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NCT02928224 · CITED IN SOURCE DOCUMENTS

Study of Encorafenib + Cetuximab Plus or Minus Binimetinib vs. Irinotecan/Cetuximab or Infusional 5-Fluorouracil (5-FU)/Folinic Acid (FA)/Irinotecan (FOLFIRI)/Cetuximab With a Safety Lead-in of Encorafenib + Binimetinib + Cetuximab in Patients With BRAF V600E-mutant Metastatic Colorectal Cancer

An NCI or FDA source cites this study. A citation does not establish that it applies to an individual diagnosis.

Phase
PHASE3
Status at capture
COMPLETED
Registry last update
2023-12-21

This is a multicenter, randomized, open-label, 3-arm Phase 3 study to evaluate encorafenib + cetuximab plus or minus binimetinib versus Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab, as controls, in patients with BRAFV600E mCRC whose disease has progressed after 1 or 2 prior regimens in the metastatic setting. The study contains a Safety Lead-in Phase in which the safety and tolerability of encorafenib + binimetinib + cetuximab will be assessed prior to the Phase 3 portion of the study.

Open the original ClinicalTrials.gov record → · Download preserved record

What did the study report?

Outcomes, safety and baseline populations are separate source sections. Quality-of-life measures appear under their original outcome titles.

flow

Participant flow

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baseline

Baseline characteristics

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outcome · POSTED

(Safety Lead-in) Number of Participants With Dose-Limiting Toxicities (DLTs)

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outcome · POSTED

(Safety Lead-in) Number of Participants With Adverse Events (AEs)

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outcome · POSTED

(Safety Lead-in) Incidence of Dose Interruptions, Dose Modifications and Discontinuations Due to Adverse Events (AEs) - Interim Analysis

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outcome · POSTED

(Safety Lead-in) Incidence of Dose Interruptions, Dose Modifications and Discontinuations Due to Adverse Events (AEs) - Final Analysis

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outcome · POSTED

(Phase 3) Overall Survival (OS) of Triplet Arm vs. Control Arm - Interim Analysis

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outcome · POSTED

(Phase 3) Overall Survival (OS) of Triplet Arm vs. Control Arm - Final Analysis

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outcome · POSTED

(Phase 3) Objective Response Rate (ORR) by Blinded Independent Central Review (BICR) Per Response Evaluation Criteria in Solid Tumors (RECIST), v1.1 of Triplet Arm vs. Control Arm

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outcome · POSTED

(Safety Lead-in) Objective Response Rate (ORR) by Investigator

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outcome · POSTED

(Safety Lead-in) Objective Response Rate (ORR) by BICR

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outcome · POSTED

(Safety Lead-in) Duration of Response (DOR) by Investigator

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outcome · POSTED

(Safety Lead-in) Duration of Response (DOR) by BICR

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outcome · POSTED

(Safety Lead-in) Time to Response by Investigator

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outcome · POSTED

(Safety Lead-in) Time to Response by BICR

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outcome · POSTED

(Safety Lead-in) Progression-Free Survival (PFS) by Investigator

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outcome · POSTED

(Safety Lead-in) Progression-Free Survival (PFS) by BICR

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outcome · POSTED

(Phase 3) Overall Survival (OS) in Doublet Arm vs. Control Arm

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outcome · POSTED

(Phase 3) Overall Survival (OS) in Triplet Arm vs. Doublet Arm

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outcome · POSTED

(Phase 3) Comparison of Progression-Free Survival (PFS) in Triplet Arm vs Control Arm Per BICR

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outcome · POSTED

(Phase 3) Comparison of Progression-free Survival (PFS) in Triplet Arm vs Control Arm Per Investigator

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outcome · POSTED

(Phase 3) Comparison of Progression-Free Survival (PFS) in Doublet Arm vs Control Arm Per BICR

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outcome · POSTED

(Phase 3) Comparison of Progression-Free Survival (PFS) in Doublet Arm vs Control Arm Per Investigator

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outcome · POSTED

(Phase 3) Comparison of Progression-Free Survival (PFS) in Triplet Arm vs Doublet Arm Per BICR

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outcome · POSTED

(Phase 3) Comparison of Progression-Free Survival (PFS) in Triplet Arm vs Doublet Arm Per Investigator

