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A Study of Bemarituzumab (FPA144) Combined With Modified FOLFOX6 (mFOLFOX6) in Gastric/Gastroesophageal Junction Cancer

FIGHT: A Phase 2 Randomized, Double-Blind, Controlled Study Evaluating Bemarituzumab (FPA144) and Modified FOLFOX6 in Patients With Previously Untreated Advanced Gastric and Gastroesophageal Junction Cancer: Phase 2 Preceded by Dose-Finding in Phase 1

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03694522
Acronym
FIGHT
Enrollment
155
Registered
2018-10-03
Start date
2018-09-14
Completion date
2022-05-13
Last updated
2024-02-28

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

Conditions

Gastric Cancer

Brief summary

The main objective of the Phase 2 part of the study is to evaluate the efficacy of bemarituzumab (FPA144), a targeted antibody, in combination with modified FOLFOX6 compared to placebo in combination with modified FOLFOX6 in participants with advanced gastrointestinal cancer.

Detailed description

Study FPA144-004 is a phase 1/2, multicenter, global, double-blind, randomized, controlled study designed to evaluate the safety, tolerability, efficacy, and pharmacokinetics (PK) of bemarituzumab in combination with mFOLFOX6, compared with placebo in combination with mFOLFOX6, in adults with unresectable, locally advanced, or metastatic gastric cancer including cancer of the gastroesophageal junction (GEJ). This study includes a Phase 1 safety run-in portion and a Phase 2 portion. The Phase 1 safety run-in is an open-label dose-escalation of bemarituzumab + mFOLFOX6 in patients with GI tumors (not FGFR2 selected) that is reported separately (NCT03343301). The Phase 2 portion of the study (to follow the Phase 1 safety run-in) is described in this record.

Interventions

BIOLOGICALBemarituzumab

Administered by intravenous infusion over approximately 30 minutes

DRUGPlacebo

Administered by intravenous infusion over approximately 30 minutes

mFOLFOX6 regimen consists of the following: * Oxaliplatin 85 mg/m² IV infusion over 120 minutes * Leucovorin 400 mg/m² IV infusion over 120 minutes, or 200 mg/m² levo-leucovorin if leucovorin is unavailable * 5-fluorouracil (5-FU) 400 mg/m² bolus over approximately 5 minutes then 5-FU 2400 mg/m² as a continuous IV infusion over approximately 48 hours

Sponsors

Zai Lab (Shanghai) Co., Ltd.
CollaboratorINDUSTRY
Five Prime Therapeutics, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Masking description

Double blinded (participant, treating physician)

Eligibility

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

Inclusion criteria

Key Inclusion Criteria: * Histologically documented gastric or gastroesophageal junctional adenocarcinoma (not amenable to curative therapy) * Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1 * Adequate hematological, liver and kidney function. Measurable or non-measurable, but evaluable disease using RECIST v1.1 * Fibroblast growth factor receptor 2b (FGFR2b) overexpression as determined by a centrally performed immunohistochemistry tissue test and/or FGFR2 gene amplification as determined by a centrally performed circulating tumor deoxyribonucleic acid (ctDNA) blood based assay * Candidate for mFOLFOX6 chemotherapy Key

Exclusion criteria

* Untreated or symptomatic central nervous system (CNS) metastases * Clinically significant cardiac disease, * Peripheral sensory neuropathy \>/= Common Terminology Criteria for Adverse Events (CTCAE) Grade 2 * Active infection requiring systemic treatment * Known human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS)-related illness, or known active or chronic hepatitis B or C infection * Prior treatment with any selective inhibitor of the fibroblast growth factor (FGF)-FGFR pathway * Known abnormalities of the cornea that may pose an increased risk of developing a corneal ulcer * Known positivity for human epidermal growth factor receptor 2 (HER2) * Women who are pregnant or breastfeeding Note: Other protocol defined Inclusion/

Design outcomes

Primary

MeasureTime frameDescription
Progression-Free Survival (PFS)From randomization until the primary analysis data cut-off date of 23 September 2020; median time on follow-up was 10.9 months.PFS was defined as time from randomization until the date of radiographic disease progression based on investigator assessment using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 or death from any cause, whichever came first. PFS was analyzed using Kaplan-Meier methods. Participants with no progression or death, or who started new anticancer therapy before documented progression or death without documented progression, or who had ≥ 2 consecutive missing tumor assessments before documented progression or death without documented progression were censored on the date of last adequate tumor assessment. Participants with no baseline tumor assessment, were censored at the date of randomization. The primary efficacy analysis was pre-specified to be conducted after at least 84 PFS events were observed.

