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A Study of Trifluridine/Tipiracil (Also Known as S 95005 or TAS-102) in Patients With a Pretreated Colorectal Cancer That Has Spread (Metastatic).

Phase 3
Completed
Conditions
Metastatic Colorectal Cancer
Interventions
Drug: Trifluridine/Tipiracil hydrochloride (S95005)
Registration Number
NCT03306394
Lead Sponsor
Institut de Recherches Internationales Servier
Brief Summary

The purpose of this study is to collect additional safety and efficacy data during treatment with trifluridine / tipiracil in patients with a pretreated metastatic colorectal cancer (mCRC).

Eligible patients may receive an early access to trifluridine / tipiracil through this clinical study until progression of disease, unacceptable toxicity, investigator decision, patient refusal or until market authorization or reimbursement has been granted by the relevant Authority of the country where that patient is treated or until trifluridine / tipiracil is available by a doctor's prescription or can be accessed from another source or Sponsor decision.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
907
Inclusion Criteria
  • Male or Female participant aged ≥18 years old.
  • Has definitive histologically confirmed adenocarcinoma of the colon or rectum.
  • Has metastatic lesion(s).
  • Has received at least 2 prior regimens of standard chemotherapies (including fluoropyrimidines, irinotecan, oxaliplatin, an anti-VEGF monoclonal antibody and at least one of the anti-EGFR monoclonal antibodies for RAS wild-type patients) for mCRC and is refractory or intolerant to those chemotherapies or is not candidate for those chemotherapies.
  • Has Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 during the screening period.
  • Is able to take medications orally (i.e., no feeding tube).
  • Has adequate organ function.
  • Women of childbearing potential must have been tested negative in a serum pregnancy test within 7 days prior to first day of test drug administration. Female participants of childbearing potential and male participants with partners of childbearing potential must agree to use a highly effective method of birth control during the study and for 6 months after the discontinuation of study medication. Women and female partners using hormonal contraceptive must also use a barrier method.
Exclusion Criteria
  • Pregnancy, breastfeeding or possibility of becoming pregnant during the study.
  • Eligible for enrolment into another available ongoing clinical study of trifluridine / tipiracil.
  • Has previously received trifluridine / tipiracil or hypersensitivity to the active substances or to any of the excipients of trifluridine / tipiracil.
  • Has rare hereditary problems of galactose intolerance, the Lapp lactase deficiency, or glucose-galactose malabsorption.
  • Has certain serious illness or medical condition(s) described in the protocol.
  • Has had certain other recent treatment e.g. major surgery, anticancer therapy, radiation therapy, participation in another interventional study, within the specified time frames prior to first day of study drug administration.
  • Has unresolved toxicity of greater than or equal to Common Terminology Criteria for Adverse Events (CTCAE) Grade 2 attributed to any prior therapies (excluding anemia, alopecia, skin pigmentation, and platinum-induced neurotoxicity).

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
S95005Trifluridine/Tipiracil hydrochloride (S95005)Film-coated tablet containing 15 mg of trifluridine and 7.065 mg of tipiracil hydrochloride, or 20 mg of trifluridine and 9.42 mg of tipiracil hydrochloride, taken orally twice a day at the dose of 35 mg/m²/dose. The treatment is given until progression of disease, unacceptable toxicity, investigator decision, patient refusal or until market authorization or reimbursement has been granted by the relevant Authority of the country where that patient is treated or until trifluridine / tipiracil is available by a doctor's prescription or can be accessed from another source or Sponsor decision.
Primary Outcome Measures
NameTimeMethod
Abnormalities in laboratory assessmentThrough study completion, an average of 12 weeks
Incidence of Adverse Events [safety and tolerability]Through 28 days following last administration of study medication
Abnormalities in vital signsThrough study completion, an average of 12 weeks
Abnormalities in performance status (ECOG)Through study completion, an average of 12 weeks
Secondary Outcome Measures
NameTimeMethod
Quality of life using the questionnaire EORTC QLQ-C30Through study completion, an average of 12 weeks
Progression free survival (PFS)Through study completion, an average of 12 weeks

time from the date of first study drug intake until the date of the investigator-assessed disease progression or death due to any cause whichever occurs first.

Quality of life using the questionnaire EQ-5DThrough study completion, an average of 12 weeks

Trial Locations

Locations (99)

Chris O'Brien Lifehouse Oncology

🇦🇺

Camperdown, Australia

St Vincent's Hospital The Kinghorn Cancer Centre

🇦🇺

Darlinghurst, Australia

St Vincent's Hospital (Melbourne) Cancer Centre

🇦🇺

Fitzroy, Australia

The Canberra Hospital Cancer,Ambulatory & Community Health Service (CACHS) Bldg 19

🇦🇺

Garran, Australia

Royal Brisbane & Women's Hospital Clinical Research Unit

🇦🇺

Herston, Australia

Cabrini Hospital Cabrini Haematology and Oncology Centre

🇦🇺

Malvern, Australia

Perth Oncology - Mount Hospital

🇦🇺

Perth, Australia

The Queen Elizabeth Hospital Haematology and Oncology Unit

🇦🇺

Woodville, Australia

Hôpital Universitaire Erasme Gastro-Entérologie

🇧🇪

Bruxelles, Belgium

Cliniques Universitaires St. Luc Oncologie médicale

🇧🇪

Bruxelles, Belgium

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Chris O'Brien Lifehouse Oncology
🇦🇺Camperdown, Australia
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