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| ID | Type | Description | Link |
|---|---|---|---|
| GO27812 | Other Identifier | Hoffmann-La Roche | |
| 2011-001867-28 | EudraCT Number |
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This is a Phase II, multicenter, randomized, double-blind, placebo-controlled trial designed to estimate the efficacy of MEGF0444A treatment to disease progression, combined with oxaliplatin + folinic acid + 5-Fluorouracil (mFOLFOX-6) + bevacizumab therapy in participants with metastatic colorectal cancer (CRC).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MEGF0444A + mFOLFOX-6 + Bevacizumab | Experimental | Participants will receive MEGF0444A + mFOLFOX-6 (oxaliplatin, folinic acid, and 5-fluorouracil) regimen + bevacizumab. Participants will receive oxaliplatin for up to 8 cycles (Cycle = 14 days) and 5-fluorouracil, folinic acid, bevacizumab and MEGF0444A will be administered until disease progression or unacceptable toxicity for a maximum of up to 52 cycles. |
|
| Placebo + mFOLFOX-6 + Bevacizumab | Placebo Comparator | Participants will receive MEGF0444A matching placebo + mFOLFOX-6 regimen + bevacizumab. Participants will receive oxaliplatin for up to 8 cycles and 5-fluorouracil, folinic acid, bevacizumab and placebo will be administered until disease progression or unacceptable toxicity for a maximum of up to 52 cycles. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 5-Fluorouracil | Drug | Participants will receive 5-fluorouracil 400 milligrams per squared meter (mg/m^2) intravenous (IV) bolus and then 2400 mg/m^2 as a continuous IV infusion over 46-48 hours on Day 1 of every cycle until disease progression, unacceptable toxicity or at the maximum of 52 cycles, whichever occurs first. |
| Measure | Description | Time Frame |
|---|---|---|
| Progression-Free Survival Based on Response Evaluation Criteria in Solid Tumors (RECIST) Version (v) 1.1 as Determined by the Investigator | Screening up to disease progression or death due to any cause, whichever occurs first (assessed every 8-9 weeks after Cycle 1 Day 1 up to approximately 27 months overall) |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants with Objective Response (Complete Response [CR] or Partial Response [PR] Based on RECIST v 1.1 as Determined by the Investigator | Screening up to disease progression or death due to any cause, whichever occurs first (assessed every 8 -9 weeks after Cycle 1 Day 1 up to approximately 27 months overall) | |
| Duration of Response Based on RECIST v 1.1 as Determined by the Investigator |
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Inclusion Criteria:
Exclusion Criteria:
Disease-specific exclusions
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| Name | Affiliation | Role |
|---|---|---|
| Ina Rhee, M.D., Ph.D. | Genentech, Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Birmingham | Alabama | 35205 | United States | |||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28275117 | Derived | Garcia-Carbonero R, van Cutsem E, Rivera F, Jassem J, Gore I Jr, Tebbutt N, Braiteh F, Argiles G, Wainberg ZA, Funke R, Anderson M, McCall B, Stroh M, Wakshull E, Hegde P, Ye W, Chen D, Chang I, Rhee I, Hurwitz H. Randomized Phase II Trial of Parsatuzumab (Anti-EGFL7) or Placebo in Combination with FOLFOX and Bevacizumab for First-Line Metastatic Colorectal Cancer. Oncologist. 2017 Apr;22(4):375-e30. doi: 10.1634/theoncologist.2016-0133. Epub 2017 Mar 8. |
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|
| Bevacizumab | Drug | Participants will be administered bevacizumab at a dose of 5 milligrams per kilogram (mg/kg) every 14 days until disease progression or unacceptable toxicity, for a maximum of 52 cycles, whichever occurs first. |
|
| Folinic acid | Drug | Participants will receive folinic acid 400 mg/m^2 IV infusion over 2 hours on Day 1 of every cycle until disease progression, unacceptable toxicity or at the maximum of 52 cycles, whichever occurs first. |
|
| MEGF0444A | Drug | Participants will be administered MEGF0444A at a fixed dose of 400 milligrams (mg) IV on Day 1 of Cycle 1, followed by subsequent doses of 400 mg every 14 days until disease progression or unacceptable toxicity, for a maximum of 52 cycles, whichever occurs first. |
|
| Oxaliplatin | Drug | Participants will receive oxaliplatin 85 mg/m^2 IV infusion over 90 minutes on Day 1 of every cycle for a maximum of 8 cycles. |
|
| Placebo | Drug | Participants will be administered MEGF0444A matching placebo every 14 days until disease progression, unacceptable toxicity or at the maximum of 52 cycles, whichever occurs first. |
|
| Screening up to disease progression or death due to any cause, whichever occurs first (assessed every 8 -9 weeks after Cycle 1 Day 1 up to approximately 27 months overall) |
