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Adjuvant therapy in stage IV colorectal cancer patients NED

A randomized, phase IIb study of adjuvant durvalumab (MEDI4736) plus regorafenib vs untreated control in stage IV colorectal cancer patients with no evidence of disease (NED): VIVA trial - VIVA trial

Status
Active, not recruiting
Phases
Phase 2
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2020-001588-10-IT
Enrollment
170
Registered
2021-08-02
Start date
2021-09-27
Completion date
Unknown
Last updated
2024-12-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

stage IV colorectal cancer patients with no evidence of disease (NED) MedDRA version: 21.0 Level: LLT Classification code 10001172 Term: Adenocarcinoma of colon stage IV System Organ Class: 100000004864

Interventions

Product Name: DURVALUMAB Product Code: [EMEA/H/C/4771] Pharmaceutical Form: Concentrate for solution for injection/infusion CAS Number: 1428935-60-7 Current Sponsor code: MEDI4736 Concentration unit:

Sponsors

IRCCS-A.O.U. SAN MARTINO-IST
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Signed ICF, after oral as well as written information; 2. = 18 years; 3. Body weight >30 kg 4. Histologically confirmed diagnosis of colorectal adenocarcinoma; 5. Patients must be in NED after completion of any treatments for stage IV CRC, including resections, RFA; RT with or without neoadjuvant/adjuvant therapies or CR after chemotherapy; 6. Patients must be randomized within 10 weeks since the achievement of the NED state. Those who have also received adjuvant therapy following the locoregional treatment are still eligible, provided they are randomized within 4 weeks since the last chemotherapy cycle; 7. NED state ascertained by means of CT scan and/or PET scan and/or MRI scan; 8. ECOG Performance Status =65 years) yes F.1.3.1 Number of subjects for this age range 85

Exclusion criteria

Exclusion criteria: 1. History of another primary malignancy within the last 5 years 2. Patients with microsatellite instability (MSI) or DNA Mismatch Repair Deficiency (dMMR) are not allowed. 3. Any form of systemic disease that, in the opinion of the Investigator, would make the subject unsuitable for the study 4. Adeguate Serum Creatinine 5. Female patients who are pregnant or breastfeeding or male or female patients of reproductive potential who are not willing to employ effective birth control 6. Any condition that, in the opinion of the investigator, would interfere with evaluation of the study drug or interpretation of patient safety or study results 7. Participation in another clinical study

Design outcomes

Primary

MeasureTime frame
Main Objective: Disease Free Survival (DFS);Secondary Objective: ¿18-months Disease-Free Survival (DFS) ¿Adverse events and Toxicity ¿Overall Survival (OS) ¿Compliance to the experimental treatment;Primary end point(s): Disease Free Survival (DFS);Timepoint(s) of evaluation of this end point: the following condition will be considered DFS event: Two consecutive increases in CEA levels above upper limit level (time gap decided by the clinical investigator).

Countries

Italy

Contacts

Public ContactGestione del Regolatorio: inserimen

Fondazione GISCAD

centrotrialgiscad@yahoo.com0284968441

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026