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outcome · POSTED

(Phase 3) Comparison of Objective Response Rate (ORR) in Triplet Arm vs Control Arm Per Investigator

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outcome · POSTED

(Phase 3) Comparison of Objective Response Rate (ORR) in Doublet Arm vs Control Arm Per BICR

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outcome · POSTED

(Phase 3) Comparison of Objective Response Rate (ORR) in Doublet Arm vs Control Arm Per Investigator

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outcome · POSTED

(Phase 3) Comparison of Objective Response Rate (ORR) in Triplet Arm vs Doublet Arm Per BICR

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outcome · POSTED

(Phase 3) Comparison of Objective Response Rate (ORR) in Triplet Arm vs Doublet Arm Per Investigator

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outcome · POSTED

(Phase 3) Comparison of Duration of Response (DOR) in Triplet Arm vs Control Arm Per BICR

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outcome · POSTED

(Phase 3) Comparison of Duration of Response (DOR) in Triplet Arm vs Control Arm Per Investigator

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outcome · POSTED

(Phase 3) Comparison of Duration of Response (DOR) in Doublet Arm vs Control Arm Per BICR

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outcome · POSTED

(Phase 3) Comparison of Duration of Response (DOR) in Doublet Arm vs Control Arm Per Investigator

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outcome · POSTED

(Phase 3) Comparison of Duration of Response (DOR) in Triplet Arm vs Doublet Arm by BICR

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outcome · POSTED

(Phase 3) Comparison of Duration of Response (DOR) in Triplet Arm vs Doublet Arm by Investigator

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outcome · POSTED

(Phase 3) Comparison of Time to Response in Triplet Arm vs Control Arm Per BICR

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outcome · POSTED

(Phase 3) Comparison of Time to Response in Triplet Arm vs Control Arm Per Investigator

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outcome · POSTED

(Phase 3) Comparison of Time to Response in Doublet Arm vs Control Arm Per BICR

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outcome · POSTED

(Phase 3) Comparison of Time to Response in Doublet Arm vs Control Arm Per Investigator

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outcome · POSTED

(Phase 3) Comparison of Time to Response in Triplet Arm vs Doublet Arm Per BICR

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outcome · POSTED

(Phase 3) Comparison of Time to Response in Triplet Arm vs Doublet Arm Per Investigator

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outcome · POSTED

(Phase 3) Change From Baseline in the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire for Cancer Participants (QLQ-C30) Triplet Arm vs Control Arm, Doublet Arm vs Control, and Triplet vs Doublet

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outcome · POSTED

(Phase 3) Change From Baseline in the Functional Assessment of Cancer Therapy-Colon Cancer (FACT-C) in Triplet Arm vs Control Arm, Doublet Arm vs Control, and Triplet vs Doublet

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outcome · POSTED

(Phase 3) Change From Baseline in the EuroQol-5D-5L Visual Analog Scale (EQ-5D-5L VAS) in Triplet Arm vs Control Arm, Doublet Arm vs Control, and Triplet vs Doublet

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outcome · POSTED

(Phase 3) Change From Baseline in the Participant Global Impression of Change (PGIC) in Triplet Arm vs Control Arm, Doublet Arm vs Control, and Triplet vs Doublet

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outcome · POSTED

(Safety Lead-in) Evaluation of the Area Under the Concentration-Time Curve From Zero to the Last Measurable Time Point (AUClast) for Cetuximab

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outcome · POSTED

(Safety Lead-in) Evaluation of the Area Under the Concentration-Time Curve From Zero to the Last Measurable Time Point (AUClast) for Encorafenib

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outcome · POSTED

(Safety Lead-in) Evaluation of the Area Under the Concentration-Time Curve From Zero to the Last Measurable Time Point (AUClast) for Binimetinib

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outcome · POSTED

(Safety Lead-in) Evaluation of the Area Under the Concentration-time Curve From Zero to the Last Measurable Time Point (AUClast) for Metabolite of Binimetinib (AR00426032)

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outcome · POSTED

(Safety Lead-in) Evaluation of the Maximum Concentration (Cmax) for Cetuximab

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outcome · POSTED

(Safety Lead-in) Evaluation of the Maximum Concentration (Cmax) for Encorafenib

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outcome · POSTED

(Safety Lead-in) Evaluation of the Maximum Concentration (Cmax) for Binimetinib

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outcome · POSTED

(Safety Lead-in) Evaluation of the Maximum Concentration (Cmax) for Metabolite of Binimetinib (AR00426032)

