A Study of Dulanermin Administered in Combination With Camptosar®/Erbitux® Chemotherapy or FOLFIRI (With or Without Bevacizumab) in Subjects With Previously Treated Metastatic Colorectal Cancer
This study is ongoing, but not recruiting participants.
Sponsor:
Genentech
Information provided by (Responsible Party):
Genentech
ClinicalTrials.gov Identifier:
NCT00671372
First received: April 18, 2008
Last updated: March 30, 2012
Last verified: March 2012
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Purpose
This study will assess the safety and pharmacokinetics of adding dulanermin to Camptosar®/Erbitux® or the FOLFIRI regimen (Camptosar®, 5-FU, and leucovorin) plus bevacizumab (only for Cohort 6 subjects who have not received prior bevacizumab therapy).
| Condition | Intervention | Phase |
|---|---|---|
|
Colorectal Cancer |
Drug: dulanermin Drug: bevacizumab Drug: cetuximab Drug: FOLFIRI regimen Drug: irinotecan |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Phase Ib, Open-Label, Dose-Escalation Study of the Safety and Pharmacokinetics of Multiple Doses of Dulanermin Administered Intravenously in Combination With Camptosar®/Erbitux® Chemotherapy or the Folfiri Regimen With or Without Bevacizumab in Subjects With Previously Treated Metastatic Colorectal Cancer |
Resource links provided by NLM:
Further study details as provided by Genentech:
Primary Outcome Measures:
- The safety and tolerability of dulanermin administered in combination with Camptosar and Erbitux [ Time Frame: Length of study ] [ Designated as safety issue: No ]
- The safety and tolerability of dulanermin administered in combination with FOLFIRI (with or without Bevacizumab) [ Time Frame: Length of study ] [ Designated as safety issue: No ]
| Enrollment: | 3 |
| Study Start Date: | July 2006 |
| Estimated Study Completion Date: | September 2012 |
| Estimated Primary Completion Date: | September 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Cohorts 1-5 |
Drug: dulanermin
Intravenous repeating dose
Drug: cetuximab
Intravenous repeating dose
Drug: irinotecan
Intravenous repeating dose
|
| Experimental: Cohorts 6, 6A, 7, 7A |
Drug: dulanermin
Intravenous repeating dose
Drug: bevacizumab
Intravenous repeating dose (for Cohort 6 subjects not previously treated with bevacizumab)
Drug: FOLFIRI regimen
Intravenous repeating dose
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- Signed Informed Consent Form
- Age >= 18 years
- Histologically confirmed CRC with evidence of metastases and measurable tumor lesion(s)
- Progression of disease following, or intolerance to, treatment with 5-fluorouracil-based therapy
- Progression of disease during or within =< 6 months following the last dose of a prior first-line treatment with a fluoropyrimidine and oxaliplatin-based chemotherapy plus bevacizumab for metastatic disease
- Use of an effective means of contraception for women of childbearing potential and men with partners of childbearing potential (use per institutional standard)
- Life expectancy of > 3 months
- Willingness and capability to be accessible for study follow-up
Exclusion Criteria:
- Prior radiotherapy to a measurable, metastatic lesion(s) to be used to measure response
- Radiation therapy to a peripheral lesion within 14 days prior to Day 1; Radiation therapy to a thoracic, abdominal or pelvic field within 28 days prior to Day 1
- Chemotherapy, hormonal therapy, or immunology within 4 weeks prior to Day 1
- Previous exposure to DR4-targeted therapy or DR5-targeted therapy
- Evidence of clinically detectable ascites on Day
- Other invasive malignancies within 5 years prior to Day 1 (other than basal cell carcinoma of the skin or in situ carcinoma of the cervix)
- History or evidence upon physical examination of CNS disease
- Active infection requiring parenteral antibiotics on Day 1
- Major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to Day 1 or anticipation of need for major surgical procedure during the course of the study and fine needle aspirations within 7 days prior to Day 1
- Pregnancy or lactation
- Serious nonhealing wound, ulcer, or bone fracture
- Current or recent participation in another experimental drug study
- Clinically significant cardiovascular disease
- History of other disease, metabolic dysfunction, physical examination finding, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates use of an investigational drug or that might affect interpretation of the results of the study or render the subject at high risk from treatment complications
- Cohort 5 only: Subjects who have a Kras mutation will be excluded from enrollment
- The following exclusion criteria apply only to subjects who have received prior bevacizumab and are enrolled in Cohort 6: four or more prior doses of bevacizumab therapy, inadequately controlled hypertension, history of hypertensive crisis or hypertensive encephalopathy, history of arterial thromboembolic event 6 months prior to Day 1, proteinuria, history of abdominal fistula or gastrointestinal perforation within 6 months prior to Day 1
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00671372
Locations
| United States, California | |
| Los Angeles, California, United States, 90095 | |
| Redlands, California, United States, 92374 | |
| United States, Florida | |
| Fort Myers, Florida, United States, 33916 | |
| United States, Illinois | |
| Harvey, Illinois, United States, 60426 | |
| United States, New York | |
| Buffalo, New York, United States, 14263 | |
| United States, North Carolina | |
| Durham, North Carolina, United States, 27710 | |
| United States, Pennsylvania | |
| Hershey, Pennsylvania, United States, 17033 | |
| United States, Tennessee | |
| Nashville, Tennessee, United States, 37203 | |
| United States, Washington | |
| Tacoma, Washington, United States, 98405 | |
Sponsors and Collaborators
Genentech
Investigators
| Study Director: | Chia Portera, M.D. | Genentech |
More Information
No publications provided
| Responsible Party: | Genentech |
| ClinicalTrials.gov Identifier: | NCT00671372 History of Changes |
| Other Study ID Numbers: | APO3583g, GO00933 |
| Study First Received: | April 18, 2008 |
| Last Updated: | March 30, 2012 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Genentech:
|
CRC Metastatic CRC APO2L/TRAIL |
Additional relevant MeSH terms:
|
Colorectal Neoplasms Intestinal Neoplasms Gastrointestinal Neoplasms Digestive System Neoplasms Neoplasms by Site Neoplasms Digestive System Diseases Gastrointestinal Diseases Colonic Diseases Intestinal Diseases Rectal Diseases Irinotecan Bevacizumab Cetuximab |
Antineoplastic Agents, Phytogenic Antineoplastic Agents Therapeutic Uses Pharmacologic Actions Radiation-Sensitizing Agents Physiological Effects of Drugs Topoisomerase I Inhibitors Topoisomerase Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Angiogenesis Inhibitors Angiogenesis Modulating Agents Growth Substances Growth Inhibitors |
ClinicalTrials.gov processed this record on May 22, 2013