Clinical trial

An Open-label, Randomised, Phase III Study cOmparing trifLuridine/Tipiracil (S 95005) in Combination With Bevacizumab to Capecitabine in Combination With Bevacizumab in firST-line Treatment of Patients With metastatIC Colorectal Cancer Who Are Not candidatE for Intensive Therapy (SOLSTICE Study)

Name
CL3-95005-006
Description
The main purpose of this study is to demonstrate the superiority of S 95005 in combination with bevacizumab over capecitabine in combination with bevacizumab.
Trial arms
Trial start
2019-03-21
Estimated PCD
2021-06-29
Trial end
2024-06-30
Status
Active (not recruiting)
Phase
Early phase I
Treatment
Trifluridine/tipiracil hydrochloride (S95005)
Film-coated tablets of S 95005 (35 mg/m²/dose) will be administered orally twice a day (BID), within 1 hour after completion of morning and evening meals, 5 days on/2 days off, over 2 weeks, followed by a 14-day rest; This treatment cycle will be repeated every 4 weeks.
Arms:
S95005 + Bevacizumab
Capecitabine
Film-coated tablets, Capecitabine (1250 mg/m²/dose) will be administered orally BID on Days 1-14 of each cycle. This treatment cycle will be repeated every 3 weeks.
Arms:
Capecitabine + Bevacizumab
Bevacizumab experimental
Concentrate for solution for infusion, Bevacizumab (5 mg/kg, IV) administered every 2 weeks (Day 1 and Day 15). This treatment cycle will be repeated every 4 weeks.
Arms:
S95005 + Bevacizumab
Bevacizumab control
Concentrate for solution for infusion, Bevacizumab (7.5 mg/kg, IV) will be administered on Day 1 of each cycle.This treatment cycle will be repeated every 3 weeks.
Arms:
Capecitabine + Bevacizumab
Size
856
Primary endpoint
Progression-free Survival (PFS)
Up to 24 months
Eligibility criteria
Inclusion Criteria: 1. Has definitive histologically confirmed adenocarcinoma of the colon or rectum (all other histological types are excluded). Primary tumour localisation must be known. 2. RAS status based on local biological assessment of tumour biopsy must be available. If RAS status is not available at the time of randomisation, tumour biopsy must be available for RAS status determination (based on local biological assessment). 3. Patient is not a candidate for standard full dose combination chemotherapy with irinotecan or oxaliplatin 4. Patient is not a candidate for curative resection of metastatic lesions. 5. No previous systemic anticancer therapy for unresectable metastatic colorectal cancer. 6. ECOG (Eastern Cooperative Oncology Group) performance status ≤2. 7. Adequate organ function (renal, haematological, hepatic, coagulation) as described in the study protocol' Exclusion Criteria: 8. Pregnancy, breastfeeding or possibility of becoming pregnant during the study. 9. Participation in another interventional study within 4 weeks prior to the randomisation . 10. Patients who have not recovered from clinically relevant non-hematologic CTCAE grade ≥ 3 toxicity of previous anticancer therapy prior to the randomisation. 11. Symptomatic central nervous system metastases. 12. Major surgery within 4 weeks prior to the randomisation. Exclusion criteria related to S 95005 administration: 13. History of allergic reactions attributed to compounds of similar composition to S 95005 or any of its excipients. 14. Any contraindication present in the SmPC of trifluridine/tipiracil Exclusion criteria related to bevacizumab administration: 15. Any contraindication present in the SmPC of bevacizumab Exclusion criteria related to capecitabine administration: 16. Any contraindication present in the SmPC of capecitabine
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE3'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 856, 'type': 'ACTUAL'}}
Updated at
2023-11-18

1 organization

2 products

1 drug

1 abstract

1 indication

Drug
UTD1
Abstract
Overall survival results for trifluridine/tipiracil plus bevacizumab vs capecitabine plus bevacizumab: Results from the phase 3 SOLSTICE study.
Org: Hôpital Saint-Antoine, Paris, France, U.O. Oncologia Medica 2 Universitaria, Pisa, Italy, Lviv Cancer Center, Lviv, Ukraine, Saint-Petersburg Clinical Research Center of Specialized Types of Medical Care (Oncological), Saint-Petersburg, Russian Federation, Medical Oncology Department, Hospital Universitario Miguel Servet, Zaragoza, Spain,