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    Clinical Trial Results:
    Phase II study of Regorafenib as a single agent for first-line treatment of patients with metastatic colorectal cancer (MCRC) who are fragile and/or not candidates for polychemotherapy

    Summary
    EudraCT number
    2013-000236-94
    Trial protocol
    ES  
    Global end of trial date
    04 Apr 2016

    Results information
    Results version number
    v1(current)
    This version publication date
    22 Jul 2020
    First version publication date
    22 Jul 2020
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    TTD-13-01
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01875380
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Grupo de Tratamiento de los Tumores Digestivos (TTD)
    Sponsor organisation address
    Téllez nº30 posterior, planta 1ª, oficina 4-2/4-3, Madrid, Spain, 28007
    Public contact
    TTD, Grupo de Tratamiento de los Tumores Digestivos (TTD), +34 913788275, ttd@ttdgroup.org
    Scientific contact
    TTD, Grupo de Tratamiento de los Tumores Digestivos (TTD), +34 913788275, ttd@ttdgroup.org
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    22 Jun 2016
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    04 Apr 2016
    Global end of trial reached?
    Yes
    Global end of trial date
    04 Apr 2016
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To assess the efficacy of single-agent regorafenib in terms of progression-free survival at 6 months.
    Protection of trial subjects
    All patients have been treated according to GCP criteria. Patients were entitled to withdraw from the study at any time and for any reason without prejudice of their future medical care on the part of the doctor or the center. Doses of regorafenib could be reduced/delayed in case of adverse events (AEs) as per protocol. Any medication that patients needed for their correct clinical control (except prohibited therapies), according to investigator’s criteria were allowed.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    25 Jun 2013
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Spain: 47
    Worldwide total number of subjects
    47
    EEA total number of subjects
    47
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    3
    From 65 to 84 years
    40
    85 years and over
    4

    Subject disposition

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    Recruitment
    Recruitment details
    Patients were included in the study between June 25, 2013 and February 9, 2015.

    Pre-assignment
    Screening details
    Informed consent, criteria of fragility, ECG, CT of the thorax, abdomen and pelvis, blood count, biochemistry, proteinuria, coagulation tests.

    Period 1
    Period 1 title
    Overall trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    Regorafenib arm
    Arm description
    Regorafenib was administered at an initial dose of 160 mg per day, orally, for 3 weeks followed by 1 week of rest.
    Arm type
    Experimental

    Investigational medicinal product name
    Regorafenib
    Investigational medicinal product code
    BAY 73-4506
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Regorafenib was administered at an initial dose of 160 mg per day, orally, for 3 weeks followed by 1 week of rest.

    Number of subjects in period 1
    Regorafenib arm
    Started
    47
    Completed
    47

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Overall trial
    Reporting group description
    -

    Reporting group values
    Overall trial Total
    Number of subjects
    47 47
    Age categorical
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    3 3
        From 65-84 years
    40 40
        85 years and over
    4 4
    Age continuous
    Units: years
        median (full range (min-max))
    80.8 (63.2 to 89.2) -
    Gender categorical
    Units: Subjects
        Female
    21 21
        Male
    26 26
    ECOG
    Units: Subjects
        ECOG 0
    5 5
        ECOG 1
    25 25
        ECOG 2
    17 17
    UNFIT criteria
    Units: Subjects
        Dependent
    8 8
        Comorbidities
    13 13
        Geriatric syndrome
    6 6
        Dependent and geriatric syndrome
    6 6
        Dependent and comorbidities
    8 8
        Comorbidities and geriatric syndrome
    2 2
        Dependent, comorbidities and geriatric syndrome
    4 4
    Tumor location
    Units: Subjects
        Colon
    32 32
        Rectum
    14 14
        Colon and rectum
    1 1
    Number of lesions
    Units: Subjects
        One
    4 4
        Two
    6 6
        Three
    13 13
        Four
    6 6
        Five
    4 4
        Six
    6 6
        Seven
    3 3
        Eight
    5 5
    Affected sites
    Units: Subjects
        One
    17 17
        Two
    14 14
        Three
    12 12
        Four
    2 2
        Five
    2 2
    Administered cycles
    Units: Subjects
        One
    11 11
        Two
    14 14
        Three
    5 5
        Four
    3 3
        Five
    1 1
        Six
    2 2
        Seven
    3 3
        Eight
    3 3
        Nine
    1 1
        Twelve
    2 2
        Seventeen
    1 1
        Twenty
    1 1
    Number of delayed cycles
    Units: Subjects
        None
    34 34
        One
    8 8
        Two
    2 2
        Three
    1 1
        Four
    2 2
    Number of dose reductions
    Units: Subjects
        None
    21 21
        One
    16 16
        Two
    9 9
        Three
    1 1
    Previous surgery
    Units: Subjects
        Yes
    31 31
        No
    16 16
    Adjuvant treatment
    Units: Subjects
        Yes
    7 7
        No
    40 40
    Previous radiotherapy
    Units: Subjects
        Yes
    6 6
        No
    41 41
    Liver metastases
    Units: Subjects
        Yes
    31 31
        No
    16 16
    Lung metastases
    Units: Subjects
        Yes
    29 29
        No
    18 18
    Weight
    Units: kilogram(s)
        median (full range (min-max))
    71.5 (43.0 to 105.9) -
    Height
    Units: Centimeter
        median (full range (min-max))
    159 (142 to 180) -
    Heart rate
    Units: Beats per minute
        median (full range (min-max))
    76 (59 to 104) -
    Systolic blood pressure
    Units: Mm Hg
        median (full range (min-max))
    134 (104 to 153) -
    Diastolic blood pressure
    Units: Mm Hg
        median (full range (min-max))
    70 (50 to 90) -
    Time from metastatic diagnosis
    Units: Months
        median (full range (min-max))
    1.6 (0.1 to 21.6) -
    Dose intensity
    Units: percent
        median (full range (min-max))
    76 (48 to 101) -