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outcome · POSTED

(Safety Lead-in) Evaluation of the Time of Maximum Observed Concentration (Tmax) for Cetuximab

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outcome · POSTED

(Safety Lead-in) Evaluation of the Time of Maximum Observed Concentration (Tmax) for Encorafenib

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outcome · POSTED

(Safety Lead-in) Evaluation of the Time of Maximum Observed Concentration (Tmax) for Binimetinib

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outcome · POSTED

(Safety Lead-in) Evaluation of the Time of Maximum Observed Concentration (Tmax) for Metabolite of Binimetinib (AR00426032)

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outcome · POSTED

(Safety Lead-in) Evaluation of the Steady-State Concentration Measured Just Before the Next Dose of Study Drug (Ctrough) for Binimetinib

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outcome · POSTED

(Safety Lead-in) Evaluation of the Steady-State Concentration Measured Just Before the Next Dose of Study Drug (Ctrough) for Encorafenib

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outcome · POSTED

(Safety Lead-in) Evaluation of the Steady-State Concentration Measured Just Before the Next Dose of Study Drug (Ctrough) for Cetuximab

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outcome · POSTED

(Safety Lead-in) Evaluation of the Steady-State Concentration Measured Just Before the Next Dose of Study Drug (Ctrough) for a Metabolite of Binimetinib

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outcome · POSTED

(Phase 3) Evaluation of the Model-Based Oral Clearance (CL/F) for Encorafenib

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outcome · POSTED

(Phase 3) Evaluation of the Model-Based Oral Clearance (CL/F) for Binimetinib

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outcome · POSTED

(Phase 3) Evaluation of the Model-Based Clearance (CL) for Cetuximab

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outcome · POSTED

Phase 3: Number of Participants With Clinically Notable Shifts in Hematology and Coagulation Laboratory Parameters

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outcome · POSTED

Phase 3: Number of Participants With Clinically Notable Shifts in Serum Chemistry Laboratory Parameters

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outcome · POSTED

Phase 3: Number of Participants With Clinically Notable Shifts in Urinalysis Laboratory Parameters

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outcome · POSTED

Phase 3: Number of Participants With Newly Occurring Clinically Notable Vital Sign Abnormalities

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outcome · POSTED

Phase 3: Number of Participants With Newly Occurring Clinically Notable Electrocardiogram (ECG) Values

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outcome · POSTED

Phase 3: Number of Participants With Shift in Visual Acuity Logarithm of the Minimum Angle of Resolution (LogMAR) Score

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outcome · POSTED

Phase 3: Number of Participants With Shifts in Left Ventricular Ejection Fraction (LVEF) From Baseline to Maximum Grade On-treatment

