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Contact the study team using the details below to take part. If there are no contact details below please ask your doctor in the first instance.

Contact Information:

Mrs Jennifer Houlden


More information about this study, what is involved and how to take part can be found on the study website.

Study Location:

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Be Part of Research - Trial Details - MEK and MET Inhibition in Colorectal Cancer

MEK and MET Inhibition in Colorectal Cancer

Not Recruiting

Open to: All Genders

Age: Adult

Medical Conditions

Topic: Cancer
Subtopic: Colorectal Cancer
Disease: Colon


This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

14 Nov 2014 31 Oct 2018

Interventional

Intervention Type : Drug
Intervention Description : Current interventions as of 19/09/2017:PD-0325901:1. This is a highly specific non-ATP competitive inhibitor of MEK1 and MEK2.2. Dose escalation phase (in combination with PF-02341066) started at 4mg BD up to maximum levels of 8mg BD which is known to inhibit the target of MEK1 and MEK2.Binimetinib (MEK162):1. An orally bioavailable, selective and potent mitogen-activated protein (MAP) kinase kinase (MEK) 1 and MEK 2 inhibitor.2. Dose escalation phase (in combination with PF-02341066) will start at 30mg BD up to maximum level of 45mg BD.PF-02341066 (Crizotinib):1. A selective ATP-competitive small molecule oral inhibitor of ALK, c-Met/hepatocyte growth factor receptor(HGFR), RON and ROS RTKs and their oncogenic variants. It is both a CYP3A substrate and inhibitor. The extent and duration of inhibition of c-MET activity is directly linked to its anti-tumour efficacy.2. Dose escalation phase (in combination with PD-0325901) started at 250mg OD.3. Dose escalation phase (in combination with Binimetinib) started at 250mg OD up to maximum level of 200mg BD.

Previous interventions:1. PD-0325901: This is a highly specific non-ATP competitive inhibitor of MEK1 and MEK2. Dose start will be at 4mg BD up to maximum levels of 8mg BD which is known to inhibit the target of MEK1 and MEK2.2. Binimetinib is a selective and potent mitogen-activated protein (MAP) kinase (MEK) 1 and MEK 2 inhibitor. Dose start will be at 30mg BD up to maximum level of 45mg BD.(added 07/09/2016)3. PF-02341066 (Crizotinib): A selective ATP-competitive small molecule oral inhibitor of ALK, cMet/hepatocyte growth factor receptor(HGFR), RON and ROS RTKs and their oncogenic variants. PF-02341066 has a long half life, takes 15 days to reach steady state and is excreted by the fecal route. It is both a CYP3A substrate and inhibitor. The extent and duration of inhibition of c-MET activity is directly linked to its anti-tumour efficacy.




You can take part if:



You may not be able to take part if:


Exclusion criteria as of 21/11/2018:1. Unstable ischemic heart disease, cardiac dysrhythmias, coronary/peripheral artery bypass graft or cerebrovascular accident within 6 months prior to starting treatment.2. Uncontrolled arterial hypertension despite medical treatment.3. Ongoing congestive heart failure or cardiac dysrhythmias of NCI CTCAE Grade >2 or uncontrolled atrial fibrillation.4. History of extensive disseminated/bilateral or known presence of Grade 3 or 4 interstitial fibrosis or interstitial lung disease, including a history of pneumonitis, hypersensitivity pneumonitis, interstitial pneumonia, interstitial lung disease (ILD), obliterative bronchiolitis, and pulmonary fibrosis. A history of prior radiation pneumonitis is allowed.5. Any active central nervous system (CNS) lesion (i.e., those with radiographically unstable, symptomatic lesions) and/or leptomeningeal metastases. However, patients treated with stereotactic radiotherapy or surgery are eligible if the patient remained without evidence of CNS disease progression ≥ 3 months. Patients must be off corticosteroid therapy for ≥ 3 weeks.6. Patients who have neuromuscular disorders that are associated with elevated CK (e.g. inflammatory myopathies, muscular dystrophy, amyotrophic lateral sclerosis, spinal muscular atrophy);7. Patients who are planning on embarking on a new strenuous exercise regimen after first dose of study treatment. NB: Muscular activities, such as strenuous exercise, that can result in significant increases in plasma CK levels should be avoided while on Binimetinib treatment.8. Spinal cord compression unless treated with the patient attaining good pain control and stable or recovered neurologic function.9. Carcinomatous meningitis or leptomeningeal disease.10. History of hypoalbuminaemia, or patients with peritoneal disease or pleural disease, where there is a requirement for ascitic or pleural taps.11. History of retinal vein occlusion, intraocular pressure > 21 mmHg or patient considered at risk of retinal vein thrombosis.12. History of retinal degenerative disease.13. History of Gilbert’s syndrome.14. Active infections (including chronic hepatitis type B or C and HIV infection if status known), severe immunologic defect, compromised bone marrow function15. Other severe acute or chronic medical conditions16. Patients who have undergone major surgery ≤ 3 weeks prior to starting study drug or who have not recovered from side effects of such procedure17. Use of drugs or foods that are known potent CYP3A4 inhibitors or inhibitors or are CYP3A4 substrates with narrow therapeutic indices18. Radiotherapy (except for palliative reasons), endocrine therapy, immunotherapy or chemotherapy during the previous four weeks (six weeks for nitrosoureas, Mitomycin-C)19. Resting ECG with QTc >480msec at 2 or more time points within a 24h period.20. Requirement for medication known to prolong QT interval.21. History of other malignancy less than 3 years before the diagnosis of current cancer22. Women with the ability to become pregnant (or already pregnant or lactating). However, those female patients who have a negative serum or urine pregnancy test before enrolment and agree to use one highly effective form of contraception (oral, injected or implanted hormonal contraception or intrauterine device) in addition to condom plus spermicide for four weeks before entering the trial, during the trial and for six months afterwards are considered eligible.23. Male patients with partners of childbearing potential (unless they agree to take measures not to father children by using one form of highly effective contraception including oral, injected or implanted hormonal contraception or intrauterine device) in addition tocondom plus spermicide during the trial and for six months afterwards. Men with pregnant or lactating partners should be advised to use barrier method contraception ( condom plus spermicidal gel) to prevent exposure to the foetus or neonate.24. Prior exposure to a HGF or c-MET inhibitor and/or a MEK inhibitor.

Exclusion criteria as of 19/09/2017:1. Unstable ischemic heart disease, cardiac dysrhythmias, coronary/peripheral artery bypass graft or cerebrovascular accident within 6 months prior to starting treatment.2. Uncontrolled arterial hypertension despite medical treatment.3. Ongoing congestive heart failure or cardiac dysrhythmias of NCI CTCAE Grade >2 or uncontrolled atrial fibrillation.4. History of extensive disseminated/bilateral or known presence of Grade 3 or 4 interstitial fibrosis or interstitial lung disease, including a history of pneumonitis, hypersensitivity pneumonitis, interstitial pneumonia, interstitial lung disease (ILD), obliterative bronchiolitis, and pulmonary fibrosis. A history of prior radiation pneumonitis is allowed.5. Any active central nervous system (CNS) lesion (i.e., those with radiographically unstable, symptomatic lesions) and/or leptomeningeal metastases. However, patients treated with stereotactic radiotherapy or surgery are eligible if the patient remained without evidence of CNS disease progression ≥ 3 months. Patients must be off corticosteroid therapy for ≥ 3 weeks.6. Patients who have neuromuscular disorders that are associated with elevated CK (e.g. inflammatory myopathies, muscular dystrophy, amyotrophic lateral sclerosis, spinal muscular atrophy);7. Patients who are planning on embarking on a new strenuous exercise regimen after first dose of study treatment. NB: Muscular activities, such as strenuous exercise, that can result in significant increases in plasma CK levels should be avoided while on Binimetinib treatment.8. Spinal cord compression unless treated with the patient attaining good pain control and stable or recovered neurologic function.9. Carcinomatous meningitis or leptomeningeal disease.10. History of hypoalbuminaemia, or patients with peritoneal disease or pleural disease, where there is a requirement for ascitic or pleural taps.11. History of retinal vein occlusion, intraocular pressure > 21 mmHg or patient considered at risk of retinal vein thrombosis.12. History of retinal degenerative disease.13. History of Gilbert’s syndrome.14. Active infections (including chronic hepatitis type B or C and HIV infection if status known), severe immunologic defect, compromised bone marrow function15. Other severe acute or chronic medical conditions16. Patients who have undergone major surgery ≤ 3 weeks prior to starting study drug or who have not recovered from side effects of such procedure17. Use of drugs or foods that are known potent CYP3A4 inhibitors or inhibitors or are CYP3A4 substrates with narrow therapeutic indices18. Radiotherapy (except for palliative reasons), endocrine therapy, immunotherapy or chemotherapy during the previous four weeks (six weeks for nitrosoureas, Mitomycin-C)19. Resting ECG with QTc >480msec at 2 or more time points within a 24h period.20. Requirement for medication known to prolong QT interval.21. History of other malignancy less than 3 years before the diagnosis of current cancer22. Women with the ability to become pregnant (or already pregnant or lactating). However, those female patients who have a negative serum or urine pregnancy test before enrolment and agree to use two highly effective forms of contraception (oral, injected or implanted hormonal contraception and condom, have a intrauterine device and condom, diaphragm with spermicidal gel and condom) for four weeks before entering the trial, during the trial and for six months afterwards are considered eligible.23. Male patients with partners of childbearing potential (unless they agree to take measures not to father children by using two forms of highly effective contraception [condom plus spermicide] during the trial and for six months afterwards). Men with pregnant or lactating partners should be advised to use barrier method contraception (for example, condom plus spermicidal gel) to prevent exposure to the foetus or neonate.24. Prior exposure to a HGF or c-MET inhibitor and/or a MEK inhibitor.

