18 and older, any sex, with Metastatic Colorectal Cancer. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Progression-Free Survival (PFS) Following Treatment With Tivantinib (ARQ 197) in Combination With Irinotecan and Cetuximab in Participants With Metastatic Colorectal Cancer With Wild-Type K-ras Oncogene (KRAS) Who Have Received Front-Line Systemic TherapyPrimary· Baseline up to 80 weeks postdose
Progression-free survival is defined as the time from randomization to the date of disease progression (PD) or death due to any cause (as of data cutoff 12 Oct 2012).
Group
Value
95% CI
Phase 2: Placebo+Cetuximab+Irinotecan
7.3
5.3 – 9.0
Phase 2: ARQ 197+Cetuximab+Irinotecan
8.3
5.6 – 10.8
Progression-Free Survival (PFS) Using Computed Best Response Following Treatment With Tivantinib (ARQ 197) in Combination With Irinotecan and Cetuximab in Participants With Metastatic Colorectal Cancer Who Have Received Front-Line Systemic TherapyPrimary· Baseline up to 80 weeks postdose
Progression-free survival is defined as the time from randomization to the date of disease progression (PD) or death due to any cause (as of data cutoff 12 Oct 2012).
Group
Value
95% CI
Phase 2: Placebo+Cetuximab+Irinotecan
7.3
5.3 – 9.0
Phase 2: ARQ 197+Cetuximab+Irinotecan
8.3
5.6 – 10.8
Best Overall Tumor Response and Objective Response Rate Following Treatment With Tivantinib (ARQ 197) in Combination With Irinotecan and Cetuximab in Subjects With Metastatic Colorectal Cancer Who Have Received Front-Line Systemic TherapySecondary· Baseline up to 2 years 10 months postdose
Best overall tumor response according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 criteria included complete response (CR) defined as the disappearance of all target lesions; partial response (PR) defined as a ≥30% decrease in the longest diameter of target lesions; stable disease (SD) defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD; at least a 20% increase in the sum of diameters of target lesions. Objective response was defined as CR+PR.
Complete response (CR)
Group
Value
95% CI
Phase 2: Placebo+Cetuximab+Irinotecan
0
Phase 2: ARQ 197+Cetuximab+Irinotecan
0
Partial response (PR)
Group
Value
95% CI
Phase 2: Placebo+Cetuximab+Irinotecan
19
Phase 2: ARQ 197+Cetuximab+Irinotecan
27
Stable disease (SD)
Group
Value
95% CI
Phase 2: Placebo+Cetuximab+Irinotecan
22
Phase 2: ARQ 197+Cetuximab+Irinotecan
22
Progressive disease (PD)
Group
Value
95% CI
Phase 2: Placebo+Cetuximab+Irinotecan
13
Phase 2: ARQ 197+Cetuximab+Irinotecan
9
Objective response (CR+PR)
Group
Value
95% CI
Phase 2: Placebo+Cetuximab+Irinotecan
19
Phase 2: ARQ 197+Cetuximab+Irinotecan
27
Inevaluable
Group
Value
95% CI
Phase 2: Placebo+Cetuximab+Irinotecan
3
Phase 2: ARQ 197+Cetuximab+Irinotecan
2
Overall Survival (OS) Following Treatment With Tivantinib (ARQ 197) in Combination With Irinotecan and Cetuximab in Participants With Metastatic Colorectal Cancer With Wild-Type K-ras Oncogene (KRAS) Who Have Received Front-Line Systemic TherapySecondary· Baseline up to 5 years 1 month postdose
Overall survival is defined as the time from randomization date to the date of death.