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adverse events

Adverse events

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more info

Limitations, agreements, and source contact

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Who could take part
eligibility Criteria
Key Inclusion Criteria: * Age ≥ 18 years at time of informed consent * Histologically- or cytologically-confirmed CRC that is metastatic * Presence of BRAFV600E in tumor tissue as previously determined by a local assay at any time prior to Screening or by the central laboratory * Progression of disease after 1 or 2 prior regimens in the metastatic setting * Evidence of measurable or evaluable non-measurable disease per RECIST, v1.1 * Adequate bone marrow, cardiac, kidney and liver function * Able to take oral medications * Female patients are either postmenopausal for at least 1 year, are surgically sterile for at least 6 weeks, or must agree to take appropriate precautions to avoid pregnancy from screening through follow-up if of childbearing potential * Males must agree to take appropriate precautions to avoid fathering a child from screening through follow-up Key Exclusion Criteria: * Prior treatment with any RAF inhibitor, MEK inhibitor, cetuximab, panitumumab or other epidermal growth factor receptor (EGFR) inhibitors * Prior irinotecan hypersensitivity or toxicity that would suggest an inability to tolerate irinotecan 180 mg/m2 every 2 weeks * Symptomatic brain metastasis or leptomeningeal disease * History or current evidence of retinal vein occlusion or current risk factors for retinal vein occlusion (e.g., uncontrolled glaucoma or ocular hypertension, history of hyperviscosity or hypercoagulability syndromes) * Known history of acute or chronic pancreatitis * History of chronic inflammatory bowel disease or Crohn's disease requiring medical intervention (immunomodulatory or immunosuppressive medications or surgery) ≤12 months prior to randomization * Uncontrolled blood pressure despite medical treatment * Impaired GI function or disease that may significantly alter the absorption of encorafenib or binimetinib (e.g., ulcerative diseases, uncontrolled vomiting, malabsorption syndrome, small bowel resection with decreased intestinal absorption) * Concurrent or previous other malignancy within 5 years of study entry, except cured basal or squamous cell skin cancer, superficial bladder cancer, prostate intraepithelial neoplasm, carcinoma in-situ of the cervix, or other noninvasive or indolent malignancy * History of thromboembolic or cerebrovascular events ≤ 6 months prior to starting study treatment, including transient ischemic attacks, cerebrovascular accidents, deep vein thrombosis or pulmonary emboli * Concurrent neuromuscular disorder that is associated with the potential of elevated creatine (phosphor)kinase (CK) (e.g., inflammatory myopathies, muscular dystrophy, amyotrophic lateral sclerosis, spinal muscular atrophy) * Residual common terminology criteria for adverse events (CTCAE) ≥ Grade 2 toxicity from any prior anticancer therapy, with the exception of Grade 2 alopecia or Grade 2 neuropathy * Known history of HIV infection * Active hepatitis B or hepatitis C infection * Known history of Gilbert's syndrome * Known contraindication to receive cetuximab or irinotecan at the planned doses
healthy Volunteers
false
minimum Age
18 Years
sex
ALL
std Ages
  1. ADULT
  2. OLDER_ADULT
Treatment arms and interventions
arm Groups
  1. description
    Encorafenib + binimetinib + cetuximab.
    intervention Names
    1. Drug: Encorafenib
    2. Drug: Binimetinib
    3. Drug: Cetuximab
    label
    Safety Lead-in, Triplet Arm
    type
    EXPERIMENTAL
  2. description
    Encorafenib + cetuximab.
    intervention Names
    1. Drug: Encorafenib
    2. Drug: Cetuximab
    label
    Doublet Arm
    type
    EXPERIMENTAL
  3. description
    Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab.
    intervention Names
    1. Drug: Cetuximab
    2. Drug: Irinotecan
    3. Drug: Folinic Acid
    4. Drug: 5-Fluorouracil
    label
    Control Arm
    type
    ACTIVE_COMPARATOR
interventions
  1. arm Group Labels
    1. Doublet Arm
    2. Safety Lead-in, Triplet Arm
    description
    Orally, once daily.
    name
    Encorafenib
    type
    DRUG
  2. arm Group Labels
    1. Safety Lead-in, Triplet Arm
    description
    Orally, twice daily.
    name
    Binimetinib
    type
    DRUG
  3. arm Group Labels
    1. Control Arm
    2. Doublet Arm
    3. Safety Lead-in, Triplet Arm
    description
    Standard of care.
    name
    Cetuximab
    type
    DRUG
  4. arm Group Labels
    1. Control Arm
    description
    Standard of care.
    name
    Irinotecan
    type
    DRUG
  5. arm Group Labels
    1. Control Arm
    description
    Standard of care.
    name
    Folinic Acid
    other Names
    1. FA
    type
