A Study of Encorafenib Plus Cetuximab With or Without Chemotherapy in People With Previously Untreated Metastatic Colorectal Cancer
This research study is investigating new treatments for bowel cancer that has spread to other parts of the body (this is called metastatic colorectal cancer). It's specifically for people whose cancer has a particular gene fault called 'BRAF' and who haven't received treatment for their spread cancer yet. The study aims to see if combining two new medicines, encorafenib and cetuximab, either by themselves or with standard chemotherapy, works better than standard chemotherapy alone. Participants will receive one of these treatment combinations, and doctors will carefully watch how they respond for up to three years. The goal is to find more effective ways to treat this type of bowel cancer.
At a glance
What is this study about?
This clinical trial is designed to investigate new treatment options for a specific type of bowel cancer. If bowel cancer has spread to other areas of the body, it's called 'metastatic' colorectal cancer. This study is for people whose metastatic bowel cancer also has a particular change in a gene called 'BRAF'. This gene change can sometimes make cancers harder to treat.
The main aim of this study is to compare different treatment approaches. Some patients will receive a combination of two new medicines, encorafenib and cetuximab. Others will get these two new medicines along with standard chemotherapy, which is a common treatment for this type of cancer. A third group will receive only the standard chemotherapy treatment. By comparing these groups, doctors hope to learn if the new medicines, alone or with chemotherapy, are more effective than chemotherapy by itself.
Finding better treatments is really important for people with metastatic bowel cancer, especially when it has specific gene changes like the BRAF mutation. This research could potentially lead to new and improved ways to help patients in the future.
Key takeaways
- This study is for advanced bowel cancer with a specific gene change (BRAF V600E).
- It tests new medicines (encorafenib and cetuximab) alone or with standard chemotherapy.
- The goal is to find better treatments than current standard care.
- Participants will be closely monitored for up to three years.
- You'll either get the new drugs, new drugs plus chemo, or chemotherapy alone.
Who may be eligible?
To join this study, people generally need to be at least 16 years old. Your doctor will need to confirm that you have bowel cancer that has spread (Stage IV), and that your cancer has the specific 'BRAF V600E' gene change. You cannot have received any previous treatment for your bowel cancer that has spread to other parts of the body. Your general health and organ function will also be checked to make sure you are well enough to take part.
There are also reasons why someone might not be able to join. For example, if you have certain active infections or if your doctor finds that your cancer has features that make it unsuitable for this specific trial. If your cancer has spread to your brain and is causing symptoms, you would also not be able to participate. Your study doctor will go through all these details with you carefully.
Could this study suit you?
Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.
- Are you 16 years old or older?
- Has your bowel cancer spread to other parts of your body (metastatic)?
- Has your doctor confirmed your cancer has the 'BRAF V600E' gene change?
- Have you not received any treatment yet for your cancer that has spread?
- Do you feel well enough for a clinical trial?
What does participation involve?
If you join this study, you will be assigned to one of three treatment groups. Two groups will receive the new medicines, encorafenib (a tablet taken daily at home) and cetuximab (given as an injection into a vein at the clinic every two weeks). One of these groups will also receive standard chemotherapy, given both into a vein at the clinic and as tablets at home. The third group will receive standard chemotherapy only, also given into a vein at the clinic and as tablets at home.
The study team will regularly monitor your health and how you are responding to the treatment. This will involve regular visits to the clinic for treatments, check-ups, and tests. They will follow your progress for up to about three years. You will have a dedicated study team to support you throughout your participation.
Potential risks and benefits
Locations (268)
- Mayo Clinic HospitalVerified postcodePhoenix, United States
- Mayo Clinic in Arizona - ScottsdaleVerified postcodeScottsdale, United States
- Keck Hospital of USCVerified postcodeLos Angeles, United States
- LAC & USC Medical CenterVerified postcodeLos Angeles, United States
- USC / Norris Comprehensive Cancer CenterVerified postcodeLos Angeles, United States
- USC/Norris Comprehensive Cancer Center/Investigational Drug ServicesVerified postcodeLos Angeles, United States
- USC/Norris Comprehensive Cancer CenterVerified postcodeLos Angeles, United States
- Keck Hospital of USC PasadenaVerified postcodePasadena, United States
- Mount Sinai Comprehensive Cancer Center, AventuraVerified postcodeAventura, United States
- Mount Sinai Comprehensive Cancer CenterVerified postcodeMiami Beach, United States
- Mount Sinai Medical CenterVerified postcodeMiami Beach, United States
- BRCR GlobalVerified postcodePlantation, United States
Common questions
What does 'BRAF V600E' mean?
It's a specific change in a gene in your cancer cells. The study is looking for treatments that target this particular change.
What is 'standard chemotherapy'?
This refers to the usual combination of medicines doctors give to treat bowel cancer that has spread, which is the current best practice.
Will I know which treatment I'm getting?
Yes, in this study, you and your doctors will know which treatment you are receiving (either one of the new combinations or chemotherapy alone).
How long will I be in the study?
The study team will check on your progress for up to about three years after you start treatment.
Can I stop participating if I want to?
Yes, you can choose to leave the study at any time, and it won't affect the care you receive from your doctor.
How to find out more
Always speak to your GP or specialist before deciding to take part in a study.
Discussion
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