Study of Encorafenib + Cetuximab Plus or Minus Binimetinib vs. Irinotecan/Cetuximab or Infusional 5-Fluorouracil (5-FU)/Folinic Acid (FA)/Irinotecan (FOLFIRI)/Cetuximab With a Safety Lead-in of Encorafenib + Binimetinib + Cetuximab in Patients With BRAF V600E-mutant Metastatic Colorectal Cancer (BEACON CRC)
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ClinicalTrials.gov Identifier: NCT02928224 |
Recruitment Status :
Completed
First Posted : October 10, 2016
Results First Posted : July 14, 2020
Last Update Posted : December 21, 2023
|
Sponsor:
Pfizer
Collaborators:
Merck KGaA, Darmstadt, Germany
Pierre Fabre Medicament
Ono Pharmaceutical Co. Ltd
Information provided by (Responsible Party):
Pfizer
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Study Type | Interventional |
---|---|
Study Design | Allocation: Randomized; Intervention Model: Sequential Assignment; Masking: None (Open Label); Primary Purpose: Treatment |
Condition |
BRAF V600E-mutant Metastatic Colorectal Cancer |
Interventions |
Drug: Encorafenib Drug: Binimetinib Drug: Cetuximab Drug: Irinotecan Drug: Folinic Acid Drug: 5-Fluorouracil |
Enrollment | 702 |
Participant Flow
Recruitment Details | Participants were at least 18 years of age with confirmed metastatic colorectal cancer (CRC) whose disease had progressed after 1 or 2 prior regimens in the metastatic setting and whose tumor tissue was BRAF V600E-mutant as previously determined by a local assay at any time prior to Screening. |
Pre-assignment Details |
Arm/Group Title | Combined Safety Lead-in | Phase 3: Triplet Arm | Phase 3: Doublet Arm | Phase 3: Control Arm |
---|---|---|---|---|
Arm/Group Description | Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care. | Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care. | Encorafenib + cetuximab. Encorafenib: Orally, once daily. Cetuximab: Standard of care. | Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab. Cetuximab: Standard of care. Irinotecan: Standard of care. Folinic Acid: Standard of care. 5-Fluorouracil: Standard of care. Following protocol amendment, eligible participants could crossover to receive either triplet or doublet regimen. |
Period Title: Overall Study | ||||
Started | 37 | 224 | 220 | 221 |
Crossover Participants | 0 | 0 | 0 | 3 [1] |
Completed | 0 | 0 | 0 | 0 |
Not Completed | 37 | 224 | 220 | 221 |
Reason Not Completed | ||||
Lost to Follow-up | 1 | 1 | 3 | 0 |
Death | 30 | 209 | 193 | 198 |
Withdrawal by Subject | 0 | 3 | 7 | 20 |
Study participation terminated by sponsor | 3 | 8 | 12 | 3 |
Other | 3 | 3 | 5 | 0 |
[1]
Participants from control arm received triplet therapy.
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Baseline Characteristics
Arm/Group Title | Combined Safety Lead-in (CSLI) | Phase 3: Triplet Arm | Phase 3: Doublet Arm | Phase 3: Control Arm | Total | |
---|---|---|---|---|---|---|
Arm/Group Description | Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care. | Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care. | Encorafenib + cetuximab. Encorafenib: Orally, once daily. Cetuximab: Standard of care. | Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab. Cetuximab: Standard of care. Irinotecan: Standard of care. Folinic Acid: Standard of care. 5-Fluorouracil: Standard of care. Following protocol amendment, eligible participants could crossover to receive either triplet or doublet regimen. | Total of all reporting groups | |
Overall Number of Baseline Participants | 37 | 224 | 220 | 221 | 702 | |
Baseline Analysis Population Description |
The baseline analysis population consists of the Full Analysis Set (FAS). For participants in the CSLI, the FAS includes all participants who received at least 1 dose of study drug and had at least 1 post treatment assessment, which may include death. For the randomized Phase 3 portion of the study, the FAS consists of all randomized participants.
