Non-randomised, Multicentre, Prospective, Single-arm, Phase II Study of the Efficacy and Toxicity of a Combination of FOLFOX With Dabrafenib and Cetuximab/Panitumumab in the First Line of Therapy of Patients With Metastatic BRAF V600E- Mutated MSS Colorectal Cancer

Status: Recruiting
Location: See location...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 2
SUMMARY

The purpose of this study is to evaluate the efficacy and toxicity of FOLFOX regimen with dabrafenib and cetuximab/panitumumab in the first line of therapy for the potential treatment of colorectal cancer that: has a metastatic, inoperable; has a mutation in the BRAF gene and MSS. Participants in this study will receive one of the following study treatments: These participants will receive FOLFOX regimen with dabrafenib and cetuximab or panitumumab in the first line of therapy This study is currently enrolling participants who will receive either FOLFOX regimen with dabrafenib and cetuximab or panitumumab in the first line of therapy. The study team will monitor how each participant responds to the study treatment for up to about 3 years.

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

• Histologically confirmed colorectal adenocarcinoma that contains MSS and BRAF V600E mutation

• Metastatic inoperable colorectal cancer

• Adequate function of hematopoiesis and basic indicators of internal organs

• Has measurable or evaluable disease according to Response Evaluation Criteria In Solid Tumors (RECIST v1.1).

• Lacking antitumor systemic treatment for colorectal cancer.

• Patients with progression after adjuvant chemotherapy may be included if progression is recorded no earlier than 12 months after the last course of chemotherapy.

• The primary tumor is removed or asymptomatic.

• Absence of grade 2 or higher neuropathy.

• Absence of tumor MSI or dMMR.

• ECOG PS 0-2

Locations
Other Locations
Russian Federation
Blokhin's Russian Cancer Research Center
RECRUITING
Moscow
Contact Information
Primary
Mikhail Fedyanin MD
fedianinmu@mail.ru
+7 905 704-33-18
Backup
Evgenia Kuzmina MD
kuz011@mail.ru
+7 9824012681
Time Frame
Start Date: 2025-03-01
Estimated Completion Date: 2028-07-10
Participants
Target number of participants: 64
Treatments
Experimental: mFOLFOX6 + dabrafenib and cetuximab or panitumumab in the first line of therapy
mFOLFOX6 + dabrafenib and cetuximab or panitumumab in the first line of therapy Dabrafenib 150 mg twice orally daily Cetuximab 500 mg/m2 (120-minute IV infusion) every two weeks or Panitumumab 6 mg/kg (60-minute IV infusion) every two weeks Oxaliplatin 85 mg/m2 (120-minute IV infusion) every two weeks, Сalcium folinate 400 mg/m2 (120-minute IV infusion) every two weeks 5-FU 400 mg/m2 IV bolus, then 5-FU 2400 mg/m2 continuous IV infusion over 46-48 hours every two weeks.~In the first-line setting, 8 courses are administered, and if disease control is achieved, dabrafenib, cetuximab or panitumumab therapy is continued until disease progression or intolerable toxicity.
Related Therapeutic Areas
Sponsors
Collaborators: Moscow City Oncology Hospital No. 62, City Clinical Oncology Hospital No 1, MMCC Kommunarka MHD, The Loginov MCSC MHD
Leads: Blokhin's Russian Cancer Research Center

This content was sourced from clinicaltrials.gov