CAVE-2 (Cetuximab-AVElumab) mCRC: A Phase II Randomized Clinical Study of the Combination of Avelumab Plus Cetuximab as Rechallenge Strategy in Pre-treated RAS/BRAF Wild Type Metastatic Colorectal Cancer Patients.

Status: Recruiting
Location: See all (24) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 2
SUMMARY

This is a non-profit phase II, randomized clinical study of the combination of avelumab plus cetuximab as rechallenge strategy, compared to cetuximab alone, in pre-treated RAS/BRAF wild type metastatic colorectal cancer patients (according to liquid biopsy at baseline). Patients have been treated in first line with chemotherapy in combination with cetuximab and have had a clinical benefit (complete or partial response) from treatment.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Signed written informed consent before any trial-related procedure is undertaken that is not part of the standard patient management.

• Male or female subjects aged ≥ 18 years.

• Histologically proven diagnosis of colorectal adenocarcinoma.

• Diagnosis of metastatic disease.

• RAS (NRAS and KRAS exon 2,3 and 4) and BRAF wild-type in liquid biopsy at screening (according to NGS, Foundation/Roche).

• Efficacy of a first line therapy containing cetuximab with a major response achieved (i.e. complete or partial response according to RECIST criteria v1.1).

• Received a second line therapy.

• More than 4 months since the last dose of cetuximab administered in first line treatment before randomization.

• Measurable disease according to RECIST criteria v1.1.

⁃ ECOG PS of 0 to 1 at trial entry.

⁃ Estimated life expectancy of more than 12 weeks.

⁃ Adequate hematological function defined by white blood cell (WBC) count ≥ 2.5 × 109/L with absolute neutrophil count (ANC) ≥ 1.5 × 109/L, lymphocyte count ≥ 0.5 × 109/L, platelet count ≥ 100 × 109/L, and hemoglobin ≥ 9 g/dL (may have been transfused).

⁃ Adequate hepatic function defined by a total bilirubin level ≤ 1.5 × the upper limit of normal (ULN) range and AST and alanine aminotransferase (ALT) levels ≤ 2.5 × ULN for all subjects or AST and ALT levels ≤ 5 x ULN (for subjects with documented metastatic disease to the liver).

⁃ Adequate renal function defined by an estimated creatinine clearance \> 30 mL/min according to the Cockcroft-Gault formula (or local institutional standard method).

⁃ Effective contraception for both male and female subjects throughout the study and for at least 2 months after last study treatment administration if the risk of conception exists (Note: The effects of the trial drug on the developing human fetus are unknown; thus, women of childbearing potential and men must agree to use effective contraception, defined as 2 barrier methods, or 1 barrier method with a spermicide, an intrauterine device, or use of oral female contraceptive. Should a woman become pregnant or suspect she is pregnant while she or her partner is participating in this trial, the treating physician should be informed immediately).

⁃ No prior immunotherapy

Locations
Other Locations
Italy
A.O.U. Ospedali Riuniti
NOT_YET_RECRUITING
Ancona
A.O. San Giuseppe Moscati
RECRUITING
Avellino
Centro di Riferimento Oncologico (C.R.O.)
NOT_YET_RECRUITING
Aviano
Fondazione Poliambulanza Istituto Ospedaliero
RECRUITING
Brescia
P.O. Antonio Perrino
NOT_YET_RECRUITING
Brindisi
Ospedale IRCCS 'Saverio de Bellis'
RECRUITING
Castellana Grotte
A.R.N.A.S. Garibaldi - P.O. GaribaldiNesima
NOT_YET_RECRUITING
Catania
A.O.U. Careggi
NOT_YET_RECRUITING
Florence
Ospedale Policlinico San Martino IRCCS per l'Oncologia
NOT_YET_RECRUITING
Genova
P.O. 'Vito Fazzi'
NOT_YET_RECRUITING
Lecce
Fondazione IRCCS Istituto Nazionale dei Tumori
NOT_YET_RECRUITING
Milan
Istituto Europeo di Oncologia
NOT_YET_RECRUITING
Milan
A.O.U dell'Università degli Studi della Campania Luigi Vanvitelli
RECRUITING
Napoli
IRCCS Istituto Nazionale Tumori Fondazione G. Pascale
RECRUITING
Napoli
A.O.U. Policlinico 'P. Giaccone'
RECRUITING
Palermo
ARNAS Civico - Di Cristina-Benfratelli - P. O. 'Civico e Benfratelli'
NOT_YET_RECRUITING
Palermo
A.S.P. Ragusa - Ospedale Maria Paternò Arezzo
NOT_YET_RECRUITING
Ragusa
Azienda USL IRCCS di Reggio Emilia
NOT_YET_RECRUITING
Reggio Emilia
Fondazione Policlinico Universitario 'Agostino Gemelli' IRCCS
NOT_YET_RECRUITING
Roma
Fondazione IRCCS Ospedale Casa Sollievo della Sofferenza
RECRUITING
San Giovanni Rotondo
Ospedale San Giuseppe Moscati
RECRUITING
Taranto
A.O. Ordine Mauriziano
NOT_YET_RECRUITING
Torino
A.O. 'Pia Fondazione Cardinale G.Panico'
NOT_YET_RECRUITING
Tricase
A.O.U. Integrata di Verona - Policlinico 'Giambattista Rossi'
RECRUITING
Verona
Contact Information
Primary
Fortunato Ciardiello
fortunato.ciardiello@unicampania.it
0815666760
Backup
Stefania Napolitano
stefania.napolitano@unicampania.it
Time Frame
Start Date: 2022-07-21
Estimated Completion Date: 2025-07-01
Participants
Target number of participants: 173
Treatments
Experimental: Cetuximab + avelumab
Cetuximab + avelumab (115 patients) - cetuximab at 400 mg/m2, as loading dose, and, subsequently, at 250 mg/m2 weekly, and avelumab was given intravenously at flat dose of 800 mg, once every 2 weeks.~Treatment will continue until disease progression, significant clinical deterioration, unacceptable toxicity, any criterion for withdrawal from the trial or trial drug is fulfilled. Treatment may continue past the initial determination of disease progression per RECIST 1.1 if the subject's performance status has remained stable, and if in the opinion of the Investigator, the subject will benefit from continued treatment and if other criteria are fulfilled as outlined in the protocol.
Active_comparator: Cetuximab
Cetuximab only (58 patients) - cetuximab at 400 mg/m2 intravenously, as loading dose, and, subsequently, at 250 mg/m2 weekly. Treatment will continue until disease progression, significant clinical deterioration, unacceptable toxicity, any criterion for withdrawal from the trial or trial drug is fulfilled. Treatment may continue past the initial determination of disease progression per RECIST 1.1 if the subject's performance status has remained stable, and if in the opinion of the Investigator, the subject will benefit from continued treatment and if other criteria are fulfilled as outlined in the protocol.
Related Therapeutic Areas
Sponsors
Leads: University of Campania Luigi Vanvitelli

This content was sourced from clinicaltrials.gov

Similar Clinical Trials