    DRUG
  6. arm Group Labels
    1. Control Arm
    description
    Standard of care.
    name
    5-Fluorouracil
    other Names
    1. 5-FU
    type
    DRUG
Study design
allocation
RANDOMIZED
intervention Model
SEQUENTIAL
masking Info
masking
NONE
primary Purpose
TREATMENT
Enrollment
count
702
type
ACTUAL
Registered outcome plans (not posted results)
other Outcomes
  1. description
    OS was defined as the time from randomization to death due to any cause.
    measure
    (Phase 3) Overall Survival (OS) of Triplet Arm vs. Control Arm - Final Analysis
    time Frame
    From randomization to death due to any cause (maximum treatment exposure of 277.4 weeks for triplet arm and 108 weeks for control arm)
primary Outcomes
  1. measure
    (Safety Lead-in) Number of Participants With Dose-Limiting Toxicities (DLTs)
    time Frame
    Cycle 1 (up to 28 days)
  2. description
    An AE is any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study drug, whether or not considered related to the study drug. Number of participants reporting AEs were reported in this outcome measure.
    measure
    (Safety Lead-in) Number of Participants With Adverse Events (AEs)
    time Frame
    Duration of safety lead-in, approximately 6 months (up to 28 days per cycle)
  3. description
    An AE is any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study drug, whether or not considered related to the study drug. Number of participants with dose interruptions, dose modifications and dose discontinuations due to AEs were reported in this outcome measure.
    measure
    (Safety Lead-in) Incidence of Dose Interruptions, Dose Modifications and Discontinuations Due to Adverse Events (AEs) - Interim Analysis
    time Frame
    Duration of safety lead-in, approximately 6 months (up to 28 days per cycle)
  4. description
    An AE is any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study drug, whether or not considered related to the study drug. Number of participants according to incidence of dose interruptions, dose modifications and dose discontinuations due to AEs were reported in this outcome measure.
    measure
    (Safety Lead-in) Incidence of Dose Interruptions, Dose Modifications and Discontinuations Due to Adverse Events (AEs) - Final Analysis
    time Frame
    From start of study treatment until 30 days post last dose of study treatment (maximum treatment exposure of 280 weeks)
  5. description
    OS was defined as the time from randomization to death due to any cause.
    measure
    (Phase 3) Overall Survival (OS) of Triplet Arm vs. Control Arm - Interim Analysis
    time Frame
    From randomization to death due to any cause until 204 deaths were observed (maximum treatment exposure of 89.1 weeks for triplet arm and 52.4 weeks for control arm)
  6. description
    ORR per RECIST, v1.1, was defined as the percentage of participants achieving an overall best response of complete response (CR) or partial response (PR), where CR: disappearance of all target and non-target lesions and normalization of tumor marker level, all lymph nodes must be non-pathological in size (\<10 millimeter \[mm\] short axis), and PR: at least 30% decrease in sum of diameters of target lesions, taking as reference the baseline sum diameters persistence of one or more non-target lesions and/or maintenance of tumor marker level above the normal limits.
    measure
    (Phase 3) Objective Response Rate (ORR) by Blinded Independent Central Review (BICR) Per Response Evaluation Criteria in Solid Tumors (RECIST), v1.1 of Triplet Arm vs. Control Arm
    time Frame
    Duration of Phase 3, approximately 6 months (up to 28 days per cycle)
secondary Outcomes
  1. description
    ORR per RECIST, v1.1, was defined as the percentage of participants achieving an overall best response of CR or PR, where CR: disappearance of all target and non-target lesions and normalization of tumor marker level, all lymph nodes must be non-pathological in size (\<10 mm short axis), and PR: at least 30% decrease in sum of diameters of target lesions, taking as reference the baseline sum diameters persistence of one or more non-target lesions and/or maintenance of tumor marker level above the normal limits.
    measure
    (Safety Lead-in) Objective Response Rate (ORR) by Investigator
    time Frame
    From start of study treatment until 30 days post last dose of study treatment (maximum treatment exposure of 280 weeks)
  2. description
    ORR per RECIST, v1.1, was defined as the percentage of participants achieving an overall best response of CR or PR, where CR: disappearance of all target and non-target lesions and normalization of tumor marker level, all lymph nodes must be non-pathological in size (\<10 mm short axis), and PR: at least 30% decrease in sum of diameters of target lesions, taking as reference the baseline sum diameters persistence of one or more non-target lesions and/or maintenance of tumor marker level above the normal limits.