Overall survival (12 Oct 2012 data cutoff)
Group
Value
95% CI
Phase 2: Placebo+Cetuximab+Irinotecan
17.6
11.3 – 20.4
Phase 2: ARQ 197+Cetuximab+Irinotecan
NA
13.2 – NA
Overall survival (29 Mar 2013 data cutoff)
Group
Value
95% CI
Phase 2: Placebo+Cetuximab+Irinotecan
16.9
12.2 – 20.4
Phase 2: ARQ 197+Cetuximab+Irinotecan
19.8
13.4 – 27.0
Overall survival (25 Jul 2013 data cutoff)
Group
Value
95% CI
Phase 2: Placebo+Cetuximab+Irinotecan
16.3
11.6 – 20.4
Phase 2: ARQ 197+Cetuximab+Irinotecan
19.8
15.4 – 27.4
Overall survival (20 Feb 2015 data cutoff)
Group
Value
95% CI
Phase 2: Placebo+Cetuximab+Irinotecan
16.3
11.6 – 20.4
Phase 2: ARQ 197+Cetuximab+Irinotecan
22.3
15.4 – 27
Duration of Response and Stable Disease Following Treatment With Tivantinib (ARQ 197) in Combination With Irinotecan and Cetuximab in Participants With Metastatic Colorectal Cancer With Wild-Type KRAS Who Have Received Front-Line Systemic TherapySecondary· Baseline up to 80 weeks postdose
Duration of response was defined for participants with complete response (CR)/partial response (PR) as the time from the date of the first documentation of objective response (CR or PR) to the date of the first documentation of progressive disease. Duration of stable disease (SD) was defined for participants whose best response was SD at the time from the randomization date to the date of the first documentation of progressive disease. Based on Response Evaluation Criteria in Solid Tumors version 1.1, CR is defined as a disappearance of all target lesions, PR is defined as at least a 30% decre
Duration of response
Group
Value
95% CI
Phase 2: Placebo+Cetuximab+Irinotecan
29.42
± 15.16
Phase 2: ARQ 197+Cetuximab+Irinotecan
28.84
± 16.03
Duration of stable disease
Group
Value
95% CI
Phase 2: Placebo+Cetuximab+Irinotecan
24.48
± 11.48
Phase 2: ARQ 197+Cetuximab+Irinotecan
29.76
± 15.43
Treatment-Emergent Adverse Events Reported in ≥ 10% of Participants Following Treatment With Tivantinib (ARQ 197) in Combination With Irinotecan and Cetuximab in Subjects With Metastatic Colorectal Cancer Who Have Received Front-Line Systemic TherapySecondary· Baseline up to 30 days after last dose, up to 5 years 1 month
A treatment-emergent adverse event (TEAE) was defined as an AE that had an onset date on or after the first dose of study drug, cetuximab, or irinotecan up to and including 30 days after the last dose of any study drug and worsened in severity after the first dose of study drug relative to the pre-treatment state.
Any TEAE
Group
Value
95% CI
Phase 1: ARQ 197+Cetuximab+Irinotecan
9
Phase 2: Placebo+Cetuximab+Irinotecan
59
Phase 2: ARQ 197+Cetuximab+Irinotecan
62
All ARQ 197
71
Blood and Lymphatic System Disorders
Group
Value
95% CI
Phase 1: ARQ 197+Cetuximab+Irinotecan
4
Phase 2: Placebo+Cetuximab+Irinotecan
28
Phase 2: ARQ 197+Cetuximab+Irinotecan
23
All ARQ 197
27
Anaemia
Group
Value
95% CI
Phase 1: ARQ 197+Cetuximab+Irinotecan
2
Phase 2: Placebo+Cetuximab+Irinotecan
19
Phase 2: ARQ 197+Cetuximab+Irinotecan
7
All ARQ 197
9
Neutropenia
Group
Value
95% CI
Phase 1: ARQ 197+Cetuximab+Irinotecan
4
Phase 2: Placebo+Cetuximab+Irinotecan
13
Phase 2: ARQ 197+Cetuximab+Irinotecan
18
All ARQ 197
22
Gastrointestinal Disorders
Group
Value
95% CI
Phase 1: ARQ 197+Cetuximab+Irinotecan
9
Phase 2: Placebo+Cetuximab+Irinotecan
47
Phase 2: ARQ 197+Cetuximab+Irinotecan
47
All ARQ 197
56
Abdominal pain
Group
Value
95% CI
Phase 1: ARQ 197+Cetuximab+Irinotecan
3
Phase 2: Placebo+Cetuximab+Irinotecan
16
Phase 2: ARQ 197+Cetuximab+Irinotecan
12
All ARQ 197
15
Constipation
Group
Value
95% CI
Phase 1: ARQ 197+Cetuximab+Irinotecan
1
Phase 2: Placebo+Cetuximab+Irinotecan
11
Phase 2: ARQ 197+Cetuximab+Irinotecan
10
All ARQ 197
11
Diarrhea
Group
Value
95% CI
Phase 1: ARQ 197+Cetuximab+Irinotecan
5
Phase 2: Placebo+Cetuximab+Irinotecan
30
Phase 2: ARQ 197+Cetuximab+Irinotecan
33
All ARQ 197
38
Treatment-Emergent Infection and Infestation Adverse Events Following Treatment With Tivantinib (ARQ 197) in Combination With Irinotecan and Cetuximab in Participants With Metastatic Colorectal Cancer Who Have Received Front-Line Systemic TherapySecondary· Baseline up to 30 days after last dose, up to 5 years 1 month
A treatment-emergent adverse event (TEAE) was defined as an AE that had an onset date on or after the first dose of study drug, cetuximab, or irinotecan up to and including 30 days after the last dose of any study drug and worsened in severity after the first dose of study drug relative to the pre-treatment state.
