Clinical Trials Directory

Trials / Withdrawn

WithdrawnNCT05900648

Regorafenib and XmAb20717 in Treatment of High-risk Patients With Colorectal Cancer With Radiographic Occult Molecular Residual Disease After End of Established Definitive Therapy (RX-CROME)

Status
Withdrawn
Phase
Phase 2
Study type
Interventional
Enrollment
0 (actual)
Sponsor
M.D. Anderson Cancer Center · Academic / Other
Sex
All
Age
18 Years
Healthy volunteers
Not accepted

Summary

To measure the level of circulating tumor DNA (ctDNA) in the blood of colorectal cancer patients after 6 months of receiving therapy with regorafenib and XmAb20717 (also known as vudalimab). ctDNA is genetic material from tumor cells that can be found and measured in the blood

Detailed description

Primary Objective: 1\. To determine the 6-month circulating tumor (ctDNA) clearance rate following 6 months of therapy with regorafenib and XmAb20717 (RX regimen) in patients with colorectal cancer (CRC) who present with radiographic occult molecular residual disease (MRD) after completing definitive standard-of-care (SOC) therapy. Secondary Objectives: 1. To determine the 3-month ctDNA clearance rate following RX treatment. 2. To determine disease-free survival (DFS) following 6 months of RX treatment. 3. To determine overall survival (OS) following 6 months of RX treatment. 4. To determine the safety and tolerability of RX. Exploratory Objectives: 1. To determine changes in profiles of circulating lymphocytes and ctDNA (including time to ctDNA negative status, duration of ctDNA negative status, overall ctDNA negative rate, lead time from ctDNA detection to radiographic detection) during and following treatment with RX. 2. To determine baseline characteristics in archival tumor and/or plasma that may predict clinical benefit or lack thereof (including but not limited to immune profiles of tumor-infiltrating lymphocytes, expression of immune markers in tumor cells and microenvironment, and tumor molecular profile).

Conditions

Interventions

TypeNameDescription
DRUGRegorafenibGiven by PO
DRUGXmAb20717Given by (IV) vein

Timeline

Start date
2023-05-17
Primary completion
2024-02-09
Completion
2024-02-09
First posted
2023-06-12
Last updated
2024-04-29

Regulatory

Source: ClinicalTrials.gov record NCT05900648. Inclusion in this directory is not an endorsement.