BEACON CRC: Study of Encorafenib + Cetuximab Plus or Minus Binimetinib vs. Irinotecan/Cetuximab or Infusional 5-Fluorouracil (5-FU)/Folinic Acid (FA)/Irinotecan (FOLFIRI)/Cetuximab With a Safety Lead-in of Encorafenib + Binimetinib + Cetuximab in Patients With BRAF V600E-mutant Metastatic Colorectal Cancer

Sponsor
Pfizer (Industry)
Overall Status
Active, not recruiting
CT.gov ID
NCT02928224
Collaborator
Merck KGaA, Darmstadt, Germany (Industry), Pierre Fabre Medicament (Industry), Ono Pharmaceutical Co. Ltd (Industry)
702
429
3
71.6
1.6
0

Study Details

Study Description

Brief Summary

This is a multicenter, randomized, open-label, 3-arm Phase 3 study to evaluate encorafenib + cetuximab plus or minus binimetinib versus Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab, as controls, in patients with BRAFV600E mCRC whose disease has progressed after 1 or 2 prior regimens in the metastatic setting. The study contains a Safety Lead-in Phase in which the safety and tolerability of encorafenib + binimetinib + cetuximab will be assessed prior to the Phase 3 portion of the study.

Study Design

Study Type:
Interventional
Actual Enrollment :
702 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Multicenter, Randomized, Open-label, 3-Arm Phase 3 Study of Encorafenib + Cetuximab Plus or Minus Binimetinib vs. Irinotecan/Cetuximab or Infusional 5-Fluorouracil (5-FU)/Folinic Acid (FA)/Irinotecan (FOLFIRI)/Cetuximab With a Safety Lead-in of Encorafenib + Binimetinib + Cetuximab in Patients With BRAF V600E-mutant Metastatic Colorectal Cancer
Actual Study Start Date :
Oct 13, 2016
Actual Primary Completion Date :
Feb 11, 2019
Anticipated Study Completion Date :
Sep 30, 2022

Arms and Interventions

Arm Intervention/Treatment
Experimental: Safety Lead-in, Triplet Arm

Encorafenib + binimetinib + cetuximab.

Drug: Encorafenib
Orally, once daily.

Drug: Binimetinib
Orally, twice daily.

Drug: Cetuximab
Standard of care.

Experimental: Doublet Arm

Encorafenib + cetuximab.

Drug: Encorafenib
Orally, once daily.

Drug: Cetuximab
Standard of care.

Active Comparator: Control Arm

Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab.

Drug: Cetuximab
Standard of care.

Drug: Irinotecan
Standard of care.

Drug: Folinic Acid
Standard of care.
Other Names:
  • FA
  • Drug: 5-Fluorouracil
    Standard of care.
    Other Names:
  • 5-FU
  • Outcome Measures

    Primary Outcome Measures

    1. (Safety Lead-in) Number of Participants With Dose-limiting Toxicities (DLTs) [Cycle 1 (up to 28 days)]

    2. (Safety Lead-in) Number of Participants With Adverse Events (AEs) [Duration of safety lead-in, approximately 6 months (up to 28 days per cycle)]

      Refer to AE/SAE section for additional data that were measured and analyzed.

    3. (Safety Lead-in) Incidence of Dose Interruptions, Dose Modifications and Discontinuations Due to Adverse Events (AEs) [Duration of safety lead-in, approximately 6 months (up to 28 days per cycle)]

    4. (Phase 3) Overall Survival (OS) of Triplet Arm vs. Control Arm [Duration of Phase 3, approximately 6 months (up to 28 days per cycle)]

    5. (Phase 3) Response Rate (ORR) by Blinded Independent Central Review (BICR) Per Response Evaluation Criteria in Solid Tumors (RECIST), v1.1 of Triplet Arm vs. Control Arm [Duration of Phase 3, approximately 6 months (up to 28 days per cycle)]

    Secondary Outcome Measures

    1. (Safety Lead-in) Response Rate (ORR) by Investigator [Duration of safety lead-in, approximately 6 months (up to 28 days per cycle)]

    2. (Safety Lead-in) Response Rate (ORR) by BICR [Duration of safety lead-in, approximately 6 months (up to 28 days per cycle)]

      ORR per RECIST, v1.1, defined as the number of patients achieving an overall best response of CR or partial response (PR) divided by the total number of patients

    3. (Safety Lead-in) Duration of Response (DOR) by Investigator [Duration of safety lead-in, approximately 6 months (up to 28 days per cycle)]

    4. (Safety Lead-in) Duration of Response (DOR) by BICR [Duration of safety lead-in, approximately 6 months (up to 28 days per cycle)]

      DOR defined as the time from first radiographic evidence of response to the earliest documented disease progression or death due to underlying disease

    5. (Safety Lead-in) Time to Response by Investigator [Duration of safety lead-in, approximately 6 months (up to 28 days per cycle)]

      Time to response defined as the time from first dose to first radiographic evidence of response

    6. (Safety Lead-in) Time to Response by BICR [Duration of safety lead-in, approximately 6 months (up to 28 days per cycle)]

      Time to response defined as the time from first dose to first radiographic evidence of response

    7. (Safety Lead-in) Progression-free Survival (PFS) by Investigator [Duration of safety lead-in, approximately 6 months (up to 28 days per cycle)]

    8. (Safety Lead-in) Progression-free Survival (PFS) by BICR [Duration of safety lead-in, approximately 6 months (up to 28 days per cycle)]

      PFS defined as the time from first dose to the earliest documented disease progression or death due to any cause

    9. (Phase 3) Overall Survival (OS) in Doublet Arm vs. Control Arm [Duration of Phase 3, approximately 6 months (up to 28 days per cycle)]

    10. (Phase 3) Overall Survival (OS) in Triplet Arm vs. Doublet Arm [Duration of Phase 3, approximately 6 months (up to 28 days per cycle)]

    11. (Phase 3) Comparison of Progression-free Survival (PFS) in Triplet Arm vs Control Arm Per BICR [Duration of Phase 3, approximately 6 months (up to 28 days per cycle)]

    12. (Phase 3) Comparison of Progression-free Survival (PFS) in Triplet Arm vs Control Arm Per Investigator [Duration of Phase 3, approximately 6 months (up to 28 days per cycle)]

    13. (Phase 3) Comparison of Progression-free Survival (PFS) in Doublet Arm vs Control Arm Per BICR [Duration of Phase 3, approximately 6 months (up to 28 days per cycle)]

    14. (Phase 3) Comparison of Progression-free Survival (PFS) in Doublet Arm vs Control Arm Per Investigator [Duration of Phase 3, approximately 6 months (up to 28 days per cycle)]

    15. (Phase 3) Comparison of Progression-free Survival (PFS) in Triplet Arm vs Doublet Arm Per BICR [Duration of Phase 3, approximately 6 months (up to 28 days per cycle)]

    16. (Phase 3) Comparison of Progression-free Survival (PFS) in Triplet Arm vs Doublet Arm Per Investigator [Duration of Phase 3, approximately 6 months (up to 28 days per cycle)]

    17. Phase 3) Comparison of Objective Response Rate (ORR) in Triplet Arm vs Control Arm Per Investigator [Duration of Phase 3, approximately 6 months (up to 28 days per cycle)]

    18. (Phase 3) Comparison of Objective Response Rate (ORR) in Doublet Arm vs Control Arm Per BICR [Duration of Phase 3, approximately 6 months (up to 28 days per cycle)]

    19. (Phase 3) Comparison of Objective Response Rate (ORR) in Doublet Arm vs Control Arm Per Investigator [Duration of Phase 3, approximately 6 months (up to 28 days per cycle)]

    20. Phase 3) Comparison of Objective Response Rate (ORR) in Triplet Arm vs Doublet Arm Per BICR [Duration of Phase 3, approximately 6 months (up to 28 days per cycle)]

    21. Phase 3) Comparison of Objective Response Rate (ORR) in Triplet Arm vs Doublet Arm Per Investigator [Duration of Phase 3, approximately 6 months (up to 28 days per cycle)]

    22. (Phase 3) Comparison of Duration of Response (DOR) in Triplet Arm vs Control Arm Per BICR [Duration of Phase 3, approximately 6 months (up to 28 days per cycle)]

    23. (Phase 3) Comparison of Duration of Response (DOR) in Triplet Arm vs Control Arm Per Investigator [Duration of Phase 3, approximately 6 months (up to 28 days per cycle)]

    24. (Phase 3) Comparison of Duration of Response (DOR) in Doublet Arm vs Control Arm Per BICR [Duration of Phase 3, approximately 6 months (up to 28 days per cycle)]

    25. (Phase 3) Comparison of Duration of Response (DOR) in Doublet Arm vs Control Arm Per Investigator [Duration of Phase 3, approximately 6 months (up to 28 days per cycle)]

    26. (Phase 3) Comparison of Duration of Response (DOR) in Triplet Arm vs Doublet Arm by BICR [Duration of Phase 3, approximately 6 months (up to 28 days per cycle)]

    27. (Phase 3) Comparison of Duration of Response (DOR) in Triplet Arm vs Doublet Arm by Investigator [Duration of Phase 3, approximately 6 months (up to 28 days per cycle)]

    28. (Phase 3) Comparison of Time to Response in Triplet Arm vs Control Arm Per BICR [Duration of Phase 3, approximately 6 months (up to 28 days per cycle)]

    29. (Phase 3) Comparison of Time to Response in Triplet Arm vs Control Arm Per Investigator [Duration of Phase 3, approximately 6 months (up to 28 days per cycle)]

    30. (Phase 3) Comparison of Time to Response in Doublet Arm vs Control Arm Per BICR [Duration of Phase 3, approximately 6 months (up to 28 days per cycle)]

    31. (Phase 3) Comparison of Time to Response in Doublet Arm vs Control Arm Per Investigator [Duration of Phase 3, approximately 6 months (up to 28 days per cycle)]

    32. (Phase 3) Comparison of Time to Response in Triplet Arm vs Doublet Arm Per BICR [Duration of Phase 3, approximately 6 months (up to 28 days per cycle)]

    33. (Phase 3) Comparison of Time to Response in Triplet Arm vs Doublet Arm Per Investigator [Duration of Phase 3, approximately 6 months (up to 28 days per cycle)]

    34. (Phase 3) Change From Baseline in the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire for Cancer Patients (QLQ-C30) Triplet Arm vs Control Arm, Doublet Arm vs Control, and Triplet vs Doublet [Duration of Phase 3, approximately 6 months (up to 28 days per cycle)]

      The EORTC QLQ-C30 questionnaire consisted of 30 questions generating five functional scores (physical, role, cognitive, emotional, and social); a global health status/global quality of life scale score; three symptom scale scores (fatigue, pain, and nausea and vomiting); and six stand alone one-item scores that capture additional symptoms (dyspnea, appetite loss, sleep disturbance, constipation, and diarrhea) and perceived financial burden. All the scales and single-item scores were linearly transformed so that each score ranged from 0 to 100. A higher score on the global health and functioning subscales is indicative of better functioning.

    35. (Phase 3) Change From Baseline in the Functional Assessment of Cancer Therapy-Colon Cancer (FACT-C) in Triplet Arm vs Control Arm, Doublet Arm vs Control, and Triplet vs Doublet [Duration of Phase 3, approximately 6 months (up to 28 days per cycle)]

      FACT-C is a well-characterized and commonly used questionnaire that belongs to the Functional Assessment of Chronic Illness Therapy Measurement System (FACIT). The FACT-G (G for general) questionnaire (27 questions) constitutes the core of all subscales and is applicable to all tumor types. The FACT-C questionnaire contains 9 additional questions on symptoms specific to CRC, 2 of which are only answered by patients with ostomy appliances. These 9 CRC-specific questions are categorized as "additional concerns" on the questionnaire and constitute the "colorectal cancer subscale" score. The patient self-reports his/her QoL for the previous 7 days. The overall score is calculated across all items and a higher score reflects better quality of life (QoL). The table summarizes the functional well-being subscale, the individual questions are linearly scaled and combined to form the functional well-being subscale score, which ranges from 0-28 (higher is better QoL).

    36. (Phase 3) Change From Baseline in the EuroQol-5D-5L (EQ-5D-5L) in Triplet Arm vs Control Arm, Doublet Arm vs Control, and Triplet vs Doublet [Duration of Phase 3, approximately 6 months (up to 28 days per cycle)]

      The EQ-5D-5L contains 1 item for each of 5 dimensions of health-related QoL (i.e., mobility, self-care, usual activities, pain or discomfort and anxiety or depression). Response options for each item varied from having no problems to moderate problems or extreme problems. The EQ-5D-5L (v4.0) is a standardized measure of health utility that provides a single index value for one's health status. The EQ-5D-5L is frequently used for economic evaluations of health care and has been recognized as a valid and reliable instrument for this purpose. The EQ visual analog scale (VAS) is a score that is directly reported by the patient and ranges from 0 to 100 (higher is better quality health).

    37. (Phase 3) Change From Baseline in the Patient Global Impression of Change (PGIC) in Triplet Arm vs Control Arm, Doublet Arm vs Control, and Triplet vs Doublet [Duration of Phase 3, approximately 6 months (up to 28 days per cycle)]

      The PGIC is a measure of patients' perceptions of change in their symptoms over time that can be used as an anchoring method to determine the minimal clinically important difference for other patient reported outcome (PROs). For this assessment, patients answered the following question: "Since starting treatment, my colorectal cancer symptoms are: (1) very much improved, (2) much improved, (3) minimally improved, (4) no change, (5) minimally worse, (6) much worse or (7) very much worse."

    38. (Safety Lead-in) Evaluation of the Area Under the Concentration-time Curve (AUC) for Cetuximab [Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2]

    39. (Safety Lead-in) Evaluation of the Area Under the Concentration-time Curve (AUC) for Encorafenib [Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2]

    40. (Safety Lead-in) Evaluation of the Area Under the Concentration-time Curve (AUC) for Binimetinib [Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2]

    41. (Safety Lead-in) Evaluation of the Area Under the Concentration-time Curve (AUC) for Metabolite of Binimetinib (AR00426032) [Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2]

    42. (Safety Lead-in) Evaluation of the Maximum Concentration (Cmax) for Cetuximab [Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2]

    43. (Safety Lead-in) Evaluation of the Maximum Concentration (Cmax) for Encorafenib [Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2]

    44. (Safety Lead-in) Evaluation of the Maximum Concentration (Cmax) for Binimetinib [Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2]

    45. (Safety Lead-in) Evaluation of the Maximum Concentration (Cmax) for Metabolite of Binimetinib (AR00426032) [Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2]

    46. (Safety Lead-in) Evaluation of the Time of Maximum Observed Concentration (Tmax) for Cetuximab [Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2]

    47. (Safety Lead-in) Evaluation of the Time of Maximum Observed Concentration (Tmax) for Encorafenib [Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2]

    48. (Safety Lead-in) Evaluation of the Time of Maximum Observed Concentration (Tmax) for Binimetinib [Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2]

    49. (Safety Lead-in) Evaluation of the Time of Maximum Observed Concentration (Tmax) for Metabolite of Binimetinib (AR00426032) [Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2]

    50. (Safety Lead-in) Evaluation of the Steady-state Concentration Measured Just Before the Next Dose of Study Drug (Ctrough) for Binimetinib [Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2]

    51. (Safety Lead-in) Evaluation of the Steady-state Concentration Measured Just Before the Next Dose of Study Drug (Ctrough) for Encorafenib [Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2]

    52. (Safety Lead-in) Evaluation of the Steady-state Concentration Measured Just Before the Next Dose of Study Drug (Ctrough) for Cetuximab [Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2]

    53. (Safety Lead-in) Evaluation of the Steady-state Concentration Measured Just Before the Next Dose of Study Drug (Ctrough) for a Metabolite of Binimetinib [Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2]

    54. (Phase 3) Evaluation of the Model-Based Oral Clearance (CL/F) for Encorafenib [2 and 6 hours post-dose on Day 1 of Cycle 1. Predose and 2 hours post-dose on Day 1 of Cycle 2.]

      The cross-arm CL/F value is based on the theta determined from a population PK analysis. Data for this Outcome Measure are not reported here because as per plan, the analysis includes pooled data from participants enrolled in multiple studies including those who were not enrolled in this study. The NCTID for those studies for which results have not yet been posted include: NCT01719380, NCT01543698, and NCT01436656. An additional study ARRAY-162-105 is not required to register.

    55. (Phase 3) Evaluation of the Model-Based Oral Clearance (CL/F) for Binimetinib [2 and 6 hours post-dose on Day 1 of Cycle 1. Predose and 2 hours post-dose on Day 1 of Cycle 2.]

      The cross-arm CL/F value is based on the theta determined from a population PK analysis. Data for this Outcome Measure are not reported here because as per plan, the analysis includes pooled data from participants enrolled in multiple studies including those who were not enrolled in this study. The NCTID for those studies for which results have not yet been posted include: NCT01719380, NCT01543698, and NCT01436656. An additional study ARRAY-162-105 is not required to register.

    56. (Phase 3) Evaluation of the Model-Based Clearance (CL) for Cetuximab [2 and 6 hours post-dose on Day 1 of Cycle 1. Predose and 2 hours post-dose on Day 1 of Cycle 2.]