Infections and Infestations
Group
Value
95% CI
Phase 1: ARQ 197+Cetuximab+Irinotecan
6
Phase 2: Placebo+Cetuximab+Irinotecan
24
Phase 2: ARQ 197+Cetuximab+Irinotecan
31
All ARQ 197
37
Abscess jaw
Group
Value
95% CI
Phase 1: ARQ 197+Cetuximab+Irinotecan
0
Phase 2: Placebo+Cetuximab+Irinotecan
1
Phase 2: ARQ 197+Cetuximab+Irinotecan
0
All ARQ 197
0
Abscess neck
Group
Value
95% CI
Phase 1: ARQ 197+Cetuximab+Irinotecan
0
Phase 2: Placebo+Cetuximab+Irinotecan
1
Phase 2: ARQ 197+Cetuximab+Irinotecan
0
All ARQ 197
0
Bronchitis
Group
Value
95% CI
Phase 1: ARQ 197+Cetuximab+Irinotecan
0
Phase 2: Placebo+Cetuximab+Irinotecan
1
Phase 2: ARQ 197+Cetuximab+Irinotecan
3
All ARQ 197
3
Candidiasis
Group
Value
95% CI
Phase 1: ARQ 197+Cetuximab+Irinotecan
1
Phase 2: Placebo+Cetuximab+Irinotecan
0
Phase 2: ARQ 197+Cetuximab+Irinotecan
0
All ARQ 197
1
Cellulitis
Group
Value
95% CI
Phase 1: ARQ 197+Cetuximab+Irinotecan
1
Phase 2: Placebo+Cetuximab+Irinotecan
1
Phase 2: ARQ 197+Cetuximab+Irinotecan
2
All ARQ 197
3
Cystitis
Group
Value
95% CI
Phase 1: ARQ 197+Cetuximab+Irinotecan
0
Phase 2: Placebo+Cetuximab+Irinotecan
1
Phase 2: ARQ 197+Cetuximab+Irinotecan
0
All ARQ 197
0
Device-related infection
Group
Value
95% CI
Phase 1: ARQ 197+Cetuximab+Irinotecan
1
Phase 2: Placebo+Cetuximab+Irinotecan
0
Phase 2: ARQ 197+Cetuximab+Irinotecan
0
All ARQ 197
1
Adverse events — posted to ClinicalTrials.gov
Time frame: Treatment-emergent adverse events (TEAE) were collected from baseline up to 30 days after last dose, up to 5 years 1 month..
Reporting threshold: 5%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
Phase 1: ARQ 197+Cetuximab+Irinotecan
Serious: 3/9 (33%)
Deaths: 6/9
Phase 2: Placebo+Cetuximab+Irinotecan
Serious: 17/59 (29%)
Deaths: 35/59
Phase 2: ARQ 197+Cetuximab+Irinotecan
Serious: 13/62 (21%)
Deaths: 35/62
Serious adverse events (43 terms)
Reaction
System
Phase 1: ARQ 197+Cetuximab…
Phase 2: Placebo+Cetuximab…
Phase 2: ARQ 197+Cetuximab…
Small intestinal obstruction
Gastrointestinal disorders
—
—
—
Neutropenia
Blood and lymphatic system disorders
—
—
—
Ileus
Gastrointestinal disorders
—
—
—
Nausea
Gastrointestinal disorders
—
—
—
Vomiting
Gastrointestinal disorders
—
—
—
Dehydration
Metabolism and nutrition disorders
—
—
—
Malignant neoplasm progression
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
ARQ 197 or placebo in combination with irinotecan and cetuximab in participants with metastatic colorectal cancer (CRC), in participants with wild-type KRAS alleles who have failed front-line systemic therapy, to evaluate the safety, tolerability, and efficacy of ARQ 197, define the recommended dose for Phase 2.
After the recommended dose is determined for Phase 2, participants receive study drug or placebo with irinotecan and cetuximab.
Publications & conference data
8 peer-reviewed publications reference this trial (live from Europe PMC):
NCT01755767 — Study of Tivantinib in Subjects With Inoperable Hepatocellular Carcinoma (HCC) Who Have Been Treated With One Prior Ther
· Phase 3
· completed
NCT01749384 — Tivantinib and Bevacizumab in Treating Patients With Solid Tumors That Are Metastatic or Cannot Be Removed by Surgery
· Phase 1
· completed
NCT01688973 — Tivantinib With or Without Erlotinib Hydrochloride in Treating Patients With Metastatic or Locally Advanced Kidney Cance
· Phase 2
· completed
NCT01696955 — Cetuximab With or Without Tivantinib in Treating Patients With Head and Neck Cancer That Is Recurrent, Metastatic, or Ca
· Phase 2
· completed
NCT01654965 — Tivantinib and Topotecan Hydrochloride in Treating Patients With Advanced or Metastatic Solid Tumors
· Phase 1
· completed
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Publications: Europe PMC API search by NCT ID, retrieved 9 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Daiichi Sankyo
Last refreshed: 8 April 2021
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01075048.