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Zalutumumab With or Without Irinotecan Chemotherapy in Cetuximab-Refractory Colorectal Cancer

A Dose-Escalation, Randomized Phase I/II Trial of Zalutumumab - a Human Monoclonal Anti-EGF Receptor Antibody - With or Without Irinotecan Chemotherapy in Cetuximab Refractory Colorectal Cancer Patients Who Have Failed Standard Chemotherapy and Progressed During or Within 3 Months of Stopping Cetuximab-Based Therapy

Status
Terminated
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00677924
Acronym
GEN206
Enrollment
9
Registered
2008-05-15
Start date
2008-04-30
Completion date
2009-04-30
Last updated
2023-07-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Colorectal Cancer

Keywords

Colorectal Neoplasms, Colorectal Tumors, Colorectal Carcinoma

Brief summary

The purpose of this trial is to determine the safety and efficacy of Zalutumumab alone or in combination with Irinotecan for the treatment of patients with Colorectal Cancer

Interventions

Solution for infusion

Sponsors

Genmab
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. Males and Females age ≥ 18 years 2. Confirmed diagnosis of CRC 3. Documented disease progression 4. Failure and/or intolerance to standard chemotherapy

Exclusion criteria

1. Prior treatment with anti-EGFR antibodies other than cetuximab 2. Expected survival \< 3 months 3. Clinical significant cardiac disease and/or uncontrolled medical conditions

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Adverse Events (AEs)From first dose up to follow-up (up to approximately 1 year)An AE is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.

Secondary

MeasureTime frameDescription
Number of Participants With Best Overall Tumour Response (BOR)Up to 1 yearThe BOR defined as the best response recorded from the start of treatment until disease progression or recurrence per RECIST criteria. Complete response (CR) defined as the disappearance of all target lesions. Partial response (PR) defined as at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum longest diameter. Progressive disease (PD) defined as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since the treatment started, or the appearance of one or more new lesions since the prior scan. Stable disease (SD) defined as responses not fulfilling CR, PR or PD.

Countries

Belgium

Participant flow

Participants by arm

ArmCount
Zalatumumab 8 mg/kg
Participants received zalutumumab 8 mg/kg intravenously once weekly in combination with irinotecan 180 mg/m\^2 every 2 weeks up to 10 months.
3
Zalutumumab 16 mg/kg
Participants received zalutumumab 16 mg/kg intravenously once weekly in combination with irinotecan 180 mg/m\^2 every 2 weeks up to 10 months.
6
Total9

Baseline characteristics

CharacteristicZalutumumab 16 mg/kgZalatumumab 8 mg/kgTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
1 Participants1 Participants2 Participants
Age, Categorical
Between 18 and 65 years
5 Participants2 Participants7 Participants
Age, Continuous61 years61 years61 years
Region of Enrollment
Belgium
6 participants3 participants9 participants
Sex: Female, Male
Female
5 Participants1 Participants6 Participants
Sex: Female, Male
Male
1 Participants2 Participants3 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
3 / 35 / 6
serious
Total, serious adverse events
2 / 33 / 6

Outcome results

Primary

Number of Participants With Adverse Events (AEs)

An AE is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.

Time frame: From first dose up to follow-up (up to approximately 1 year)

Population: All participants who had been exposed to zalutumumab or irinotecan, irrespective of their compliance to the planned course of treatment.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Zalatumumab 8 mg/kgNumber of Participants With Adverse Events (AEs)3 Participants
Zalutumumab 16 mg/kgNumber of Participants With Adverse Events (AEs)5 Participants
Secondary

Number of Participants With Best Overall Tumour Response (BOR)

The BOR defined as the best response recorded from the start of treatment until disease progression or recurrence per RECIST criteria. Complete response (CR) defined as the disappearance of all target lesions. Partial response (PR) defined as at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum longest diameter. Progressive disease (PD) defined as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since the treatment started, or the appearance of one or more new lesions since the prior scan. Stable disease (SD) defined as responses not fulfilling CR, PR or PD.

Time frame: Up to 1 year

Population: All participants who had been exposed to zalutumumab or irinotecan, irrespective of their compliance to the planned course of treatment.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Zalatumumab 8 mg/kgNumber of Participants With Best Overall Tumour Response (BOR)Stable Disease3 Participants
Zalatumumab 8 mg/kgNumber of Participants With Best Overall Tumour Response (BOR)Complete Response0 Participants
Zalatumumab 8 mg/kgNumber of Participants With Best Overall Tumour Response (BOR)Progressive Disease0 Participants
Zalatumumab 8 mg/kgNumber of Participants With Best Overall Tumour Response (BOR)Partial Response0 Participants
Zalutumumab 16 mg/kgNumber of Participants With Best Overall Tumour Response (BOR)Progressive Disease2 Participants
Zalutumumab 16 mg/kgNumber of Participants With Best Overall Tumour Response (BOR)Partial Response0 Participants
Zalutumumab 16 mg/kgNumber of Participants With Best Overall Tumour Response (BOR)Stable Disease4 Participants
Zalutumumab 16 mg/kgNumber of Participants With Best Overall Tumour Response (BOR)Complete Response0 Participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026