As of 07/09/2016:1. Unstable ischemic heart disease, cardiac dysrhythmias, coronary/peripheral artery bypass graft or cerebrovascular accident within 6 months prior to starting treatment.2. Uncontrolled arterial hypertension despite medical treatment.3. Ongoing congestive heart failure or cardiac dysrhythmias of NCI CTCAE Grade =>2 or uncontrolled atrial fibrillation.4. History of extensive disseminated/bilateral or known presence of Grade 3 or 4 interstitial fibrosis or interstitial lung disease, including a history of pneumonitis, hypersensitivity pneumonitis, interstitial pneumonia, interstitial lung disease (ILD), obliterative bronchiolitis, and pulmonary fibrosis. A history of prior radiation pneumonitis is allowed.5. Any active central nervous system (CNS) lesion (i.e., those with radiographically unstable, symptomatic lesions) and/or leptomeningeal metastases. However, patients treated with stereotactic radiotherapy or surgery are eligible if the patient remained without evidence of CNS disease progression ≥ 3 months. Patients must be off corticosteroid therapy for ≥ 3 weeks.6. Patients who have neuromuscular disorders that are associated with elevated CK (e.g., inflammatory myopathies, muscular dystrophy, amyotrophic lateral sclerosis, spinal muscular atrophy);7. Patients who are planning on embarking on a new strenuous exercise regimen after first dose of study treatment. NB: Muscular activities, such as strenuous exercise, that can result in significant increases in plasma CK levels should be avoided while on Binimetinib treatment8. Spinal cord compression unless treated with the patient attaining good pain control and stable or recovered neurologic function9. Carcinomatous meningitis or leptomeningeal disease10. History of hypoalbuminaemia, or patients with peritoneal disease or pleural disease, where there is a requirement for ascitic or pleural taps.11. History of retinal vein occlusion, intraocular pressure > 21 mmHg or patient considered at risk of retinal vein thrombosis.12. History of retinal degenerative disease.13. History of Gilbert’s syndrome.14. Active infections (including chronic hepatitis type B or C and HIV infection if status known), severe immunologic defect, compromised bone marrow function15. Other severe acute or chronic medical conditions16. Patients who have undergone major surgery ≤ 3 weeks prior to starting study drug or who have not recovered from side effects of such procedure17. Use of drugs or foods that are known potent CYP3A4 inhibitors or inhibitors or are CYP3A4 substrates with narrow therapeutic indices18. Radiotherapy (except for palliative reasons), endocrine therapy, immunotherapy or chemotherapy during the previous four weeks (six weeks for nitrosoureas, Mitomycin-C)19. Resting ECG with QTc >480msec at 2 or more time points within a 24h period.20. Requirement for medication known to prolong QT interval.21. History of other malignancy less than 3 years before the diagnosis of current cancer22. Women with the ability to become pregnant (or already pregnant or lactating). However, those female patients who have a negative serum or urine pregnancy test before enrolment and agree to use two highly effective forms of contraception (oral, injected or implanted hormonal contraception and condom, have a intrauterine device and condom, diaphragm with spermicidal gel and condom) for four weeks before entering the trial, during the trial and for six months afterwards are considered eligible.23. Male patients with partners of childbearing potential (unless they agree to take measures not to father children by using two forms of highly effective contraception [condom plus spermicide] during the trial and for six months afterwards). Men with pregnant or lactating partners should be advised to use barrier method contraception (for example, condom plus spermicidal gel) to prevent exposure to the foetus or neonate24. Prior exposure to a HGF or cMET inhibitor and/or a MEK inhibitor

