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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.
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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).
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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)

Cliniques Universitaires St. Luc Oncologie médicale

🇧🇪

Bruxelles, Belgium

Klinicki bolnicki centar Zagreb Klinika za onkologiju

🇭🇷

Zagreb, Croatia

Centrum Onkologii - Instytut im. Marii Sklodowskiej-Curie Klinika Gastroenterologii Onkologicznej

🇵🇱

Warszawa, Poland

Centro Hospitalar e Universitário de Comibra E.P.E. Serviço de Oncologia Médica

🇵🇹

Coimbra, Portugal

Klinicki bolnicki centar Rijeka Klinika za radioterapiju i onkologiju

🇭🇷

Rijeka, Croatia

Hospital Garcia de Orta Serviço de Oncologia Médica

🇵🇹

Almada, Portugal

Magodent Sp. z o.o.

🇵🇱

Warszawa, Poland

Kyiv City Clinical Oncological Centre Day care facility

🇺🇦

Kiev, Ukraine

The Adelaide and Meath Hospital

🇮🇪

Dublin, Ireland

Centro Hemato-Oncologico de Panama

🇵🇦

Panamá, Panama

Vychodoslovensky onkologicky ustav Oddelenie klinickej onkologie

🇸🇰

Kosice, Slovakia

Clinical and diagn.Centre of Medics-rey Inter. Group LLC - Hospital of Israeli Oncology "LISOD

🇺🇦

Kyiv, Ukraine

Uniwersyteckie Centrum Kliniczne Klinika Onkologii i Radioterapii

🇵🇱

Gdansk, Poland

Wielkopolskie Centrum Onkologii im Marii Sklodowskiej-Curie Oddzial Chemioterapii

🇵🇱

Poznan, Poland

Onkologicky ustav sv. Alzbety,s.r.o. Interna Klinika VSZ a SP a OUSA

🇸🇰

Bratislava, Slovakia

Treatment-diagnostic Centre PJSC "House of medicine"

🇺🇦

Odesa, Ukraine

Chris O'Brien Lifehouse Oncology

🇦🇺

Camperdown, Australia

St Vincent's Hospital The Kinghorn Cancer Centre

🇦🇺

Darlinghurst, Australia

Royal Brisbane & Women's Hospital Clinical Research Unit

🇦🇺

Herston, Australia

Perth Oncology - Mount Hospital

🇦🇺

Perth, Australia

Cabrini Hospital Cabrini Haematology and Oncology Centre

🇦🇺

Malvern, Australia

Hôpital Universitaire Erasme Gastro-Entérologie

🇧🇪

Bruxelles, Belgium

The Queen Elizabeth Hospital Haematology and Oncology Unit

🇦🇺

Woodville, Australia

Hospital Mãe de Deus Centro Intergrado de Pesquisa

🇧🇷

Porto Alegre, Brazil

UZ Leuven Campus Gasthuisberg Digestieve Oncologie

🇧🇪

Leuven, Belgium

U.Z. Gent Digestieve Oncologie

🇧🇪

Gent, Belgium

Clinicas Oncológicas Integradas (COI)

🇧🇷

Rio De Janeiro, Brazil

AMO Assistencia Multidisciplinar em Oncologia GEM Assistencia Medica Especializada