      The cross-arm CL/F value is based on the theta determined from a population PK analysis. Data for this Outcome Measure are not reported here because as per plan, the analysis includes pooled data from participants enrolled in multiple studies including those who were not enrolled in this study. The NCTID for those studies for which results have not yet been posted include: NCT01719380, NCT01543698, and NCT01436656. An additional study ARRAY-162-105 is not required to register.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Key Inclusion Criteria:
    • Age ≥ 18 years at time of informed consent

    • Histologically- or cytologically-confirmed CRC that is metastatic

    • Presence of BRAFV600E in tumor tissue as previously determined by a local assay at any time prior to Screening or by the central laboratory

    • Progression of disease after 1 or 2 prior regimens in the metastatic setting

    • Evidence of measurable or evaluable non-measurable disease per RECIST, v1.1

    • Adequate bone marrow, cardiac, kidney and liver function

    • Able to take oral medications

    • Female patients are either postmenopausal for at least 1 year, are surgically sterile for at least 6 weeks, or must agree to take appropriate precautions to avoid pregnancy from screening through follow-up if of childbearing potential

    • Males must agree to take appropriate precautions to avoid fathering a child from screening through follow-up

    Key Exclusion Criteria:
    • Prior treatment with any RAF inhibitor, MEK inhibitor, cetuximab, panitumumab or other epidermal growth factor receptor (EGFR) inhibitors

    • Prior irinotecan hypersensitivity or toxicity that would suggest an inability to tolerate irinotecan 180 mg/m2 every 2 weeks

    • Symptomatic brain metastasis or leptomeningeal disease

    • History or current evidence of retinal vein occlusion or current risk factors for retinal vein occlusion (e.g., uncontrolled glaucoma or ocular hypertension, history of hyperviscosity or hypercoagulability syndromes)

    • Known history of acute or chronic pancreatitis

    • History of chronic inflammatory bowel disease or Crohn's disease requiring medical intervention (immunomodulatory or immunosuppressive medications or surgery) ≤12 months prior to randomization

    • Uncontrolled blood pressure despite medical treatment

    • Impaired GI function or disease that may significantly alter the absorption of encorafenib or binimetinib (e.g., ulcerative diseases, uncontrolled vomiting, malabsorption syndrome, small bowel resection with decreased intestinal absorption)

    • Concurrent or previous other malignancy within 5 years of study entry, except cured basal or squamous cell skin cancer, superficial bladder cancer, prostate intraepithelial neoplasm, carcinoma in-situ of the cervix, or other noninvasive or indolent malignancy

    • History of thromboembolic or cerebrovascular events ≤ 6 months prior to starting study treatment, including transient ischemic attacks, cerebrovascular accidents, deep vein thrombosis or pulmonary emboli

    • Concurrent neuromuscular disorder that is associated with the potential of elevated creatine (phosphor)kinase (CK) (e.g., inflammatory myopathies, muscular dystrophy, amyotrophic lateral sclerosis, spinal muscular atrophy)

    • Residual common terminology criteria for adverse events (CTCAE) ≥ Grade 2 toxicity from any prior anticancer therapy, with the exception of Grade 2 alopecia or Grade 2 neuropathy

