Actively Recruiting

Phase 1
Phase 2
Age: 18Years - 75Years
All Genders
NCT07044908

TQB2922 and TAS-102 Tablets for Injection With or Without Bevacizumab in Chemotherapy-failed RAS/BRAF Wild-type Advanced Colorectal Cancer

Led by Chia Tai Tianqing Pharmaceutical Group Nanjing Shunxin Pharmaceutical Co., Ltd. · Updated on 2025-08-12

72

Participants Needed

27

Research Sites

100 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This is a multicenter, open Phase Ib/II clinical study evaluating the safety and efficacy of TQB2922 in combination with TAS-102±bevacizumab in subjects with RAS/BRAF wild-type unresectable locally advanced or metastatic colorectal cancer that has failed treatment with oxaliplatin, fluorouracil-based and irinotecan.

CONDITIONS

Official Title

TQB2922 and TAS-102 Tablets for Injection With or Without Bevacizumab in Chemotherapy-failed RAS/BRAF Wild-type Advanced Colorectal Cancer

Who Can Participate

Age: 18Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Subjects voluntarily enrolled in the study, signed the informed consent and had good compliance
  • Age: 18-75 years old (including boundaries at the time of signing the informed consent)
  • Eastern Cooperative Oncology Group (ECOG) score: 0-1
  • Expected survival of more than 3 months
  • Unresectable locally advanced or metastatic colorectal cancer diagnosed by histological/cytological pathology
  • Disease progression or intolerable after prior treatment with oxaliplatin, fluorouracil-based and irinotecan and treated with cetuximab or bevacizumab
  • Patients with genetic testing showing wild-type for both rat sarcoma (RAS) and B-type rapid response protein kinase (BRAF)
  • Presence of at least 1 measurable lesion according to RECIST 1.1 criteria
  • Laboratory tests meet the criteria
  • Female subjects of childbearing potential must agree to use contraception (e.g., Intrauterine Device (IUD), birth control pills, or condoms) for the duration of the study and for 6 months after the end of the study; must have a negative serum pregnancy/urine pregnancy test within 7 days prior to study entry and must not be breastfeeding; male subjects must agree to use contraception for the duration of the study and for 6 months after the end of the study
Not Eligible

You will not qualify if you...

  • Patients who have had previous confirmation of microsatellite high instability/mismatch repair defects (MSI-H/dMMR) by immunohistochemistry (IHC), next-generation sequencing (NGS) or polymerase chain reaction (PCR)
  • Presence of a disease that interferes with intravenous administration, intravenous blood collection, or multiple factors that interfere with oral administration of medications (e.g., inability to swallow, chronic diarrhoea and intestinal obstruction)
  • Active inflammatory bowel disease (ulcerative colitis, Crohn's disease) within 28 days prior to first dose
  • The presence or current concurrent presence of other malignancies within 2 years prior to the first dose
  • Unresolved toxic reactions above Common Terminology Criteria for Adverse Events (CTCAE) Grade 1 due to any prior therapy, excluding alopecia, fatigue and peripheral neuropathy
  • Major surgical treatment, incisional biopsy or significant traumatic injury within 28 days prior to first dose
  • The presence of a long-standing unhealed wound or fracture
  • Cerebrovascular accident (including temporary ischaemic attack, cerebral haemorrhage, cerebral infarction), deep vein thrombosis and pulmonary embolism within 6 months prior to the first dose
  • Have a history of psychotropic substance abuse and are unable to quit or have a mental disorder
  • Subjects with any severe and/or uncontrolled medical condition, including:
  • Unsatisfactory control of blood pressure (systolic blood pressure 63 160 mmHg or diastolic blood pressure 63 100 mmHg, at least 2 measurements taken at intervals of more than 24h)
  • Myocardial infarction, unstable angina pectoris, stable angina pectoris 63 Grade 2, heart failure 63 Grade 2 (New York Heart Association (NYHA) classification), arrhythmia 63 Grade 2
  • Active or uncontrolled severe bacterial, viral, or systemic fungal infection (63 CTC AE grade 2 infection) within 28 days prior to first dose; patients with active tuberculosis within 1 year prior to enrolment
  • Active viral hepatitis with poor control. Subjects will be screened if they meet the following requirements: Hepatitis B surface antigen (HBsAg) positive subjects with Hepatitis B virus (HBV) DNA quantification <2000 IU/ml (or 1*10 4 copy/ml) or at least 1 week of anti-HBV treatment with a 10-fold (1 log) or greater reduction in viral index prior to study entry. Subject is willing to remain on anti-HBV therapy for the entire duration of the study; HCV-infected patients (HCV Ab or HCV RNA positive) who are judged to be stable by the investigator or who are on antiviral therapy at the time of enrolment and who continue to receive approved antiviral therapy during the study
  • Subjects with a history of (non-infectious) interstitial lung disease requiring systemic steroid therapy, or current interstitial lung disease/interstitial pneumonia; or subjects with Screening Imaging suggestive of suspected interstitial lung disease/interstitial pneumonia that cannot be ruled out
  • History of immunodeficiency, including being human immunodeficiency virus (HIV) positive or having other acquired, congenital immunodeficiency diseases
  • Poorly controlled diabetes mellitus (fasting blood glucose (FBG) > 10 mmol/L); and
  • Active syphilis infection
  • Known tumour-associated spinal cord compression, cancerous meningitis, with symptoms of brain metastases, or symptoms controlled for less than 4 weeks
  • Imaging suggestive of tumour invasion of large blood vessels or, in the judgement of the investigator, there is a high probability of tumour rupture or invasion of vital blood vessels during the study period leading to fatal haemorrhage
  • Failure to control a plasma (thoracic, abdominal, or pericardial) effusion that requires repeated drainage
  • Local radiotherapy within 2 weeks or >30% bone marrow irradiation radiotherapy for bone metastases within 4 weeks prior to first dose
  • Chemotherapy, targeted therapy, immunotherapy, or other antineoplastic agents within 4 weeks prior to the first dose, or who are still on drug 5.

