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MEK Inhibitor

Trametinib + Trifluridine/Tipiracil for Colorectal Cancer

Phase 1
Waitlist Available
Led By Marwan G Fakih
Research Sponsored by City of Hope Medical Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 1 year
Awards & highlights

Study Summary

This trialtests a new combo of drugs to treat advanced colorectal cancer, to find the best dose and any side effects.

Who is the study for?
This trial is for adults with advanced or metastatic colon or rectal cancer who can take oral meds, have an ECOG status of <=2, and meet specific blood and organ function criteria. They must not be pregnant, agree to use contraception, and have had certain prior treatments without success.Check my eligibility
What is being tested?
The trial tests the combination of trametinib (an enzyme inhibitor) with trifluridine and tipiracil hydrochloride (chemotherapy drugs) to see if they're more effective in treating colon or rectal cancer that's spread or can't be surgically removed.See study design
What are the potential side effects?
Possible side effects include fatigue, skin rash, diarrhea, high blood pressure from trametinib; nausea, low white blood cell count from chemotherapy. Side effects vary by individual and should be monitored closely.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 1 year
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 1 year for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Maximum tolerated dose defined for the combination of trametinib, and Trifluridine and Tipiracil Hydrochloride (TAS?102) as the highest dose level at which 0-1 out of 6 patients experience dose limiting toxicities
Secondary outcome measures
Incidence of adverse events assessed using NCI) CTCAE 4.0
Objective response rate using Response Evaluation Criteria in Solid Tumor (RECIST) guideline, version 1.1
Overall survival
+1 more

Trial Design

1Treatment groups
Experimental Treatment
Group I: Treatment (TAS-102, trametinib)Experimental Treatment3 Interventions
Patients receive trifluridine and tipiracil hydrochloride PO BID on days 1-5 and 8-12 and trametinib PO QD on days 1-28. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Trifluridine and Tipiracil Hydrochloride
2019
Completed Phase 2
~70
Trametinib
2014
Completed Phase 2
~1550

Find a Location

Who is running the clinical trial?

City of Hope Medical CenterLead Sponsor
565 Previous Clinical Trials
1,921,434 Total Patients Enrolled
National Cancer Institute (NCI)NIH
13,656 Previous Clinical Trials
40,933,593 Total Patients Enrolled
Marwan G FakihPrincipal InvestigatorCity of Hope Medical Center
3 Previous Clinical Trials
188 Total Patients Enrolled

Media Library

Trametinib (MEK Inhibitor) Clinical Trial Eligibility Overview. Trial Name: NCT03317119 — Phase 1
Colon Cancer Research Study Groups: Treatment (TAS-102, trametinib)
Colon Cancer Clinical Trial 2023: Trametinib Highlights & Side Effects. Trial Name: NCT03317119 — Phase 1
Trametinib (MEK Inhibitor) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03317119 — Phase 1

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Has there been prior experimentation with TAS-102 and trametinib in a clinical setting?

"Currently, 134 clinical trials focusing on Treatment (TAS-102, trametinib) are being conducted. Of those, 10 have reached Phase 3 status. Lakewood in New jersey is the primary centre of these studies; however 6313 other medical centres are also running trials for this drug combination treatment."

Answered by AI

Are there any US facilities which have been certified to administer this clinical investigation?

"There are currently 8 clinical trial sites that are administering this medical study. These locations range from South Pasadena to West Covina, and Duarte with other destinations in between. To reduce travel commitments, it is recommended to select the closest site possible."

Answered by AI

Is there availability for volunteers to participate in this research project?

"This trial is no longer in the recruitment phase. It was initially posted on April 11th, 2018 and its last update occurred on October 26th, 2022. If you are seeking out other studies to join, there are currently 3657 studies searching for patients with metastatic colorectal carcinoma and 134 trials looking at TAS-102 or trametinib that have open enrollment slots available."

Answered by AI

What maladies can be ameliorated through the application of TAS-102 and trametinib?

"TAS-102 and trametinib are frequently prescribed to treat ocular vaccinia infection. Additionally, these medications have been proven effective for managing metastatic melanoma as well as for those that were previously treated with oxaliplatin chemotherapy or anti-vegf treatments."

Answered by AI

How many participants are being welcomed into this medical trial?

"Unfortunately, this trial is no longer accepting participants at this time. It was initially posted in April 2018 and the last edit occurred on October 26th 2022. However, if you are seeking out other research studies, there are presently 3657 trials searching for those with metastatic colorectal carcinoma and 134 clinical studies exploring Treatment (TAS-102, trametinib) actively recruiting patients."

Answered by AI

Has the FDA given its authorization for TAS-102 and trametinib as viable therapies?

"Limited evidence of the safety and efficacy of Treatment (TAS-102, trametinib) leads to it being estimated a score of 1."

Answered by AI
~4 spots leftby Apr 2025