Overview
Sponsor-declared trial summary
colorectal cancer
Progression-free survival of under 5-fluorouracil plus Panitumumab and Sotorasib (KRAS G12C inhibitor) at 8 months in first-line treatment of patients non-eligible for a doublet/triplet chemotherapy with advanced unresectable KRAS G12C mutated colorectal adenocarcinoma.
Key facts
- Sponsor
- Fondation Franc.Cancerologie Digestive
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Digestive System Diseases [C06]
- Trial duration
- 29 Aug 2025 → ongoing
- Decision date (initial)
- 2025-03-24
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- No
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Efficacy, Safety
Progression-free survival of under 5-fluorouracil plus Panitumumab and Sotorasib (KRAS G12C inhibitor) at 8 months in first-line treatment of patients non-eligible for a doublet/triplet chemotherapy with advanced unresectable KRAS G12C mutated colorectal adenocarcinoma.
Secondary objectives 9
- Median progression-free survival (PFS)
- Disease control rate (DCR)
- Time to progression (TTP)
- Overall survival (OS)
- Best objective response rate (ORR)
- Duration of response (DoR)
- Safety profile
- Quality of life (QoL) and FACIT-GP5 questionnaires
- Geriatric assessment (G8 and « Geriatric COre Data sEt » (G-CODE))
Conditions and MedDRA coding
colorectal cancer
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 21.0 | PT | 10061451 | Colorectal cancer | 100000004864 |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 13
- Age ≥ 18 years
- Histologically proven advanced-stage unresectable locally advanced or metastatic colorectal adenocarcinoma
- Agreement to participate to biological studies (blood samples for ctDNA and send tumour block).
- Patient unfit for doublet/triplet regimen: Frail patients (WHO PS=2),patient between 70 and 75 years old with WHO PS 1 - 2, patient ≥ 75 years old with WHO PS 0-2
- Proven KRAS G12C mutation as locally assessed by means of a IVDR compliant test.
- Measurable lesion according to the Response Evaluation Criteria in Solid Tumours 1.1 (RECIST 1.1).
- No prior treatment for the metastatic disease. Prior adjuvant chemotherapy is allowed.
- Adequate organ function: Hemoglobin > 9 g/dl, Absolute neutrophil count > 1500 /mm3, Platelets > 80 000/mm3, Creatinine clearance rate ≥50 mL/min as calculated using MDRD formula, ALT/AST ≤5×ULN and total bilirubin ≤1.5×ULN.
- Ability to understand and sign written informed consent to participate in the study.
- Provides written informed consent for the study.
- Life expectancy >6 months
- Women of childbearing potential must agree to use contraception during the trial treatment and for at least 6 months after discontinuation of the experimental treatments. Men who have sexual relationship with women of childbearing potential must agree to use contraception during treatment and for at least 3 months after discontinuation of the experimental treatments
- Patient affiliated to a social security scheme for France, or equivalent for other countries
Exclusion criteria 14
- Uncontrolled intercurrent illness including liver (liver cirrhosis Child Pugh B or C) and lung (one second forced expiratory volume <50%) severe insufficiency
- Clinically significant cardiac abnormalities including prior history of any of the following: severe cardiomyopathy, congestive heart failure of New York Heart Association grade ≥3, history of clinically significant (i.e., active) atherosclerotic cardiovascular disease (myocardial infarction, unstable angina, cerebrovascular accident within 6 months prior to the first dose of study treatments)
- Patients with Dihydropyrimidine Dehydrogenase (DPD) enzyme deficiencies (uracilemia ≥ 16 ng/mL)
- Immunotherapy within 3 months before the beginning of the treatment study
- Patient under treatment by strong CYP3A4 inducers
- Other malignancy within 2 years prior to study enrolment, except for localized cancer in situ, basal or squamous cell skin cancer adequately treated
- Less than 4 weeks from major surgeries and not recovered adequately from the procedure and/or any complications from the surgery
- Is currently participating in or has participated in a study of an investigational agent or has used an investigational device within 3 weeks or 5 half-lives (whichever longer) before study entry
- Hypersensitivity to one of the active substances or to one of the excipients of the trial treatments
- Patient with interstitial lung disease or pulmonary fibrosis
- Has a known psychiatric or substance abuse disorder that would interfere with the patient’s ability to cooperate with the requirements of the study
- Patient who is under judicial protection and patient who is legally institutionalized or under guardianship or not able to give consent
- Pregnant or breastfeeding woman
- Inability to undergo the medical follow-up of the trial for geographical, social or psychological reasons
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- The rate of patients alive without progression 8 months after the inclusion.
