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Liposomal Irinotecan With TAS102 and Bevacizumab for Patients With Metastatic Colorectal Cancer

University of Wisconsin (UW) logo

University of Wisconsin (UW)

Status and phase

Active, not recruiting
Phase 2

Conditions

Metastatic Colorectal Cancer

Treatments

Drug: Bevacizumab
Drug: TAS102
Drug: Liposomal irinotecan

Study type

Interventional

Funder types

Other
Industry

Identifiers

NCT05854498
NCI-2023-05190 (Registry Identifier)
UW23016 (Other Identifier)
2023-0449
SMPH/MEDICINE/HEM-ONC (Other Identifier)
Protocol Version 2/16/2024 (Other Identifier)

Details and patient eligibility

About

This study is being done to see if combining liposomal irinotecan with TAS102 and bevacizumab confers clinical benefit for patients with treatment refractory metastatic colorectal cancer.

Full description

This prospective phase II, single arm, single site trial will evaluate the efficacy of the combination of liposomal irinotecan (nal-IRI), TAS102, and bevacizumab for the treatment of patients with mismatch repair proficient, metastatic or unresectable colorectal cancer that has previously been treated with 5-fluorouracil, oxaliplatin, irinotecan and if RAS wild-type an anti-EGFR agent. A total of 25 patients will be accrued at UW Carbone Cancer Center. Subject enrollment will occur over 12 months with the total duration of the trial expected to be 3 years.

Primary Objective

  • To determine the progression free survival (PFS) of patients with metastatic colorectal cancer treated in the treatment refractory setting with liposomal irinotecan in combination with TAS102 and bevacizumab.

Secondary Objectives

  • To evaluate the objective response rate (ORR) of liposomal irinotecan in combination with bevacizumab and TAS102.
  • To assess the safety and tolerability of these regimens in this setting.
  • To determine the impact of the timing of irinotecan use in prior lines of therapy on the ORR and PFS observed with these nal-IRI containing treatment regimens

Enrollment

25 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Patients must be ≥ 18 years of age
  • Eastern Cooperative Oncology Group (ECOG) performance must be 0 or 1.
  • Patients must have a histologically or cytologically confirmed diagnosis of colorectal adenocarcinoma and be metastatic or unresectable.
  • The cancer must be mismatch repair proficient.
  • Patients must have had prior treatment with 5-fluorouracil, oxaliplatin, irinotecan containing regimens. If RAS wild-type must have received prior anti-EGFR therapy with either cetuximab or panitumumab. If RAS wild-type and HER2 positive then must have had a prior HER2 targeted therapy.

Exclusion criteria

  • Uncontrolled concurrent medical illness that would not allow for the completion of the planned therapy.
  • Patients whose cancers possess BRAF V600 mutations are excluded.
  • Patients must stop the use of strong inducers/inhibitors of CYP3A4 at least 2 weeks before initiating therapy.
  • Patients must not have mismatch repair deficient or microsatellite instability high cancers.
  • Patients must not have received prior TAS102.

Trial design

Primary purpose

Treatment

Allocation

N/A

Interventional model

Single Group Assignment

Masking

None (Open label)

25 participants in 1 patient group

Participants with Metastatic or Unresectable Colorectal Cancer
Experimental group
Description:
Male and females aged 18 years and older with histologically confirmed metastatic or unresectable (not amenable to curative therapy) colorectal cancer.
Treatment:
Drug: Liposomal irinotecan
Drug: TAS102
Drug: Bevacizumab

Trial contacts and locations

1

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Central trial contact

Cancer Connect

Data sourced from clinicaltrials.gov

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