Metastatic Colorectal Cancer Clinical Trial
Official title:
A Phase II/III Study of Dalotuzumab (MK-0646) Treatment in Combination With Cetuximab and Irinotecan for Patients With Metastatic Colorectal Cancer
This study will compare the safety and efficacy of dalotuzumab (MK-0646) in combination with
cetuximab and irinotecan in treating participants with wild type KRAS (wtKRAS) metastatic
colorectal cancer (CRC) compared to cetuximab and irinotecan alone.
The primary study hypothesis is that administration of dalotuzumab in combination with
cetuximab and irinotecan to participants with metastatic CRC expressing the wtKRAS genotype
improves Overall Survival OR Progression-free Survival compared to participants treated with
cetuximab and irinotecan alone.
Dalotuzumab is a humanized monoclonal antibody (mAb) that targets the insulin-like growth
factor type 1 receptor-1 (IGF-1R). Dalotuzumab may act through inhibition of insulin-like
growth factor-1 (IGF-1)-mediated cell signaling to cause reductions in tumor growth and
spread antibody dependent cell-mediated cytotoxicity.
In preclinical studies, dalotuzumab improved the activity of an anti-epidermal growth factor
receptor (EGFR) mAb and the activity of erlotinib, a small molecule inhibitor of EGFR.
All eligible participants will receive cetuximab 400 mg/m^2 infusion over 120 minutes
followed by weekly infusions of cetuximab 250 mg/m^2 over 60-120 minutes along with
irinotecan infusion over 30-90 minutes. Dosage of irinotecan will be the same as most recent
pre-study therapy. Participants will then be assigned to one of three treatment double-blind
arms.
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