    End points

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    End points reporting groups
    Reporting group title
    Regorafenib arm
    Reporting group description
    Regorafenib was administered at an initial dose of 160 mg per day, orally, for 3 weeks followed by 1 week of rest.

    Primary: 6 months progression free survival

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    End point title
    6 months progression free survival [1]
    End point description
    End point type
    Primary
    End point timeframe
    Every 8 weeks. Progression free survival was defined as the time (in months) between the date of inclusioin and the date of first documented disease progression or death, whichever occurs first.
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: One arm non-controlled clinical trial. Only descriptive analyses performed. No comparisons.
    End point values
    Regorafenib arm
    Number of subjects analysed
    47
    Units: Probability
        number (confidence interval 95%)
    45.0 (29.7 to 60.3)
    No statistical analyses for this end point

    Secondary: Progression free survival

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    End point title
    Progression free survival
    End point description
    End point type
    Secondary
    End point timeframe
    Every 8 weeks. Progression free survival was defined as the time (in months) between the date of inclusioin and the date of first documented disease progression or death, whichever occurs first.
    End point values
    Regorafenib arm
    Number of subjects analysed
    47
    Units: months
        median (confidence interval 95%)
    5.6 (2.7 to 8.4)
    No statistical analyses for this end point

    Secondary: Response

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    End point title
    Response
    End point description
    Tumor evaluation according to RECIST 1.1 criteria
    End point type
    Secondary
    End point timeframe
    Every 8 weeks
    End point values
    Regorafenib arm
    Number of subjects analysed
    47
    Units: Patients
        Complete response
    1
        Partial response
    2
        Stable disease
    21
        Progression disease
    13
        Not evaluable
    10
    No statistical analyses for this end point

    Secondary: Overall survival

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    End point title
    Overall survival
    End point description
    End point type
    Secondary
    End point timeframe
    Every 8 weeks. Overall survival was defined as the time (in months) between the date of inclusioin and the date of death.
    End point values
    Regorafenib arm
    Number of subjects analysed
    47
    Units: Months
        median (confidence interval 95%)
    16.0 (7.8 to 24.2)
    No statistical analyses for this end point

    Secondary: Overall response rate

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    End point title
    Overall response rate
    End point description
    Complete response + Partial response
    End point type
    Secondary
    End point timeframe
    Every 8 weeks
    End point values
    Regorafenib arm
    Number of subjects analysed
    47
    Units: percent
        number (confidence interval 95%)
    6.4 (0.0 to 13.4)
    No statistical analyses for this end point

    Secondary: Disease control rate

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    End point title
    Disease control rate
    End point description
    Complete response + Partial response + Stable disease
    End point type
    Secondary
    End point timeframe
    Every 8 weeks
    End point values
    Regorafenib arm
    Number of subjects analysed
    47
    Units: percent
        number (confidence interval 95%)
    51.1 (36.8 to 65.4)
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    From the signing of the informed consent until at least 28 days after the last administered dose of the study treatment.
    Adverse event reporting additional description
    Grade 3 - 5 adverse events according to NCI-CTC AE version 4.0 have been reported.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    19.0
    Reporting groups
    Reporting group title
    Regorafenib arm
    Reporting group description
    Regorafenib was administered at an initial dose of 160 mg per day, orally, for 3 weeks followed by 1 week of rest.