    • Known history of HIV infection

    • Active hepatitis B or hepatitis C infection

    • Known history of Gilbert's syndrome

    • Known contraindication to receive cetuximab or irinotecan at the planned doses

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Mayo Clinic Hospital Phoenix Arizona United States 85054
    2 Mayo Clinic Phoenix Arizona United States 85054
    3 Mayo Clinic Scottsdale Arizona United States 85259
    4 City of Hope (City of Hope National Medical Center, City of Hope Medical Center) Duarte California United States 91010
    5 Compassionate Care Research Group, Inc. at Compassionate Cancer Care Medical Group, Inc. Fountain Valley California United States 92708
    6 Keck Hospital of USC - Norris Healthcare Center (HC3) Los Angeles California United States 90033
    7 Keck Hospital of USC Los Angeles California United States 90033
    8 LAC+USC Medical Center Los Angeles California United States 90033
    9 Norris Healthcare Center 3 (HC3) Los Angeles California United States 90033
    10 USC Eye Institute Los Angeles California United States 90033
    11 USC/Norris Comprehensive Cancer Center Los Angeles California United States 90033
    12 Hoag Memorial Hospital Presbyterian Newport Beach California United States 92663
    13 Harvard Eye Associates Orange California United States 92868
    14 Rocky Mountain Lions Eye Institute Aurora Colorado United States 80045
    15 University of Colorado Cancer Center - Anschutz Cancer Pavilion Aurora Colorado United States 80045
    16 University of Colorado Denver CTO (CTRC) Aurora Colorado United States 80045
    17 University of Colorado Hospital - Anschutz Outpatient Pavilion (AOP) Aurora Colorado United States 80045
    18 University of Colorado Hospital Inpatient Pavillion' Aurora Colorado United States 80045
    19 Smilow Cancer Hospital at Yale - New Haven New Haven Connecticut United States 06510
    20 Temple Medical Center New Haven Connecticut United States 06510
    21 Yale University, Yale Cancer Center New Haven Connecticut United States 06520
    22 Smilow Cancer Hospital Care Center at North Haven North Haven Connecticut United States 06473
    23 The Lennar Foundation Medical Center Coral Gables Florida United States 33146
    24 Broward Health Medical Center Fort Lauderdale Florida United States 33316
    25 Dr. Clayton Berger (opthalmology) Fort Lauderdale Florida United States 33316
    26 Mehmet F. Hepgur, MD - Broward Health Medical Center Fort Lauderdale Florida United States 33316
    27 Mayo Clinic Florida Jacksonville Florida United States 32224
    28 Bascon Palmer Eye Institue Miami Florida United States 33136
    29 Sylvester Comprehensive Cancer Center/UMHC Miami Florida United States 33136
    30 Sylvester at Kendall Miami Florida United States 33176
    31 Illinois CancerCare- Bloomington Bloomington Illinois United States 61704
    32 University of Chicago Medical Center Chicago Illinois United States 60637
    33 Illinois CancerCare- Galesburg Galesburg Illinois United States 61401
    34 University of Chicago Comprehensive Cancer Center at Silver Cross Hospital New Lenox Illinois United States 60451
    35 The University of Chicago Medicine Center for Advanced Care Orland Park Orland Park Illinois United States 60462
    36 Illinois CancerCare- Ottawa Ottawa Illinois United States 61350
    37 Illinois Cancer Care, PC Peoria Illinois United States 61615
    38 Illinois Eye Center Peoria Illinois United States 61615
    39 Carle Cancer Center Urbana Illinois United States 61801
    40 Indiana University Health Hospital Indianapolis Indiana United States 46202
    41 Indiana University Health Melvin and Bren Simon Cancer Center Indianapolis Indiana United States 46202
    42 Investigational Drug Services IUHSCC Indianapolis Indiana United States 46202
    43 Sidney &Lois Eskenazi Hospital Indianapolis Indiana United States 46202
    44 IU Health Springmill Indianapolis Indiana United States 46290
    45 Baptist Health Floyd Cancer Center New Albany Indiana United States 47150
    46 University of Iowa Hospitals and Clinics Iowa City Iowa United States 52242
    47 The University of Kansas Clinical Research Center Fairway Kansas United States 66205
    48 The University of Kansas Hospital Kansas City Kansas United States 66160
    49 KU Eye Prairie Village Kansas United States 66208
    50 The University of Kansas Cancer Center and Medical Pavilion Westwood Kansas United States 66205
    51 The University of Kansas Cancer Center, Investigational Drug Services Westwood Kansas United States 66205
    52 Ochsner Clinic Foundation New Orleans Louisiana United States 70121
    53 Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins Baltimore Maryland United States 21287
    54 The Investigational Drug Pharmacy (IDS) in the Sidney Kimmel Cancer Center at Johns Hopkins Baltimore Maryland United States 21287
    55 The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins Baltimore Maryland United States 21287
    56 Massachusetts General Hospital Boston Massachusetts United States 02114
    57 Ophthalmic Consultants of Boston Inc Boston Massachusetts United States 02114
    58 Brigham & Women's Hospital Boston Massachusetts United States 02115
    59 Dana-Farber Cancer Institute (DFCI) Boston Massachusetts United States 02215
    60 Dana-Farber Cancer Institute Boston Massachusetts United States 02215
    61 Mayo Clinic Rochester Minnesota United States 55905
    62 Siteman Cancer Center - West County Creve Coeur Missouri United States 63141
    63 SSM Health Saint Louis University Hospital Saint Louis Missouri United States 63104
    64 Barnes Jewish Hospital Saint Louis Missouri United States 63110
    65 Saint Louis University Saint Louis Missouri United States 63110
    66 SSM Health Saint Louis University Hospital Saint Louis Missouri United States 63110
    67 Washington University Infusion Center Pharmacy Saint Louis Missouri United States 63110
    68 Washington University School of Medicine Saint Louis Missouri United States 63110
    69 Siteman Cancer Center - South County Saint Louis Missouri United States 63129
    70 Siteman Cancer Center - St Peters Saint Peters Missouri United States 63376
    71 Memorial Sloan Kettering: Commack Commack New York United States 11725
    72 Memorial Sloan Kettering: Rockefeller Outpatient Pavilion New York New York United States 10022
    73 Memorial Sloan Kettering Cancer Center New York New York United States 10065
    74 Gabrail Cancer Center Research Canton Ohio United States 44718
    75 Cleveland Clinic Taussig Cancer Institute Cleveland Ohio United States 44195
    76 Casey Eye Institute-South Waterfront Portland Oregon United States 97239
    77 OHSU Center for Health and Healing Portland Oregon United States 97239
    78 OHSU Research Pharmacy Services Portland Oregon United States 97239
    79 Oregon Health and Science University Portland Oregon United States 97239
    80 Henry-Joyce Cancer Clinic Nashville Tennessee United States 37232
    81 Vanderbilt Eye Institute Nashville Tennessee United States 37232
    82 The University of Texas MD Anderson Cancer Center Houston Texas United States 77030-4009
    83 Scott & White Clinic - Temple Pavilion Temple Texas United States 76504
    84 Scott & White Medical Center - Temple Temple Texas United States 76508
    85 Medical Oncology Associates, PS DBA Summit Cancer Centers Spokane Valley Washington United States 99216
    86 Spokane Eye Clinic Spokane Washington United States 99204
    87 Inland Imaging, LLC Holy Family Hospital Spokane Washington United States 99208
    88 Medical Oncology Associates, PS DBA Summit Cancer Centers Spokane Washington United States 99208
    89 Providence Holy Family Nuclear Medicine Spokane Washington United States 99208
    90 University of Wisconsin Clinical Science Center Madison Wisconsin United States 53792
    91 CLINICA PERGAMINO S.A. (Centro de Investigacion Pergamino S.A.) Pergamino Buenos Aires Argentina 2700
    92 Centro Medico INFINITO Santa Rosa LA Pampa Argentina L6300EAN
    93 Centro Medico CAIPO (Centro para la Atención del paciente Oncológico) San Miguel de Tucumán Tucumán Argentina T4000GTB
    94 Clinica Universitaria Reina Fabiola Cordoba Argentina X5004FHP
    95 Centro Oncologico Riojano Integral - CORI La Rioja Argentina 5300
    96 St Vincent's Clinic Darlinghurst NEW South Wales (nsw) Australia 2010
    97 St Vincent's Hospital Sydney Darlinghurst NEW South Wales (nsw) Australia 2010
    98 Marsden Eye Specialists Parramatta NEW South Wales (nsw) Australia 2150
    99 Newcastle Eye Centre Sydney NEW South Wales (nsw) Australia 2300
    100 Mater Misericordiae Limited South Brisbane Queensland Australia 4101
    101 Central Adelaide Local Health Network Inc. operating as Royal Adelaide Hospital Adelaide South Australia Australia 5000
    102 Flinders Medical Centre Bedford Park South Australia Australia 5042
    103 Central Adelaide Local Health Network Inc. operating as The Queen Elizabeth Hospital Woodville South South Australia Australia 5011
    104 Monash Health Translation Precinct - Monash Health Clayton Victoria Australia 3168
    105 Austin Health Heidelberg Victoria Australia 3084
    106 Peter MacCallum Cancer Centre Melbourne Victoria Australia 3000
    107 Klinikum Wels - Grieskirchen GmbH, Abteilung fuer Innere Medizin IV Wels Oberoesterreich Austria 4600
    108 Klinikum Wels-Grieskirchen GmbH, Abteilung fuer Augenheilkunde und Optometrie Wels Oberoesterreich Austria 4600
    109 Klinikum Wels-Grieskirchen GmbH, Abteilung fuer Innere Medizin II Wels Oberoesterreich Austria 4600
    110 Klinikum Wels-Grieskirchen GmbH, Apotheke Wels Oberoesterreich Austria 4600
    111 Klinikum Wels-Grieskirchen GmbH, Institut fuer Nuklearmedizin Wels Oberoesterreich Austria 4600
    112 Klinikum Wels-Grieskirchen GmbH, Institut fuer Radiologie I Wels Oberoesterreich Austria 4600
    113 DZU, Diagnose Zentrum Urania GmbH Wien Austria 1010
    114 AKH Wien Wien Austria 1090
    115 Medizinische Universitaet Wien/AKH Wien Wien Austria 1090
    116 Medizinische Universität Wien/AKH Wien Wien Austria 1090
    117 Centre Hospitalier de l'Ardenne - Site de Libramont Libramont-Chevigny Luxembourg Belgium 6800
    118 AZ Sint-Jan Brugge - Oostende AV - Campus Sint-Jan - Oncology Brugge WEST Vlaanderen Belgium 8000
    119 Imelda Ziekenhuis Bonheiden Belgium 2820
    120 Grand Hopital de Charleroi (GHdC) Charleroi Belgium 6000
    121 UZ Antwerpen Edegem Belgium 2650
    122 AZ Maria Middelares Gent Belgium 9000
    123 University Hospital Gasthuisberg (UZ Leuven) Leuven Belgium 3000
    124 Centre Hospitalier Universitaire (CHU) de Liege Liege Belgium 4000
    125 CHC Saint Joseph Liege Belgium 4000
    126 AZ Delta Roeselaere-Menen Roeselaere Belgium 8800
    127 Centre Hospitalier Regional (CHR) - Verviers Verviers Belgium 4800
    128 Hospital do Hlho Salvador Bahia Brazil 41820-020
    129 CENOB - Centro de Oncologia da Bahia SS Ltda / Oncovida Salvador Bahia Brazil 41820-021
    130 CEMES Centro Medico Especializado em Oftalmologia Cachoeiro de Itapemirim ES Brazil 29300-045
    131 Centro de Pesquisas Clínicas em Oncologia Cachoeiro de Itapemirim ES Brazil 29308-014
    132 Hospital Evangelico de Cachoeiro de Itapemirim Cachoeiro de Itapemirim ES Brazil 29308-055
    133 Instituto Vizibelli Belo Horizonte Minas Gerais Brazil 30110-921
    134 CENANTRON - Centro Avancado de Tratamento Oncologic Belo Horizonte Minas Gerais Brazil 30130-090
    135 Fundação Universidade de Caxias do Sul Caxias do Sul RS Brazil 95070-560
    136 Daniel Lubisco Pandolfi Lajeado RS Brazil 95900-000
    137 Sociedade Beneficencia e Cardade de Lajeado/Hospital Bruno Born Lajeado RS Brazil 95900-000
    138 Sociedade Beneficencia e Cardade de Lajeado/Hospital Bruno Born Lajeado RS Brazil 95900-010
    139 Associacao Hospitalar Beneficente Sao Vicente de Paulo / Hospital Sao Vicente de Paulo Passo Fundo RS Brazil 99010-080
    140 Consultorio Medico de Oftalmologia - Dr. Ricardo Tres Passo Fundo RS Brazil 99010-080
    141 Hospital Sao Vicente de Paulo Passo Fundo RS Brazil 99010-090
    142 Thiago Vernetti Ferreira Pelotas RS Brazil 96010-140
    143 Leandro Becker Pelotas RS Brazil 96015-280
    144 Fernanda Mendes Pelotas RS Brazil 96020-080
    145 UPCO - Unidade de Pesquisas Clinicas em Oncologia Pelotas RS Brazil 96020-080
    146 Fernanda Lauermann Pelotas RS Brazil 96020-260
    147 Diogo Duarte Torre Porto Alegre RS Brazil 90020-013
    148 Farmacia Central da Irmandade da Santa Casa de Misericordia de Porto Alegre Porto Alegre RS Brazil 90020-090
    149 Irmandade da Santa Casa de Misericordia de Porto Alegre Porto Alegre RS Brazil 90020-090
    150 Nucleo de Novos Tratamentos em Cancer Porto Alegre RS Brazil 90050-170
    151 Centro de Pesquisa Clínica de Oncologia e Hematologia - Hospital Mãe de Deus/AESC Porto Alegre RS Brazil 90110-270
    152 Clinica de Oftalmologia Lavinsky Porto Alegre RS Brazil 90470-340
    153 Hospital Mãe de Deus Porto Alegre RS Brazil 90880-480
    154 Clinica Toller Barretos SAO Paulo Brazil 14780-110
    155 Olhos Centro Diagnostico e Laser LTDA Barretos SAO Paulo Brazil 14780-300
    156 Fundacao Pio XII Barretos SAO Paulo Brazil 14784-400
    157 Giuliano Santos Borges - ME / Clinica de Neoplasias Litoral - Centro de Novos Tratamentos Itajai Itajai SC Brazil 88301-220
    158 FUNDAÇÃO DO ABC - Faculdade de Medicina do ABC Santo Andre SP Brazil 09060-650
    159 FUNDAÇÃO DO ABC - Faculdade de Medicina do ABC Santo Andre SP Brazil 09060-870
    160 Fundacao Faculdade Regional de Medicina de Sao Jose do Rio Preto Sao Jose do Rio Preto SP Brazil 15090-000
    161 CEPOS - Centro de Estudos e Pesquisas Oncologicas de Sorocaba Sorocaba SP Brazil 18030-075
    162 Instituto de Oncologia de Sorocaba "Dr. Gilson Delgado" Sorocaba SP Brazil 18030-200
    163 Karen Miyuki Kubokawa Shorer Sorocaba SP Brazil 18040-425
    164 Oftalmologia Diagnostica de Sorocaba (ODS) Sorocaba SP Brazil 18047-620
    165 Instituto de Ensino e Pesquisa São Lucas São Paulo Brazil 01236-030
    166 Instituto de Ensino e Pesquisa São Lucas - Pharmacy São Paulo Brazil 01242-020
    167 Hospital Leforte São Paulo Brazil 01507-000
    168 IPEPO - Instituto da Visao São Paulo Brazil 04038-020
    169 Eye Care Centre, Vancouver General Hospital Vancouver British Columbia Canada V5Z 3N9
    170 BC Cancer, Vancouver Center Vancouver British Columbia Canada V5Z 4E6
    171 The Ottawa Hospital Cancer Centre Ottawa Ontario Canada K1H 8L6
    172 Sunnybrook Research Institute Toronto Ontario Canada M4N 3M5
    173 Mount Sinai Hospital Toronto Ontario Canada M5G 1X5
    174 Centre integre universitaire de sante et de services sociaux de l'Ouest-de-l'Ile-de-Montreal Montreal Quebec Canada H3T 1M5
    175 Instituto Clinico Oncologico del Sur (ICOS) Temuco Region DE LA Araucania Chile 4810469
    176 Hospital Clinico Vina Del Mar Vina del Mar V Region Valparaiso Chile 2520612
    177 Ocni ordinace Oftalpro s.r.o. Brno Czechia 603 00
    178 Masarykuv onkologicky ustav Brno Czechia 656 53
    179 Fakultni nemocnice Hradec Kralove Hradec Kralove Czechia 500 05
    180 Fingerlanduv ustav patologie Hradec Kralove Czechia 500 05
    181 I. interni kardioangiologicka klinika Hradec Kralove Czechia 500 05
    182 Klinika nemoci koznich a pohlavnich Hradec Kralove Czechia 500 05
    183 Nemocnicni lekarna - Usek klinickych studii Hradec Kralove Czechia 500 05
    184 Ocni klinika Hradec Kralove Czechia 500 05
    185 Radiologicka klinika Hradec Kralove Czechia 500 05
    186 Fakultni nemocnice Olomouc, I. interni klinika - kardiologicka Olomouc Czechia 779 00
    187 Fakultni nemocnice Olomouc, Lekarna Olomouc Czechia 779 00
    188 Fakultni nemocnice Olomouc Olomouc Czechia 779 00
    189 Odense University Hospital (OUH) Odense C Denmark DK-5000
    190 Hopital Jean Minjoz Besancon Cedex France 25030
    191 CHU Morvan BREST Cedex France 29609
    192 Centre Ophtalmologique - Pole Vision - Clinique Val d'Ouest Ecully France 69130
    193 Centre Leon Berard Lyon Cedex 08 France 69373
    194 ICM Val d'Aurelle Montpellier Cedex 5 France 34298
    195 CHU HOTEL-Dieu Nantes Cedex France 44093
    196 Centre hospitalier national d'ophtalmologie des Quinze-Vingts Paris Cedex 12 France 75571
    197 Centre Hospitalier National d'Opthalmologie des Quinze-Vingts (CHNO des XV-XX) Paris Cedex 12 France 75571
    198 Hopital Georges Pompidou Paris France 75015
    199 CHU Robert Debre Reims Cedex France 51092
    200 SCM Centre d'ophtalmologie Saint Jeand De Vedas France 34430
    201 CHU Toulouse-Institut Inuversitaire du Cancer Toulouse Toulouse Cedex 9 France 31059
    202 CHU Toulouse-Rangueil Toulouse Cedex 9 France 31059
    203 CHU Toulouse - Purpan, hopital Pierre-Paul Riquet Toulouse France 31057
    204 Gustave Roussy Villejuif Cedex France 94805
    205 Universitaetsklinikum Tuebingen Tuebingen Baden-wuerttemberg Germany 72076
    206 Universitaetsklinikum Ulm Ulm Baden-wuerttemberg Germany 89081
    207 Augenklinik der Universitaet Muenchen Muenchen Bayern Germany 80336
    208 LMU Klinikum der Universitaet Muenchen, Campus Grosshadern Muenchen Bayern Germany 81377
    209 Augenarzt-Gemeinschaftspraxis Dr.med.Andreas Kind & Dr.med. Ute Kariger-Schweigert Falkensee Brandenburg Germany 14612
    210 Medizinische Hochschule Hannover (MHH) Hannover Niedersachsen Germany 30625
    211 Medizinische Hochschule Hannover Hannover Niedersachsen Germany 30625
    212 Kliniken Essen Mitte / Knappschaftskrankenhaus Essen Nordrhein-westfalen Germany 35136
    213 Praxis fuer Augenheilkunde Dr. Edmund Meyer-Schwickerath Essen Nordrhein-westfalen Germany 45131
    214 Kliniken Essen-Mitte Essen Nordrhein-westfalen Germany 45136
    215 Universitaetsklinikum Essen (AoeR), Innere Klinik (Tumorforschung), Westdeutsches Tumorzentrum Essen Nordrhein-westfalen Germany 45147
    216 Universitaetsklinikum Essen; Diagnostischeu. Interventionelle Radiologie u. Neuroradiologie Essen Nordrhein-westfalen Germany 45147
