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The impact of heterogeneities of RAS/BRAF in tissue and ctDNA on the efficacy of anti EGFR antibody in advanced colorectal cancer

Observational study to evaluate the impact of heterogeneities of RAS/BRAF in tissue and ctDNA on the efficacy of anti EGFR antibody in advanced colorectal cancer - RAS-trace 2

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
JPRN
Registry ID
JPRN-jRCT1050230049
Enrollment
240
Registered
2023-06-24
Start date
2023-06-24
Completion date
Unknown
Last updated
2026-06-29

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

Conditions

colorectal cancer RAS BRAFwild coloretal cancer

Interventions

None listed

Sponsors

Kozo Kataoka
Lead Sponsor
Sysmex
Collaborator

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1)Histologically proven for colorectal cancer 2)Clinical Stage IV or recurrent colorectal cancer for which more than 12 cycles of chemotherapy including anti-EGFR therapy is planned. 3)measurable lesions according to RECIST ver1.1 4)Presence of liver metastases 5) No previous history of chemotherapy and radiotherapy 6)Aged 20 years old and over 7)ECOG PS0-1 8)Consent for blood exam for ctDNA analy 9)Written informed consen

Exclusion criteria

Exclusion criteria: 1)Active other malignancies 2)Histologically confirmed for MMRD (MSI-H or dMMR) 3)Pregnancy, possible pregnancy or breastfeeding 4)Severe pulmonary fibrosis or emphysema 5)Psychiatric disease 6)Patients requiring systemic steroid medication 7) Grade 2 or greater diarrhea or sensory neuropathy 8)Poorly controlled hypertension 9)History of severe heart disease, heart failure, unstable angina within 6 months or angina attack with 6 months 10) active COVID-19 infection

Design outcomes

Primary

MeasureTime frame
Progression-free survival in ctDNA RAS/BRAF wild and mutant

Secondary

MeasureTime frame
Response rate in ctDNA RAS/BRAF wild and mutant, overall survival, adverse event, frequency of ctDNA mutant, exploratory analysis of registant genes for anti EGFR therapy, frequency of RAS/BRAF ctDNA mutant when patients are refractory for anti-EGFR therapy, integrated analysis with RAS-trace 1, response rate, progression-free survival and overall survival in left-sided colorectal cancer patients with ctDNA RAS/BRAF wild and mutant, and response rate, progression-free survival and overall survival in colorectal cancer liver metastases with ctDNA RAS/BRAF wild and mutant,

Contacts

Public ContactMai Fujimori

Hyogo Medical University Hospital

ma-fuzimori@hyo-med.ac.jp+81-798456372

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026