CClinicalTrials.gg
CompletedNCT03306394PRECONNECTUpdated Jul 25, 2024

A Study of Trifluridine/Tipiracil (Also Known as S 95005 or TAS-102) in Patients With a Pretreated Colorectal Cancer That Has Spread (Metastatic).

A Phase 3 interventional study of Trifluridine/Tipiracil hydrochloride (S95005) in Metastatic Colorectal Cancer, sponsored by Institut de Recherches Internationales Servier. Completed at 99 sites in 16 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-07-25.

Sponsored by Institut de Recherches Internationales Servier · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
907
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study 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.

02

Conditions studied

  • Metastatic Colorectal Cancer

Keywords

  • metastatic
  • colorectal
  • cancer
  • trifluridine/tipiracil
  • early access
03

Who can participate

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

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.

Exclusion criteria

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).
04

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
907 participants (actual)

Study arms

  • Experimental
    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.

    Drug: Trifluridine/Tipiracil hydrochloride (S95005)

Interventions

  • DrugTrifluridine/Tipiracil hydrochloride (S95005)
05

What researchers measure

Primary outcomes

  1. Incidence of Adverse Events [safety and tolerability]

    Time frame: Through 28 days following last administration of study medication

  2. Abnormalities in laboratory assessment

    Time frame: Through study completion, an average of 12 weeks

  3. Abnormalities in performance status (ECOG)

    Time frame: Through study completion, an average of 12 weeks

  4. Abnormalities in vital signs

    Time frame: Through study completion, an average of 12 weeks

Secondary outcomes

  1. Progression free survival (PFS)

    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.