    217 Universitaetsklinikum Essen; Nuklearmedizin Essen Nordrhein-westfalen Germany 45147
    218 Universitaetsklinikum Essen; Zentralapotheke Essen Nordrhein-westfalen Germany 45147
    219 Evang. Krankenhaus Essen - Werden; Klinik fuer Augenheilkunde Essen Nordrhein-westfalen Germany 45239
    220 Kliniken Essen Mitte / Knappschaftskrankenhaus Essen Nordrhein-westfalen Germany 45276
    221 Augentagesklinik Maria-Hilf Krankenhaus Moenchengladbach Nordrhein-westfalen Germany 41063
    222 Kliniken Maria Hilf GmbH - Franziskuskrankenhaus Moenchengladbach Nordrhein-westfalen Germany 41063
    223 Kliniken Maria Hilf GmbH; Klinik fuer Radiologie Moenchengladbach Nordrhein-westfalen Germany 41063
    224 Lukaskrankenhaus Neuss; Zentrale Apotheke Neuss Nordrhein-westfalen Germany 41464
    225 Institut f. Pathologie - Ruhr-Universitaet Bochum, Prof. Dr. med. Andrea Tannapfel Bochum North Rhine Westfalia Germany 44789
    226 Augenarzt Praxis Dr. med. Petra Huelsmann Worms Rheinland-pfalz Germany 67547
    227 Gemeinschaftspraxis fuer Radiologie und Nuklearmedizin, Standort Worms Worms Rheinland-pfalz Germany 67547
    228 Martin Apotheke Worms Rheinland-pfalz Germany 67547
    229 Onkologische Schwerpunktpraxis Worms Worms Rheinland-pfalz Germany 67547
    230 Praxisgemeinschaft Kruse + Hofstaetter Worms Rheinland-pfalz Germany 67547
    231 Evangelisches Waldkrankenhaus Spandau Berlin Germany 13589
    232 Universitaetsklinikum Carl Gustav Carus der Technischen Universitaet Dresden Dresden Germany 01307
    233 Universitaetsklinikum Hamburg Eppendorf, Klinik fuer Augenheilkunde Hamburg Germany 20246
    234 Facharztzentrum Eppendorf Hamburg Germany 20249
    235 Universitaetsklinikum Hamburg Eppendorf, Zentrum fuer Radiologie und Endoskopie Hamburg Germany 20251
    236 ZytoService Deutschland GmbH, Standort-Hamburg-Jenfeld Hamburg Germany 22045
    237 HKS Kardiologische Praxis am Israelitischen Krankenhaus Hamburg Germany 22297
    238 Radiologie im Israelitischen Krankenhaus Hamburg Germany 22297
    239 Zala Megyei Szent Rafael Korhaz - Onkologiai Osztaly Zalaegerszeg Zala Hungary H-8900
    240 Szent Margit Kórház Budapest Hungary 1032
    241 Magyar Honvedseg Egeszsegugyi Kozpont Budapest Hungary 1062
    242 Egyesitett Szent Istvan es Szent Laszlo Korhaz-Rendelointezet Budapest Hungary 1097
    243 Uzsoki Utcai Korhaz Budapest Hungary 1145
    244 Debreceni Egyetem Klinikai Kozpont Debrecen Hungary 4032
    245 Pecsi Tudomanyegyetem Altalanos Orvostudomanyi Kar Pecs Hungary 7624
    246 Pecsi Tudomanyegyetem Klinikai Kozpont Pecs Hungary 7624
    247 Tel Aviv Sourasky Medical Center - Oncology Tel-Aviv NAP Israel 6423906
    248 The Barzilai Medical Center - Oncology Institute Ashkelon Israel 7830604
    249 Soroka University Medical Center Be'er-Sheva Israel 8410101
    250 MOR Institute Bnei Brak Israel 5126413
    251 Ein-Karem Department of Medical Imaging of Hadassah Medical Organization, Hadassah Medical Center, Jerusalem Israel 9112001
    252 Hadassah Medical Organization, Hadassah Medical Center, Ein-Karem Jerusalem Israel 9112001
    253 Pharmacy of Hadassah Medical Organization, Hadassah Medical Center, Ein-Karem Jerusalem Israel 9112001
    254 Mt. Scopus Department of Medical Imaging of Hadassah Medical Organization, Jerusalem Israel 91240
    255 Imaging Department of Meir Medical Center Kfar Saba Israel 4428164
    256 Meir Medical Center Kfar Saba Israel 4428164
    257 Pharmacy of Meir Medical Center Kfar Saba Israel 4428164
    258 Pharmacy of Rabin Medical Center, Beilinson Hospital Petah Tikva Israel 4941492
    259 Rabin Medical Center, Beilinson Hospital Petah Tikva Israel 4941492
    260 The Chaim Sheba Medical Center Tel-Hashomer Israel 5262100
    261 Ospedali Riuniti Umberto I Torrette Di Ancona Ancona Italy 60020
    262 ASST Bergamo Ovest, Ospedale Treviglio Caravaggio di Trevigl Treviglio Bergamo Italy 24047
    263 Farmacia - ASST Papa Giovanni XXIII Bergamo BG Italy 24127
    264 Oculistica, ASST Papa Giovanni XXIII Bergamo BG Italy 24127
    265 Oncologia, ASST Papa Giovanni XXIII Bergamo BG Italy 24127
    266 Clinica di Oncologia Medica AOU di Cagliari Presidio Duilio Casula Monserrato Monserrato Cagliari Italy 09042
    267 Farmacia AOU di Cagliari Presidio Duilio Casula Monserrato Monserrato Cagliari Italy 09042
    268 Radiologia AOU di Cagliari Presidio Duilio Casula Monserrato Monserrato Cagliari Italy 09042
    269 Oculistica - ASST Cremona, Ospedale di Cremona Cremona CR Italy 26100
    270 SC Farmacia Aziendale - ASST Cremona, Ospedale di Cremona Cremona CR Italy 26100
    271 SC Oncologia - ASST Cremona, Ospedale di Cremona Cremona CR Italy 26100
    272 U.O. Oculistica, Istituto Clinico HUMANITAS Rozzano Milano Italy 20089
    273 U.O. di Oncologia ed Ematologia, Istituto Clinico HUMANITAS Rozzano (MI) Milan Italy 20089
    274 IRCCS Ospedale San Raffaele - U.O. di Medicina Oncologica Milano MI Italy 20132
    275 Servizio di Farmacia - IRCCS Ospedale San Raffaele Milano MI Italy 20132
    276 S.C. Radiologia diagnostica e interventistica - Fondazione IRCCS Istituto Nazionale dei Tumori Milano MI Italy 20133
    277 SC Farmacia - Fondazione IRCCS Istituto Nazionale dei Tumori Milano MI Italy 20133
    278 SC Oncologia Medica 1, SS Oncologia Medica Gastroenterologica Milano MI Italy 20133
    279 Cardiologia per i pazienti oncologici - Istituto Oncologico Veneto I.R.C.C.S Padova PD Italy 35128
    280 Clinica Oculistica - Azienda Ospedaliera di Padova Padova PD Italy 35128
    281 Servizio Farmacia - Istituto Oncologico Veneto I.R.C.C.S Padova PD Italy 35128
    282 U.O. Oncologia Medica 1 - Istituto Oncologico Veneto I.R.C.C.S Padova PD Italy 35128
    283 Policlinico S.Orsola Malpighi, AOU di Bologna - Oncologia Medica Bologna Italy 40138
    284 Divisione Anatomia Patologica Presidio San Giovanni di Dio Cagliari Italy 09124
    285 Oculistica AOU di Cagliari Presidio San Giovanni di Dio Cagliari Italy 09124
    286 AOU Careggi - Oncologia Medica 1 Firenze Italy 50134
    287 SC oncologia Medica I - Azienda Ospedaliero Universitaria Careggi Firenze Italy 50134
    288 Radiologia Milano Italy 20141
    289 Servizio Farmacia Ospedaliera Milano Italy 20141
    290 Unita di Oncologia Medica Gastrointestinale e Tumori Neuroendocrini Milano Italy 20141
    291 Grande Ospedale Metropolitano Niguarda Milano Italy 20162
    292 Dipartimento Interaziendale Farmaceutico - AOU Policlinico di Modena Modena Italy 41124
    293 SC di Oftalmologia - AOU Policlinico di Modena Modena Italy 41124
    294 SC di Radiologia, Dipartimento Interaziendale integrato Diagnostica per Immagini Modena Italy 41124
    295 SSD Day Hospital Oncologico - Dipartimento ad attivita integrata di Oncologia, Ematologia Modena Italy 41124
    296 AOU Universita degli Studi della Campania L. Vanvitelli - DAI di Medicina Interna e Specialistica Napoli Italy 80131
    297 AOU Universita degli Studi della Campania L. Vanvitelli - U. Ma.Ca. Napoli Italy 80131
    298 AOU Universita degli Studi della Campania L. Vanvitelli Napoli Italy 80131
    299 AOU Universita degli Studi della Campania L. Vanvitelli Napoli Italy 80138
    300 UO Oculistica - AOU Pisana, Stabilimento Ospedaliero di Cisanello Pisa Italy 56124
    301 SOD Radiodiagnostica 3 - AOU Pisana, Stabilimento Ospedaliero di Santa Chiara Pisa Italy 56126
    302 UO Farmaceutica, Gestione del Farmaco - AOU Pisana, Stabilimento Ospedaliero di Santa Chiara Pisa Italy 56126
    303 UO Oncologia Medica 2 - AOU Pisana, Stabilimento Ospedaliero di Santa Chiara Pisa Italy 56126
    304 U.O.C. Farmacia Clinica - Fondazione PTV Policlinico Tor Vergata Roma Italy 00133
    305 U.O.S.D. Oncologia Medica, Dipartimento di Medicina - Fondazione PTV Policlinico Tor Vergata Roma Italy 00133
    306 U.O.S.D. Patologie Retiniche - Fondazione PTV Policlinico Tor Vergata Roma Italy 00133
    307 Chayagasaka Eye Clinic Nagoya Aichi Japan 464-0092
    308 Aichi Cancer Center Hospital Nagoya Aichi Japan 464-8681
    309 National Cancer Center Hospital East Kashiwa-shi Chiba Japan 277-8577
    310 Hokkaido University Hospital Sapporo Hokkaido Japan 060-8648
    311 Kanazawa University Hospital Kanazawa Ishikawa Japan 920-8641
    312 St. Marianna University School of Medicine Hospital Kawasaki Kanagawa Japan 216-8511
    313 Tsukahara Eye Clinic Yokohama Kanagawa Japan 241-0821
    314 Kanagawa Cancer Center Yokohama Kanagawa Japan 241-8515
    315 Osaka University Hospital Laboratory for Clinical Investigation Suita Osaka Japan 565-0871
    316 National Cancer Center Hospital Chuo-ku Tokyo Japan 104-0045
    317 National Hospital Organization Kyushu Cancer Center Fukuoka Japan 811-1395
    318 Kyushu Central Hospital of the Mutual Aid Association of Public School Teachers Fukuoka Japan 815-8588
    319 National Hospital Organization Osaka National Hospital Osaka Japan 540-0006
    320 Seoul National University Bundang Hospital Seongnam-si Gyeonggi-do Korea, Republic of 13620
    321 Ajou University Hospital Suwon Gyeonggi-do Korea, Republic of 16499
    322 Hallym University Sacred Heart Hospital Anyang Gyeonggido Korea, Republic of 14068
    323 Chonnam National University Hwasun Hospital Hwasun-gun Jeollanam-do Korea, Republic of 58128
    324 Korea University Guro Hospital Seoul Seoul Teugbyeolsi Korea, Republic of 08308
    325 Dong-A University Hospital Busan Korea, Republic of 49201
    326 Gachon University Gil Medical Center Incheon Korea, Republic of 21565
    327 Korea University Anam Hospital IRB Seoul Korea, Republic of 02841
    328 Seoul National University Hospital Seoul Korea, Republic of 03080
    329 Severance Hospital, Yonsei University Health System Seoul Korea, Republic of 03722
    330 Asan Medical Center Seoul Korea, Republic of 05505
    331 Samsung Medical Center Seoul Korea, Republic of 06351
    332 The Catholic University of Korea, Seoul St. Mary's Hospital Seoul Korea, Republic of 06591
    333 Superare Centro de Infusion S.A. de C.V. Delegacion Cuauhtemoc Ciudad DE Mexico Mexico 06760
    334 Consultorio dentro de la Torre Medica Dalinde (Oncologia Medica) Ciudad de Mexico Cuauhtemoc Mexico
    335 Rijnstate Hospital Arnhem Arnhem Gelderland Netherlands 6815 AD
    336 Rijnstate Hospital Velp Velp Gelderland Netherlands 6883 AZ
    337 Maastricht University Medical Center (MUMC) Maastricht Limburg Netherlands 6229HX
    338 The Netherlands Cancer Institute Amsterdam Noord-holland Netherlands 1066 CX
    339 Onze Lieve Vrouwen Gasthuis Amsterdam Noord-holland Netherlands 1091 AC
    340 Haga Ziekenhuis Den Haag Zuid-holland Netherlands 2545 AA
    341 Universitair Medisch Centrum Utrecht Utrecht Netherlands 3584 CX
    342 Universitair Medisch Centrum Utrecht Utrecht Netherlands 3584CX
    343 Colosseum Øyelegesenter C/O LB Holdings AS Lommedalen Norway 1350
    344 Colosseum Øyelegesenter C/O LB Holdings AS Oslo Norway 0369
    345 Oslo universitetssykehus, Radiumhospitalet Oslo Norway 0379
    346 Sykehusapoteket Oslo, Radiumhospitalet Oslo Norway 0379
    347 Szpital Specjalistyczny W Brzozowie, Podkarpacki Osrodek Onkologiczny Im.Ks.B.Markiewicza Brzozow Poland 36-200
    348 Wojewodzki Szpital Zespolony, Oddzial Onkologiczny Elblag Poland 82-300
    349 Szpital Specjalistyczny im. L. Rydygiera w Krakowie Sp.z.o.o. Krakow Poland 31-826
    350 Europejskie Centrum Zdrowia Otwock, Szpital im. F. Chopina Otwock Poland 05-400
    351 NZOZ Centrum Medyczne HCP Poznan Poland 61-485
    352 NZOZ Przychodnia Specjalistyczna GUTMED Poznan Poland 61495
    353 Centrum Medyczne MAVIT Sp. z o.o. Warszawa Poland 01-673
    354 MAGODENT Sp. z o.o. Szpital Elblaska Warszawa Poland 01-748
    355 Magodent Sp. z o.o., Przychodnia Specjalistyczna i Rehabilitacja, Poradnia Okulistyczna Warszawa Poland 02-524
    356 MAGODENT Sp. z o.o. Szpital Onkologiczny, Oddzial Onkologii Klinicznej i Chemioterapii Warszawa Poland 03-291
    357 Magodent Sp. z o.o., Szpital Onkologiczno-Kardiologiczny, Dzial Farmacji Szpitalnej Warszawa Poland 04-125
    358 Regional Budgetary Healthcare Institution Kursk Regional Clinical Kursk Kursk Region Russian Federation 305524
    359 Evimed Llc Chelyabinsk Russian Federation 454048
    360 Federal State Budget Institution "N.N. Blokhin Russian Cancer Research Center" of the Moscow Russian Federation 115478
    361 Federal State Budget Institution "N.N. Blokhin Russian Cancer Research Center" Moscow Russian Federation 115478
    362 A. Tsyb Medical Radiological Research Center - branch of the Obninsk Russian Federation 249036
    363 State Budgetary Educational Institution of Higher Professional Education First Saint Petersburg Sankt-Petersburg Russian Federation 197022
    364 Complejo Hospitalario de Jaen Jaen Andalucia Spain 23007
    365 Sercosa - Clinica de las Nieves Jaen Andalucia Spain 23007
    366 Hospital Universitario Son Espases Palma de Mallorca Baleares Spain 07010
    367 Institut Catala d'Oncologia L'Hospitalet de Llobregat Barcelona Spain 08908
    368 Hospital Universitari Parc Tauli Sabadell Barcelona Spain 08208
    369 Hospital Universitario Reina Sofía Cordoba Cordona Spain 14004
    370 Hospital Nuestra Señora del Rosario Madrid Madrid, Communidad Delaware Spain 28006
    371 Hospital Universitari Sant Joan de Reus Reus Tarragona Spain 43204
    372 Hospital del Mar Barcelona Spain 08003
    373 Clinica Corachan Barcelona Spain 08017
    374 Hospital Quiron Salud Barcelona Barcelona Spain 08023
    375 Cetir Centre Medic S.L. Barcelona Spain 08029
    376 Hospital Universitario Vall d'Hebron Barcelona Spain 08035
    377 Hospital Universitario de Burgos Burgos Spain 09006
    378 Consulta Dr. Juan Carlos Castillo Dominguez Cordoba Spain 14008
    379 Gabinete Radiologico Dr. Pita Madrid Spain 28006
    380 Hospital General Universitario Gregorio Maranon Madrid Spain 28007
    381 Hospital Universitario Ramón y Cajal Madrid Spain 28034
    382 Hospital Clinico San Carlos Madrid Spain 28040
    383 Hospital Universitario Fundacion Jimenez Diaz Madrid Spain 28040
    384 Hospital Universitario 12 de Octubre Madrid Spain 28041
    385 Hospital Universitario La Paz Madrid Spain 28046
    386 Hospital HM Universitario Sanchinarro Madrid Spain 28050
    387 Hospital Universitario Virgen del Rocio Sevilla Spain 41013
    388 Clinica Oftalvist Valencia Spain 46004
    389 Fundacion Instituto Valenciano de Oncologia Valencia Spain 46009
    390 Hospital Clinico Universitario de Valencia Valencia Spain 46010
    391 Hospital General Universitario de Valencia Valencia Spain 46014
    392 Hospital Quiron Salud Zaragoza Zaragoza Spain 50006
    393 Hospital Universitario Miguel Servet Zaragoza Spain 50009
    394 Changhua Christian Hospital Changhua city Changhua County Taiwan 500
    395 Kaohsiung Medical University Chung-Ho Memorial Hospital Kaohsiung Taiwan 807
    396 China Medical University Hospital Taichung Taiwan 40447
    397 National Cheng Kung University Hospital Tainan Taiwan 704
    398 National Taiwan University Hospital Taipei Taiwan 10002
    399 Chang Gung Memorial Hospital, Linkou Taoyuan Taiwan 333
    400 Ege University Medical Faculty Izmir Bornova Turkey 35100
    401 Izmir Medical Park Hospital - Medical Oncology Izmir Izmir, Karsiyaka Turkey 35575
    402 Istanbul Medeniyet University Göztepe Training and Research Hospital Istanbul Kadikoy Turkey 34722
    403 Hacettepe University Medical Faculty Ankara Turkey 06230
    404 Uludag University Medical Faculty Bursa Turkey 16059
    405 Trakya Universitesi Tip Fakultesi Edirne Turkey 22030
    406 Inonu Universitesi Turgut Ozal Medical Center Malatya Turkey 44280
    407 Oftalmolohycheskyi tsentr "Vzghliad" MTs Dnipropetrovsk Dnipropetrovska Oblast' Ukraine 41100
    408 Oftalmolohycheskyi tsentr "Vzghliad" MTs Dnipropetrovsk Dnipropetrovska Oblast' Ukraine 49027
    409 Derzhavnyi zaklad, Dnipropetrovska medychna akademiia Ministerstva okhorony zdorovia Ukrainy Dnipropetrovsk Dnipropetrovska Oblast' Ukraine 49102
    410 Komumalnyi zaklad, Dnipropetrovska miska bahatoprofilna klinichna likarnia Nº4 Dnipropetrovsk Dnipropetrovska Oblast' Ukraine 49102
    411 Kyivska klinichna likarnia na zaliznychnomu transporti No3 filii Tsentr okhorony zdorov'ia PAT Kyiv Kyivska Oblast' Ukraine 02096
    412 Natsionalnyi medychnyi universytet imeni O.O Bohomltsia, kafedra onkolohii Kyiv Kyivska Oblast' Ukraine 02096
    413 Natsionalnyi medychnyi universytet imeni O.O Bohomltsia, kafedra oftalmolohii Kyiv Kyivska Oblast Ukraine 01601
    414 Oleksandrivska klinichna likarnia mista Kyieva Kyiv Kyivska Oblast Ukraine 01601
    415 Kyivskyi miskyi klinichnyi onkotsentr Kyiv Kyivska Oblast Ukraine 03115
    416 Vinnytskyi oblasnyi klinichnyi onkolohichnyi dyspanser, viddilennia khimioterapii Vinnytsia Vinnyts'ka Oblast' Ukraine 21029
    417 DVNZ "Uzhhorodskyi natsionalnyi universytet" Uzhgorod Zakarpats'ka Oblast' Ukraine 88000
    418 Tsentralna miska klinichna likarnia, Miskyi onkolohichnyi tsentr Uzhgorod Zakarpats'ka Oblast' Ukraine 88000
    419 DVNZ "Uzhhorodskyi natsionalnyi universytet" Uzhhorod Zakarpatska Oblast Ukraine 88000
    420 TOV "Zakarpatskyi Tsentr Mikrokhirurhii Oka" Uzhhorod Zakarpatska Oblast Ukraine 88000
    421 NHS Grampian - Aberdeen Royal Infirmary Aberdeen Aberdeenshire Scotland United Kingdom AB25 2ZN
    422 King Edward V11 Hospital Windsor Berkshire United Kingdom SL4 3DP
    423 Beatson West of Scotland Cancer Centre Glasglow Glasglow City, Scotland United Kingdom G12 0YH
    424 University Hospitals Birmingham NHS Foundation Trust Queen Elizabeth Hospital Birmingham WEST Midlands United Kingdom B15 2TH
    425 Hammersmith Hospital, Imperial College Healthcare NHS Trust London United Kingdom W12 0HS
    426 Imperial College Healthcare NHS Trust, Hammersmith Hospital London United Kingdom W12 0HS
    427 Sarah Cannon Research Institute UK London United Kingdom W1G 6AD
    428 Imperial College Healthcare NHS Trust, Charing Cross Hospital London United Kingdom W6 8RF
    429 The Christie NHS Foundation Trust - Christie Hospital Manchester United Kingdom M20 4BX