    measure
    (Safety Lead-in) Objective Response Rate (ORR) by BICR
    time Frame
    From start of study treatment until 30 days post last dose of study treatment (maximum treatment exposure of 280 weeks)
  3. description
    DOR was defined as the time from first radiographic evidence of response to the earliest documented disease progression (PD) or death due to underlying disease. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
    measure
    (Safety Lead-in) Duration of Response (DOR) by Investigator
    time Frame
    From time of response to the earliest documented PD or death due to underlying disease (maximum treatment exposure of 280 weeks)
  4. description
    DOR was defined as the time from first radiographic evidence of response to the earliest documented PD or death due to underlying disease. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
    measure
    (Safety Lead-in) Duration of Response (DOR) by BICR
    time Frame
    From time of response to the earliest documented PD or death due to underlying disease (maximum treatment exposure of 280 weeks)
  5. description
    Time to response was defined as the time from first dose to first radiographic evidence of response.
    measure
    (Safety Lead-in) Time to Response by Investigator
    time Frame
    From first dose to first radiographic evidence of response (maximum treatment exposure of 280 weeks)
  6. description
    Time to response was defined as the time from first dose to first radiographic evidence of response.
    measure
    (Safety Lead-in) Time to Response by BICR
    time Frame
    From first dose to first radiographic evidence of response (maximum treatment exposure of 280 weeks)
  7. description
    PFS was defined as the time from first dose to the earliest documented PD or death due to any cause. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
    measure
    (Safety Lead-in) Progression-Free Survival (PFS) by Investigator
    time Frame
    From first dose to the earliest documented PD or death due to any cause (maximum treatment exposure of 280 weeks)
  8. description
    PFS was defined as the time from first dose to the earliest documented PD or death due to any cause. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
    measure
    (Safety Lead-in) Progression-Free Survival (PFS) by BICR
    time Frame
    From first dose to the earliest documented PD or death due to any cause (maximum treatment exposure of 280 weeks)
  9. description
    OS was defined as the time from randomization to death due to any cause.
    measure
    (Phase 3) Overall Survival (OS) in Doublet Arm vs. Control Arm
    time Frame
    From randomization to death due to any cause until 204 deaths were observed (maximum treatment exposure of 89.7 weeks for doublet arm and 52.4 weeks for control arm)
  10. description
    OS was defined as the time from randomization to death due to any cause.
    measure
    (Phase 3) Overall Survival (OS) in Triplet Arm vs. Doublet Arm
    time Frame
    From randomization to death due to any cause until 204 deaths were observed (maximum treatment exposure of 89.7 weeks for doublet arm and 89.1 weeks for triplet arm)
  11. description
    PFS was defined as the time from first dose to the earliest documented PD or death due to any cause. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
    measure
    (Phase 3) Comparison of Progression-Free Survival (PFS) in Triplet Arm vs Control Arm Per BICR
    time Frame
    From first dose to the earliest documented PD or death due to any cause (maximum treatment exposure of 277.4 weeks for triplet arm and 108 weeks for control arm)
  12. description
    PFS was defined as the time from first dose to the earliest documented PD or death due to any cause. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
    measure
    (Phase 3) Comparison of Progression-free Survival (PFS) in Triplet Arm vs Control Arm Per Investigator
    time Frame
    From first dose to the earliest documented PD or death due to any cause (maximum treatment exposure of 277.4 weeks for triplet arm and 108 weeks for control arm)
Full study description
brief Summary
This is a multicenter, randomized, open-label, 3-arm Phase 3 study to evaluate encorafenib + cetuximab plus or minus binimetinib versus Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab, as controls, in patients with BRAFV600E mCRC whose disease has progressed after 1 or 2 prior regimens in the metastatic setting. The study contains a Safety Lead-in Phase in which the safety and tolerability of encorafenib + binimetinib + cetuximab will be assessed prior to the Phase 3 portion of the study.
Source references
references
  1. citation
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    pmid
