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NCT05035381

PD-1 Inhibitor Combined With Bevacizumab and FOLFIRI Regimen in the Second-line Treatment of Advanced Colorectal Cancer

Status unknown Phase 2 Last updated 5 September 2021
What this trial tests

Phase 2 trial testing Pembrolizumab (PD-1 Inhibitor) Combined With Bevacizumab and FOLFIRI Regimen in MSI-H Advanced Colorectal Cancer in 10 participants. Status unknown.

Timeline
1 January 2019
Primary endpoint
30 December 2022
30 December 2022

Quick facts

Lead sponsorTianjin Medical University Cancer Institute and Hospital
PhasePhase 2
StatusStatus unknown
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment10
Start date1 January 2019
Primary completion30 December 2022
Estimated completion30 December 2022
Sites1 location across China

Drugs / interventions tested

Conditions studied

Sponsor

Tianjin Medical University Cancer Institute and Hospital

Who can join

Adults 18 to 75, any sex, with MSI-H Advanced Colorectal Cancer. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

MSI-H is a biomarker for solid tumors benefiting from immunotherapy. Recent clinical studies have confirmed that PD-1 inhibitors have a good effect on MSI-H advanced colorectal cancer for first- or second-line treatment. The overall effective rate is 30% to 40%. However, about 30% of patients are resistant to PD-1 inhibitors. Whether PD-1 inhibitors and existing chemotherapeutics and anti-vascular drugs have synergistic effects is worth studying. This study is a phase II prospective clinical study of PD-1 inhibitor combined with bevacizumab and FOLFIRI regimen in the second-line treatment of unresectable recurrent or metastatic MSI-H colorectal cancer.

Publications & conference data

6 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Challenges and Therapeutic Opportunities in the dMMR/MSI-H Colorectal Cancer Landscape.
    Mulet-Margalef N, Linares J, Badia-Ramentol J, Jimeno M, et al · · 2023 · cited 55× · PMID 36831367 · DOI 10.3390/cancers15041022
  2. Unraveling Resistance to Immunotherapy in MSI-High Colorectal Cancer.
    Heregger R, Huemer F, Steiner M, Gonzalez-Martinez A, et al · · 2023 · cited 32× · PMID 37894457 · DOI 10.3390/cancers15205090
  3. Exploring Predictive and Prognostic Biomarkers in Colorectal Cancer: A Comprehensive Review.
    Ashouri K, Wong A, Mittal P, Torres-Gonzalez L, et al · · 2024 · cited 14× · PMID 39199569 · DOI 10.3390/cancers16162796
  4. Intrinsic resistance and efficacy of immunotherapy in microsatellite instability-high colorectal cancer: A systematic review and meta-analysis.
    Wang R, Lian J, Wang X, Pang X, et al · · 2023 · cited 14× · PMID 36408953 · DOI 10.17305/bjbms.2022.8286
  5. The Interplay between Anti-Angiogenics and Immunotherapy in Colorectal Cancer.
    Maiorano BA, Parisi A, Maiello E, Ciardiello D. · · 2022 · cited 7× · PMID 36294987 · DOI 10.3390/life12101552
  6. Mechanisms of Anti-PD Therapy Resistance in Digestive System Neoplasms.
    Wu Y, Jiang X, Yu Z, Xing Z, et al · · 2025 · PMID 38305306 · DOI 10.2174/0115748928269276231120103256

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