Status:

NOT_YET_RECRUITING

Fruquintinib and Pirfenidone in Combination With Anti-PD-1 Antibody in Advanced or Metastatic pMMR/MSS Colorectal Carcinoma

Lead Sponsor:

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

Conditions:

To Evaluate the Efficacy of Fruquintinib and Pirfenidone in Combination With Anti-PD-1 Antibody in Colorectal Carcinoma

To Evaluate Whether Pirfenidone Can Reshape the Tumor Microenvironment in Colorectal Cancer

Eligibility:

All Genders

18-75 years

Phase:

PHASE1

PHASE2

Brief Summary

The purpose of this study is to evaluate the efficacy and safety of fruquintinib and pirfenidone in combination with anti-PD-1 antibody in patients with standard treatment failure of advanced or metas...

Detailed Description

In this study, we explored the potential effectiveness of fruquintinib and pirfenidone in combination with anti-PD-1 antibody, in MSS/pMMR unresectable locally advanced or metastatic colorectal cancer...

Eligibility Criteria

Inclusion

  • Histologically confirmed diagnosis of unresectable locally advanced, recurrent or metastatic colorectal adenocarcinoma.
  • Tumor tissues were identified as mismatch repair-proficient (pMMR) by immunohistochemistry (IHC) method or microsatellite stability (MSS) by polymerase chain reaction (PCR).
  • Subjects must have failed at least two lines of prior treatment.
  • Subjects must have one measurable lesion according to RECIST v1.1 at least.
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1. 6. 18-75 years old.
  • 7\. Life expectancy of at least 12 weeks. 8. Adequate bone marrow, liver, renal and coagulation function as assessed by the laboratory required by protocol

Exclusion

  • Previously received anti-programmed death-1 (PD-1) or its ligand (PD-L1) antibody or Pirfenidone.
  • Received last dose of anti-tumor therapy (chemotherapy, targeted therapy, tumor immunotherapy or arterial embolization) within 3 weeks of the first dose of study medication.
  • Received radiotherapy with 4 weeks of the first dose of study medication.
  • Underwent major operation within 4 weeks of the first dose of study medication or open wound, ulcer or fracture.
  • Known symptomatic central nervous system (CNS) metastasis and/or carcinomatous meningitis. Subjects received prior treatment and have stable disease more than 4 weeks from first dose of study medication are permitted to enroll.
  • Active, known or suspected autoimmune disease or has a history of the disease within the last 2 years.
  • Interstitial lung disease requiring corticosteroids.
  • Active or poorly controlled serious infections.
  • Significant malnutrition.
  • Symptomatic congestive heart failure (NYHA Class II-IV) or symptomatic or poorly controlled arrhythmia.
  • Uncontrolled hypertension (systolic blood pressure ≥ 150 mmHg or diastolic blood pressure ≥ 100 mmHg) despite standard treatment.
  • Within 6 months prior to the enrollment, history of gastrointestinal perforation and/or fistula, gastrointestinal ulcer, bowel obstruction, extensive bowel resection, Crohn\'s disease, or ulcerative colitis, intra-abdominal abscesses, or long-term chronic diarrhea.
  • History or evidence of inherited bleeding diathesis or coagulopathy or thrombus
  • Any life-threatening bleeding within 3 months prior to the enrollment.
  • High risk of bleeding.

Key Trial Info

Start Date :

July 22 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 30 2026

Estimated Enrollment :

25 Patients enrolled

Trial Details

Trial ID

NCT06484153

Start Date

July 22 2024

End Date

December 30 2026

Last Update

July 3 2024

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