MEN1611 With Cetuximab in Metastatic Colorectal Cancer (C-PRECISE-01)

NCT ID: NCT04495621

Last Updated: 2025-05-01

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

29 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-07-20

Study Completion Date

2024-02-27

Brief Summary

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Open-label, dose-confirmation and cohort expansion, multicenter, Phase Ib/II study to assess the anti-tumor activity and safety of MEN1611 in combination with cetuximab for the treatment of participants with phosphatidylinositol 3-kinase, catalytic, alpha polypeptide gene (PIK3CA)-mutated metastatic colorectal cancer.

Detailed Description

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This Phase Ib/II study investigated the anti-tumor activity and safety of daily oral doses MEN1611 in combination with cetuximab in female and male participants affected by PIK3CA-mutated, neuroblastoma-Kristen-rat sarcoma virus (N-K-RAS) wild-type, and BRAF wild-type metastatic colorectal cancer.

MEN1611 is a potent, selective class I phosphoinositide 3-kinase (PI3K) inhibitor. The maximum tolerated dose of MEN1611 given as single agent was assessed in a Phase I trial in participants with advanced solid tumors.

This Phase Ib/II started with a dose confirmation part (Step 1) to identify the recommended phase 2 dose of MEN1611 given in combination with cetuximab.

The study continued with a cohort expansion (Step 2) to explore the anti-tumor activity of the selected MEN1611 dose level combined with cetuximab with further assessment of safety and tolerability.

Conditions

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Metastatic Colorectal Cancer

Study Design

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Allocation Method

NA

Intervention Model

SEQUENTIAL

Step 1: Confirmation of Dose for Cohort Expansion / Step 2: Cohort Expansion
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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MEN1611

MEN1611 + Cetuximab

Group Type EXPERIMENTAL

MEN1611

Intervention Type DRUG

MEN1611 oral dose administered twice daily for a continuous 28-day cycle.

Cetuximab

Intervention Type DRUG

Cetuximab solution for infusion administered weekly via intravenous infusion.

Interventions

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MEN1611

MEN1611 oral dose administered twice daily for a continuous 28-day cycle.

Intervention Type DRUG

Cetuximab

Cetuximab solution for infusion administered weekly via intravenous infusion.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histological documentation of adenocarcinoma of the colon or rectum.
* Progression or recurrence following prior irinotecan, oxaliplatin, 5-fluorouracil (5-FU) and anti-epidermal growth factor receptor (EGFR) containing regimens for metastatic disease.
* Best response according to Response Evaluation Criteria in Solid Tumours (RECIST) criteria to the last anti-EGFR containing regimen of partial response or stable disease for at least 4 months.
* Measurable disease according to RECIST criteria.
* N-K-RAS (exons 2, 3 and 4) and BRAF wild-type and PIK3CA mutated.
* Eastern Cooperative Oncology Group performance status of 0 or 1.

Exclusion Criteria

* Previous treatment with PI3K inhibitor.
* Brain metastases, unless treated \>4 weeks before screening visit and only if clinically stable and not receiving corticosteroids.
* National Cancer Institute Common Terminology Criteria for Adverse Events v5.0 Grade ≥2 diarrhea.
* History of significant, uncontrolled or active cardiovascular disease.
* Known active or uncontrolled pulmonary dysfunction.
* Uncontrolled diabetes mellitus (glycated hemoglobin \>7%) and fasting plasma glucose \>126 milligrams/deciliter.
* Known history of human immunodeficiency virus infection or active infection with hepatitis C virus or hepatitis B virus.
* Concurrent chronic immunosuppressive treatment either with steroids or other immunosuppressive agents.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Menarini Group

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Josep Tabernero, MD, PhD

Role: STUDY_CHAIR

Vall d' Hebron Institute of Oncology (VHIO), Barcelona, Spain

Locations

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Mayo Clinic Arizona

Phoenix, Arizona, United States

Site Status

The Oncology Institute of Hope and Innovation

Anaheim, California, United States

Site Status

MultiCare Health System Institute for Research and Innovation

Tacoma, Washington, United States

Site Status

ICO - Site Paul Papin

Angers, , France

Site Status

Centre Georges François Leclerc

Dijon, , France

Site Status

ICO - Site René Gauducheau

Saint-Herblain, , France

Site Status

Charite Universitaetsmedizin Berlin - Campus Benjamin Franklin

Berlin, , Germany

Site Status

Universitaetsklinikum Carl Gustav Carus TU Dresden

Dresden, , Germany

Site Status

Asklepios Klinik Altona

Hamburg, , Germany

Site Status

Klinikum der Universitaet Muenchen Campus Grosshadern

Munich, , Germany

Site Status

Klinikum rechts der Isar der TU

Munich, , Germany

Site Status

Universitaetsklinikum Tuebingen

Tübingen, , Germany

Site Status

Azienda Ospedaliero Universitaria San Martino

Genoa, , Italy

Site Status

Istituto Europeo di Oncologia (IEO)

Milan, , Italy

Site Status

Azienda Socio Sanitaria Territoriale Niguarda

Milan, , Italy

Site Status

Azienda Ospedaliero Universitaria Pisana

Pisa, , Italy

Site Status

Istituto Clinico Humanitas

Rozzano, , Italy

Site Status

Amsterdam University Medical Center

Amsterdam, , Netherlands

Site Status

Maastricht University Medical Center

Maastricht, , Netherlands

Site Status

Radboud Nijmegen

Nijmegen, , Netherlands

Site Status

Erasmus Medisch Centrum

Rotterdam, , Netherlands

Site Status

Examen sp. z o.o.

Skórzewo, , Poland

Site Status

Centrum Onkologii-Instytut im.M.Sklodowskiej Curie

Warsaw, , Poland

Site Status

Hospital Universitari Vall d'Hebron

Barcelona, , Spain

Site Status

Hospital Universitario Ramon y Cajal

Madrid, , Spain

Site Status

Fundacion Jimenez Diaz

Madrid, , Spain

Site Status

Centro Integral Oncologico Clara Campal

Madrid, , Spain

Site Status

Hospital Clinico Universitario de Valencia

Valencia, , Spain

Site Status

Countries

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United States France Germany Italy Netherlands Poland Spain

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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MEN1611-02

Identifier Type: -

Identifier Source: org_study_id

2019-003727-38

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

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