Status:
COMPLETED
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)
Lead Sponsor:
Bayer
Collaborating Sponsors:
Bristol-Myers Squibb
Conditions:
Colorectal Cancer
Eligibility:
All Genders
18+ years
Phase:
PHASE2
Brief Summary
The purpose of this study is to learn if combination of the two drugs regorafenib and nivolumab is an effective treatment for pMMR - MSS colorectal cancer, a special type of cancer of the colon or rec...
Eligibility Criteria
Inclusion
- Histological or cytological confirmed advanced, metastatic, or progressive pMMR/MSS adenocarcinoma of colon or rectum
- Participant must have progressed or be intolerant to prior systemic chemotherapy including fluoropyrimidines, irinotecan, oxaliplatin, anti-vascular endothelial growth factor (VEGF) therapy, and, if extended rat sarcoma viral oncogene homolog (RAS) wild type, an anti-epidermal growth factor receptor (EGFR) therapy. Exceptions may apply
- Participants must have adequate organ and marrow function defined by protocol-specified laboratory tests
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1
- Measurable disease as determined by response evaluation criteria in solid tumors (RECIST) v1.1
- Provision of recently obtained tumor tissue as per protocol specified requirement
- Anticipated life expectancy greater than 3 months
- Be able to swallow and absorb oral tablets
Exclusion
- Participants with Mismatch repair deficient (dMMR) / microsatellite instable-high (MSI-H) colorectal cancer
- Prior therapy with regorafenib, anti-programmed cell death protein 1 (PD-1), programmed cell death protein 1 ligand 1 (PD-L1), or cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) inhibitors, or any form of immunotherapy to treat cancer
- Presence of active central nervous system (CNS) metastases; participants with stable CNS disease or previously treated lesions are eligible for study entry
- Poorly controlled hypertension, defined as a blood pressure consistently above 150/90 mmHg despite optimal medical management
- Arterial thrombotic or embolic events such as cerebrovascular accident (including transient ischemic attacks) within 6 months before the start of study medication. Active pulmonary emboli or deep vein thrombosis that are significant or not adequately controlled on anticoagulation regimen
- Any hemorrhage or bleeding event ≥ National Cancer Institute - Common terminology criteria for adverse events (NCI-CTCAE) Grade 3 within 28 days prior to the start of study medication
- Participants with an active, known or suspected autoimmune disease
- History of interstitial lung disease or pneumonitis
- Known history of human immunodeficiency virus (HIV) infection or current chronic or active hepatitis B or C infection
- Other protocol defined inclusion/exclusion criteria could apply
Key Trial Info
Start Date :
October 14 2019
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
March 28 2022
Estimated Enrollment :
70 Patients enrolled
Trial Details
Trial ID
NCT04126733
Start Date
October 14 2019
End Date
March 28 2022
Last Update
July 18 2023
Active Locations (15)
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1
City of Hope National Medical Center
Duarte, California, United States, 91010
2
Rocky Mountain Cancer Centers
Denver, Colorado, United States, 80218
3
Miami Cancer Institute at Baptist Health South Florida
Miami, Florida, United States, 33176
4
Illinois Cancer Specialists
Arlington Heights, Illinois, United States, 60005