    Serious adverse events
    Regorafenib arm
    Total subjects affected by serious adverse events
         subjects affected / exposed
    22 / 47 (46.81%)
         number of deaths (all causes)
    26
         number of deaths resulting from adverse events
    5
    Investigations
    Lipase increased
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Vascular disorders
    Hypertension
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Nervous system disorders
    Cerebrovascular accident
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Transient ischaemic attack
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Syncope
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    General disorders and administration site conditions
    Sudden death
         subjects affected / exposed
    2 / 47 (4.26%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    1 / 2
    General physical health deterioration
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Mucosal inflammation
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal disorders
    Intestinal perforation
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Diarrhoea
         subjects affected / exposed
    2 / 47 (4.26%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Rectal haemorrhage
         subjects affected / exposed
    2 / 47 (4.26%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    1 / 2
    Constipation
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pancreatitis
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Intestinal obstruction
         subjects affected / exposed
    5 / 47 (10.64%)
         occurrences causally related to treatment / all
    0 / 5
         deaths causally related to treatment / all
    0 / 3
    Vomiting
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Haemoptysis
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Hepatobiliary disorders
    Cholecystitis acute
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Renal and urinary disorders
    Renal failure
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Musculoskeletal and connective tissue disorders
    Back pain
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    Abscess
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Sepsis
         subjects affected / exposed
    2 / 47 (4.26%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 1
    Abdominal abscess
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pneumonia
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Metabolism and nutrition disorders
    Hyperuricaemia
         subjects affected / exposed
    2 / 47 (4.26%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 2%
    Non-serious adverse events
    Regorafenib arm
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    47 / 47 (100.00%)
    Investigations
    Alanine aminotransferase increased
    Additional description: Grade 3
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences all number
    1
    Aspartate aminotransferase increased
    Additional description: Grade 3
         subjects affected / exposed
    3 / 47 (6.38%)
         occurrences all number
    3
    Gamma-glutamyltransferase increased
    Additional description: Grade 3
         subjects affected / exposed
    3 / 47 (6.38%)
         occurrences all number
    3
    Lipase increased
    Additional description: Grade 3&4
         subjects affected / exposed
    2 / 47 (4.26%)
         occurrences all number
    2
    Vascular disorders
    Hypertension
    Additional description: Grade 3 (14) & Grade 4 (1)
         subjects affected / exposed
    15 / 47 (31.91%)
         occurrences all number
    15
    Nervous system disorders
    Cerebrovascular accident
    Additional description: Grade 3
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences all number
    1
    Aphonia
    Additional description: Grade 3
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences all number
    1
    Somnolence
    Additional description: Grade 3
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences all number
    1
    General disorders and administration site conditions
    Asthenia
    Additional description: Grade 3
         subjects affected / exposed
    14 / 47 (29.79%)
         occurrences all number
    14
    Mucosal inflammation
    Additional description: Grade 3
         subjects affected / exposed
    3 / 47 (6.38%)
         occurrences all number
    3
    Gastrointestinal disorders
    Dry mouth
    Additional description: Grade 3
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences all number
    1
    Diarrhoea
    Additional description: Grade 3
         subjects affected / exposed
    4 / 47 (8.51%)
         occurrences all number
    4
    Abdominal pain
    Additional description: Grade 3
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences all number
    1
    Stomatitis
    Additional description: Grade 3
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences all number
    1
    Constipation
    Additional description: Grade 3
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences all number
    1
    Rectal haemorrhage
    Additional description: Grade 3&5
         subjects affected / exposed
    2 / 47 (4.26%)
         occurrences all number
    2
    Nausea
    Additional description: Grade 3
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences all number
    1
    Pancreatitis
    Additional description: Grade 3
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences all number
    1
    Intestinal perforation
    Additional description: Grade 3
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences all number
    1
    Hepatobiliary disorders
    Hyperbilirubinaemia
    Additional description: Grade 3
         subjects affected / exposed
    2 / 47 (4.26%)
         occurrences all number
    2
    Skin and subcutaneous tissue disorders
    Dermatitis
    Additional description: Grade 3
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences all number
    1
    Palmar-plantar erythrodysaesthesia syndrome
    Additional description: Grade 3
         subjects affected / exposed
    4 / 47 (8.51%)
         occurrences all number
    4
    Renal and urinary disorders
    Proteinuria
    Additional description: Grade 3
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences all number
    1
    Infections and infestations
    Vulvovaginal inflammation
    Additional description: Grade 3
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences all number
    1
    Abscess
    Additional description: Grade 3
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences all number
    1
    Pneumonia
    Additional description: Grade 3
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences all number
    1
    Metabolism and nutrition disorders
    Decreased appetite
    Additional description: Grade 3
         subjects affected / exposed
    2 / 47 (4.26%)
         occurrences all number
    2
    Hyperglycaemia
    Additional description: Grade 3
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences all number
    1
    Hyperuricaemia
    Additional description: Grade 4
         subjects affected / exposed
    1 / 47 (2.13%)
         occurrences all number
    1
    Hypophosphataemia
    Additional description: Grade 3
         subjects affected / exposed
    6 / 47 (12.77%)
         occurrences all number
    6

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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