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Recruiting Phase 2 NCT06321081

NCT06321081 ICE Study: Combination of Irinotecan Plus Cetuximab and Envafolimab as a Rechallenge Regimen in mCRC

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Clinical Trial Summary
NCT ID NCT06321081
Status Recruiting
Phase Phase 2
Sponsor Beijing Hospital
Condition RAS Mutation
Study Type INTERVENTIONAL
Enrollment 60 participants
Start Date 2024-03-01
Primary Completion 2026-02-14

Trial Parameters

Condition RAS Mutation
Sponsor Beijing Hospital
Study Type INTERVENTIONAL
Phase Phase 2
Enrollment 60
Sex ALL
Min Age 18 Years
Max Age N/A
Start Date 2024-03-01
Completion 2026-02-14
Interventions
irinotecan, cetuximab, envafolimab

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Brief Summary

This is a non-profit phase II, open, clinical study of the combination of irinotecan plus cetuximab and envafolimab as a rechallenge regimen, in pre-treated RAS/BRAF wild type metastatic colorectal cancer patients (according to liquid biopsy at baseline). Patients have been treated in front lines with irinotecan and cetuximab and had a clinical benefit (complete or partial response) from both of them, no matter whether they had treated by any PD-1 inhibitor before.

Eligibility Criteria

Inclusion Criteria: * Signed written informed consent before any trial-related procedure is undertaken that is not part of the standard patient management. Male or female subjects aged ≥ 18 years. Histologically proven diagnosis of colorectal adenocarcinoma. Diagnosis of metastatic disease. RAS (NRAS and KRAS exon 2,3 and 4) and BRAF wild-type in liquid biopsy at screening (according to NGS) Efficacy of any front-line therapies containing cetuximab or irinotecan with a major response achieved (i.e. complete or partial response according to RECIST criteria v1.1).. More than 2 months since the last dose of cetuximab administered in first line treatment before randomization. Measurable disease according to RECIST criteria v1.1. ECOG PS of 0 to 1 at trial entry. Estimated life expectancy of more than 12 weeks. Adequate hematological function defined by white blood cell (WBC) count ≥ 2.5 × 109/L with absolute neutrophil count (ANC) ≥ 1.5 × 109/L, lymphocyte count ≥ 0.5 × 109/L, platelet cou

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