (Expansion) and Part 1b (Safety run-in): Progression free survival (PFS) rate [Cohort B subjects at RDE level]

    PFS rate is defined as the percentage of participants who have not progressed or died due to any cause within a specified timeframe after study treatment initiation. Progression will be assessed per investigator assessment using RECIST v1.1.

    Measured: At 9 months

  6. Part 2 (Expansion) and Part 1b (Safety run-in): Progression free survival (PFS) rate [Cohort C subjects at RDE level]

    PFS rate is defined as the percentage of participants who have not progressed or died due to any cause within a specified timeframe after study treatment initiation. Progression will be assessed per investigator assessment using RECIST v1.1.

    Measured: At 6 months

Secondary outcomes (7)
  1. Overall response rate (ORR) per investigator assessment using RECIST v1.1

    ORR is defined as the proportion of subjects with best overall response (BOR) of complete response (CR) or partial response (PR), according to RECIST 1.1

    Measured: Up to 5 years

  2. Duration of response (DOR) per investigator assessment using RECIST v1.1

    Duration of response is defined as the time from first documented response of CR or PR to date of first documented progression or death due to any cause, according to RECIST 1.1 criteria

    Measured: Up to 5 years

  3. Disease Control Rate (DCR) per investigator assessment using RECIST v1.1

    DCR is defined as the proportion of subjects with a BOR of CR, PR, or stable disease (SD), according to RECIST 1.1.

    Measured: Up to 5 years

  4. Overall survival (OS)

    OS is defined as the time from date of first dose of study treatment to date of death due to any cause.

    Measured: Up to 5 years

  5. PFS by baseline hs-CRP category using RECIST 1.1 [Cohort A and B at RDE level]

    PFS is defined as the time from the date of first dosing of study drug to the date of the first documented progression or death due to any cause.

    Measured: Up to 5 years

  6. PFS for subjects from Part 1b at doses other than RDE level (Cohort A and Cohort B)

    PFS is defined as the time from the date of first dosing of study drug to the date of the first documented progression or death due to any cause.

    Measured: Up to 5 years

  7. Number of patients with anti-drug antibodies for gevokizumab in the combination regimens

    Incidence of immunogenicity for gevokizumab

    Measured: Up to 5 years

Timeline

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

  1. First posted10 Jan 2019
  2. Study start22 May 2019
  3. Primary completion1 Mar 2023
  4. Study completion5 Feb 2025

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
167 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03798626
Sponsor's protocol ID
CVPM087A2101
Other IDs
2018-003952-19, 2018
Status last verified
Mar 2026
First submitted
7 Jan 2019
Last updated
1 Apr 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Gevokizumab, Bevacizumab and Modified FOLFOX6 in people with Colorectal Cancer and Gastroesophageal Cancer, run by Novartis Pharmaceuticals at 34 sites in 15 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 20 inclusion and 10 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 1 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 34 sites in Spain, Japan, United States, Belgium, Germany and 10 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Part 1a/b (Cohorts A and B): Change in high-sensitivity C-reactive protein (hs-CRP) after first dose of gevokizumab monotherapy (time frame: Baseline, Day 15). 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?
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 1 Apr 2026.

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