Secondary

MeasureTime frameDescription
Overall Survival (OS)From randomization until the primary analysis data cut-off date of 23 September 2020; median time on follow-up was 10.9 months.OS is defined as time from randomization until death from any cause. Participants who were lost to follow-up or did not have a date of death were censored at the last date that they were known to be alive. Participants with confirmed death or alive status after the data cutoff date were censored at the data cutoff date. Median OS was estimated using a Kaplan-Meier analysis.
Overall Response Rate (ORR)Tumor assessments were performed every 8 weeks until 12 months and then every 12 weeks thereafter until disease progression or additional anticancer therapy was initiated; the median duration of follow-up time was 10.9 months.Tumor response assessment was performed by the investigator per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 guidelines. ORR is defined as the percentage of participants who achieved a best overall response (BOR) of either complete response (CR) or partial response (PR) based on investigator assessment of tumor lesions per RECIST v1.1. CR was defined as the disappearance of all lesions except lymph node short axis \< 10 mm; PR was defined as a ≥ 30% reduction in sum of diameters in target lesions.
Number of Participants With Treatment-emergent Adverse Events (TEAEs)From first dose of study drug to 28 days after last dose of study drug. Actual median (min, max) duration of treatment emergent period was 29 (4.1, 157) weeks in the bemarituzumab + mFOLFOX6 group and 28 (4.3, 133) weeks in the placebo + mFOLFOX6 group.TEAEs are defined as adverse events (AEs) that started or worsened from the start of study drug to 28 days after permanent discontinuation of study drug. A serious AE is defined as any untoward medical occurrence that: * Resulted in death; * Was life-threatening; * Required inpatient hospitalization or prolongation of existing hospitalization; * Resulted in persistent or significant disability or incapacity; * Was a congenital anomaly or birth defect. The investigator assessed the causality/relationship between study treatment and each AE, and assessed the severity of each AE according to the National Cancer Institute Common Toxicity Criteria for Adverse Events (NCI-CTCAE), version 5.0 on a scale from mild (Grade 1), moderate (Grade 2), severe (Grade 3), life-threatening (Grade 4), or death due to the AE (Grade 5). Cornea and retina AEs were defined by Standardized Medical Dictionary for Regulatory Activities Queries (SMQs) of corneal disorders and retinal disorders (broad).

Countries

Australia, Belgium, China, France, Germany, Hungary, Italy, Japan, Poland, Portugal, Romania, South Korea, Spain, Taiwan, Thailand, Turkey (Türkiye), United Kingdom, United States

Participant flow

Recruitment details

Study FPA144-004 was a Phase 1/2 study. Phase 1 was a safety run-in to determine the recommended dose of bemarituzumab to be administered in combination with a fixed dose of modified FOLFOX 6 (mFOLFOX6) chemotherapy regimen in the phase 2 part of the study. Phase 1 study details and results are reported separately (NCT03343301); Phase 2 study results are reported below.

Pre-assignment details

Participants were randomized equally to one of two treatment groups stratified based on the following factors: * Geographic region: United States/European Union, China, or Rest of Asia * Prior treatment status: de novo (no prior adjuvant/neo-adjuvant therapy) or prior adjuvant/neo-adjuvant therapy * Administration of a single dose of mFOLFOX6 prior to enrollment: Yes or No.