    Sponsors and Collaborators

    • Pfizer
    • Merck KGaA, Darmstadt, Germany
    • Pierre Fabre Medicament
    • Ono Pharmaceutical Co. Ltd

    Investigators

    • Study Director: Pfizer CT.gov Call Center, Pfizer

    Study Documents (Full-Text)

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    Pfizer
    ClinicalTrials.gov Identifier:
    NCT02928224
    Other Study ID Numbers:
    • ARRAY-818-302
    • BEACON CRC
    • 2015-005805-35
    • C4221009
    First Posted:
    Oct 10, 2016
    Last Update Posted:
    Mar 16, 2022
    Last Verified:
    Mar 1, 2022
    Individual Participant Data (IPD) Sharing Statement:
    Yes
    Plan to Share IPD:
    Yes
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Keywords provided by Pfizer
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details Patients were at least 18 years of age with confirmed metastatic colorectal cancer (CRC) whose disease had progressed after 1 or 2 prior regimens in the metastatic setting and whose tumor tissue was BRAF V600E-mutant as previously determined by a local assay at any time prior to Screening
    Pre-assignment Detail
    Arm/Group Title Combined Safety Lead-in Phase 3: Triplet Arm Phase 3: Doublet Arm Phase 3:Control Arm
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care. Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care. Encorafenib + cetuximab. Encorafenib: Orally, once daily. Cetuximab: Standard of care. Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab. Cetuximab: Standard of care. Irinotecan: Standard of care. Folinic Acid: Standard of care. 5-Fluorouracil: Standard of care.
    Period Title: Overall Study
    STARTED 37 224 220 221
    COMPLETED 0 0 0 0
    NOT COMPLETED 37 224 220 221

    Baseline Characteristics

    Arm/Group Title Combined Safety Lead-in (CSLI) Phase 3: Triplet Arm Phase 3: Doublet Arm Phase 3:Control Arm Total
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care. Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care. Encorafenib + cetuximab. Encorafenib: Orally, once daily. Cetuximab: Standard of care. Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab. Cetuximab: Standard of care. Irinotecan: Standard of care. Folinic Acid: Standard of care. 5-Fluorouracil: Standard of care. Total of all reporting groups
    Overall Participants 37 224 220 221 702
    Age (Count of Participants)
    <=18 years
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Between 18 and 65 years
    23
    62.2%
    141
    62.9%
    137
    62.3%
    149
    67.4%
    450
    64.1%
    >=65 years
    14
    37.8%
    83
    37.1%
    83
    37.7%
    72
    32.6%
    252
    35.9%
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    58.3
    (10.34)
    59.5
    (11.65)
    60.2
    (11.65)
    58.4
    (12.07)
    59.3
    (61)
    Sex: Female, Male (Count of Participants)
    Female
    22
    59.5%
    119
    53.1%
    105
    47.7%
    127
    57.5%
    373
    53.1%
    Male
    15
    40.5%
    105
    46.9%
    115
    52.3%
    94
    42.5%
    329
    46.9%
    Race (NIH/OMB) (Count of Participants)
    American Indian or Alaska Native
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Asian
    7
    18.9%
    20
    8.9%
    25
    11.4%
    39
    17.6%
    91
    13%
    Native Hawaiian or Other Pacific Islander
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Black or African American
    1
    2.7%
    2
    0.9%
    0
    0%
    0
    0%
    3
    0.4%
    White
    29
    78.4%
    195
    87.1%
    183
    83.2%
    172
    77.8%
    579
    82.5%
    More than one race
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Unknown or Not Reported
    0
    0%
    7
    3.1%
    12
    5.5%
    10
    4.5%
    29
    4.1%
    Region (Count of Participants)
    North America
    5
    13.5%
    30
    13.4%
    28
    12.7%
    29
    13.1%
    92
    13.1%
    Europe
    25
    67.6%
    150
    67%
    145
    65.9%
    125
    56.6%
    445
    63.4%
    Rest of World (includes Mexico)
    7
    18.9%
    44
    19.6%
    47
    21.4%
    67
    30.3%
    165
    23.5%
    Eastern Cooperative Oncology Group Performance Status (ECOG PS) at Baseline (Count of Participants)
    0-Fully active
    22
    59.5%
    116
    51.8%
    112
    50.9%
    108
    48.9%
    358
    51%
    1-Restircted in physically strenuous activity
    15
    40.5%
    108
    48.2%
    104
    47.3%
    113
    51.1%
    340
    48.4%
    2-Ambulatory and capable of all self-care
    0
    0%
    0
    0%
    4
    1.8%
    0
    0%
    4
    0.6%
    Primary Tumor Location (Count of Participants)
    Left Colon
    11
    29.7%
    79
    35.3%
    83
    37.7%
    68
    30.8%
    241
    34.3%
    Right Colon
    23
    62.2%
    126
    56.3%
    110
    50%
    119
    53.8%
    378
    53.8%
    Left and Right Colon
    0
    0%
    8
    3.6%
    11
    5%
    22
    10%
    41
    5.8%
    Unknown
    3
    8.1%
    11
    4.9%
    16
    7.3%
    12
    5.4%
    42
    6%
    Primary Tumor Removed (Count of Participants)
    Completely Resected
    20
    54.1%
    133
    59.4%
    123
    55.9%
    122
    55.2%
    398
    56.7%
    Partially Resected/Unresected
    17
    45.9%
    91
    40.6%
    97
    44.1%
    99
    44.8%
    304
    43.3%
    Number of Organs Involved (Count of Participants)
    >=2
    16
    43.2%
    114
    50.9%
    117
    53.2%
    123
    55.7%
    370
    52.7%
    >=3
    21
    56.8%
    110
    49.1%
    103
    46.8%
    98
    44.3%
    332
    47.3%
    Sites of Metastases (sites) [Number]
    Liver
    24
    144
    134
    128
    430
    Lung
    10
    86
    83
    86
    265
    Lymph Node
    17
    86
    82
    88
    273
    NodePeritoneum/Omentum
    17
    77
    97
    93
    284

    Outcome Measures

    1. Primary Outcome
    Title (Safety Lead-in) Number of Participants With Dose-limiting Toxicities (DLTs)
    Description
    Time Frame Cycle 1 (up to 28 days)

