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
Associated Therapies
-

RegoNivo vs Standard of Care Chemotherapy in AGOC

Phase 3
Active, not recruiting
Conditions
Gastro-Oesophageal Cancer
Interventions
Drug: Regorafenib
Drug: Docetaxel
Biological: Nivolumab
Drug: Paclitaxel
Drug: Irinotecan
Drug: Trifluridine/Tipracil
First Posted Date
2021-05-10
Last Posted Date
2024-05-16
Lead Sponsor
Australasian Gastro-Intestinal Trials Group
Target Recruit Count
450
Registration Number
NCT04879368
Locations
🇦🇺

Austin Health, Melbourne, Victoria, Australia

🇦🇹

Medizinische Universitaet Wien, Vienna, Austria

🇦🇹

Landesklinikum Wiener Neustadt, Wiener Neustadt, Austria

and more 91 locations

Evaluation of Treatment PERSOnalization Based on Its Therapeutic Monitoring in Patients with Metastatic Colorectal Cancer Treated with REgorafenib

Phase 4
Active, not recruiting
Conditions
Colorectal Cancer Metastatic
Interventions
First Posted Date
2021-05-05
Last Posted Date
2024-11-15
Lead Sponsor
Rennes University Hospital
Target Recruit Count
110
Registration Number
NCT04874207
Locations
🇫🇷

Institut Daniel Hollard, Groupe Hospitalier Mutualiste de Grenoble, Grenoble, France

🇫🇷

CHU Caen, Caen, France

🇫🇷

AP-HP Henri Mondor, Créteil, France

and more 6 locations

PAnitumumab REchallenge Followed by REgorafenib Versus the Reverse Sequence

Phase 2
Recruiting
Conditions
Colorectal Cancer
Interventions
First Posted Date
2021-03-08
Last Posted Date
2023-11-27
Lead Sponsor
Gruppo Oncologico del Nord-Ovest
Target Recruit Count
214
Registration Number
NCT04787341
Locations
🇮🇹

U.O. Oncologia 2 Universitaria, Pisa, PI, Italy

The Purpose of This Trial is to Determine if Regorafenib Plus Durvalumab (MEDI4736) is Safe and Effective in Treatment of Chemo Refractory Advanced Biliary Tract Cancers

Phase 1
Recruiting
Conditions
Advanced Biliary Tract Cancer
Interventions
First Posted Date
2021-03-04
Last Posted Date
2024-02-23
Lead Sponsor
University of Kansas Medical Center
Target Recruit Count
40
Registration Number
NCT04781192
Locations
🇺🇸

University of Kansas Cancer Center - Overland Park, Overland Park, Kansas, United States

🇺🇸

University of Kansas Cancer Center - North, Kansas City, Missouri, United States

🇺🇸

University of Kansas Cancer Center - Lee's Summit, Lee's Summit, Missouri, United States

and more 1 locations

Study of Lenvatinib (MK-7902/E7080) in Combination With Pembrolizumab (MK-3475) Versus Standard of Care in Participants With Metastatic Colorectal Cancer (MK-7902-017/E7080-G000-325/LEAP-017)

First Posted Date
2021-03-01
Last Posted Date
2024-10-29
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
480
Registration Number
NCT04776148
Locations
🇨🇦

NSHA-QEII Health Sciences Centre-Dickson Bldg-Dept. of Medical Oncology ( Site 0200), Halifax, Nova Scotia, Canada

🇯🇵

Shizuoka Cancer Center ( Site 1706), Nagaizumi, Shizuoka, Japan

🇩🇰

Herlev and Gentofte Hospital-Department of Oncology ( Site 0704), Copenhagen, Hovedstaden, Denmark

and more 92 locations

Regorafenib Plus Programmed Cell Death-1 (PD-1) Inhibitors in Patients With Advanced Colorectal Cancer

Conditions
Advanced Colorectal Carcinoma
First Posted Date
2021-02-25
Last Posted Date
2021-02-25
Lead Sponsor
Peking Union Medical College Hospital
Target Recruit Count
100
Registration Number
NCT04771715
Locations
🇨🇳

Department of Medical Oncology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China

A Study of Nivolumab Combined With FOLFOX and Regorafenib in People Who Have HER2-Negative Esophagogastric Cancer

Phase 2
Active, not recruiting
Conditions
Esophagogastric Cancer
HER2-Negative
Interventions
Drug: regorafenib
Drug: nivolumab
Drug: FOLFOX chemotherapy with oxaliplatin
First Posted Date
2021-02-17
Last Posted Date
2024-03-19
Lead Sponsor
Memorial Sloan Kettering Cancer Center
Target Recruit Count
39
Registration Number
NCT04757363
Locations
🇺🇸

Memorial Sloan Kettering Nassau (All Protocol Activities), Uniondale, New York, United States

🇺🇸

Memorial Sloan Kettering Basking Ridge (All Protocol Activities), Basking Ridge, New Jersey, United States

🇺🇸

Memorial Sloan Kettering Monmouth (All Protocol Activities), Middletown, New Jersey, United States

and more 4 locations

Regorafenib Plus Sintilimab vs. Regorafenib as the Second-line Treatment for HCC

Phase 2
Active, not recruiting
Conditions
Hepatocellular Carcinoma Non-resectable
Interventions
First Posted Date
2021-01-22
Last Posted Date
2022-11-10
Lead Sponsor
Second Affiliated Hospital of Guangzhou Medical University
Target Recruit Count
166
Registration Number
NCT04718909
Locations
🇨🇳

the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China

An Open Label Study Evaluating the Efficacy and Safety of Etrumadenant (AB928) Based Treatment Combinations in Participants With Metastatic Colorectal Cancer.

Phase 1
Active, not recruiting
Conditions
Metastatic Colorectal Cancer
Interventions
First Posted Date
2020-12-09
Last Posted Date
2024-12-20
Lead Sponsor
Arcus Biosciences, Inc.
Target Recruit Count
227
Registration Number
NCT04660812
Locations
🇮🇹

Azienda Ospedaliero Universitaria Careggi-S.O.D. Patologia Medica, Firenze, Italy

🇮🇹

Azienda Ospedaliera Niguarda Ca' Granda, Milano, Italy

🇮🇹

Instituto Europeo di Oncologia, Milano, Italy

and more 46 locations

FaR-RMS: An Overarching Study for Children and Adults With Frontline and Relapsed RhabdoMyoSarcoma

First Posted Date
2020-11-12
Last Posted Date
2024-05-23
Lead Sponsor
University of Birmingham
Target Recruit Count
1672
Registration Number
NCT04625907
Locations
🇬🇷

University Unit of Pediatric Oncology-hematology - Children's Hospital Agia Sophia, Athens, Greece

🇮🇱

Rambam Health Care Campus, Haifa, Israel

🇮🇱

Hadassah University Medical Centre, Jerusalem, Israel

and more 125 locations
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