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Age, Categorical
Measure Type: Count of Participants Unit of measure: Participants |
||||||
Number Analyzed | 37 participants | 224 participants | 220 participants | 221 participants | 702 participants | |
<=18 years |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Between 18 and 65 years |
23 62.2%
|
141 62.9%
|
137 62.3%
|
149 67.4%
|
450 64.1%
|
|
>=65 years |
14 37.8%
|
83 37.1%
|
83 37.7%
|
72 32.6%
|
252 35.9%
|
|
Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
||||||
Number Analyzed | 37 participants | 224 participants | 220 participants | 221 participants | 702 participants | |
58.3 (10.34) | 59.5 (11.65) | 60.2 (11.65) | 58.4 (12.07) | 59.3 (11.80) | ||
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
||||||
Number Analyzed | 37 participants | 224 participants | 220 participants | 221 participants | 702 participants | |
Female |
22 59.5%
|
119 53.1%
|
106 48.2%
|
127 57.5%
|
374 53.3%
|
|
Male |
15 40.5%
|
105 46.9%
|
114 51.8%
|
94 42.5%
|
328 46.7%
|
|
Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
||||||
Number Analyzed | 37 participants | 224 participants | 220 participants | 221 participants | 702 participants | |
Hispanic or Latino |
0 0.0%
|
14 6.3%
|
13 5.9%
|
6 2.7%
|
33 4.7%
|
|
Not Hispanic or Latino |
37 100.0%
|
203 90.6%
|
195 88.6%
|
202 91.4%
|
637 90.7%
|
|
Unknown or Not Reported |
0 0.0%
|
7 3.1%
|
12 5.5%
|
13 5.9%
|
32 4.6%
|
|
Race (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
||||||
Number Analyzed | 37 participants | 224 participants | 220 participants | 221 participants | 702 participants | |
American Indian or Alaska Native |
0 0.0%
|
0 0.0%
|
1 0.5%
|
0 0.0%
|
1 0.1%
|
|
Asian |
7 18.9%
|
20 8.9%
|
25 11.4%
|
39 17.6%
|
91 13.0%
|
|
Native Hawaiian or Other Pacific Islander |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Black or African American |
1 2.7%
|
2 0.9%
|
0 0.0%
|
0 0.0%
|
3 0.4%
|
|
White |
29 78.4%
|
195 87.1%
|
183 83.2%
|
172 77.8%
|
579 82.5%
|
|
More than one race |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Unknown or Not Reported |
0 0.0%
|
7 3.1%
|
11 5.0%
|
10 4.5%
|
28 4.0%
|
|
Region
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 37 participants | 224 participants | 220 participants | 221 participants | 702 participants | |
North America |
5 13.5%
|
30 13.4%
|
28 12.7%
|
29 13.1%
|
92 13.1%
|
|
Europe |
25 67.6%
|
150 67.0%
|
145 65.9%
|
125 56.6%
|
445 63.4%
|
|
Rest of World |
7 18.9%
|
44 19.6%
|
47 21.4%
|
67 30.3%
|
165 23.5%
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Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Baseline
[1] Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 37 participants | 224 participants | 220 participants | 221 participants | 702 participants | |
0-Fully active |
22 59.5%
|
116 51.8%
|
112 50.9%
|
108 48.9%
|
358 51.0%
|
|
1-Restircted in physically strenuous activity |
15 40.5%
|
108 48.2%
|
104 47.3%
|
113 51.1%
|
340 48.4%
|
|
2-Ambulatory and capable of all self-care |
0 0.0%
|
0 0.0%
|
4 1.8%
|
0 0.0%
|
4 0.6%
|
|
[1]
Measure Description: ECOG PS was used to assess the physical health of participants, and ranges from 0 to 5 where 0: fully active, 1: restricted in physically strenuous activity, 2: ambulatory and capable of self-care but unable to work, 3: capable only of limited self-care , 4: completely disabled; cannot carry on any self-care; totally confined to bed or chair, 5: dead.
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Number of Participants According to Primary Tumor Location
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 37 participants | 224 participants | 220 participants | 221 participants | 702 participants | |
Left Colon |
11 29.7%
|
79 35.3%
|
83 37.7%
|
68 30.8%
|
241 34.3%
|
|
Right Colon |
23 62.2%
|
126 56.3%
|
110 50.0%
|
119 53.8%
|
378 53.8%
|
|
Left and Right Colon |
0 0.0%
|
8 3.6%
|
11 5.0%
|
22 10.0%
|
41 5.8%
|
|
Unknown |
3 8.1%
|
11 4.9%
|
16 7.3%
|
12 5.4%
|
42 6.0%
|
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Number of Participants According to Removal of Primary Tumor
Measure Type: Count of Participants Unit of measure: Participants |
||||||
Number Analyzed | 37 participants | 224 participants | 220 participants | 221 participants | 702 participants | |
Completely Resected |
20 54.1%
|
133 59.4%
|
123 55.9%
|
122 55.2%
|
398 56.7%
|
|
Partially Resected/Unresected |
17 45.9%
|
91 40.6%
|
97 44.1%
|
99 44.8%
|
304 43.3%
|
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Number of Participants According to Number of Organs Involved
Measure Type: Count of Participants Unit of measure: Participants |
||||||
Number Analyzed | 37 participants | 224 participants | 220 participants | 221 participants | 702 participants | |
<=2 |
16 43.2%
|
114 50.9%
|
117 53.2%
|
123 55.7%
|
370 52.7%
|
|
3+ |
21 56.8%
|
110 49.1%
|
103 46.8%
|
98 44.3%
|
332 47.3%
|
|
Sites of Metastases
[1] Measure Type: Number Unit of measure: Sites |
Number Analyzed | 37 participants | 224 participants | 220 participants | 221 participants | 702 participants |
Liver | 24 | 145 | 134 | 128 | 431 | |
Lung | 10 | 86 | 83 | 86 | 265 | |
Lymph Node | 17 | 86 | 82 | 88 | 273 | |
Peritoneum/Omentum | 17 | 77 | 97 | 93 | 284 | |
[1]
Measure Description: One participant may have more than one site of metastases.
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Outcome Measures
Adverse Events
Limitations and Caveats
[Not Specified]
More Information
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts
the PI's rights to discuss or publish trial results after the trial is completed.
Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publication until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.
Results Point of Contact
Name/Title: | Pfizer ClinicalTrials.gov Call Center |
Organization: | Pfizer Inc. |
Phone: | 1-800-718-1021 |
EMail: | ClinicalTrials.gov_Inquiries@pfizer.com |
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: | Pfizer |
ClinicalTrials.gov Identifier: | NCT02928224 |
Other Study ID Numbers: |
ARRAY-818-302 BEACON CRC ( Other Identifier: Alias Study Number ) 2015-005805-35 ( EudraCT Number ) C4221009 ( Other Identifier: Pfizer ) |
First Submitted: | August 16, 2016 |
First Posted: | October 10, 2016 |
Results First Submitted: | May 6, 2020 |
Results First Posted: | July 14, 2020 |
Last Update Posted: | December 21, 2023 |