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Recruiting Phase 2 NCT06792695

A Study of Novel Study Interventions and Combinations in Participants With Colorectal Cancer

Phase 2 – studying effectiveness and dosage
Conditions: Metastatic Colorectal Cancer

Sponsor: AstraZeneca

trial.available_in: БГ
Overview
The main purpose of this study is to evaluate the safety and efficacy of novel study interventions and combinations in participants with Colorectal Cancer (CRC).
Description
This is a Phase II, platform, open-label, multi-drug, multicenter, global study. This is a modular study, that includes a master protocol and substudies. Partcipants will be randomised to one of the following intervention groups: * Volrustomig + FOLFIRI + bevacizumab group (Arm A) * FOLFIRI + bevacizumab group (Arm B) The substudy will evaluate the effects of volrustomig in combination with FOLFIRI (irinotecan, 5-FU, and leucovorin) and bevacizumab versus FOLFIRI and bevacizumab only in participants with Mismatch-repair-proficient (pMMR)/Microsatellite stable (MSS) metastatic CRC (mCRC) in the absence of liver metastases and who have not received previous systemic treatment for advanced or metastatic disease.
Who can participate
Overall Inclusion Criteria: * Histopathologically confirmed colorectal adenocarcinoma. * Provision of FFPE tumor sample collected as per SoC. * Presence of measurable disease by RECIST 1.1 criteria. * ECOG performance status of 0 or 1. * Life expectancy ≥ 12 weeks at the time of screening. Substudy Inclusion Criteria: * No radiological evidence of liver metastasis. * No prior systemic therapy for mCRC, except for neoadjuvant/adjuvant chemotherapy where, \> 6 months have elapsed between completion of therapy and documented date of diagnosis of recurrent or metastatic disease. * Known pMMR/MSS status (only pMMR/MSS mCRC allowed). * Adequate organ and bone marrow function * Body weight \> 35 kg at screening and at randomization. * Contraceptive use by participants should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies. Overall Exclusion Criteria: * Central nervous system metastases or spinal cord compression * Known history of severe allergy to any monoclonal antibody or study intervention. * Any unresolved toxicity CTCAE Grade ≥ 2 from a previous anticancer therapy. * History of another primary malignancy. Substudy Exclusion Criteria: * Potentially resectable disease with multidisciplinary plan for radical surgery. * Active or prior documented autoimmune or inflammatory disorders or cardiac conditions. * Participants with a prior history of hypertensive crisis or hypertensive encephalopathy or bleeding risks. * Deep venous thrombosis, pulmonary embolism, arterial thrombosis, transient ischemic attack or cerebrovascular accident. * History of abdominal or tracheoesophageal fistula, GI perforation and/or fistulae, or intraabdominal abscess within 6 months prior to randomization. * Prior exposure to immune mediated therapy.
Interventions
Volrustomig
DRUG
FOLFIRI (Fluorouracil (5-FU), leucovorin, irinotecan)
DRUG
Bevacizumab
DRUG
Locations 76
Australia (3)
Research Site
East Melbourne
Research Site
Wollongong
Research Site
Woodville South
Canada (4)
Research Site
Barrie , Ontario
Research Site
Montreal , Quebec
Research Site
Toronto , Ontario
Research Site
Victoria , British Columbia
China (8)
Research Site
Beijing
NOT_YET_RECRUITING
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Chengdu
SUSPENDED
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Harbin
NOT_YET_RECRUITING
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Shanghai
NOT_YET_RECRUITING
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Shanghai
SUSPENDED
Research Site
Shanghai
NOT_YET_RECRUITING
Research Site
Wuhan
SUSPENDED
Research Site
Zhengzhou
SUSPENDED
France (7)
Research Site
Bordeaux
NOT_YET_RECRUITING
Research Site
Marseille
WITHDRAWN
Research Site
Montpellier
NOT_YET_RECRUITING
Research Site
Montpellier
NOT_YET_RECRUITING
Research Site
Poitiers
Research Site
Saint-Priez En Jarez
Research Site
Villejuif
Germany (5)
Research Site
Berlin
NOT_YET_RECRUITING
Research Site
Dresden
Research Site
Essen
Research Site
Hamburg
Research Site
Marburg
Italy (9)
Research Site
Bologna
Research Site
Castelfranco Veneto
NOT_YET_RECRUITING
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Florence
Research Site
Milan
NOT_YET_RECRUITING
Research Site
Milan
NOT_YET_RECRUITING
Research Site
Naples
NOT_YET_RECRUITING
Research Site
Pavia
NOT_YET_RECRUITING
Research Site
Pisa
NOT_YET_RECRUITING
Research Site
Roma
NOT_YET_RECRUITING
Netherlands (3)
Research Site
Amsterdam
Research Site
Maastricht
Research Site
Zwolle
South Korea (5)
Research Site
Seoul
Research Site
Seoul
Research Site
Seoul
Research Site
Seoul
Research Site
Yongin-si
Spain (9)
Research Site
Barcelona
Research Site
Barcelona
Research Site
Madrid
NOT_YET_RECRUITING
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Madrid
Research Site
Madrid
Research Site
Málaga
Research Site
Pamplona
Research Site
Santander
Research Site
Valencia
Taiwan (4)
Research Site
Kaohsiung City
Research Site
Taipei
Research Site
Taoyuan District
Research Site
Yung Kang City
United Kingdom (5)
Research Site
Cambridge
Research Site
London
Research Site
London
Research Site
Manchester
Research Site
Metropolitan Borough of Wirral
United States (14)
Research Site
Baltimore , Maryland
Research Site
Boston , Massachusetts
COMPLETED
Research Site
Chicago , Illinois
NOT_YET_RECRUITING
Research Site
Cleveland , Ohio
WITHDRAWN
Research Site
Houston , Texas
Research Site
Los Angeles , California
Research Site
Nashville , Tennessee
NOT_YET_RECRUITING
Research Site
Philadelphia , Pennsylvania
WITHDRAWN
Research Site
Portland , Oregon
NOT_YET_RECRUITING
Research Site
Rochester , Minnesota
Research Site
Rochester , New York
Research Site
Scottsdale , Arizona
Research Site
Trenton , New Jersey
NOT_YET_RECRUITING
Research Site
Washington D.C. , District of Columbia
NOT_YET_RECRUITING
Technical details
Status
Recruiting
Phase
Phase 2
Study type
INTERVENTIONAL
Sex
Male and female
Minimum age
18 Years
Maximum age
130 Years
Healthy volunteers
No
Start date
12.03.2025
Completion date
07.06.2028
Registry ID
NCT06792695
Source
clinicaltrials.gov
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