Secondary endpoints 10
- PFS will be defined as the time between date of inclusion and the date of the first radiological progression using RECIST v1.1 criteria and according to the investigator assessment or death
- DCR will be defined at each time-point as complete (CR), partial (PR), stability (S), progression (P) or not evaluable with imageries and according to the investigator
- ORR will be evaluated throughout the treatment by the imageries and according to RECIST v1.1 criteria.
- BOR will be evaluated throughout the treatment by the imageries and according to RECIST v1.1 criteria
- DoR is defined as the time between the first response of the patient and the date of radiological progression or death
- TTP will be defined as the time between the date of inclusion and the date of the first radiological progression. The death linked to the cancer’s evolution will also be considered as an event
- OS is defined by the time between the date of inclusion and the date of death (regardless of the cause)
- Quality of life will be assessed with the EORTC QLQC30 questionnaire at each evaluation. The questionnaires are completed before the first treatment and during the study
- Geriatric assessments will be performed at baseline and during treatment using the G-CODE and G8-SCORE
- Toxicity, according to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v5.0 will be recorded until 30 days after the last administration of treatment
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 11
FOLINATE DE CALCIUM HIKMA 10 mg/mL, solution injectable/pour perfusion
PRD6613032 · Product
- Active substance
- Folinic Acid
- Substance synonyms
- LEUCOVORIN
- Pharmaceutical form
- SOLUTION FOR INJECTION/INFUSION
- Route of administration
- INTRAVENIOUS INFUSION
- Max daily dose
- 400 mg/m2 milligram(s)/sq. meter
- Max total dose
- 400 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 24 Month(s)
- Authorisation status
- Authorised
- ATC code
- V03AF03 — CALCIUM FOLINATE
- Marketing authorisation
- 34009 550 587 6 2
- MA holder
- HIKMA FARMACÊUTICA (PORTUGAL), S.A.
- MA country
- France
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB197397 · Substance
- Active substance
- Sotorasib
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 960 mg milligram(s)
- Max total dose
- 960 mg milligram(s)
- Max treatment duration
- 12 Month(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Vectibix 20 mg/ml concentrate for solution for infusion
PRD526654 · Product
- Active substance
- Panitumumab
- Pharmaceutical form
- CONCENTRATE FOR SOLUTION FOR INFUSION
- Route of administration
- INTRAVENIOUS INFUSION
- Max daily dose
- 6 mg/kg milligram(s)/kilogram
- Max total dose
- 6 mg/kg milligram(s)/kilogram
- Max treatment duration
- 24 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01FE02 — -
- Marketing authorisation
- EU/1/07/423/003
- MA holder
- AMGEN EUROPE B.V.
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Fluorouracilo Accord 50 mg/ml solución inyectable o para perfusión EFG
PRD1972850 · Product
- Active substance
- Fluorouracil
- Pharmaceutical form
- SOLUTION FOR INJECTION/INFUSION
- Route of administration
- INTRAVENOUS BOLUS INJECTION/IV INFUSION
- Max daily dose
- 400 mg/m2 milligram(s)/square meter
- Max total dose
- 400 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 24 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01BC02 — FLUOROURACIL
- Marketing authorisation
- 71.868
- MA holder
- ACCORD HEALTHCARE S.L.U.
- MA country
- Spain
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Fluorouracile AHCL 50 mg/ml, Soluzione per iniezione o infusione
PRD415429 · Product
- Active substance
- Fluorouracil
- Pharmaceutical form
- SOLUTION FOR INJECTION/INFUSION
- Route of administration
- INTRAVENOUS BOLUS INJECTION/IV INFUSION
- Max daily dose
- 400 mg/m2 milligram(s)/sq. meter
- Max total dose
- 400 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 24 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01BC02 — FLUOROURACIL
- Marketing authorisation
- 040593030
- MA holder
- ACCORD HEALTHCARE S.L.U.
- MA country
- Italy
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Fluorouracil Accord 50 mg/ml Injektions-/ Infusionslösung
PRD1186032 · Product
- Active substance
- Fluorouracil
- Pharmaceutical form
- SOLUTION FOR INJECTION/INFUSION
- Route of administration
- INTRAVENOUS BOLUS INJECTION/IV INFUSION
- Max daily dose
- 400 mg/m2 milligram(s)/sq. meter
- Max total dose
- 400 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 24 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01BC02 — FLUOROURACIL
- Marketing authorisation
- 89351.00.00
- MA holder
- ACCORD HEALTHCARE B.V.
