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

Open-label, Multicentre, Phase Ib/II Study of MEN1611, a PI3K Inhibitor, and Cetuximab in Patients With PIK3CA Mutated Metastatic Colorectal Cancer Failing Irinotecan, Oxaliplatin, 5-FU and Anti-EGFR Containing Regimens

Status
Completed
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04495621
Acronym
C-PRECISE-01
Enrollment
29
Registered
2020-08-03
Start date
2020-07-20
Completion date
2024-02-27
Last updated
2025-05-01

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

Conditions

Metastatic Colorectal Cancer

Keywords

Metastatic Colorectal Cancer, PI3K Inhibitor, PIK3CA mutated, MEN1611, Cetuximab, anti-EGFR, mCRC

Brief summary

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

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.

Interventions

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

DRUGCetuximab

Cetuximab solution for infusion administered weekly via intravenous infusion.

Sponsors

Menarini Group
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
NONE

Intervention model description

Step 1: Confirmation of Dose for Cohort Expansion / Step 2: Cohort Expansion

Eligibility

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

Inclusion criteria

Main 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. Main

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.

Design outcomes

Primary

MeasureTime frameDescription
Phase 1b: Recommended Phase 2 Dose (RP2D) of MEN1611 in Combination With CetuximabDay 1 through Day 28 of Cycle 1 (28 days/cycle)RP2D was defined as the highest dose level in milligrams (mg) at which no more than 1 participant during the dose confirmation phase (Phase 1b) experienced a dose-limiting toxicity (DLT) during the DLT assessment window (28 days), or the maximum dose judged to be tolerable by the data safety committee.
Best Overall Response Rate (ORR) of MEN1611 in Combination With CetuximabUp to 37 MonthsThe best ORR was defined as percentage of participants who had a best overall response to therapy of complete response (CR), partial response (PR), stable disease (SD), or progressive disease (PD) and was defined according to Response Evaluation Criteria in Solid Tumors version 1.1 assessment locally performed using computed tomography scans or magnetic resonance imaging of the chest and abdomen (including pelvis and adrenal glands).
Phase 1b: Number of Participants With DLTs for MEN1611Day 1 through Day 28 of Cycle 1 (28 days/cycle)A DLT was defined as any of the following adverse drug reactions (ADRs) related to the combination regimens or to MEN1611 alone and unrelated to the participants' underlying disease or concomitant medication occurring during Cycle 1 over the DLT assessment window of 28 days: any Grade 3 (lasting \>7 days) or Grade 4 increase in aspartate aminotransferase, alanine aminotransferase, or alkaline phosphatase; any Grade ≥3 cardiac disorder or new segmental wall-motion abnormalities; any Grade ≥3 non-hematologic toxicity with the following exceptions: nausea, vomiting, diarrhea, skin rash, hyperglycemia. An ADR was defined as any adverse event suspected by the investigator and/or the sponsor to be related to MEN1611, cetuximab, or both given in combination.

Secondary

MeasureTime frameDescription
Progression-free Survival (PFS) of MEN1611 in Combination With CetuximabUp to 37 monthsPFS was defined as the number of days between the first study treatment administration to the date of first documented disease progression as per local assessment, relapse or death from any cause. Responding participants and participants who were lost to follow-up were censored at their last tumor assessment date.
Plasma Concentration of MEN1611 in Combination With CetuximabDay 22 (1.5 hours postdose) of Cycle 1 (28 days/cycle)Blood samples were taken for the analyses of MEN1611 in plasma at designated time points. Results are reported as nanograms/millilitre (ng/mL).
Overall Survival (OS) of MEN1611 in Combination With CetuximabUp to 37 monthsOS was defined as the number of days between the first study treatment administration and death from any cause. Participants still alive that had withdrawn from the study were censored using the latest among end of study and follow-up dates. Drop-out participants were considered censored and the last available date in which the participant was known to be alive was considered.
Disease Control Rate (DCR) of MEN1611 in Combination With CetuximabUp to 37 MonthsDCR was defined as percentage of participants whose disease shrank or remained stable over a certain time period and was calculated based on the sum of the CR, PR, and SD rates according to local assessment.
Duration of Response (DOR) of MEN1611 in Combination With CetuximabUp to 37 monthsDOR was defined as the time from confirmation of a PR, CR or SD as locally assessed, until the disease had been shown to progress following treatment. Participants with a previous response who did not show a relapse or died without recording a relapse were censored at their last available relapse-free tumor assessment date. Participants with only one tumor assessment after baseline showing a PD were not included in the calculation.