Initial:All patients1. Unstable ischemic heart disease, cardiac dysrhythmias, coronary/peripheral artery bypass graft or cerebrovascular accident within 6 months prior to starting treatment.2. Ongoing congestive heart failure or cardiac dysrhythmias of NCI CTCAE Grade =2 or uncontrolled atrial fibrillation.3. History of extensive disseminated/bilateral or known presence of Grade 3 or 4 interstitial fibrosis or interstitial lung disease, including a history of pneumonitis, hypersensitivity pneumonitis, interstitial pneumonia, interstitial lung disease (ILD), obliterative bronchiolitis, and pulmonary fibrosis. A history of prior radiation pneumonitis is allowed.4. Spinal cord compression unless treated with the patient attaining good pain control and stable or recovered neurologic function.5. Carcinomatous meningitis or leptomeningeal disease.6. History of retinal vein occlusion, intraocular pressure > 21 mmHg or patient considered at risk of retinal vein thrombosis.7. Active infections (including chronic hepatitis type B or C and HIV infection if status known), severe immunologic defect, compromised bone marrow function8. Other severe acute or chronic medical conditions9. Use of drugs or foods that are known potent CYP3A4 inhibitors or inhibitors or are CYP3A4 substrates with narrow therapeutic indices10. Radiotherapy (except for palliative reasons), endocrine therapy, immunotherapy or chemotherapy during the previous four weeks (six weeks for nitrosoureas, Mitomycin-C)11. Resting ECG with QTc >480msec at 2 or more time points within a 24h period.12. Requirement for medication known to prolong QT interval.13. History of other malignancy less than 5 years before the diagnosis of current cancer14. Women with the ability to become pregnant (or already pregnant or lactating). However, those female patients who have a negative serum or urine pregnancy test before enrolment and agree to use two highly effective forms of contraception (oral, injected or implanted hormonal contraception and condom, have a intrauterine device and condom, diaphragm with spermicidal gel and condom) for four weeks before entering the trial, during the trial and for six months afterwards are considered eligible.15. Male patients with partners of childbearing potential (unless they agree to take measures not to father children by using one form of highly effective contraception [condom plus spermicide] during the trial and for six months afterwards). Men with pregnant or lactating partners should be advised to use barrier method contraception (for example, condom plus spermicidal gel) to prevent exposure to the foetus or neonate.16. Prior exposure to a HGF or cMET inhibitor and/or a MEK inhibitor.


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • Velindre Cancer Centre
    Velindre Rd
    Cardiff
    CF14 2TL
  • Churchill Hospital
    Old Rd Headington
    Oxford
    OX3 7LE
  • Belfast Health and Social Care Trust
    Knockbracken Healthcare Saintfield Rd
    Belfast
    BT8 8BH
  • University Hospital Antwerp
    Wilrijkstraat 10
    Edegem
    2650
  • Vall d'Hebron University Hospital
    Passeig de la Vall d'Hebron, 119-129
    Barcelona
    08035
  • St Antoine Hospital
    184 Rue du Faubourg Saint-Antoine
    Paris
    75012
  • European Georges Pompidou Hospital
    20 Rue Leblanc
    Paris
    75015
  • University of Oxford
    Department of Oncology Oncology Clinical Trials Office (OCTO) Old Road Campus Research Builiding Roosevelt Drive
    Oxford
    OX3 7DQ

This information has not yet been provided by the study team. You'll have an opportunity to discuss any risks and benefits that may be associated with this study prior to consenting to taking part.

Mrs Jennifer Houlden



More information about this study, what is involved and how to take part can be found on the study website.


The study is sponsored by University of Oxford and funded by European Commission.




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Read full details for Trial ID: ISRCTN18043777

Or CPMS 17363

Last updated 23 May 2022

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