Participants by arm

ArmCount
Bemarituzumab + mFOLFOX6
Participants received 15 mg/kg bemarituzumab administered Q2W with a single additional bemarituzumab 7.5 mg/kg dose on cycle 1 day 8. Participants also received mFOLFOX6 chemotherapy administered Q2W. Treatment continued until unacceptable toxicity, disease progression, or death.
77
Placebo + mFOLFOX6
Participants received placebo for bemarituzumab administered Q2W with a single additional placebo dose on cycle 1 day 8. Participants also received mFOLFOX6 chemotherapy administered Q2W. Treatment continued until unacceptable toxicity, disease progression, or death.
78
Total155

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyLost to Follow-up01
Overall StudyOther11
Overall StudyPhysician Decision5354
Overall StudyWithdrawal by Subject810

Baseline characteristics

CharacteristicTotalPlacebo + mFOLFOX6Bemarituzumab + mFOLFOX6
Administration of a Single Dose of mFOLFOX6 Prior to Enrollment
No
84 Participants42 Participants42 Participants
Administration of a Single Dose of mFOLFOX6 Prior to Enrollment
Yes
71 Participants36 Participants35 Participants
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
44 Participants25 Participants19 Participants
Age, Categorical
Between 18 and 65 years
111 Participants53 Participants58 Participants
Age, Continuous58.5 years
STANDARD_DEVIATION 11.56
59.1 years
STANDARD_DEVIATION 12.04
58.0 years
STANDARD_DEVIATION 11.11
Eastern Cooperative Oncology Group (ECOG) Performance Status
0 (Fully active)
53 Participants28 Participants25 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
1 (Restricted activity but ambulatory)
102 Participants50 Participants52 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants3 Participants2 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
149 Participants75 Participants74 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants0 Participants1 Participants
Geographic Region
China
27 Participants13 Participants14 Participants
Geographic Region
Rest of Asia
62 Participants31 Participants31 Participants
Geographic Region
United States / European Union
66 Participants34 Participants32 Participants
Prior Treatment Status
No prior adjuvant/neo-adjuvant therapy
128 Participants65 Participants63 Participants
Prior Treatment Status
Prior adjuvant/neo-adjuvant therapy
27 Participants13 Participants14 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
1 Participants1 Participants0 Participants
Race/Ethnicity, Customized
Asian
89 Participants44 Participants45 Participants
Race/Ethnicity, Customized
Black or African American
1 Participants1 Participants0 Participants
Race/Ethnicity, Customized
Other
3 Participants1 Participants2 Participants
Race/Ethnicity, Customized
White
61 Participants31 Participants30 Participants
Sex: Female, Male
Female
44 Participants19 Participants25 Participants
Sex: Female, Male
Male
111 Participants59 Participants52 Participants
Site of Primary Cancer
Gastric cancer
137 Participants71 Participants66 Participants
Site of Primary Cancer
Gastroesophageal junction cancer
18 Participants7 Participants11 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
53 / 7755 / 78
other
Total, other adverse events
75 / 7675 / 77
serious
Total, serious adverse events
26 / 7628 / 77

Outcome results

Primary

Progression-Free Survival (PFS)

PFS was defined as time from randomization until the date of radiographic disease progression based on investigator assessment using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 or death from any cause, whichever came first. PFS was analyzed using Kaplan-Meier methods. Participants with no progression or death, or who started new anticancer therapy before documented progression or death without documented progression, or who had ≥ 2 consecutive missing tumor assessments before documented progression or death without documented progression were censored on the date of last adequate tumor assessment. Participants with no baseline tumor assessment, were censored at the date of randomization. The primary efficacy analysis was pre-specified to be conducted after at least 84 PFS events were observed.

Time frame: From randomization until the primary analysis data cut-off date of 23 September 2020; median time on follow-up was 10.9 months.

