MedPath

Regorafenib

Generic Name
Regorafenib
Brand Names
Stivarga
Drug Type
Small Molecule
Chemical Formula
C21H15ClF4N4O3
CAS Number
755037-03-7
Unique Ingredient Identifier
24T2A1DOYB
Background

Regorafenib is an orally-administered inhibitor of multiple kinases. It is used for the treatment of metastatic colorectal cancer, advanced gastrointestinal stromal tumours, and hepatocellular carcinoma. FDA approved on September 27, 2012. Approved use of Regorafenib was expanded to treat Hepatocellular Carcinoma in April 2017.

Indication

Regorafenib is indicated for the treatment of patients with metastatic colorectal cancer (CRC) who have been previously treated with fluoropyrimidine-, oxaliplatin- and irinotecan-based chemotherapy, an anti-VEGF therapy, and, if KRAS wild type, an anti-EGFR therapy. Regorafenib is also indicated for the treatment of patients with locally advanced, unresectable or metastatic gastrointestinal stromal tumour (GIST) who have been previously treated with imatinib mesylate and sunitinib malate. Regorafenib is also indicated for the treatment of patients with hepatocellular carcinoma (HCC) previously treated with sorafenib.

Associated Conditions
Hepatocellular Carcinoma, Metastatic Colorectal Cancer (CRC), Metastatic Gastrointestinal Stromal Tumor (GIST), Locally advanced Gastrointestinal stromal tumor, Unresectable Gastrointestinal stromal tumor

Efficacy And Safety Of Hydroxychloroquine Combined With Methotrexate, Capecitabine And Bevacizumab Vs. Regorafenib In Participants With Refractory Metastatic Colorectal Cancer With Mutations In RAS Genes

Phase 2
Recruiting
Conditions
Metastatic Colorectal Cancer (mCRC)
Colorectal Neoplasms
Interventions
Combination Product: experimental group x-MAP
First Posted Date
2025-04-29
Last Posted Date
2025-05-04
Lead Sponsor
Sergey Orlov, MD
Target Recruit Count
60
Registration Number
NCT06949982
Locations
🇷🇺

First Pavlov State Medical University, St. Petersburg, Russian Federation

Regorafenib and Yttrium-90 Radioembolization for Unresectable Hepatocellular Carcinoma

Phase 2
Not yet recruiting
Conditions
Unresectable Hepatocellular Carcinoma
Hepatocellular Carcinoma
Interventions
Radiation: TheraSphere™ Yttrium-90 Trans-Arterial Radioembolization
First Posted Date
2025-03-30
Last Posted Date
2025-03-30
Lead Sponsor
University of Miami
Target Recruit Count
28
Registration Number
NCT06902246
Locations
🇺🇸

University of Miami, Miami, Florida, United States

5-Fluorouracil/Leucovorin (5FU/LV) in Combination With Regorafenib in Patients With Metastatic Colorectal Cancer

Phase 2
Not yet recruiting
Conditions
Metastatic Colorectal Cancer (CRC)
Interventions
Drug: 5FU/LV
Drug: Trifluridine-tipiracil
First Posted Date
2025-03-25
Last Posted Date
2025-03-26
Lead Sponsor
The Methodist Hospital Research Institute
Target Recruit Count
56
Registration Number
NCT06887218
Locations
🇺🇸

Houston Methodist Neal Cancer Center, Houston, Texas, United States

"Thymalfasin Immunotherapy Study with Triple Regimen in Advanced MSS/pMMR Colorectal Cancer"

First Posted Date
2025-02-17
Last Posted Date
2025-02-17
Lead Sponsor
Beijing Friendship Hospital
Target Recruit Count
52
Registration Number
NCT06829355
Locations
🇨🇳

Beijing Friendship Hospital, Capital Medical University, Beijing, China

Testing a New Combination of Anti-cancer Drugs in Patients Newly Diagnosed With Ewing Sarcoma Who Have Cancer That Has Spread to Other Parts of the Body

