Colorectal Cancer; Lung Cancer
Conditions
Keywords
colorectal cancer, NSCLC, pembrolizumab, tirapazamine, Liver metastasis
Brief summary
Patients with refractory metastatic colorectal cancer or non-small cell lung cancer with liver metastasis treated with Trans-arterial Tirapazamine Embolization along with Pembrolizumab.
Detailed description
This study is an open-label study to treat patients with refractory metastatic colorectal cancer and non-small cell lung cancer with liver metastasis. Patients enrolled in the mCRC cohort will be randomized to receive study treatment Trans-arterial Tirapazamine Embolization (TATE)+Pembrolizumab or FDA-approved standard of care, such as TAS-102 or regorafenib, and their Overall Survival (OS) will be compared in the two cohorts as the primary endpoint. Patients enrolled in the NSCLC cohort will all receive study treatment TATE+Pembrolizaumb and Overall Response Rate (ORR) will be the primary endpoint.
Interventions
All liver metastatic lesions will be treated with TATE for maximally debulking. Pembrolizumab IV infusion per standard schedule every 3 or 6 weeks until progression or maximally 2 years.
The comparator of the mCRC arm is TAS-102 at 60 mg BID 5 days per week for 2 weeks then 2 weeks off.
As an alternative to TAS-102 per treating physician's discretion. If selected, Regorafenib 160 mg oral daily for 3 weeks on and one week off, every 4 weeks per cycle. Do not take Regoarefnib if taking TAS-102.
Sponsors
Study design
Intervention model description
Open-label study in two indications. The mCRC cohort will be a randomized trial for TATE+Pembrolizumab versus standard 3rd line therapy for mCRC. The NSCLC cohort will be single-arm study.
Eligibility
Inclusion criteria
* Liver metastatic MSS-mCRC or NSCLC without EGFR or AKT mutations * mCRC progressed on at least two lines of standard chemotherapy; or * NSCLC progressed on chemotherapy and an immune checkpoint inhibitor * Measurable disease * ECOG 0-1 * At least 4 weeks from prior chemotherapy and free from chemo-related toxicity * Adequate organ function
Exclusion criteria
* Prior organ transplantation * Liver metastasis more than 50% * Oxygen saturation less than 92% in room air * Prior autoimmune disorder * CNS metastasis * Major GI bleeding in the last 2 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Overall Survival for the mCRC cohort | 24 months | From the first day of treatment to death |
| Overall Response Rate (ORR) for the NSCLC cohort | within 24 months | Per RECIST 1.1 criteria |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Duration of Response | 24 months | per RECIST 1.1 |
| Response rate | 24 months | in TATE treated or TATE-untreated lesions by RECIST and mRECIST |
| PFS | 24 months | Progression Free Survival |
| TTP | 24 months | Time to Progression |
Countries
Taiwan, United States
Contacts
Teclison Limited