Countries

France, Germany, Italy, Netherlands, Poland, Spain, United States

Participant flow

Participants by arm

ArmCount
Phase 1b (Dose Confirmation)
Participants received MEN1611 twice daily and cetuximab weekly, every 28-day cycle.
7
Phase 2 (Cohort Expansion)
Participants received MEN1611 twice daily and cetuximab weekly, every 28-day cycle.
22
Total29

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyDeath711
Overall StudyInvestigator Decision07
Overall StudyLost to Follow-up01
Overall StudyWithdrawal by Subject03

Baseline characteristics

CharacteristicPhase 1b (Dose Confirmation)Phase 2 (Cohort Expansion)Total
Age, Continuous53.9 years
STANDARD_DEVIATION 12.16
58.9 years
STANDARD_DEVIATION 12.38
57.7 years
STANDARD_DEVIATION 12.31
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7 Participants15 Participants22 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants7 Participants7 Participants
Sex: Female, Male
Female
1 Participants11 Participants12 Participants
Sex: Female, Male
Male
6 Participants11 Participants17 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
7 / 711 / 22
other
Total, other adverse events
7 / 722 / 22
serious
Total, serious adverse events
5 / 711 / 22

Outcome results

Primary

Best Overall Response Rate (ORR) of MEN1611 in Combination With Cetuximab

The best ORR was defined as percentage of participants who had a best overall response to therapy of complete response (CR), partial response (PR), stable disease (SD), or progressive disease (PD) and was defined according to Response Evaluation Criteria in Solid Tumors version 1.1 assessment locally performed using computed tomography scans or magnetic resonance imaging of the chest and abdomen (including pelvis and adrenal glands).

Time frame: Up to 37 Months

Population: Efficacy Population: all participants who received at least 2 complete treatment cycles and had at least 1 disease assessment.

ArmMeasureGroupValue (NUMBER)
Phase 1b (Dose Confirmation)Best Overall Response Rate (ORR) of MEN1611 in Combination With CetuximabComplete Response0.0 percentage of participants
Phase 1b (Dose Confirmation)Best Overall Response Rate (ORR) of MEN1611 in Combination With CetuximabPartial Response40.0 percentage of participants
Phase 1b (Dose Confirmation)Best Overall Response Rate (ORR) of MEN1611 in Combination With CetuximabProgressive Disease20.0 percentage of participants
Phase 1b (Dose Confirmation)Best Overall Response Rate (ORR) of MEN1611 in Combination With CetuximabStable Disease40.0 percentage of participants
Phase 2 (Cohort Expansion)Best Overall Response Rate (ORR) of MEN1611 in Combination With CetuximabProgressive Disease28.6 percentage of participants
Phase 2 (Cohort Expansion)Best Overall Response Rate (ORR) of MEN1611 in Combination With CetuximabComplete Response7.1 percentage of participants
Phase 2 (Cohort Expansion)Best Overall Response Rate (ORR) of MEN1611 in Combination With CetuximabPartial Response7.1 percentage of participants
Phase 2 (Cohort Expansion)Best Overall Response Rate (ORR) of MEN1611 in Combination With CetuximabStable Disease57.1 percentage of participants
Primary

Phase 1b: Number of Participants With DLTs for MEN1611

A DLT was defined as any of the following adverse drug reactions (ADRs) related to the combination regimens or to MEN1611 alone and unrelated to the participants' underlying disease or concomitant medication occurring during Cycle 1 over the DLT assessment window of 28 days: any Grade 3 (lasting \>7 days) or Grade 4 increase in aspartate aminotransferase, alanine aminotransferase, or alkaline phosphatase; any Grade ≥3 cardiac disorder or new segmental wall-motion abnormalities; any Grade ≥3 non-hematologic toxicity with the following exceptions: nausea, vomiting, diarrhea, skin rash, hyperglycemia. An ADR was defined as any adverse event suspected by the investigator and/or the sponsor to be related to MEN1611, cetuximab, or both given in combination.

Time frame: Day 1 through Day 28 of Cycle 1 (28 days/cycle)

Population: Dose-limiting Toxicity (DLT) Population: all participants who received at least 80% of MEN1611 and 75% of cetuximab during Cycle 1 with a safety follow-up of 28 days after the first administration of the study treatment. Any participant who experienced DLT was also considered evaluable, regardless of the dose received. As pre-specified, data were collected and reported for the 'Phase 1b (Dose Confirmation)' cohort only.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Phase 1b (Dose Confirmation)Phase 1b: Number of Participants With DLTs for MEN16110 Participants
Primary

Phase 1b: Recommended Phase 2 Dose (RP2D) of MEN1611 in Combination With Cetuximab

RP2D was defined as the highest dose level in milligrams (mg) at which no more than 1 participant during the dose confirmation phase (Phase 1b) experienced a dose-limiting toxicity (DLT) during the DLT assessment window (28 days), or the maximum dose judged to be tolerable by the data safety committee.

