BEACON CRC study safety lead-in (SLI) in patients with BRAFV600E metastatic colorectal cancer (mCRC): Efficacy and tumor markers.

Authors

Eric Van Cutsem

Eric Van Cutsem

University Hospitals Gasthuisberg Leuven and KU Leuven, Leuven, Belgium

Eric Van Cutsem , Pieter-Jan Cuyle , Sanne Huijberts , Rona Yaeger , Jan H. M. Schellens , Elena Elez , Josep Tabernero , Marwan Fakih , Clara Montagut , Marc Peeters , Jayesh Desai , Takayuki Yoshino , Fortunato Ciardiello , Harpreet Singh Wasan , Scott Kopetz , Kati Maharry , Janna Christy-Bittel , Ashwin Gollerkeri , Axel Grothey

Organizations

University Hospitals Gasthuisberg Leuven and KU Leuven, Leuven, Belgium, Netherlands Cancer Institute, Amsterdam, Netherlands, Memorial Sloan Kettering Cancer Center, New York, NY, Vall d'Hebron University Hospital Institute of Oncology/ Autonomous University of Barcelona, Barcelona, Spain, City of Hope, Duarte, CA, University Hospital del Mar, Barcelona, Spain, Antwerp University Hospital, Edegem, Belgium, Peter MacCallum Cancer Centre, Melbourne, Australia, National Cancer Center Hospital East, Kashiwa, Japan, University of Campania "Luigi Vanvitelli", Naples, Italy, Hammersmith Hospital, Imperial College London, London, United Kingdom, University of Texas MD Anderson Cancer Center, Houston, TX, Array BioPharma Inc., Boulder, CO, Mayo Clinic, Rochester, MN

Research Funding

Pharmaceutical/Biotech Company

Background: The SLI of the BEACON CRC phase 3 study assessed the safety and efficacy of the combination of the BRAF inhibitor encorafenib (ENCO) + MEK inhibitor binimetinib (BINI) + anti-EGFR antibody cetuximab (CETUX) in pts with BRAFV600E-mutant mCRC after 1 or 2 prior regimens. CEA and CA19-9 are tumor markers that are widely used to monitor the effectiveness of systemic therapies for mCRC; here we report on the association of CEA and CA19-9 changes while on treatment with clinical outcomes in pts from the SLI. Methods: Pts in the SLI received the triplet of ENCO 300 mg QD + BINI 45 mg BID + CETUX 400 mg/m2 (initial dose) then 250 mg/m2 QW in 28-day cycles. Pts were evaluated for safety, radiographic response, and change in tumor markers CEA and CA19-9. Results: 30 pts were treated. The triplet was generally well tolerated, and adverse events were consistent with known BRAF, MEK, and EGFR inhibitor toxicities. The rate of severe skin toxicities (grade 3/4) was lower than generally observed for CETUX in mCRC. Of the 29 pts with a BRAFV600E mutation, the median time on study treatment was 5.6 mo (range, 1.0–9.3 mo), and 22 (76%) remained on study treatment at the time of data cutoff. The confirmed overall response rate (ORR) was 41%, with 1 complete and 11 partial responses. In addition, 9 pts had prolonged stable disease (SD) up to 9.3 mo.CEA and CA19-9 were analyzed in 28 pts. CEA and CA19-9 decreased in 96% and 82% of these pts, respectively. Among 15 pts with treatment duration ≥5.6 mo, median/mean % decreases were 97%/79% for CEA and 92%/82% for CA19-9 in confirmed responders (n=6). Respective decreases in pts with prolonged SD (n=9) were similar: 84%/68% for CEA and 89%/68% for CA19-9. Updated safety, efficacy, and tumor marker results will be provided. Conclusions: ENCO + BINI + CETUX is generally well tolerated and has encouraging clinical activity in BRAFV600E mCRC, with a confirmed ORR of 41%. In pts with study treatment duration ≥5.6 mo, the tumor markers CEA and CA19-9 decreased markedly and to the same degree in responders vs pts with prolonged SD, providing additional evidence of the meaningful clinical activity of this regimen. Clinical trial information: NCT02928224

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Abstract Details

Meeting

2018 Gastrointestinal Cancers Symposium

Session Type

Poster Session

Session Title

Poster Session C: Cancers of the Colon, Rectum, and Anus

Track

Cancers of the Colon, Rectum, and Anus

Sub Track

Translational Research

Clinical Trial Registration Number

NCT02928224

Citation

J Clin Oncol 36, 2018 (suppl 4S; abstr 627)

DOI

10.1200/JCO.2018.36.4_suppl.627

Abstract #

627

Poster Bd #

D12

Abstract Disclosures

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