Metastatic Colorectal CancerPhase 1NCT02641873
A Study of BBI608 Administrated With FOLFIRI + Bevacizumab in Adult Patients With Metastatic Colorectal Cancer
A Phase 1 study testing BBI608, 5-FU and Irinotecan in people with Metastatic Colorectal Cancer, run by Sumitomo Pharma Co., Ltd. at 2 sites in Japan.
Trial summary
This is an open-label, multicenter, phase 1 study of BBI608 in combination with FOLFIRI + Bavacizumab. This study population is adult Japanese patients with metastatic colorectal cancers in FOLFIRI + Bevacizumab combination therapy. Read more about this study
- Who is it for?
- Ages 20 years and older
- Conditions the study is for
- Metastatic Colorectal Cancer
- What is being tested?
- BBI608, 5-FU and Irinotecan
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 4 participants
- Where
- 2 sitesJapan
- Study dates
- Dec 2015to Jan 2017
- Phase
- Phase 1
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- A histologically confirmed advanced unresectable, metastatic or recurrent colorectal carcinoma
- Evaluable patient by RECISTversion 1.1
- Stage IV
- ≥ 20 years of age
- Life expectancy ≥ 3 months.
- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
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- Patients with following organ function within 14 days before enrollment (on the basis of the most recent data during the period if multiple data are available)
- Hemoglobin (Hg) ≥ 9.0 g/dL
- Neutrophil count ≥ 1.5 x 103/μL
- Platelet count ≥ 10 x 104/μL
- Aspartate transaminase (AST) and alanine transaminase (ALT) ≤ 2.5 × institutional upper limit of normal (ULN) [≤ 5 × ULN in presence of liver metastases ]
- Total bilirubin ≤ 1.5 × institutional ULN [≤ 2 × ULN in presence of liver metastases ]
- Creatinine ≤ 1.5 × institutional ULN
- Proteinuria by dipstick urine analysis ≤ 1+. [ UPCR (Urine Albumin-to-Creatinine Ratio) ≤ 1, or protein volume of 24-hour urine collection ≤ 1 g, in the case of patients with a 2+ urine dipstick reading]
- For female patient of child producing potential: Must agree to use contraception or take measures to avoid pregnancy during the study and for 30 days after the last protocol treatment dose or 6 months after Bevacizumab treatment.. For male patient of child producing potential: Must agree to use contraception or take measures to avoid pregnancy during the study and for 90 days after the last protocol treatment dose or 6 months after Bevacizumab treatment
- Females of childbearing potential have a negative urine pregnancy test
- Patients who have provided written voluntary consent in person to participate in this study after fully receiving and understanding the information about this study, including study
Who cannot join
- Anti-cancer chemotherapy, radiotherapy, immunotherapy, or hormone therapy, or heart therapy within 21 days of the first dose of BBI608
- Major surgery within 28 days prior to first dose
- Have had a brain metastases with a symptom or requiring treatment
- Have had coinstantaneously active multiple primary cancer
- Have had a carcinomatous pleural effusion, ascites, or cardiac effusion requiring treatment
- Crohn's disease, ulcerative colitis, small intestine resection, diarrhea (watery diarrhea), paralysis intestinal, Intestinal obstruction
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- Gastrointestinal perforation, tracheo-oesophageal fistula, fistula
- Unable or unwilling to swallow BBI608 capsules
- Uncontrolled inter-current illness (such as Grade 3 active infection, or serious respiratory disease)
- Uncontrolled hypertension
- Patients with recent history of hemoptysis of more than 2.5 mL of red blood within 28days before the enrolment
- Abnormal ECGs which are clinically significant within 28 days before enrolment
- Patients who are New York Heart Association (NYHA) functional classes III, or IV, or unstable angina
- Patients newly expressing angina within three months (90 days) before the enrolment
- Have had myocardial infarction within six months (180 days)before the enrolment
- Administrating with antiarrhythmic drug
- Patients who are planning to breast-feeding by whichever 30 days after the last administration of BBI608 or by 6 months after the last administration of Bevacizumab
- Patients of pregnancy or possibility of pregnancy at current time or possibility of pregnancy within 6 months after the last administration of Bevacizumab
- Have received other investigational products or not finished the assessment in any clinical study within 28 days before enrollment
- Known severe hypersensitivity to 5-FU/ levofolinate/ irinotecan/Bevacizumab
- Administration of atazanavir sulfate
- Prior treatment with BBI608
- Ineligible for participation in the study in the opinion of the Investigators
Trial locations and contacts
2 sites in 1 country.