Population: Intent-to-treat population

ArmMeasureValue (MEDIAN)
Bemarituzumab + mFOLFOX6Progression-Free Survival (PFS)9.5 months
Placebo + mFOLFOX6Progression-Free Survival (PFS)7.4 months
p-value: 0.072795% CI: [0.44, 1.04]Stratified log-rank test
Secondary

Number of Participants With Treatment-emergent Adverse Events (TEAEs)

TEAEs are defined as adverse events (AEs) that started or worsened from the start of study drug to 28 days after permanent discontinuation of study drug. A serious AE is defined as any untoward medical occurrence that: * Resulted in death; * Was life-threatening; * Required inpatient hospitalization or prolongation of existing hospitalization; * Resulted in persistent or significant disability or incapacity; * Was a congenital anomaly or birth defect. The investigator assessed the causality/relationship between study treatment and each AE, and assessed the severity of each AE according to the National Cancer Institute Common Toxicity Criteria for Adverse Events (NCI-CTCAE), version 5.0 on a scale from mild (Grade 1), moderate (Grade 2), severe (Grade 3), life-threatening (Grade 4), or death due to the AE (Grade 5). Cornea and retina AEs were defined by Standardized Medical Dictionary for Regulatory Activities Queries (SMQs) of corneal disorders and retinal disorders (broad).

Time frame: From first dose of study drug to 28 days after last dose of study drug. Actual median (min, max) duration of treatment emergent period was 29 (4.1, 157) weeks in the bemarituzumab + mFOLFOX6 group and 28 (4.3, 133) weeks in the placebo + mFOLFOX6 group.

Population: Safety population includes all participants who received any portion of at least 1 dose of study treatment (bemarituzumab + mFOLFOX6 or placebo + mFOLFOX6).

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Bemarituzumab + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)Any treatment-emergent adverse event (TEAE)76 Participants
Bemarituzumab + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE with Grade ≥ 363 Participants
Bemarituzumab + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE related to any study drug72 Participants
Bemarituzumab + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE with Grade ≥ 3 related to any study drug57 Participants
Bemarituzumab + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)Serious adverse event (SAE)26 Participants
Bemarituzumab + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)SAE related to any study drug11 Participants
Bemarituzumab + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE leading to discontinuation of bemarituzumab/placebo31 Participants
Bemarituzumab + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE leading to discontinuation of any component of mFOLFOX635 Participants
Bemarituzumab + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE leading to dose reduction of bemarituzumab/placebo9 Participants
Bemarituzumab + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE leading to dose reduction of any agent of mFOLFOX648 Participants
Bemarituzumab + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE leading to dose delay of bemarituzumab/placebo51 Participants
Bemarituzumab + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE leading to dose delay of any agent of mFOLFOX654 Participants
Bemarituzumab + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE leading to Infusion interruption of bemarituzumab/placebo3 Participants
Bemarituzumab + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE leading to infusion interruption of any agent of mFOLFOX610 Participants
Bemarituzumab + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)Corneal disorders (SMQ) TEAE51 Participants
Bemarituzumab + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)Corneal disorders (SMQ) TEAE with Grade ≥ 321 Participants
Bemarituzumab + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)Corneal disorders (SMQ) TEAE related to bemarituzumab/placebo46 Participants
Bemarituzumab + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)Corneal disorder (SMQ) TEAE leading to discontinuation of bemarituzumab/placebo24 Participants
Bemarituzumab + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)Retinal disorders (SMQ) TEAE18 Participants
Bemarituzumab + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)Retinal disorders (SMQ) TEAE with Grade ≥ 31 Participants
Bemarituzumab + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)Retinal disorders (SMQ) TEAE related to bemarituzumab/placebo12 Participants
Bemarituzumab + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)Retinal disorder (SMQ) TEAE leading to discontinuation of bemarituzumab/placebo2 Participants
Bemarituzumab + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE leading to death (Grade 5)5 Participants
Placebo + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE leading to dose delay of any agent of mFOLFOX644 Participants
Placebo + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)Any treatment-emergent adverse event (TEAE)76 Participants
Placebo + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)Corneal disorder (SMQ) TEAE leading to discontinuation of bemarituzumab/placebo0 Participants
Placebo + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE with Grade ≥ 358 Participants
Placebo + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE leading to Infusion interruption of bemarituzumab/placebo3 Participants
Placebo + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE related to any study drug73 Participants
Placebo + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)Retinal disorders (SMQ) TEAE related to bemarituzumab/placebo5 Participants
Placebo + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE with Grade ≥ 3 related to any study drug48 Participants
Placebo + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE leading to infusion interruption of any agent of mFOLFOX617 Participants
Placebo + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)Serious adverse event (SAE)28 Participants
Placebo + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)Retinal disorders (SMQ) TEAE7 Participants
Placebo + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)SAE related to any study drug15 Participants
Placebo + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)Corneal disorders (SMQ) TEAE8 Participants
Placebo + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE leading to discontinuation of bemarituzumab/placebo4 Participants
Placebo + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE leading to death (Grade 5)4 Participants
Placebo + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE leading to discontinuation of any component of mFOLFOX629 Participants
Placebo + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)Corneal disorders (SMQ) TEAE with Grade ≥ 30 Participants
Placebo + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE leading to dose reduction of bemarituzumab/placebo7 Participants
Placebo + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)Retinal disorders (SMQ) TEAE with Grade ≥ 30 Participants
Placebo + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE leading to dose reduction of any agent of mFOLFOX644 Participants
Placebo + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)Corneal disorders (SMQ) TEAE related to bemarituzumab/placebo7 Participants
Placebo + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)TEAE leading to dose delay of bemarituzumab/placebo41 Participants
Placebo + mFOLFOX6Number of Participants With Treatment-emergent Adverse Events (TEAEs)Retinal disorder (SMQ) TEAE leading to discontinuation of bemarituzumab/placebo0 Participants
Secondary

