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

Trial Profile

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

Status: Active, no longer recruiting
Phase of Trial: Phase III

Latest Information Update: 15 Mar 2026

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At a glance

  • Drugs Cetuximab (Primary) ; Encorafenib (Primary) ; Bevacizumab; Capecitabine; Fluorouracil; Folinic acid; Irinotecan; Oxaliplatin
  • Indications Adenocarcinoma; Colorectal cancer
  • Focus Adverse reactions; Registrational; Therapeutic Use
  • Acronyms BREAKWATER
  • Sponsors Pfizer

Most Recent Events

  • 24 Feb 2026 According to Pfizer media release, the U.S. Food and Drug Administration (FDA) has granted full approval to BRAFTOVI (encorafenib) in combination with cetuximab (marketed as ERBITUX) and fluorouracil-based chemotherapy for the treatment of adult patients with metastatic colorectal cancer (mCRC) with a BRAF V600E mutation based on results from the global Phase 3 BREAKWATER trial (NCT04607421).
  • 17 Feb 2026 Primary endpoint has been met. (Cohort 3: Objective response rate by blinded independent review)
  • 17 Feb 2026 According to Pfizer media release, Positive ORR results were achieved and recently presented at the 2026 American Society of Clinical Oncology Gastrointestinal (ASCO GI) Cancers Symposium.

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