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Trial Title: A Study of Ametumumab in Combination With Anti-PD-1 Monoclonal Antibody and FOLFIRI in Patients With RAS Wild-type Advanced Colorectal Cancer

NCT ID: NCT05684211

Condition: Colorectal Cancer

Conditions: Official terms:
Colorectal Neoplasms
Cetuximab
Antibodies
Antibodies, Monoclonal

Study type: Interventional

Study phase: Phase 2

Overall status: Not yet recruiting

Study design:

Allocation: Randomized

Intervention model: Sequential Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Ametumumab
Description: A recombinant fully human anti-EGFR monoclonal antibody
Arm group label: Ametumumab (Q2W) + FOLFIRI;
Arm group label: Ametumumab (QW) + anti-PD-1 monoclonal antibody+ FOLFIRI
Arm group label: Ametumumab(Q2W) + anti-PD-1 monoclonal antibody + FOLFIRI;

Intervention type: Drug
Intervention name: Anti-PD-1 monoclonal antibody
Description: Toripalimab 3 mg/kg,Intravenous titration,Q2W
Arm group label: Ametumumab (QW) + anti-PD-1 monoclonal antibody+ FOLFIRI
Arm group label: Ametumumab(Q2W) + anti-PD-1 monoclonal antibody + FOLFIRI;

Intervention type: Drug
Intervention name: Cetuximab
Description: Cetuximab 500 mg/m2 ,Intravenous titration,Q2W
Arm group label: Cetuximab + FOLFIRI;

Intervention type: Drug
Intervention name: FOLFIRI
Description: Rinotecan hydrochloride,180mg/m2,intravenous titration,Q2W; 5 -Fluorouracil,400 mg/ m2, intravenous push, then 1200 mg/ m2 /day x 2 days, intravenous titration,Q2W; Calcium folinate,400mg/m2,intravenous titration,Q2W
Arm group label: Ametumumab (Q2W) + FOLFIRI;
Arm group label: Ametumumab (QW) + anti-PD-1 monoclonal antibody+ FOLFIRI
Arm group label: Ametumumab(Q2W) + anti-PD-1 monoclonal antibody + FOLFIRI;
Arm group label: Cetuximab + FOLFIRI;

Summary: This is a multicenter, open-label, parallel-group, randomised, A phase IIb clinical trial of efficacy and safety of Ametumumab in combination with anti-PD-1 monoclonal antibody and FOLFIRI versus Ametumumab or Cetuximab in combination with FOLFIRI in patients with RAS wild-type advanced colorectal cancer.

Detailed description: This is a multicenter, open-label, parallel-group, randomised, phase IIb trial. This study is to evaluate and compare the efficacy and safety of Ametumumab (anti-EGFR monoclonal antibody) combined with anti-PD-1 monoclonal antibody in first-line treatment of RAS wild-type colorectal cancer patients, as well as to assess the immunogenicity and pharmacokinetic profile and recommend dosing regimen for phase III clinical trials.Conditions and keywords.

Criteria for eligibility:
Criteria:
Inclusion Criteria: Voluntarily sign written informed consent; Age 18 ~ 85 years (inclusive), male or female; •Patients requiring first-line treatment for locally advanced colorectal cancer with distant metastasis or unresectable disease; Histologically or cytologically confirmed adenocarcinoma of the colon or rectum; RAS (KRAS, NRAS) gene is wild-type and no BRAF V600E mutation has been identified; Presence of at least one measurable lesion (non-radiation field) confirmed by CT or MRI that meets RECIST 1.1 criteria; Performance status (ECOG) score 0 or 1. Exclusion Criteria: Previous chemotherapy for colorectal cancerPrevious treatment with anti-EGFR monoclonal antibodies Received systemic anti-tumor treatment approved or of other clinical studies within 4 weeks prior to the first dose. Radiotherapy or surgery within 4 weeks prior to enrollment, except for diagnostic biopsy Participation in other clinical trials within 4 weeks prior to enrollment; Severe skin disease requiring systemic treatment. Presence of serious clinical infection.\ Uncontrolled pleural effusion, pericardial effusion or peritoneal effusion after treatment.

Gender: All

Minimum age: 18 Years

Maximum age: 85 Years

Healthy volunteers: No

Locations:

Facility:
Name: Sir Run Run Shaw Hospital, Zhejiang University School of Medicine

Address:
City: Hangzhou
Zip: 310000
Country: China

Contact:
Last name: Hongming Pan, MD

Phone: 13605716662
Email: panhongming@zju.edu.cn

Start date: January 2023

Completion date: January 2023

Lead sponsor:
Agency: Shanghai Celfuture Biotech Co., Ltd.
Agency class: Industry

Source: Shanghai Celfuture Biotech Co., Ltd.

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05684211

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