- MA country
- Germany
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
FLUOROURACILE ACCORD 50 mg/ml, solution à diluer pour perfusion
PRD415412 · Product
- Active substance
- Fluorouracil
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS BOLUS INJECTION/IV INFUSION
- Max daily dose
- 400 mg/m2 milligram(s)/sq. meter
- Max total dose
- 400 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 24 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01BC02 — FLUOROURACIL
- Marketing authorisation
- 34009 575 181 1 0
- MA holder
- ACCORD HEALTHCARE FRANCE SAS
- MA country
- France
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Fluorouracilo Accord 50 mg/ml solución inyectable o para perfusión EFG
PRD1972851 · Product
- Active substance
- Fluorouracil
- Pharmaceutical form
- SOLUTION FOR INJECTION/INFUSION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 2400 mg/m2 milligram(s)/sq. meter
- Max total dose
- 2400 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 24 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01BC02 — FLUOROURACIL
- Marketing authorisation
- 71.868
- MA holder
- ACCORD HEALTHCARE S.L.U.
- MA country
- Spain
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Fluorouracile AHCL 50 mg/ml, Soluzione per iniezione o infusione
PRD415430 · Product
- Active substance
- Fluorouracil
- Pharmaceutical form
- SOLUTION FOR INJECTION/INFUSION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 2400 mg/m2 milligram(s)/sq. meter
- Max total dose
- 2400 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 24 Week(s)
- Authorisation status
- Authorised
- ATC code
- L01BC02 — FLUOROURACIL
- Marketing authorisation
- 040593042
- MA holder
- ACCORD HEALTHCARE S.L.U.
- MA country
- Italy
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
FLUOROURACILE ACCORD 50 mg/ml, solution à diluer pour perfusion
PRD415416 · Product
- Active substance
- Fluorouracil
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 2400 mg/m2 milligram(s)/sq. meter
- Max total dose
- 2400 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 24 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01BC02 — FLUOROURACIL
- Marketing authorisation
- 34009 575 182 8 8
- MA holder
- ACCORD HEALTHCARE FRANCE SAS
- MA country
- France
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Fluorouracil Accord 50 mg/ml Injektions-/ Infusionslösung
PRD1186033 · Product
- Active substance
- Fluorouracil
- Pharmaceutical form
- SOLUTION FOR INJECTION/INFUSION
- Route of administration
- INTRAVENIOUS INFUSION
- Max daily dose
- 2400 mg/m2 milligram(s)/sq. meter
- Max total dose
- 2400 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 24 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01BC02 — FLUOROURACIL
- Marketing authorisation
- 89351.00.00
- MA holder
- ACCORD HEALTHCARE B.V.
- MA country
- Germany
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Fondation Franc.Cancerologie Digestive
- Sponsor organisation
- Fondation Franc.Cancerologie Digestive
- Address
- 7 Boulevard Jeanne D Arc
- City
- Dijon
- Postcode
- 21000
- Country
- France
Scientific contact point
- Organisation
- Fondation Franc.Cancerologie Digestive
- Contact name
- coordinator
Public contact point
- Organisation
- Fondation Franc.Cancerologie Digestive
- Contact name
- coordinator
Locations
4 EU/EEA countries · 101 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| France | Ongoing, recruiting | 10 | 60 |
| Germany | Ongoing, recruiting | 9 | 15 |
| Italy | Ongoing, recruiting | 9 | 17 |
| Spain | Ongoing, recruiting | 9 | 9 |
| Rest of world | — | 0 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| France | 2025-08-29 | 2025-11-21 | |||
| Germany | 2025-08-29 | 2026-03-02 | |||
| Italy | 2025-08-29 | 2025-10-02 | |||
| Spain | 2025-08-29 | 2026-01-19 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 56 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol_2024-514030-20-00 redacted | 3.2 |
| Protocol (for publication) | D1_Protocol_2024-514030-20-00 TC redacted | 3.2 |
| Recruitment arrangements (for publication) | K1_recruitment arrangments | 1 |
| Recruitment arrangements (for publication) | K1_recruitment arrangments_GER_final | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment material description_Redacted | NA |
| Recruitment arrangements (for publication) | K2_recruitment material description_Spain_Final_20241114 | 1 |
| Subject information and informed consent form (for publication) | D4_ Patient facing document questionnaire G8 FR | 1 |
| Subject information and informed consent form (for publication) | D4_Patient facing document questionnaire GCODE FR | 1 |
| Subject information and informed consent form (for publication) | D4_Patient facing document questionnaire GP5 FR | 1 |
| Subject information and informed consent form (for publication) | D4_Patient facing document treatment compliance diary | 1.1 |
| Subject information and informed consent form (for publication) | D4_Patient facing document treatment compliance diary TC | 1 |