    Outcome Measure Data

    Analysis Population Description
    The Dose-determining Set (DDS) consisted of all CSLI patients from the Safety Set who either completed a minimum exposure requirement (received ≥ 75% dose intensity of the planned dose for each binimetinib, encorafenib and cetuximab) and had sufficient safety evaluations or experienced a dose-limiting toxicity (DLT).
    Arm/Group Title Combined Safety Lead-in (CSLI)
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
    Measure Participants 37
    Count of Participants [Participants]
    5
    13.5%
    2. Primary Outcome
    Title (Safety Lead-in) Number of Participants With Adverse Events (AEs)
    Description Refer to AE/SAE section for additional data that were measured and analyzed.
    Time Frame Duration of safety lead-in, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The Safety Set consisted of all patients who received at least 1 dose of study drug and had at least 1 post-treatment assessment, which may have included death. Patients were analyzed according to treatment received.
    Arm/Group Title Combined Safety Lead-in
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
    Measure Participants 37
    Count of Participants [Participants]
    37
    100%
    3. Primary Outcome
    Title (Safety Lead-in) Incidence of Dose Interruptions, Dose Modifications and Discontinuations Due to Adverse Events (AEs)
    Description
    Time Frame Duration of safety lead-in, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The Safety Set consisted of all patients who received at least 1 dose of study drug and had at least 1 post-treatment assessment, which may have included death. Patients were analyzed according to treatment received.
    Arm/Group Title Combined Safety Lead-in
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
    Measure Participants 37
    Count of Participants [Participants]
    26
    70.3%
    4. Primary Outcome
    Title (Phase 3) Overall Survival (OS) of Triplet Arm vs. Control Arm
    Description
    Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The Full Analysis Set (FAS) for the Phase 3 portion of the study consisted of all randomized Phase 3 patients.
    Arm/Group Title Phase 3: Triplet Arm Phase 3:Control Arm
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care. Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab. Cetuximab: Standard of care. Irinotecan: Standard of care. Folinic Acid: Standard of care. 5-Fluorouracil: Standard of care.
    Measure Participants 224 221
    Median (95% Confidence Interval) [months]
    9.03
    5.42
    5. Primary Outcome
    Title (Phase 3) Response Rate (ORR) by Blinded Independent Central Review (BICR) Per Response Evaluation Criteria in Solid Tumors (RECIST), v1.1 of Triplet Arm vs. Control Arm
    Description
    Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The Phase 3 Response Efficacy Set consisted of the first 330 patients randomized into the Phase 3 portion of the study and any additional patients randomized on the same day as the 330th randomized patient.
    Arm/Group Title Phase 3: Triplet Arm Phase 3:Control Arm
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care. Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab. Cetuximab: Standard of care. Irinotecan: Standard of care. Folinic Acid: Standard of care. 5-Fluorouracil: Standard of care.
    Measure Participants 111 107
    Number (95% Confidence Interval) [percentage of participants]
    29
    78.4%
    2
    0.9%
    6. Secondary Outcome
    Title (Safety Lead-in) Response Rate (ORR) by Investigator
    Description
    Time Frame Duration of safety lead-in, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The Safety Lead-in (SLI) Efficacy Set consisted of all CSLI patients in the FAS who were identified at screening as having a BRAF V600E mutation (per local or central testing).
    Arm/Group Title Combined Safety Lead-in
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
    Measure Participants 36
    Number (95% Confidence Interval) [percentage of participants]
    52.8
    142.7%
    7. Secondary Outcome
    Title (Safety Lead-in) Response Rate (ORR) by BICR
    Description ORR per RECIST, v1.1, defined as the number of patients achieving an overall best response of CR or partial response (PR) divided by the total number of patients
    Time Frame Duration of safety lead-in, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The SLI Efficacy Set consisted of all CSLI patients in the FAS who were identified at screening as having a BRAF V600E mutation (per local or central testing).
    Arm/Group Title Combined Safety Lead-in
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
    Measure Participants 36
    Number (95% Confidence Interval) [percentage of participants]
    41.7
    112.7%
    8. Secondary Outcome
    Title (Safety Lead-in) Duration of Response (DOR) by Investigator
    Description
    Time Frame Duration of safety lead-in, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The SLI Efficacy Set consisted of all CSLI patients in the FAS who were identified at screening as having a BRAF V600E mutation (per local or central testing).
    Arm/Group Title Combined Safety Lead-in
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
    Measure Participants 36
    Median (95% Confidence Interval) [months]
    6.47
    9. Secondary Outcome
    Title (Safety Lead-in) Duration of Response (DOR) by BICR
    Description DOR defined as the time from first radiographic evidence of response to the earliest documented disease progression or death due to underlying disease
    Time Frame Duration of safety lead-in, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The SLI Efficacy Set consisted of all CSLI patients in the FAS who were identified at screening as having a BRAF V600E mutation (per local or central testing).
    Arm/Group Title Combined Safety Lead-in
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
    Measure Participants 36
    Median (95% Confidence Interval) [months]
    8.15
    10. Secondary Outcome
    Title (Safety Lead-in) Time to Response by Investigator
    Description Time to response defined as the time from first dose to first radiographic evidence of response
    Time Frame Duration of safety lead-in, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The SLI Efficacy Set consisted of all CSLI patients in the FAS who were identified at screening as having a BRAF V600E mutation (per local or central testing).
    Arm/Group Title Combined Safety Lead-in
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
    Measure Participants 36
    Median (95% Confidence Interval) [months]
    1.45
    11. Secondary Outcome
    Title (Safety Lead-in) Time to Response by BICR
    Description Time to response defined as the time from first dose to first radiographic evidence of response
    Time Frame Duration of safety lead-in, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The SLI Efficacy Set consisted of all CSLI patients in the FAS who were identified at screening as having a BRAF V600E mutation (per local or central testing).
    Arm/Group Title Combined Safety Lead-in
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
    Measure Participants 36
    Median (95% Confidence Interval) [months]
    1.45
    12. Secondary Outcome
    Title (Safety Lead-in) Progression-free Survival (PFS) by Investigator
    Description
    Time Frame Duration of safety lead-in, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The SLI Efficacy Set consisted of all CSLI patients in the FAS who were identified at screening as having a BRAF V600E mutation (per local or central testing).
    Arm/Group Title Combined Safety Lead-in
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
    Measure Participants 36
    Median (95% Confidence Interval) [months]
    8.08
    13. Secondary Outcome
    Title (Safety Lead-in) Progression-free Survival (PFS) by BICR
    Description PFS defined as the time from first dose to the earliest documented disease progression or death due to any cause
    Time Frame Duration of safety lead-in, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The SLI Efficacy Set consisted of all CSLI patients in the FAS who were identified at screening as having a BRAF V600E mutation (per local or central testing).
    Arm/Group Title Combined Safety Lead-in
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
    Measure Participants 36
    Median (95% Confidence Interval) [months]
    5.59
    14. Secondary Outcome
    Title (Phase 3) Overall Survival (OS) in Doublet Arm vs. Control Arm
    Description
    Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The Full Analysis Set (FAS) for the Phase 3 portion of the study consisted of all randomized Phase 3 patients.
    Arm/Group Title Phase 3: Doublet Arm Phase 3:Control Arm
    Arm/Group Description Encorafenib + cetuximab. Encorafenib: Orally, once daily. Cetuximab: Standard of care. Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab. Cetuximab: Standard of care. Irinotecan: Standard of care. Folinic Acid: Standard of care. 5-Fluorouracil: Standard of care.
    Measure Participants 220 221
    Median (95% Confidence Interval) [months]
    8.41
    5.42
    15. Secondary Outcome
    Title (Phase 3) Overall Survival (OS) in Triplet Arm vs. Doublet Arm
    Description
    Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The Full Analysis Set (FAS) for the Phase 3 portion of the study consisted of all randomized Phase 3 patients.
    Arm/Group Title Phase 3: Triplet Arm Phase 3: Doublet Arm
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care. Encorafenib + cetuximab. Encorafenib: Orally, once daily. Cetuximab: Standard of care.
    Measure Participants 224 220
    Median (95% Confidence Interval) [months]
    9.03
    8.41
    16. Secondary Outcome
    Title (Phase 3) Comparison of Progression-free Survival (PFS) in Triplet Arm vs Control Arm Per BICR
    Description
    Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The Full Analysis Set (FAS) consisted of all patients who received at least 1 dose of study drug and had at least 1 post-treatment assessment, which may have included death. The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 patients.
    Arm/Group Title Phase 3: Triplet Arm Phase 3:Control Arm
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care. Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab. Cetuximab: Standard of care. Irinotecan: Standard of care. Folinic Acid: Standard of care. 5-Fluorouracil: Standard of care.
    Measure Participants 224 221
    Median (95% Confidence Interval) [months]
    4.30
    1.51
    17. Secondary Outcome
    Title (Phase 3) Comparison of Progression-free Survival (PFS) in Triplet Arm vs Control Arm Per Investigator
    Description
    Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The Full Analysis Set (FAS) consisted of all patients who received at least 1 dose of study drug and had at least 1 post-treatment assessment, which may have included death. The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 patients.
    Arm/Group Title Phase 3: Triplet Arm Phase 3:Control Arm
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care. Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab. Cetuximab: Standard of care. Irinotecan: Standard of care. Folinic Acid: Standard of care. 5-Fluorouracil: Standard of care.
    Measure Participants 224 221
    Median (95% Confidence Interval) [months]
    4.47
    1.58
    18. Secondary Outcome
    Title (Phase 3) Comparison of Progression-free Survival (PFS) in Doublet Arm vs Control Arm Per BICR
    Description
    Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The Full Analysis Set (FAS) consisted of all patients who received at least 1 dose of study drug and had at least 1 post-treatment assessment, which may have included death. The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 patients.
    Arm/Group Title Phase 3: Doublet Arm Phase 3:Control Arm
    Arm/Group Description Encorafenib + cetuximab. Encorafenib: Orally, once daily. Cetuximab: Standard of care. Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab. Cetuximab: Standard of care. Irinotecan: Standard of care. Folinic Acid: Standard of care. 5-Fluorouracil: Standard of care.
    Measure Participants 220 221
    Median (95% Confidence Interval) [months]
    4.21
    1.51
    19. Secondary Outcome
    Title (Phase 3) Comparison of Progression-free Survival (PFS) in Doublet Arm vs Control Arm Per Investigator
    Description
    Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The Full Analysis Set (FAS) consisted of all patients who received at least 1 dose of study drug and had at least 1 post-treatment assessment, which may have included death. The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 patients.
    Arm/Group Title Phase 3: Doublet Arm Phase 3:Control Arm
    Arm/Group Description Encorafenib + cetuximab. Encorafenib: Orally, once daily. Cetuximab: Standard of care. Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab. Cetuximab: Standard of care. Irinotecan: Standard of care. Folinic Acid: Standard of care. 5-Fluorouracil: Standard of care.
    Measure Participants 220 221
    Median (95% Confidence Interval) [months]
    4.27
    1.58
    20. Secondary Outcome
    Title (Phase 3) Comparison of Progression-free Survival (PFS) in Triplet Arm vs Doublet Arm Per BICR
    Description
    Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The Full Analysis Set (FAS) consisted of all patients who received at least 1 dose of study drug and had at least 1 post-treatment assessment, which may have included death. The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 patients.
    Arm/Group Title Phase 3: Triplet Arm Phase 3: Doublet Arm
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care. Encorafenib + cetuximab. Encorafenib: Orally, once daily. Cetuximab: Standard of care.
    Measure Participants 224 220
    Median (95% Confidence Interval) [months]
    4.30
    4.21
    21. Secondary Outcome
    Title (Phase 3) Comparison of Progression-free Survival (PFS) in Triplet Arm vs Doublet Arm Per Investigator
    Description
    Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The Full Analysis Set (FAS) consisted of all patients who received at least 1 dose of study drug and had at least 1 post-treatment assessment, which may have included death. The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 patients.
    Arm/Group Title Phase 3: Triplet Arm Phase 3: Doublet Arm
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care. Encorafenib + cetuximab. Encorafenib: Orally, once daily. Cetuximab: Standard of care.
    Measure Participants 224 220
    Median (95% Confidence Interval) [months]
    4.47
    4.27
    22. Secondary Outcome
    Title Phase 3) Comparison of Objective Response Rate (ORR) in Triplet Arm vs Control Arm Per Investigator
    Description
    Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The Full Analysis Set (FAS) consisted of all patients who received at least 1 dose of study drug and had at least 1 post-treatment assessment, which may have included death. The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 patients.
    Arm/Group Title Phase 3: Triplet Arm Phase 3:Control Arm
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care. Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab. Cetuximab: Standard of care. Irinotecan: Standard of care. Folinic Acid: Standard of care. 5-Fluorouracil: Standard of care.
    Measure Participants 224 221
    Count of Participants [Participants]
    49
    132.4%
    7
    3.1%
    23. Secondary Outcome
    Title (Phase 3) Comparison of Objective Response Rate (ORR) in Doublet Arm vs Control Arm Per BICR
    Description
    Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The Phase 3 Response Efficacy Set consisted of the first 330 patients randomized into the Phase 3 portion of the study and any additional patients randomized on the same day as the 330th randomized patient.
    Arm/Group Title Phase 3: Doublet Arm Phase 3:Control Arm
    Arm/Group Description Encorafenib + cetuximab. Encorafenib: Orally, once daily. Cetuximab: Standard of care. Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab. Cetuximab: Standard of care. Irinotecan: Standard of care. Folinic Acid: Standard of care. 5-Fluorouracil: Standard of care.
    Measure Participants 113 107
    Number (95% Confidence Interval) [participants]
    23
    62.2%
    2
    0.9%
    24. Secondary Outcome
    Title (Phase 3) Comparison of Objective Response Rate (ORR) in Doublet Arm vs Control Arm Per Investigator
    Description
    Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The Phase 3 Response Efficacy Set consisted of the first 330 patients randomized into the Phase 3 portion of the study and any additional patients randomized on the same day as the 330th randomized patient.
    Arm/Group Title Phase 3: Doublet Arm Phase 3:Control Arm
    Arm/Group Description Encorafenib + cetuximab. Encorafenib: Orally, once daily. Cetuximab: Standard of care. Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab. Cetuximab: Standard of care. Irinotecan: Standard of care. Folinic Acid: Standard of care. 5-Fluorouracil: Standard of care.
    Measure Participants 220 221
    Count of Participants [Participants]
    31
    83.8%
    7
    3.1%
    25. Secondary Outcome
    Title Phase 3) Comparison of Objective Response Rate (ORR) in Triplet Arm vs Doublet Arm Per BICR
    Description
    Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The Phase 3 Response Efficacy Set consisted of the first 330 patients randomized into the Phase 3 portion of the study and any additional patients randomized on the same day as the 330th randomized patient.
    Arm/Group Title Phase 3: Triplet Arm Phase 3: Doublet Arm
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care. Encorafenib + cetuximab. Encorafenib: Orally, once daily. Cetuximab: Standard of care.
    Measure Participants 111 113
    Number (95% Confidence Interval) [participants]
    29
    78.4%
    23
    10.3%
    26. Secondary Outcome
    Title Phase 3) Comparison of Objective Response Rate (ORR) in Triplet Arm vs Doublet Arm Per Investigator
    Description
    Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The Phase 3 Response Efficacy Set consisted of the first 330 patients randomized into the Phase 3 portion of the study and any additional patients randomized on the same day as the 330th randomized patient.
    Arm/Group Title Phase 3: Triplet Arm Phase 3: Doublet Arm
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care. Encorafenib + cetuximab. Encorafenib: Orally, once daily. Cetuximab: Standard of care.
    Measure Participants 224 220
    Count of Participants [Participants]
    49
    132.4%
    31
    13.8%
    27. Secondary Outcome
    Title (Phase 3) Comparison of Duration of Response (DOR) in Triplet Arm vs Control Arm Per BICR
    Description
    Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The Full Analysis Set (FAS) consisted of all patients who received at least 1 dose of study drug and had at least 1 post-treatment assessment, which may have included death. The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 patients.
    Arm/Group Title Phase 3: Triplet Arm Phase 3:Control Arm
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care. Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab. Cetuximab: Standard of care. Irinotecan: Standard of care. Folinic Acid: Standard of care. 5-Fluorouracil: Standard of care.
    Measure Participants 111 107
    Median (95% Confidence Interval) [months]
    4.80
    NA
    28. Secondary Outcome
    Title (Phase 3) Comparison of Duration of Response (DOR) in Triplet Arm vs Control Arm Per Investigator
    Description
    Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The Full Analysis Set (FAS) consisted of all patients who received at least 1 dose of study drug and had at least 1 post-treatment assessment, which may have included death. The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 patients.
    Arm/Group Title Phase 3: Triplet Arm Phase 3:Control Arm
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care. Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab. Cetuximab: Standard of care. Irinotecan: Standard of care. Folinic Acid: Standard of care. 5-Fluorouracil: Standard of care.
    Measure Participants 111 107
    Median (95% Confidence Interval) [months]
    4.80
    5.75
    29. Secondary Outcome
    Title (Phase 3) Comparison of Duration of Response (DOR) in Doublet Arm vs Control Arm Per BICR
    Description
    Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The Full Analysis Set (FAS) consisted of all patients who received at least 1 dose of study drug and had at least 1 post-treatment assessment, which may have included death. The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 patients.
    Arm/Group Title Phase 3: Doublet Arm Phase 3:Control Arm
    Arm/Group Description Encorafenib + cetuximab. Encorafenib: Orally, once daily. Cetuximab: Standard of care. Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab. Cetuximab: Standard of care. Irinotecan: Standard of care. Folinic Acid: Standard of care. 5-Fluorouracil: Standard of care.
    Measure Participants 113 107
    Median (95% Confidence Interval) [months]
    6.06
    NA
    30. Secondary Outcome
    Title (Phase 3) Comparison of Duration of Response (DOR) in Doublet Arm vs Control Arm Per Investigator
    Description
    Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The Full Analysis Set (FAS) consisted of all patients who received at least 1 dose of study drug and had at least 1 post-treatment assessment, which may have included death. The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 patients.
    Arm/Group Title Phase 3: Doublet Arm Phase 3:Control Arm
    Arm/Group Description Encorafenib + cetuximab. Encorafenib: Orally, once daily. Cetuximab: Standard of care. Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab. Cetuximab: Standard of care. Irinotecan: Standard of care. Folinic Acid: Standard of care. 5-Fluorouracil: Standard of care.
    Measure Participants 113 107
    Median (95% Confidence Interval) [months]
    5.70
    5.75
    31. Secondary Outcome
    Title (Phase 3) Comparison of Duration of Response (DOR) in Triplet Arm vs Doublet Arm by BICR
    Description
    Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The Phase 3 Response Efficacy Set consisted of the first 330 patients randomized into the Phase 3 portion of the study and any additional patients randomized on the same day as the 330th randomized patient.
    Arm/Group Title Phase 3: Triplet Arm Phase 3:Doublet Arm
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care. Encorafenib + cetuximab. Encorafenib: Orally, once daily. Cetuximab: Standard of care.
    Measure Participants 111 113
    Median (95% Confidence Interval) [months]
    4.80
    6.06
    32. Secondary Outcome
    Title (Phase 3) Comparison of Duration of Response (DOR) in Triplet Arm vs Doublet Arm by Investigator
    Description
    Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The Phase 3 Response Efficacy Set consisted of the first 330 patients randomized into the Phase 3 portion of the study and any additional patients randomized on the same day as the 330th randomized patient.
    Arm/Group Title Phase 3: Triplet Arm Phase 3:Doublet Arm
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care. Encorafenib + cetuximab. Encorafenib: Orally, once daily. Cetuximab: Standard of care.
    Measure Participants 111 113
    Median (95% Confidence Interval) [months]
    4.80
    5.70
    33. Secondary Outcome
    Title (Phase 3) Comparison of Time to Response in Triplet Arm vs Control Arm Per BICR
    Description
    Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The Full Analysis Set (FAS) consisted of all patients who received at least 1 dose of study drug and had at least 1 post-treatment assessment, which may have included death. The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 patients.
    Arm/Group Title Phase 3: Triplet Arm Phase 3:Control Arm
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care. Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab. Cetuximab: Standard of care. Irinotecan: Standard of care. Folinic Acid: Standard of care. 5-Fluorouracil: Standard of care.
    Measure Participants 50 3
    Median (95% Confidence Interval) [months]
    1.43
    1.45
    34. Secondary Outcome
    Title (Phase 3) Comparison of Time to Response in Triplet Arm vs Control Arm Per Investigator
    Description
    Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The Full Analysis Set (FAS) consisted of all patients who received at least 1 dose of study drug and had at least 1 post-treatment assessment, which may have included death. The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 patients.
    Arm/Group Title Phase 3: Triplet Arm Phase 3:Control Arm
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care. Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab. Cetuximab: Standard of care. Irinotecan: Standard of care. Folinic Acid: Standard of care. 5-Fluorouracil: Standard of care.
    Measure Participants 49 7
    Median (95% Confidence Interval) [months]
    1.48
    2.63
    35. Secondary Outcome
    Title (Phase 3) Comparison of Time to Response in Doublet Arm vs Control Arm Per BICR
    Description
    Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The Full Analysis Set (FAS) consisted of all patients who received at least 1 dose of study drug and had at least 1 post-treatment assessment, which may have included death. The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 patients.
    Arm/Group Title Phase 3: Doublet Arm Phase 3:Control Arm
    Arm/Group Description Encorafenib + cetuximab. Encorafenib: Orally, once daily. Cetuximab: Standard of care. Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab. Cetuximab: Standard of care. Irinotecan: Standard of care. Folinic Acid: Standard of care. 5-Fluorouracil: Standard of care.
    Measure Participants 36 3
    Median (95% Confidence Interval) [months]
    1.48
    1.45
    36. Secondary Outcome
    Title (Phase 3) Comparison of Time to Response in Doublet Arm vs Control Arm Per Investigator
    Description
    Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The Full Analysis Set (FAS) consisted of all patients who received at least 1 dose of study drug and had at least 1 post-treatment assessment, which may have included death. The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 patients.
    Arm/Group Title Phase 3: Doublet Arm Phase 3:Control Arm
    Arm/Group Description Encorafenib + cetuximab. Encorafenib: Orally, once daily. Cetuximab: Standard of care. Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab. Cetuximab: Standard of care. Irinotecan: Standard of care. Folinic Acid: Standard of care. 5-Fluorouracil: Standard of care.
    Measure Participants 31 7
    Median (95% Confidence Interval) [months]
    1.48
    2.63
    37. Secondary Outcome
    Title (Phase 3) Comparison of Time to Response in Triplet Arm vs Doublet Arm Per BICR
    Description
    Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The Full Analysis Set (FAS) consisted of all patients who received at least 1 dose of study drug and had at least 1 post-treatment assessment, which may have included death. The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 patients.
    Arm/Group Title Phase 3: Triplet Arm Phase 3:Doublet Arm
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care. Encorafenib + cetuximab. Encorafenib: Orally, once daily. Cetuximab: Standard of care.
    Measure Participants 50 36
    Median (95% Confidence Interval) [months]
    1.43
    1.48
    38. Secondary Outcome
    Title (Phase 3) Comparison of Time to Response in Triplet Arm vs Doublet Arm Per Investigator
    Description
    Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The Full Analysis Set (FAS) consisted of all patients who received at least 1 dose of study drug and had at least 1 post-treatment assessment, which may have included death. The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 patients.
    Arm/Group Title Phase 3: Triplet Arm Phase 3:Doublet Arm
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care. Encorafenib + cetuximab. Encorafenib: Orally, once daily. Cetuximab: Standard of care.
    Measure Participants 49 31
    Median (95% Confidence Interval) [months]
    1.48
    1.48
    39. Secondary Outcome
    Title (Phase 3) Change From Baseline in the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire for Cancer Patients (QLQ-C30) Triplet Arm vs Control Arm, Doublet Arm vs Control, and Triplet vs Doublet
    Description The EORTC QLQ-C30 questionnaire consisted of 30 questions generating five functional scores (physical, role, cognitive, emotional, and social); a global health status/global quality of life scale score; three symptom scale scores (fatigue, pain, and nausea and vomiting); and six stand alone one-item scores that capture additional symptoms (dyspnea, appetite loss, sleep disturbance, constipation, and diarrhea) and perceived financial burden. All the scales and single-item scores were linearly transformed so that each score ranged from 0 to 100. A higher score on the global health and functioning subscales is indicative of better functioning.
    Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The Full Analysis Set (FAS) consisted of all patients who received at least 1 dose of study drug and had at least 1 post-treatment assessment, which may have included death. The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 patients.
    Arm/Group Title Phase 3: Triplet Arm Phase 3:Doublet Arm Phase 3:Control Arm
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care. Encorafenib + cetuximab. Encorafenib: Orally, once daily. Cetuximab: Standard of care. Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab. Cetuximab: Standard of care. Irinotecan: Standard of care. Folinic Acid: Standard of care. 5-Fluorouracil: Standard of care.
    Measure Participants 224 220 221
    Baseline
    62.8
    (22.18)
    60.7
    (21.33)
    62.8
    (21.82)
    Cycle 1 Day 1
    -2.4
    (13.44)
    -4.3
    (16.27)
    -3.4
    (15.60)
    Cycle 2 Day 1
    -1.6
    (19.06)
    3.8
    (18.46)
    -1.9
    (22.45)
    Cycle 3 Day 1
    0.7
    (18.86)
    3.5
    (19.96)
    -0.2
    (24.07)
    Cycle 4 Day 1
    0.2
    (15.63)
    4.2
    (22.17)
    1.4
    (21.65)
    Cycle 5 Day 1
    -1.1
    (18.66)
    4.3
    (22.09)
    -2.2
    (22.06)
    Cycle 6 Day 1
    -4.0
    (16.76)
    5.6
    (23.25)
    -4.5
    (19.43)
    Cycle 7 Day 1
    -2.5
    (16.01)
    4.3
    (21.77)
    1.7
    (12.30)
    Cycle 8 Day 1
    -2.6
    (14.83)
    4.2
    (16.98)
    0.0
    (27.64)
    Cycle 9 Day 1
    -5.8
    (17.74)
    -5.6
    (16.44)
    -4.8
    (12.60)
    Cycle 10 Day 1
    -3.3
    (17.90)
    -2.8
    (16.97)
    2.1
    (20.83)
    Cycle 11 Day 1
    -5.2
    (20.38)
    3.9
    (15.31)
    33.3
    (NA)
    Cycle 12 Day 1
    0.0
    (22.41)
    -4.6
    (13.77)
    4.2
    (53.03)
    Cycle 13 Day 1
    0.0
    (20.41)
    -3.2
    (14.25)
    0.0
    (NA)
    Cycle 14 Day 1
    -1.2
    (24.26)
    -6.0
    (15.00)
    Cycle 15 Day 1
    3.6
    (33.63)
    2.8
    (8.61)
    Cycle 16 Day 1
    -16.7
    (42.08)
    -5.6
    (9.62)
    Cycle 17 Day 1
    -27.8
    (20.97)
    -2.8
    (12.73)
    Cycle 18 Day 1
    -16.7
    (NA)
    -8.3
    (8.33)
    Cycle 19 Day 1
    0.0
    (NA)
    -8.3
    (11.79)
    Cycle 20 Day 1
    -25
    (NA)
    -8
    (NA)
    Cycle 21 Day 1
    0.0
    (NA)
    -16.7
    (NA)
    Cycle 22 Day 1
    -16.7
    (NA)
    Cycle 23 Day 1
    0.0
    (NA)
    End of Treatment
    -14.1
    (22.66)
    -13.1
    (21.61)
    -15.5
    (27.04)
    30 Day Follow Up
    -17.4
    (22.51)
    -10.4
    (15.96)
    -24.6
    (24.08)
    40. Secondary Outcome
    Title (Phase 3) Change From Baseline in the Functional Assessment of Cancer Therapy-Colon Cancer (FACT-C) in Triplet Arm vs Control Arm, Doublet Arm vs Control, and Triplet vs Doublet
    Description FACT-C is a well-characterized and commonly used questionnaire that belongs to the Functional Assessment of Chronic Illness Therapy Measurement System (FACIT). The FACT-G (G for general) questionnaire (27 questions) constitutes the core of all subscales and is applicable to all tumor types. The FACT-C questionnaire contains 9 additional questions on symptoms specific to CRC, 2 of which are only answered by patients with ostomy appliances. These 9 CRC-specific questions are categorized as "additional concerns" on the questionnaire and constitute the "colorectal cancer subscale" score. The patient self-reports his/her QoL for the previous 7 days. The overall score is calculated across all items and a higher score reflects better quality of life (QoL). The table summarizes the functional well-being subscale, the individual questions are linearly scaled and combined to form the functional well-being subscale score, which ranges from 0-28 (higher is better QoL).
    Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The Full Analysis Set (FAS) consisted of all patients who received at least 1 dose of study drug and had at least 1 post-treatment assessment, which may have included death. The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 patients.
    Arm/Group Title Phase 3: Triplet Arm Phase 3:Doublet Arm Phase 3:Control Arm
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care. Encorafenib + cetuximab. Encorafenib: Orally, once daily. Cetuximab: Standard of care. Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab. Cetuximab: Standard of care. Irinotecan: Standard of care. Folinic Acid: Standard of care. 5-Fluorouracil: Standard of care.
    Measure Participants 224 220 221
    Baseline
    16.3
    (6.22)
    16.2
    (5.9)
    16.8
    (6.07)
    Cycle 1 Day 1
    -0.2
    (3.36)
    -0.9
    (4.06)
    -1.4
    (3.32)
    Cycle 2 Day 1
    -0.3
    (4.28)
    -0.6
    (5.08)
    -0.9
    (4.48)
    Cycle 3 Day 1
    -0.2
    (5.15)
    -0.2
    (5.23)
    -0.7
    (5.03)
    Cycle 4 Day 1
    0.4
    (4.53)
    -0.1
    (4.66)
    -1.8
    (6.48)
    Cycle 5 Day 1
    0.7
    (6.4)
    -0.2
    (4.5)
    -1.6
    (4.58)
    Cycle 6 Day 1
    0.7
    (6.05)
    0.6
    (4.56)
    -1.9
    (5.3)
    Cycle 7 Day 1
    0.5
    (5.85)
    -0.1
    (4.70)
    -0.5
    (5.41)
    Cycle 8 Day 1
    0.9
    (6.35)
    0.2
    (4.24)
    -2.1
    (4.97)
    Cycle 9 Day 1
    -1.9
    (4.32)
    -0.8
    (3.74)
    -2.6
    (2.30)
    Cycle 10 Day 1
    -1.7
    (4.76)
    -1.3
    (3.59)
    0.5
    (4.36)
    Cycle 11 Day 1
    -1.5
    (4.47)
    -0.5
    (4.65)
    -4.5
    (7.78)
    Cycle 12 Day 1
    -1.5
    (4.93)
    -1.1
    (4.61)
    -4.5
    (9.19)
    Cycle 13 Day 1
    -2.0
    (6.76)
    -3.2
    (5.34)
    -8.0
    (NA)
    Cycle 14 Day 1
    -2.4
    (5.22)
    -4.0
    (5.74)
    Cycle 15 Day 1
    -2.3
    (6.85)
    -1.5
    (4.72)
    Cycle 16 Day 1
    -4.2
    (4.02)
    -0.7
    (0.58)
    Cycle 17 Day 1
    -6.7
    (5.51)
    -0.7
    (4.51)
    Cycle 18 Day 1
    -5.0
    (NA)
    -3.0
    (4.36)
    Cycle 19 Day 1
    -7.0
    (NA)
    -6.0
    (0.00)
    Cycle 20 Day 1
    -6.0
    (NA)
    -5.0
    (NA)
    Cycle 21 Day 1
    -9.0
    -5.0
    Cycle 22 Day 1
    -12.0
    (NA)
    Cycle 23 Day 1
    -9.0
    (NA)
    End of Treatment
    -2.4
    (4.84)
    -2.2
    (5.14)
    -3.1
    (6.06)
    30 Day Follow Up
    -3.5
    (6.44)
    -0.8
    (5.42)
    -4.2
    (6.41)
    41. Secondary Outcome
    Title (Phase 3) Change From Baseline in the EuroQol-5D-5L (EQ-5D-5L) in Triplet Arm vs Control Arm, Doublet Arm vs Control, and Triplet vs Doublet
    Description The EQ-5D-5L contains 1 item for each of 5 dimensions of health-related QoL (i.e., mobility, self-care, usual activities, pain or discomfort and anxiety or depression). Response options for each item varied from having no problems to moderate problems or extreme problems. The EQ-5D-5L (v4.0) is a standardized measure of health utility that provides a single index value for one's health status. The EQ-5D-5L is frequently used for economic evaluations of health care and has been recognized as a valid and reliable instrument for this purpose. The EQ visual analog scale (VAS) is a score that is directly reported by the patient and ranges from 0 to 100 (higher is better quality health).
    Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The Full Analysis Set (FAS) consisted of all patients who received at least 1 dose of study drug and had at least 1 post-treatment assessment, which may have included death. The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 patients.
    Arm/Group Title Phase 3: Triplet Arm Phase 3:Doublet Arm Phase 3:Control Arm
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care. Encorafenib + cetuximab. Encorafenib: Orally, once daily. Cetuximab: Standard of care. Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab. Cetuximab: Standard of care. Irinotecan: Standard of care. Folinic Acid: Standard of care. 5-Fluorouracil: Standard of care.
    Measure Participants 224 220 221
    Baseline
    69.0
    (19.03)
    66.5
    (19.51)
    68.3
    (19.71)
    Cycle 1 Day 1
    0.8
    (10.89)
    -0.9
    (14.09)
    -2.1
    (15.02)
    Cycle 2 Day 1
    1.4
    (14.74)
    1.9
    (14.81)
    -2.4
    (17.20)
    Cycle 3 Day 1
    3.0
    (13.94)
    4.2
    (17.32)
    -1.4
    (17.40)
    Cycle 4 Day 1
    4.0
    (13.06)
    5.6
    (14.87)
    -0.4
    (15.14)
    Cycle 5 Day 1
    3.3
    (14.66)
    5.1
    (15.11)
    2.5
    (11.17)
    Cycle 6 Day 1
    1.3
    (13.33)
    2.9
    (16.84)
    -3.6
    (13.26)
    Cycle 7 Day 1
    1.4
    (13.64)
    3.6
    (16.71)
    2.4
    (7.44)
    Cycle 8 Day 1
    4.1
    (10.77)
    2.0
    (16.11)
    -2.8
    (12.95)
    Cycle 9 Day 1
    0.3
    (15.16)
    -4.0
    (12.99)
    -8.1
    (8.80)
    Cycle 10 Day 1
    0.2
    (13.34)
    -8.1
    (13.68)
    -1.8
    (2.36)
    Cycle 11 Day 1
    0.2
    (13.87)
    -0.1
    (10.15)
    4.0
    (8.49)
    Cycle 12 Day 1
    -4.0
    (20.11)
    -0.6
    (11.67)
    1.5
    (12.02)
    Cycle 13 Day 1
    -3.0
    (17.17)
    -4.1
    (14.41)
    -2.0
    (NA)
    Cycle 14 Day 1
    -4.0
    (18.06)
    -0.4
    (13.99)
    Cycle 15 Day 1
    -3.4
    (14.67)
    4.2
    (7.36)
    Cycle 16 Day 1
    -10.4
    (24.87)
    3.3
    (2.89)
    Cycle 17 Day 1
    -18.3
    (20.21)
    1.7
    (5.77)
    Cycle 18 Day 1
    7.0
    (NA)
    -3.3
    (2.89)
    Cycle 19 Day 1
    8.0
    (NA)
    -5.5
    (13.44)
    Cycle 20 Day 1
    8.0
    (NA)
    2.0
    (NA)
    Cycle 21 Day 1
    8.0
    (NA)
    -5.0
    (NA)
    Cycle 22 Day 1
    -5.0
    (NA)
    Cycle 23 Day 1
    -5.0
    (NA)
    End of Treatment
    -8.5
    (17.40)
    -8.0
    (18.99)
    -12.7
    (21.34)
    30 Day Follow Up
    -11.1
    (20.23)
    -5.9
    (20.18)
    -11.0
    (17.51)
    42. Secondary Outcome
    Title (Phase 3) Change From Baseline in the Patient Global Impression of Change (PGIC) in Triplet Arm vs Control Arm, Doublet Arm vs Control, and Triplet vs Doublet
    Description The PGIC is a measure of patients' perceptions of change in their symptoms over time that can be used as an anchoring method to determine the minimal clinically important difference for other patient reported outcome (PROs). For this assessment, patients answered the following question: "Since starting treatment, my colorectal cancer symptoms are: (1) very much improved, (2) much improved, (3) minimally improved, (4) no change, (5) minimally worse, (6) much worse or (7) very much worse."
    Time Frame Duration of Phase 3, approximately 6 months (up to 28 days per cycle)

