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ECF

Phase 2

Esophageal Cancer | Small molecule | Oncology |Bristol-Myers Squibb Company|Last Updated: Sep 29, 2021

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedCONTROLLEDBiomarker
Total Trials1
Total Enrollment245
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00381706Combination Chemotherapy and Cetuximab in Treating Patients With Metastatic Esophageal Cancer or Gastroesophageal Junction CancerPHASE2 COMPLETED 245Sep 15, 2006Oct 15, 2014Sep 29, 2021227 United States
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Study Endpoints
Primary Endpoints
Response Rate (Complete and Partial) in Patients With Measurable Esophageal or GE Junction Adenocarcinoma
Up to 2 years post-treatment

Response was defined using Response Evaluation Criteria In Solid Tumors (RECIST) criteria: Complete Response (CR): disappearance of all target lesions; Partial Response (PR) 30% decrease in sum of longest diameter of target lesions; Progressive Disease (PD): 20% increase in sum of longest diameter of target lesions; Stable Disease (SD): small changes that do not meet above criteria. Overall tumor response is the total number of CR and PRs in participants with adenocarcinoma who have received at least one cycle of therapy.

Secondary Endpoints
Tumor Response Rate (Complete and Partial) in Patients With Squamous Cell Carcinoma
Up to 2 years post-treatment
Overall Survival in Patients With Adenocarcinoma
Up to 2 years post-treatment
Progression-free Survival in Patients With Adenocarcinoma
Up to 2 years post-treatment
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Arm A (ECF + cetuximab)EXPERIMENTALPatients receive cetuximab 400 mg/m\^2 IV over 120 minutes on day 1 of the first cycle, then 250 mg/m\^2 IV over 60 minutes thereafter. Patients receive cetuximab IV on days 1, 8 and 15. Patients receive epirubicin 50 mg/m\^2 IV after cetuximab on day 1 followed by cisplatin 60 mg/m\^2 IV over 60 minutes. On days 1-21, patients receive 5-fluorouracil 200 mg/m\^2/day continuous IV infusion. Treatment repeats every 21 days in the absence of disease progression and unacceptable toxicity.
Arm B (IC + cetuximab)EXPERIMENTALPatients receive cetuximab 400 mg/m\^2 IV over 120 minutes on day 1 of the first cycle, then 250 mg/m\^2 IV over 60 minutes thereafter. Patients receive cetuximab on days 1, 8 and 15. Patients receive cisplatin 30 mg/m\^2 IV over 30 minutes on days 1 and 8 after cetuximab. Patients also receive irinotecan 65 mg/m\^2 IV over 90 minutes on days 1 and 8 after receiving cisplatin.Treatment repeats every 21 days in the absence of disease progression and unacceptable toxicity.
ARM C (FOLFOX + cetuximab)EXPERIMENTALPatients receive cetuximab 400 mg/m\^2 IV over 120 minutes on day 1 of the first cycle, then 250 mg/m\^2 IV over 60 minutes thereafter. Patients receive cetuximab on days 1 and 8. On Day 1, patients also receive oxaliplatin 85 mg/m\^2 IV over 120 minutes and leucovorin 400 mg/m\^2 IV over 120 minutes either concurrently with oxaliplatin via a separate infusion line or post oxaliplatin administration. Following leucovorin, patients will receive 5-fluorouracil 400 mg/m\^2 IV bolus injection, then 5-fluorouracil 2400 mg/m\^2 IV infusion over 46-48 hours. Treatment repeats every 14 days in the absence of disease progression or unacceptable toxicity.
Interventions
NameTypeDescription
cetuximabBIOLOGICALgiven IV
ECFDRUGepirubicin and 5-fluorouracil given IV
ICDRUGcisplatin and irinotecan given IV
FOLFOXDRUGoxaliplatin , leucovorin and 5-fluorouracil IV
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites227

1. Metastatic disease of the esophagus or gastroesophageal junction 1. Histologic, cytologic or radiologic documentation of metastatic squamous cell carcinoma or adenocarcinoma of the esophagus or gastroesophageal junction. Radiologic, endoscopic, histologic or cytologic evidence of locally recu...

Countries:United States
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Competitive Landscape -Esophageal Cancer 112 trials
CompanyTickerTrialsLead PhaseDrugs
Merck & Co., Inc.MRK8PHASE3Pembrolizumab, Lenvatinib, Cisplatin, 5-FU, Oxaliplatin
AstraZeneca PLCAZN13PHASE3Durvalumab, cisplatin + fluorouracil, FLOT chemotherapy, AZD0901, Ramucirumab+ paclitaxel
BeOne Medicines Ltd. Sponsored ADRONC7PHASE3Tislelizumab, Cisplatin, Leucovorin, 5-fluorouracil, Oxaliplatin
Jazz Pharmaceuticals Public Limited CompanyJAZZ4PHASE3Zanidatamab, Tislelizumab, Trastuzumab, Capecitabine, Oxaliplatin
Amgen Inc.AMGN2PHASE3Bemarituzumab, Nivolumab, Chemotherapy, CAPOX, SOX
Pfizer Inc.PFE7PHASE2tucatinib, trastuzumab, oxaliplatin, leucovorin, fluorouracil
Eli Lilly and CompanyLLY4PHASE2Ramucirumab, Paclitaxel, LY4101174, LY4052031, LY4337713
AbbVie, Inc.ABBV3PHASE2Telisotuzumab Adizutecan, Budigalimab, Fluorouracil, Leucovorin, Oxaliplatin
ALX Oncology Holdings, Inc.ALXO2PHASE2Evorpacept, Trastuzumab, Ramucirumab, Paclitaxel, ALX2004
Apollomics Inc. Class AAPLM1PHASE2APL-101
Exelixis, Inc.EXEL3PHASE1cabozantinib, atezolizumab, XB010, Pembrolizumab, Cabozantinib
Bristol-Myers Squibb CompanyBMY2PHASE1DISP-10, nivolumab + chemotherapy
Novartis AG Sponsored ADRNVS1PHASE1KFA115, pembrolizumab
Arcus Biosciences, Inc.RCUS1PHASE1AB598, Zimberelimab, Fluorouracil, Leucovorin, Oxaliplatin
IDEAYA Biosciences, Inc.IDYA2PHASE1IDE892, IDE397, IDE034
I-Mab Biopharma US LimitedIMAB2PHASE2Givastomig, Nivolumab, 5Fluorouracil, Leucovorin, Oxaliplatin
Organon & Co.OGN1PHASE2Pembrolizumab, Trastuzumab, FLOT
Incyte CorporationINCY1PHASE2Capecitabine, Oxaliplatin, Retifanlimab
Nurix Therapeutics, Inc.NRIX1PHASE1NX-1607, Paclitaxel
Lantheus Holdings IncLNTH1PHASE164Cu-LNTH-1363S
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