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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:
Collaborators:
Merck KGaA, Darmstadt, Germany
Pierre Fabre Medicament
Ono Pharmaceutical Co. Ltd
Information provided by (Responsible Party):
Pfizer

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
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
Hide 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.
Arm/Group Title Combined Safety Lead-in (CSLI) Phase 3: Triplet Arm Phase 3: Doublet Arm Phase 3: Control Arm Total
Hide 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
Hide 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.
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
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%
Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Baseline   [1] 
Measure Type: Count of Participants
Unit of measure:  Participants
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.
Number of Participants According to Primary Tumor Location  
Measure Type: Count of Participants
Unit of measure:  Participants
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%
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%
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.
1.Primary Outcome
Title (Safety Lead-in) Number of Participants With Dose-Limiting Toxicities (DLTs)
Hide Description [Not Specified]
Time Frame Cycle 1 (up to 28 days)
Hide Outcome Measure Data
Hide Analysis Population Description
The dose-determining set (DDS) consisted of all CSLI participants from the safety set who either completed a minimum exposure requirement (received >= 75% dose intensity of the planned dose for each binimetinib, encorafenib and cetuximab) and had sufficient safety evaluations or experienced a dose-limiting toxicity (DLT).
Arm/Group Title Combined Safety Lead-in (CSLI)
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
Overall Number of Participants Analyzed 37
Measure Type: Count of Participants
Unit of Measure: Participants
5
  13.5%
2.Primary Outcome
Title (Safety Lead-in) Number of Participants With Adverse Events (AEs)
Hide Description An AE is any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study drug, whether or not considered related to the study drug. Number of participants reporting AEs were reported in this outcome measure.
Time Frame Duration of safety lead-in, approximately 6 months (up to 28 days per cycle)
Hide Outcome Measure Data
Hide Analysis Population Description
The safety set consisted of all participants who received at least 1 dose of study drug and had at least 1 post-treatment assessment, which may have included death. Participants were analyzed according to treatment received.
Arm/Group Title Combined Safety Lead-in
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
Overall Number of Participants Analyzed 37
Measure Type: Count of Participants
Unit of Measure: Participants
37
 100.0%
3.Primary Outcome
Title (Safety Lead-in) Incidence of Dose Interruptions, Dose Modifications and Discontinuations Due to Adverse Events (AEs) - Interim Analysis
Hide Description An AE is any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study drug, whether or not considered related to the study drug. Number of participants with dose interruptions, dose modifications and dose discontinuations due to AEs were reported in this outcome measure.
Time Frame Duration of safety lead-in, approximately 6 months (up to 28 days per cycle)
Hide Outcome Measure Data
Hide Analysis Population Description
The safety set consisted of all participants who received at least 1 dose of study drug and had at least 1 post-treatment assessment, which may have included death. Participants were analyzed according to treatment received.
Arm/Group Title Combined Safety Lead-in
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
Overall Number of Participants Analyzed 37
Measure Type: Count of Participants
Unit of Measure: Participants
26
  70.3%
4.Primary Outcome
Title (Safety Lead-in) Incidence of Dose Interruptions, Dose Modifications and Discontinuations Due to Adverse Events (AEs) - Final Analysis
Hide Description An AE is any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study drug, whether or not considered related to the study drug. Number of participants according to incidence of dose interruptions, dose modifications and dose discontinuations due to AEs were reported in this outcome measure.
Time Frame From start of study treatment until 30 days post last dose of study treatment (maximum treatment exposure of 280 weeks)
Hide Outcome Measure Data
Hide Analysis Population Description
The safety set consisted of all participants who received at least 1 dose of study drug and had at least 1 posttreatment assessment, which may have included death. Participants were analyzed according to treatment received.
Arm/Group Title Combined Safety Lead-in
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
Overall Number of Participants Analyzed 37
Measure Type: Count of Participants
Unit of Measure: Participants
Dose interruptions
30
  81.1%
Dose modifications
16
  43.2%
Discontinuation due to AEs
8
  21.6%
5.Primary Outcome
Title (Phase 3) Overall Survival (OS) of Triplet Arm vs. Control Arm - Interim Analysis
Hide Description OS was defined as the time from randomization to death due to any cause.
Time Frame From randomization to death due to any cause until 204 deaths were observed (maximum treatment exposure of 89.1 weeks for triplet arm and 52.4 weeks for control arm)
Hide Outcome Measure Data
Hide Analysis Population Description
The Full Analysis Set (FAS) for the Phase 3 portion of the study consisted of all randomized Phase 3 participants.
Arm/Group Title Phase 3: Triplet Arm Phase 3: Control Arm
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice 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.
Overall Number of Participants Analyzed 224 221
Median (95% Confidence Interval)
Unit of Measure: Months
9.03
(8.02 to 11.43)
5.42
(4.76 to 6.57)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Phase 3: Triplet Arm, Phase 3: Control Arm
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value <0.0001
Comments [Not Specified]
Method Stratified Log-rank
Comments [Not Specified]
6.Primary Outcome
Title (Phase 3) Objective Response Rate (ORR) by Blinded Independent Central Review (BICR) Per Response Evaluation Criteria in Solid Tumors (RECIST), v1.1 of Triplet Arm vs. Control Arm
Hide Description ORR per RECIST, v1.1, was defined as the percentage of participants achieving an overall best response of complete response (CR) or partial response (PR), where CR: disappearance of all target and non-target lesions and normalization of tumor marker level, all lymph nodes must be non-pathological in size (<10 millimeter [mm] short axis), and PR: at least 30% decrease in sum of diameters of target lesions, taking as reference the baseline sum diameters persistence of one or more non-target lesions and/or maintenance of tumor marker level above the normal limits.
Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)
Hide Outcome Measure Data
Hide Analysis Population Description
The Phase 3 Response Efficacy Set consisted of the first 330 participants randomized into the Phase 3 portion of the study and any additional participants randomized on the same day as the 330th randomized participant.
Arm/Group Title Phase 3: Triplet Arm Phase 3:Control Arm
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice 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.
Overall Number of Participants Analyzed 111 107
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
26.1
(18.2 to 35.3)
1.9
(0.2 to 6.6)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Phase 3: Triplet Arm, Phase 3:Control Arm
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value <0.0001
Comments [Not Specified]
Method Chi-squared
Comments [Not Specified]
7.Secondary Outcome
Title (Safety Lead-in) Objective Response Rate (ORR) by Investigator
Hide Description ORR per RECIST, v1.1, was defined as the percentage of participants achieving an overall best response of CR or PR, where CR: disappearance of all target and non-target lesions and normalization of tumor marker level, all lymph nodes must be non-pathological in size (<10 mm short axis), and PR: at least 30% decrease in sum of diameters of target lesions, taking as reference the baseline sum diameters persistence of one or more non-target lesions and/or maintenance of tumor marker level above the normal limits.
Time Frame From start of study treatment until 30 days post last dose of study treatment (maximum treatment exposure of 280 weeks)
Hide Outcome Measure Data
Hide Analysis Population Description
The Safety Lead-in (SLI) Efficacy Set consisted of all CSLI participants in the FAS who were identified at screening as having a BRAF V600E mutation (per local or central testing).
Arm/Group Title Combined Safety Lead-in
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
Overall Number of Participants Analyzed 36
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
52.8
(35.5 to 69.6)
8.Secondary Outcome
Title (Safety Lead-in) Objective Response Rate (ORR) by BICR
Hide Description ORR per RECIST, v1.1, was defined as the percentage of participants achieving an overall best response of CR or PR, where CR: disappearance of all target and non-target lesions and normalization of tumor marker level, all lymph nodes must be non-pathological in size (<10 mm short axis), and PR: at least 30% decrease in sum of diameters of target lesions, taking as reference the baseline sum diameters persistence of one or more non-target lesions and/or maintenance of tumor marker level above the normal limits.
Time Frame From start of study treatment until 30 days post last dose of study treatment (maximum treatment exposure of 280 weeks)
Hide Outcome Measure Data
Hide Analysis Population Description
The SLI Efficacy Set consisted of all CSLI participants in the FAS who were identified at screening as having a BRAF V600E mutation (per local or central testing).
Arm/Group Title Combined Safety Lead-in
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
Overall Number of Participants Analyzed 36
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
41.7
(25.5 to 59.2)
9.Secondary Outcome
Title (Safety Lead-in) Duration of Response (DOR) by Investigator
Hide Description DOR was defined as the time from first radiographic evidence of response to the earliest documented disease progression (PD) or death due to underlying disease. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
Time Frame From time of response to the earliest documented PD or death due to underlying disease (maximum treatment exposure of 280 weeks)
Hide Outcome Measure Data
Hide Analysis Population Description
The SLI Efficacy Set consisted of all CSLI participants in the FAS who were identified at screening as having a BRAF V600E mutation (per local or central testing). Here, "Overall Number of Participants Analyzed" signifies participants evaluable for this outcome measure.
Arm/Group Title Combined Safety Lead-in
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
Overall Number of Participants Analyzed 19
Median (95% Confidence Interval)
Unit of Measure: Months
6.47
(4.17 to 11.07)
10.Secondary Outcome
Title (Safety Lead-in) Duration of Response (DOR) by BICR
Hide Description DOR was defined as the time from first radiographic evidence of response to the earliest documented PD or death due to underlying disease. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
Time Frame From time of response to the earliest documented PD or death due to underlying disease (maximum treatment exposure of 280 weeks)
Hide Outcome Measure Data
Hide Analysis Population Description
The SLI Efficacy Set consisted of all CSLI participants in the FAS who were identified at screening as having a BRAF V600E mutation (per local or central testing). Here, "Overall Number of Participants Analyzed" signifies participants evaluable for this outcome measure.
Arm/Group Title Combined Safety Lead-in
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
Overall Number of Participants Analyzed 15
Median (95% Confidence Interval)
Unit of Measure: Months
8.15 [1] 
(2.79 to NA)
[1]
NA= not reached. Insufficient number of participants with events to calculate the upper limit of the 95% confidence interval.
11.Secondary Outcome
Title (Safety Lead-in) Time to Response by Investigator
Hide Description Time to response was defined as the time from first dose to first radiographic evidence of response.
Time Frame From first dose to first radiographic evidence of response (maximum treatment exposure of 280 weeks)
Hide Outcome Measure Data
Hide Analysis Population Description
The SLI Efficacy Set consisted of all CSLI participants in the FAS who were identified at screening as having a BRAF V600E mutation (per local or central testing).
Arm/Group Title Combined Safety Lead-in
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
Overall Number of Participants Analyzed 36
Median (95% Confidence Interval)
Unit of Measure: Months
1.45
(1.38 to 1.64)
12.Secondary Outcome
Title (Safety Lead-in) Time to Response by BICR
Hide Description Time to response was defined as the time from first dose to first radiographic evidence of response.
Time Frame From first dose to first radiographic evidence of response (maximum treatment exposure of 280 weeks)
Hide Outcome Measure Data
Hide Analysis Population Description
The SLI Efficacy Set consisted of all CSLI participants in the FAS who were identified at screening as having a BRAF V600E mutation (per local or central testing).
Arm/Group Title Combined Safety Lead-in
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
Overall Number of Participants Analyzed 36
Median (95% Confidence Interval)
Unit of Measure: Months
1.45
(1.38 to 1.64)
13.Secondary Outcome
Title (Safety Lead-in) Progression-Free Survival (PFS) by Investigator
Hide Description PFS was defined as the time from first dose to the earliest documented PD or death due to any cause. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
Time Frame From first dose to the earliest documented PD or death due to any cause (maximum treatment exposure of 280 weeks)
Hide Outcome Measure Data
Hide Analysis Population Description
The SLI Efficacy Set consisted of all CSLI participants in the FAS who were identified at screening as having a BRAF V600E mutation (per local or central testing).
Arm/Group Title Combined Safety Lead-in
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
Overall Number of Participants Analyzed 36
Median (95% Confidence Interval)
Unit of Measure: Months
8.08
(5.59 to 9.3)
14.Secondary Outcome
Title (Safety Lead-in) Progression-Free Survival (PFS) by BICR
Hide Description PFS was defined as the time from first dose to the earliest documented PD or death due to any cause. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
Time Frame From first dose to the earliest documented PD or death due to any cause (maximum treatment exposure of 280 weeks)
Hide Outcome Measure Data
Hide Analysis Population Description
The SLI Efficacy Set consisted of all CSLI participants in the FAS who were identified at screening as having a BRAF V600E mutation (per local or central testing).
Arm/Group Title Combined Safety Lead-in
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
Overall Number of Participants Analyzed 36
Median (95% Confidence Interval)
Unit of Measure: Months
5.59
(4.44 to 9.3)
15.Secondary Outcome
Title (Phase 3) Overall Survival (OS) in Doublet Arm vs. Control Arm
Hide Description OS was defined as the time from randomization to death due to any cause.
Time Frame From randomization to death due to any cause until 204 deaths were observed (maximum treatment exposure of 89.7 weeks for doublet arm and 52.4 weeks for control arm)
Hide Outcome Measure Data
Hide Analysis Population Description
The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 participants.
Arm/Group Title Phase 3: Doublet Arm Phase 3:Control Arm
Hide Arm/Group Description:
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.
Overall Number of Participants Analyzed 220 221
Median (95% Confidence Interval)
Unit of Measure: Months
9.40
(8.11 to 11.24)
5.88
(5.09 to 7.16)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Phase 3: Doublet Arm, Phase 3:Control Arm
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value <0.0001
Comments [Not Specified]
Method Stratified Log-rank
Comments [Not Specified]
16.Secondary Outcome
Title (Phase 3) Overall Survival (OS) in Triplet Arm vs. Doublet Arm
Hide Description OS was defined as the time from randomization to death due to any cause.
Time Frame From randomization to death due to any cause until 204 deaths were observed (maximum treatment exposure of 89.7 weeks for doublet arm and 89.1 weeks for triplet arm)
Hide Outcome Measure Data
Hide Analysis Population Description
The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 participants.
Arm/Group Title Phase 3: Triplet Arm Phase 3: Doublet Arm
Hide Arm/Group Description:
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.
Overall Number of Participants Analyzed 224 220
Median (95% Confidence Interval)
Unit of Measure: Months
9.82
(8.34 to 11.73)
9.40
(8.11 to 11.24)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Phase 3: Triplet Arm, Phase 3: Doublet Arm
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.5958
Comments [Not Specified]
Method Stratified Log-rank
Comments [Not Specified]
17.Secondary Outcome
Title (Phase 3) Comparison of Progression-Free Survival (PFS) in Triplet Arm vs Control Arm Per BICR
Hide Description PFS was defined as the time from first dose to the earliest documented PD or death due to any cause. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
Time Frame From first dose to the earliest documented PD or death due to any cause (maximum treatment exposure of 277.4 weeks for triplet arm and 108 weeks for control arm)
Hide Outcome Measure Data
Hide Analysis Population Description
The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 participants.
Arm/Group Title Phase 3: Triplet Arm Phase 3:Control Arm
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice 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.
Overall Number of Participants Analyzed 224 221
Median (95% Confidence Interval)
Unit of Measure: Months
4.30
(4.14 to 5.19)
1.51
(1.45 to 1.71)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Phase 3: Triplet Arm, Phase 3:Control Arm
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value <0.0001
Comments [Not Specified]
Method Stratified Log-rank
Comments [Not Specified]
18.Secondary Outcome
Title (Phase 3) Comparison of Progression-free Survival (PFS) in Triplet Arm vs Control Arm Per Investigator
Hide Description PFS was defined as the time from first dose to the earliest documented PD or death due to any cause. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
Time Frame From first dose to the earliest documented PD or death due to any cause (maximum treatment exposure of 277.4 weeks for triplet arm and 108 weeks for control arm)
Hide Outcome Measure Data
Hide Analysis Population Description
The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 participants.
Arm/Group Title Phase 3: Triplet Arm Phase 3:Control Arm
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice 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.
Overall Number of Participants Analyzed 224 221
Median (95% Confidence Interval)
Unit of Measure: Months
4.47
(4.24 to 5.36)
1.58
(1.51 to 2.07)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Phase 3: Triplet Arm, Phase 3:Control Arm
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value <0.0001
Comments [Not Specified]
Method Stratified Log-rank
Comments [Not Specified]
19.Secondary Outcome
Title (Phase 3) Comparison of Progression-Free Survival (PFS) in Doublet Arm vs Control Arm Per BICR
Hide Description PFS was defined as the time from first dose to the earliest documented PD or death due to any cause. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
Time Frame From first dose to the earliest documented PD or death due to any cause (maximum treatment exposure of 268 weeks for doublet arm and 108 weeks for control arm)
Hide Outcome Measure Data
Hide Analysis Population Description
The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 participants.