    Outcome Measure Data

    Analysis Population Description
    The Full Analysis Set (FAS) consisted of all patients who received at least 1 dose of study drug and had at least 1 post-treatment assessment, which may have included death. The FAS for the Phase 3 portion of the study consisted of all randomized Phase 3 patients.
    Arm/Group Title Phase 3: Triplet Arm Phase 3:Doublet Arm Phase 3:Control Arm
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care. Encorafenib + cetuximab. Encorafenib: Orally, once daily. Cetuximab: Standard of care. Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab. Cetuximab: Standard of care. Irinotecan: Standard of care. Folinic Acid: Standard of care. 5-Fluorouracil: Standard of care.
    Measure Participants 224 220 221
    Baseline
    3.8
    (1.30)
    3.8
    (1.30)
    3.9
    (1.28)
    Cycle 1 Day 1
    -0.1
    (0.93)
    0.1
    (1.21)
    0.0
    (0.90)
    Cycle 2 Day 1
    -0.7
    (1.44)
    -0.8
    (1.60)
    -0.3
    (1.52)
    Cycle 3 Day 1
    -0.9
    (1.44)
    -1.2
    (1.53)
    -0.5
    (1.56)
    Cycle 4 Day 1
    -0.9
    (1.49)
    -1.1
    (1.68)
    -0.5
    (1.35)
    Cycle 5 Day 1
    -0.9
    (1.61)
    -1.1
    (1.69)
    -0.7
    (1.41)
    Cycle 6 Day 1
    -0.8
    (1.31)
    -1.2
    (1.70)
    -0.8
    (1.39)
    Cycle 7 Day 1
    -1.1
    (1.44)
    -1.0
    (1.61)
    -1.1
    (1.07)
    Cycle 8 Day 1
    -1.2
    (1.56)
    -1.1
    (1.58)
    -1.0
    (0.71)
    Cycle 9 Day 1
    -0.8
    (1.26)
    -0.9
    (1.37)
    -1.0
    (0.71)
    Cycle 10 Day 1
    -0.5
    (1.51)
    -0.6
    (1.28)
    -0.3
    (0.58)
    Cycle 11 Day 1
    -0.9
    (1.38)
    -1.1
    (1.38)
    0.0
    (0.00)
    Cycle 12 Day 1
    -0.9
    (1.45)
    -0.8
    (1.36)
    -0.5
    (0.71)
    Cycle 13 Day 1
    -1.3
    (1.39)
    -0.9
    (1.52)
    -1.0
    (NA)
    Cycle 14 Day 1
    -1.1
    (1.46)
    -1.5
    (1.05)
    Cycle 15 Day 1
    -1.2
    (1.47)
    -1.6
    (0.89)
    Cycle 16 Day 1
    -2.0
    (0.82)
    -0.7
    (1.53)
    Cycle 17 Day 1
    -1.3
    (1.53)
    -1.0
    (1.00)
    Cycle 18 Day 1
    -2.0
    (NA)
    -1.0
    (1.00)
    Cycle 19 Day 1
    -3.0
    (NA)
    -0.5
    (2.12)
    Cycle 20 Day 1
    -3.0
    (NA)
    -2.0
    (NA)
    Cycle 21 Day 1
    -3.0
    (NA)
    -2.0
    (NA)
    Cycle 22 Day 1
    -2.0
    (NA)
    Cycle 23 Day 1
    -2.0
    (NA)
    End of Treatment
    0.3
    (1.85)
    0.1
    (1.82)
    0.4
    (1.58)
    30 Day Follow Up
    -0.1
    (2.08)
    0.5
    (1.43)
    0.7
    (1.34)
    43. Secondary Outcome
    Title (Safety Lead-in) Evaluation of the Area Under the Concentration-time Curve (AUC) for Cetuximab
    Description
    Time Frame Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    The pharmacokinetics (PK) set included all patients in the Safety Set who had at least 1 post-dose blood collection for PK with associated bioanalytical results. Patients were analyzed according to the actual treatment and dose received.
    Arm/Group Title Combined Safety Lead-in
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
    Measure Participants 37
    Cycle 1
    841000
    (22.2)
    Cycle 2
    970000
    (20.6)
    44. Secondary Outcome
    Title (Safety Lead-in) Evaluation of the Area Under the Concentration-time Curve (AUC) for Encorafenib
    Description
    Time Frame Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    The PK set included all patients in the Safety Set who had at least 1 post-dose blood collection for PK with associated bioanalytical results. Patients were analyzed according to the actual treatment and dose received.
    Arm/Group Title Combined Safety Lead-in
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
    Measure Participants 37
    Cycle 1
    11300
    (61.5)
    Cycle 2
    6660
    (61.7)
    45. Secondary Outcome
    Title (Safety Lead-in) Evaluation of the Area Under the Concentration-time Curve (AUC) for Binimetinib
    Description
    Time Frame Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    The PK set included all patients in the Safety Set who had at least 1 post-dose blood collection for PK with associated bioanalytical results. Patients were analyzed according to the actual treatment and dose received.
    Arm/Group Title Combined Safety Lead-in
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
    Measure Participants 37
    Cycle 1
    1960
    (43.6)
    Cycle 2
    1540
    (44.7)
    46. Secondary Outcome
    Title (Safety Lead-in) Evaluation of the Area Under the Concentration-time Curve (AUC) for Metabolite of Binimetinib (AR00426032)
    Description
    Time Frame Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    The PK set included all patients in the Safety Set who had at least 1 post-dose blood collection for PK with associated bioanalytical results. Patients were analyzed according to the actual treatment and dose received.
    Arm/Group Title Combined Safety Lead-in
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
    Measure Participants 37
    Cycle 1
    206
    (46.7)
    Cycle 2
    70.0
    (95.5)
    47. Secondary Outcome
    Title (Safety Lead-in) Evaluation of the Maximum Concentration (Cmax) for Cetuximab
    Description
    Time Frame Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    The PK set included all patients in the Safety Set who had at least 1 post-dose blood collection for PK with associated bioanalytical results. Patients were analyzed according to the actual treatment and dose received
    Arm/Group Title Combined Safety Lead-in
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
    Measure Participants 37
    Cycle 1
    195000
    (22.2)
    Cycle 2
    199000
    (26.8)
    48. Secondary Outcome
    Title (Safety Lead-in) Evaluation of the Maximum Concentration (Cmax) for Encorafenib
    Description
    Time Frame Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    The PK set included all patients in the Safety Set who had at least 1 post-dose blood collection for PK with associated bioanalytical results. Patients were analyzed according to the actual treatment and dose received.
    Arm/Group Title Combined Safety Lead-in
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
    Measure Participants 37
    Cycle 1
    3360
    (65.1)
    Cycle 2
    2490
    (75.6)
    49. Secondary Outcome
    Title (Safety Lead-in) Evaluation of the Maximum Concentration (Cmax) for Binimetinib
    Description
    Time Frame Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    The PK set included all patients in the Safety Set who had at least 1 post-dose blood collection for PK with associated bioanalytical results. Patients were analyzed according to the actual treatment and dose received.
    Arm/Group Title Combined Safety Lead-in
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
    Measure Participants 37
    Cycle 1
    654
    (50.8)
    Cycle 2
    524
    (70.1)
    50. Secondary Outcome
    Title (Safety Lead-in) Evaluation of the Maximum Concentration (Cmax) for Metabolite of Binimetinib (AR00426032)
    Description
    Time Frame Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    The PK set included all patients in the Safety Set who had at least 1 post-dose blood collection for PK with associated bioanalytical results. Patients were analyzed according to the actual treatment and dose received
    Arm/Group Title Combined Safety Lead-in
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
    Measure Participants 37
    Cycle 1
    59.9
    (50.8)
    Cycle 2
    20.5
    (119)
    51. Secondary Outcome
    Title (Safety Lead-in) Evaluation of the Time of Maximum Observed Concentration (Tmax) for Cetuximab
    Description
    Time Frame Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    The PK set included all patients in the Safety Set who had at least 1 post-dose blood collection for PK with associated bioanalytical results. Patients were analyzed according to the actual treatment and dose received.
    Arm/Group Title Combined Safety Lead-in
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
    Measure Participants 37
    Cycle 1
    3.77
    Cycle 2
    3.05
    52. Secondary Outcome
    Title (Safety Lead-in) Evaluation of the Time of Maximum Observed Concentration (Tmax) for Encorafenib
    Description
    Time Frame Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    The PK set included all patients in the Safety Set who had at least 1 post-dose blood collection for PK with associated bioanalytical results. Patients were analyzed according to the actual treatment and dose received.
    Arm/Group Title Combined Safety Lead-in
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
    Measure Participants 37
    Cycle 1
    2.00
    Cycle 2
    2.00
    53. Secondary Outcome
    Title (Safety Lead-in) Evaluation of the Time of Maximum Observed Concentration (Tmax) for Binimetinib
    Description
    Time Frame Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    The PK set included all patients in the Safety Set who had at least 1 post-dose blood collection for PK with associated bioanalytical results. Patients were analyzed according to the actual treatment and dose received.
    Arm/Group Title Combined Safety Lead-in
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
    Measure Participants 37
    Cycle 1
    1.98
    Cycle 2
    1.04
    54. Secondary Outcome
    Title (Safety Lead-in) Evaluation of the Time of Maximum Observed Concentration (Tmax) for Metabolite of Binimetinib (AR00426032)
    Description
    Time Frame Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    The PK set included all patients in the Safety Set who had at least 1 post-dose blood collection for PK with associated bioanalytical results. Patients were analyzed according to the actual treatment and dose received
    Arm/Group Title Combined Safety Lead-in
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
    Measure Participants 37
    Cycle 1
    2.00
    Cycle 2
    1.58
    55. Secondary Outcome
    Title (Safety Lead-in) Evaluation of the Steady-state Concentration Measured Just Before the Next Dose of Study Drug (Ctrough) for Binimetinib
    Description
    Time Frame Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    The PK set included all patients in the Safety Set who had at least 1 post-dose blood collection for PK with associated bioanalytical results. Patients were analyzed according to the actual treatment and dose received.
    Arm/Group Title Combined Safety Lead-in
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
    Measure Participants 37
    Geometric Mean (Geometric Coefficient of Variation) [ng/mL]
    55.3
    (61.5)
    56. Secondary Outcome
    Title (Safety Lead-in) Evaluation of the Steady-state Concentration Measured Just Before the Next Dose of Study Drug (Ctrough) for Encorafenib
    Description
    Time Frame Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    The PK set included all patients in the Safety Set who had at least 1 post-dose blood collection for PK with associated bioanalytical results. Patients were analyzed according to the actual treatment and dose received.
    Arm/Group Title Combined Safety Lead-in
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
    Measure Participants 37
    Geometric Mean (Geometric Coefficient of Variation) [ng/mL]
    18.9
    (191)
    57. Secondary Outcome
    Title (Safety Lead-in) Evaluation of the Steady-state Concentration Measured Just Before the Next Dose of Study Drug (Ctrough) for Cetuximab
    Description
    Time Frame Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    The PK set included all patients in the Safety Set who had at least 1 post-dose blood collection for PK with associated bioanalytical results. Patients were analyzed according to the actual treatment and dose received.
    Arm/Group Title Combined Safety Lead-in
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
    Measure Participants 37
    Geometric Mean (Geometric Coefficient of Variation) [ng/mL]
    55400
    (54.8)
    58. Secondary Outcome
    Title (Safety Lead-in) Evaluation of the Steady-state Concentration Measured Just Before the Next Dose of Study Drug (Ctrough) for a Metabolite of Binimetinib
    Description
    Time Frame Predose and 1, 2, 4 and 6 hours post-dose on Day 1 of Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    The PK set included all patients in the Safety Set who had at least 1 post-dose blood collection for PK with associated bioanalytical results. Patients were analyzed according to the actual treatment and dose received.
    Arm/Group Title Combined Safety Lead-in
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care.
    Measure Participants 37
    Geometric Mean (Geometric Coefficient of Variation) [ng/mL]
    3.41
    (68.5)
    59. Secondary Outcome
    Title (Phase 3) Evaluation of the Model-Based Oral Clearance (CL/F) for Encorafenib
    Description The cross-arm CL/F value is based on the theta determined from a population PK analysis. Data for this Outcome Measure are not reported here because as per plan, the analysis includes pooled data from participants enrolled in multiple studies including those who were not enrolled in this study. The NCTID for those studies for which results have not yet been posted include: NCT01719380, NCT01543698, and NCT01436656. An additional study ARRAY-162-105 is not required to register.
    Time Frame 2 and 6 hours post-dose on Day 1 of Cycle 1. Predose and 2 hours post-dose on Day 1 of Cycle 2.

    Outcome Measure Data

    Analysis Population Description
    The analysis set included all patients in the PK set with measurable plasma concentrations of the test drug plus concentrations from subjects from 4 additional clinical studies. Patients were analyzed according to the actual treatment and dose received.
    Arm/Group Title Phase 3: Triplet, Doublet and Control Arm
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib + cetuximab. Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab.
    Measure Participants 394
    Geometric Mean (95% Confidence Interval) [L/h]
    16.4
    60. Secondary Outcome
    Title (Phase 3) Evaluation of the Model-Based Oral Clearance (CL/F) for Binimetinib
    Description The cross-arm CL/F value is based on the theta determined from a population PK analysis. Data for this Outcome Measure are not reported here because as per plan, the analysis includes pooled data from participants enrolled in multiple studies including those who were not enrolled in this study. The NCTID for those studies for which results have not yet been posted include: NCT01719380, NCT01543698, and NCT01436656. An additional study ARRAY-162-105 is not required to register.
    Time Frame 2 and 6 hours post-dose on Day 1 of Cycle 1. Predose and 2 hours post-dose on Day 1 of Cycle 2.

    Outcome Measure Data

    Analysis Population Description
    The analysis set included all patients in the PK set with measurable plasma concentrations of the test drug plus concentrations from subjects from 4 additional clinical studies. Patients were analyzed according to the actual treatment and dose received.
    Arm/Group Title Phase 3: Triplet, Doublet and Control Arm
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib + cetuximab. Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab.
    Measure Participants 181
    Geometric Mean (95% Confidence Interval) [L/h]
    19.0
    61. Secondary Outcome
    Title (Phase 3) Evaluation of the Model-Based Clearance (CL) for Cetuximab
    Description The cross-arm CL/F value is based on the theta determined from a population PK analysis. Data for this Outcome Measure are not reported here because as per plan, the analysis includes pooled data from participants enrolled in multiple studies including those who were not enrolled in this study. The NCTID for those studies for which results have not yet been posted include: NCT01719380, NCT01543698, and NCT01436656. An additional study ARRAY-162-105 is not required to register.
    Time Frame 2 and 6 hours post-dose on Day 1 of Cycle 1. Predose and 2 hours post-dose on Day 1 of Cycle 2.

    Outcome Measure Data

    Analysis Population Description
    The analysis set included all patients in the PK set with measurable plasma concentrations of the test drug plus concentrations from subjects from 4 additional clinical studies. Patients were analyzed according to the actual treatment and dose received.
    Arm/Group Title Phase 3: Triplet, Doublet and Control Arm
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib + cetuximab. Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab.
    Measure Participants 261
    Geometric Mean (95% Confidence Interval) [L/h]
    0.0154