Japan2 sites
National Cancer Center Hospital East
Kashiwa, Chiba
Aichi Cancer Center Hospital
Nagoya, Aichi
About this study
Official title: A Phase I Study of BBI608 Administered With FOLFIRI + Bevacizumab in Adult Patients With Metastatic Colorectal Cancer
This is an open-label, multicenter, phase 1 study of BBI608 in combination with FOLFIRI + Bavacizumab. This study population is adult Japanese patients with metastatic colorectal cancers in FOLFIRI + Bevacizumab combination therapy.
- Conditions
- Metastatic Colorectal Cancer
- Being tested
- BBI608, 5-FU, Irinotecan, Levofolinate, Bevacizumab
- Keywords
- metastatic Colorectal Cancer, mCRC
- Medical subject headings
- Colorectal Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BBI608Drug
240 mg twice daily (480 mg total daily dose)
5-FUDrug
400 mg/m2 bolus will be administered intravenously immediately following irinotecan/levofolinate infusion, followed by 1200 mg/m2/day (total 2400 mg/m2) continuous infusion per cycle(14 days).
IrinotecanDrug
180 mg/m2 together with levofolinate will be administered intravenously per cycle(14 days).
LevofolinateDrug
200 mg/m2 together with Irinotecan will be administered intravenously per cycle(14 days).
BevacizumabDrug
5 mg/kg will be administered intravenously following irinotecan/levofolinate infusion per cycle(14 days).
| Study group | Role | What they receive |
|---|---|---|
| BBI608 + FOLFIRI +Bevacizumab | Experimental | Not described Receives: Drug: BBI608; Drug: 5-FU; Drug: Irinotecan; Drug: Levofolinate; Drug: Bevacizumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence of adverse events (AEs), serious adverse events (SAEs) [Safety and Tolerability]
Safety and tolerability assessed by adverse events (AEs), serious adverse events (SAEs)
Measured: 12 months
Number of participants with Dose-limiting toxicities (DLT) [Safety and Tolerability]
Safety and tolerability assessed by determination of unacceptable toxicity in patients.
Measured: 12 months
Cmax (Peak plasma concentration)
Cmax (Peak plasma concentration)
Measured: Day 1: prior to BBI608 and 2,4,6,8,10,12,24 hours after the first dose.
AUC0-24h (Area under the plasma concentration versus time curve)
AUC0-24h (Area under the plasma concentration versus time curve)
Measured: Day 1: prior to BBI608 and 2,4,6,8,10,12,24 hours after the first dose.
Secondary outcomes (2)
Preliminary anti-tumour activity
The radiologic assessments will be evaluated according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 and modified RECIST for patients with metastatic colorectal cancer.
Measured: 6 months(an expected average)
Progression Free Survival (PFS)
Participants follow-up for progression free survival will occur. Maximum follow-up time is 12 months after the initial administration of the last subject.
