ARC9 Efficacy & Safety of AB928 based tx combinations in pts with mCRC

  • Research type

    Research Study

  • Full title

    A Phase 1b/2, Open-Label, Randomized Platform Study Evaluating the Efficacy and Safety of AB928-Based Treatment Combinations in Patients with Metastatic Colorectal Cancer

  • IRAS ID

    292180

  • Contact name

    David Cunningham

  • Contact email

    david.cunningham@rmh.nhs.uk

  • Sponsor organisation

    Arcus Biosciences, Inc.

  • Eudract number

    2020-005386-13

  • Clinicaltrials.gov Identifier

    IND Number, 139447

  • Duration of Study in the UK

    2 years, 3 months, 8 days

  • Research summary

    This is a Phase 1b/2, open-label (participants and investigators will know what treatment group a participant has been assigned to), multicentre trial to evaluate etruma-based combination therapy in participants with colorectal cancer(mCRC) that has spread from its original location.

    After an initial single Safety Run-in treatment group or 'cohort', treatment cohorts will independently evaluate etruma plus zimerelimab in combination with a standard of care (SOC) treatment (mFOLFOX-6 + bevacizumab) or with a new treatment. There will be 3 treatment cohorts plus the safety cohort.

    Bevacizumab treatment cohorts will include the use of bevacizumab for all participants unless there is a medical reason they should not receive it. Participant eligibility for a specific cohort will be based on prior anti-cancer treatment history.

    Treatment cohort C is designed to explore additional study treatment plans as new therapies become available, to stop a build up of participants into existing treatment plans that demonstrate minimal clinical improvement or unacceptable toxicity.

    Eligible participants will be assigned to one of the following groups based on their prior cancer treatments:
    • Etruma + Zimberelimab + mFOLFOX-6+/-Bevacizumab( Bev) (Group A and safety cohort)
    • mFOLFOX-6 +/- Bev (Group A)
    • Etruma + Zimberelimab + mFOLFOX-6+/-Bev (Group B)
    • Regorafenib (Group B)
    • Etruma + Zimberelimab + AB680 (Group C)
    • Etruma + Zimberelimab + Agent X (Group C). Agent X is a new investigational treatment that may be identified during the course of the study.

    The planned number of participants in each group is as follows:
    Safety Run-in group – 6 to 12 participants
    Cohort A (2L) – approximately 90 participants
    Cohort B (3L) – approximately 105 participants
    Cohort C (>3L) – approximately 15 participants in Stage 1 and up to 25 participants in Stage 2.

    Study procedures for all cohorts will include physical examinations, blood samples, ECGs, tumour biopsies and CT or MRI scans.

  • REC name

    South Central - Hampshire B Research Ethics Committee

  • REC reference

    21/SC/0138

  • Date of REC Opinion

    8 Sep 2021

  • REC opinion

    Further Information Favourable Opinion