A Randomized, Open Label, 3-arm Phase 3 Study of Precemtabart Tocentecan With or Without Bevacizumab Compared to Trifluridine/Tipiracil Plus Bevacizumab in Participants With Previously Treated Metastatic Colorectal Cancer (PROCEADE-CRC-03)
试验速览
- 阶段
- 3 期
- 状态
- 招募中
- 入组人数
- 1,020
- 试验地点
- 66
- 主要终点
- Arm 1, 2 and 3: Overall Survival
研究概览
简要总结
This study aims to address the unmet medical need of participants with metastatic colorectal cancer (mCRC) who have previously been treated with irinotecan, oxaliplatin, a fluoropyrimidine, and bevacizumab, by demonstrating an overall survival prolongation with precemtabart tocentecan (Precem-TcT) as single agent or Precem-TcT in combination with bevacizumab compared to trifluoride/tipiracil (FTD-TPI) plus bevacizumab.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Participants with documented histopathological diagnosis of metastatic colorectal cancer, who were intolerant to, or whose disease was refractory to, or progressed after standard systemic therapies and no more than 2 previous systemic treatment regimens in the metastatic setting.
- •Participants must have received and progressed on no more than 2 previous systemic treatment regimens in the metastatic setting
- •Eastern Cooperative Oncology Group (ECOG) performance status less than equal to 1
- •Participants must be able to swallow oral tablets, and to comply with the study requirements for all scheduled evaluations
- •Other protocol defined inclusion criteria may apply
排除标准
- •If Adverse Events related to previous therapies have not recovered to less than Grade 1 by National Cancer Institute - Common Terminology Criteria for Adverse Events version 6.0
- •Participant has a history of additional malignancy within 3 years before randomization
- •Participants with known brain metastases
- •Abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within the past 6 months prior to randomization
- •Participants with ileus of more than Grade 1, or chronic inflammatory bowel disease (example ulcerative colitis, Crohn's disease) and/or bowel obstruction, or participants with chronic gastrointestinal disorders that, in the Investigator's opinion, might significantly interfere with proper absorption of the study treatments
- •Other protocol defined exclusion criteria may apply
研究组 & 干预措施
Arm 3: Trifluridine/Tipiracil (FTD-TPI) plus Bevacizumab
干预措施: Trifluridine/Tipiracil (FTD-TPI) (Drug)
Arm 3: Trifluridine/Tipiracil (FTD-TPI) plus Bevacizumab
干预措施: Bevacizumab (Drug)
Arm 1: Precemtabart tocentecan (Precem-TcT) Monotherapy
干预措施: Precemtabart tocentecan (Drug)
Arm 2: Precem-TcT plus Bevacizumab
干预措施: Precemtabart tocentecan (Drug)
Arm 2: Precem-TcT plus Bevacizumab
干预措施: Bevacizumab (Drug)
结局指标
主要结局
Arm 1, 2 and 3: Overall Survival
时间窗: Time from date of randomization to death, assessed approximately up to average of 19 months
次要结局
- Arm 1 and Arm 2: Overall Survival(Time from date of randomization to death, assessed approximately up to average of 19 months)
- Progression Free Survival (PFS)(Time from randomization to the first occurrence of disease progression or death, whichever occurs first (assessed up to average of 19 months))
- Objective Response (OR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Investigator(Up to average of 19 months)
- Duration of Response as Assessed by Investigator(Time from first documentation of objective response to PD or death (assessed up to average of 19 months))
- Number of Participants with Adverse Events (AEs) and Treatment Related Adverse Events(Up to average of 19 months)
- Observed Concentration at End of Infusion (CEOI) Period(At end of infusion on Cycle 1 Day 1 and Cycle 3 Day 1 (each cycle is of 28 days))
- Concentration Observed at the end of a Dosing Interval Immediately Before next Dosing (Ctrough)(At end of dosing interval on Cycle 1 Day 1, Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1, Cycle 6 Day 1, Cycle 7 Day 1 until treatment discontinuation (assessed up to average of 19 months) (each cycle is of 28 days))
- Number of Participants with Anti-Drug Antibody as measured by ADA assay(Predose (-4 to 0 hours) on Cycle 1 Day 1, Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1 and Cycle 8 Day 1; thereafter every 4 cycles until treatment discontinuation (assessed up to average of 19 months) (each cycle is of 28 days))
- Change from Baseline in Global Health Status, Physical, and Role Functioning Subscale Scores of European Organization for research and Treatment of Cancer Quality of Life Core Questionnaire (EORTC QLQ-C30)(Arm 1 and 2:Cycle1Day 1(Baseline),Cycle1Day8,Cycle1Day15,Cycles2-6Day1,Cycles2-6Day15,Cycles more than equal to(>=)7Day1(each cycle is 21 days); Arm 3:Cycle1Day 1,Cycle 1 Day 8, Cycle 1 Day 15, Cycles >=2 Day 1, Cycles >=2 Day 15 (each cycle is 28 days))
