Regorafenib and Pembrolizumab in Treating Participants With Advanced or Metastatic Colorectal Cancer (NCT03657641) | Clinical Trial Compass
Active — Not RecruitingPhase 1/2
Regorafenib and Pembrolizumab in Treating Participants With Advanced or Metastatic Colorectal Cancer
United States73 participantsStarted 2019-06-21
Plain-language summary
This phase I/II studies the side effects and best dose of regorafenib when given together with pembrolizumab in treating participants with colorectal cancer that has spread to other places in the body. Drugs used in chemotherapy, such as regorafenib, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Monoclonal antibodies, such as pembrolizumab, may interfere with the ability of tumor cells to grow and spread. Giving regorafenib and pembrolizumab may work better at treating colorectal cancer.
Who can participate
Age range
18 Years
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria:
* Patients who provided written informed consent to be subjects in this trial
* Patients with histologically or cytologically confirmed advanced or metastatic colorectal cancer who had failed or are intolerant of oxaliplatin, irinotecan, and fluorouracil (5-FU)
* Patients with an Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1
* Patients capable of taking oral medication
* Patients with evaluable or measurable lesions as per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
* Neutrophil count \>= 200/mm\^3
* Platelet count \>= 7.5 x 10\^4/mm\^3 (transfusion \> 2 weeks before testing permitted)
* Aspartate transaminase (AST), alanine transaminase (ALT) =\< 2.5-times the upper limit of normal (=\< 5-times in patients with liver metastasis)
* Total bilirubin =\< 1.5-times the upper limit of normal
* Creatinine =\< 1.5-times the upper limit of normal
* Lipase =\< 1.5 x the upper limit of normal (ULN)
* International normalized ratio (INR) =\< 1.5 x ULN and partial thromboplastin time (PTT) or activated partial thromboplastin time (aPTT) =\< 1.5 x ULN unless receiving treatment with therapeutic anticoagulation. Patients being treated with anticoagulant, e.g. heparin, will be allowed to participate provided no prior evidence of an underlying abnormality in these parameters exists. Close monitoring of at least weekly evaluations will be performed until INR and PTT are stable based on a pre-dose measurement as defined b…
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
What they're measuring
1
Number of Patients With Dose Modification Due to Toxicity
Timeframe: At the end of Course 1 (each course is 21 days)
2
Progression-free Survival (PFS) (Phase II)
Timeframe: At first observation of disease progression or death whichever comes first, up to 3 years and 8 months.
3
Overall Survival (OS)
Timeframe: At last date known to be alive, up to 3 years and 8 months.