Foxy-5 as Neo-Adjuvant Therapy in Subjects With Wnt-5a Low Colon Cancer

NCT ID: NCT03883802

Last Updated: 2022-12-09

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-04-12

Study Completion Date

2024-12-14

Brief Summary

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Phase II study investigating the safety, tolerability and effect on disease reccurence of Foxy-5 as neo-adjuvant therapy in resected colon cancer patients treated with FOLFOX chemotherapy regimen. It is a two-arm study and patients will be randomised to receive either standard therapy (surgery + FOLFOX 6 months regimen) or standard therapy + neo-adjuvant administration of Foxy-5 prior to- and following surgery (maximum of 39 administrations) until initiation of FOLFOX therapy.

Detailed Description

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Foxy-5 is a synthetic hexapeptide with a formylated N-terminus, derived from the protein sequence of the Wnt-5a protein. Low/no expression levels of Wnt-5 protein in primary tumour cells have been correlated to high risk of recurrent metastatic disease and shortened survival in several different types of cancer patients, including colon cancer.

Current standard therapy involves surgical removal of the tumour followed by 6 months treatment with chemotherapy (FOLFOX). Foxy-5 is expected to decrease migration of cancer cells, in subjects with low/absent levels of Wnt-5a protein in their primary tumour and hence result in lower recurrence and a better overall survival. The trial intends to establish the safety and tolerability of Foxy-5 and to evaluate early signs of anti-metastatic activity in subjects with resectable colon cancer.

Conditions

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Colon Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

two-arm study, 1 to 1 randomization: treatment group and standard therapy
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Foxy-5

Arm will receive Foxy-5 as neo-adjuvant therapy prior to surgical removal of tumour and afterwards until initiation of FOLFOX 6 months regimen

Group Type EXPERIMENTAL

Foxy-5

Intervention Type DRUG

Lyophilized powder for solution for intravenous infusion

FOLFOX regimen

Intervention Type DRUG

6 months treatment regimen

Tumour resection (colon cancer surgery)

Intervention Type PROCEDURE

Surgical removal of patients colon cancer

Standard therapy

Surgical removal of tumour followed by 6 months FOLFOX regimen

Group Type ACTIVE_COMPARATOR

FOLFOX regimen

Intervention Type DRUG

6 months treatment regimen

Tumour resection (colon cancer surgery)

Intervention Type PROCEDURE

Surgical removal of patients colon cancer

Interventions

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Foxy-5

Lyophilized powder for solution for intravenous infusion

Intervention Type DRUG

FOLFOX regimen

6 months treatment regimen

Intervention Type DRUG

Tumour resection (colon cancer surgery)

Surgical removal of patients colon cancer

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Ability to understand and willingness to provide written informed consent before any trial-related activities.
2. 18 years of age or older.
3. Male or female subjects with adenocarcinoma of the colon, judged by CT or MRI as either one of the following stages per TNM classification of colon cancer (8th edition, 2017):

T1-4, N1-2, M0 or T4, N0, M0 and who are considered to fulfil the local criteria for adjuvant post- operative chemotherapy after scheduled surgery.
4. Scheduling of surgery according to local practice allows at least 9 pre- surgery administrations of Foxy-5 for the subject. (Please note: surgery should not be postponed for trial purposes.)
5. Sexually active women of childbearing potential (WOCBP) and males with WOCBP partners who are randomized to the Foxy-5 Arm must use a highly effective method of contraception for the treatment duration and for 28 days after last Foxy-5.
6. Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
7. Clinical laboratory values at screening:

1. Absolute neutrophil count ≥1.5 x 109/L
2. Haemoglobin ≥ 9 g/dL
3. Platelets ≥ 100 x 109/L
4. Aspartate Transaminase (AST) and Alanine Transaminase (ALT)

≤1.5x Upper Limit of Normal (ULN)
5. Serum bilirubin ≤1.5 x the ULN
6. Creatinine clearance \>60 mL/min (determined by Cockcroft-Gault Equation).

Exclusion Criteria

1. Assessed as not suitable or unable to tolerate adjuvant chemotherapy.
2. Evidence of distant metastatic (M1) disease at Screening (N1-2 is allowed).
3. Any surgery (except tumour biopsy) or therapy with immune suppressive agents or bone marrow stimulating factors within the last two weeks prior to randomization.
4. Any active infection requiring IV antibiotic treatment at the time of screening.
5. History of hematologic or primary solid tumour malignancy.
6. Pregnant or breastfeeding women.
7. Currently participating in another trial and receiving trial therapy or received investigational therapy within 4 weeks of the first dose of Foxy-5.
8. Any other condition or treatment that, in the opinion of the Investigator, might interfere with the trial or current drug or substance abuse.
9. Inability to understand the protocol requirements, instructions and trial-related restrictions, the nature, scope, and possible consequences of the trial.
10. Unlikely to comply with the protocol requirements, instructions and trial-related restrictions; e.g., uncooperative attitude, inability to return for follow-up visits, and improbability of completing the trial.
11. Legal incapacity or limited legal capacity.
12. Any condition, which results in an undue risk for the subject during the trial participation according to the Investigator.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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SMS-Oncology BV

UNKNOWN

Sponsor Role collaborator

SAGA diagnostics AB

UNKNOWN

Sponsor Role collaborator

Unilabs A/S

UNKNOWN

Sponsor Role collaborator

BioVica AB

UNKNOWN

Sponsor Role collaborator

Institut Català d'Oncologia

OTHER

Sponsor Role collaborator

WntResearch AB

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ramon Salazar, MD

Role: PRINCIPAL_INVESTIGATOR

Institut Català d'Oncologia

Locations

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Instituto de Investigación Sanitaria INCLIVA

Valencia, , Spain

Site Status

Countries

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Spain

Other Identifiers

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2018-003074-27

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

SMS-0472B

Identifier Type: -

Identifier Source: org_study_id