Study of Imprime PGG® in Combination With Cetuximab in Subjects With Recurrent or Progressive KRAS Wild Type Colorectal Cancer

NCT ID: NCT01309126

Last Updated: 2017-07-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

217 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-04-30

Study Completion Date

2017-02-28

Brief Summary

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Study BT-CL-PGG-CRC1031 is a Phase 3, open-label, randomized, multi-center study. Qualified subjects, who have KRAS wild type (WT) colorectal cancer will be randomized in a 2:1 ratio to treatment with either Imprime PGG and cetuximab or cetuximab alone. Subjects will be dosed until progression or discontinuation for some other reason. Efficacy will be assessed via Response Evaluation Criteria in Early Tumors 1.1 (RECIST 1.1); computed tomography (CT) scans will be conducted every 6 weeks. Safety, pharmacokinetics (PK), quality of life, and biomarker parameters will also be assessed.

Detailed Description

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Study BT-CL-PGG-CRC1031 is a Phase 3, open-label, randomized, multi-center study. Qualified subjects, who have KRAS WT colorectal cancer will be randomized in a 2:1 ratio to either:

Arm 1: Imprime PGG and cetuximab or Arm 2: Cetuximab

Approximately 795 subjects will be randomized into the study. Dosing will occur in 6-week cycles. Imprime PGG will be dosed at 4 mg/kg and will be administered weekly in each cycle (Weeks 1-6/Days 1, 8, 15, 22, 29, and 36) preceding the administration of cetuximab (Arm 1 only). The initial cetuximab dose (both arms) will be 400 mg/m2 on Cycle 1/Day 1 and subsequent doses will be 250 mg/m2 administered weekly in each cycle (Weeks 1-6/Days 1, 8, 15, 22, 29, and 36).

Subjects will be dosed until progressive disease (PD) per RECIST 1.1 or discontinuation of study drug for other reasons; e.g., safety. Following completion of the treatment period of the study, subjects will be monitored for survival until death or loss to follow-up. Tumor measurements and determination of tumor responses will be evaluated according to RECIST 1.1. Safety, PK, quality of life, and biomarker parameters will also be assessed.

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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Arm 1: Imprime PGG + cetuximab

Biological/Vaccine + Drug

Group Type EXPERIMENTAL

Imprime PGG + cetuximab

Intervention Type BIOLOGICAL

Imprime PGG: 4 mg/kg and will be administered weekly in each cycle (Weeks 1-6/Days 1, 8, 15, 22, 29, and 36) preceding the administration of cetuximab Cetuximab: initial dose will be 400 mg/m2 on Cycle 1/Day 1 and subsequent doses will be 250 mg/m2, administered weekly in each cycle (Weeks 1-6/Days 1, 8, 15, 22, 29, and 36)

Arm 2: cetuximab

Drug

Group Type ACTIVE_COMPARATOR

Cetuximab

Intervention Type DRUG

Cetuximab: initial dose will be 400 mg/m2 on Cycle 1/Day 1 and subsequent doses will be 250 mg/m2, administered weekly in each cycle (Weeks 1-6/Days 1, 8, 15, 22, 29, and 36)

Interventions

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Imprime PGG + cetuximab

Imprime PGG: 4 mg/kg and will be administered weekly in each cycle (Weeks 1-6/Days 1, 8, 15, 22, 29, and 36) preceding the administration of cetuximab Cetuximab: initial dose will be 400 mg/m2 on Cycle 1/Day 1 and subsequent doses will be 250 mg/m2, administered weekly in each cycle (Weeks 1-6/Days 1, 8, 15, 22, 29, and 36)

Intervention Type BIOLOGICAL

Cetuximab

Cetuximab: initial dose will be 400 mg/m2 on Cycle 1/Day 1 and subsequent doses will be 250 mg/m2, administered weekly in each cycle (Weeks 1-6/Days 1, 8, 15, 22, 29, and 36)

