Phase I/II Study of KRN330 Plus Irinotecan in Patients With Metastatic Colorectal Cancer

NCT ID: NCT00838578

Last Updated: 2024-04-26

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

65 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-03-31

Study Completion Date

2012-10-31

Brief Summary

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The primary objective of the Phase II portion of this study is to assess the efficacy of KRN330 in combination with irinotecan after first-line or adjuvant FOLFOX (5-fluorouracil, leucovorin, and oxaliplatin)/CapOx (capecitabine and oxaliplatin) treatment failure in patients with metastatic colorectal cancer.

Detailed Description

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Phase II portion is an open-label, single arm study. Based on the results of the Phase I portion, weekly KRN330 (0.5 mg/kg) and biweekly irinotecan (180 mg/m2) will be used in the Phase II portion. To be eligible for the Phase II portion, a patient will have recurred or progressed within 6 months of the last cycle of FOLFOX/CapOx +/- bevacizumab (first-line or adjuvant regimen for metastatic colorectal cancer). Patients will continue the treatment until disease progression.

Per protocol, the decision was made to terminate the study based on interim analysis results. The Response Rate in Phase II did not meet the protocol-specified RR of 15% when 0.5 mg/kg KRN330 was administered weekly in combination with irinotecan(180 mg/m2)biweekly.

Conditions

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Colorectal Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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KRN330 + Irinotecan

open label, single arm

Group Type EXPERIMENTAL

KRN330

Intervention Type BIOLOGICAL

KRN330 will be dosed at 0.5 mg/kg weekly until disease progression.

Irinotecan

Intervention Type DRUG

Irinotecan will be dosed at 180 mg/m2 biweekly until disease progression.

Interventions

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KRN330

KRN330 will be dosed at 0.5 mg/kg weekly until disease progression.

Intervention Type BIOLOGICAL

Irinotecan

Irinotecan will be dosed at 180 mg/m2 biweekly until disease progression.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Have histologically confirmed colorectal cancer that is metastatic with measurable disease.
* For the Phase II portion: Have recurred or progressed within 6 months of the last cycle of FOLFOX +/- bevacizumab first-line or adjuvant regimen for metastatic colorectal cancer. Note: Those who had initiated FOLFOX/CapOx but stopped oxaliplatin because of intolerable toxicity are also eligible.
* At least 4 weeks have elapsed since the last chemotherapy, radiotherapy, immunotherapy, or biologic therapy prior to enrollment (except at least 6 weeks in the case of nitrosourea and mitomycin).
* Have not received any other investigational agents within 4 weeks of study entry and have fully recovered from any adverse event due to prior therapy.
* At least 4 weeks have elapsed since any major surgery.
* Have ECOG performance status of 0, 1, or 2.
* Have adequate bone marrow and organ function

Exclusion Criteria

* Have an active, uncontrolled infection.
* Have known HIV positive status.
* Have known or suspected cerebral metastasis.
* Have had a myocardial infarction (MI) or cerebrovascular accident (CVA) within the last 6 months; or meet the criteria for AHA class III or IV congestive heart failure (CHF).
* Have a medical condition requiring chronic use of high-dose corticosteroids or other chronic immunosuppressive therapy (e.g. methotrexate, azathioprine).
* Have a history of greater than or equal to Grade 2 allergic reaction or hypersensitivity following exposure to humanized or human monoclonal antibodies (but not chimeric antibodies).
* Pregnant or breastfeeding women and male or female patients who do not agree to use effective contraceptive method(s) during the study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kyowa Hakko Kirin Pharma, Inc.

INDUSTRY

Sponsor Role collaborator

Kyowa Kirin Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michael Kurman, MD

Role: STUDY_DIRECTOR

Kyowa Hakko Kirin Pharma, Inc.

Locations

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Clearview Cancer Institute

Huntsville, Alabama, United States

Site Status

Arizona Clinical Research Center

Tucson, Arizona, United States

Site Status

USC/Norris Comprehensive Cancer Center

Los Angeles, California, United States

Site Status

Lombardi Comprehensive Cancer Center, Georgetown University Hospital

Washington D.C., District of Columbia, United States

Site Status

Florida Cancer Specialists

Fort Myers, Florida, United States

Site Status

University of Florida COllege of Medicine/Shands Cancer Center

Gainesville, Florida, United States

Site Status

University of Miami - Sylvester Comprehensive Cancer Center

Miami, Florida, United States

Site Status

Emory University - Winship Cancer Institute

Atlanta, Georgia, United States

Site Status

Greater Baltimore Medical Center

Baltimore, Maryland, United States

Site Status

NYU Clinical Trials Office, New York University Cancer Institute

New York, New York, United States

Site Status

Sarah Cannon Research Institute

Nashville, Tennessee, United States

Site Status

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

Countries

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United States

Other Identifiers

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KRN330-US-02

Identifier Type: -

Identifier Source: org_study_id

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