Arm/Group Title Phase 3: Doublet Arm Phase 3:Control Arm
Hide Arm/Group Description:
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.
Overall Number of Participants Analyzed 220 221
Median (95% Confidence Interval)
Unit of Measure: Months
4.21
(3.71 to 5.36)
1.51
(1.45 to 1.71)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Phase 3: Doublet Arm, Phase 3:Control Arm
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value <0.0001
Comments [Not Specified]
Method Stratified Log-rank
Comments [Not Specified]
20.Secondary Outcome
Title (Phase 3) Comparison of Progression-Free Survival (PFS) in Doublet Arm vs Control Arm Per Investigator
Hide Description PFS was defined as the time from first dose to the earliest documented PD or death due to any cause. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
Time Frame From first dose to the earliest documented PD or death due to any cause (maximum treatment exposure of 268 weeks for doublet arm and 108 weeks for control arm)
Hide Outcome Measure Data
Hide Analysis Population Description
The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 participants.
Arm/Group Title Phase 3: Doublet Arm Phase 3:Control Arm
Hide Arm/Group Description:
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.
Overall Number of Participants Analyzed 220 221
Median (95% Confidence Interval)
Unit of Measure: Months
4.27
(4.04 to 5.36)
1.58
(1.51 to 2.07)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Phase 3: Doublet Arm, Phase 3:Control Arm
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value <0.0001
Comments [Not Specified]
Method Stratified Log-rank
Comments [Not Specified]
21.Secondary Outcome
Title (Phase 3) Comparison of Progression-Free Survival (PFS) in Triplet Arm vs Doublet Arm Per BICR
Hide Description PFS was defined as the time from first dose to the earliest documented PD or death due to any cause. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
Time Frame From first dose to the earliest documented PD or death due to any cause (maximum treatment exposure of 277.4 weeks for triplet arm and 268 weeks for doublet arm)
Hide Outcome Measure Data
Hide Analysis Population Description
The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 participants.
Arm/Group Title Phase 3: Triplet Arm Phase 3: Doublet Arm
Hide Arm/Group Description:
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.
Overall Number of Participants Analyzed 224 220
Median (95% Confidence Interval)
Unit of Measure: Months
4.30
(4.14 to 5.19)
4.21
(3.71 to 5.36)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Phase 3: Triplet Arm, Phase 3: Doublet Arm
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.1004
Comments [Not Specified]
Method Stratified Log-rank
Comments [Not Specified]
22.Secondary Outcome
Title (Phase 3) Comparison of Progression-Free Survival (PFS) in Triplet Arm vs Doublet Arm Per Investigator
Hide Description PFS was defined as the time from first dose to the earliest documented PD or death due to any cause. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
Time Frame From first dose to the earliest documented PD or death due to any cause (maximum treatment exposure of 277.4 weeks for triplet arm and 268 weeks for doublet arm)
Hide Outcome Measure Data
Hide Analysis Population Description
The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 participants.
Arm/Group Title Phase 3: Triplet Arm Phase 3: Doublet Arm
Hide Arm/Group Description:
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.
Overall Number of Participants Analyzed 224 220
Median (95% Confidence Interval)
Unit of Measure: Months
4.47
(4.24 to 5.36)
4.27
(4.04 to 5.36)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Phase 3: Triplet Arm, Phase 3: Doublet Arm
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.3724
Comments [Not Specified]
Method Stratified Log-rank
Comments [Not Specified]
23.Secondary Outcome
Title (Phase 3) Comparison of Objective Response Rate (ORR) in Triplet Arm vs Control Arm Per Investigator
Hide Description ORR per RECIST, v1.1, was defined as the percentage of participants achieving an overall best response of CR or PR, where CR: disappearance of all target and non-target lesions and normalization of tumor marker level, all lymph nodes must be non-pathological in size (<10 mm short axis), and PR: at least 30% decrease in sum of diameters of target lesions, taking as reference the baseline sum diameters persistence of one or more non-target lesions and/or maintenance of tumor marker level above the normal limits.
Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)
Hide Outcome Measure Data
Hide Analysis Population Description
The Phase 3 Response Efficacy Set consisted of the first 330 participants randomized into the Phase 3 portion of the study and any additional participants randomized on the same day as the 330th randomized participant. Here, "Overall Number of Participants Analyzed" signifies participants evaluable for this outcome measure.
Arm/Group Title Phase 3: Triplet Arm Phase 3:Control Arm
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice 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.
Overall Number of Participants Analyzed 111 107
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
26.1
(18.2 to 35.3)
3.7
(1.0 to 9.3)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Phase 3: Triplet Arm, Phase 3:Control Arm
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value <0.0001
Comments [Not Specified]
Method Chi-squared
Comments [Not Specified]
24.Secondary Outcome
Title (Phase 3) Comparison of Objective Response Rate (ORR) in Doublet Arm vs Control Arm Per BICR
Hide Description ORR per RECIST, v1.1, was defined as the percentage of participants achieving an overall best response of CR or PR, where CR: disappearance of all target and non-target lesions and normalization of tumor marker level, all lymph nodes must be non-pathological in size (<10 mm short axis), and PR: at least 30% decrease in sum of diameters of target lesions, taking as reference the baseline sum diameters persistence of one or more non-target lesions and/or maintenance of tumor marker level above the normal limits.
Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)
Hide Outcome Measure Data
Hide Analysis Population Description
The Phase 3 Response Efficacy Set consisted of the first 330 participants randomized into the Phase 3 portion of the study and any additional participants randomized on the same day as the 330th randomized participant. Here, "Overall Number of Participants Analyzed" signifies participants evaluable for this outcome measure.
Arm/Group Title Phase 3: Doublet Arm Phase 3:Control Arm
Hide Arm/Group Description:
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.
Overall Number of Participants Analyzed 113 107
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
20.4
(13.4 to 29.0)
1.9
(0.2 to 6.6)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Phase 3: Doublet Arm, Phase 3:Control Arm
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value <0.0001
Comments [Not Specified]
Method Chi-squared
Comments [Not Specified]
25.Secondary Outcome
Title (Phase 3) Comparison of Objective Response Rate (ORR) in Doublet Arm vs Control Arm Per Investigator
Hide Description ORR per RECIST, v1.1, was defined as the percentage of participants achieving an overall best response of CR or PR, where CR: disappearance of all target and non-target lesions and normalization of tumor marker level, all lymph nodes must be non-pathological in size (<10 mm short axis), and PR: at least 30% decrease in sum of diameters of target lesions, taking as reference the baseline sum diameters persistence of one or more non-target lesions and/or maintenance of tumor marker level above the normal limits.
Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)
Hide Outcome Measure Data
Hide Analysis Population Description
The Phase 3 Response Efficacy Set consisted of the first 330 participants randomized into the Phase 3 portion of the study and any additional participants randomized on the same day as the 330th randomized participant. Here, "Overall Number of Participants Analyzed" signifies participants evaluable for this outcome measure.
Arm/Group Title Phase 3: Doublet Arm Phase 3:Control Arm
Hide Arm/Group Description:
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.
Overall Number of Participants Analyzed 113 107
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
15.9
(9.7 to 24.0)
3.7
(1.0 to 9.3)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Phase 3: Doublet Arm, Phase 3:Control Arm
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value <0.0001
Comments [Not Specified]
Method Chi-squared
Comments [Not Specified]
26.Secondary Outcome
Title (Phase 3) Comparison of Objective Response Rate (ORR) in Triplet Arm vs Doublet Arm Per BICR
Hide Description ORR per RECIST, v1.1, was defined as the percentage of participants achieving an overall best response of CR or PR, where CR: disappearance of all target and non-target lesions and normalization of tumor marker level, all lymph nodes must be non-pathological in size (<10 mm short axis), and PR: at least 30% decrease in sum of diameters of target lesions, taking as reference the baseline sum diameters persistence of one or more non-target lesions and/or maintenance of tumor marker level above the normal limits.
Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)
Hide Outcome Measure Data
Hide Analysis Population Description
The Phase 3 Response Efficacy Set consisted of the first 330 participants randomized into the Phase 3 portion of the study and any additional participants randomized on the same day as the 330th randomized participant. Here, "Overall Number of Participants Analyzed" signifies participants evaluable for this outcome measure.
Arm/Group Title Phase 3: Triplet Arm Phase 3: Doublet Arm
Hide Arm/Group Description:
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.
Overall Number of Participants Analyzed 111 113
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
26.1
(18.2 to 35.3)
20.4
(13.4 to 29.0)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Phase 3: Triplet Arm, Phase 3: Doublet Arm
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.1928
Comments [Not Specified]
Method Cochran-Mantel-Haenszel
Comments [Not Specified]
27.Secondary Outcome
Title (Phase 3) Comparison of Objective Response Rate (ORR) in Triplet Arm vs Doublet Arm Per Investigator
Hide Description ORR per RECIST, v1.1, was defined as the percentage of participants achieving an overall best response of CR or PR, where CR: disappearance of all target and non-target lesions and normalization of tumor marker level, all lymph nodes must be non-pathological in size (<10 mm short axis), and PR: at least 30% decrease in sum of diameters of target lesions, taking as reference the baseline sum diameters persistence of one or more non-target lesions and/or maintenance of tumor marker level above the normal limits.
Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)
Hide Outcome Measure Data
Hide Analysis Population Description
The Phase 3 Response Efficacy Set consisted of the first 330 participants randomized into the Phase 3 portion of the study and any additional participants randomized on the same day as the 330th randomized participant. Here, "Overall Number of Participants Analyzed" signifies participants evaluable for this outcome measure.
Arm/Group Title Phase 3: Triplet Arm Phase 3: Doublet Arm
Hide Arm/Group Description:
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.
Overall Number of Participants Analyzed 111 113
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
26.1
(18.2 to 35.3)
15.9
(9.7 to 24.0)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Phase 3: Triplet Arm, Phase 3: Doublet Arm
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0357
Comments [Not Specified]
Method Cochran-Mantel-Haenszel
Comments [Not Specified]
28.Secondary Outcome
Title (Phase 3) Comparison of Duration of Response (DOR) in Triplet Arm vs Control Arm Per BICR
Hide Description DOR was defined as the time from first radiographic evidence of response to the earliest documented PD or death due to underlying disease. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
Time Frame From time of response to PD or death due to underlying disease (maximum treatment exposure of 277.4 weeks for triplet arm and 108 weeks for control arm)
Hide Outcome Measure Data
Hide Analysis Population Description
The Phase 3 Response Efficacy Set consisted of the first 330 participants randomized into the Phase 3 portion of the study and any additional participants randomized on the same day as the 330th randomized participant. Here, "Overall Number of Participants Analyzed" signifies participants evaluable for this outcome measure.
Arm/Group Title Phase 3: Triplet Arm Phase 3:Control Arm
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice 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.
Overall Number of Participants Analyzed 111 107
Median (95% Confidence Interval)
Unit of Measure: Months
4.80
(2.96 to 9.69)
NA [1] 
(2.56 to NA)
[1]
NA= not reached. Insufficient number of participants with events to calculate the median and upper limit of the 95% confidence interval.
29.Secondary Outcome
Title (Phase 3) Comparison of Duration of Response (DOR) in Triplet Arm vs Control Arm Per Investigator
Hide Description DOR was defined as the time from first radiographic evidence of response to the earliest documented disease progression (PD) or death due to underlying disease. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
Time Frame From time of response to PD or death due to underlying disease (maximum treatment exposure of 277.4 weeks for triplet arm and 108 weeks for control arm)
Hide Outcome Measure Data
Hide Analysis Population Description
The Phase 3 Response Efficacy Set consisted of the first 330 participants randomized into the Phase 3 portion of the study and any additional participants randomized on the same day as the 330th randomized participant. Here, "Overall Number of Participants Analyzed" signifies participants evaluable for this outcome measure.
Arm/Group Title Phase 3: Triplet Arm Phase 3:Control Arm
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice 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.
Overall Number of Participants Analyzed 111 107
Median (95% Confidence Interval)
Unit of Measure: Months
4.80
(3.29 to 6.57)
5.75 [1] 
(2.56 to NA)
[1]
NA= not reached. Insufficient number of participants with events to calculate the upper limit of the 95% confidence interval.
30.Secondary Outcome
Title (Phase 3) Comparison of Duration of Response (DOR) in Doublet Arm vs Control Arm Per BICR
Hide Description DOR was defined as the time from first radiographic evidence of response to the earliest documented PD or death due to underlying disease. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
Time Frame From time of response to PD or death due to underlying disease (maximum treatment exposure of 268 weeks for doublet arm and 108 weeks for control arm)
Hide Outcome Measure Data
Hide Analysis Population Description
The Phase 3 Response Efficacy Set consisted of the first 330 participants randomized into the Phase 3 portion of the study and any additional participants randomized on the same day as the 330th randomized participant. Here, "Overall Number of Participants Analyzed" signifies participants evaluable for this outcome measure.
Arm/Group Title Phase 3: Doublet Arm Phase 3:Control Arm
Hide Arm/Group Description:
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.
Overall Number of Participants Analyzed 113 107
Median (95% Confidence Interval)
Unit of Measure: Months
6.06
(4.07 to 8.28)
NA [1] 
(2.56 to NA)
[1]
NA= not reached. Insufficient number of participants with events to calculate the median and upper limit of the 95% confidence interval.
31.Secondary Outcome
Title (Phase 3) Comparison of Duration of Response (DOR) in Doublet Arm vs Control Arm Per Investigator
Hide Description DOR was defined as the time from first radiographic evidence of response to the earliest documented PD or death due to underlying disease. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
Time Frame From time of response to PD or death due to underlying disease (maximum treatment exposure of 268 weeks for doublet arm and 108 weeks for control arm)
Hide Outcome Measure Data
Hide Analysis Population Description
The Phase 3 Response Efficacy Set consisted of the first 330 participants randomized into the Phase 3 portion of the study and any additional participants randomized on the same day as the 330th randomized participant. Here, "Overall Number of Participants Analyzed" signifies participants evaluable for this outcome measure.
Arm/Group Title Phase 3: Doublet Arm Phase 3:Control Arm
Hide Arm/Group Description:
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.
Overall Number of Participants Analyzed 113 107
Median (95% Confidence Interval)
Unit of Measure: Months
5.70
(3.65 to 6.74)
5.75 [1] 
(2.56 to NA)
[1]
NA= not reached. Insufficient number of participants with events to calculate the upper limit of the 95% confidence interval.
32.Secondary Outcome
Title (Phase 3) Comparison of Duration of Response (DOR) in Triplet Arm vs Doublet Arm by BICR
Hide Description DOR was defined as the time from first radiographic evidence of response to the earliest documented PD or death due to underlying disease. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
Time Frame From time of response to PD or death due to underlying disease (maximum treatment exposure of 277.4 weeks for triplet arm and 268 weeks for doublet arm)
Hide Outcome Measure Data
Hide Analysis Population Description
The Phase 3 Response Efficacy Set consisted of the first 330 participants randomized into the Phase 3 portion of the study and any additional participants randomized on the same day as the 330th randomized participant. Here, "Overall Number of Participants Analyzed" signifies participants evaluable for this outcome measure.
Arm/Group Title Phase 3: Triplet Arm Phase 3:Doublet Arm
Hide Arm/Group Description:
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.
Overall Number of Participants Analyzed 111 113
Median (95% Confidence Interval)
Unit of Measure: Months
4.80
(2.96 to 9.69)
6.06
(4.07 to 8.28)
33.Secondary Outcome
Title (Phase 3) Comparison of Duration of Response (DOR) in Triplet Arm vs Doublet Arm by Investigator
Hide Description DOR was defined as the time from first radiographic evidence of response to the earliest documented PD or death due to underlying disease. PD: at least a 20% increase (including an absolute increase of at least 5 mm) in the sum of diameters of target lesions, taking as reference the smallest sum on study and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions were evaluated.
Time Frame From time of response to PD or death due to underlying disease (maximum treatment exposure of 277.4 weeks for triplet arm and 268 weeks for doublet arm)
Hide Outcome Measure Data
Hide Analysis Population Description
The Phase 3 Response Efficacy Set consisted of the first 330 participants randomized into the Phase 3 portion of the study and any additional participants randomized on the same day as the 330th randomized participant. Here, "Overall Number of Participants Analyzed" signifies participants evaluable for this outcome measure.