Intervention Type DRUG

Other Intervention Names

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Imprime PGG Cetuximab (Erbitux) Cetuximab (Erbitux)

Eligibility Criteria

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Inclusion Criteria

1. Is \>18 years old;
2. Has recurrent or metastatic carcinoma of the colon or rectum with documented histological or cytological confirmation;
3. Must be KRAS WT;
4. Has measurable disease, defined as at least 1 tumor that fulfills the criteria for a target lesion according to RECIST 1.1;
5. Has never received cetuximab or panitumumab, and has not received any treatment for colorectal cancer within 30 days prior to the first dose of study treatment under this protocol;
6. Has an Eastern Cooperative Oncology Group (ECOG) score of 0-1, with a life expectancy of \>3 months;
7. Has received at least 2 prior chemotherapeutic regimens for colorectal cancer;
8. Has adequate bone marrow reserve as evidenced by:

* Absolute neutrophil count ≥1,500/μL
* Platelets ≥100,000/μL;
9. Has adequate renal function as evidenced by serum creatinine ≤2.5 × the upper limit of normal (ULN) for the reference lab;
10. Has adequate hepatic function as evidenced by:

* Aspartate aminotransferase ≤3 × ULN for the reference lab (≤5 × ULN for subjects with known hepatic metastases)
* Alanine aminotransferase ≤3 × ULN for the reference lab (≤5 × ULN for subjects with known hepatic metastases)
* Bilirubin \<1.5 mg/dL or direct bilirubin \<1.0 mg/dL
* Serum Albumin \>3.0 gm/dL
11. Has read, understood and signed the informed consent form (ICF) approved by the Independent Review Board/Independent Ethics Committee (IRB/IEC); and
12. If the subject is a woman of childbearing potential or a fertile man, he/she must agree to use an effective form of contraception during the study and for 60 days following the last dose of study drug (an effective form of contraception is abstinence, a hormonal contraceptive, or a double-barrier method).

Exclusion Criteria

1. Has a known hypersensitivity to cetuximab, murine proteins, or any component of cetuximab;
2. Has a known hypersensitivity to baker's yeast or has an active yeast infection;
3. Has had previous exposure to Betafectin® or Imprime PGG;
4. Has an active, uncontrolled infection;
5. Has known untreated or symptomatic brain metastases;
6. Had a second malignancy within the previous 5 years, except for basal cell carcinoma, cervical intra-epithelial neoplasia or treated prostate cancer with a prostate-specific antigen (PSA) of \<2.0 ng/mL;
7. Has known human immunodeficiency virus or acquired immune deficiency syndrome, hepatitis B, hepatitis C, connective tissue disease, or other clinical diagnosis, ongoing or intercurrent illness that in the Investigators opinion should preclude the subject from participation;
8. If female, is pregnant or breast-feeding;
9. Is receiving concurrent standard and/or investigational anti-cancer therapy or has received such therapy within a period of 30 days prior to the first scheduled day of dosing (investigational therapy is defined as treatment for which there is currently no regulatory-authority-approved indication); or
10. Has previously received an organ or progenitor/stem cell transplant.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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HiberCell, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Northwest Alabama Cancer Center

Florence, Alabama, United States

Site Status

Highlands Oncology Group

Bentonville, Arkansas, United States

Site Status

Pacific Medical Center

Anaheim, California, United States

Site Status

Comprehensive Blood and Cancer Center

Bakersfield, California, United States

Site Status

Providence St. Joseph Medical Center

Burbank, California, United States

Site Status

UCSD Moores Cancer Center

La Jolla, California, United States

Site Status

Kenmar Research Institute

Los Angeles, California, United States

Site Status

AMPM Research Clinic

Miami Gardens, Florida, United States

Site Status

MD Anderson Cancer Center

Orlando, Florida, United States

Site Status

University of Hawaii Cancer Center

Honolulu, Hawaii, United States

Site Status

Medical and Surgical Specialists

Galesburg, Illinois, United States

Site Status

Illinois Cancer Specialists

Niles, Illinois, United States

Site Status

Indiana University Cancer Center

Beech Grove, Indiana, United States

Site Status

University of Louisville/James Brown Cancer Center

Louisville, Kentucky, United States

Site Status

Ochsner Clinic Foundation

New Orleans, Louisiana, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Dana Farber Cancer Institute

