The Efficacy and Safety of Regorafenib Plus PD-1 Inhibitor as Third-line Therapy in Advanced Colorectal Cancer Patients
Trial Snapshot
- Phase
- Phase 1
- Sponsor
- Shanghai Changzheng Hospital
- Enrollment
- 120
- Locations
- 1
- Primary Endpoint
- Objective Response Rate
Study Overview
Brief Summary
This study is intended to evaluate efficacy and safety of the combination of regorafenib and nivolumab as third-line or later therapy in patients with microsatellite stable (MSS) colorectal cancer (CRC).
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 75 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Advanced Colorectal Cancer diagnosed histologically;
- •Patients with microsatellite stable (MSS)
- •Patients have no any standard choice after multiple line of therapy( ≥ 2 lines);
- •Expected survival ≥ 3 month;
- •ECOG / PS score: 0-2, and the main organ function to meet the following criteria: HB ≥ 90g / L, ANC ≥ 1.5 × 109 / L, PLT ≥ 80 × 109 / L,BIL <1.5 times the upper limit of normal (ULN); Liver ALT and AST <2.5 × ULN and if liver metastases, ALT and AST <5 × ULN; Serum Cr ≤ 1 × ULN, endogenous creatinine clearance ≥50ml/min
Exclusion Criteria
- •Patient still has standard treatment therapy based on NCCN guidance;
- •Patient can not comply with research program requirements or follow-up;
Arms & Interventions
Immunotherapy Combination treatment
All colorectal cancer patients received regorafenib plus PD-1 inhibitor
Intervention: Regorafenib and PD-1 inhibitor (Drug)
Outcomes
Primary Outcomes
Objective Response Rate
Time Frame: Evaluation of tumor burden based on RECIST criteria through study completion, an average of 2 months
Proportion of patients with reduction in tumor burden of a predefined amount, including complete remission and partial remission.
Progress Free Survival
Time Frame: Evaluation of tumor burden based on RECIST criteria until first documented progress through study completion, an average of 2 months
Time from treatment beginning until disease progression
Secondary Outcomes
- Overall Survival(From date of treatment beginning until the date of death from any cause, through study completion, an average of 1 months)
- Adverse Effect(Through study completion, an average of 1 months)
Investigators
Yuan-Sheng Zang
Head of Medical Oncology Department
Shanghai Changzheng Hospital
