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CompletedNCT01652482Updated Nov 2, 2016

Safety and Efficacy Study of MEHD7945A + FOLFIRI Versus Cetuximab + FOLFIRI as Second Line Therapy in Participants With KRAS Wild-Type Metastatic Colorectal Cancer (mCRC)

A Phase 2 interventional study of 5-fluorouracil and Cetuximab in Colorectal Cancer, sponsored by Genentech, Inc.. Completed at 65 sites in 10 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-11-02.

Sponsored by Genentech, Inc. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
135
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

This open-label, randomized, multicenter, Phase 2 study will evaluate the safety and efficacy of MEHD7945A when combined with FOLFIRI (folinic acid [leucovorin], 5-fluorouracil [5-FU], and irinotecan) chemotherapy as compared to cetuximab plus FOLFIRI in participants with Kirsten Rat Sarcoma Viral Oncogene Homolog (KRAS) wild-type mCRC who have progressed after first-line oxaliplatin-containing chemotherapy for metastatic disease. Participants will be randomized to receive FOLFIRI chemotherapy plus either MEHD7945A or cetuximab. Anticipated time on study treatment is until disease progression or unacceptable toxicity occurs.

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Conditions studied

  • Colorectal Cancer
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In context

Colorectal Neoplasms

5,599 studies on the registry are indexed under Colorectal Neoplasms; 1,459 are open to participants now.

This study's enrollment of 135 is above the median of 77 across 4,123 interventional studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

Genentech, Inc. is the lead sponsor of 507 studies on the registry; 23 are open to participants now.

Of its 90 completed or terminated interventional studies of FDA-regulated products, 50 (56%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Histologically or cytologically confirmed adenocarcinoma of the colon and/or rectum, with KRAS wild-type status
  • Progressive disease on or after first-line oxaliplatin-containing regimen for mCRC; participants must have received oxaliplatin-containing chemotherapy for greater than or equal to (>/=) 3 months; no more than one prior chemotherapy regimen for metastatic disease is allowed
  • Measurable disease per modified Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Adequate hematologic and end-organ function

Exclusion criteria

Exclusion Criteria:

  • Prior treatment with irinotecan
  • Prior treatment with an investigational or approved human epidermal growth factor receptor (HER)-targeted agent
  • Last anti-tumor therapy within 4 weeks prior to Cycle 1, Day 1
  • Leptomeningeal disease as the only manifestation of the current malignancy
  • Active infection requiring intravenous antibiotics
  • Active autoimmune disease that is not controlled by nonsteroidal anti-inflammatory drugs
  • Current severe, uncontrolled systemic disease
  • Known human immunodeficiency virus (HIV) infection
  • Untreated/active central nervous system metastases (progressing or requiring anticonvulsants or corticosteroids for symptomatic control)
  • Pregnant or lactating women
  • Malignancies other than colorectal cancer within 5 years prior to randomization, except for adequately treated basal or squamous cell skin cancer and carcinoma in situ of the cervix
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
135 participants (actual)

Study arms

  • Active comparator
    FOLFIRI + Cetuximab

    Drug: 5-fluorouracil · Drug: Cetuximab · Drug: Irinotecan · Drug: Leucovorin

  • Experimental
    FOLFIRI + MEHD7945A

    Drug: 5-fluorouracil · Drug: Irinotecan · Drug: Leucovorin · Drug: MEHD7945A

Interventions

  • Drug5-fluorouracil

    Standard 5-fluorouracil (5-FU) chemotherapy (400 milligram per square meter \[mg/m\^2\] administered as intravenous bolus and then 5-FU 2400 mg/m\^2 administered as continuous intravenous infusion over 46 +/- 2 hours) or according to local standard-of-care prescribing information's, every 2 weeks until documented disease progression or unacceptable toxicity.

    Also known as: ADRUCIL

  • DrugCetuximab

    Cetuximab 400 mg/m\^2 intravenous infusion as a loading dose on Day 1 Cycle 1, followed by 250 mg/m\^2 intravenous infusion weekly until documented disease progression or unacceptable toxicity.

    Also known as: Erbitux

  • DrugIrinotecan

    Standard Irinotecan chemotherapy (180 milligram per square meter \[mg/m\^2\] administered as intravenous infusion over 60 +/- 30 minutes) or according to local standard-of-care prescribing information's, every 2 weeks until documented disease progression or unacceptable toxicity.

    Also known as: CAMPTOSAR

  • DrugLeucovorin

    Standard Leucovorin chemotherapy (400 mg/m\^2 \[racemic form\] or 200 mg/m\^2 \[L-isomer form\] administered by intravenous infusion over 120 +/- 10 minutes) or according to local standard-of-care prescribing information's, every 2 weeks until documented disease progression or unacceptable toxicity.

    Also known as: WELLCOVORIN

  • DrugMEHD7945A

    MEHD7945A 1100 milligram (mg) intravenous infusion every 2 weeks until documented disease progression or unacceptable toxicity.

