🇮🇪Ireland
16°C Partly Cloudy · Dublin
Live Updates
--:--:-- IST
Contributor sign in
Latest
Clinical Trials in Germany / NCT07124884
Starting soon Phase 2

5-fluorouracil Plus Panitumumab (Anti-EGFR) and Sotorasib (KRAS G12C Inhibitor) in First-line Treatment of Patients Non-eligible for a Doublet/Triplet Chemotherapy With Advanced Unresectab

NCT07124884 · tracked via the Priya Life Science Germany tracker
Phase
Phase 2
Started
2025-08-31
Last updated
2025-08-15

Condition(s) studied

Colorectal CarcinomaKRAS G12C MutationUnresectable Colorectal Cancer

Investigational drug(s) / intervention(s)

Administration of experimental treatment association (sotorasib, panitumumab 5FU)

Administration of experimental treatment association (sotorasib, panitumumab 5FU): Panitumumab is administered at a dose of 6 mg/kg via intravenous infusion over one hour during the first cycle, and over 30 minutes from the second cycle onward. The LV5FU2 regimen includes folinic acid (400 mg/m², or 200 mg/m² if levo-leucovorin is used) as a two-hour IV infusion, followed by a 5-FU bolus (400 mg/m² over 10 minutes), and a continuous 5-FU infusion (2400 mg/m² over 46 hours). Sotorasib is given orally at a dose of 960 mg once daily on a continuous basis.

Study summary

5-fluorouracil (5-FU) is a standard of care in frail/elderly patients with an unresectable colorectal adenocarcinoma (CRC) in first-line setting. Panitumumab plus Sotorasib are promising in advanced line in KRAS G12C mutated CRC. In this study, We assess the safety and efficacy of 5FU combination with Panitumumab and Sotorasib as first-line treatment in frail/elderly patients with unresectable KRAS G12C mutated CRC

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria: * Age ≥ 18 years. * Histologically proven advanced-stage unresectable locally advanced or metastatic colorectal adenocarcinoma. * Proven KRAS G12C mutation as locally assessed by means of an IVDR-compliant test * Agreement to participate to biological studies (blood samples for ctDNA and send tumour block). * Patient with one these criteria: Patient with WHO PS=2 Patient between 70 and 75 years old with WHO PS 1 Patient ≥ 75 years old * Measurable lesion according to the Response Evaluation Criteria in Solid Tumours 1.1 (RECIST 1.1). * No prior treatment for the metastatic disease. Prior adjuvant chemotherapy is allowed if there is more than 6 months between the end of adjuvant treatment and relapse. * Adequate organ function: Hemoglobin \> 9 g/dl, Absolute neutrophil count \> 1500 /mm3, Platelets \> 80 000/mm3, Creatinine clearance rate ≥50 mL/min as calculated using MDRD formula, ALT/AST ≤5×ULN and total bilirubin ≤1.5×ULN. * Ability to understand and sign written informed consent to participate in the study. * Provides written informed consent for the study. * Life expectancy \>6 months. * Women of childbearing potential must agree to use contraception during the trial treatment and for at least 6 months after discontinuation of the experimental treatments. Men who have sexual relationship with women of childbearing potential must agree to use contraception during treatment and for at least 3 months after discontinuation of the experimental treatments. * Patient affiliated to a social security scheme for France, or equivalent for other countries. Exclusion Criteria: \- Patient with one of these criteria: Patient fit for doublet/triplet regimen Patient with WHO PS 3 or 4 Patient \< 75 years old with WHO PS 0 Patient \< 70 years old with WHO PS 0 or 1 * Uncontrolled intercurrent illness including liver (liver cirrhosis Child Pugh B or C) and lung (one second forced expiratory volume \<50%) severe insufficiency. * Patients with high microsatellite instability (MSI-H) or a tumour with mismatched repair (dMMR). * Clinically significant cardiac abnormalities including prior history of any of the following: severe cardiomyopathy, congestive heart failure of New York Heart Association grade ≥3, history of clinically significant (i.e., active) atherosclerotic cardiovascular disease (myocardial infarction, unstable angina, cerebrovascular accident within 6 months prior to the first dose of study treatments). * Patients with Dihydropyrimidine Dehydrogenase (DPD) enzyme deficiencies (uracilemia ≥ 16 ng/mL). * Immunotherapy within 3 months before the beginning of the treatment study. * Patient under treatment by strong CYP3A4 inducers. * Patients treated by brivudine within 4 weeks before the first dose of study treatment, or concomitant treatment with brivudine. * Patient with potentially serious infection. * Administration of live or live attenuated vaccine within 30 days prior to the first dose of study treatment start. * Poor nutritional state (albuminemia \< 25 g/L or weight loss \> 10% during the last month). * Hereditary problems of galactose intolerance, total lactase deficiency or glucose galactose malabsorption. * Other malignancy within 2 years prior to study enrolment, except for localized cancer in situ, basal or squamous cell skin cancer adequately treated. * Less than 4 weeks from major surgeries and not recovered adequately from the procedure and/or any complications from the surgery. * Patients with persistent toxicities related to prior treatment of grade greater than 1.Is c urrently participating in or has participated in a study of an investigational agent or has used an investigational device within 3 weeks or 5 half-lives (whichever longer) before study entry. * Hypersensitivity to one of the active substances or to one of the excipients of the trial treatments. * Patient with interstitial lung disease or pulmonary fibrosis. * Patients with history of interstitial pneumonitis or pulmonary fibrosis. * Has a known psychiatric or substance abuse disorder that would interfere with the patient's ability to cooperate with the requirements of the study. * Patient who is under judicial protection and patient who is legally institutionalized or under guardianship or not able to give consent. * Pregnant or breastfeeding woman. * Inability to undergo the medical follow-up of the trial for geographical, social or psychological reasons.

