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

Study on the Effectiveness and Safety of the Combination of the Two Drugs Regorafenib and Nivolumab in Patients With Colorectal Cancer (Cancer of the Colon or Rectum Classified as Proficient Mismatch Repair and Microsatellite Stable)

Phase 2
Completed
Conditions
Colorectal Cancer
Interventions
Biological: Nivolumab (Opdivo)
First Posted Date
2019-10-15
Last Posted Date
2023-07-18
Lead Sponsor
Bayer
Target Recruit Count
70
Registration Number
NCT04126733
Locations
🇺🇸

Northwest Cancer Specialists, PC, Vancouver, Washington, United States

🇺🇸

Minnesota Oncology Hematology, PA, Minneapolis, Minnesota, United States

🇺🇸

Baylor Charles A. Sammons Cancer Center at Dallas, Dallas, Texas, United States

and more 12 locations

Regorafenib, With Cetuximab or Panitumumab, for the Treatment of Unresectable, Locally Advanced, or Metastatic Colorectal Cancer

Phase 2
Active, not recruiting
Conditions
BRAF V600E Negative
Metastatic Colorectal Adenocarcinoma
NRAS Gene Mutation Negative
KRAS Gene Mutation Negative
Stage IVA Colorectal Cancer AJCC v8
Stage IVB Colorectal Cancer AJCC v8
Stage IVC Colorectal Cancer AJCC v8
Locally Advanced Unresectable Colorectal Adenocarcinoma
Stage III Colorectal Cancer AJCC v8
Stage IIIB Colorectal Cancer AJCC v8
Interventions
First Posted Date
2019-10-07
Last Posted Date
2024-02-07
Lead Sponsor
Academic and Community Cancer Research United
Target Recruit Count
22
Registration Number
NCT04117945
Locations
🇺🇸

Mayo Clinic in Arizona, Scottsdale, Arizona, United States

🇺🇸

USC / Norris Comprehensive Cancer Center, Los Angeles, California, United States

🇺🇸

MedStar Georgetown University Hospital, Washington, District of Columbia, United States

and more 12 locations

A Study Evaluating the Activity of Anti-cancer Treatments Targeting Tumor Molecular Alterations/characteristics in Advanced / Metastatic Tumors.

First Posted Date
2019-10-04
Last Posted Date
2024-12-12
Lead Sponsor
Centre Leon Berard
Target Recruit Count
455
Registration Number
NCT04116541
Locations
🇫🇷

Institut Bergonié, Bordeaux, France

🇫🇷

Centre Léon Bérard, Lyon, France

🇫🇷

Institut Paoli Calmettes, Marseille, France

and more 5 locations

Regorafenib Plus PD-1 Inhibitor in Patients With Colorectal Cancer

Phase 1
Conditions
Colorectal Cancer
Immunotherapy
Interventions
First Posted Date
2019-10-01
Last Posted Date
2020-12-30
Lead Sponsor
Shanghai Changzheng Hospital
Target Recruit Count
120
Registration Number
NCT04110093
Locations
🇨🇳

Department of Medical Oncology, Shanghai Changzheng Hospital, Shanghai, China

Efficacy and Safety of Regorafenib as Maintenance Therapy After First-line Treatment in Patients With Bone Sarcomas

Not Applicable
Recruiting
Conditions
Leiomyosarcoma
Bone Sarcoma
Osteosarcoma
Chondrosarcoma
Undifferentiated Pleomorphic Sarcoma
Ewing Sarcoma
Angiosarcoma
Interventions
Drug: Treatment by Placebo
First Posted Date
2019-08-13
Last Posted Date
2023-08-08
Lead Sponsor
Centre Leon Berard
Target Recruit Count
168
Registration Number
NCT04055220
Locations
🇫🇷

Hôpital Jean Minjoz, Besançon, France

🇫🇷

Institut Bergonié, Bordeaux, France

🇫🇷

Centre Oscar Lambret, Lille, France

and more 13 locations

Regorafenib in Bevacizumab Refractory Recurrent Glioblastoma

Phase 2
Active, not recruiting
Conditions
Recurrent Glioblastoma
Interventions
First Posted Date
2019-08-09
Last Posted Date
2024-12-05
Lead Sponsor
Case Comprehensive Cancer Center
Target Recruit Count
14
Registration Number
NCT04051606
Locations
🇺🇸

Cleveland Clinic Taussig Cancer institute, Case Comprehensive Cancer Center, Cleveland, Ohio, United States

Regorafenib and PD-1 Antibody in Combination With Radiotherapy for pMMR/MSS Metastatic Colorectal Cancer

Phase 2
Recruiting
Conditions
MSS
Colorectal Cancer Metastatic
Interventions
First Posted Date
2019-07-23
Last Posted Date
2023-03-23
Lead Sponsor
Sun Yat-sen University
Target Recruit Count
28
Registration Number
NCT04030260
Locations
🇨🇳

The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China

Regorafenib and XELOX as 2nd Line Treatment in Metastatic Colorectal Cancer

Phase 1
Conditions
Metastatic Colorectal Cancer
Interventions
First Posted Date
2019-07-05
Last Posted Date
2019-07-05
Lead Sponsor
China Medical University, China
Target Recruit Count
54
Registration Number
NCT04008511
Locations
🇨🇳

The First Hospital of China Medical University, Shenyang, Liaoning, China

An Investigational Immunotherapy Study of BMS-986288 Alone and in Combination With Nivolumab in Advanced Solid Cancers

Phase 1
Completed
Conditions
Advanced Cancer
Interventions
First Posted Date
2019-06-21
Last Posted Date
2024-10-07
Lead Sponsor
Bristol-Myers Squibb
Target Recruit Count
219
Registration Number
NCT03994601
Locations
🇺🇸

Local Institution - 0075, Costa Mesa, California, United States

🇺🇸

Local Institution - 0050, Orange, California, United States

🇪🇸

Local Institution - 0024, Majadahonda, Spain

and more 37 locations

Panitumumab, Regorafenib, or TAS-102, in Treating Patients With Metastatic and/or Unresectable RAS Wild-Type Colorectal Cancer

Phase 2
Active, not recruiting
Conditions
Metastatic Colorectal Carcinoma
Stage III Rectal Cancer AJCC v8
Stage IIIB Colon Cancer AJCC v8
Stage IIIB Colorectal Cancer AJCC v8
Stage IIIB Rectal Cancer AJCC v8
Stage IIIC Colon Cancer AJCC v8
Stage IIIC Colorectal Cancer AJCC v8
Stage IVA Colon Cancer AJCC v8
Stage III Colorectal Cancer AJCC v8
Stage IV Rectal Cancer AJCC v8
Interventions
Biological: Panitumumab
Other: Quality-of-Life Assessment
Other: Questionnaire Administration
First Posted Date
2019-06-20
Last Posted Date
2024-05-21
Lead Sponsor
Academic and Community Cancer Research United
Target Recruit Count
12
Registration Number
NCT03992456
Locations
🇺🇸

USC / Norris Comprehensive Cancer Center, Los Angeles, California, United States

🇺🇸

Allegheny General Hospital, Pittsburgh, Pennsylvania, United States

🇺🇸

Massachusetts General Hospital Cancer Center, Boston, Massachusetts, United States

and more 15 locations
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