Overall Response Rate (ORR)

Tumor response assessment was performed by the investigator per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 guidelines. ORR is defined as the percentage of participants who achieved a best overall response (BOR) of either complete response (CR) or partial response (PR) based on investigator assessment of tumor lesions per RECIST v1.1. CR was defined as the disappearance of all lesions except lymph node short axis \< 10 mm; PR was defined as a ≥ 30% reduction in sum of diameters in target lesions.

Time frame: Tumor assessments were performed every 8 weeks until 12 months and then every 12 weeks thereafter until disease progression or additional anticancer therapy was initiated; the median duration of follow-up time was 10.9 months.

Population: Intent-to-treat population

ArmMeasureValue (NUMBER)
Bemarituzumab + mFOLFOX6Overall Response Rate (ORR)46.8 percentage of participants
Placebo + mFOLFOX6Overall Response Rate (ORR)33.3 percentage of participants
p-value: 0.10695% CI: [-2.8, 29]Cochran-Mantel-Haenszel
Secondary

Overall Survival (OS)

OS is defined as time from randomization until death from any cause. Participants who were lost to follow-up or did not have a date of death were censored at the last date that they were known to be alive. Participants with confirmed death or alive status after the data cutoff date were censored at the data cutoff date. Median OS was estimated using a Kaplan-Meier analysis.

Time frame: From randomization until the primary analysis data cut-off date of 23 September 2020; median time on follow-up was 10.9 months.

Population: Intent-to-treat population

ArmMeasureValue (MEDIAN)
Bemarituzumab + mFOLFOX6Overall Survival (OS)NA months
Placebo + mFOLFOX6Overall Survival (OS)12.9 months
p-value: 0.026895% CI: [0.35, 0.95]Stratified log-rank test
Post Hoc

Overall Survival - Updated Analysis

OS is defined as time from randomization until death from any cause. Participants who were lost to follow-up or did not have a date of death were censored at the last date that they were known to be alive. Median OS was estimated using a Kaplan-Meier analysis.

Time frame: From randomization until 28 February 2021; median time on follow-up was 12.5 months.

Population: Intent-to-treat population

ArmMeasureValue (MEDIAN)
Bemarituzumab + mFOLFOX6Overall Survival - Updated Analysis19.2 months
Placebo + mFOLFOX6Overall Survival - Updated Analysis13.5 months
95% CI: [0.38, 0.94]

Source: ClinicalTrials.gov · Data processed: Feb 28, 2026