Arm/Group Title Phase 3: Triplet Arm Phase 3:Doublet Arm
Hide Arm/Group Description:
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.
Overall Number of Participants Analyzed 111 113
Median (95% Confidence Interval)
Unit of Measure: Months
4.80
(3.29 to 6.57)
5.70
(3.65 to 6.74)
34.Secondary Outcome
Title (Phase 3) Comparison of Time to Response in Triplet Arm vs Control Arm Per BICR
Hide Description Time to response was defined as the time from first dose to first radiographic evidence of response.
Time Frame From first dose to first radiographic evidence of response (maximum treatment exposure of 277.4 weeks for triplet arm and 108 weeks for control arm)
Hide Outcome Measure Data
Hide Analysis Population Description
The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 participants. Here, "Overall Number of Participants Analyzed" signifies participants evaluable for this outcome measure.
Arm/Group Title Phase 3: Triplet Arm Phase 3:Control Arm
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice 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.
Overall Number of Participants Analyzed 50 3
Median (95% Confidence Interval)
Unit of Measure: Months
1.43
(1.41 to 1.51)
1.45
(1.41 to 2.63)
35.Secondary Outcome
Title (Phase 3) Comparison of Time to Response in Triplet Arm vs Control Arm Per Investigator
Hide Description Time to response was defined as the time from first dose to first radiographic evidence of response.
Time Frame From first dose to first radiographic evidence of response (maximum treatment exposure of 277.4 weeks for triplet arm and 108 weeks for control arm)
Hide Outcome Measure Data
Hide Analysis Population Description
The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 participants. Here, "Overall Number of Participants Analyzed" signifies participants evaluable for this outcome measure.
Arm/Group Title Phase 3: Triplet Arm Phase 3:Control Arm
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice 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.
Overall Number of Participants Analyzed 49 7
Median (95% Confidence Interval)
Unit of Measure: Months
1.48
(1.41 to 1.51)
2.63
(1.45 to 2.79)
36.Secondary Outcome
Title (Phase 3) Comparison of Time to Response in Doublet Arm vs Control Arm Per BICR
Hide Description Time to response was defined as the time from first dose to first radiographic evidence of response.
Time Frame From first dose to first radiographic evidence of response (maximum treatment exposure of 268 weeks for doublet arm and 108 weeks for control arm)
Hide Outcome Measure Data
Hide Analysis Population Description
The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 participants. Here, "Overall Number of Participants Analyzed" signifies participants evaluable for this outcome measure.
Arm/Group Title Phase 3: Doublet Arm Phase 3:Control Arm
Hide Arm/Group Description:
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.
Overall Number of Participants Analyzed 36 3
Median (95% Confidence Interval)
Unit of Measure: Months
1.48
(1.41 to 1.58)
1.45
(1.41 to 2.63)
37.Secondary Outcome
Title (Phase 3) Comparison of Time to Response in Doublet Arm vs Control Arm Per Investigator
Hide Description Time to response was defined as the time from first dose to first radiographic evidence of response.
Time Frame From first dose to first radiographic evidence of response (maximum treatment exposure of 268 weeks for doublet arm and 108 weeks for control arm)
Hide Outcome Measure Data
Hide Analysis Population Description
The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 participants. Here, "Overall Number of Participants Analyzed" signifies participants evaluable for this outcome measure.
Arm/Group Title Phase 3: Doublet Arm Phase 3:Control Arm
Hide Arm/Group Description:
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.
Overall Number of Participants Analyzed 31 7
Median (95% Confidence Interval)
Unit of Measure: Months
1.48
(1.41 to 1.54)
2.63
(1.45 to 2.79)
38.Secondary Outcome
Title (Phase 3) Comparison of Time to Response in Triplet Arm vs Doublet Arm Per BICR
Hide Description Time to response was defined as the time from first dose to first radiographic evidence of response.
Time Frame From first dose to first radiographic evidence of response (maximum treatment exposure of 277.4 weeks for triplet arm and 268 weeks for doublet arm)
Hide Outcome Measure Data
Hide Analysis Population Description
The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 participants. Here, "Overall Number of Participants Analyzed" signifies participants evaluable for this outcome measure.
Arm/Group Title Phase 3: Triplet Arm Phase 3:Doublet Arm
Hide Arm/Group Description:
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.
Overall Number of Participants Analyzed 50 36
Median (95% Confidence Interval)
Unit of Measure: Months
1.43
(1.41 to 1.51)
1.48
(1.41 to 1.58)
39.Secondary Outcome
Title (Phase 3) Comparison of Time to Response in Triplet Arm vs Doublet Arm Per Investigator
Hide Description Time to response was defined as the time from first dose to first radiographic evidence of response.
Time Frame From first dose to first radiographic evidence of response (maximum treatment exposure of 277.4 weeks for triplet arm and 268 weeks for doublet arm)
Hide Outcome Measure Data
Hide Analysis Population Description
The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 participants. Here, "Overall Number of Participants Analyzed" signifies participants evaluable for this outcome measure.
Arm/Group Title Phase 3: Triplet Arm Phase 3:Doublet Arm
Hide Arm/Group Description:
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.
Overall Number of Participants Analyzed 49 31
Median (95% Confidence Interval)
Unit of Measure: Months
1.48
(1.41 to 1.51)
1.48
(1.41 to 1.54)
40.Secondary Outcome
Title (Phase 3) Change From Baseline in the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire for Cancer Participants (QLQ-C30) Triplet Arm vs Control Arm, Doublet Arm vs Control, and Triplet vs Doublet
Hide Description The EORTC QLQ-C30 questionnaire consisted of 30 questions generating 5 functional scores (physical, role, cognitive, emotional, & social); a global health (GH) status/global quality of life scale score; 3 symptom scale scores (fatigue, pain, & nausea & vomiting); & 6 standalone one-item scores that capture additional symptoms (dyspnea, appetite loss, sleep disturbance, constipation, & diarrhea) & perceived financial burden. All items were graded by severity experienced during previous week & used 4-point-scale (1: not at all, 2: a little, 3: quite a bit, 4: very much). The scores were converted to health-related quality of life (HRQoL) scale ranging from 0-100. Higher scores indicating higher response levels (i.e., higher functioning, higher symptom severity).
Time Frame Baseline, Cycle(C)1 Day(D)1 , C2 D1, C3 D1, C4 D1, C5 D1, C6 D1, C7 D1, C8 D1, C9 D1, C10 D1, C11 D1, C12 D1, C13 D1, C14 D1, C15 D1, C16 D1, C17 D1, C18 D1, C19 D1, C20 D1, C21 D1, C22 D1, C23 D1, End of Treatment, 30 Day Follow Up(each cycle of 28 days)
Hide Outcome Measure Data
Hide Analysis Population Description
The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 participants. Here, 'Number Analyzed' signifies number of participants evaluable for the specified timepoints. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row.
Arm/Group Title Phase 3: Triplet Arm Phase 3:Doublet Arm Phase 3:Control Arm
Hide Arm/Group Description:
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.
Overall Number of Participants Analyzed 224 220 221
Mean (Standard Deviation)
Unit of Measure: Units on a scale
Baseline Number Analyzed 209 participants 201 participants 200 participants
62.8  (22.18) 60.7  (21.33) 62.8  (21.82)
Change at Cycle 1 Day 1 Number Analyzed 138 participants 133 participants 120 participants
-2.4  (13.44) -4.3  (16.27) -3.4  (15.60)
Change at Cycle 2 Day 1 Number Analyzed 181 participants 180 participants 123 participants
-1.6  (19.06) 3.8  (18.46) -1.9  (22.45)
Change at Cycle 3 Day 1 Number Analyzed 148 participants 142 participants 51 participants
0.7  (18.86) 3.5  (19.96) -0.2  (24.07)
Change at Cycle 4 Day 1 Number Analyzed 119 participants 105 participants 37 participants
0.2  (15.63) 4.2  (22.17) 1.4  (21.65)
Change at Cycle 5 Day 1 Number Analyzed 99 participants 81 participants 26 participants
-1.1  (18.66) 4.3  (22.09) -2.2  (22.06)
Change at Cycle 6 Day 1 Number Analyzed 68 participants 60 participants 13 participants
-4.0  (16.76) 5.6  (23.25) -4.5  (19.43)
Change at Cycle 7 Day 1 Number Analyzed 47 participants 50 participants 10 participants
-2.5  (16.01) 4.3  (21.77) 1.7  (12.30)
Change at Cycle 8 Day 1 Number Analyzed 39 participants 40 participants 7 participants
-2.6  (14.83) 4.2  (16.98) 0.0  (27.64)
Change at Cycle 9 Day 1 Number Analyzed 33 participants 31 participants 7 participants
-5.8  (17.74) -5.6  (16.44) -4.8  (12.60)
Change at Cycle 10 Day 1 Number Analyzed 23 participants 24 participants 4 participants
-3.3  (17.90) -2.8  (16.97) 2.1  (20.83)
Change at Cycle 11 Day 1 Number Analyzed 16 participants 19 participants 1 participants
-5.2  (20.38) 3.9  (15.31) 33.3 [1]   (NA)
Change at Cycle 12 Day 1 Number Analyzed 14 participants 18 participants 2 participants
0.0  (22.41) -4.6  (13.77) 4.2  (53.03)
Change at Cycle 13 Day 1 Number Analyzed 9 participants 13 participants 1 participants
0.0  (20.41) -3.2  (14.25) 0.0 [2]   (NA)
Change at Cycle 14 Day 1 Number Analyzed 7 participants 7 participants 0 participants
-1.2  (24.26) -6.0  (15.00)
Change at Cycle 15 Day 1 Number Analyzed 7 participants 6 participants 0 participants
3.6  (33.63) 2.8  (8.61)
Change at Cycle 16 Day 1 Number Analyzed 5 participants 3 participants 0 participants
-16.7  (42.08) -5.6  (9.62)
Change at Cycle 17 Day 1 Number Analyzed 3 participants 3 participants 0 participants
-27.8  (20.97) -2.8  (12.73)
Change at Cycle 18 Day 1 Number Analyzed 1 participants 3 participants 0 participants
-16.7 [2]   (NA) -8.3  (8.33)
Change at Cycle 19 Day 1 Number Analyzed 1 participants 2 participants 0 participants
0.0 [2]   (NA) -8.3  (11.79)
Change at Cycle 20 Day 1 Number Analyzed 1 participants 1 participants 0 participants
-25 [2]   (NA) -8 [2]   (NA)
Change at Cycle 21 Day 1 Number Analyzed 1 participants 1 participants 0 participants
0.0 [2]   (NA) -16.7 [2]   (NA)
Change at Cycle 22 Day 1 Number Analyzed 0 participants 1 participants 0 participants
-16.7 [2]   (NA)
Change at Cycle 23 Day 1 Number Analyzed 0 participants 1 participants 0 participants
0.0 [2]   (NA)
Change at End of Treatment Number Analyzed 74 participants 72 participants 79 participants
-14.1  (22.66) -13.1  (21.61) -15.5  (27.04)
Change at 30 Day Follow Up Number Analyzed 24 participants 16 participants 21 participants
-17.4  (22.51) -10.4  (15.96) -24.6  (24.08)
[1]
Number analyzed is 1 so standard deviation (SD) is not available.
[2]
Number analyzed is 1 so SD is not available.
41.Secondary Outcome
Title (Phase 3) Change From Baseline in the Functional Assessment of Cancer Therapy-Colon Cancer (FACT-C) in Triplet Arm vs Control Arm, Doublet Arm vs Control, and Triplet vs Doublet
Hide Description FACT-C= Functional Assessment of Chronic Illness Therapy (FACIT), which assessed HRQoL of cancer participants & participants with other chronic illnesses. It consists of total 36 items (27 items of general version of FACT-C and disease-specific subscale containing 9 CRC-specific items), summarized to 5 subscales: physical well-being (7 items), functional well-being (7 items), social/family well-being (7 items); all 3 subscales range:0-28, emotional well-being (6 items) range: 0-24, colorectal cancer subscale (9 items) range: 0-36; higher subscale score= better QoL. All single-item measures range: 0= 'Not at all' to 4= 'Very much'. Table summarizes functional well-being subscale, individual questions are linearly scaled & combined to form functional well-being subscale score (range 0-28). High score represents better QoL.
Time Frame Baseline,Cycle (C)1 Day (D)1, C2 D1, C3 D1, C4 D1, C5 D1, C6 D1, C7 D1, C8 D1, C9 D1, C10 D1, C11 D1, C12 D1, C13 D1, C14 D1, C15 D1, C16 D1, C17 D1, C18 D1, C19 D1, C20 D1, C21 D1, C22 D1, C23 D1, End of Treatment, 30 Day Follow Up(each cycle of 28 days)
Hide Outcome Measure Data
Hide Analysis Population Description
The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 participants. Here, 'Number Analyzed' signifies number of participants evaluable for the specified timepoints. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row.
Arm/Group Title Phase 3: Triplet Arm Phase 3:Doublet Arm Phase 3:Control Arm
Hide Arm/Group Description:
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.
Overall Number of Participants Analyzed 224 220 221
Mean (Standard Deviation)
Unit of Measure: Units on a scale
Baseline Number Analyzed 211 participants 199 participants 200 participants
16.3  (6.22) 16.2  (5.9) 16.8  (6.07)
Change at Cycle 1 Day 1 Number Analyzed 142 participants 130 participants 117 participants
-0.2  (3.36) -0.9  (4.06) -1.4  (3.32)
Change at Cycle 2 Day 1 Number Analyzed 183 participants 176 participants 123 participants
-0.3  (4.28) -0.6  (5.08) -0.9  (4.48)
Change at Cycle 3 Day 1 Number Analyzed 148 participants 137 participants 50 participants
-0.2  (5.15) -0.2  (5.23) -0.7  (5.03)
Change at Cycle 4 Day 1 Number Analyzed 119 participants 105 participants 37 participants
0.4  (4.53) -0.1  (4.66) -1.8  (6.48)
Change at Cycle 5 Day 1 Number Analyzed 100 participants 81 participants 26 participants
0.7  (6.4) -0.2  (4.5) -1.6  (4.58)
Change at Cycle 6 Day 1 Number Analyzed 68 participants 58 participants 13 participants
0.7  (6.05) 0.6  (4.56) -1.9  (5.3)
Change at Cycle 7 Day 1 Number Analyzed 47 participants 49 participants 10 participants
0.5  (5.85) -0.1  (4.70) -0.5  (5.41)
Change at Cycle 8 Day 1 Number Analyzed 40 participants 39 participants 8 participants
0.9  (6.35) 0.2  (4.24) -2.1  (4.97)
Change at Cycle 9 Day 1 Number Analyzed 32 participants 30 participants 7 participants
-1.9  (4.32) -0.8  (3.74) -2.6  (2.30)
Change at Cycle 10 Day 1 Number Analyzed 22 participants 24 participants 4 participants
-1.7  (4.76) -1.3  (3.59) 0.5  (4.36)
Change at Cycle 11 Day 1 Number Analyzed 17 participants 19 participants 2 participants
-1.5  (4.47) -0.5  (4.65) -4.5  (7.78)
Change at Cycle 12 Day 1 Number Analyzed 14 participants 18 participants 2 participants
-1.5  (4.93) -1.1  (4.61) -4.5  (9.19)
Change at Cycle 13 Day 1 Number Analyzed 9 participants 13 participants 1 participants
-2.0  (6.76) -3.2  (5.34) -8.0 [1]   (NA)
Change at Cycle 14 Day 1 Number Analyzed 7 participants 7 participants 0 participants
-2.4  (5.22) -4.0  (5.74)
Change at Cycle 15 Day 1 Number Analyzed 7 participants 6 participants 0 participants
-2.3  (6.85) -1.5  (4.72)
Change at Cycle 16 Day 1 Number Analyzed 5 participants 3 participants 0 participants
-4.2  (4.02) -0.7  (0.58)
Change at Cycle 17 Day 1 Number Analyzed 3 participants 3 participants 0 participants
-6.7  (5.51) -0.7  (4.51)
Change at Cycle 18 Day 1 Number Analyzed 1 participants 3 participants 0 participants
-5.0 [1]   (NA) -3.0  (4.36)
Change at Cycle 19 Day 1 Number Analyzed 1 participants 2 participants 0 participants
-7.0 [1]   (NA) -6.0  (0.00)
Change at Cycle 20 Day 1 Number Analyzed 1 participants 1 participants 0 participants
-6.0 [1]   (NA) -5.0 [1]   (NA)
Change at Cycle 21 Day 1 Number Analyzed 1 participants 1 participants 0 participants
-9.0 -5.0
Change at Cycle 22 Day 1 Number Analyzed 0 participants 1 participants 0 participants
-12.0 [1]   (NA)
Change at Cycle 23 Day 1 Number Analyzed 0 participants 1 participants 0 participants
-9.0 [1]   (NA)
Change at End of Treatment Number Analyzed 74 participants 73 participants 79 participants
-2.4  (4.84) -2.2  (5.14) -3.1  (6.06)
Change at 30 Day Follow Up Number Analyzed 24 participants 16 participants 21 participants
-3.5  (6.44) -0.8  (5.42) -4.2  (6.41)
[1]
Number analyzed is 1 so SD is not available.
