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Kinase Inhibitor
Drug Combinations for Colorectal Cancer
Phase 1
Waitlist Available
Research Sponsored by Novartis Pharmaceuticals
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
All patients must have a BRAF V600 mutation confirmed by local assessment.
Patients must have documented disease progression following, or are intolerant to, 1 or 2 lines of chemotherapy for advanced/metastatic disease
Must not have
History of or current interstitial lung disease or non-infectious pneumonitis
Clinically significant cardiac disease at screening
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 34 months
Awards & highlights
No Placebo-Only Group
Summary
This trial is testing the safety and tolerability of different combinations of drugs in order to find the best doses and regimens for future studies.
Who is the study for?
Adults with advanced/metastatic BRAF V600 colorectal cancer who've had disease progression after 1-2 chemotherapy lines or are intolerant to them. Participants must be willing to undergo tumor biopsies and have a confirmed BRAF V600 mutation. Excluded are those with significant heart issues, gastrointestinal conditions affecting drug absorption, certain eye diseases, HIV, other active cancers (with exceptions), lung diseases, or pregnant/breastfeeding women.
What is being tested?
The trial is testing combinations of drugs LXH254, Dabrafenib, Spartalizumab, Tislelizumab, TNO155, Trametinib and LTT462 in adults with specific colorectal cancer. It's an early-phase study aiming to find out the safest doses for future research by monitoring participants' reactions.
What are the potential side effects?
Potential side effects may include typical reactions seen with cancer treatments such as nausea, fatigue, skin changes and increased risk of infections. Specific side effects will depend on the drug combination received but can also involve risks related to immune system responses or organ inflammation.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
My cancer has a BRAF V600 mutation.
Select...
My cancer has worsened after 1 or 2 chemotherapy treatments, or I couldn't tolerate the treatment.
Select...
My colon or rectum cancer cannot be surgically removed and has a specific mutation.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I have or had lung inflammation not caused by an infection.
Select...
I have a serious heart condition.
Select...
I have a stomach or intestine problem that affects how I absorb medication.
Select...
I have or am at risk for eye vein blockage or fluid build-up.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 34 months
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~34 months
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Dose intensity
Frequency of dose interruptions
Frequency of dose reductions
+2 moreSecondary study objectives
AUClast derived from Serum/plasma concentration of individual investigational drugs within combination treatments
AUCtau derived from Serum/plasma concentration of individual investigational drugs within combination treatments
Best overall response (BOR)
+7 moreSide effects data
From 2021 Phase 3 trial • 552 Patients • NCT0355162668%
Pyrexia
32%
Headache
30%
Blood creatine phosphokinase increased
27%
Diarrhoea
26%
Fatigue
26%
Chills
24%
Asthenia
23%
Nausea
21%
Arthralgia
21%
Rash
15%
Vomiting
15%
Myalgia
14%
Alanine aminotransferase increased
14%
Cough
13%
Lipase increased
13%
Aspartate aminotransferase increased
12%
Influenza like illness
12%
Oedema peripheral
9%
Pain in extremity
8%
Neutropenia
8%
Abdominal pain
8%
Constipation
8%
Muscle spasms
7%
Back pain
7%
Blood alkaline phosphatase increased
7%
Decreased appetite
7%
Hypophosphataemia
7%
Dyspnoea
7%
Erythema
7%
Hypertension
6%
Amylase increased
6%
Hyperglycaemia
6%
Dry skin
6%
Dizziness
5%
Abdominal pain upper
5%
Pain
5%
Pruritus
5%
Oropharyngeal pain
3%
Ejection fraction decreased
1%
Atrial fibrillation
1%
Erysipelas
1%
Cellulitis
1%
Basal cell carcinoma
1%
Pulmonary embolism
100%
80%
60%
40%
20%
0%
Study treatment Arm
Dabrafenib+Trametinib (On-treatment)
Dabrafenib+Trametinib (Post-treatment Follow-up)
Awards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
7Treatment groups
Experimental Treatment
Group I: Dabrafenib + trametinib + TNO155 triplet arm 5Experimental Treatment3 Interventions
dose escalation to determine maximum tolerated dose (MTD)/ Recommended dose (RD) in adult patients with advanced or metastatic BRAF V600 colorectal cancer
Group II: Dabrafenib + LTT462 backbone arm 1Experimental Treatment2 Interventions
dose escalation to determine maximum tolerated dose (MTD)/ Recommended dose (RD) in adult patients with advanced or metastatic BRAF V600 colorectal cancer
Group III: Dabrafenib + LTT462 + trametinib triplet arm 1Experimental Treatment3 Interventions
dose escalation to determine maximum tolerated dose (MTD)/ Recommended dose (RD) in adult patients with advanced or metastatic BRAF V600 colorectal cancer
Group IV: Dabrafenib + LTT462 + spartalizumab triplet arm 4Experimental Treatment3 Interventions
dose escalation to determine maximum tolerated dose (MTD)/ Recommended dose (RD) in adult patients with advanced or metastatic BRAF V600 colorectal cancer - Arm is closed for further enrollment.
Group V: Dabrafenib + LTT462 + Tislelizumab triplet arm 6Experimental Treatment3 Interventions
dose escalation to determine maximum tolerated dose (MTD)/ Recommended dose (RD) in adult patients with advanced or metastatic BRAF V600 colorectal cancer
Group VI: Dabrafenib + LTT462 + TNO155 triplet arm 3Experimental Treatment3 Interventions
dose escalation to determine maximum tolerated dose (MTD)/ Recommended dose (RD) in adult patients with advanced or metastatic BRAF V600 colorectal cancer
Group VII: Dabrafenib + LTT462 + LXH254 triplet arm 2Experimental Treatment3 Interventions
dose escalation to determine maximum tolerated dose (MTD)/ Recommended dose (RD) in adult patients with advanced or metastatic BRAF V600 colorectal cancer - Arm is closed for further enrollment.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Dabrafenib
2011
Completed Phase 3
~4120
Spartalizumab
2017
Completed Phase 3
~840
Tislelizumab
2018
Completed Phase 3
~4700
Trametinib
2014
Completed Phase 2
~1630
Find a Location
Who is running the clinical trial?
Novartis PharmaceuticalsLead Sponsor
2,907 Previous Clinical Trials
4,209,645 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I can and am willing to have a tumor biopsy before and during the study.I have or had lung inflammation not caused by an infection.I have another cancer, but it's either being treated or not life-threatening.My cancer has a BRAF V600 mutation.My cancer has worsened after 1 or 2 chemotherapy treatments, or I couldn't tolerate the treatment.I have a serious heart condition.I have a stomach or intestine problem that affects how I absorb medication.I have or am at risk for eye vein blockage or fluid build-up.My colon or rectum cancer cannot be surgically removed and has a specific mutation.
Research Study Groups:
This trial has the following groups:- Group 1: Dabrafenib + LTT462 + trametinib triplet arm 1
- Group 2: Dabrafenib + LTT462 + LXH254 triplet arm 2
- Group 3: Dabrafenib + LTT462 + Tislelizumab triplet arm 6
- Group 4: Dabrafenib + LTT462 backbone arm 1
- Group 5: Dabrafenib + trametinib + TNO155 triplet arm 5
- Group 6: Dabrafenib + LTT462 + spartalizumab triplet arm 4
- Group 7: Dabrafenib + LTT462 + TNO155 triplet arm 3
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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