Safety and Pharmacokinetics of Regorafenib and Cetuximab in Combination



Status:Completed
Conditions:Cancer
Therapuetic Areas:Oncology
Healthy:No
Age Range:18 - Any
Updated:5/16/2018
Start Date:November 21, 2013
End Date:April 3, 2018

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A Phase 1b, Multi-center, Non-randomized, Open Label, Dose Escalation Design Study of Regorafenib (BAY73-4506) in Combination With Cetuximab in Subjects With Locally Advanced or Metastatic Solid Tumors Who Are Not Candidates for Standard Therapy or in Whom Regorafenib or Cetuximab is Considered as a Standard Treatment

To establish safety, tolerability and pharmacokinetics of regorafenib and cetuximab in
combination, and to determine the maximum tolerated dose (MTD) and recommended Phase 2 dose
(RP2D)


Inclusion Criteria:

- Patients with histologically or cytologically confirmed, locally advanced or
metastatic solid tumors who are not candidates for standard therapy or in whom
regorafenib or cetuximab is considered a standard treatment. Patients with metastatic
colorectal cancer (mCRC) must have a record of K-ras gene mutational analysis
available and no K-ras mutation is present.

- Male or female patients ≥ 18 years of age

- Women of childbearing potential must have a blood or urine pregnancy test performed a
maximum of 7 days before start of study treatment, and a negative result must be
documented before start of study treatment

- Life expectancy of at least 3 months

- Adequate bone marrow, liver and renal function as assessed by the following laboratory
requirements conducted within 7 days of starting the study treatment:

- Platelet count ≥ 100,000/cubic millimeters (mm3), hemoglobin (Hb) ≥ 8.5 g/dl,
leukocyte count > 3,000/mm3, absolute neutrophil count (ANC) ≥ 1,000/mm3

- Total bilirubin ≤ 1.5 x the upper limit of normal (ULN). Mildly elevated total
bilirubin (< 6 mg/dL) is allowed if Gilbert's syndrome is documented.

- Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 2.5 x ULN
(≤ 5 x ULN for subjects with liver involvement of their cancer)

- Alkaline phosphatase limit ≤ 2.5 x ULN (≤ 5 x ULN for subjects whose cancer
involves their liver).

- Amylase and lipase ≤ 1.5 x ULN

- Serum creatinine ≤ 1.5 times ULN and creatinine clearance (CLcr) ≥ 30 mL/min
according to the Cockroft-Gault formula

- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1

Exclusion Criteria:

- Prior treatment with Regorafenib

- Prior discontinuation of cetuximab treatment due to toxicity or intolerance of
cetuximab

- Major surgical procedure, open biopsy, or significant traumatic injury within 28 days
before start of study medication

- Non-healing wound, ulcer, or bone fracture

- Systemic anticancer therapy within 28 days

- Patients unable to swallow and retain oral medications
We found this trial at
4
sites
12605 East 16th Avenue
Aurora, Colorado 80045
720-848-0000
University of Colorado Hospital, Site Top medical professionals, superior medicine and progressive change make University...
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Los Angeles, California 90033
213) 740-2311
University of Southern California The University of Southern California is one of the world’s leading...
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660 S Euclid Ave
Saint Louis, Missouri 63110
(314) 362-5000
Washington University School of Medicine Washington University Physicians is the clinical practice of the School...
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Saint Louis, MO
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