Metastatic Colorectal Cancer
Conditions
Keywords
AMG 655, AMG 479, Colon Cancer, Rectal Cancer, Monoclonal Antibody, Clinical Trial, Colorectal Cancer, metastatic colorectal cancer, metastatic cancer, antibody-2nd line, KRAS, adenocarcinoma
Brief summary
This is a phase 2, multicenter, randomized, double-blind, double-dummy, placebo-controlled, three-arm trial to be conducted in the United States, Europe, and Asia. Approximately 150 eligible KRAS-mutant metastatic colorectal cancer subjects who have failed first line fluoropyrimidine and oxaliplatin-based regimen with or without anti-VEGF therapy will be randomized in a 1:1:1 ratio to receive AMG 479 placebo plus AMG 655 with FOLFIRI, or AMG 479 plus AMG 655 placebo with FOLFIRI, or AMG 479 placebo plus AMG 655 placebo with FOLFIRI
Interventions
Day 1 of each Cycle Combination Therapy of: irinotecan 180 mg/m2 90-minute infusion leucovorin 400 mg/m2 2 hour infusion 5-FU 400 mg/m2 IV bolus 5-FU 2,400 mg/m2 46-48 hour infusion
AMG 655 is an investigational, fully human, monoclonal antibody that selectively binds to Death Receptor-5 (DR-5)
Inactive dummy agent (to maintain blind)
AMG 479 is an investigational, fully human, monoclonal antibody that binds with Insulin-like growth factor receptor type 1
Sponsors
Study design
Eligibility
Inclusion criteria
* Histologically confirmed adenocarcinoma of colon or rectum in patients with metastatic disease * Mutant-type KRAS tumor at screening * Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 - 1 * Adequate hematology, renal, hepatic, and coagulation function
Exclusion criteria
* History or known presence of central nervous system metastases * History of other malignancy * Prior irinotecan-based chemotherapy for advanced/metastatic disease * Prior death receptor agonists, or other systemic IGF-1R agonists in any setting * Uncontrolled cardiovascular disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Progression Free Survival | Length of Study |
Secondary
| Measure | Time frame |
|---|---|
| Overall Survival, Objective Response, Duration of Response, Time to Response | Length of Study |
| Incidence of adverse events | Length of Study |
| Significant laboratory abnormalities | Length of Study |
| Incidence of antibody formation | Length of Study |
Countries
France, Hong Kong, Hungary, India, Italy, Poland, Russia, Singapore, Spain, United States