42.Secondary Outcome
Title (Phase 3) Change From Baseline in the EuroQol-5D-5L Visual Analog Scale (EQ-5D-5L VAS) in Triplet Arm vs Control Arm, Doublet Arm vs Control, and Triplet vs Doublet
Hide Description The EQ-5D-5L contains 1 item for each of 5 dimensions of health-related QoL (i.e., mobility, self-care, usual activities, pain or discomfort and anxiety or depression). Response options for each item varied from having no problems to moderate problems or extreme problems. The EQ-5D-5L (v4.0) is a standardized measure of health utility that provides a single index value for one's health status. The EQ-5D-5L is frequently used for economic evaluations of health care and has been recognized as a valid and reliable instrument for this purpose. The EQ visual analog scale (VAS) is a score that is directly reported by the participant and ranges from 0 to 100 (higher is better quality health).
Time Frame Baseline,Cycle (C)1 Day (D)1, C2 D1, C3 D1, C4 D1, C5 D1, C6 D1, C7 D1, C8 D1, C9 D1, C10 D1, C11 D1, C12 D1, C13 D1, C14 D1, C15 D1, C16 D1, C17 D1, C18 D1, C19 D1, C20 D1, C21 D1, C22 D1, C23 D1, End of Treatment, 30 Day Follow Up(each cycle of 28 days)
Hide Outcome Measure Data
Hide Analysis Population Description
The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 participants. Here, 'Number Analyzed' signifies number of participants evaluable for the specified timepoints. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row.
Arm/Group Title Phase 3: Triplet Arm Phase 3:Doublet Arm Phase 3:Control Arm
Hide Arm/Group Description:
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.
Overall Number of Participants Analyzed 224 220 221
Mean (Standard Deviation)
Unit of Measure: Units on a scale
Baseline Number Analyzed 210 participants 203 participants 199 participants
69.0  (19.03) 66.5  (19.51) 68.3  (19.71)
Change at Cycle 1 Day 1 Number Analyzed 141 participants 135 participants 120 participants
0.8  (10.89) -0.9  (14.09) -2.1  (15.02)
Change at Cycle 2 Day 1 Number Analyzed 183 participants 181 participants 124 participants
1.4  (14.74) 1.9  (14.81) -2.4  (17.20)
Change at Cycle 3 Day 1 Number Analyzed 150 participants 141 participants 52 participants
3.0  (13.94) 4.2  (17.32) -1.4  (17.40)
Change at Cycle 4 Day 1 Number Analyzed 118 participants 105 participants 37 participants
4.0  (13.06) 5.6  (14.87) -0.4  (15.14)
Change at Cycle 5 Day 1 Number Analyzed 99 participants 80 participants 26 participants
3.3  (14.66) 5.1  (15.11) 2.5  (11.17)
Change at Cycle 6 Day 1 Number Analyzed 66 participants 58 participants 13 participants
1.3  (13.33) 2.9  (16.84) -3.6  (13.26)
Change at Cycle 7 Day 1 Number Analyzed 46 participants 47 participants 10 participants
1.4  (13.64) 3.6  (16.71) 2.4  (7.44)
Change at Cycle 8 Day 1 Number Analyzed 39 participants 39 participants 8 participants
4.1  (10.77) 2.0  (16.11) -2.8  (12.95)
Change at Cycle 9 Day 1 Number Analyzed 33 participants 30 participants 7 participants
0.3  (15.16) -4.0  (12.99) -8.1  (8.80)
Change at Cycle 10 Day 1 Number Analyzed 23 participants 23 participants 4 participants
0.2  (13.34) -8.1  (13.68) -1.8  (2.36)
Change at Cycle 11 Day 1 Number Analyzed 17 participants 18 participants 2 participants
0.2  (13.87) -0.1  (10.15) 4.0  (8.49)
Change at Cycle 12 Day 1 Number Analyzed 13 participants 17 participants 2 participants
-4.0  (20.11) -0.6  (11.67) 1.5  (12.02)
Change at Cycle 13 Day 1 Number Analyzed 9 participants 12 participants 1 participants
-3.0  (17.17) -4.1  (14.41) -2.0 [1]   (NA)
Change at Cycle 14 Day 1 Number Analyzed 7 participants 7 participants 0 participants
-4.0  (18.06) -0.4  (13.99)
Change at Cycle 15 Day 1 Number Analyzed 7 participants 6 participants 0 participants
-3.4  (14.67) 4.2  (7.36)
Change at Cycle 16 Day 1 Number Analyzed 5 participants 3 participants 0 participants
-10.4  (24.87) 3.3  (2.89)
Change at Cycle 17 Day 1 Number Analyzed 3 participants 3 participants 0 participants
-18.3  (20.21) 1.7  (5.77)
Change at Cycle 18 Day 1 Number Analyzed 1 participants 3 participants 0 participants
7.0 [1]   (NA) -3.3  (2.89)
Change at Cycle 19 Day 1 Number Analyzed 1 participants 2 participants 0 participants
8.0 [1]   (NA) -5.5  (13.44)
Change at Cycle 20 Day 1 Number Analyzed 1 participants 1 participants 0 participants
8.0 [1]   (NA) 2.0 [1]   (NA)
Change at Cycle 21 Day 1 Number Analyzed 1 participants 1 participants 0 participants
8.0 [1]   (NA) -5.0 [1]   (NA)
Change at Cycle 22 Day 1 Number Analyzed 0 participants 1 participants 0 participants
-5.0 [1]   (NA)
Change at Cycle 23 Day 1 Number Analyzed 0 participants 1 participants 0 participants
-5.0 [1]   (NA)
Change at End of Treatment Number Analyzed 75 participants 72 participants 80 participants
-8.5  (17.40) -8.0  (18.99) -12.7  (21.34)
Change at 30 Day Follow Up Number Analyzed 24 participants 16 participants 21 participants
-11.1  (20.23) -5.9  (20.18) -11.0  (17.51)
[1]
Number analyzed is 1 so SD is not available.
43.Secondary Outcome
Title (Phase 3) Change From Baseline in the Participant Global Impression of Change (PGIC) in Triplet Arm vs Control Arm, Doublet Arm vs Control, and Triplet vs Doublet
Hide Description The PGIC is a measure of participant's perceptions of change in their symptoms over time that can be used as an anchoring method to determine the minimal clinically important difference for other participant reported outcome (PROs). For this assessment, participants answered the following question: "Since starting treatment, my colorectal cancer symptoms are: (1) very much improved, (2) much improved, (3) minimally improved, (4) no change, (5) minimally worse, (6) much worse or (7) very much worse."
Time Frame Baseline,Cycle (C)1 Day (D)1, C2 D1, C3 D1, C4 D1, C5 D1, C6 D1, C7 D1, C8 D1, C9 D1, C10 D1, C11 D1, C12 D1, C13 D1, C14 D1, C15 D1, C16 D1, C17 D1, C18 D1, C19 D1, C20 D1, C21 D1, C22 D1, C23 D1, End of Treatment, 30 Day Follow Up(each cycle of 28 days)
Hide Outcome Measure Data
Hide Analysis Population Description
The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 participants. Here, 'Number Analyzed' signifies number of participants evaluable for the specified timepoints. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row.
Arm/Group Title Phase 3: Triplet Arm Phase 3:Doublet Arm Phase 3:Control Arm
Hide Arm/Group Description:
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.
Overall Number of Participants Analyzed 224 220 221
Mean (Standard Deviation)
Unit of Measure: Units on a scale
Baseline Number Analyzed 153 participants 152 participants 149 participants
3.8  (1.30) 3.8  (1.30) 3.9  (1.28)
Change at Cycle 1 Day 1 Number Analyzed 91 participants 92 participants 83 participants
-0.1  (0.93) 0.1  (1.21) 0.0  (0.90)
Change at Cycle 2 Day 1 Number Analyzed 127 participants 130 participants 90 participants
-0.7  (1.44) -0.8  (1.60) -0.3  (1.52)
Change at Cycle 3 Day 1 Number Analyzed 101 participants 105 participants 37 participants
-0.9  (1.44) -1.2  (1.53) -0.5  (1.56)
Change at Cycle 4 Day 1 Number Analyzed 80 participants 79 participants 28 participants
-0.9  (1.49) -1.1  (1.68) -0.5  (1.35)
Change at Cycle 5 Day 1 Number Analyzed 66 participants 59 participants 19 participants
-0.9  (1.61) -1.1  (1.69) -0.7  (1.41)
Change at Cycle 6 Day 1 Number Analyzed 45 participants 40 participants 9 participants
-0.8  (1.31) -1.2  (1.70) -0.8  (1.39)
Change at Cycle 7 Day 1 Number Analyzed 30 participants 36 participants 7 participants
-1.1  (1.44) -1.0  (1.61) -1.1  (1.07)
Change at Cycle 8 Day 1 Number Analyzed 23 participants 27 participants 5 participants
-1.2  (1.56) -1.1  (1.58) -1.0  (0.71)
Change at Cycle 9 Day 1 Number Analyzed 21 participants 21 participants 5 participants
-0.8  (1.26) -0.9  (1.37) -1.0  (0.71)
Change at Cycle 10 Day 1 Number Analyzed 15 participants 17 participants 3 participants
-0.5  (1.51) -0.6  (1.28) -0.3  (0.58)
Change at Cycle 11 Day 1 Number Analyzed 13 participants 13 participants 2 participants
-0.9  (1.38) -1.1  (1.38) 0.0  (0.00)
Change at Cycle 12 Day 1 Number Analyzed 11 participants 12 participants 2 participants
-0.9  (1.45) -0.8  (1.36) -0.5  (0.71)
Change at Cycle 13 Day 1 Number Analyzed 8 participants 10 participants 1 participants
-1.3  (1.39) -0.9  (1.52) -1.0 [1]   (NA)
Change at Cycle 14 Day 1 Number Analyzed 7 participants 6 participants 0 participants
-1.1  (1.46) -1.5  (1.05)
Change at Cycle 15 Day 1 Number Analyzed 6 participants 5 participants 0 participants
-1.2  (1.47) -1.6  (0.89)
Change at Cycle 16 Day 1 Number Analyzed 4 participants 3 participants 0 participants
-2.0  (0.82) -0.7  (1.53)
Change at Cycle 17 Day 1 Number Analyzed 3 participants 3 participants 0 participants
-1.3  (1.53) -1.0  (1.00)
Change at Cycle 18 Day 1 Number Analyzed 1 participants 3 participants 0 participants
-2.0 [1]   (NA) -1.0  (1.00)
Change at Cycle 19 Day 1 Number Analyzed 1 participants 2 participants 0 participants
-3.0 [1]   (NA) -0.5  (2.12)
Change at Cycle 20 Day 1 Number Analyzed 1 participants 1 participants 0 participants
-3.0 [1]   (NA) -2.0 [1]   (NA)
Change at Cycle 21 Day 1 Number Analyzed 1 participants 1 participants 0 participants
-3.0 [1]   (NA) -2.0 [1]   (NA)
Change at Cycle 22 Day 1 Number Analyzed 0 participants 1 participants 0 participants
-2.0 [1]   (NA)
Change at Cycle 23 Day 1 Number Analyzed 0 participants 1 participants 0 participants
-2.0 [1]   (NA)
Change at End of Treatment Number Analyzed 52 participants 54 participants 63 participants
0.3  (1.85) 0.1  (1.82) 0.4  (1.58)
Change at 30 Day Follow Up Number Analyzed 18 participants 10 participants 19 participants
-0.1  (2.08) 0.5  (1.43) 0.7  (1.34)
[1]
Number analyzed is 1 so SD is not available.
44.Secondary Outcome
Title (Safety Lead-in) Evaluation of the Area Under the Concentration-Time Curve From Zero to the Last Measurable Time Point (AUClast) for Cetuximab
Hide Description [Not Specified]
Time Frame Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
Hide Outcome Measure Data
Hide Analysis Population Description
The pharmacokinetics (PK) set included all participants in the Safety Set who had at least 1 post-dose blood collection for PK with associated bioanalytical results. Participants were analyzed according to the actual treatment and dose received.
Arm/Group Title Combined Safety Lead-in
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
Overall Number of Participants Analyzed 37
Geometric Mean (Geometric Coefficient of Variation)
Unit of Measure: Nanogram/milliliter *hour
Cycle 1 Number Analyzed 34 participants
841000
(22.2%)
Cycle 2 Number Analyzed 32 participants
970000
(20.6%)
45.Secondary Outcome
Title (Safety Lead-in) Evaluation of the Area Under the Concentration-Time Curve From Zero to the Last Measurable Time Point (AUClast) for Encorafenib
Hide Description [Not Specified]
Time Frame Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
Hide Outcome Measure Data
Hide Analysis Population Description
The PK set included all participants in the Safety Set who had at least 1 post-dose blood collection for PK with associated bioanalytical results. Participants were analyzed according to the actual treatment and dose received. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row. Here, "Number Analyzed" signifies participants evaluable for specified rows.
Arm/Group Title Combined Safety Lead-in
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
Overall Number of Participants Analyzed 37
Geometric Mean (Geometric Coefficient of Variation)
Unit of Measure: Nanogram/milliliter *hour
Cycle 1 Number Analyzed 34 participants
11300
(61.5%)
Cycle 2 Number Analyzed 29 participants
6660
(61.7%)
46.Secondary Outcome
Title (Safety Lead-in) Evaluation of the Area Under the Concentration-Time Curve From Zero to the Last Measurable Time Point (AUClast) for Binimetinib
Hide Description [Not Specified]
Time Frame Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
Hide Outcome Measure Data
Hide Analysis Population Description
The PK set included all participants in the Safety Set who had at least 1 post-dose blood collection for PK with associated bioanalytical results. Participants were analyzed according to the actual treatment and dose received. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row. Here, "Number Analyzed" signifies participants evaluable for specified rows.
Arm/Group Title Combined Safety Lead-in
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
Overall Number of Participants Analyzed 37
Geometric Mean (Geometric Coefficient of Variation)
Unit of Measure: Nanogram/milliliter *hour
Cycle 1 Number Analyzed 34 participants
1960
(43.6%)
Cycle 2 Number Analyzed 29 participants
1540
(44.7%)
47.Secondary Outcome
Title (Safety Lead-in) Evaluation of the Area Under the Concentration-time Curve From Zero to the Last Measurable Time Point (AUClast) for Metabolite of Binimetinib (AR00426032)
Hide Description [Not Specified]
Time Frame Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
Hide Outcome Measure Data
Hide Analysis Population Description
The PK set included all participants in the Safety Set who had at least 1 post-dose blood collection for PK with associated bioanalytical results. Participants were analyzed according to the actual treatment and dose received. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row. Here, "Number Analyzed" signifies participants evaluable for specified rows.
Arm/Group Title Combined Safety Lead-in
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
Overall Number of Participants Analyzed 37
Geometric Mean (Geometric Coefficient of Variation)
Unit of Measure: Nanogram/milliliter *hour
Cycle 1 Number Analyzed 35 participants
206
(46.7%)
Cycle 2 Number Analyzed 26 participants
70.0
(95.5%)
48.Secondary Outcome
Title (Safety Lead-in) Evaluation of the Maximum Concentration (Cmax) for Cetuximab
Hide Description [Not Specified]
Time Frame Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
Hide Outcome Measure Data
Hide Analysis Population Description
The PK set included all participants in the Safety Set who had at least 1 post-dose blood collection for PK with associated bioanalytical results. Participants were analyzed according to the actual treatment and dose received. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row. Here, "Number Analyzed" signifies participants evaluable for specified rows.
