Patologia: Tumori del colon retto
Osservazionale-Sperimentale: Sperimentale
Monocentrico-Multicentrico: Multicentrico
Randomizzato: No
Fase di studio: 1, II
Linee di trattamento: Seconda linea, Terza/N linea
Criteri di inclusione:
- Histologically or cytologically confirmed metastatic Stage IV colorectal adenocarcinoma.
- Documented evidence of a BRAF V600E mutation in tumor tissue or blood.
- Presence of measurable disease per RECIST version 1.1 guidelines.
- Disease progression after 1 or 2 previous systemic regimens for metastatic disease.
- Adequate bone marrow function.
- Adequate hepatic and renal function.
Criteri di esclusione:
- Documented clinical disease progression or radiographic disease progression during the screening period.
- Leptomeningeal disease.
- Symptomatic brain metastasis.
- Presence of acute or chronic pancreatitis.
- Unable to swallow, retain, and absorb oral medications.
- Clinically significant cardiovascular diseases
- Evidence of active noninfectious pneumonitis.
- Evidence of active and uncontrolled bacterial or viral infection, within 2 weeks prior to start of any of the study interventions.
- Participants with known positivity for HIV.
- Active hepatitis B or hepatitis C infection.
- Concurrent or previous other malignancy within 2 years of study entry.
- Has had an allogeneic tissue/solid organ transplant.
- Pregnant or females of childbearing potential who have a positive β-hCG laboratory test result within 14 days prior to enrollment or is breastfeeding.
Numero di pazienti previsti:
10
Schema di trattamento:
Experimental: Dose Escalation
Participants will receive different doses of ZN-c3 in combination with different doses of Encorafenib and a fixed dose of Cetuximab
Experimental: Dose Expansion
Participants will receive recommended dose of ZN-c3 and encorafenib as determined in dose escalation phase in combination with cetuximab.
Trattamento sperimentale:
ZN-c3 + Encorafenib + Cetuximab
Trattamento di controllo:
NA
Obiettivi primari dello studio:
Dose Escalation Phase - Incidence of Dose Limiting Toxicities (DLTs) [Time Frame: From Lead-in Day -1 to Cycle 1 Day 28]
DLTs defined as treatment-related AEs occurring within the first 29 days after the start of any study treatment that in the opinion of the investigator cannot be reasonably attributed to the participant's underlying disease, concomitant medications, or pre-existing conditions.
Dose Expansion Phase - Objective response rate (ORR) [Time Frame: From first dose of any study intervention every 8 weeks during treatment, up to 12 months]
ORR defined as the proportion of participants who achieves a best overall response of Complete Response (CR) or Partial Response (PR), assessed by Investigator per RECIST Version 1.1.
Data di inizio dell'arruolamento: 27.02.2023
Data di fine dell'arruolamento: 02.07.2026
Grande Ospedale Metropolitano Niguarda
Piazza Ospedale Maggiore 3 - 20162 Milano - MI
Riferimento: Prof. Salvatore Siena
Telefono: 0264442291
Email: oncologia@ospedaleniguarda.it
Istituto Europeo di Oncologia
Via Ripamonti 435 - 20141 Milano - MI
Riferimento: Prof. Giuseppe Curigliano
Telefono: 0257489599
Email: giuseppe.curigliano@ieo.it
AOUI Verona - Borgo Roma
Piazzale Ludovico Antonio Scuro 10 - 37134 Verona - VR
Centro Ricerche Cliniche c/o Policlinico G.B. Rossi
Riferimento: Dr. Andrea Zivi
Telefono: 0458128120
Email: andrea.zivi@aovr.veneto.it
IRCCS Ospedale Casa Sollievo della Sofferenza
Viale Cappuccini 1 - 71013 San Giovanni Rotondo - FG
Riferimento: Dr. Evaristo Maiello
Email: e.maiello@operapadrepio.it
Istituto Nazionale Tumori IRCCS Fondazione Pascale
Via Mariano Semmola - 80131 Napoli - NA
Riferimento: Dr. Adriano Gravina
Email: a.gravina@istitutotumori.na.it
Numero di iscrizione a registro: NCT05743036
Data di inserimento: 09.10.2023
K-Group, Beta, Inc., a wholly owned subsidiary of Zentalis Pharmaceuticals, Inc
SYNEOS HEALTH
Riferimento: Dr. Info non applicabile (nuovo Regolamento Europeo)
Telefono: 00000
Email: na@na.it
Localita: na