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Metastatic Colorectal CancerPhase 1/2NCT03454620

A Study to Assess Safety, Efficacy, Immunogenicity, PK of GC1118 With Combination Chemotherapy

A Phase 1/2 study testing irinotecan and FOLFIRI in people with Metastatic Colorectal Cancer and Solid Tumor, run by Green Cross Corporation at 6 sites in South Korea.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of the study is to assess the safety and tolerability of GC1118 in combination with irinotecan or FOLFIRI in order to determine the maximum tolerated dose (MTD) and the recommended phase 2 dose (RP2D) Read more about this study

Who is it for?
Ages 19 years and older
Conditions the study is for
Metastatic Colorectal Cancer, Solid Tumor
What is being tested?
irinotecan and FOLFIRI
Could I receive a placebo?
No, everyone receives an active treatment
How many people
53 participants
Where
6 sitesSouth Korea
Study dates
2 Apr 2018to 10 Jan 2022
Phase
Phase 1/2
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 19 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Phase 1b: Histologically or cytologically confirmed recurrent/metastatic solid cancer patients with no available standard treatment and be expected to have the anti-tumor effect with combination of GC1118 and irinotecan or GC1118 and FOLFIRI by investigator's judgement Phase 2a: Historically or cytologically confirmed, 1) EGFR-positive, KRAS/NRAS and BRAF wild type recurrent/metastatic colorectal cancer patients who failed first line chemo or targeted therapies (fluoropyrimidine-based or oxaliplatin containing chemotherapy) or whose disease were progressed within 6 months after the last dose of above mentioned treatments; Disease progression during treatment or within 6 months after completion of adjuvant/neoadjuvant chemotherapy is also considered as first line treatment failure 2) Medically documented non-HER2 overexpression (HER2 3+ or HER2+/FISH+) and EGFR 2+ or 3+ expressing recurrent/metastatic gastric cancer patients who failed (radiologically progressed) second line chemo or targeted therapies
  • Male of female, 19 years of age or older
  • ECOS PS 0 or 1
  • Life expectancy of 3 months or longer
  • Phase 2a: Presence of at least one measurable lesion according to the RECIST criteria v1.1
  • Phase 2a: Demonstration of each cohort requirements including EGFR positive, KRAS/NRAS and BRAF wild type, EGFR 2+ or 3+ expression, and etc.
  • Adequate bone marrow function, renal function, and hepatic function
  • All AEs caused by previous anticancer therapies, including surgery, chemotherapy, and radiation therapy,have recovered to CTCAE grade 1 or below (except alopecia)

Who cannot join

  • Any of the following medical histories 1) Major surgery, open biopsy, or significant traumatic injury within 4 weeks prior to the first investigational products administration or adverse events are not resolved from such procedure or injury 2) Other malignancies (exception; any of the following status are eligible) i. Disease free for 3 years or completely resected non-melanoma skin cancer ii. Successfully treated in carcinoma in situ (CIS) iii. Ta, CIS, or T1a staged superficial bladder cancer which is completely cured iv. Papillary thyroid cancer which is not being progressed without ongoing treatment v. Prostate cancer which is surgically or medically cured and is not likely to recur within 2 years
  • Any of the following concurrent disease 1) Known brain metastasis 2) Active infection requiring systemic anti-microbial therapy 3) Human immunodeficiency virus infection or active hepatitis B or C 4) Chronic inflammatory bowel disease 5) Clinically significant interstitial lung disease or pulmonary fibrosis 6) Clinically significant hepatic disease including decompensated liver cirrhosis, etc
  • Any of the following medication histories 1) Phase 2a recurrent/metastatic colorectal cancer: Treated with irinotecan containing regimen as first line treatment for recurrent/metastatic cancer 2) Phase 2a: Prior EGFR targeting antibody therapy 3) Received chemotherapy, immunotherapy, hormone therapy, radiotherapy within 3 weeks (within 6 weeks in case of nitrosourea or mitomycin-c) prior to first investigational products administration (In phase 2, radiotherapy within 3 weeks is not restricted unless the site is measurable lesion) 4) Ongoing or requiring the prohibited medications including immunotherapy, chemotherapy, hormone therapy, or etc. 5) Received other investigational drugs with 4 weeks prior to this investigational products adminstration
  • Medically or psychologically inappropriate conditions for study participation by investigator's judgment
  • Contraindication for FOLFIRI (or irinotecan) therapy
  • Pregnant, possibly pregnant, or lactating women (Women of child bearing potential must test negative for pregnancy within 3 days prior to Cycle1 Day1
  • Refusal to use the following appropriate contraceptives during the clinical study period and for 6 months after the last adminstration of investigational products 1) Implanted intrauterine device or intrauterine system 2) Double barrier methods (Both of condom (for mate) and diaphragm, vaginal sponge, or cervical cap (for female) should be used with spermicide) 3) Surgical sterilization (vasectomy, tubal ligation, etc.)
  • Any other inappropriate conditions for study participation at investigator's discretion

