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BRAF V600E-mutant Colorectal Cancer Study of Encorafenib Taken With Cetuximab Plus or Minus Chemotherapy (BREAKWATER)

AN OPEN-LABEL, MULTICENTER, RANDOMIZED PHASE 3 STUDY OF FIRST-LINE ENCORAFENIB PLUS CETUXIMAB WITH OR WITHOUT CHEMOTHERAPY VERSUS STANDARD OF CARE THERAPY WITH A SAFETY LEAD-IN OF ENCORAFENIB AND CETUXIMAB PLUS CHEMOTHERAPY IN PARTICIPANTS WITH METASTATIC BRAF V600E-MUTANT COLORECTAL CANCER

  • Clinical Trial Information

    Trial Contact: Djuro, Victor; Donaldson, Karin M

    Trial Phone: 321.841.7477 ; 321.841.9821

  • IRB No: 20202585

    Protocol Abbrev: C4221015

    Principal Investigator: Omar R. Kayaleh, MD

    Phase: Drug: Phase III

    Age Group: Adult

    Secondary Protocol No: BreakWater

    Treatment: Drug: Encorafenib Drug: Cetuximab Drug: Oxaliplatin Drug: Irinotecan Drug: Leucovorin Drug: 5-FU Drug: Capecitabine Drug: Bevacizumab

    Therapies Involved: Chemotherapy

    ClinicalTrials.gov ID: NCT04607421

  • Objective

    To evaluate whether encorafenib plus cetuximab (EC), alone or in combination with chemotherapy, can improve clinical outcomes relative to current standard of care chemotherapy in participants with previously untreated BRAF V600E-mutant mCRC

  • Key Eligibility

    Inclusion Criteria:

    Safety Lead-In = Male/female ≥ 18 years old
    Phase 3: Male/female ≥ 16 years old (where permitted locally)
    Histologically or cytologically confirmed Stage IV CRC that contains BRAF V600E mutation
    Prior systemic treatment in metastatic setting
    SLI: 0-1 regimens
    Phase 3: None
    Prior adjuvant or neoadjuvant therapy considered metastatic treatment if relapse/metastasis < 6 month from end of adj/neoadjuvant treatment
    Measurable disease (Phase 3)/ Measurable or evaluable disease (Safety Lead-in)
    ECOG PS 0-1
    Adequate organ function