Arm/Group Title Combined Safety Lead-in
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
Overall Number of Participants Analyzed 37
Geometric Mean (Geometric Coefficient of Variation)
Unit of Measure: Nanogram/milliliter
Cycle 1 Number Analyzed 34 participants
195000
(22.2%)
Cycle 2 Number Analyzed 32 participants
199000
(26.8%)
49.Secondary Outcome
Title (Safety Lead-in) Evaluation of the Maximum Concentration (Cmax) for Encorafenib
Hide Description [Not Specified]
Time Frame Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
Hide Outcome Measure Data
Hide Analysis Population Description
The PK set included all participants in the Safety Set who had at least 1 post-dose blood collection for PK with associated bioanalytical results. Participants were analyzed according to the actual treatment and dose received. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row. Here, "Number Analyzed" signifies participants evaluable for specified rows.
Arm/Group Title Combined Safety Lead-in
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
Overall Number of Participants Analyzed 37
Geometric Mean (Geometric Coefficient of Variation)
Unit of Measure: Nanogram/milliliter
Cycle 1 Number Analyzed 34 participants
3360
(65.1%)
Cycle 2 Number Analyzed 29 participants
2490
(75.6%)
50.Secondary Outcome
Title (Safety Lead-in) Evaluation of the Maximum Concentration (Cmax) for Binimetinib
Hide Description [Not Specified]
Time Frame Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
Hide Outcome Measure Data
Hide Analysis Population Description
The PK set included all participants in the Safety Set who had at least 1 post-dose blood collection for PK with associated bioanalytical results. Participants were analyzed according to the actual treatment and dose received. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row. Here, "Number Analyzed" signifies participants evaluable for specified rows.
Arm/Group Title Combined Safety Lead-in
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
Overall Number of Participants Analyzed 37
Geometric Mean (Geometric Coefficient of Variation)
Unit of Measure: Nanogram/milliliter
Cycle 1 Number Analyzed 35 participants
654
(50.8%)
Cycle 2 Number Analyzed 26 participants
524
(70.1%)
51.Secondary Outcome
Title (Safety Lead-in) Evaluation of the Maximum Concentration (Cmax) for Metabolite of Binimetinib (AR00426032)
Hide Description [Not Specified]
Time Frame Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
Hide Outcome Measure Data
Hide Analysis Population Description
The PK set included all participants in the Safety Set who had at least 1 post-dose blood collection for PK with associated bioanalytical results. Participants were analyzed according to the actual treatment and dose received. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row. Here, "Number Analyzed" signifies participants evaluable for specified rows.
Arm/Group Title Combined Safety Lead-in
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
Overall Number of Participants Analyzed 37
Geometric Mean (Geometric Coefficient of Variation)
Unit of Measure: Nanogram/milliliter
Cycle 1 Number Analyzed 35 participants
59.9
(50.8%)
Cycle 2 Number Analyzed 26 participants
20.5
(119%)
52.Secondary Outcome
Title (Safety Lead-in) Evaluation of the Time of Maximum Observed Concentration (Tmax) for Cetuximab
Hide Description [Not Specified]
Time Frame Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
Hide Outcome Measure Data
Hide Analysis Population Description
The PK set included all participants in the Safety Set who had at least 1 post-dose blood collection for PK with associated bioanalytical results. Participants were analyzed according to the actual treatment and dose received. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row. Here, "Number Analyzed" signifies participants evaluable for specified rows.
Arm/Group Title Combined Safety Lead-in
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
Overall Number of Participants Analyzed 37
Median (Full Range)
Unit of Measure: Hours
Cycle 1 Number Analyzed 34 participants
3.77
(1.83 to 6.05)
Cycle 2 Number Analyzed 32 participants
3.05
(1.00 to 6.17)
53.Secondary Outcome
Title (Safety Lead-in) Evaluation of the Time of Maximum Observed Concentration (Tmax) for Encorafenib
Hide Description [Not Specified]
Time Frame Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
Hide Outcome Measure Data
Hide Analysis Population Description
The PK set included all participants in the Safety Set who had at least 1 post-dose blood collection for PK with associated bioanalytical results. Participants were analyzed according to the actual treatment and dose received. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row. Here, "Number Analyzed" signifies participants evaluable for specified rows.
Arm/Group Title Combined Safety Lead-in
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
Overall Number of Participants Analyzed 37
Median (Full Range)
Unit of Measure: Hours
Cycle 1 Number Analyzed 34 participants
2.00
(.883 to 6.25)
Cycle 2 Number Analyzed 29 participants
2.00
(.950 to 5.73)
54.Secondary Outcome
Title (Safety Lead-in) Evaluation of the Time of Maximum Observed Concentration (Tmax) for Binimetinib
Hide Description [Not Specified]
Time Frame Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
Hide Outcome Measure Data
Hide Analysis Population Description
The PK set included all participants in the Safety Set who had at least 1 post-dose blood collection for PK with associated bioanalytical results. Participants were analyzed according to the actual treatment and dose received. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row. Here, "Number Analyzed" signifies participants evaluable for specified rows.
Arm/Group Title Combined Safety Lead-in
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
Overall Number of Participants Analyzed 37
Median (Full Range)
Unit of Measure: Hours
Cycle 1 Number Analyzed 35 participants
1.98
(.883 to 5.67)
Cycle 2 Number Analyzed 26 participants
1.04
(.900 to 4.00)
55.Secondary Outcome
Title (Safety Lead-in) Evaluation of the Time of Maximum Observed Concentration (Tmax) for Metabolite of Binimetinib (AR00426032)
Hide Description [Not Specified]
Time Frame Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
Hide Outcome Measure Data
Hide Analysis Population Description
The PK set included all participants in the Safety Set who had at least 1 post-dose blood collection for PK with associated bioanalytical results. Participants were analyzed according to the actual treatment and dose received. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row. Here, "Number Analyzed" signifies participants evaluable for specified rows.
Arm/Group Title Combined Safety Lead-in
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
Overall Number of Participants Analyzed 37
Median (Full Range)
Unit of Measure: Hours
Cycle 1 Number Analyzed 35 participants
2.00
(.833 to 5.78)
Cycle 2 Number Analyzed 26 participants
1.58
(.933 to 6.52)
56.Secondary Outcome
Title (Safety Lead-in) Evaluation of the Steady-State Concentration Measured Just Before the Next Dose of Study Drug (Ctrough) for Binimetinib
Hide Description [Not Specified]
Time Frame Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
Hide Outcome Measure Data
Hide Analysis Population Description
The PK set included all participants in the Safety Set who had at least 1 post-dose blood collection for PK with associated bioanalytical results. Participants were analyzed according to the actual treatment and dose received.
Arm/Group Title Combined Safety Lead-in
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
Overall Number of Participants Analyzed 37
Geometric Mean (Geometric Coefficient of Variation)
Unit of Measure: Nanogram/milliliter
55.3
(61.5%)
57.Secondary Outcome
Title (Safety Lead-in) Evaluation of the Steady-State Concentration Measured Just Before the Next Dose of Study Drug (Ctrough) for Encorafenib
Hide Description [Not Specified]
Time Frame Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
Hide Outcome Measure Data
Hide Analysis Population Description
The PK set included all participants in the Safety Set who had at least 1 post-dose blood collection for PK with associated bioanalytical results. Participants were analyzed according to the actual treatment and dose received.
Arm/Group Title Combined Safety Lead-in
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
Overall Number of Participants Analyzed 37
Geometric Mean (Geometric Coefficient of Variation)
Unit of Measure: Nanogram/milliliter
18.9
(191%)
58.Secondary Outcome
Title (Safety Lead-in) Evaluation of the Steady-State Concentration Measured Just Before the Next Dose of Study Drug (Ctrough) for Cetuximab
Hide Description [Not Specified]
Time Frame Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
Hide Outcome Measure Data
Hide Analysis Population Description
The PK set included all participants in the Safety Set who had at least 1 post-dose blood collection for PK with associated bioanalytical results. Participants were analyzed according to the actual treatment and dose received.
Arm/Group Title Combined Safety Lead-in
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
Overall Number of Participants Analyzed 37
Geometric Mean (Geometric Coefficient of Variation)
Unit of Measure: Nanogram/milliliter
55400
(54.8%)
59.Secondary Outcome
Title (Safety Lead-in) Evaluation of the Steady-State Concentration Measured Just Before the Next Dose of Study Drug (Ctrough) for a Metabolite of Binimetinib
Hide Description [Not Specified]
Time Frame Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2 (each cycle of 28 days)
Hide Outcome Measure Data
Hide Analysis Population Description
The PK set included all participants in the Safety Set who had at least 1 post-dose blood collection for PK with associated bioanalytical results. Participants were analyzed according to the actual treatment and dose received.
Arm/Group Title Combined Safety Lead-in
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
Overall Number of Participants Analyzed 37
Geometric Mean (Geometric Coefficient of Variation)
Unit of Measure: Nanogram/milliliter
3.41
(68.5%)
60.Secondary Outcome
Title (Phase 3) Evaluation of the Model-Based Oral Clearance (CL/F) for Encorafenib
Hide Description The reported cross-arm CL/F value is a fixed-effect parameter determined from a population PK analysis. The analysis included pooled data from participants enrolled in multiple studies including those who were not enrolled in this study. The NCTID include: NCT01719380, NCT01543698, and NCT01436656. An additional study ARRAY-162-105 is not required to register.
Time Frame 2 and 6 hours post-dose on Day 1 of Cycle 1, Predose and 2 hours post-dose on Day 1 of Cycle 2 (each cycle of 28 days)
Hide Outcome Measure Data
Hide Analysis Population Description
The analysis set included all participants in the PK set with measurable plasma concentrations of the test drug plus concentrations from subjects from 4 additional clinical studies. Participants were analyzed according to the actual treatment and dose received.
Arm/Group Title Pharmacokinetic Population of Encorafenib
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib + cetuximab. Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab.
Overall Number of Participants Analyzed 394
Geometric Mean (95% Confidence Interval)
Unit of Measure: Liter/hour
16.4
(14.9 to 17.5)
61.Secondary Outcome
Title (Phase 3) Evaluation of the Model-Based Oral Clearance (CL/F) for Binimetinib
Hide Description The reported cross-arm CL/F value is a fixed-effect parameter determined from a population PK analysis. The analysis included pooled data from participants enrolled in multiple studies including those who were not enrolled in this study. The NCTID include: NCT01719380, NCT01543698, and NCT01436656. An additional study ARRAY-162-105 is not required to register.
Time Frame 2 and 6 hours post-dose on Day 1 of Cycle 1, Predose and 2 hours post-dose on Day 1 of Cycle 2 (each cycle of 28 days)
Hide Outcome Measure Data
Hide Analysis Population Description
The analysis set included all participants in the PK set with measurable plasma concentrations of the test drug plus concentrations from subjects from 4 additional clinical studies. Participants were analyzed according to the actual treatment and dose received.
Arm/Group Title Pharmacokinetic Population of Encorafenib
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib + cetuximab. Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab.
Overall Number of Participants Analyzed 181
Geometric Mean (95% Confidence Interval)
Unit of Measure: Liter/hour
19.0
(17.7 to 20.6)
62.Secondary Outcome
Title (Phase 3) Evaluation of the Model-Based Clearance (CL) for Cetuximab
Hide Description The reported cross-arm CL/F value is a fixed-effect parameter determined from a population PK analysis. The analysis included pooled data from participants enrolled in multiple studies including those who were not enrolled in this study. The NCTID include: NCT01719380, NCT01543698, and NCT01436656. An additional study ARRAY-162-105 is not required to register.
Time Frame 2 and 6 hours post-dose on Day 1 of Cycle 1, Predose and 2 hours post-dose on Day 1 of Cycle 2 (each cycle of 28 days)
Hide Outcome Measure Data
Hide Analysis Population Description
The analysis set included all participants in the PK set with measurable plasma concentrations of the test drug plus concentrations from subjects from 4 additional clinical studies. Participants were analyzed according to the actual treatment and dose received.
Arm/Group Title Pharmacokinetic Population of Encorafenib
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib + cetuximab. Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab.
Overall Number of Participants Analyzed 261
Geometric Mean (95% Confidence Interval)
Unit of Measure: Liter/hour
0.0154
(0.0114 to 0.0225)
63.Secondary Outcome
Title Phase 3: Number of Participants With Clinically Notable Shifts in Hematology and Coagulation Laboratory Parameters
Hide Description Clinically notable shifts was defined as worsening by at least 2 grades or to more than or equal to (>=) Grade 3 based on Common Terminology Criteria for Adverse Events (CTCAE) version 4.03 where Grade 1: mild, Grade 2: moderate, Grade 3: severe, Grade 4: life threatening and Grade 5: death.
Time Frame From start of study treatment until 30 days post last dose of study treatment (for triplet arm: maximum treatment exposure of 277.4 weeks; for doublet arm: maximum treatment exposure of 268 weeks; for Control arm: maximum treatment exposure of 108 weeks)
Hide Outcome Measure Data
Hide Analysis Population Description
The safety set consisted of all participants who received at least 1 dose of study drug and had at least 1 post-treatment assessment, which may have included death. Participants were analyzed according to treatment received.
Arm/Group Title Phase 3: Triplet Arm Phase 3: Doublet Arm Phase 3:Control Arm
Hide Arm/Group Description:
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.
Overall Number of Participants Analyzed 222 216 193
Measure Type: Count of Participants
Unit of Measure: Participants
Activated Partial Thromboplastin Time - Hyper
9
   4.1%
9
   4.2%
4
   2.1%
Hemoglobin - Hyper
0
   0.0%
0
   0.0%
0
   0.0%
Hemoglobin - Hypo
97
  43.7%
30
  13.9%
17
   8.8%
Leukocytes - Hyper
0
   0.0%
0
   0.0%
0
   0.0%
Leukocytes - Hypo
2
   0.9%
9
   4.2%
51
  26.4%
Lymphocytes - Hyper
12
   5.4%
3
   1.4%
4
   2.1%
Lymphocytes - Hypo
25
  11.3%
47
  21.8%
57
  29.5%
Neutrophils - Hypo
4
   1.8%
8
   3.7%
65
  33.7%
Platelets - Hypo
1
   0.5%
5
   2.3%
4
   2.1%
Prothrombin Intl. Normalized Ratio - Hyper
3
   1.4%
2
   0.9%
2
   1.0%
64.Secondary Outcome
Title Phase 3: Number of Participants With Clinically Notable Shifts in Serum Chemistry Laboratory Parameters
Hide Description Clinically notable shifts was defined as worsening by at least 2 grades or to >= Grade 3 based on CTCAE version 4.03 where Grade 1: mild, Grade 2: moderate, Grade 3: severe, Grade 4: life threatening and Grade 5: death.
Time Frame From start of study treatment until 30 days post last dose of study treatment (for triplet arm: maximum treatment exposure of 277.4 weeks; for doublet arm: maximum treatment exposure of 268 weeks; for Control arm: maximum treatment exposure of 108 weeks)
Hide Outcome Measure Data
Hide Analysis Population Description
The safety set consisted of all participants who received at least 1 dose of study drug and had at least 1 post-treatment assessment, which may have included death. Participants were analyzed according to treatment received.
Arm/Group Title Phase 3: Triplet Arm Phase 3: Doublet Arm Phase 3: Control Arm
Hide Arm/Group Description:
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.
Overall Number of Participants Analyzed 222 216 193
Measure Type: Count of Participants
Unit of Measure: Participants
Alanine Aminotransferase - Hyper
11
   5.0%
7
   3.2%
10
   5.2%
Albumin - Hypo
50
  22.5%
16
   7.4%
17
   8.8%
Alkaline Phosphatase - Hyper
13
   5.9%
12
   5.6%
18
   9.3%
Aspartate Aminotransferase - Hyper
11
   5.0%
7
   3.2%
9
   4.7%
Bilirubin - Hyper
11
   5.0%
13
   6.0%
12
   6.2%
Calcium - Hyper
1
   0.5%
0
   0.0%
0
   0.0%
Calcium - Hypo
15
   6.8%
8
   3.7%
7
   3.6%
Creatine Kinase - Hyper
18
   8.1%
1
   0.5%
3
   1.6%
Creatinine - Hyper
45
  20.3%
11
   5.1%
6
   3.1%
Glucose - Hyper
8
   3.6%
16
   7.4%
4
   2.1%
Glucose - Hypo
4
   1.8%
0
   0.0%
1
   0.5%
Magnesium - Hyper
0
   0.0%
1
   0.5%
2
   1.0%
Magnesium - Hypo
11
   5.0%
4
   1.9%
9
   4.7%
Potassium - Hyper
14
   6.3%
10
   4.6%
5
   2.6%
Potassium - Hypo
5
   2.3%
7
   3.2%
9
   4.7%
Sodium - Hyper
1
   0.5%
1
   0.5%
2
   1.0%
Sodium - Hypo
10
   4.5%
4
   1.9%
5
   2.6%
Troponin I - Hyper
0
   0.0%
0
   0.0%
0
   0.0%
Urate - Hyper
4
   1.8%
2
   0.9%
1
   0.5%
65.Secondary Outcome
Title Phase 3: Number of Participants With Clinically Notable Shifts in Urinalysis Laboratory Parameters
Hide Description Clinically notable shifts was defined as worsening by at least 2 grades or to >= Grade 3 based on CTCAE version 4.03 where Grade 1: mild, Grade 2: moderate, Grade 3: severe, Grade 4: life threatening and Grade 5: death.