Measured: 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Dec 2015 (estimated)
- Study startDec 2015
- Primary completionDec 2016
- Study completionJan 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Metastatic Colorectal CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 4 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sumitomo Pharma Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02641873
- Sponsor's protocol ID
- D8809001
- Status last verified
- Apr 2022
- First submitted
- 21 Dec 2015
- Last updated
- 12 Apr 2022
- Results posted
- No
Study at a glance
From the registry record, last updated by the sponsor on 12 Apr 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase I Study of BBI608 Administered With FOLFIRI + Bevacizumab in Adult Patients With Metastatic Colorectal Cancer
- ClinicalTrials.gov ID
- NCT02641873
- Acronym / sponsor ID
- D8809001
- Conditions
- Metastatic Colorectal Cancer
- Keywords
- metastatic Colorectal Cancer, mCRC
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 4 participants (actual)
- Lead sponsor
- Sumitomo Pharma Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- Dec 2015
- Primary completion
- Dec 2016 (actual)
- Study completion
- Jan 2017 (actual)
- First posted
- 30 Dec 2015 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is an open-label, multicenter, phase 1 study of BBI608 in combination with FOLFIRI + Bavacizumab. This study population is adult Japanese patients with metastatic colorectal cancers in FOLFIRI + Bevacizumab combination therapy.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| BBI608 + FOLFIRI +Bevacizumab | Experimental | Drug: BBI608, Drug: 5-FU, Drug: Irinotecan, Drug: Levofolinate, Drug: Bevacizumab |
Who may qualify
- Ages
- 20 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (17 listed)
- A histologically confirmed advanced unresectable, metastatic or recurrent colorectal carcinoma
- Evaluable patient by RECISTversion 1.1
- Stage IV
- ≥ 20 years of age
- Life expectancy ≥ 3 months.
Key exclusion criteria (23 listed)
- Anti-cancer chemotherapy, radiotherapy, immunotherapy, or hormone therapy, or heart therapy within 21 days of the first dose of BBI608
- Major surgery within 28 days prior to first dose
- Have had a brain metastases with a symptom or requiring treatment
- Have had coinstantaneously active multiple primary cancer
- Have had a carcinomatous pleural effusion, ascites, or cardiac effusion requiring treatment
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| BBI608240 mg twice daily (480 mg total daily dose) | Drug | BBI608 + FOLFIRI +Bevacizumab |
| 5-FU400 mg/m2 bolus will be administered intravenously immediately following irinotecan/levofolinate infusion, followed by 1200 mg/m2/day (total 2400 mg/m2) continuous infusion per cycle(14 days). | Drug | BBI608 + FOLFIRI +Bevacizumab |
| Irinotecan180 mg/m2 together with levofolinate will be administered intravenously per cycle(14 days). | Drug | BBI608 + FOLFIRI +Bevacizumab |
| Levofolinate200 mg/m2 together with Irinotecan will be administered intravenously per cycle(14 days). | Drug | BBI608 + FOLFIRI +Bevacizumab |
| Bevacizumab5 mg/kg will be administered intravenously following irinotecan/levofolinate infusion per cycle(14 days). | Drug | BBI608 + FOLFIRI +Bevacizumab |
Primary outcome
Incidence of adverse events (AEs), serious adverse events (SAEs) [Safety and Tolerability]
Time frame: 12 months
Safety and tolerability assessed by adverse events (AEs), serious adverse events (SAEs)
Number of participants with Dose-limiting toxicities (DLT) [Safety and Tolerability]
Time frame: 12 months
Safety and tolerability assessed by determination of unacceptable toxicity in patients.
Cmax (Peak plasma concentration)
Time frame: Day 1: prior to BBI608 and 2,4,6,8,10,12,24 hours after the first dose.
Cmax (Peak plasma concentration)
AUC0-24h (Area under the plasma concentration versus time curve)
Time frame: Day 1: prior to BBI608 and 2,4,6,8,10,12,24 hours after the first dose.
AUC0-24h (Area under the plasma concentration versus time curve)
2 secondary outcomes
Preliminary anti-tumour activity
Time frame: 6 months(an expected average)
Progression Free Survival (PFS)
Time frame: 12 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Apr 2022.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing BBI608, 5-FU and Irinotecan in people with Metastatic Colorectal Cancer, run by Sumitomo Pharma Co., Ltd. at 2 sites in Japan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 17 inclusion and 23 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 12 Apr 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in Japan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Incidence of adverse events (AEs), serious adverse events (SAEs) [Safety and Tolerability] (time frame: 12 months). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Apr 2022.