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NCT04525326

Conversion Therapy of RAS/BRAF Wild-Type Right-sided Colon Cancer Patients With Initially Unresectable Liver Metastases

Status unknown Phase 3 Last updated 25 August 2020
What this trial tests

Phase 3 trial testing Cetuximab in Colorectal Cancer in 584 participants. Status unknown.

Timeline
1 October 2020
Primary endpoint
1 October 2022
1 November 2022

Quick facts

Lead sponsorFudan University
PhasePhase 3
StatusStatus unknown
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment584
Start date1 October 2020
Primary completion1 October 2022
Estimated completion1 November 2022

Drugs / interventions tested

Conditions studied

Sponsor

Fudan University

Who can join

Adults 18 to 80, any sex, with Colorectal Cancer or Liver Metastases. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

The prognosis of patients with metastatic right-sided colon cancer is worse than that of patients with metastatic left-sided cancer. Different guidelines have different recommendations on specific conversion therapy for colorectal liver metastases. The United States NCCN guidelines do not recommend standard chemotherapy combined with anti EGFR monoclonal antibody for patients with right colon cancer. The European ESMO guidelines recommend that patients with Ras / BRAF wild-type right-sided colon cancer should first consider three drugs ± bevacizumab, but considering the objective response rate results, standard chemotherapy + anti EGFR monoclonal antibody is still one of the choices. China CSCO guidelines recommend standard chemotherapy ± bevacizumab, and also recommend standard chemotherapy + cetuximab for patients with right-sided colon cancer. Therefore, the targeted therapy for RAS / BRAF wild-type metastatic right colon cancer is still controversial. Therefore, we are ready to carry out the clinical trial of cetuximab and bevacizumab in conversion therapy for RAS / BRAF wild-type metastatic right colon cancer. The conversion resection rate is the primary point, and the objective response rate, perioperative safety and long-term survival are the secondary points.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Liver Immune Microenvironment and Metastasis from Colorectal Cancer-Pathogenesis and Therapeutic Perspectives.
    Zeng X, Ward SE, Zhou J, Cheng ASL. · · 2021 · cited 51× · PMID 34067719 · DOI 10.3390/cancers13102418

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Trials by the same sponsor.

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