Trial locations and contacts

6 sites in 1 country.

6 sites in 1 country

South Korea6 sites
  • National Cancer Center

    Gyeonggi-do

  • Seoul National University Bundang Hospital

    Gyeonggi-do

  • Chonnam National University Hwasun Hospital

    Jeonam

  • Seoul Asan Medical Center

    Seoul

  • Seoul National Universtiy Hosipital

    Seoul

  • Yonsei University Health Care System

    Seoul

Other trials in South Korea

About this study

Official title: Phase 1b/2a Study of GC1118 in Combination With Irinotecan or FOLFIRI in Patients With Recurrent/Metastatic Solid Tumor

The purpose of the study is to assess the safety and tolerability of GC1118 in combination with irinotecan or FOLFIRI in order to determine the maximum tolerated dose (MTD) and the recommended phase 2 dose (RP2D)

Read the detailed description

A Phse 1b/2a, dose-finding, open-label, prospective study

This study consists of the Phase 1b part designed to determine the MTD and RP2D of GC1118 when administered in combination with irinotecan or FOLFIRI to patients with recurrent metastatic solid tumors and the Phase 2a part designed to assess the efficacy of GC1118 in combination with FOLFIRI as second-line therapy for recurrent/metastatic colorectal cancer

Being tested
irinotecan, FOLFIRI
Medical subject headings
Colorectal Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • irinotecanDrug

    GC1118 combination with irinotecan

  • FOLFIRIDrug

    GC1118 combination with FOLFIRI

Study groups in NCT03454620
Study groupRoleWhat they receive
GC1118 combination with irinotecanExperimentalGC1118 weekly(3mg or 4mg) + irinotecan 180mg/m2 biweekly dosing
Receives: Drug: irinotecan
GC1118 combination with FOLFIRIExperimentalGC1118 weekly(3mg or 4mg) + FOLFIRI biweekly dosing
Receives: Drug: FOLFIRI

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Dose Limited Toxicity (DLT)

    Profile of DLT

    Measured: through study completion, approximately 5 months

Secondary outcomes (7)
  1. Tumor response according to RECIST 1.1 criteria

    best overall response (BOR)

    Measured: before start of treatment, every 6 weeks for the duration of treatment, up to approximately 2 years.

  2. Tumor response according to RECIST 1.1 criteria

    objective response rate (ORR)

    Measured: before start of treatment, every 6 weeks for the duration of treatment, up to approximately 2 years.

  3. Pharmacokinetics of GC1118

    area under th curve (AUC)

    Measured: through study completion, approximately 5 months

  4. Pharmacokinetics of GC1118

    half life

    Measured: through study completion, approximately 5 months

  5. Pharmacokinetics of GC1118

    clearance

    Measured: through study completion, approximately 5 months

  6. Pharmacokinetics of GC1118

    peak serum concentration (Cmax)

    Measured: through study completion, approximately 5 months

  7. Immunogenicity of GC1118

    occurrence frequency of anti-drug antibody

    Measured: every odd number cycles through treatment period, 28 days after the last treatment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Mar 2018
  2. Study start2 Apr 2018
  3. Primary completion17 Sep 2021
  4. Study completion10 Jan 2022

Resources

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 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
53 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03454620
Sponsor's protocol ID
GC1118_P12
Status last verified
Mar 2022
First submitted
13 Feb 2018
Last updated
3 Mar 2022
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing irinotecan and FOLFIRI in people with Metastatic Colorectal Cancer and Solid Tumor, run by Green Cross Corporation at 6 sites in South Korea.

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 8 inclusion and 8 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 3 Mar 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 sites in South Korea. 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 combined 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.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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?

Dose Limited Toxicity (DLT) (time frame: through study completion, approximately 5 months). 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 3 Mar 2022.

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