    Adverse Events

    Time Frame Adverse Events (AE) were collected during the study (duration of safety lead-in and phase 3,approximately 12 months (up to 28 days per cycle)), which began in 09Oct2016 and still ongoing.
    Adverse Event Reporting Description An AE is defined as the appearance of (or worsening of any pre-existing) undesirable sign(s), symptom(s), or medical condition(s) that occur after patient's signed informed consent has been obtained.
    Arm/Group Title Combined Safety Lead-in Phase 3: Triplet Arm Phase 3: Doublet Arm Phase 3:Control Arm
    Arm/Group Description Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care. Encorafenib + binimetinib + cetuximab. Encorafenib: Orally, once daily. Binimetinib: Orally, twice daily. Cetuximab: Standard of care. Encorafenib + cetuximab. Encorafenib: Orally, once daily. Cetuximab: Standard of care. Investigator's choice of either irinotecan/cetuximab or FOLFIRI/cetuximab. Cetuximab: Standard of care. Irinotecan: Standard of care. Folinic Acid: Standard of care. 5-Fluorouracil: Standard of care.
    All Cause Mortality
    Combined Safety Lead-in Phase 3: Triplet Arm Phase 3: Doublet Arm Phase 3:Control Arm
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 1/37 (2.7%) 7/222 (3.2%) 5/216 (2.3%) 11/193 (5.7%)
    Serious Adverse Events
    Combined Safety Lead-in Phase 3: Triplet Arm Phase 3: Doublet Arm Phase 3:Control Arm
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 22/37 (59.5%) 93/222 (41.9%) 71/216 (32.9%) 71/193 (36.8%)
    Blood and lymphatic system disorders
    Anaemia 1/37 (2.7%) 4/222 (1.8%) 1/216 (0.5%) 1/193 (0.5%)
    Pulmonary embolism 1/37 (2.7%) 8/222 (3.6%) 3/216 (1.4%) 4/193 (2.1%)
    Bacteraemia 0/37 (0%) 3/222 (1.4%) 0/216 (0%) 1/193 (0.5%)
    Febrile neutropenia 0/37 (0%) 0/222 (0%) 0/216 (0%) 5/193 (2.6%)
    Infusion-related reaction 5/37 (13.5%) 1/222 (0.5%) 7/216 (3.2%) 6/193 (3.1%)
    Blood creatinine increased 2/37 (5.4%) 2/222 (0.9%) 0/216 (0%) 0/193 (0%)
    Neutropenia 0/37 (0%) 0/222 (0%) 0/216 (0%) 1/193 (0.5%)
    Cardiac disorders
    Cardiac arrest 0/37 (0%) 1/222 (0.5%) 0/216 (0%) 0/193 (0%)
    Cardio-respiratory 0/37 (0%) 0/222 (0%) 1/216 (0.5%) 1/193 (0.5%)
    Atrial fibrillation 0/37 (0%) 0/222 (0%) 3/216 (1.4%) 0/193 (0%)
    Gastrointestinal disorders
    Diarrhoea 1/37 (2.7%) 12/222 (5.4%) 1/216 (0.5%) 10/193 (5.2%)
    Vomiting 2/37 (5.4%) 3/222 (1.4%) 2/216 (0.9%) 3/193 (1.6%)
    Gastrointestinal perforation 0/37 (0%) 1/222 (0.5%) 0/216 (0%) 0/193 (0%)
    Ileus 0/37 (0%) 5/222 (2.3%) 3/216 (1.4%) 2/193 (1%)
    Intestinal obstruction 0/37 (0%) 6/222 (2.7%) 14/216 (6.5%) 8/193 (4.1%)
    Large intestine perforation 1/37 (2.7%) 3/222 (1.4%) 2/216 (0.9%) 2/193 (1%)
    Gastrointestinal haemorrhage 0/37 (0%) 0/222 (0%) 1/216 (0.5%) 0/193 (0%)
    Subileus 0/37 (0%) 0/222 (0%) 0/216 (0%) 1/193 (0.5%)
    Abdominal pain 0/37 (0%) 4/222 (1.8%) 3/216 (1.4%) 4/193 (2.1%)
    Bile duct obstruction 0/37 (0%) 2/222 (0.9%) 3/216 (1.4%) 2/193 (1%)
    Large intestinal obstruction 0/37 (0%) 1/222 (0.5%) 3/216 (1.4%) 0/193 (0%)
    Subileus 0/37 (0%) 1/222 (0.5%) 0/216 (0%) 3/193 (1.6%)
    Small intestinal obstruction 0/37 (0%) 2/222 (0.9%) 0/216 (0%) 6/193 (3.1%)
    Colitis 1/37 (2.7%) 2/222 (0.9%) 0/216 (0%) 0/193 (0%)
    Abdominal distention 0/37 (0%) 1/222 (0.5%) 0/216 (0%) 0/193 (0%)
    Constipation 0/37 (0%) 1/222 (0.5%) 1/216 (0.5%) 1/193 (0.5%)
    Duodenal obstruction 0/37 (0%) 1/222 (0.5%) 0/216 (0%) 0/193 (0%)
    Dyspepsia 0/37 (0%) 1/222 (0.5%) 0/216 (0%) 0/193 (0%)
    Gastritis 0/37 (0%) 1/222 (0.5%) 0/216 (0%) 0/193 (0%)
    Gastrointtestinal perforation 0/37 (0%) 1/222 (0.5%) 0/216 (0%) 0/193 (0%)
    Haematemesis 0/37 (0%) 1/222 (0.5%) 0/216 (0%) 0/193 (0%)
    intestinal perforation 0/37 (0%) 1/222 (0.5%) 0/216 (0%) 0/193 (0%)
    Melaena 0/37 (0%) 1/222 (0.5%) 1/216 (0.5%) 0/193 (0%)
    Pancreatitis 0/37 (0%) 1/222 (0.5%) 1/216 (0.5%) 0/193 (0%)
    Pancreatitis acute 0/37 (0%) 1/222 (0.5%) 0/216 (0%) 0/193 (0%)
    Pancreatitis relapsing 0/37 (0%) 1/222 (0.5%) 0/216 (0%) 0/193 (0%)
    Rectal stenosis 0/37 (0%) 1/222 (0.5%) 0/216 (0%) 0/193 (0%)
    Rectal ulcer 0/37 (0%) 1/222 (0.5%) 0/216 (0%) 0/193 (0%)
    Abdominal hernia 0/37 (0%) 0/222 (0%) 0/216 (0%) 1/193 (0.5%)
    Anal haemorrhage 0/37 (0%) 0/222 (0%) 1/216 (0.5%) 0/193 (0%)
    Ascites 0/37 (0%) 0/222 (0%) 1/216 (0.5%) 1/193 (0.5%)
    Enterocolitis 0/37 (0%) 0/222 (0%) 1/216 (0.5%) 1/193 (0.5%)
    Impaired gastric emptying 0/37 (0%) 0/222 (0%) 1/216 (0.5%) 0/193 (0%)
    Large intestine ulcer 1/37 (2.7%) 0/222 (0%) 0/216 (0%) 0/193 (0%)
    Proctalgia 0/37 (0%) 0/222 (0%) 0/216 (0%) 1/193 (0.5%)
    General disorders
    Death 0/37 (0%) 1/222 (0.5%) 0/216 (0%) 0/193 (0%)
    Pain 0/37 (0%) 1/222 (0.5%) 1/216 (0.5%) 2/193 (1%)
    Asthenia 0/37 (0%) 0/222 (0%) 1/216 (0.5%) 1/193 (0.5%)
    Hepatobiliary disorders
    Hepatic failure 0/37 (0%) 9/222 (4.1%) 0/216 (0%) 0/193 (0%)
    Jaundice 0/37 (0%) 1/222 (0.5%) 1/216 (0.5%) 1/193 (0.5%)
    Immune system disorders
    Anaphylactic reaction 0/37 (0%) 0/222 (0%) 0/216 (0%) 1/193 (0.5%)
    Infections and infestations
    Peritonitis 0/37 (0%) 0/222 (0%) 0/216 (0%) 1/193 (0.5%)
    Respiratory tract infection 0/37 (0%) 0/222 (0%) 0/216 (0%) 1/193 (0.5%)
    Sepsis 0/37 (0%) 6/222 (2.7%) 2/216 (0.9%) 0/193 (0%)
    Abdominal wall abscess 0/37 (0%) 1/222 (0.5%) 0/216 (0%) 0/193 (0%)
    Biliary tract infection 0/37 (0%) 1/222 (0.5%) 1/216 (0.5%) 0/193 (0%)
    Cholangitis infective 0/37 (0%) 1/222 (0.5%) 0/216 (0%) 0/193 (0%)
    Endocarditis 0/37 (0%) 1/222 (0.5%) 0/216 (0%) 0/193 (0%)
    Erysipelas 0/37 (0%) 1/222 (0.5%) 0/216 (0%) 0/193 (0%)
    Gastrintestinal infection 0/37 (0%) 1/222 (0.5%) 0/216 (0%) 0/193 (0%)
    Urosepsis 0/37 (0%) 1/222 (0.5%) 1/216 (0.5%) 0/193 (0%)
    Wound abscess 0/37 (0%) 1/222 (0.5%) 0/216 (0%) 0/193 (0%)
    Abdominal abscess 1/37 (2.7%) 0/222 (0%) 1/216 (0.5%) 0/193 (0%)
    Abscess limb 0/37 (0%) 0/222 (0%) 0/216 (0%) 1/193 (0.5%)
    Anal abscess 0/37 (0%) 0/222 (0%) 0/216 (0%) 1/193 (0.5%)
    Bacteria sepsis 1/37 (2.7%) 0/222 (0%) 0/216 (0%) 1/193 (0.5%)
    Campylobacter gastroenteritis 0/37 (0%) 0/222 (0%) 0/216 (0%) 1/193 (0.5%)
    Metabolism and nutrition disorders
    Nausea 1/37 (2.7%) 12/222 (5.4%) 3/216 (1.4%) 1/193 (0.5%)
    General physical health deterioration 0/37 (0%) 1/222 (0.5%) 0/216 (0%) 2/193 (1%)
    Asthenia 0/37 (0%) 4/222 (1.8%) 0/216 (0%) 0/193 (0%)
    Fatigue 1/37 (2.7%) 2/222 (0.9%) 0/216 (0%) 0/193 (0%)
    Dehydration 1/37 (2.7%) 2/222 (0.9%) 1/216 (0.5%) 1/193 (0.5%)
    Decreased appetite 1/37 (2.7%) 0/222 (0%) 0/216 (0%) 1/193 (0.5%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Colorectal cancer metastatic 0/37 (0%) 2/222 (0.9%) 0/216 (0%) 0/193 (0%)
    Malignant neoplasm progression 0/37 (0%) 1/222 (0.5%) 0/216 (0%) 0/193 (0%)
    Neoplasm progression 0/37 (0%) 1/222 (0.5%) 1/216 (0.5%) 1/193 (0.5%)
    Colon cancer 1/37 (2.7%) 0/222 (0%) 2/216 (0.9%) 0/193 (0%)
    Colon cancer metastatic 0/37 (0%) 0/222 (0%) 2/216 (0.9%) 1/193 (0.5%)
    Colorectal cancer 0/37 (0%) 0/222 (0%) 1/216 (0.5%) 1/193 (0.5%)
    Cancer pain 0/37 (0%) 1/222 (0.5%) 5/216 (2.3%) 1/193 (0.5%)
    Nervous system disorders
    Pyrexia 2/37 (5.4%) 4/222 (1.8%) 1/216 (0.5%) 0/193 (0%)
    Cerebral ischaemia 0/37 (0%) 0/222 (0%) 0/216 (0%) 1/193 (0.5%)
    Epilepsy 0/37 (0%) 0/222 (0%) 0/216 (0%) 1/193 (0.5%)
    Psychiatric disorders
    Anxiety 0/37 (0%) 2/222 (0.9%) 0/216 (0%) 0/193 (0%)
    Renal and urinary disorders
    Acute kidney injury 0/37 (0%) 7/222 (3.2%) 4/216 (1.9%) 1/193 (0.5%)
    Urinary tract infection 4/37 (10.8%) 2/222 (0.9%) 5/216 (2.3%) 1/193 (0.5%)
    Haematuria 0/37 (0%) 1/222 (0.5%) 0/216 (0%) 0/193 (0%)
    Hydronephrosis 1/37 (2.7%) 1/222 (0.5%) 0/216 (0%) 1/193 (0.5%)
    Nephritis 0/37 (0%) 1/222 (0.5%) 0/216 (0%) 0/193 (0%)
    Renal failure 2/37 (5.4%) 1/222 (0.5%) 0/216 (0%) 0/193 (0%)
    Urinary retention 0/37 (0%) 1/222 (0.5%) 0/216 (0%) 0/193 (0%)
    Respiratory, thoracic and mediastinal disorders
    Aspiration 0/37 (0%) 0/222 (0%) 2/216 (0.9%) 0/193 (0%)
    Respiratory distress 0/37 (0%) 0/222 (0%) 0/216 (0%) 1/193 (0.5%)
    Respiratory failure 0/37 (0%) 1/222 (0.5%) 1/216 (0.5%) 3/193 (1.6%)
    Other (Not Including Serious) Adverse Events
    Combined Safety Lead-in Phase 3: Triplet Arm Phase 3: Doublet Arm Phase 3:Control Arm
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 37/37 (100%) 217/222 (97.7%) 212/216 (98.1%) 188/193 (97.4%)
    Blood and lymphatic system disorders
    Anaemia 16/37 (43.2%) 80/222 (36%) 35/216 (16.2%) 37/193 (19.2%)
    Hypomagnesaemia 6/37 (16.2%) 20/222 (9%) 22/216 (10.2%) 17/193 (8.8%)
    Hypokalaemia 3/37 (8.1%) 15/222 (6.8%) 13/216 (6%) 27/193 (14%)
    Neutropenia 1/37 (2.7%) 3/222 (1.4%) 1/216 (0.5%) 36/193 (18.7%)
    Neutrophil count decreased 0/37 (0%) 1/222 (0.5%) 1/216 (0.5%) 21/193 (10.9%)
    Cardiac disorders
    Palpitations 2/37 (5.4%) 3/222 (1.4%) 3/216 (1.4%) 1/193 (0.5%)
    Eye disorders
    Vision blurred 12/37 (32.4%) 25/222 (11.3%) 8/216 (3.7%) 1/193 (0.5%)
    Dry eye 4/37 (10.8%) 6/222 (2.7%) 7/216 (3.2%) 2/193 (1%)
    Retinal detachment 2/37 (5.4%) 6/222 (2.7%) 1/216 (0.5%) 0/193 (0%)
    Gastrointestinal disorders
    Diarrhoea 28/37 (75.7%) 137/222 (61.7%) 72/216 (33.3%) 93/193 (48.2%)
    Nausea 22/37 (59.5%) 100/222 (45%) 74/216 (34.3%) 80/193 (41.5%)
    Vomiting 18/37 (48.6%) 85/222 (38.3%) 46/216 (21.3%) 56/193 (29%)
    Abdominal pain 14/37 (37.8%) 65/222 (29.3%) 49/216 (22.7%) 48/193 (24.9%)
    Decreased appetite 14/37 (37.8%) 63/222 (28.4%) 68/216 (31.5%) 52/193 (26.9%)
    Constipation 14/37 (37.8%) 55/222 (24.8%) 33/216 (15.3%) 35/193 (18.1%)
    Abdominal pain upper 4/37 (10.8%) 20/222 (9%) 19/216 (8.8%) 15/193 (7.8%)
    Dyspepsia 4/37 (10.8%) 16/222 (7.2%) 7/216 (3.2%) 7/193 (3.6%)
    Flatulence 0/37 (0%) 13/222 (5.9%) 6/216 (2.8%) 3/193 (1.6%)
    Rectal haemorrhage 3/37 (8.1%) 12/222 (5.4%) 5/216 (2.3%) 1/193 (0.5%)
    Dry Mouth 2/37 (5.4%) 11/222 (5%) 8/216 (3.7%) 7/193 (3.6%)
    Gastroesophageal reflux disease 2/37 (5.4%) 11/222 (5%) 4/216 (1.9%) 5/193 (2.6%)
    Abdominal distension 2/37 (5.4%) 9/222 (4.1%) 12/216 (5.6%) 8/193 (4.1%)
    Intestinal obstruction 0/37 (0%) 8/222 (3.6%) 12/216 (5.6%) 8/193 (4.1%)
    General disorders
    Chills 4/37 (10.8%) 13/222 (5.9%) 6/216 (2.8%) 3/193 (1.6%)
    Malaise 6/37 (16.2%) 6/222 (2.7%) 5/216 (2.3%) 11/193 (5.7%)
    Infections and infestations
    Pyrexia 15/37 (40.5%) 45/222 (20.3%) 35/216 (16.2%) 27/193 (14%)
    Urinary tract infection 7/37 (18.9%) 18/222 (8.1%) 16/216 (7.4%) 6/193 (3.1%)
    Paronychia 6/37 (16.2%) 17/222 (7.7%) 8/216 (3.7%) 17/193 (8.8%)
    Rash pustular 5/37 (13.5%) 13/222 (5.9%) 4/216 (1.9%) 4/193 (2.1%)
    Conjunctivitis 2/37 (5.4%) 10/222 (4.5%) 8/216 (3.7%) 2/193 (1%)
    Cystitis 2/37 (5.4%) 6/222 (2.7%) 1/216 (0.5%) 1/193 (0.5%)
    Injury, poisoning and procedural complications
    Infusion related reaction 3/37 (8.1%) 5/222 (2.3%) 20/216 (9.3%) 13/193 (6.7%)
    Investigations
    Blood creatine phosphokinase increased 13/37 (35.1%) 20/222 (9%) 1/216 (0.5%) 3/193 (1.6%)
    Blood creatine increased 11/37 (29.7%) 18/222 (8.1%) 4/216 (1.9%) 1/193 (0.5%)
    Alanine aminotransferase increased 6/37 (16.2%) 15/222 (6.8%) 12/216 (5.6%) 12/193 (6.2%)
    Aspartate aminotransferase increased 7/37 (18.9%) 13/222 (5.9%) 8/216 (3.7%) 13/193 (6.7%)
    Ejection fraction decreased 5/37 (13.5%) 8/222 (3.6%) 0/216 (0%) 0/193 (0%)
    Blood bilirubin increased 3/37 (8.1%) 6/222 (2.7%) 10/216 (4.6%) 8/193 (4.1%)
    White blood cell count decrease 0/37 (0%) 1/222 (0.5%) 1/216 (0.5%) 14/193 (7.3%)
    Metabolism and nutrition disorders
    Fatigue 20/37 (54.1%) 73/222 (32.9%) 65/216 (30.1%) 53/193 (27.5%)
    Asthenia 6/37 (16.2%) 55/222 (24.8%) 46/216 (21.3%) 49/193 (25.4%)
    Weight decreased 3/37 (8.1%) 24/222 (10.8%) 21/216 (9.7%) 11/193 (5.7%)
    Hypomagnesaemia 6/37 (16.2%) 20/222 (9%) 22/216 (10.2%) 17/193 (8.8%)
    Hypoalbuminaemia 4/37 (10.8%) 16/222 (7.2%) 5/216 (2.3%) 5/193 (2.6%)
    Hyperglycaemia 1/37 (2.7%) 10/222 (4.5%) 7/216 (3.2%) 5/193 (2.6%)
    Dehydration 2/37 (5.4%) 9/222 (4.1%) 4/216 (1.9%) 8/193 (4.1%)
    Musculoskeletal and connective tissue disorders
    PPE syndrome 6/37 (16.2%) 28/222 (12.6%) 9/216 (4.2%) 14/193 (7.3%)
    Back Pain 8/37 (21.6%) 25/222 (11.3%) 22/216 (10.2%) 23/193 (11.9%)
    Oedema peripheral 6/37 (16.2%) 24/222 (10.8%) 18/216 (8.3%) 13/193 (6.7%)
    Arthralgia 9/37 (24.3%) 23/222 (10.4%) 41/216 (19%) 1/193 (0.5%)
    Myalgia 7/37 (18.9%) 18/222 (8.1%) 29/216 (13.4%) 4/193 (2.1%)
    Pain in extremity 3/37 (8.1%) 15/222 (6.8%) 22/216 (10.2%) 1/193 (0.5%)
    Musculoskeletal pain 2/37 (5.4%) 6/222 (2.7%) 27/216 (12.5%) 3/193 (1.6%)
    Muscle spasms 2/37 (5.4%) 17/222 (7.7%) 3/216 (1.4%) 4/193 (2.1%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Tumour Pain 4/37 (10.8%) 3/222 (1.4%) 0/216 (0%) 2/193 (1%)
    Nervous system disorders
    Headache 6/37 (16.2%) 16/222 (7.2%) 42/216 (19.4%) 5/193 (2.6%)
    Insomnia 2/37 (5.4%) 11/222 (5%) 24/216 (11.1%) 11/193 (5.7%)
    Dizziness 8/37 (21.6%) 13/222 (5.9%) 14/216 (6.5%) 15/193 (7.8%)
    Neuropathy peripheral 1/37 (2.7%) 13/222 (5.9%) 8/216 (3.7%) 5/193 (2.6%)
    Dysgeusia 6/37 (16.2%) 11/222 (5%) 9/216 (4.2%) 7/193 (3.6%)
    Peripheral sensory neuropathy 6/37 (16.2%) 8/222 (3.6%) 4/216 (1.9%) 4/193 (2.1%)
    Syncope 2/37 (5.4%) 3/222 (1.4%) 2/216 (0.9%) 0/193 (0%)
    Psychiatric disorders
    Insomnia 2/37 (5.4%) 11/222 (5%) 24/216 (11.1%) 11/193 (5.7%)
    Depression 2/37 (5.4%) 4/222 (1.8%) 4/216 (1.9%) 1/193 (0.5%)
    Renal and urinary disorders
    Acute kidney injury 1/37 (2.7%) 11/222 (5%) 4/216 (1.9%) 1/193 (0.5%)
    Haematuria 2/37 (5.4%) 10/222 (4.5%) 4/216 (1.9%) 4/193 (2.1%)
    Respiratory, thoracic and mediastinal disorders
    Cough 5/37 (13.5%) 23/222 (10.4%) 16/216 (7.4%) 10/193 (5.2%)
    Dyspnoea 12/37 (32.4%) 17/222 (7.7%) 23/216 (10.6%) 17/193 (8.8%)
    Pulmonary embolism 2/37 (5.4%) 10/222 (4.5%) 3/216 (1.4%) 8/193 (4.1%)
    Epistaxis 1/37 (2.7%) 7/222 (3.2%) 15/216 (6.9%) 7/193 (3.6%)
    Dysphonia 1/37 (2.7%) 5/222 (2.3%) 11/216 (5.1%) 3/193 (1.6%)
    Rhinnorrhoea 3/37 (8.1%) 5/222 (2.3%) 5/216 (2.3%) 1/193 (0.5%)
    Skin and subcutaneous tissue disorders
    Dermatitis acneiform 25/37 (67.6%) 108/222 (48.6%) 63/216 (29.2%) 76/193 (39.4%)
    Dry Skin 19/37 (51.4%) 46/222 (20.7%) 24/216 (11.1%) 13/193 (6.7%)
    Rash 3/37 (8.1%) 42/222 (18.9%) 25/216 (11.6%) 27/193 (14%)
    Stomatitis 6/37 (16.2%) 31/222 (14%) 12/216 (5.6%) 44/193 (22.8%)
    Pruritus 3/37 (8.1%) 28/222 (12.6%) 20/216 (9.3%) 9/193 (4.7%)
    Melanocytic naevus 1/37 (2.7%) 1/222 (0.5%) 31/216 (14.4%) 0/193 (0%)
    Palmar-planar erythrodysaesthesia 6/37 (16.2%) 28/222 (12.6%) 9/216 (4.2%) 14/193 (7.3%)
    Rash maculo-papular 5/37 (13.5%) 18/222 (8.1%) 17/216 (7.9%) 11/193 (5.7%)
    Skin fissures 9/37 (24.3%) 15/222 (6.8%) 5/216 (2.3%) 10/193 (5.2%)
    Erythema 2/37 (5.4%) 7/222 (3.2%) 10/216 (4.6%) 4/193 (2.1%)
    Eczema 2/37 (5.4%) 5/222 (2.3%) 1/216 (0.5%) 1/193 (0.5%)
    Skin hyperpigmentation 2/37 (5.4%) 1/222 (0.5%) 16/216 (7.4%) 2/193 (1%)
    Skin lesion 0/37 (0%) 1/222 (0.5%) 17/216 (7.9%) 1/193 (0.5%)
    Vascular disorders
    Hypotension 3/37 (8.1%) 7/222 (3.2%) 9/216 (4.2%) 3/193 (1.6%)
    Hypertension 4/37 (10.8%) 6/222 (2.7%) 7/216 (3.2%) 6/193 (3.1%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    The terms and conditions of the sponsor's agreements with its investigators may vary. However, the sponsor does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of pooled data (i.e., data from all sites) in the clinical trials.

    Results Point of Contact

    Name/Title Study Director
    Organization Pfizer
    Phone 1-800-718-1021
    Email ClinicalTrials.gov_Inquiries@pfizer.com
    Responsible Party:
    Pfizer
    ClinicalTrials.gov Identifier:
    NCT02928224
    Other Study ID Numbers:
    • ARRAY-818-302
    • BEACON CRC
    • 2015-005805-35
    • C4221009
    First Posted:
    Oct 10, 2016
    Last Update Posted:
    Mar 16, 2022
    Last Verified:
    Mar 1, 2022