A Study to Assess the Efficacy and Safety of Lenalidomide in Combination With Cetuximab in Pre-treated Patients With KRAS Mutant Colorectal Cancer

NCT ID: NCT01032291

Last Updated: 2013-05-21

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

51 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-12-31

Study Completion Date

2011-01-31

Brief Summary

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The purpose of this study is to determine whether lenalidomide in combination with cetuximab is safe and effective in patients with KRAS mutant colorectal cancer.

Detailed Description

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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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lenalidomide plus cetuximab

Combination therapy of lenalidomide plus cetuximab

Group Type EXPERIMENTAL

cetuximab

Intervention Type DRUG

Intravenous infusions of cetuximab (400 mg/m\^2 Cycle 1 Day 1, thereafter 250 mg/m\^2), administered on days 1, 8, 15 and 22 of each 28 day cycle.

lenalidomide

Intervention Type DRUG

Daily oral lenalidomide 25mg on days 1 to 28 of each 28 day cycle

lenalidomide

Single agent therapy of lenalidomide

Group Type EXPERIMENTAL

lenalidomide

Intervention Type DRUG

Daily oral lenalidomide 25mg on days 1 to 28 of each 28 day cycle

Interventions

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cetuximab

Intravenous infusions of cetuximab (400 mg/m\^2 Cycle 1 Day 1, thereafter 250 mg/m\^2), administered on days 1, 8, 15 and 22 of each 28 day cycle.

Intervention Type DRUG

lenalidomide

Daily oral lenalidomide 25mg on days 1 to 28 of each 28 day cycle

Intervention Type DRUG

Other Intervention Names

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Erbitux Revlimid

Eligibility Criteria

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Inclusion Criteria

1. Metastatic colorectal adenocarcinoma.
2. Confirmed K-RAS mutant tumor
3. Disease progression on oxaliplatin- AND irinotecan-containing regimens, with at least one of these regimens containing bevacizumab.
4. Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 1.

Exclusion Criteria

1. Use of chemotherapy, hormonal therapy, immunotherapy or any other cancer or experimental treatment ≤ 28 days prior to the first day of the first cycle.
2. Radiotherapy for up to ≥ 30% of the bone marrow.
3. Surgery ≤ 28 days before day 1 of the first cycle (minimally invasive interventions for diagnostic purposes or disease staging are permitted).
4. Previous treatment with cetuximab, panitumumab, pomalidomide (CC-4047), lenalidomide or thalidomide.
5. Untreated, symptomatic brain metastases (brain imaging not required).
6. Venous thromboembolism ≤ 6 months before day1 of the first cycle.
7. Current congestive heart failure (classes II to IV of the New York Heart Association).
8. Myocardial infarction ≤ 12 months before day1 of the first cycle.
9. Uncontrolled hypertension.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Celgene Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Eric Van Cutsem, M.D., Ph,D

Role: PRINCIPAL_INVESTIGATOR

Universitaire Ziekenhuis Gasthuisberg K.U. Leuven, Belgium

Josep Tabernero, M.D.

Role: PRINCIPAL_INVESTIGATOR

Hospital Vall d´Hebrón, Servicio de Oncología, Barcelona. Spain

Locations

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Flinders Medical Centre, Dept. of Oncology

Bedford Park, South Australia, Australia

Site Status

UZ Antwerpen Dept. of Medical Oncology

Antwerp, , Belgium

Site Status

ULB Erasme Service de Gastroenterologie

Brussels, , Belgium

Site Status

Grand hôpital de Charleroi, Oncologie

Charleroi, , Belgium

Site Status

Algemeen Ziekenhuis Maria Middelares

Ghent, , Belgium

Site Status

Universitaire Ziekenhuis Gasthuisberg K.U. Leuven Gastroenterologie, Oncologie

Leuven, , Belgium

Site Status

Centre Hospitalier Universitaire Sart Tilman Liège

Liège, , Belgium

Site Status

Klinikum Oldenburg gGmbH Klinik für Innere Medizin II

Oldenburg, Lower Saxony, Germany

Site Status

Azienda Osperdaliero Universitaria Riuniti Umberto I-GM Lancisi-G. Salesi di Ancona Clinica di Oncologia Medica

Ancona, , Italy

Site Status

Azienda Ospedaliera Universitaria San Martino Unità Operativa Oncologia Medica

Genova, , Italy

Site Status

Azienda Ospedaliera Niguarda Ca' Grande, Oncologia Medica Falck

Milan, , Italy

Site Status

Hospital Vall D'Hebron Servicio de Oncología. Unidad de ensayos clínicos

Barcelona, , Spain

Site Status

Hospital Universitario Marques de Valdecilla Servicio de Oncología

Santander, , Spain

Site Status

Hospital Clinico Universitario de Valencia Servicio de Oncologia

Valencia, , Spain

Site Status

Östra Sjukhuset Kirurgkliniken

Gothenburg, , Sweden

Site Status

Karolinska University Hospital, Solna, Karolinska Institutet Dept of Oncology

Stockholm, , Sweden

Site Status

Akademiska Sjukhuset Onkologkliniken

Uppsala, , Sweden

Site Status

Countries

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Australia Belgium Germany Italy Spain Sweden

References

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Gandhi AK, Shi T, Li M, Jungnelius U, Romano A, Tabernero J, Siena S, Schafer PH, Chopra R. Immunomodulatory effects in a phase II study of lenalidomide combined with cetuximab in refractory KRAS-mutant metastatic colorectal cancer patients. PLoS One. 2013 Nov 11;8(11):e80437. doi: 10.1371/journal.pone.0080437. eCollection 2013.

Reference Type DERIVED
PMID: 24244687 (View on PubMed)

Siena S, Van Cutsem E, Li M, Jungnelius U, Romano A, Beck R, Bencardino K, Elez ME, Prenen H, Sanchis M, Sartore-Bianchi A, Tejpar S, Gandhi A, Shi T, Tabernero J. Phase II open-label study to assess efficacy and safety of lenalidomide in combination with cetuximab in KRAS-mutant metastatic colorectal cancer. PLoS One. 2013 Nov 11;8(11):e62264. doi: 10.1371/journal.pone.0062264. eCollection 2013.

Reference Type DERIVED
PMID: 24244261 (View on PubMed)

Other Identifiers

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2009-012665-61

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CC-5013-COLO-001

Identifier Type: -

Identifier Source: org_study_id

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