Boston, Massachusetts, United States

Site Status

Henry Ford Health System

Detroit, Michigan, United States

Site Status

University of Minnesota

Minneapolis, Minnesota, United States

Site Status

Ellis Fischel Cancer Center at University of Missouri- Columbia

Columbia, Missouri, United States

Site Status

Oncology Hematology West PC dba Nebraska Cancer Specialists

Omaha, Nebraska, United States

Site Status

Hematology and Oncology Associates of Central NY

East Syracuse, New York, United States

Site Status

New York Oncology, Hematology, P.C.

Hudson, New York, United States

Site Status

Signal Point Hematology/Oncology

Middletown, Ohio, United States

Site Status

Toledo Community Oncology Program- Toledo Community Hospital

Toledo, Ohio, United States

Site Status

Willamette Valley Cancer Institute and Research Center

Eugene, Oregon, United States

Site Status

Providence Portland Medical Center

Portland, Oregon, United States

Site Status

Cancer Centers of the Carolinas

Spartanburg, South Carolina, United States

Site Status

The Jones Clinic

Germantown, Tennessee, United States

Site Status

Tennessee Cancer Specialists

Knoxville, Tennessee, United States

Site Status

Texas Oncology-Amarillo

Amarillo, Texas, United States

Site Status

Mary Crowley Cancer Research Center

Dallas, Texas, United States

Site Status

Texas Oncology - Dallas Presbyterian Hospital

Dallas, Texas, United States

Site Status

Texas Oncology - Baylor Charles A. Sammons Cancer Center

Dallas, Texas, United States

Site Status

Texas Oncology Denton South

Denton, Texas, United States

Site Status

Texas Oncology - Fort Worth

Fort Worth, Texas, United States

Site Status

Texas Oncology - Lewisville

Lewisville, Texas, United States

Site Status

Texas Oncology-Seton Williamson

Round Rock, Texas, United States

Site Status

Cancer Care Centers of South Texas

San Antonio, Texas, United States

Site Status

Texas Oncology - Sherman

Sherman, Texas, United States

Site Status

Texas Oncology - Tyler

Tyler, Texas, United States

Site Status

Northern Utah Associates

Ogden, Utah, United States

Site Status

Virginia Oncology Associates

Newport News, Virginia, United States

Site Status

Oncology and Hematology Associates of Southwest Virginia, Inc., dba Blue Ridge Cancer Care

Roanoke, Virginia, United States

Site Status

Centre d' Oncologie de Gentilly

Nancy, , France

Site Status

Klinikum Kassel GmbH Medizinische Klinik IV Onkologie, Hämatologie, Immunologie

Kassel, Hessen, Germany, Germany

Site Status

Medizinisches Versorgungszentrum Ãrzteforum Seestrabe

Berlin, , Germany

Site Status

Ãrzteforum Henningsdorf Darmzentrum Oberhavel

Hennigsdorf, , Germany

Site Status

Universitätsklinikum Köln - Studienzentrum der Klinik I für Innere Medizin

Koeln, Nordrhein Westfalen, , Germany

Site Status

Schwerpunktpraxis für Hämatologie und Onkologie

Magdeburg, , Germany

Site Status

Universitaetsklinikum Ulm

Ulm, , Germany

Site Status

Petruskrankenhaus Wuppertal, Klinik fuer Innere Medizin II- Gastroenterologie, Hepatologie und Diabetologie

Wuppertal, , Germany

Site Status

Fundacion de Investigacion de Diego

San Juan, , Puerto Rico

Site Status

Countries

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United States France Germany Puerto Rico

Other Identifiers

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BT-CL-PGG-CRC1031

Identifier Type: -

Identifier Source: org_study_id

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