NKTR-102 Versus Irinotecan in Patients With Second-Line, Irinotecan-Naïve, KRAS Mutant, Colorectal Cancer

NCT ID: NCT00856375

Last Updated: 2021-07-12

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

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

83 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-12-31

Study Completion Date

2014-12-31

Brief Summary

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This study will evaluate whether NKTR-102, an investigational drug has an anti-tumor effect in patients with colorectal cancer. This study will also evaluate how the safety and anti-tumor activity of NKTR-102 compares with irinotecan, a cancer drug that is approved for use in the US for treatment of patients with certain types of colorectal cancer.

Detailed Description

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NKTR-102 (Topoisomerase I Inhibitor Polymer Conjugate) is a polyethylene glycol (PEG) conjugate of irinotecan. Irinotecan is a topoisomerase I inhibitor approved worldwide. In the US, irinotecan is indicated as a component of first-line therapy in combination with 5 fluorouracil (5 FU) and leucovorin for patients with metastatic carcinoma of the colon or rectum. Irinotecan is also indicated for patients with metastatic carcinoma of the colon or rectum whose disease has recurred or progressed following initial fluorouracil-based therapy.

Second-line therapy for colorectal cancer typically involves cetuximab and irinotecan. However, growing evidence indicates that cetuximab (or other EGFR inhibitors) is not appropriate therapy for patients with mutant KRAS. For these patients, irinotecan may be appropriate as a single agent, and a new therapy that could improve upon efficacy and safety would provide an important option for the treatment of advanced colorectal cancer.

Conditions

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Colorectal Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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NKTR-102

NKTR-102 IV every 3 weeks

Group Type EXPERIMENTAL

NKTR-102

Intervention Type DRUG

IV every 3 weeks

irinotecan

irinotecan IV every 3 weeks

Group Type ACTIVE_COMPARATOR

irinotecan

Intervention Type DRUG

IV every 3 weeks

Interventions

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NKTR-102

IV every 3 weeks

Intervention Type DRUG

irinotecan

IV every 3 weeks

Intervention Type DRUG

Other Intervention Names

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etirinotecan pegol

Eligibility Criteria

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Inclusion Criteria

* metastatic colorectal cancer
* tumor with k-ras mutation

Exclusion Criteria

* More than 1 prior regimen for treatment of metastatic disease
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nektar Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Study Director

Role: STUDY_DIRECTOR

Nektar Therapeutics

Locations

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Investigator Site - Peoria

Peoria, Arizona, United States

Site Status

Investigator Site - Burbank

Burbank, California, United States

Site Status

Investigator Site - Los Angeles

Los Angeles, California, United States

Site Status

Investigator Site - Vallejo

Vallejo, California, United States

Site Status

Investigator Site - Centralia

Centralia, Illinois, United States

Site Status

Investigator Site - Louisville

Louisville, Kentucky, United States

Site Status

Investigator Site - Detroit

Detroit, Michigan, United States

Site Status

Investigator Site - Buffalo

Buffalo, New York, United States

Site Status

Investigator Site - Knoxville

Knoxville, Tennessee, United States

Site Status

Investigator Site - Antwerp

Antwerp, , Belgium

Site Status

Investigator Site - Celle

Celle, , Germany

Site Status

Investigator Site - Karlsruhe

Karlsruhe, , Germany

Site Status

Investigator Site - Hyderabad

Hyderabad, Andhra Pradesh, India

Site Status

Investigator Site - Ahmedabad

Ahmedabad, Gujarat, India

Site Status

Investigator Site - Bangalore

Bangalore, Karnatak, India

Site Status

Investigator Site - Bangalore

Bangalore, Karnatak, India

Site Status

Investigator Site - Kochi

Kochi, Kerata, India

Site Status

Investigator Site - Mumbai

Mumbai, Maharashtra, India

Site Status

Investigator Site - Kolkata

Kolkata, West Benagal, India

Site Status

Investigator Site - Kolkata

Kolkata, West Bengal, India

Site Status

Investigator Site - Elche

Elche, , Spain

Site Status

Investigator Site - Madrid

Madrid, , Spain

Site Status

Investigator Site - Aberdeen

Aberdeen, Scotland, United Kingdom

Site Status

Investigator Site - Manchester

Manchester, , United Kingdom

Site Status

Countries

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United States Belgium Germany India Spain United Kingdom

Other Identifiers

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08-PIR-03

Identifier Type: -

Identifier Source: org_study_id

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