    Time frame: Through study completion, an average of 12 weeks

  2. Quality of life using the questionnaire EQ-5D

    Time frame: Through study completion, an average of 12 weeks

  3. Quality of life using the questionnaire EORTC QLQ-C30

    Time frame: Through study completion, an average of 12 weeks

06

Study locations

99 sites
  • Chris O'Brien Lifehouse Oncology
    Camperdown, NSW 2050, Australia
  • St Vincent's Hospital The Kinghorn Cancer Centre
    Darlinghurst, 2010, Australia
  • St Vincent's Hospital (Melbourne) Cancer Centre
    Fitzroy, 3065, Australia
  • The Canberra Hospital Cancer,Ambulatory & Community Health Service (CACHS) Bldg 19
    Garran, 2605, Australia
  • Royal Brisbane & Women's Hospital Clinical Research Unit
    Herston, 4029, Australia
  • Cabrini Hospital Cabrini Haematology and Oncology Centre
    Malvern, 3144, Australia
  • Perth Oncology - Mount Hospital
    Perth, 6000, Australia
  • The Queen Elizabeth Hospital Haematology and Oncology Unit
    Woodville, SA 5011, Australia
  • Hôpital Universitaire Erasme Gastro-Entérologie
    Bruxelles, 1070, Belgium
  • Cliniques Universitaires St. Luc Oncologie médicale
    Bruxelles, 1200, Belgium
  • Universitair Ziekenhuis Antwerpen Oncologie
    Edegem, 2650, Belgium
  • U.Z. Gent Digestieve Oncologie
    Gent, 9000, Belgium
  • UZ Leuven Campus Gasthuisberg Digestieve Oncologie
    Leuven, 3000, Belgium
  • Hospital Mãe de Deus Centro Intergrado de Pesquisa
    Porto Alegre, 90470-340, Brazil
  • Clinicas Oncológicas Integradas (COI)
    Rio De Janeiro, 22793-080, Brazil
  • AMO Assistencia Multidisciplinar em Oncologia GEM Assistencia Medica Especializada
    Salvador, 41950-610, Brazil
  • Instituto do Cancer do Estado de Sao Paulo - ICESP Núcleo de Pesquisa
    São Paulo, 01246-000, Brazil
  • Hospital A C Camargo Unidade de Pesquisa Clínica
    São Paulo, 01509-900, Brazil
  • Instituto Brasileiro de Controle do Câncer Unidadde de Pesquisa Clínica
    São Paulo, 03102-002, Brazil
  • Complex oncology center - Plovdiv
    Plovdiv, 4000, Bulgaria
  • Military Medical Academy - MHAT Oncology clinic
    Sofia, 1606, Bulgaria
  • Specialized hospital for active treatment in oncology
    Sofia, 1756, Bulgaria
  • SHAT of oncology diseases
    Varna, 9000, Bulgaria
  • Klinicki bolnicki centar Rijeka Klinika za radioterapiju i onkologiju
    Rijeka, 51000, Croatia
  • Klinicki bolnicki centar Zagreb Klinika za onkologiju
    Zagreb, 10000, Croatia
  • Hopital Privé Les Bonnettes Pharmacie centrale
    Arras, 62000, France
  • Institut Sainte Catherine Institut Sainte Catherine
    Avignon, 84918, France
  • Centre de lutte contre le cancer Francois Baclesse UCP Digestif
    Caen, 14076, France
  • Hôpital Trousseau Hépato-gastroentérologie et cancérologie digestive
    Chambray Les Tours, 37044, France
  • CHU Hôpital du Bocage/ François Mitterrand Hépato-gastroentérologie
    Dijon, 21079, France
  • CHU de Grenoble Oncologie médicale Hépato-gastroentérologie - 7D
    Grenoble Cedex 9, 38043, France
  • CHD - Les Oudairies service d'hepato-gastroenterologie
    La Roche Sur Yon, 85925, France
  • Franco-British Institue Department of Medical Oncology
    Levallois Perret, 92300, France
  • Hopital Privé Jean Mermoz Service de Gastro entérologie et d'Oncologie médicale
    Lyon, 69008, France
  • CRLCC Léon Bérard Service d'Oncologie
    Lyon, 69373, France
  • CHU de la Timone Hépato-Gastro-Entérologie
    Marseille, 13005, France
  • Hôpital Nord Franche-Comté - Site du Mittan Service d'oncologie médicale
    Montbeliard, 25209, France
  • CRLCC Val d'Aurelle Oncologie Médicale
    Montpellier, 34298, France
  • Centre Antoine Lacassagne Dpt d'Oncologie Médicale
    Nice, 06189, France
  • Hôpital Saint-Antoine Service d'Oncologie Médicale
    Paris, 75012, France
  • Hôpital Européen Georges Pompidou Oncologie Hépatogastroenterologie-oncologie digestive
    Paris, 75015, France
  • Groupe Hospitalier Pitié Salpêtrière Service d'hépato-gastro-entérologie
    Paris, 75651, France
  • Hôpital Haut-Lévèque Hépato-gastroentérologie et oncologie digestive
    Pessac, 33604, France
  • CHU de Poitiers Pole Régional de Cancérologie
    Poitiers, 86021, France
  • CHU Robert DEBRE service d'hepato-gastroenterologie / Cancérologie Digestive
    Reims, 51100, France
  • Centre Eugène Marquis Service d'Oncologie Médicale
    Rennes, 35042, France
  • Hôpital Nord Pôle Digestif Urologie-Andrologie
    Saint Etienne, 42055, France
  • CHU Toulouse Rangueil Oncologie médicale digestive
    TOULOUSE cedex 9, 31059, France
  • Bon Secours Hospital
    Cork, 90, Ireland
  • The Adelaide and Meath Hospital
    Dublin, 24, Ireland
  • Ist.Tumori "Giovanni Paolo II" IRCCS Osp.Oncologico di Bari U.O.C. di Oncologia Medica