Time Frame From start of study treatment until 30 days post last dose of study treatment (for triplet arm: maximum treatment exposure of 277.4 weeks; for doublet arm: maximum treatment exposure of 268 weeks; for Control arm: maximum treatment exposure of 108 weeks)
Hide Outcome Measure Data
Hide Analysis Population Description
The safety set consisted of all participants who received at least 1 dose of study drug and had at least 1 post-treatment assessment, which may have included death. Participants were analyzed according to treatment received.
Arm/Group Title Phase 3: Triplet Arm Phase 3: Doublet Arm Phase 3: Control Arm
Hide Arm/Group Description:
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.
Overall Number of Participants Analyzed 222 216 193
Measure Type: Count of Participants
Unit of Measure: Participants
8
   3.6%
8
   3.7%
5
   2.6%
66.Secondary Outcome
Title Phase 3: Number of Participants With Newly Occurring Clinically Notable Vital Sign Abnormalities
Hide Description Newly occurring clinically notable changes was defined as participants not meeting the criterion at baseline and meeting criterion post-baseline. The criterion included: low/high systolic blood pressure (SBP): <= 90 millimeters of mercury (mmHg) with decrease from baseline of >= 20mmHg or >= 160mmHg with increase from baseline of >= 20mmHg, low or high diastolic blood pressure (DBP): <= 50mmHg with decrease from baseline of >= 15mmHg or >= 100mmHg with increase from baseline of >= 15mmHg, low or high pulse: <= 50 beats/min with decrease from baseline of >= 15 beats/min or >= 120 beats/min with increase from baseline of >= 15 beats/min, low or high temperature: <= 36 degree Celsius (deg C) or >= 37.5 deg C.
Time Frame From start of study treatment until 30 days post last dose of study treatment (for triplet arm: maximum treatment exposure of 277.4 weeks; for doublet arm: maximum treatment exposure of 268 weeks; for Control arm: maximum treatment exposure of 108 weeks)
Hide Outcome Measure Data
Hide Analysis Population Description
The safety set consisted of all participants who received at least 1 dose of study drug and had at least 1 post-treatment assessment, which may have included death. Participants were analyzed according to treatment received.
Arm/Group Title Phase 3: Triplet Arm Phase 3: Doublet Arm Phase 3: Control Arm
Hide Arm/Group Description:
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.
Overall Number of Participants Analyzed 222 216 193
Measure Type: Count of Participants
Unit of Measure: Participants
Diastolic Blood Pressure - High
8
   3.6%
6
   2.8%
7
   3.6%
Diastolic Blood Pressure - Low
21
   9.5%
27
  12.5%
5
   2.6%
Pulse Rate - High
23
  10.4%
14
   6.5%
20
  10.4%
Pulse Rate - Low
3
   1.4%
4
   1.9%
3
   1.6%
Systolic Blood Pressure - High
19
   8.6%
13
   6.0%
5
   2.6%
Systolic Blood Pressure - Low
37
  16.7%
28
  13.0%
10
   5.2%
Temperature - High
33
  14.9%
23
  10.6%
25
  13.0%
Temperature - Low
93
  41.9%
84
  38.9%
55
  28.5%
67.Secondary Outcome
Title Phase 3: Number of Participants With Newly Occurring Clinically Notable Electrocardiogram (ECG) Values
Hide Description Newly occurring clinically notable changes was defined as participants not meeting the criterion at baseline and meeting criterion post-baseline. The criterion included: heart rate- decrease from baseline > 25% and to a value < 50 and increase from baseline > 25% and to a value > 100. QT interval- new > 450 (millisecond) msec, new > 480 msec, new > 500 msec, increase from baseline > 30 msec and increase from baseline > 60 msec. QTcF- new > 450 msec, new > 480 msec, new > 500 msec, increase from baseline > 30 msec and increase from baseline > 60 msec.
Time Frame From start of study treatment until 30 days post last dose of study treatment (for triplet arm: maximum treatment exposure of 277.4 weeks; for doublet arm: maximum treatment exposure of 268 weeks; for Control arm: maximum treatment exposure of 108 weeks)
Hide Outcome Measure Data
Hide Analysis Population Description
The safety set consisted of all participants who received at least 1 dose of study drug and had at least 1 post-treatment assessment, which may have included death. Participants were analyzed according to treatment received.
Arm/Group Title Phase 3: Triplet Arm Phase 3: Doublet Arm Phase 3: Control Arm
Hide Arm/Group Description:
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.
Overall Number of Participants Analyzed 222 216 193
Measure Type: Count of Participants
Unit of Measure: Participants
Heart Rate - Decrease from baseline > 25% and to a value < 50
1
   0.5%
4
   1.9%
0
   0.0%
Heart Rate - Increase from baseline > 25% and to a value > 100
27
  12.2%
24
  11.1%
28
  14.5%
QT Interval - New > 450 millisecond (msec)
17
   7.7%
30
  13.9%
7
   3.6%
QT Interval - New > 480 msec
4
   1.8%
7
   3.2%
2
   1.0%
QT Interval - New > 500 msec
3
   1.4%
5
   2.3%
0
   0.0%
QT Interval - increase from baseline > 30 msec
97
  43.7%
99
  45.8%
32
  16.6%
QT Interval - increase from baseline > 60 msec
22
   9.9%
21
   9.7%
10
   5.2%
QTcF - New > 450 msec
39
  17.6%
51
  23.6%
23
  11.9%
QTcF - New > 480 msec
9
   4.1%
18
   8.3%
5
   2.6%
QTcF - New > 500 msec
1
   0.5%
6
   2.8%
2
   1.0%
QTcF - increase from baseline > 30 msec
59
  26.6%
75
  34.7%
24
  12.4%
QTcF - increase from baseline > 60 msec
12
   5.4%
20
   9.3%
5
   2.6%
68.Secondary Outcome
Title Phase 3: Number of Participants With Shift in Visual Acuity Logarithm of the Minimum Angle of Resolution (LogMAR) Score
Hide Description Visual acuity was measured using the Snellen visual acuity conversion chart. This was determined by establishing the smallest optotypes that could be identified correctly by the participant at a given observation distance. Snellen visual acuity was reported as a Snellen fraction (m/M) in which the numerator (m) indicated the test distance and the denominator (M) indicated the distance at which the gap of the equivalent Landolt ring subtends 1 minute of arc. The LogMAR score was calculated as - log(m/M). The maximum increase in score of <= 0, 0 to < 0.1, 0.1 to < 0.2, 0.2 to < 0.3 and >=0.3 relative to baseline in LogMAR were reported in this endpoint.
Time Frame From start of study treatment until 30 days post last dose of study treatment (for triplet arm: maximum treatment exposure of 277.4 weeks; for doublet arm: maximum treatment exposure of 268 weeks; for Control arm: maximum treatment exposure of 108 weeks)
Hide Outcome Measure Data
Hide Analysis Population Description
The Safety Set consisted of all participants who received at least 1 dose of study drug and had at least 1 post-treatment assessment, which may have included death. Participants were analyzed according to treatment received.
Arm/Group Title Phase 3: Triplet Arm Phase 3: Doublet Arm Phase 3: Control Arm
Hide Arm/Group Description:
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.
Overall Number of Participants Analyzed 222 216 193
Measure Type: Count of Participants
Unit of Measure: Participants
Baseline <=0 to >0-<0.1
33
  14.9%
8
   3.7%
0
   0.0%
Baseline <=0 to 0.1-<0.2
15
   6.8%
3
   1.4%
0
   0.0%
Baseline <=0 to 0.2-<0.3
4
   1.8%
0
   0.0%
0
   0.0%
Baseline <=0 to >=0.3
6
   2.7%
1
   0.5%
0
   0.0%
Baseline <=0 to missing score
9
   4.1%
86
  39.8%
129
  66.8%
Baseline >0-<0.1 to <=0
17
   7.7%
6
   2.8%
0
   0.0%
Baseline >0-<0.1 to 0.1-<0.2
7
   3.2%
2
   0.9%
0
   0.0%
Baseline >0-<0.1 to 0.2-<0.3
4
   1.8%
1
   0.5%
0
   0.0%
Baseline >0-<0.1 to >=0.3
3
   1.4%
0
   0.0%
0
   0.0%
Baseline >0-<0.1 to missing score
3
   1.4%
25
  11.6%
30
  15.5%
Baseline 0.1-<0.2 to <=0
5
   2.3%
1
   0.5%
0
   0.0%
Baseline 0.1-<0.2 to >0-<0.1
1
   0.5%
0
   0.0%
0
   0.0%
Baseline 0.2-<0.3 to <=0
1
   0.5%
0
   0.0%
0
   0.0%
Baseline 0.2-<0.3 to >0-<0.1
3
   1.4%
0
   0.0%
0
   0.0%
Baseline 0.2-<0.3 to 0.1-<0.2
3
   1.4%
1
   0.5%
0
   0.0%
Baseline 0.2-<0.3 to missing score
1
   0.5%
4
   1.9%
5
   2.6%
Baseline >=0.3 to <=0
9
   4.1%
2
   0.9%
0
   0.0%
Baseline >=0.3 to >0-<0.1
4
   1.8%
0
   0.0%
0
   0.0%
Baseline >=0.3 to 0.1-<0.2
1
   0.5%
1
   0.5%
0
   0.0%
Baseline >=0.3 to 0.2-<0.3
2
   0.9%
0
   0.0%
0
   0.0%
Baseline >=0.3 to missing score
1
   0.5%
19
   8.8%
13
   6.7%
Baseline 0.1-<0.2 to 0.2-<0.3
0
   0.0%
3
   1.4%
0
   0.0%
Baseline 0.1-<0.2 to missing score
0
   0.0%
9
   4.2%
7
   3.6%
69.Secondary Outcome
Title Phase 3: Number of Participants With Shifts in Left Ventricular Ejection Fraction (LVEF) From Baseline to Maximum Grade On-treatment
Hide Description Left ventricular ejection fraction (LVEF) abnormalities were defined according to CTCAE version 4.03 where Grade 0: Non-missing value below Grade 2, Grade 2: LVEF between 40% and 50% or absolute change from baseline between -10% and < -20%, Grade 3: LVEF between 20% and 39% or absolute change from baseline <= -20%, Grade 4: LVEF lower than 20%. Categories with at least 1 non-zero data values showing any shift in Grade from baseline to 1 day after dose 1 (post-baseline) were reported. Participants whose grade category was unchanged (e.g. Grade 0 to Grade 0) were not reported.
Time Frame From start of study treatment until 30 days post last dose of study treatment (for triplet arm: maximum treatment exposure of 277.4 weeks; for doublet arm: maximum treatment exposure of 268 weeks; for Control arm: maximum treatment exposure of 108 weeks)
Hide Outcome Measure Data
Hide Analysis Population Description
The safety set consisted of all participants who received at least 1 dose of study drug and had at least 1 post-treatment assessment, which may have included death. Participants were analyzed according to treatment received.
Arm/Group Title Phase 3: Triplet Arm Phase 3: Doublet Arm Phase 3: Control Arm
Hide Arm/Group Description:
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.
Overall Number of Participants Analyzed 222 216 193
Measure Type: Count of Participants
Unit of Measure: Participants
Baseline Grade 0 to Grade 2 post baseline
27
  12.2%
0
   0.0%
0
   0.0%
Baseline Grade 0 to Grade 3 post baseline
1
   0.5%
1
   0.5%
0
   0.0%
Baseline Grade 0 to missing grade
17
   7.7%
205
  94.9%
186
  96.4%
Baseline Grade 2 to missing grade
0
   0.0%
3
   1.4%
2
   1.0%
Baseline missing grade to Grade 0 post baseline
1
   0.5%
0
   0.0%
0
   0.0%
70.Other Pre-specified Outcome
Title (Phase 3) Overall Survival (OS) of Triplet Arm vs. Control Arm - Final Analysis
Hide Description OS was defined as the time from randomization to death due to any cause.
Time Frame From randomization to death due to any cause (maximum treatment exposure of 277.4 weeks for triplet arm and 108 weeks for control arm)
Hide Outcome Measure Data
Hide Analysis Population Description
The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 participants.
Arm/Group Title Phase 3: Triplet Arm Phase 3:Control Arm
Hide Arm/Group Description:
Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice 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.
Overall Number of Participants Analyzed 224 221
Median (95% Confidence Interval)
Unit of Measure: Months
9.82
(8.34 to 11.73)
5.88
(5.09 to 7.16)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Phase 3: Triplet Arm, Phase 3:Control Arm
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value <0.0001
Comments [Not Specified]
Method Stratified Log-rank
Comments [Not Specified]
Time Frame Adverse Events (AE) were collected from initiation of study drug through 30 days after the last dose of study drug. For CSLI: maximum treatment exposure of 280 weeks; for Phase 3- Triplet arm: maximum treatment exposure of 277.4 weeks; for Phase 3- Doublet arm: maximum treatment exposure of 268 weeks; for Phase 3- Control arm: maximum treatment exposure of 108 weeks
Adverse Event Reporting Description An AE is defined as the appearance of (or worsening of any pre-existing) undesirable signs, symptoms, or medical conditions that occur after participant's signed informed consent has been obtained. For non-SAEs and SAEs: safety set consisted of all participants who received at least 1 dose of study drug and had at least 1 post-treatment assessment, which may have included death. For all-cause mortality: FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 participants.
 
Arm/Group Title Combined Safety Lead-in Phase 3: Triplet Arm Phase 3: Doublet Arm Phase 3: Control Arm
Hide 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.
