Colorectal Cancer, Immunotherapy
Conditions
Keywords
Colorectal Cancer, Immunotherapy, Regorafenib, Nivoluamb, microsatellite stable
Brief summary
This study is intended to evaluate efficacy and safety of the combination of regorafenib and nivolumab as third-line or later therapy in patients with microsatellite stable (MSS) colorectal cancer (CRC).
Interventions
All Colorectal cancer patients received regorafenib (80mg qd d1-d21,q4w) and PD-1 inhibitor. The patients could receive one type of PD-1 inhibitors according to oneself circumstance consideration including nivolumab (3mg/kg, ivgtt, q2w), Carelizumab (200mg, ivgtt, q3w), Sintilimab (200mg, ivgtt, q3w), Toripalimab(240mg ivgtt, q3w).
Sponsors
Study design
Eligibility
Inclusion criteria
* Advanced Colorectal Cancer diagnosed histologically; * Patients with microsatellite stable (MSS) * Patients have no any standard choice after multiple line of therapy( ≥ 2 lines); * Expected survival ≥ 3 month; * ECOG / PS score: 0-2, and the main organ function to meet the following criteria: HB ≥ 90g / L, ANC ≥ 1.5 × 109 / L, PLT ≥ 80 × 109 / L,BIL \<1.5 times the upper limit of normal (ULN); Liver ALT and AST \<2.5 × ULN and if liver metastases, ALT and AST \<5 × ULN; Serum Cr ≤ 1 × ULN, endogenous creatinine clearance ≥50ml/min
Exclusion criteria
* Patient still has standard treatment therapy based on NCCN guidance; * Patient can not comply with research program requirements or follow-up;
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Objective Response Rate | Evaluation of tumor burden based on RECIST criteria through study completion, an average of 2 months | Proportion of patients with reduction in tumor burden of a predefined amount, including complete remission and partial remission. |
| Progress Free Survival | Evaluation of tumor burden based on RECIST criteria until first documented progress through study completion, an average of 2 months | Time from treatment beginning until disease progression |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall Survival | From date of treatment beginning until the date of death from any cause, through study completion, an average of 1 months | Time from treatment beginning until death from any cause |
| Adverse Effect | Through study completion, an average of 1 months | Incidence of Treatment-related adverse Events |
Countries
China