    Bari, 70124, Italy
  • Fondazione Poliambulanza Istituto Ospedaliero Clinical Oncology
    Brescia, 25124, Italy
  • ARNAS - Azienda Ospedaliera Garibaldi - Nesima Struttura Complessa di Oncologia Medica
    Catania, 95122, Italy
  • Azienda Ospedaliero-Universitaria Careggi Struttura Complessa Oncologia Medica
    Firenze, 50134, Italy
  • Ist.Scientifico Romagnolo per lo Studio e la Cura dei Tumori Department of Clinical Oncology
    Meldola, 47014, Italy
  • Fondazione IRCCS Istituto Nazionale dei Tumori S.S. Oncologia Medica Gastrenterologia
    Milano, 20133, Italy
  • A.O.U. Seconda Università degli Studi di Napoli U.O.C. di Oncologia Medica e di Ematologia
    Napoli, 80131, Italy
  • Istituto Oncologico Veneto IOV - IRCCS Unità Operativa Complessa Oncologia Medica 1
    Padova, 35128, Italy
  • Azienda Ospedaliera "Civico-Di Cristina" - Ospedale Civico Oncologia Medica
    Palermo, 90127, Italy
  • Ospedale Civile Santo Spirito Struttura Complessa di Oncologia Medica
    Pescara, 64124, Italy
  • A.O.U. Pisana-Ospedale Santa Chiara U.O. di Oncologia Medica 2
    Pisa, 56126, Italy
  • Arcispedale Santa Maria Nuova Unità di Oncologia
    Reggio Emilia, 42123, Italy
  • Ospedale INFERMI Reparto di Oncologia
    Rimini, 47923, Italy
  • Policlinico Universitario Campus Biomedico UOC di Oncologia Medica
    Roma, 00128, Italy
  • Policlinico Universitario Agostino Gemelli U.O.C. di Oncologia Medica
    Roma, 00168, Italy
  • Istituto Clinico Humanitas I.R.C.C.S Dipartimento di Oncologia Medica ed Ematologia
    Rozzano (mi), 20089, Italy
  • IRCSS Casa Sollievo della Sofferenza Dipartimento Onco-Ematologia
    San Giovanni Rotondo, 71013, Italy
  • A.O.U. Città della Salute e della Scienza di Torino S.C. Oncologia Medica 1 - Colo-Rectal Cancer Unit
    Torino, 10126, Italy
  • Centro Hemato-Oncologico de Panama
    Panamá, 0832_00752, Panama
  • Bialostockie Centrum Onkologii im Marii Curie-Sklodowskiej Oddzial Onkologii Klinicznej im Dr Ewy Pileckiej z pododdzialem Chemioterapii Dziennej
    Bialystok, 15-027, Poland
  • Uniwersyteckie Centrum Kliniczne Klinika Onkologii i Radioterapii
    Gdansk, 80-952, Poland
  • Opolskie Centrum Onkologii im. Tadeusza Koszarowskiego Oddzial Onkologii Klinicznej
    Opole, 46-020, Poland
  • Wielkopolskie Centrum Onkologii im Marii Sklodowskiej-Curie Oddzial Chemioterapii
    Poznan, 61-866, Poland
  • Centrum Onkologii - Instytut im. Marii Sklodowskiej-Curie Klinika Gastroenterologii Onkologicznej
    Warszawa, 02-781, Poland
  • Magodent Sp. z o.o.
    Warszawa, 04-125, Poland
  • Hospital Garcia de Orta Serviço de Oncologia Médica
    Almada, 2805-267, Portugal
  • Centro Hospitalar e Universitário de Comibra E.P.E. Serviço de Oncologia Médica
    Coimbra, 3000-075, Portugal
  • Instituto Português de Oncologia de Coimbra Serviço de Oncologia Médica
    Coimbra, 3000-075, Portugal
  • Centro Hospitalar de Lisboa Norte E.P.E. - H. Santa Maria Serviço de Oncologia Médica
    Lisboa, 1649-035, Portugal
  • Instituto Português de Oncologia do Porto Serviço de Oncologia Médica
    Porto, 4200-072, Portugal
  • Centro Hospitalar de São João E.P.E. Serviço de Oncologia
    Porto, 4200-319, Portugal
  • Spitalul Clinic "Fundeni" Departament Oncologie Medicala - Gastroenterologie
    Bucuresti, 022328, Romania
  • Institutul Oncologic "Prof. Dr. I. Chiricuta" Cluj Napoca Oncologie Medicala
    Cluj-napoca, 400015, Romania
  • Institutul Regional de Oncologie Iasi Clinica de Oncologie Medicala
    Iasi, 700483, Romania
  • Onkologicky ustav sv. Alzbety,s.r.o. Interna Klinika VSZ a SP a OUSA
    Bratislava, 81250, Slovakia
  • Vychodoslovensky onkologicky ustav Oddelenie klinickej onkologie
    Kosice, 04191, Slovakia
  • Onkoloski Institut Ljubljana
    Ljubljana, 1000, Slovenia
  • Gazi University Faculty of Medicine Medical Oncology Department
    Ankara, Turkey
  • Hacettepe University Faculty of Medicine
    Ankara, Turkey
  • Uludag University Faculty of Medicine
    Bursa, 16059, Turkey
  • Trakya University Faculty of Medicine
    Edirne, 22030, Turkey
  • Istanbul University
    Istanbul, Turkey
  • Marmara University Pendik Training and Research Hospital
    Istanbul, Turkey
  • Ege University Faculty of Medicine Medical Oncology Department
    Izmir, 36040, Turkey
  • Erciyes University Mehmet Kemal Dedeman Hematology Oncology
    Kayseri, 38039, Turkey
  • Kharkiv Regional Oncology Center
    Kharkiv, 61070, Ukraine
  • Kyiv City Clinical Oncological Centre Day care facility
    Kiev, 03115, Ukraine
  • Clinical and diagn.Centre of Medics-rey Inter. Group LLC - Hospital of Israeli Oncology "LISOD
    Kyiv, 08720, Ukraine
  • Treatment-diagnostic Centre PJSC "House of medicine"
    Odesa, 65006, Ukraine
07