🇧🇷

Salvador, Brazil

Instituto do Cancer do Estado de Sao Paulo - ICESP Núcleo de Pesquisa

🇧🇷

São Paulo, Brazil

Hospital A C Camargo Unidade de Pesquisa Clínica

🇧🇷

São Paulo, Brazil

Instituto Brasileiro de Controle do Câncer Unidadde de Pesquisa Clínica

🇧🇷

São Paulo, Brazil

Complex oncology center - Plovdiv

🇧🇬

Plovdiv, Bulgaria

Specialized hospital for active treatment in oncology

🇧🇬

Sofia, Bulgaria

Institut Sainte Catherine Institut Sainte Catherine

🇫🇷

Avignon, France

Hopital Privé Les Bonnettes Pharmacie centrale

🇫🇷

Arras, France

CHU Hôpital du Bocage/ François Mitterrand Hépato-gastroentérologie

🇫🇷

Dijon, France

CHD - Les Oudairies service d'hepato-gastroenterologie

🇫🇷

La Roche Sur Yon, France

CRLCC Léon Bérard Service d'Oncologie

🇫🇷

Lyon, France

Hôpital Trousseau Hépato-gastroentérologie et cancérologie digestive

🇫🇷

Chambray Les Tours, France

Hopital Privé Jean Mermoz Service de Gastro entérologie et d'Oncologie médicale

🇫🇷

Lyon, France

CHU de la Timone Hépato-Gastro-Entérologie

🇫🇷

Marseille, France

Franco-British Institue Department of Medical Oncology

🇫🇷

Levallois Perret, France

CRLCC Val d'Aurelle Oncologie Médicale

🇫🇷

Montpellier, France

Hôpital Nord Franche-Comté - Site du Mittan Service d'oncologie médicale

🇫🇷

Montbeliard, France

Groupe Hospitalier Pitié Salpêtrière Service d'hépato-gastro-entérologie

🇫🇷

Paris, France

Hôpital Saint-Antoine Service d'Oncologie Médicale

🇫🇷

Paris, France

Centre Antoine Lacassagne Dpt d'Oncologie Médicale

🇫🇷

Nice, France

Hôpital Européen Georges Pompidou Oncologie Hépatogastroenterologie-oncologie digestive

🇫🇷

Paris, France

Hôpital Haut-Lévèque Hépato-gastroentérologie et oncologie digestive

🇫🇷

Pessac, France

Centre Eugène Marquis Service d'Oncologie Médicale

🇫🇷

Rennes, France

Hôpital Nord Pôle Digestif Urologie-Andrologie

🇫🇷

Saint Etienne, France

CHU Robert DEBRE service d'hepato-gastroenterologie / Cancérologie Digestive

🇫🇷

Reims, France

CHU de Poitiers Pole Régional de Cancérologie

🇫🇷

Poitiers, France

Bon Secours Hospital

🇮🇪

Cork, Ireland

Ist.Tumori "Giovanni Paolo II" IRCCS Osp.Oncologico di Bari U.O.C. di Oncologia Medica

🇮🇹

Bari, Italy

Fondazione Poliambulanza Istituto Ospedaliero Clinical Oncology

🇮🇹

Brescia, Italy

Azienda Ospedaliero-Universitaria Careggi Struttura Complessa Oncologia Medica

🇮🇹

Firenze, Italy

ARNAS - Azienda Ospedaliera Garibaldi - Nesima Struttura Complessa di Oncologia Medica

🇮🇹

Catania, Italy

Ist.Scientifico Romagnolo per lo Studio e la Cura dei Tumori Department of Clinical Oncology

🇮🇹

Meldola, Italy

Istituto Oncologico Veneto IOV - IRCCS Unità Operativa Complessa Oncologia Medica 1

🇮🇹

Padova, Italy

A.O.U. Seconda Università degli Studi di Napoli U.O.C. di Oncologia Medica e di Ematologia

🇮🇹

Napoli, Italy

Azienda Ospedaliera "Civico-Di Cristina" - Ospedale Civico Oncologia Medica

🇮🇹

Palermo, Italy

Fondazione IRCCS Istituto Nazionale dei Tumori S.S. Oncologia Medica Gastrenterologia