All-Cause Mortality
Combined Safety Lead-in Phase 3: Triplet Arm Phase 3: Doublet Arm Phase 3: Control Arm
Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%)
Total   30/37 (81.08%)   209/224 (93.30%)   193/220 (87.73%)   198/221 (89.59%) 
Hide Serious Adverse Events
Combined Safety Lead-in Phase 3: Triplet Arm Phase 3: Doublet Arm Phase 3: Control Arm
Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%)
Total   22/37 (59.46%)   118/222 (53.15%)   91/216 (42.13%)   78/193 (40.41%) 
Blood and lymphatic system disorders         
Anaemia * 1  1/37 (2.70%)  6/222 (2.70%)  0/216 (0.00%)  1/193 (0.52%) 
Pulmonary embolism * 1  1/37 (2.70%)  8/222 (3.60%)  3/216 (1.39%)  5/193 (2.59%) 
Bacteraemia * 1  0/37 (0.00%)  4/222 (1.80%)  0/216 (0.00%)  1/193 (0.52%) 
Febrile neutropenia * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  5/193 (2.59%) 
Infusion-related reaction * 1  5/37 (13.51%)  1/222 (0.45%)  7/216 (3.24%)  6/193 (3.11%) 
Neutropenia * 1  0/37 (0.00%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
Cardiac disorders         
Cardiac arrest * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Cardio-respiratory arrest * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  1/193 (0.52%) 
Atrial fibrillation * 1  0/37 (0.00%)  0/222 (0.00%)  3/216 (1.39%)  0/193 (0.00%) 
Acute myocardial infarction * 1  0/37 (0.00%)  1/222 (0.45%)  1/216 (0.46%)  0/193 (0.00%) 
Cardiac failure * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Myocardial infarction * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Pericardial effusion * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Pericarditis * 1  0/37 (0.00%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
Sinus tachycardia * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Ear and labyrinth disorders         
Vertigo * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Gastrointestinal disorders         
Diarrhoea * 1  1/37 (2.70%)  10/222 (4.50%)  0/216 (0.00%)  10/193 (5.18%) 
Vomiting * 1  2/37 (5.41%)  6/222 (2.70%)  2/216 (0.93%)  4/193 (2.07%) 
Gastrointestinal perforation * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Ileus * 1  0/37 (0.00%)  5/222 (2.25%)  4/216 (1.85%)  4/193 (2.07%) 
Intestinal obstruction * 1  0/37 (0.00%)  11/222 (4.95%)  12/216 (5.56%)  7/193 (3.63%) 
Large intestine perforation * 1  1/37 (2.70%)  3/222 (1.35%)  2/216 (0.93%)  2/193 (1.04%) 
Gastrointestinal haemorrhage * 1  0/37 (0.00%)  2/222 (0.90%)  2/216 (0.93%)  0/193 (0.00%) 
Subileus * 1  0/37 (0.00%)  1/222 (0.45%)  2/216 (0.93%)  4/193 (2.07%) 
Abdominal pain * 1  0/37 (0.00%)  7/222 (3.15%)  5/216 (2.31%)  4/193 (2.07%) 
Bile duct obstruction * 1  0/37 (0.00%)  2/222 (0.90%)  3/216 (1.39%)  2/193 (1.04%) 
Large intestinal obstruction * 1  0/37 (0.00%)  1/222 (0.45%)  4/216 (1.85%)  0/193 (0.00%) 
Subileus * 1  0/37 (0.00%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
Small intestinal obstruction * 1  0/37 (0.00%)  6/222 (2.70%)  4/216 (1.85%)  4/193 (2.07%) 
Colitis * 1  1/37 (2.70%)  2/222 (0.90%)  0/216 (0.00%)  0/193 (0.00%) 
Abdominal distention * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Constipation * 1  0/37 (0.00%)  1/222 (0.45%)  1/216 (0.46%)  1/193 (0.52%) 
Duodenal obstruction * 1  0/37 (0.00%)  1/222 (0.45%)  1/216 (0.46%)  0/193 (0.00%) 
Dyspepsia * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Gastritis * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Haematemesis * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
intestinal perforation * 1  0/37 (0.00%)  2/222 (0.90%)  0/216 (0.00%)  0/193 (0.00%) 
Melaena * 1  0/37 (0.00%)  1/222 (0.45%)  1/216 (0.46%)  0/193 (0.00%) 
Pancreatitis * 1  0/37 (0.00%)  1/222 (0.45%)  1/216 (0.46%)  0/193 (0.00%) 
Pancreatitis acute * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Pancreatitis relapsing * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Rectal stenosis * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Abdominal hernia * 1  0/37 (0.00%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
Anal haemorrhage * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Ascites * 1  0/37 (0.00%)  1/222 (0.45%)  1/216 (0.46%)  1/193 (0.52%) 
Enterocolitis * 1  0/37 (0.00%)  1/222 (0.45%)  1/216 (0.46%)  1/193 (0.52%) 
Impaired gastric emptying * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Large intestine ulcer * 1  1/37 (2.70%)  2/222 (0.90%)  0/216 (0.00%)  0/193 (0.00%) 
Proctalgia * 1  0/37 (0.00%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
Abdominal distension * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Abdominal pain upper * 1  1/37 (2.70%)  1/222 (0.45%)  1/216 (0.46%)  0/193 (0.00%) 
Anal fistula * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Haemorrhoids * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Large intestinal ulcer hemorrhage * 1  1/37 (2.70%)  0/222 (0.00%)  0/216 (0.00%)  0/193 (0.00%) 
Lower gastrointestinal hemorrhage * 1  0/37 (0.00%)  2/222 (0.90%)  1/216 (0.46%)  0/193 (0.00%) 
Malabsorption * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Mallory-Weiss syndrome * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Nausea * 1  1/37 (2.70%)  7/222 (3.15%)  3/216 (1.39%)  1/193 (0.52%) 
Oesophageal ulcer hemorrhage * 1  0/37 (0.00%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
Proctitis * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Rectal hemorrhage * 1  1/37 (2.70%)  4/222 (1.80%)  0/216 (0.00%)  0/193 (0.00%) 
Small intestinal perforation * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Upper gastrointestinal hemorrhage * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Gastrointestinal obstruction * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Gastrointestinal ulcer haemorrhage * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Large intestinal haemorrhage * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Duodenal perforation * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Large intestinal ulcer * 1  1/37 (2.70%)  2/222 (0.90%)  0/216 (0.00%)  0/193 (0.00%) 
Esophageal ulcer hemorrhage * 1  0/37 (0.00%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
General disorders         
Death * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Pain * 1  0/37 (0.00%)  1/222 (0.45%)  1/216 (0.46%)  3/193 (1.55%) 
Asthenia * 1  0/37 (0.00%)  1/222 (0.45%)  1/216 (0.46%)  1/193 (0.52%) 
Catheter site thrombosis * 1  0/37 (0.00%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
Fatigue * 1  1/37 (2.70%)  0/222 (0.00%)  2/216 (0.93%)  0/193 (0.00%) 
General physical health deterioration * 1  0/37 (0.00%)  1/222 (0.45%)  1/216 (0.46%)  2/193 (1.04%) 
Malaise * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Non-cardiac chest pain * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Oedema peripheral * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Perforation * 1  0/37 (0.00%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
Pyrexia * 1  2/37 (5.41%)  5/222 (2.25%)  2/216 (0.93%)  0/193 (0.00%) 
Hepatobiliary disorders         
Hepatic failure * 1  0/37 (0.00%)  3/222 (1.35%)  1/216 (0.46%)  0/193 (0.00%) 
Jaundice * 1  0/37 (0.00%)  1/222 (0.45%)  1/216 (0.46%)  1/193 (0.52%) 
Bile duct obstruction * 1  0/37 (0.00%)  2/222 (0.90%)  3/216 (1.39%)  2/193 (1.04%) 
Bile duct stenosis * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  1/193 (0.52%) 
Biliary dilatation * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Cholangitis * 1  1/37 (2.70%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Cholangitis acute * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Cholecystitis * 1  0/37 (0.00%)  2/222 (0.90%)  1/216 (0.46%)  0/193 (0.00%) 
Hepatic function abnormal * 1  0/37 (0.00%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
Hyperbilirubinaemia * 1  0/37 (0.00%)  2/222 (0.90%)  0/216 (0.00%)  0/193 (0.00%) 
Immune system disorders         
Anaphylactic reaction * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  1/193 (0.52%) 
Drug hypersensitivity * 1  0/37 (0.00%)  0/222 (0.00%)  2/216 (0.93%)  1/193 (0.52%) 
Infections and infestations         
Peritonitis * 1  0/37 (0.00%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
Respiratory tract infection * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Sepsis * 1  1/37 (2.70%)  5/222 (2.25%)  3/216 (1.39%)  3/193 (1.55%) 
Abdominal wall abscess * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Biliary tract infection * 1  0/37 (0.00%)  1/222 (0.45%)  1/216 (0.46%)  0/193 (0.00%) 
Cholangitis infective * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Endocarditis * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Erysipelas * 1  0/37 (0.00%)  1/222 (0.45%)  1/216 (0.46%)  0/193 (0.00%) 
Gastrintestinal infection * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Urosepsis * 1  0/37 (0.00%)  1/222 (0.45%)  2/216 (0.93%)  0/193 (0.00%) 
Wound abscess * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Abdominal abscess * 1  1/37 (2.70%)  1/222 (0.45%)  1/216 (0.46%)  0/193 (0.00%) 
Abscess limb * 1  0/37 (0.00%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
Anal abscess * 1  0/37 (0.00%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
Bacterial sepsis * 1  1/37 (2.70%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
Campylobacter gastroenteritis * 1  0/37 (0.00%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
Abdominal infection * 1  0/37 (0.00%)  2/222 (0.90%)  0/216 (0.00%)  1/193 (0.52%) 
Bacteraemia * 1  0/37 (0.00%)  4/222 (1.80%)  0/216 (0.00%)  1/193 (0.52%) 
Clostridial infection * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Cystitis * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Device related infection * 1  0/37 (0.00%)  4/222 (1.80%)  1/216 (0.46%)  0/193 (0.00%) 
Device related sepsis * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Enteritis infectious * 1  0/37 (0.00%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
Escherichia bacteraemia * 1  0/37 (0.00%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
Febrile infection * 1  0/37 (0.00%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
Herpes simplex * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Infection * 1  2/37 (5.41%)  0/222 (0.00%)  0/216 (0.00%)  0/193 (0.00%) 
Infectious colitis * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Kidney infection * 1  1/37 (2.70%)  0/222 (0.00%)  0/216 (0.00%)  0/193 (0.00%) 
Lung infection * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  1/193 (0.52%) 
Ophthalmic herpes zoster * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Pneumocystis jirovecii pneumonia * 1  0/37 (0.00%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
Pneumonia * 1  0/37 (0.00%)  1/222 (0.45%)  3/216 (1.39%)  0/193 (0.00%) 
Pyelonephritis * 1  0/37 (0.00%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
Pyelonephritis acute * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Septic shock * 1  0/37 (0.00%)  3/222 (1.35%)  1/216 (0.46%)  2/193 (1.04%) 
Skin infection * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Staphylococcal bacteraemia * 1  0/37 (0.00%)  2/222 (0.90%)  0/216 (0.00%)  1/193 (0.52%) 
Streptococcal bacteraemia * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Streptococcal infection * 1  1/37 (2.70%)  0/222 (0.00%)  0/216 (0.00%)  0/193 (0.00%) 
Urinary tract infection * 1  4/37 (10.81%)  5/222 (2.25%)  6/216 (2.78%)  1/193 (0.52%) 
Urinary tract infection bacterial * 1  1/37 (2.70%)  0/222 (0.00%)  0/216 (0.00%)  0/193 (0.00%) 
Gastrointestinal infection * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Injury, poisoning and procedural complications         
Anastomotic haemorrhage * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Anastomotic ulcer * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Infusion related reaction * 1  3/37 (8.11%)  1/222 (0.45%)  3/216 (1.39%)  2/193 (1.04%) 
Radiation inflammation * 1  0/37 (0.00%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
Rib fracture * 1  0/37 (0.00%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
Toxicity to various agents * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Investigations         
Alanine aminotransferase increased * 1  1/37 (2.70%)  0/222 (0.00%)  0/216 (0.00%)  0/193 (0.00%) 
Aspartate aminotransferase increased * 1  2/37 (5.41%)  0/222 (0.00%)  0/216 (0.00%)  0/193 (0.00%) 
Blood bilirubin increased * 1  0/37 (0.00%)  1/222 (0.45%)  2/216 (0.93%)  0/193 (0.00%) 
Blood creatine phosphokinase increased * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Body temperature increased * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
International normalised ratio increased * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Neutrophil count decreased * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Metabolism and nutrition disorders         
Dehydration * 1  1/37 (2.70%)  2/222 (0.90%)  1/216 (0.46%)  1/193 (0.52%) 
Decreased appetite * 1  1/37 (2.70%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
Cachexia * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Electrolyte imbalance * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Hypercalcaemia * 1  0/37 (0.00%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
Hyperglycaemia * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Hypoalbuminaemia * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Hypokalaemia * 1  0/37 (0.00%)  1/222 (0.45%)  1/216 (0.46%)  2/193 (1.04%) 
Hyponatraemia * 1  0/37 (0.00%)  1/222 (0.45%)  2/216 (0.93%)  0/193 (0.00%) 
Malnutrition * 1  0/37 (0.00%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
Musculoskeletal and connective tissue disorders         
Back pain * 1  1/37 (2.70%)  1/222 (0.45%)  2/216 (0.93%)  0/193 (0.00%) 
Bone pain * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Chondrocalcinosis * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Fistula * 1  0/37 (0.00%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
Muscle tightness * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Musculoskeletal chest pain * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Osteoarthritis * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Periostitis * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Rhabdomyolysis * 1  1/37 (2.70%)  0/222 (0.00%)  0/216 (0.00%)  0/193 (0.00%) 
Neoplasms benign, malignant and unspecified (incl cysts and polyps)         
Cancer pain * 1  0/37 (0.00%)  1/222 (0.45%)  5/216 (2.31%)  1/193 (0.52%) 
Malignant melanoma * 1  0/37 (0.00%)  0/222 (0.00%)  3/216 (1.39%)  0/193 (0.00%) 
Metastases to central nervous system * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Transitional cell carcinoma * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Tumour associated fever * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  1/193 (0.52%) 
