Cetuximab and Simvastatin in Treating Patients With Advanced or Metastatic Colorectal Cancer

Leiden University Medical Center (LUMC)

Status and phase: Unknown; Phase 2

Conditions: Colorectal Cancer

Treatments: Drug: simvastatin; Other: laboratory biomarker analysis; Biological: cetuximab

Study type: Interventional

Funder types: Other

Identifiers

NCT01190462

DUT-LUMC-838

EU-21065

NL-30642-058-10

EUDRACT-2009-017384-42

CDR0000683942 (Registry Identifier)

Details and patient eligibility

About

RATIONALE: Monoclonal antibodies, such as cetuximab, can block tumor growth in different ways. Some block the ability of tumor cells to grow and spread. Others find tumor cells and help kill them or carry tumor-killing substances to them. Simvastatin may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Simvastatin may help cetuximab work better by making tumor cells more sensitive to cetuximab. Giving cetuximab together with simvastatin may kill more tumor cells.

PURPOSE: This phase II trial is studying giving cetuximab together with simvastatin in treating patients with advanced or metastatic colorectal cancer.

Full description

OBJECTIVES:

Primary

• To determine the percentage of patients with k-ras mutant, advanced or metastatic colorectal cancer who are free from progression and alive after 12.5 weeks following the first dose of cetuximab in combination with simvastatin.

Secondary

• To determine the correlation between overall response rate, progression-free survival, overall survival, and safety with skin toxicity and efficacy.
• To determine the predictive value of PTEN, PIK3CA, b-raf, and ERK and MEK status. (exploratory)
• To determine the predictive value of SNPs, proteomics, and circulating DNA. (exploratory)
• To evaluate cholesterol, proteomics, and circulating DNA as biomarkers in this setting. (exploratory)

OUTLINE: This is a multicenter study.

Patients receive cetuximab IV weekly and oral simvastatin once daily on days 1-7. Courses repeat every 7 days in the absence of disease progression or unacceptable toxicity.

Blood samples are collected for laboratory studies at baseline, during study, and after completion of study.

After completion of study therapy, patients are followed up for 30 days.

Enrollment: 51 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

DISEASE CHARACTERISTICS:

• Diagnosis of advanced or metastatic colorectal cancer
• Progressive disease in the past 3 months
• Failed prior oxaliplatin-, fluorouracil (5-FU)-, and irinotecan-containing regimens AND have the presence of a k-ras mutation within codon 12, 13, or 61

PATIENT CHARACTERISTICS:

• WHO performance status 0-2
• Adequate organ function
• No history of toxicity during statin use
• No other malignancy within the past 5 years
• No history of severe pulmonary disease
• No clinically relevant coronary artery disease

PRIOR CONCURRENT THERAPY:

• See Disease Characteristics
• No prior epidermal growth factor receptor (EGFR)-targeting agents
• No concurrent verapamil or amiodarone