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Colorectal NeoplasmsPhase 2NCT04515394

Study of Tepotinib Combined With Cetuximab in Participants With Left-Sided RAS/BRAF Wild Type Metastatic Colorectal Cancer (PERSPECTIVE)

A Phase 2 study testing Tepotinib and Cetuximab in people with Colorectal Neoplasms, run by EMD Serono Research & Development Institute, Inc. at 65 sites in 8 countries.

Terminated

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

Official record
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Trial summary

The purpose of this study was to assess the preliminary antitumor activity, safety and tolerability of tepotinib in combination with cetuximab in participants with RAS/BRAF wild-type left-sided Metastatic Colorectal Cancer (mCRC) having acquired resistance to anti-epidermal growth factor receptor (EGFR) antibody… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Colorectal Neoplasms
What is being tested?
Tepotinib and Cetuximab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
3 participants
Where
65 sitesin 8 countries
Study dates
28 Jan 2021to 31 Mar 2022
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

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

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

Who may be able to join

  • Advanced (locally advanced or metastatic) left sided (from splenic flexure to rectum - National Comprehensive Cancer Network [NCCN] version 4.2020) colorectal cancer (CRC) with RAS/BRAF wild-type at study entry confirmed prior to enrollment, with previous anti-epidermal growth factor receptor (anti-EGFR) therapy and acquired resistance on the most recent anti-EGFR monoclonal antibody therapy (panitumumab or cetuximab) by radiological documentation of disease progression according to RECIST Version 1.1
  • Mesenchymal epithelial transition (MET) amplification detected by a positive liquid biopsy and/or tissue with appropriate regulatory status (collected after disease progression of the previous anti-EGFR therapy)
  • Measurable disease by Investigator in accordance with RECIST Version 1.1
  • Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 or 1
  • Life expectancy greater than 3 months
  • Participants having at least one systemic treatment for mCRC including 1 anti-EGFR monoclonal antibody therapy as the most recent line of therapy for mCRC before study treatment and must have shown a radiologically confirmed by RECIST Version 1.1 complete response (CR) or partial response (PR), both for at least 4 months or stable disease (SD) for at least 6 months to that therapy prior to disease progression
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  • Less than 2 months between the last administration of the most recent EGFR containing regimen and first dosing in this study
  • Adequate hematological function, hepatic and renal functions as defined in the protocol
  • Signed and dated informed consent indicating that the participants had been informed of all the pertinent aspects of the trial prior to enrollment
  • Contraceptive use by males or females will be consistent with local regulations on contraception methods for those participating in clinical studies
  • Other protocol defined inclusion criteria could apply

Who cannot join

  • Participants with symptomatic central nervous system (CNS) metastases who are neurologically unstable or have required increasing doses of steroids within the 2 weeks prior to study entry to manage CNS metastases. Also excluded are participants with carcinomatous meningitis
  • Participants who have brain metastasis as the only measurable lesion
  • Prior chemotherapy, biological therapy, radiation therapy, hormonal therapy for anti-cancer purposes, targeted therapy, or other investigational anticancer therapy (not including palliative radiotherapy at focal sites) within 21 days prior to the first dose of study intervention, except for the anti-EGFR containing regimen including associated chemotherapy if applicable, which may be continued until enrollment of the participant in the study
  • Any unresolved toxicity Grade 2 or more according to the National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 5.0, from previous anticancer therapy excluding neuropathy, alopecia and rash
  • Severe hypersensitivity reactions to monoclonal antibodies (Grade greater than or equal to [>=] 3 NCI-CTCAE v 5.0), any history of anaphylaxis, or uncontrolled asthma (i.e., 3 or more occurrences of partially controlled asthma)
  • Discontinuation of the most recent cetuximab or panitumumab containing therapy due to an adverse event
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  • Prior treatment with other agents targeting the hepatocyte growth factor (HGF)/Mesenchymal epithelial transition (MET) pathway
  • Impaired cardiac function: Left ventricular ejection fraction less than [<] 45 percent [%] defined by echocardiography (a screening assessment not required for participants without a history of congestive heart failure unless clinically indicated); Serious arrhythmia; Unstable angina pectoris; New York Heart Association heart failure Class III and IV; Myocardial infarction within the last 12 months prior to study entry and Symptomatic pericardial effusion; Corrected QT interval by Fridericia (QTcF) greater than (>) 480 milliseconds (ms)
  • Hypertension uncontrolled by standard therapies (not stabilized to less than [< ]150/90 millimeter of mercury [mmHg])
  • History of neoplasm other than mCRC
  • History of difficulty swallowing, malabsorption, or other chronic gastrointestinal disease, or conditions that may hamper compliance and/or absorption of the test products
  • Known infection with human immunodeficiency virus, or an active infection with hepatitis B or hepatitis C virus
  • Major surgery within 28 days prior to Day 1 of study intervention
  • History of Interstitial lung disease (ILD) or interstitial pneumonitis including radiation pneumonitis that required steroid treatment
  • Other protocol defined exclusion criteria could apply

Trial locations and contacts

65 sites in 8 countries.

65 sites in 8 countries

United States13 sites
  • The University of Texas MD Anderson Cancer Center

    Houston, Texas, 77030

  • Mayo Clinic Hospital

    Jacksonville, Florida, 322224-1865

  • Moores Cancer Center

    La Jolla, California, 92093

  • North Shore-LIJ Monter Cancer Center

    Lake Success, New York, 11042

  • Mayo Clinic

    Phoenix, Arizona, 85054

  • Allegheny-Singer Research Institute

    Pittsburgh, Pennsylvania, 15212

  • Mayo Clinic

    Rochester, Minnesota, 55905

  • University of California, Los Angeles (UCLA)

    Santa Monica, California, 90404

  • Seattle Cancer Care Alliance

    Seattle, Washington, 98109-1023

  • Scott & White Vasicek Cancer Treatment Center

    Temple, Texas, 76508-0001

  • Georgetown Lombardi Comprehensive Cancer Center

    Washington D.C., District of Columbia, 20007

  • Aurora Cancer Care - Milwaukee West

    Wauwatosa, Wisconsin, 53226

  • Cancer Center of Kansas

    Wichita, Kansas, 67214-3728

Other trials in United States

Russia12 sites
  • Arkangelsk Clinical Oncological Dyspensary

    Arkhangelsk

  • Chelyabinsk Regional Clinical Center of Oncology and Nuclear Medicine

    Chelyabinsk

  • Kursk Regional Clinical Oncology Dispensary

    Kislino

  • FSBI "National Medical Research Center of Oncology n.a. N.N. Blokhina" of the MoH of the RF

    Moscow

  • Limited Liability Company Medicine 24/7

    Moscow

  • Russian Cancer research center n.a. N.N. Blokhin

    Moscow

  • Omsk Regional Oncology Dispensary

    Omsk

  • LLC Clinica UZI 4D

    Pyatigorsk

  • Pavlov First Saint Petersburg State Medical University

    Saint Petersburg

  • Tomsk National Research Medical Center

    Tomsk

  • MKMC Medical City

    Tyumen

  • SAHI Republican Clinical Oncology Dispensary

    Ufa

Other trials in Russia

Spain11 sites
  • Hospital Clinic de Barcelona

    Barcelona

  • Hospital del Mar

    Barcelona

  • VHIO Valle de Hebron Instituto de Oncologia

    Barcelona

  • H.U. Ramon y Cajal

    Madrid

  • HM-CIOCC

    Madrid

  • Hospital de Madrid Norte Sanchinarro

    Madrid

  • Hospital Universitario 12 de Octubre

    Madrid

  • Hospital UNiversitario La Paz

    Madrid

  • H.U.Marqués de Valdecilla

    Santander

  • HUVirgen del Rocio

    Seville

  • Consorcio Hospital General Universitario de Valencia

    Valencia

Other trials in Spain

Italy10 sites
  • Istituto Scientifico Romagnolo per lo Studio e la Cura die Tumori

    Meldona

  • Fondazione IRCCS - Istituto Tumori Milano

    Milan

  • Grande Ospedale Metropolitano Niguarda

    Milan

  • Istituto Europeo di Oncologia

    Milan

  • Istituto Nazionale Tumori, Fondazione G. Pascale Napoli

    Naples

  • UOC Oncoematologia AOU Vanvitelli

    Naples

  • Istituto Oncologico Veneto IRCCS

    Padova

  • Azienda Ospedaliero Universitaria Pisana-Ospedale Santa Chiara

    Pisa

  • Fondazione Policlinico Universitario Agostino Gemelli

    Rome

  • Foundation IRCCS Casa Sollievo della Sofferenza

    San Giovanni Rotondo FG

Other trials in Italy

France8 sites
  • CHU Besançon Hôpital Jean Minjoz

    Besançon

  • University Hospital of Besançon

    Besançon

  • CHU Estaing

    Clermont-Ferrand

  • CHU Hôpital Henri Mondor

    Créteil

  • Clinique Victor Hugo

    Le Mans

  • CHU de Poitiers

    Poitiers

  • Curie Institute

    Saint-Cloud

  • Institut Curie - René-Huguenin Hospital

    Saint-Cloud

Other trials in France

United Kingdom5 sites
  • Bristol Oncology Centre

    Bristol

  • Beatson WJSCC

    Glasgow

  • Guy's & St Thomas' NHS Foundation Trust

    London

  • The Royal Marsden Hospital

    London

  • The Royal Marsden Hospital

    Sutton

Other trials in United Kingdom

Czechia4 sites
  • Universtity Hospital Brno

    Brno

  • University Hospital Olomouc

    Olomouc

  • Dept. of Oncology Faculty Hospital Motol

    Prague

  • Hospital Na Bulovce

    Prague

Other trials in Czechia

Belgium2 sites
  • Antwerp University Hospital

    Antwerp

  • UZ Leuven

    Leuven

Other trials in Belgium

About this study

Official title: A Phase II Single-Arm Study to Investigate Tepotinib Combined With Cetuximab in RAS/BRAF Wild-Type Left-Sided mCRC Patients Having Acquired Resistance to Anti-EGFR Antibody Targeting Therapy Due to MET Amplification (PERSPECTIVE)

The purpose of this study was to assess the preliminary antitumor activity, safety and tolerability of tepotinib in combination with cetuximab in participants with RAS/BRAF wild-type left-sided Metastatic Colorectal Cancer (mCRC) having acquired resistance to anti-epidermal growth factor receptor (EGFR) antibody targeted therapy due to mesenchymal epithelial transition (MET) amplification.

Being tested
Tepotinib, Cetuximab
Keywords
Colorectal cancer, RAS wild-type, Tepotinib, Cetuximab, Erbitux, Epidermal growth factor receptor resistance, Hepatocyte growth factor, Panitumumab, Mesenchymal epithelial transition
Medical subject headings
Colorectal Neoplasms, Deafness, Autosomal Recessive 39

What participants receive

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

  • TepotinibDrug

    Also called MSC2156119J

    Participants received Tepotinib film-coated tablets at a dose of 500 milligrams (mg) orally, once daily (QD) until disease progression (according to Response Evaluation Criteria in Solid Tumors Version 1.1 [RECIST v1.1]), death, Adverse event (AE) leading to discontinuation, study withdrawal, or withdrawal of consent, whichever occurs first.

  • CetuximabBiological

    Also called Erbitux®, MSB0010442D

    Participants received weekly intravenous infusions of Cetuximab at a dose of 250 milligrams per square meter (mg/m^2) until disease progression (according to Response Evaluation Criteria in Solid Tumors Version 1.1 [RECIST v1.1]), death, Adverse event (AE) leading to discontinuation, study withdrawal, or withdrawal of consent, whichever occurs first.

Study groups in NCT04515394
Study groupRoleWhat they receive
Tepotinib + CetuximabExperimentalNot described
Receives: Drug: Tepotinib; Biological: Cetuximab

What is being measured

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

  1. Number of Participants Who Experienced Dose Limiting Toxicities (DLTs) According to National Cancer Institute Common Toxicity Criteria for Adverse Events (NCI-CTCAE) Version 5.0

    DLTs are defined as any of the following toxicities and judged by Investigator and/ Sponsor to be not attributable to the disease/disease-related processes under investigation: Grade 4 neutropenia for more than 7 days; Grade greater than or equal to [>=] 3 febrile neutropenia with absolute neutrophil count < 1000 per cube millimeter (per mm^3) and a single temperature of > 38.3 degree Celsius/a sustained temperature of >= 38 degree Celsius for more than 1 hour; Grade 4/Grade 3 thrombocytopenia with non-traumatic bleeding; Grade 3 uncontrolled nausea/vomiting and/diarrhea that has not improved within 72 hours despite adequate and optimal treatment; Grade 4 vomiting and/diarrhea; Grade >= 3 skin toxicity that has not resolved to Grade 2 after 14 days of adequate treatment; Any other Grade >= 3 non-hematological AE will be defined as DLT. Exceptions are alopecia/an isolated lipase and/amylase elevation of Grade >= 3 without clinical/radiological evidence of pancreatitis.

    Measured: Day 1 to Day 21 of Cycle 1 (each cycle is of 21 days)

  2. Number of Participants With Objective Response (OR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) Assessed by Investigators

    OR is defined as a best overall response (BOR) of complete response (CR) or partial response (PR). CR: Disappearance of all evidence of target and non-target lesions. PR: At least 30% reduction from baseline in the sum of the longest diameter (SLD) of all target lesions.

    Measured: Time from first study treatment assessed up to 218 days

Secondary outcomes (8)
  1. Duration of Response (DoR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) Assessed by Investigator

    For participants with objective response, DoR is the time from when the complete response (CR) or partial response (PR) (whichever is first) criteria are first met until progression disease (PD) or death due to any cause within the period of 2 scheduled tumor assessments (84 or 168 days) after the last tumor assessment, whichever occurs first. PD is defined as at least a 20 percent (%) increase in the sum of the longest diameter (SLD), taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions.

    Measured: Time from the first dose of study drug until occurrence of PD, death due to any cause or last tumor assessment (assessed up to 218 days)

  2. Progression-Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) Assessed by Investigators

    PFS is defined as the time (in months) from first administration of study intervention to the date of the first documentation of progression disease (PD) or death due to any cause within the period of 2 scheduled tumor assessments (84 or 168 days) after the last tumor assessment, whichever occurs first. PD is defined as at least a 20 percent (%) increase in the sum of the longest diameter (SLD), taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. PFS was to be estimated using Kaplan-Meier (KM) plots.

    Measured: Time from the first dose of study drug until occurrence of PD, death due to any cause or last tumor assessment (assessed up to 218 days)

  3. Overall Survival (OS) Assessed by Investigators

    OS is defined as the time (in months) from first administration of study intervention to the date of death. OS was to be estimated using Kaplan-Meier (KM) plots.

    Measured: Time from first study treatment until death, assessed up to 218 days

  4. Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Treatment-Related TEAEs

    An adverse event (AE) is defined as any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study intervention, whether considered related to the study intervention or not. A serious AE was an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. TEAEs were defined as events that started or worsened after first dose of study intervention until 30 days after last dose. TEAEs included both serious and non-serious TEAEs. Treatment-related TEAEs is defined as reasonably related to the study intervention.

    Measured: Time from first study treatment up to 30 days after the last dose, assessed up to 226 days

  5. Number of Participants With Clinically Significant Changes From Baseline in Vital Signs

    Vital sign assessment included assessments of height, weight, temperature, pulse rate, respiratory rate, and blood pressure. Clinical significance was determined by the investigator. Number of participants who had any clinically significant changes from baseline in vital signs were reported.

    Measured: Time from first study treatment up to 30 days after the last dose, assessed up to 226 days

  6. Number of Participants With Clinically Significant Changes From Baseline in Laboratory Parameters

    Laboratory investigation included hematology, biochemistry, coagulation, routine urinalysis and other screening tests (Follicle-stimulating hormone (FSH) and estradiol, Serum or highly sensitive urine human chorionic gonadotropin (hCG) pregnancy test, Serology (HIV antibody, hepatitis B surface antigen [HBsAg], and hepatitis C virus antibody) and all of the safety labs were performed locally. Clinical significance was determined by the investigator. The number of participants with clinically significant changes from baseline in laboratory parameters were reported.

    Measured: Time from first study treatment up to 30 days after the last dose, assessed up to 226 days

  7. Number of Participants With Clinically Significant Changes From Baseline in 12-Lead Electrocardiogram (ECG) Findings

    12-lead ECG recordings included heart rate and measures PR, QRS, QT and QTcF intervals. 12-lead ECG recordings were obtained after the participants have rested for at least 5 minutes in semi-supine or supine position. Clinical significance was determined by the investigator. The number of participants with clinically significant changes from baseline in 12-lead ECG findings were reported.

    Measured: Time from first study treatment up to 30 days after the last dose, assessed up to 226 days

  8. Number of Participants With At Least 1 Postive Anti-Drug Antibodies (ADAs) for Cetuximab

    Serum samples were analyzed by a validated electrochemiluminescence immunoassay method to detect the presence of antidrug antibodies (ADA). Number of participants with positive ADA were reported.

    Measured: At Day 1 of cycle 1 (each cycle is of 21 days) and at End of Treatment (14 days after last dose, assessed up to 210 days)

Timeline

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

  1. First posted17 Aug 2020
  2. Study start28 Jan 2021
  3. Primary completion14 Mar 2022
  4. Study completion31 Mar 2022

Why it stopped: The study was terminated early due to operational challenges identifying suitable participants for screening in the study.

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 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
3 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04515394
Sponsor's protocol ID
MS202202_0002
Other IDs
2020-001776-15
Status last verified
Nov 2022
First submitted
11 Aug 2020
Last updated
22 Dec 2022
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: We are committed to enhancing public health through responsible sharing of clinical trial data. Following approval of a new product or a new indication for an approved product in both the US and European Union, the study sponsor and/or its affiliated companies will share study protocols, anonymized patient data and study level data, and redacted clinical study reports with qualified scientific and medical researchers, upon request, as necessary for conducting legitimate research. Further information on how to request data can be found on our website bit.ly/IPD21

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Tepotinib and Cetuximab in people with Colorectal Neoplasms, run by EMD Serono Research & Development Institute, Inc. at 65 sites in 8 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 11 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 22 Dec 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 65 sites in United States, Russia, Spain, Italy, France and 3 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

Yes. Results are posted in the registry (first posted 22 Dec 2022). 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?

Number of Participants Who Experienced Dose Limiting Toxicities (DLTs) According to National Cancer Institute Common Toxicity Criteria for Adverse Events (NCI-CTCAE) Version 5.0 (time frame: Day 1 to Day 21 of Cycle 1 (each cycle is of 21 days)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

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

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

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Dec 2022.

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