Combination With Sintilimab and XELOX+Bevacizumab as 1st Line Therapy in RAS-mutant Metastatic Colorectal Cancer

Launched by SECOND AFFILIATED HOSPITAL, SCHOOL OF MEDICINE, ZHEJIANG UNIVERSITY · Dec 16, 2021

Keywords

ClinConnect Summary

This clinical trial is studying a new treatment approach for patients with advanced colorectal cancer that has a specific genetic mutation known as RAS. The researchers want to see how well a combination of a drug called sintilimab, along with chemotherapy (XELOX) and another medication (bevacizumab), works as a first-line treatment in patients who have not received any treatment before. Sintilimab is designed to help the body's immune system fight cancer more effectively.

To participate in this trial, candidates need to be between 18 and 75 years old and have a confirmed diagnosis of metastatic colorectal cancer that cannot be surgically removed. Additionally, they must have the RAS mutation and a good overall health status. Participants can expect to receive the treatment on a regular three-week schedule, and they will be closely monitored throughout the trial to assess how well the treatment is working and to check for any side effects. It’s important to note that there are certain health conditions that could exclude someone from joining the trial, so potential participants should discuss their medical history with their healthcare provider to see if they qualify.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. Male or female, age ≥ 18 years old, ≤ 75 years old
• • 2. Metastatic colorectal adenocarcinoma confirmed by histology, metastases cannot be removed
• • 3. RAS mutation, BRAF V600E wild type, and microsatellite stable
• • 4. ECOG 0 to 1
• • 5. Life expectancy is at least 12 weeks
• • 6. Hematological examination absolute neutrophil count (ANC)\>1.5×109/L, hemoglobin\>8g/dL and platelet\>100×109/L (according to the normal value of clinical trial center)
• • 7. Prothrombin time (PT) \< 1.5 times the upper limit of normal value and normal thromboplastin time (APTT) \< 1.5 times the upper limit of normal value
• • 8. Laboratory examination, serum creatinine is less than or equal to 1.5 times the upper limit of the normal reference range (if serum creatinine is elevated, 24 hours of urine must be collected, except for 24 hours creatinine clearance \> 50ml/min)
• • 9. When there is no liver metastasis, ALT or AST is less than or equal to 2.5 times the upper limit of the normal value reference range, serum total bilirubin is less than or equal to 1.5 times the upper limit of the normal value reference range; for patients with liver metastasis, ALT or AST is less than or equal to 5 times the upper limit of the normal value reference range, serum total bilirubin is less than or equal to 3 times the upper limit of the normal value reference range
• • 10. Women of childbearing age must be willing to use adequate contraception during study drug treatment
• • 11. Informed consent has been signed
• • 12. According to the definition of RECIST 1.1, the investigator determined that the patient had a measurable disease. Tumor lesions located in previous radiotherapy areas are considered measurable if they demonstrate progression.
• Exclusion Criteria:
• • 1. Active autoimmune disease requiring systemic treatment occurred in the previous 2 years.
• • 2. Diagnosed as immunodeficiency or experimental treatment is receiving systemic steroid therapy or any other form of immunosuppressive therapy within 7 days prior to the first dose. After consultation with the sponsor, the use of a physiological dose of corticosteroids may be approved.
• • 3. Adverse events caused by anti-tumor monoclonal antibodies (mAbs) within 4 weeks prior to study day 1 or drugs received 4 weeks prior to the study have not recovered.
• • 4. Adverse events caused by chemotherapy, targeted small molecule therapy, or radiation therapy within 2 weeks prior to study day 1, or previously received drugs, have not recovered (ie, ≤1 or reached baseline levels).
• • Other malignancies that are progressing or require active treatment are known. Except for basal cell carcinoma, cutaneous squamous cell carcinoma, or cervical carcinoma in situ that have undergone radical treatment.
• • 5. Active central nervous system (CNS) metastasis and/or cancerous meningitis are known to exist.
• • 6. There are active infections that require systemic treatment.
• • 7. It is possible to confuse the test results, the medical history or disease evidence, the treatment or laboratory value abnormalities that hinder the subject's full participation in the study, or the investigator believes that participating in the study is not in the best interests of the subject.
• • 8. There are known mental or substance abuse disorders that may have an impact on compliance with test requirements.
• • 9. Female subjects who are pregnant or lactating, or who are expected to be pregnant during the planned trial period (from 120 days after screening visits to 120 days after the last dose of study treatment, or 180 days after the last dose of study treatment), or Male subjects whose spouse is pregnant.
• • 10. A history of infection with human immunodeficiency virus (HIV) (HIV 1/2 antibody) is known.
• • 11. Active hepatitis B or C.
• • 12. Live vaccines were vaccinated within 30 days of the start date of the study treatment plan.
• • 13. RAS wild type