Title An Open-label Randomized Phase 3 Study of Tucatinib in Combination With Trastuzumab and mFOLFOX6 Versus mFOLFOX6 Given With or Without Either Cetuximab or Bevacizumab as First-line Treatment for Subjects With HER2+ Metastatic Colorectal Cancer
Protocole ID MOUNTAINEER-03
ClinicalTrials.gov ID NCT05253651
Cancer Type(s) Colon and Rectum
Phase Phase III
Stage Metastatic
Study Type Clinical
Drug Tucatinib en association avec trastuzumab et mFOLFOX6 versus mFOLFOX6 avec ou sans cétuximab ou bévacizumab
Institution CIUSSS DU CENTRE-OUEST-DE-L'ILE-DE-MONTREAL
   HOPITAL GENERAL JUIF SIR MORTIMER B.DAVIS
      3755 rue de la Côte Ste. Catherine, Montréal, QC, H3T 1E2
City
Principal Investigator Dr. Petr Kavan
Coordinator Oleg Lapsin
514-340-8222 poste 28437
Status Recruiting
Activation Date 23-01-2023
Eligibility Criteria
  • Histologically and/or cytologically confirmed adenocarcinoma of the colon or rectum which is metastatic and/or unresectable
  • Able to provide the most recently available formalin-fixed paraffin-embedded (FFPE) tumor tissue blocks (or freshly sectioned slides) obtained prior to treatment initiation to a central laboratory
    • If archival tissue is not available, a newly-obtained baseline biopsy of an accessible tumor lesion is required within 35 days prior to start of study treatment
  • HER2+ disease as determined by a tissue based assay performed at a central laboratory.
  • Participant has rat sarcoma viral oncogene homolog wild-type (RAS WT) disease as determined by local or central testing
  • Radiographically measurable disease per RECIST v1.1 with:
    • At least one site of disease that is measurable and that has not been previously irradiated, or
    • If the participant has had previous radiation to the target lesion(s), there must be evidence of progression since the radiation
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
  • CNS Inclusion - based on contrast brain magnetic resonance imaging, participants may have any of the following:
    • No evidence of brain metastases
    • Previously treated brain metastases which are asymptomatic
Exclusion Criteria
  • Prior systemic anticancer therapy for colorectal cancer (CRC) in the metastatic setting
    • May have received chemotherapy for CRC in the adjuvant setting if it was completed >6 months prior to enrollment
  • Radiation therapy within 14 days prior to enrollment (or within 7 days in the setting of stereotactic radiosurgery)
  • Previous treatment with anti-HER2 therapy
  • Ongoing Grade 3 or higher neuropathy
  • GI perforation within 12 months of enrollment