Time frame: Day 1 through Day 28 of Cycle 1 (28 days/cycle)

Population: Safety Population: all participants who received at least 1 dose of MEN1611. As pre-specified, RP2D data were collected and are reported for 'Phase 1b (Dose Confirmation)' cohort only.

ArmMeasureValue (NUMBER)
Phase 1b (Dose Confirmation)Phase 1b: Recommended Phase 2 Dose (RP2D) of MEN1611 in Combination With Cetuximab48 mg
Secondary

Disease Control Rate (DCR) of MEN1611 in Combination With Cetuximab

DCR was defined as percentage of participants whose disease shrank or remained stable over a certain time period and was calculated based on the sum of the CR, PR, and SD rates according to local assessment.

Time frame: Up to 37 Months

Population: Efficacy Population: all participants who received at least 2 complete treatment cycles and had at least 1 disease assessment.

ArmMeasureValue (NUMBER)
Phase 1b (Dose Confirmation)Disease Control Rate (DCR) of MEN1611 in Combination With Cetuximab80 percentage of participants
Phase 2 (Cohort Expansion)Disease Control Rate (DCR) of MEN1611 in Combination With Cetuximab71.4 percentage of participants
Secondary

Duration of Response (DOR) of MEN1611 in Combination With Cetuximab

DOR was defined as the time from confirmation of a PR, CR or SD as locally assessed, until the disease had been shown to progress following treatment. Participants with a previous response who did not show a relapse or died without recording a relapse were censored at their last available relapse-free tumor assessment date. Participants with only one tumor assessment after baseline showing a PD were not included in the calculation.

Time frame: Up to 37 months

Population: Efficacy Population: all participants who received at least 2 complete treatment cycles and had at least 1 disease assessment. Here, 'Overall Number of Participants Analyzed' signifies those participants who were evaluable for this outcome measure.

ArmMeasureValue (MEDIAN)
Phase 1b (Dose Confirmation)Duration of Response (DOR) of MEN1611 in Combination With Cetuximab85 days
Phase 2 (Cohort Expansion)Duration of Response (DOR) of MEN1611 in Combination With Cetuximab169 days
Secondary

Overall Survival (OS) of MEN1611 in Combination With Cetuximab

OS was defined as the number of days between the first study treatment administration and death from any cause. Participants still alive that had withdrawn from the study were censored using the latest among end of study and follow-up dates. Drop-out participants were considered censored and the last available date in which the participant was known to be alive was considered.

Time frame: Up to 37 months

Population: Efficacy Population: all participants who received at least 2 complete treatment cycles and had at least 1 disease assessment.

ArmMeasureValue (MEDIAN)
Phase 1b (Dose Confirmation)Overall Survival (OS) of MEN1611 in Combination With Cetuximab471 days
Phase 2 (Cohort Expansion)Overall Survival (OS) of MEN1611 in Combination With Cetuximab308 days
Secondary

Plasma Concentration of MEN1611 in Combination With Cetuximab

Blood samples were taken for the analyses of MEN1611 in plasma at designated time points. Results are reported as nanograms/millilitre (ng/mL).

Time frame: Day 22 (1.5 hours postdose) of Cycle 1 (28 days/cycle)

Population: Pharmacokinetics (PK) Set: all participants who received MEN1611 and for whom a PK sample was obtained and analyzed. Here, 'Overall Number of Participants Analyzed' signifies those participants who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Phase 1b (Dose Confirmation)Plasma Concentration of MEN1611 in Combination With Cetuximab173.37 ng/mLStandard Deviation 125.513
Phase 2 (Cohort Expansion)Plasma Concentration of MEN1611 in Combination With Cetuximab241.2 ng/mL
Secondary

Progression-free Survival (PFS) of MEN1611 in Combination With Cetuximab

PFS was defined as the number of days between the first study treatment administration to the date of first documented disease progression as per local assessment, relapse or death from any cause. Responding participants and participants who were lost to follow-up were censored at their last tumor assessment date.

Time frame: Up to 37 months

Population: Efficacy Population: all participants who received at least 2 complete treatment cycles and had at least 1 disease assessment.

ArmMeasureValue (MEDIAN)
Phase 1b (Dose Confirmation)Progression-free Survival (PFS) of MEN1611 in Combination With Cetuximab121 days
Phase 2 (Cohort Expansion)Progression-free Survival (PFS) of MEN1611 in Combination With Cetuximab162 days

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