Tumor haemorrhage * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Tumour pain * 1  1/37 (2.70%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
Nervous system disorders         
Cerebral ischaemia * 1  0/37 (0.00%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
Epilepsy * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  1/193 (0.52%) 
Cerebral haematoma * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Cerebrovascular accident * 1  0/37 (0.00%)  1/222 (0.45%)  1/216 (0.46%)  0/193 (0.00%) 
Cognitive disorder * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Hemiparesis * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Hepatic encephalopathy * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Ischaemic stroke * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  1/193 (0.52%) 
Lethargy * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Spinal cord compression * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Syncope * 1  1/37 (2.70%)  1/222 (0.45%)  1/216 (0.46%)  0/193 (0.00%) 
Transient ischaemic attack * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Product Issues         
Device occlusion * 1  1/37 (2.70%)  1/222 (0.45%)  0/216 (0.00%)  1/193 (0.52%) 
Psychiatric disorders         
Anxiety * 1  0/37 (0.00%)  2/222 (0.90%)  0/216 (0.00%)  0/193 (0.00%) 
Confusional state * 1  1/37 (2.70%)  0/222 (0.00%)  0/216 (0.00%)  0/193 (0.00%) 
Renal and urinary disorders         
Acute kidney injury * 1  1/37 (2.70%)  8/222 (3.60%)  4/216 (1.85%)  1/193 (0.52%) 
Urinary tract infection * 1  4/37 (10.81%)  2/222 (0.90%)  5/216 (2.31%)  1/193 (0.52%) 
Haematuria * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Hydronephrosis * 1  1/37 (2.70%)  2/222 (0.90%)  0/216 (0.00%)  1/193 (0.52%) 
Nephritis * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Renal failure * 1  2/37 (5.41%)  2/222 (0.90%)  1/216 (0.46%)  0/193 (0.00%) 
Urinary retention * 1  0/37 (0.00%)  1/222 (0.45%)  1/216 (0.46%)  0/193 (0.00%) 
Prerenal failure * 1  0/37 (0.00%)  2/222 (0.90%)  0/216 (0.00%)  1/193 (0.52%) 
Renal colic * 1  0/37 (0.00%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
Urinary tract obstruction * 1  1/37 (2.70%)  4/222 (1.80%)  1/216 (0.46%)  0/193 (0.00%) 
Reproductive system and breast disorders         
Female genital tract fistula * 1  0/37 (0.00%)  2/222 (0.90%)  0/216 (0.00%)  0/193 (0.00%) 
Pelvic pain * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Respiratory, thoracic and mediastinal disorders         
Aspiration * 1  0/37 (0.00%)  0/222 (0.00%)  2/216 (0.93%)  0/193 (0.00%) 
Respiratory failure * 1  0/37 (0.00%)  1/222 (0.45%)  1/216 (0.46%)  3/193 (1.55%) 
Dyspnoea * 1  0/37 (0.00%)  2/222 (0.90%)  1/216 (0.46%)  1/193 (0.52%) 
Epistaxis * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Haemoptysis * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Interstitial lung disease * 1  0/37 (0.00%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
Pleural effusion * 1  2/37 (5.41%)  0/222 (0.00%)  0/216 (0.00%)  0/193 (0.00%) 
Pleuritic pain * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Pneumomediastinum * 1  0/37 (0.00%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
Pneumothorax * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Pulmonary embolism * 1  1/37 (2.70%)  8/222 (3.60%)  3/216 (1.39%)  5/193 (2.59%) 
Skin and subcutaneous tissue disorders         
Pruritus generalised * 1  0/37 (0.00%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Surgical and medical procedures         
Analgesic therapy * 1  0/37 (0.00%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
Vascular disorders         
Deep vein thrombosis * 1  0/37 (0.00%)  0/222 (0.00%)  1/216 (0.46%)  0/193 (0.00%) 
Hypertension * 1  0/37 (0.00%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
Jugular vein thrombosis * 1  0/37 (0.00%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
Peripheral artery stenosis * 1  0/37 (0.00%)  0/222 (0.00%)  0/216 (0.00%)  1/193 (0.52%) 
1
Term from vocabulary, MedDRA (21.0)
*
Indicates events were collected by non-systematic assessment
Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 5%
Combined Safety Lead-in Phase 3: Triplet Arm Phase 3: Doublet Arm Phase 3: Control Arm
Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%)
Total   36/37 (97.30%)   218/222 (98.20%)   212/216 (98.15%)   187/193 (96.89%) 
Blood and lymphatic system disorders         
Anaemia * 1  16/37 (43.24%)  105/222 (47.30%)  44/216 (20.37%)  37/193 (19.17%) 
Neutropenia * 1  1/37 (2.70%)  3/222 (1.35%)  4/216 (1.85%)  36/193 (18.65%) 
Cardiac disorders         
Palpitations * 1  2/37 (5.41%)  3/222 (1.35%)  4/216 (1.85%)  1/193 (0.52%) 
Eye disorders         
Vision blurred * 1  12/37 (32.43%)  27/222 (12.16%)  10/216 (4.63%)  1/193 (0.52%) 
Dry eye * 1  5/37 (13.51%)  9/222 (4.05%)  11/216 (5.09%)  3/193 (1.55%) 
Retinal detachment * 1  2/37 (5.41%)  6/222 (2.70%)  1/216 (0.46%)  0/193 (0.00%) 
Chorioretinopathy * 1  2/37 (5.41%)  3/222 (1.35%)  0/216 (0.00%)  0/193 (0.00%) 
Macular oedema * 1  3/37 (8.11%)  1/222 (0.45%)  1/216 (0.46%)  0/193 (0.00%) 
Trichiasis * 1  4/37 (10.81%)  1/222 (0.45%)  0/216 (0.00%)  0/193 (0.00%) 
Trichomegaly * 1  2/37 (5.41%)  6/222 (2.70%)  1/216 (0.46%)  0/193 (0.00%) 
Visual impairment * 1  3/37 (8.11%)  4/222 (1.80%)  5/216 (2.31%)  0/193 (0.00%) 
Vitreous floaters * 1  4/37 (10.81%)  3/222 (1.35%)  4/216 (1.85%)  0/193 (0.00%) 
Gastrointestinal disorders         
Diarrhoea * 1  29/37 (78.38%)  150/222 (67.57%)  85/216 (39.35%)  96/193 (49.74%) 
Nausea * 1  22/37 (59.46%)  107/222 (48.20%)  80/216 (37.04%)  84/193 (43.52%) 
Vomiting * 1  19/37 (51.35%)  99/222 (44.59%)  58/216 (26.85%)  59/193 (30.57%) 
Abdominal pain * 1  14/37 (37.84%)  74/222 (33.33%)  60/216 (27.78%)  54/193 (27.98%) 
Constipation * 1  14/37 (37.84%)  64/222 (28.83%)  39/216 (18.06%)  39/193 (20.21%) 
Abdominal pain upper * 1  5/37 (13.51%)  24/222 (10.81%)  22/216 (10.19%)  15/193 (7.77%) 
Dyspepsia * 1  4/37 (10.81%)  18/222 (8.11%)  9/216 (4.17%)  7/193 (3.63%) 
Flatulence * 1  0/37 (0.00%)  15/222 (6.76%)  6/216 (2.78%)  3/193 (1.55%) 
Rectal haemorrhage * 1  2/37 (5.41%)  21/222 (9.46%)  6/216 (2.78%)  1/193 (0.52%) 
Dry Mouth * 1  2/37 (5.41%)  11/222 (4.95%)  10/216 (4.63%)  8/193 (4.15%) 
Gastroesophageal reflux disease * 1  2/37 (5.41%)  10/222 (4.50%)  6/216 (2.78%)  6/193 (3.11%) 
Abdominal distension * 1  2/37 (5.41%)  10/222 (4.50%)  16/216 (7.41%)  8/193 (4.15%) 
Intestinal obstruction * 1  0/37 (0.00%)  11/222 (4.95%)  12/216 (5.56%)  7/193 (3.63%) 
Anal haemorrhage * 1  2/37 (5.41%)  6/222 (2.70%)  1/216 (0.46%)  2/193 (1.04%) 
Ascites * 1  2/37 (5.41%)  5/222 (2.25%)  2/216 (0.93%)  4/193 (2.07%) 
Colitis * 1  2/37 (5.41%)  1/222 (0.45%)  0/216 (0.00%)  1/193 (0.52%) 
Stomatitis * 1  6/37 (16.22%)  32/222 (14.41%)  13/216 (6.02%)  45/193 (23.32%) 
Abdominal pain lower * 1  2/37 (5.41%)  5/222 (2.25%)  4/216 (1.85%)  2/193 (1.04%) 
General disorders         
Fatigue * 1  20/37 (54.05%)  74/222 (33.33%)  74/216 (34.26%)  54/193 (27.98%) 
Asthenia * 1  6/37 (16.22%)  63/222 (28.38%)  51/216 (23.61%)  52/193 (26.94%) 
Pyrexia * 1  16/37 (43.24%)  53/222 (23.87%)  43/216 (19.91%)  30/193 (15.54%) 
Chills * 1  6/37 (16.22%)  15/222 (6.76%)  6/216 (2.78%)  3/193 (1.55%) 
Malaise * 1  7/37 (18.92%)  5/222 (2.25%)  6/216 (2.78%)  11/193 (5.70%) 
Oedema peripheral * 1  6/37 (16.22%)  30/222 (13.51%)  24/216 (11.11%)  14/193 (7.25%) 
Infections and infestations         
Urinary tract infection * 1  7/37 (18.92%)  26/222 (11.71%)  16/216 (7.41%)  5/193 (2.59%) 
Paronychia * 1  6/37 (16.22%)  21/222 (9.46%)  13/216 (6.02%)  20/193 (10.36%) 
Rash pustular * 1  6/37 (16.22%)  13/222 (5.86%)  4/216 (1.85%)  4/193 (2.07%) 
Conjunctivitis * 1  2/37 (5.41%)  16/222 (7.21%)  12/216 (5.56%)  3/193 (1.55%) 
Cystitis * 1  2/37 (5.41%)  6/222 (2.70%)  2/216 (0.93%)  1/193 (0.52%) 
Nasopharyngitis * 1  3/37 (8.11%)  12/222 (5.41%)  15/216 (6.94%)  3/193 (1.55%) 
Upper respiratory tract infection * 1  1/37 (2.70%)  4/222 (1.80%)  9/216 (4.17%)  10/193 (5.18%) 
Injury, poisoning and procedural complications         
Infusion related reaction * 1  1/37 (2.70%)  5/222 (2.25%)  18/216 (8.33%)  13/193 (6.74%) 
Wound * 1  2/37 (5.41%)  1/222 (0.45%)  1/216 (0.46%)  1/193 (0.52%) 
Investigations         
Weight decreased * 1  3/37 (8.11%)  25/222 (11.26%)  26/216 (12.04%)  12/193 (6.22%) 
Neutrophil count decreased * 1  0/37 (0.00%)  2/222 (0.90%)  1/216 (0.46%)  21/193 (10.88%) 
Blood creatine phosphokinase increased * 1  11/37 (29.73%)  26/222 (11.71%)  3/216 (1.39%)  4/193 (2.07%) 
Blood creatine increased * 1  11/37 (29.73%)  25/222 (11.26%)  6/216 (2.78%)  1/193 (0.52%) 
Alanine aminotransferase increased * 1  6/37 (16.22%)  16/222 (7.21%)  15/216 (6.94%)  14/193 (7.25%) 
Aspartate aminotransferase increased * 1  7/37 (18.92%)  14/222 (6.31%)  7/216 (3.24%)  14/193 (7.25%) 
Ejection fraction decreased * 1  5/37 (13.51%)  8/222 (3.60%)  0/216 (0.00%)  0/193 (0.00%) 
Blood bilirubin increased * 1  3/37 (8.11%)  5/222 (2.25%)  9/216 (4.17%)  8/193 (4.15%) 
White blood cell count decrease * 1  0/37 (0.00%)  2/222 (0.90%)  2/216 (0.93%)  14/193 (7.25%) 
Blood alkaline phosphatase increased * 1  0/37 (0.00%)  6/222 (2.70%)  7/216 (3.24%)  10/193 (5.18%) 
Metabolism and nutrition disorders         
Decreased appetite * 1  15/37 (40.54%)  67/222 (30.18%)  68/216 (31.48%)  56/193 (29.02%) 
Hypomagnesaemia * 1  6/37 (16.22%)  29/222 (13.06%)  28/216 (12.96%)  19/193 (9.84%) 
Hypokalaemia * 1  3/37 (8.11%)  16/222 (7.21%)  14/216 (6.48%)  25/193 (12.95%) 
Hypoalbuminaemia * 1  4/37 (10.81%)  20/222 (9.01%)  6/216 (2.78%)  6/193 (3.11%) 
Hypocalcaemia * 1  2/37 (5.41%)  10/222 (4.50%)  5/216 (2.31%)  9/193 (4.66%) 
Hypophosphataemia * 1  2/37 (5.41%)  7/222 (3.15%)  3/216 (1.39%)  4/193 (2.07%) 
Iron deficiency * 1  3/37 (8.11%)  2/222 (0.90%)  3/216 (1.39%)  1/193 (0.52%) 
Musculoskeletal and connective tissue disorders         
Back Pain * 1  8/37 (21.62%)  36/222 (16.22%)  32/216 (14.81%)  27/193 (13.99%) 
Arthralgia * 1  9/37 (24.32%)  26/222 (11.71%)  52/216 (24.07%)  3/193 (1.55%) 
Myalgia * 1  9/37 (24.32%)  23/222 (10.36%)  35/216 (16.20%)  4/193 (2.07%) 
Pain in extremity * 1  3/37 (8.11%)  19/222 (8.56%)  26/216 (12.04%)  2/193 (1.04%) 
Musculoskeletal pain * 1  2/37 (5.41%)  12/222 (5.41%)  32/216 (14.81%)  5/193 (2.59%) 
Muscle spasms * 1  2/37 (5.41%)  22/222 (9.91%)  5/216 (2.31%)  4/193 (2.07%) 
Bone pain * 1  2/37 (5.41%)  2/222 (0.90%)  3/216 (1.39%)  2/193 (1.04%) 
Flank pain * 1  3/37 (8.11%)  2/222 (0.90%)  1/216 (0.46%)  3/193 (1.55%) 
Musculoskeletal chest pain * 1  2/37 (5.41%)  7/222 (3.15%)  5/216 (2.31%)  2/193 (1.04%) 
Neoplasms benign, malignant and unspecified (incl cysts and polyps)         
Melanocytic naevus * 1  1/37 (2.70%)  1/222 (0.45%)  34/216 (15.74%)  0/193 (0.00%) 
Tumour Pain * 1  4/37 (10.81%)  3/222 (1.35%)  1/216 (0.46%)  1/193 (0.52%) 
Skin papilloma * 1  1/37 (2.70%)  0/222 (0.00%)  15/216 (6.94%)  0/193 (0.00%) 
Nervous system disorders         
Headache * 1  7/37 (18.92%)  21/222 (9.46%)  43/216 (19.91%)  5/193 (2.59%) 
Dizziness * 1  8/37 (21.62%)  16/222 (7.21%)  16/216 (7.41%)  16/193 (8.29%) 
Neuropathy peripheral * 1  1/37 (2.70%)  13/222 (5.86%)  11/216 (5.09%)  5/193 (2.59%) 
Dysgeusia * 1  6/37 (16.22%)  11/222 (4.95%)  10/216 (4.63%)  8/193 (4.15%) 
Peripheral sensory neuropathy * 1  6/37 (16.22%)  7/222 (3.15%)  5/216 (2.31%)  4/193 (2.07%) 
Nervous system disorder * 1  2/37 (5.41%)  0/222 (0.00%)  0/216 (0.00%)  0/193 (0.00%) 
Restless legs syndrome * 1  2/37 (5.41%)  1/222 (0.45%)  10/216 (4.63%)  1/193 (0.52%) 
Psychiatric disorders         
Insomnia * 1  2/37 (5.41%)  15/222 (6.76%)  25/216 (11.57%)  13/193 (6.74%) 
Depression * 1  2/37 (5.41%)  5/222 (2.25%)  5/216 (2.31%)  1/193 (0.52%) 
Renal and urinary disorders         
Haematuria * 1  2/37 (5.41%)  16/222 (7.21%)  6/216 (2.78%)  4/193 (2.07%) 
Pollakiuria * 1  4/37 (10.81%)  4/222 (1.80%)  8/216 (3.70%)  0/193 (0.00%) 
Proteinuria * 1  3/37 (8.11%)  5/222 (2.25%)  6/216 (2.78%)  1/193 (0.52%) 
Urinary incontinence * 1  2/37 (5.41%)  1/222 (0.45%)  5/216 (2.31%)  2/193 (1.04%) 
Respiratory, thoracic and mediastinal disorders         
Cough * 1  5/37 (13.51%)  26/222 (11.71%)  22/216 (10.19%)  12/193 (6.22%) 
Dyspnoea * 1  13/37 (35.14%)  22/222 (9.91%)  30/216 (13.89%)  20/193 (10.36%) 
Pulmonary embolism * 1  2/37 (5.41%)  4/222 (1.80%)  1/216 (0.46%)  5/193 (2.59%) 
Epistaxis * 1  1/37 (2.70%)  8/222 (3.60%)  16/216 (7.41%)  8/193 (4.15%) 
Dysphonia * 1  2/37 (5.41%)  5/222 (2.25%)  12/216 (5.56%)  3/193 (1.55%) 
Rhinnorrhoea * 1  3/37 (8.11%)  5/222 (2.25%)  6/216 (2.78%)  1/193 (0.52%) 
Pleural effusion * 1  2/37 (5.41%)  1/222 (0.45%)  3/216 (1.39%)  2/193 (1.04%) 
Rhinitis allergic * 1  3/37 (8.11%)  1/222 (0.45%)  3/216 (1.39%)  1/193 (0.52%) 
Skin and subcutaneous tissue disorders         
Dermatitis acneiform * 1  25/37 (67.57%)  113/222 (50.90%)  65/216 (30.09%)  77/193 (39.90%) 
Dry Skin * 1  19/37 (51.35%)  49/222 (22.07%)  28/216 (12.96%)  17/193 (8.81%) 
Rash * 1  3/37 (8.11%)  49/222 (22.07%)  35/216 (16.20%)  28/193 (14.51%) 
Pruritus * 1  3/37 (8.11%)  35/222 (15.77%)  24/216 (11.11%)  10/193 (5.18%) 
Palmar-planar erythrodysaesthesia * 1  6/37 (16.22%)  31/222 (13.96%)  11/216 (5.09%)  15/193 (7.77%) 
Rash maculo-papular * 1  6/37 (16.22%)  19/222 (8.56%)  19/216 (8.80%)  11/193 (5.70%) 
Skin fissures * 1  9/37 (24.32%)  21/222 (9.46%)  9/216 (4.17%)  13/193 (6.74%) 
Erythema * 1  2/37 (5.41%)  9/222 (4.05%)  13/216 (6.02%)  4/193 (2.07%) 
Eczema * 1  2/37 (5.41%)  5/222 (2.25%)  2/216 (0.93%)  1/193 (0.52%) 
Skin hyperpigmentation * 1  2/37 (5.41%)  1/222 (0.45%)  16/216 (7.41%)  2/193 (1.04%) 
Skin lesion * 1  0/37 (0.00%)  2/222 (0.90%)  17/216 (7.87%)  3/193 (1.55%) 
Alopecia * 1  1/37 (2.70%)  6/222 (2.70%)  10/216 (4.63%)  21/193 (10.88%) 
Hyperkeratosis * 1  1/37 (2.70%)  1/222 (0.45%)  12/216 (5.56%)  0/193 (0.00%) 
Hypertrichosis * 1  3/37 (8.11%)  4/222 (1.80%)  5/216 (2.31%)  1/193 (0.52%) 
Nail disorder * 1  2/37 (5.41%)  4/222 (1.80%)  3/216 (1.39%)  2/193 (1.04%) 
Pruritus generalised * 1  2/37 (5.41%)  6/222 (2.70%)  12/216 (5.56%)  3/193 (1.55%) 
Vascular disorders         
Hypotension * 1  3/37 (8.11%)  9/222 (4.05%)  9/216 (4.17%)  3/193 (1.55%) 
Hypertension * 1  4/37 (10.81%)  8/222 (3.60%)  8/216 (3.70%)  6/193 (3.11%) 
1
Term from vocabulary, MedDRA (21.0)
*
Indicates events were collected by non-systematic assessment
Certain Agreements
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
Layout table for Results Point of Contact information
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):
Layout table for additonal information
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