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What researchers measure

Primary outcomes

  1. Progression-free Survival (PFS) According to Modified RECIST v1.1 Criteria

    Time frame: approximately 2 year

Secondary outcomes

  1. Plasma Concentration of 5-Fluorouracil

    Time frame: Pre-dose, 1 hour and after end of infusion on Day 1 Cycles 1-4

  2. Plasma Concentration of Irinotecan

    Time frame: Pre-dose, 1 hour and after end of infusion on Day 1 Cycles 1-4

  3. Number of Participants With Anti-MEHD7945A Antibodies

    Time frame: Pre-dose on Day 1 Cycles 1, 4, and 8; treatment completion visit (up to approximately 2 years)

  4. Number of Participants With Objective Response According to Modified RECIST v1.1 Criteria

    Time frame: approximately 2 year

  5. Duration of Objective Response According to Modified RECIST v1.1 Criteria

    Time frame: approximately 2 year

  6. Overall Survival (OS)

    Time frame: approximately 2 year

  7. Number of Participants With Adverse Events

    Time frame: approximately 2 year

  8. Maximum Observed Serum Concentration (Cmax) of MEHD7945A

    Time frame: Pre-dose and 30 minutes after end of infusion on Day 1 Cycles 1-4, Cycle 8 and at treatment completion (up to approximately 2 year)

  9. Minimum Observed Serum Concentration (Cmin) of MEHD7945A

    Time frame: Pre-dose on Day 1 Cycles 1-4, Cycle 8 and at treatment completion (up to approximately 2 year)

07

Study locations

65 sites
  • Bakersfield, California 93309, United States
  • Fullerton, California 92835, United States
  • Los Angeles, California 90033, United States
  • Los Angeles, California 90095, United States
  • San Luis Obispo, California 93454, United States
  • Santa Barbara, California 93105, United States
  • Aurora, Colorado 80045, United States
  • Orange Park, Florida 32073, United States
  • Harvey, Illinois 60426, United States
  • Paducah, Kentucky 42003, United States
  • Rockville, Maryland 20850, United States
  • Boston, Massachusetts 02114, United States
  • Boston, Massachusetts 02215, United States
  • Detroit, Michigan 48201, United States
  • Jefferson City, Missouri 65109, United States
  • Las Vegas, Nevada 89148, United States
  • Philadelphia, Pennsylvania 19104, United States
  • Kirkland, Washington 98034, United States
  • Seattle, Washington 98109, United States
  • Darlinghurst, New South Wales 2010, Australia
  • New Lambton Heights, New South Wales 2305, Australia
  • St. Leonards, New South Wales 2065, Australia
  • Sydney, New South Wales 2217, Australia
  • Waratah, New South Wales 2298, Australia
  • Wollongong, New South Wales 2500, Australia
  • Herston, Queensland 4029, Australia
  • Southport, Queensland 4215, Australia
  • Adelaide, South Australia 5041, Australia
  • Frankston, Victoria 3199, Australia
  • Bruxelles, 1200, Belgium
  • Charleroi, B6000, Belgium
  • Haine-Saint-Paul, 7100, Belgium
  • Leuven, 3000, Belgium
  • Liège, 4000, Belgium
  • Creteil, 94000, France
  • Lyon, 69373, France
  • Paris, 75015, France
  • Villejuif, 94805, France
  • Dresden, 01307, Germany
  • München, 81737, Germany
  • München, 81925, Germany
  • Stuttgart, 70199, Germany
  • Trier, 54290, Germany
  • Milano, Lombardia 20133, Italy
  • Milano, Lombardia 20162, Italy
  • Orbassano, Piemonte 10043, Italy
  • Pisa, Toscana 56100, Italy
  • Padova, Veneto 35128, Italy
  • Auckland, 1142, New Zealand
  • Christchurch, 8011, New Zealand
  • Dunedin, 9001, New Zealand
  • Tauranga, 3112, New Zealand
  • Brasov, 500091, Romania
  • Bucharest, 022328, Romania
  • Bucuresti, 030171, Romania
  • Iasi, 700106, Romania
  • Barcelona, 08035, Spain
  • Barcelona, 08036, Spain
  • Madrid, 28007, Spain
  • Madrid, 28050, Spain
  • Valencia, 46010, Spain
  • Aberdeen, AB25 2ZN, United Kingdom
  • London, NW1 2BU, United Kingdom
  • Oxford, OX3 7LJ, United Kingdom
  • Wirral, CH63 4JY, United Kingdom
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References and documents

Publications

  • Hill AG, Findlay MP, Burge ME, Jackson C, Alfonso PG, Samuel L, Ganju V, Karthaus M, Amatu A, Jeffery M, Bartolomeo MD, Bridgewater J, Coveler AL, Hidalgo M, Kapp AV, Sufan RI, McCall BB, Hanley WD, Penuel EM, Pirzkall A, Tabernero J. Phase II Study of the Dual EGFR/HER3 Inhibitor Duligotuzumab (MEHD7945A) versus Cetuximab in Combination with FOLFIRI in Second-Line RAS Wild-Type Metastatic Colorectal Cancer. Clin Cancer Res. 2018 May 15;24(10):2276-2284. doi: 10.1158/1078-0432.CCR-17-0646. Epub 2018 Mar 5. PubMed 29506988 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 2, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01652482
Lead sponsor
Genentech, Inc.
Responsible party
Sponsor
First posted
Jul 30, 2012
Start date
Oct 2012
Primary completion
Nov 2014
Completion
Nov 2014
Last update
Nov 2, 2016

Study contacts

Clinical Trials
study director · Genentech, Inc.
View the source record on ClinicalTrials.gov ↗

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