Vinorelbine Inhibits Oncogenic Functions of MKK3: a New Therapeutic Opportunity for Patients with Metastatic Colorectal Cancer

2024-519459-27-00 Protocol VIMAC Therapeutic exploratory (Phase II) Authorised, recruitment pending

Status Authorised, recruitment pending · 1 EU/EEA countries · 1 sites · Protocol VIMAC

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Authorised, recruitment pending
Participants planned 25
Countries 1
Sites 1

METASTATIC COLORECTAL CANCER

Primary Objective. Objective Response Rate (ORR) according to RECIST 1.1 criteria

Key facts

Sponsor
I.F.O. Istituti Fisioterapici Ospitalieri
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Decision date (initial)
2025-05-09
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

Primary Objective. Objective Response Rate (ORR) according to RECIST 1.1 criteria

Secondary objectives 1

  1. 1. Progression Free Survival (PFS) 2. Overall survival (OS) 3. Safety/Toxicity rate 4. Quality of Life (QoL)

Conditions and MedDRA coding

METASTATIC COLORECTAL CANCER

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. histologically proven diagnosis of CRC; - measurable metastatic disease according to RECIST 1.1; - availability of histological specimens; - no evidence of brain or meningeal disease. Treated and clinically stable brain metastases are permitted; - age ≥ 18 years; - ECOG performance status = 0-2; - life expectancy > 3 months; - patients must have received all standard treatments indicated for metastatic disease (chemotherapy and/or targeted or immunological therapy) and have relapsed or progressed compared to a previous therapy. - if female of childbearing age, have a negative pregnancy test performed no more than 7 days before the start of study treatment; - If female of childbearing potential or male, agree to use adequate contraception (e.g., abstinence, intrauterine device, oral contraceptive, or double barrier method) based on investigators judgment; Childbearing patients must use two methods of contraception; - Adequate bone marrow, liver, and kidney function assessed within 14 days prior to the start of study treatment; - Patients able to understand the Italian language and to adhere to the study by signing, personally or by means of a designated witness, the informed consent (to trial and to data processing) prior to any study-specific procedures; - Patients must be fit for treatment and follow-up. - Investigators must ensure that enrolled patients in this trial will be available to provide complete documentation of treatment, toxicity, response assessment, and FU.

Exclusion criteria 1

  1. Patients with a history of other malignancies, except adequately treated non-melanoma skin cancer, curatively treated in situ cervical cancer, prostate cancer with stable PSA for ≥ 3 years, or other curatively treated solid tumors with no evidence of disease for ≥ 5 years; - Pregnant or breastfeeding women. - Patients receiving concomitant treatment with other anticancer therapies; - Patients with active or uncontrolled infections, or serious illnesses or medical conditions that would not allow that patient to be managed according to the protocol; - Patients with untreated and/or uncontrolled cardiovascular conditions and/or symptomatic cardiac dysfunction (unstable angina, congestive heart failure, myocardial infarction in the previous year or cardiac ventricular arrhythmias requiring medication, history of 2nd or 3rd degree atrioventricular conduction defects) are not eligible; - Other concomitant investigational drugs. - Known intolerance to the study drug or any of the excipients. - Any pre-existing or current medical or other condition that in the opinion of the investigator(s) would preclude the participant from participating in this study

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. ORR is defined as the percentage of patients, relative to the total of enrolled subjects, achieving a complete (CR) or partial (PR) response, according to RECIST 1.1 criteria. The determination of clinical response will be based on investigator-reported measurements. Responses will be evaluated with a chest and abdominal computed tomography (CT) scan every 8 weeks. Patients who do not have an on-study assessment will be included in the analysis as non-responders.

Secondary endpoints 1

  1. Progression-free survival (PFS).Overall survival (OS).Toxicity rate.Quality of Life (QoL) is

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

Vinorelbine

SUB00069MIG · Substance

Active substance
Vinorelbine
Pharmaceutical form
CAPSULE, SOFT
Route of administration
ORAL USE
Max daily dose
60 mg/m2 milligram(s)/square meter
Max total dose
60 mg/m2 milligram(s)/square meter
Max treatment duration
6 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Vinorelbine 30 mg soft capsules

PRD10026815 · Product

Active substance
Vinorelbine Tartrate
Pharmaceutical form
CAPSULE, SOFT
Route of administration
BUCCAL USE
Max daily dose
80 mg/m2 milligram(s)/sq. meter
Max total dose
80 mg/m2 milligram(s)/sq. meter
Max treatment duration
39 Week(s)
Authorisation status
Authorised
ATC code
L01CA04 — VINORELBINE
Marketing authorisation
PL 00142/1282
MA holder
ACCORD-UK LIMITED
MA country
XI
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

I.F.O. Istituti Fisioterapici Ospitalieri

Sponsor organisation
I.F.O. Istituti Fisioterapici Ospitalieri
Address
Via Elio Chianesi N 53
City
Rome
Postcode
00144
Country
Italy

Scientific contact point

Organisation
I.F.O. Istituti Fisioterapici Ospitalieri
Contact name
Gianluca Bossi

Public contact point

Organisation
I.F.O. Istituti Fisioterapici Ospitalieri
Contact name
Gianluca Bossi

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Italy Authorised, recruitment pending 25 1
Rest of world 0

Investigational sites

Italy

1 site · Authorised, recruitment pending
I.F.O. Istituti Fisioterapici Ospitalieri
Translational Oncology Research Unit, Dept. of Diagnostic Research and Technological Innovation, Via Elio Chianesi N 53, 00144, Rome

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 9 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol EU CT 2024 519459 27 0 1
Protocol (for publication) D1_Protocol EU CT 2024 519459 27 0 CLEAN 1.2
Protocol (for publication) D1_Protocol EU CT 2024 519459 27 0 TC 1.2
Recruitment arrangements (for publication) K1_Recruitment arrangements 1
Subject information and informed consent form (for publication) L1_SIS and ICF adult EU CT 2024 519459 27 00 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC VINORELBINE 20 mg 1
Synopsis of the protocol (for publication) D1_Protocol synopsis ITA EU CT 2024 519459 27 00 TC 1.2
Synopsis of the protocol (for publication) D1_Protocol synopsis MS EU CT 2024 519459 27 00 Clean 1.2
Synopsis of the protocol (for publication) D1_Protocol synopsis MS EU CT 2024 519459 27 00 ITA 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-01-08 Italy No conclusion
2025-04-29
2025-05-09