treatment, or subjects who are still within 5 half-lives of the drug (whichever occurs first)

  • Prior use of epidermal growth factor receptor/c-mesenchymal epidermal transforming factor (EGFR/c-Met) dual-antibody drugs
  • Received treatment with a proprietary Chinese medicine with an anti-tumour indication as specified in the National Drug
  • Administration (NMPA) approved drug insert within 1 week prior to study treatment
  • History of live attenuated vaccination within 2 weeks prior to the first dose or planned live attenuated vaccination during the study period

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 27 locations

1

The First Affiliated Hospital of Anhui Medical University

Hefei, Anhui, China, 230022

Not Yet Recruiting

2

National Cancer Center/Chinese Academy of Medical Sciences Cancer Hospital

Beijing, Beijing Municipality, China, 100021

Not Yet Recruiting

3

The First Affiliated Hospital of Chongqing Medical University

Chongqing, Chongqing Municipality, China, 400016

Not Yet Recruiting

4

Zhongshan Hospital Affiliated to Xiamen University

Xiamen, Fujian, China, 361004

Not Yet Recruiting

5

The Third Affiliated Hospital of Sun Yat-sen University

Guangzhou, Guangdong, China, 510630

Not Yet Recruiting

6

Meizhou People's Hospital

Meizhou, Guangdong, China, 514031

Not Yet Recruiting

7

Shantou University Medical College Affiliated Cancer Hospital

Shantou, Guangdong, China, 515031

Not Yet Recruiting

8

Guangxi Zhuang Autonomous Region Cancer Hospital

Nanning, Guangxi, China, 530021

Not Yet Recruiting

9

Harbin Medical University Cancer Hospital

Harbin, Heilongjiang, China, 150081

Not Yet Recruiting

10

Xinyang Central Hospital

Xinyang, Henan, China, 464000

Not Yet Recruiting

11

Zhoukou Central Hospital

Zhoukou, Henan, China, 466000

Not Yet Recruiting

12

Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology

Wuhan, Hubei, China, 430030

Not Yet Recruiting

13

Hunan Cancer Hospital

Changsha, Hunan, China, 410013

Not Yet Recruiting

14

Jiangsu Cancer Hospital

Nanjing, Jiangsu, China, 210000

Not Yet Recruiting

15

Jiangsu Provincial People's Hospital

Nanjing, Jiangsu, China, 210029

Not Yet Recruiting

16

Suzhou Municipal Hospital

Suzhou, Jiangsu, China, 215002

Not Yet Recruiting

17

Jiangnan University Affiliated Hospital

Wuxi, Jiangsu, China, 214000

Not Yet Recruiting

18

Jiangxi Cancer Hospital

Nanchang, Jiangxi, China, 330029

Not Yet Recruiting

19

Jilin Cancer Hospital

Changchun, Jilin, China, 130012

Not Yet Recruiting

20

The First Affiliated Hospital of China Medical University

Shenyang, Liaoning, China, 110001

Not Yet Recruiting

21

The First Affiliated Hospital of Xi'an Jiaotong University

Xi'an, Shaanxi, China, 710061

Not Yet Recruiting

22

Shandong Public Health Clinical Center

Jinan, Shandong, China, 250013

Not Yet Recruiting

23

Qingdao Municipal Hospital

Qingdao, Shandong, China, 266011

Actively Recruiting

24

Fudan University Shanghai Cancer Center

Shanghai, Shanghai Municipality, China, 200032

Not Yet Recruiting

25

Renji Hospital, Shanghai Jiao Tong University School of Medicine

Shanghai, Shanghai Municipality, China, 200127

Not Yet Recruiting

26

The First Hospital of Shanxi Medical University

Taiyuan, Shanxi, China, 030001

Not Yet Recruiting

27

Yibin First People's Hospital

Yibin, Sichuan, China, 644000

Not Yet Recruiting

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Research Team

S

Suxia Luo, Master

CONTACT

S

Shegan Gao, Doctor

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

FACTORIAL

Primary Purpose

TREATMENT

Number of Arms

4

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