| Overall Survival (OS) | Screening until death (up to approximately 27 months overall) |
| Percentage of Participants with Adverse Events | Up to approximately 27 months overall |
| Maximum Serum Concentration (Cmax) of MEGF0444A | Prior to the first infusion (first infusion being MEGF0444A administration), immediately after end of bevacizumab infusion on Day 1 of Cycles 1, 2; prior to first infusion on Day 1 of Cycles 3 and 8; at study drug discontinuation visit (up to 24 months) |
| Minimum Serum Concentration (Cmin) of MEGF0444A | Prior to the first infusion (first infusion being MEGF0444A administration), immediately after end of bevacizumab infusion on Day 1 of Cycles 1, 2; prior to first infusion on Day 1 of Cycles 3 and 8; at study drug discontinuation visit (up to 24 months) |
| Cmax of Bevacizumab | Prior to the first infusion (first infusion being MEGF0444A administration), immediately after end of bevacizumab infusion on Day 1 of Cycles 1, 2 |
| Cmin of Bevacizumab | Prior to the first infusion (first infusion being MEGF0444A administration), immediately after end of bevacizumab infusion on Day 1 of Cycles 1, 2 |
| Plasma Concentration of 5-Fluorouracil | Prior to the first infusion (first infusion being MEGF0444A administration), immediately after end of 5-fluorouracil bolus, 2 hours after end of 5-fluorouracil bolus, 12-24 hours after end of 5-fluorouracil bolus on Day 1 of Cycles 1, 2 |
| Plasma Concentration of Oxaliplatin | Prior to the first infusion (first infusion being MEGF0444A administration), 5-10 minutes before end of oxaliplatin infusion, 2 hours after end of 5-fluorouracil bolus, 12-24 hours after end of 5-fluorouracil bolus on Day 1 of Cycles 1, 2 |
| Percentage of Participants with Anti-Therapeutic Antibodies (ATAs) to MEGF0444A | Pre-dose (within 1 hour before infusion start) on Day 1 of Cycles 1, 3 and 8, (cycle length = 14 days), at study drug discontinuation visit (up to 24 months) |
| Change From Baseline in ATAs Levels of MEGF0444A | Pre-dose (within 1 hour before infusion start) on Day 1 of Cycles 1, 3 and 8, (cycle length = 14 days), at study drug discontinuation visit (up to 24 months) |
| Scottsdale |
| Arizona |
| 85259 |
| United States |
| Bakersfield | California | 93309 | United States |
| Fullerton | California | 92835 | United States |
| Los Angeles | California | 90095-1772 | United States |
| Los Angeles | California | 90095 | United States |
| Pasadena | California | 91107 | United States |
| San Luis Obispo | California | 93454 | United States |
| Aurora | Colorado | 80045 | United States |
| Washington D.C. | District of Columbia | 20007 | United States |
| Jacksonville | Florida | 32224 | United States |
| Ocala | Florida | 34471 | United States |
| Port Saint Lucie | Florida | 34952 | United States |
| Lawrenceville | Georgia | 30045 | United States |
| Marietta | Georgia | 30060 | United States |
| Harvey | Illinois | 60426 | United States |
| Indianapolis | Indiana | 46202 | United States |
| Boston | Massachusetts | 02114 | United States |
| Boston | Massachusetts | 02115 | United States |
| Rochester | Minnesota | 55905 | United States |
| Las Vegas | Nevada | 89148 | United States |
| Durham | North Carolina | 27710 | United States |
| Philadelphia | Pennsylvania | 19104 | United States |
| South Brisbane | Queensland | 4101 | Australia |
| Woodville South | South Australia | 5011 | Australia |
| Footscray | Victoria | 3011 | Australia |
| Heidelberg | Victoria | 3084 | Australia |
| Melbourne | Victoria | 3168 | Australia |
| Brussels | 1070 | Belgium |
| Brussels | 1200 | Belgium |
| Leuven | 3000 | Belgium |
| Gdansk | 80-952 | Poland |
| Krakow | 31-531 | Poland |
| Poznan | 61-878 | Poland |
| Warsaw | 02-781 | Poland |
| Barcelona | Barcelona | 08035 | Spain |
| Barcelona | Barcelona | 08907 | Spain |
| Santander | Cantabria | 39008 | Spain |
| Seville | Sevilla | 41013 | Spain |
| Valencia | Valencia | 46010 | Spain |
| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| ID | Term |
|---|---|
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |
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| ID | Term |
|---|---|
| D005472 | Fluorouracil |
| D000068258 | Bevacizumab |
| D002955 | Leucovorin |
| C000626247 | parsatuzumab |
| D000077150 | Oxaliplatin |
| ID | Term |
|---|---|
| D014498 | Uracil |
| D011744 | Pyrimidinones |
| D011743 | Pyrimidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D061067 | Antibodies, Monoclonal, Humanized |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
| D005575 | Formyltetrahydrofolates |
| D013763 | Tetrahydrofolates |
| D005492 | Folic Acid |
| D011622 | Pterins |
| D011621 | Pteridines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D003067 | Coenzymes |
| D045762 | Enzymes and Coenzymes |
| D056831 | Coordination Complexes |
| D009930 | Organic Chemicals |
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