| Subject information and informed consent form (for publication) | D4_Patient facing documents questionnaire QLQ C30 FR | 1 |
| Subject information and informed consent form (for publication) | L1_COLOSOTO_PIC_final_redacted_for publication | 1.3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF adults | 1.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF adults TC | 1.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF adults_spain | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Privacy_Redacted | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_EORTC QLQ-C30_Redacted | 3.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_G CODE_Redacted | NA |
| Subject information and informed consent form (for publication) | L2_Other subject information material_GP5_Redacted | 4 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_ONCODAGE G8_Redacted | NA |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Patient Diary_Redacted | 1 |
| Subject information and informed consent form (for publication) | L2_Patient Facing Document_compliance diary german_final_redacted_for publication | 1 |
| Subject information and informed consent form (for publication) | L3_Patient Facing Document_Questionnaire_G-CODE_german_ not for publication | 1 |
| Subject information and informed consent form (for publication) | L3_Patient Facing Document_Questionnaire_G-CODE_german_ redacted for publication | 1 |
| Subject information and informed consent form (for publication) | L3_Patient Facing Document_Questionnaire_G8_german_final_ redacted_for publication | 1 |
| Subject information and informed consent form (for publication) | L3_Patient Facing Document_Questionnaire_G8_german_final_ redacted_not for publication | 1 |
| Subject information and informed consent form (for publication) | L3_Patient Facing Document_Questionnaire_GP5_german_final_not for publication | 4 |
| Subject information and informed consent form (for publication) | L3_Patient Facing Document_Questionnaire_GP5_german_final_redacted_for publication | 4 |
| Subject information and informed consent form (for publication) | L3_Patient Facing Document_Questionnaire_QLQC30_german_final_not for publication | 3 |
| Subject information and informed consent form (for publication) | L3_Patient Facing Document_Questionnaire_QLQC30_german_final_redacted_for publication | 4 |
| Subject information and informed consent form (for publication) | Other subject information material_G-CODE Version espanola | 1 |
| Subject information and informed consent form (for publication) | Other subject information material_GP5_SPA_Final_Ver4 | 4 |
| Subject information and informed consent form (for publication) | Other subject information material_ONCODAGE G8- Spanish | 1 |
| Subject information and informed consent form (for publication) | Other subject information material_Patient Diary_Redacted | 1 |
| Subject information and informed consent form (for publication) | Other subject information material_QLQ-C30-Spanish-Spain | 3 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_ SmPC FLUOROURACILE ACCORD FR | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_ SmPC FLUOROURACILE ACCORD FR | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_ SmPC HIKMA | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC FLUOROURACIL ACCORD DE | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC FLUOROURACIL ACCORD DE | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC FLUOROURACIL ACCORD ES | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_Smpc FLUOROURACIL ACCORD ES | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC FLUOROURACIL ACCORD IT | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC FLUOROURACIL ACCORD IT | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC VECTIBIX | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_LUMYKRAS | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis FRANCE 2024-514030-20-00 TC redacted | 3.1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis FRANCE-2024-514030-20-00 redacted | 3.1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis GERMANY 2024-514030-20-00 redacted | 3.1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis GERMANY 2024-514030-20-00 TC redacted | 3.1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis ITALY 2024-514030-20-00 redacted | 3.1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis ITALY 2024-514030-20-00TC TC redacted | 3.1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis SPAIN 2024-514030-20-00 redacted | 3.1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis SPAIN 2024-514030-20-00 TC redacted | 3.1 |
Application history
4 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2024-11-19 | France | Acceptable 2025-03-24
|
2025-03-24 |
| 2 | SUBSTANTIAL MODIFICATION | SM-1 | 2025-10-07 | France | Acceptable 2026-01-06
|
2026-01-07 |
| 3 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2026-02-11 | France | Acceptable 2026-01-06
|
2026-02-11 |
| 4 | SUBSTANTIAL MODIFICATION | SM-2 | 2026-03-19 | Acceptable | 2026-03-26 |