Phase 2
Not yet recruiting
Conditions
CIC-Rearranged Sarcoma
Sarcoma With BCOR Genetic Alterations
Metastatic Ewing Sarcoma
Metastatic High Grade Sarcoma
Metastatic Undifferentiated Round Cell Sarcoma
Round Cell Sarcoma With EWSR1-non-ETS Fusion
Metastatic Undifferentiated Sarcoma, Not Otherwise Specified
Interventions
Procedure: Biopsy Procedure
Procedure: Biospecimen Collection
Procedure: Bone Marrow Aspiration
Procedure: Bone Marrow Biopsy
Procedure: Computed Tomography
Procedure: Echocardiography Test
Other: Fludeoxyglucose F-18
Procedure: Magnetic Resonance Imaging
Procedure: Positron Emission Tomography
Other: Questionnaire Administration
Radiation: Radiation Therapy
Procedure: Surgical Procedure
First Posted Date
2025-02-11
Last Posted Date
2025-04-10
Lead Sponsor
Children's Oncology Group
Target Recruit Count
437
Registration Number
NCT06820957

Safety and Efficacy of SYHA1813 Single Agent or in Combination With Different Regimens in Unresectable Locally Advanced or Metastatic Solid Tumors.

Phase 1
Not yet recruiting
Conditions
Unresectable Locally Advanced or Metastatic Solid Tumors
Interventions
First Posted Date
2024-11-11
Last Posted Date
2024-11-11
Lead Sponsor
Shanghai Runshi Pharmaceutical Technology Co., Ltd
Target Recruit Count
380
Registration Number
NCT06682611

Botensilimab, Balstilimab and Regorafenib or Botensilimab and Balstilimab for the Treatment of Advanced or Metastatic Microsatellite Stable Colorectal Cancer

Phase 2
Withdrawn
Conditions
Stage IV Colorectal Cancer AJCC v8
Advanced Colon Adenocarcinoma
Stage IV Colon Cancer AJCC v8
Advanced Colorectal Adenocarcinoma
Metastatic Colorectal Adenocarcinoma
Advanced Rectal Adenocarcinoma
Metastatic Colon Adenocarcinoma
Stage III Colon Cancer AJCC v8
Stage IV Rectal Cancer AJCC v8
Metastatic Rectal Adenocarcinoma
Interventions
Procedure: Biopsy
Procedure: Biospecimen Collection
Procedure: Computed Tomography
Procedure: Magnetic Resonance Imaging
First Posted Date
2024-08-28
Last Posted Date
2024-11-21
Lead Sponsor
City of Hope Medical Center
Target Recruit Count
84
Registration Number
NCT06575725
Locations
🇺🇸

City of Hope Medical Center, Duarte, California, United States

Regorafenib and Sintilimab in Combination with Electroacupuncture in MSS CRC

Not Applicable
Recruiting
Conditions
Colorectal Cancer Metastatic
Interventions
First Posted Date
2024-06-13
Last Posted Date
2025-02-17
Lead Sponsor
The First People's Hospital of Changzhou
Target Recruit Count
30
Registration Number
NCT06456515
Locations
🇨🇳

The First People's Hospital of Changzhou, Changzhou, China

Cadonilimab Combined With Regorafenib as A Third-line Treatment in Patients With MSS CRLM

Phase 2
Recruiting
Conditions
CRC
Interventions
First Posted Date
2024-06-12
Last Posted Date
2024-07-30
Lead Sponsor
Jin-hong Chen
Target Recruit Count
44
Registration Number
NCT06455254
Locations
🇨🇳

The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China

🇨🇳

Shanghai Tenth People's Hospital, Shanghai, China

🇨🇳

Huashan Hospital, Shanghai, China

Regorafenib in Combination With Venetoclax and Azacitidine for the Treatment of Patients With Relapsed or Refractory Acute Myeloid Leukemia

Phase 1
Not yet recruiting
Conditions
Myelodysplastic Syndrome/Acute Myeloid Leukemia
Recurrent Acute Myeloid Leukemia
Recurrent Myelodysplastic Syndrome
Refractory Acute Myeloid Leukemia
Refractory Myelodysplastic Syndrome
Interventions
Procedure: Biospecimen Collection
Procedure: Bone Marrow Aspiration
First Posted Date
2024-06-12
Last Posted Date
2024-06-12
Lead Sponsor
City of Hope Medical Center
Target Recruit Count
20
Registration Number
NCT06454409
Locations
🇺🇸

City of Hope Medical Center, Duarte, California, United States

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