Primary outcome measure(s)

Trial sites (80)

FacilityCityRegionStatus
ICO site Paul Papin Angers France
Centre Hospitalier Annecy Genevois Annecy France
Hôpital Privé Antony France
Centre Hospitalier Aurillac France
Centre Hospitalier Bayeux France
Ch Cote Basque Bayonne France
Ch Simone Veille Beauvais France
Chu Jean Minjoz Besançon France
Polyclinique Courlancy Bezannes France
Centre Hospitalier Béthune Beuvry Béthune France
Bordeaux Nord Aquitaine Bordeaux France
TIVOLI Bordeaux France
Chu Morvan Brest France
CHU Côte de Nacre Caen France
Centre Hospitalier Cholet France
Hôpitaux civils Colmar France
Polyclinique Saint-Côme Compiègne France
Chu Francois Mitterand Dijon France
Gf Leclerc Dijon France
Institut de cancérologie de Bourgogne GRReCC Dijon France
Groupe Hospitalier Mutualiste Grenoble France
Chd Vendee La Roche-sur-Yon France
Hôpital Franco Britannique Levallois-Perret France
Hôpital Privé Le Bois Lille France
CHU Dupuytren Limoges France
Groupe Hospitalier Bretagne Sud Lorient France
Hôpital Jean Mermoz Lyon France
Chu La Timone Marseille France
Hôpital Européen Marseille France
CHRU Nancy France
Gh Nord Essone Orsay France
Chu Cochin Paris France
HEGP Paris France
Montsouris Paris France
Saint-Louis Paris France
Centre Hospitalier Pau France
CHU Haut Leveque Pessac France
Centre Cario Plérin France
Chu La Miletrie Poitiers France
CH Quimper Concarneau Quimper France

+ 40 more sites — see the full list on the official registry below.

More Federation Francophone de Cancerologie Digestive trials in Germany

Other trials for the same condition

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT07124884 on ClinicalTrials.gov ↗ ← All trials in Germany