    39313594
    type
    DERIVED
  2. citation
    Taieb J, Lonardi S, Desai J, Folprecht G, Gallois C, Marques EP, Khan S, Castagne C, Wasan H. Adverse Events Associated with Encorafenib Plus Cetuximab in Patients with BRAFV600E-mutant Metastatic Colorectal Cancer: An in-depth Analysis of the BEACON CRC Study. Clin Colorectal Cancer. 2023 Mar;22(1):59-66. doi: 10.1016/j.clcc.2022.12.003. Epub 2022 Dec 24.
    pmid
    36653241
    type
    DERIVED
  3. citation
    Stintzing S, Seufferlein T, Rose C, Reichenbach F, Luftner D. Encorafenib in Combination With Cetuximab After Systemic Therapy in Patients With BRAFV600E Mutant Metastatic Colorectal Cancer: German Health Technology Assessment-Driven Analyses From the BEACON CRC Study. Clin Colorectal Cancer. 2022 Sep;21(3):244-251. doi: 10.1016/j.clcc.2022.04.002. Epub 2022 May 5.
    pmid
    35654691
    type
    DERIVED
  4. citation
    Kopetz S, Grothey A, Van Cutsem E, Yaeger R, Wasan H, Yoshino T, Desai J, Ciardiello F, Loupakis F, Hong YS, Steeghs N, Guren TK, Arkenau HT, Garcia-Alfonso P, Belani A, Zhang X, Tabernero J. Quality of life with encorafenib plus cetuximab with or without binimetinib treatment in patients with BRAF V600E-mutant metastatic colorectal cancer: patient-reported outcomes from BEACON CRC. ESMO Open. 2022 Jun;7(3):100477. doi: 10.1016/j.esmoop.2022.100477. Epub 2022 May 30.
    pmid
    35653981
    type
    DERIVED
  5. citation
    Tabernero J, Grothey A, Van Cutsem E, Yaeger R, Wasan H, Yoshino T, Desai J, Ciardiello F, Loupakis F, Hong YS, Steeghs N, Guren TK, Arkenau HT, Garcia-Alfonso P, Elez E, Gollerkeri A, Maharry K, Christy-Bittel J, Kopetz S. Encorafenib Plus Cetuximab as a New Standard of Care for Previously Treated BRAF V600E-Mutant Metastatic Colorectal Cancer: Updated Survival Results and Subgroup Analyses from the BEACON Study. J Clin Oncol. 2021 Feb 1;39(4):273-284. doi: 10.1200/JCO.20.02088.
    pmid
    33503393
    type
    DERIVED
  6. citation
    Kopetz S, Grothey A, Yaeger R, Van Cutsem E, Desai J, Yoshino T, Wasan H, Ciardiello F, Loupakis F, Hong YS, Steeghs N, Guren TK, Arkenau HT, Garcia-Alfonso P, Pfeiffer P, Orlov S, Lonardi S, Elez E, Kim TW, Schellens JHM, Guo C, Krishnan A, Dekervel J, Morris V, Calvo Ferrandiz A, Tarpgaard LS, Braun M, Gollerkeri A, Keir C, Maharry K, Pickard M, Christy-Bittel J, Anderson L, Sandor V, Tabernero J. Encorafenib, Binimetinib, and Cetuximab in BRAF V600E-Mutated Colorectal Cancer. N Engl J Med. 2019 Oct 24;381(17):1632-1643. doi: 10.1056/NEJMoa1908075. Epub 2019 Sep 30.
    pmid
    31566309
    type
    DERIVED
  7. citation
    Van Cutsem E, Huijberts S, Grothey A, Yaeger R, Cuyle PJ, Elez E, Fakih M, Montagut C, Peeters M, Yoshino T, Wasan H, Desai J, Ciardiello F, Gollerkeri A, Christy-Bittel J, Maharry K, Sandor V, Schellens JHM, Kopetz S, Tabernero J. Binimetinib, Encorafenib, and Cetuximab Triplet Therapy for Patients With BRAF V600E-Mutant Metastatic Colorectal Cancer: Safety Lead-In Results From the Phase III BEACON Colorectal Cancer Study. J Clin Oncol. 2019 Jun 10;37(17):1460-1469. doi: 10.1200/JCO.18.02459. Epub 2019 Mar 20.
    pmid
    30892987
    type
    DERIVED
see Also Links
  1. label
    To obtain contact information for a study center near you, click here.
Source notices and limitations
    Discovery and provenance
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        (BRAF inhibitor), binimetinib (MEK inhibitor), and cetuximab (EGFR inhibitor): In the international, open-label, randomized, phase III <a href="/clinicaltrials/NCT02928224">BEACON</a> trial, patients with metastatic colorectal cancer and <em class="gene-name">BRAF</em> V600E variants who previously received one or two treatment r
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        ic Colorectal Cancer (CRC) ERBITUX in combination with encorafenib was evaluated in a randomized, active-controlled, open label, multicenter trial (BEACON CRC; NCT02928224). Eligible patients were required to have BRAF V600E mutation-positive metastatic CRC, as detected using the Qiagen therascreen BRAF V600E RGQ polymerase chain
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        (BRAF inhibitor), binimetinib (MEK inhibitor), and cetuximab (EGFR inhibitor): In the international, open-label, randomized, phase III <a href="/clinicaltrials/NCT02928224">BEACON</a> trial, patients with metastatic colorectal cancer and <em class="gene-name">BRAF</em> V600E variants who previously received one or two treatment r
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      1. context
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        datetime
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        display
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    Preserved source evidence · Independent clinical review pending · Not medical advice