🇮🇹

Milano, Italy

Ospedale Civile Santo Spirito Struttura Complessa di Oncologia Medica

🇮🇹

Pescara, Italy

A.O.U. Pisana-Ospedale Santa Chiara U.O. di Oncologia Medica 2

🇮🇹

Pisa, Italy

Arcispedale Santa Maria Nuova Unità di Oncologia

🇮🇹

Reggio Emilia, Italy

Ospedale INFERMI Reparto di Oncologia

🇮🇹

Rimini, Italy

Policlinico Universitario Campus Biomedico UOC di Oncologia Medica

🇮🇹

Roma, Italy

IRCSS Casa Sollievo della Sofferenza Dipartimento Onco-Ematologia

🇮🇹

San Giovanni Rotondo, Italy

Policlinico Universitario Agostino Gemelli U.O.C. di Oncologia Medica

🇮🇹

Roma, Italy

Istituto Clinico Humanitas I.R.C.C.S Dipartimento di Oncologia Medica ed Ematologia

🇮🇹

Rozzano (mi), Italy

A.O.U. Città della Salute e della Scienza di Torino S.C. Oncologia Medica 1 - Colo-Rectal Cancer Unit

🇮🇹

Torino, Italy

Bialostockie Centrum Onkologii im Marii Curie-Sklodowskiej Oddzial Onkologii Klinicznej im Dr Ewy Pileckiej z pododdzialem Chemioterapii Dziennej

🇵🇱

Bialystok, Poland

Opolskie Centrum Onkologii im. Tadeusza Koszarowskiego Oddzial Onkologii Klinicznej

🇵🇱

Opole, Poland

Instituto Português de Oncologia de Coimbra Serviço de Oncologia Médica

🇵🇹

Coimbra, Portugal

Centro Hospitalar de Lisboa Norte E.P.E. - H. Santa Maria Serviço de Oncologia Médica

🇵🇹

Lisboa, Portugal

Instituto Português de Oncologia do Porto Serviço de Oncologia Médica

🇵🇹

Porto, Portugal

Centro Hospitalar de São João E.P.E. Serviço de Oncologia

🇵🇹

Porto, Portugal

Spitalul Clinic "Fundeni" Departament Oncologie Medicala - Gastroenterologie

🇷🇴

Bucuresti, Romania

Institutul Regional de Oncologie Iasi Clinica de Oncologie Medicala

🇷🇴

Iasi, Romania

Institutul Oncologic "Prof. Dr. I. Chiricuta" Cluj Napoca Oncologie Medicala

🇷🇴

Cluj-napoca, Romania

Gazi University Faculty of Medicine Medical Oncology Department

🇹🇷

Ankara, Turkey

Hacettepe University Faculty of Medicine

🇹🇷

Ankara, Turkey

Onkoloski Institut Ljubljana

🇸🇮

Ljubljana, Slovenia

Trakya University Faculty of Medicine

🇹🇷

Edirne, Turkey

Uludag University Faculty of Medicine

🇹🇷

Bursa, Turkey

Istanbul University

🇹🇷

Istanbul, Turkey

Marmara University Pendik Training and Research Hospital

🇹🇷

Istanbul, Turkey

Ege University Faculty of Medicine Medical Oncology Department

🇹🇷

Izmir, Turkey

Kharkiv Regional Oncology Center

🇺🇦

Kharkiv, Ukraine

Erciyes University Mehmet Kemal Dedeman Hematology Oncology

🇹🇷

Kayseri, Turkey

Universitair Ziekenhuis Antwerpen Oncologie

🇧🇪

Edegem, Belgium

St Vincent's Hospital (Melbourne) Cancer Centre

🇦🇺

Fitzroy, Australia

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

🇦🇺

Garran, Australia

Military Medical Academy - MHAT Oncology clinic

🇧🇬

Sofia, Bulgaria

SHAT of oncology diseases

🇧🇬

Varna, Bulgaria

Centre de lutte contre le cancer Francois Baclesse UCP Digestif

🇫🇷

Caen, France

CHU de Grenoble Oncologie médicale Hépato-gastroentérologie - 7D

🇫🇷

Grenoble Cedex 9, France

CHU Toulouse Rangueil Oncologie médicale digestive

🇫🇷

TOULOUSE cedex 9, France

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