References and documents

Publications

  • Bachet JB, Wyrwicz L, Price T, Cremolini C, Phelip JM, Portales F, Ozet A, Cicin I, Atlan D, Becquart M, Vidot L, Mounedji N, Van Cutsem E, Taieb J, Falcone A. Safety, efficacy and patient-reported outcomes with trifluridine/tipiracil in pretreated metastatic colorectal cancer: results of the PRECONNECT study. ESMO Open. 2020 Jun;5(3):e000698. doi: 10.1136/esmoopen-2020-000698. PubMed 32487542 ↗
  • Ozet A, Dane F, Aykan NF, Yalcin S, Evrensel T, Ozkan M, Karabulut B, Ormeci MN, Atasev O, Vidot L, Cicin I. Safety and efficacy of trifluridine/tipiracil in previously treated metastatic colorectal cancer: PRECONNECT Turkey. Future Oncol. 2022 Sep;18(29):3267-3276. doi: 10.2217/fon-2022-0455. Epub 2022 Aug 30. PubMed 36040321 ↗
  • Zaniboni A, Barone CA, Banzi MC, Bergamo F, Blasi L, Bordonaro R, Bartolomeo MD, Costanzo FD, Frassineti GL, Garufi C, Giuliani F, Latiano TP, Martinelli E, Personeni N, Racca P, Tamburini E, Tonini G, Besse MG, Spione M, Falcone A. Italian results of the PRECONNECT study: safety and efficacy of trifluridine/tipiracil in metastatic colorectal cancer. Future Oncol. 2021 Jun;17(18):2315-2324. doi: 10.2217/fon-2020-1278. Epub 2021 Mar 5. PubMed 33663264 ↗

Individual participant data

Plan to share: Yes — Qualified scientific and medical researchers can request access to anonymized patient-level and study-level clinical trial data. Access can be requested for all interventional clinical studies: * used for Marketing Authorization (MA) of medicines and new indications approved after 1 January 2014 in the European Economic Area (EEA) or the United States (US). * where Servier is the Marketing Authorization Holder (MAH). The date of the first MA of the new medicine (or the new indication) in one of the EEA Member States will be considered for this scope. In addition, access can be requested for all interventional clinical studies in patients: * sponsored by Servier * with a first patient enrolled as of 1 January 2004 onwards * for New Chemical Entity or New Biological Entity (new pharmaceutical form excluded) for which development has been terminated before any Marketing authorization (MA) approval.

Supporting information: Study protocol, Sap, Icf, Csr

08

Registry details

Key details

Study ID
NCT03306394
Lead sponsor
Institut de Recherches Internationales Servier
Collaborators
ADIR, a Servier Group company
Responsible party
Sponsor
First posted
Oct 11, 2017
Start date
Oct 18, 2016
Primary completion
Nov 30, 2020
Completion
Nov 30, 2020
Last update
Jul 25, 2024

Oversight

Data monitoring committee
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2024. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion