RecruitingPhase 3NCT04776655

Study in mCRC Patients RAS/BRAF wt Tissue and RAS Mutated LIquid BIopsy to Compare FOLFIRI Plus CetuxiMAb or BevacizumaB

Phase III Study in mCRC Patients With RAS/BRAF Wild Type Tissue and RAS Mutated in LIquid BIopsy to Compare in First-line Therapy FOLFIRI Plus CetuxiMAb or BevacizumaB (LIBImAb Study)


Sponsor

Azienda USL Reggio Emilia - IRCCS

Enrollment

280 participants

Start Date

Apr 30, 2021

Study Type

INTERVENTIONAL

Conditions

Summary

This study is a prospective, randomized phase III, to evaluate if in patients with mCRC RAS/BRAF wild type on tumor tissue and RAS mutations on liquid biopsy, treating in first line with antibody anti-VEGF (bevacizumab) plus chemotherapy (FOLFIRI) is superior in terms of PFS compared to standard treatment with antibody anti-EGFR (cetuximab) plus FOLFIRI, and then in patients RAS/BRAF wild type on tumor tissue who develop RAS mutations on liquid biopsy after the beginning of the first line treatment with cetuximab plus FOLFIRI, in the absence of a clinical or radiological progression disease, to anticipate a change of treatment with bevacizumab plus FOLFIRI further impacts on the PFS.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is for people with metastatic colorectal cancer (colon cancer that has spread) that has a specific genetic profile — "RAS/BRAF wild type" in the tumor tissue — who have not yet received chemotherapy for metastatic disease. It compares two treatment combinations to find out which works better based on whether a blood test (liquid biopsy) also detects a RAS mutation. **You may be eligible if...** - You are over 18 with confirmed metastatic colorectal cancer - Your tumor does not have RAS or BRAF mutations (confirmed by tissue biopsy) - Your cancer started on the left side of the colon - You have not yet received chemotherapy for metastatic disease - You have at least one measurable tumor on imaging - Your organ function is adequate **You may NOT be eligible if...** - Your tumor has a RAS or BRAF mutation in tissue testing - You have already received chemotherapy for metastatic disease - You are pregnant or breastfeeding Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGBevacizumab

This is the treatment assigned to experimental arm: All treatments will continue until disease progression, death, unacceptable toxicity, clinical decision or consent withdrawn.

DRUGCetuximab

This is the treatment assigned to control arm: All treatments will continue until disease progression, death, unacceptable toxicity, clinical decision or consent withdrawn.

DRUG5-FU

FOLFIRI regimen: This is the treatment assigned to control and to experimental arms: All treatments will continue until disease progression, death, unacceptable toxicity, clinical decision or consent withdrawn.

DRUGIrinotecan

FOLFIRI regimen: This is the treatment assigned to control and to experimental arms: All treatments will continue until disease progression, death, unacceptable toxicity, clinical decision or consent withdrawn.

DRUGCalcium levofolinate

FOLFIRI regimen: This is the treatment assigned to control and to experimental arms: All treatments will continue until disease progression, death, unacceptable toxicity, clinical decision or consent withdrawn.


Locations(4)

Ospedale San Salvatore

Coppito, L'Aquila, Italy

Ospedale Civile di Guastalla

Guastalla, Reggio Emilia, Italy

AUSL/IRCCS di Reggio Emilia

Reggio Emilia, Reggio Emilia, Italy

Azienda ULSS 3 Serenissima

Mirano, VE, Italy

View Full Details on ClinicalTrials.gov

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NCT04776655


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