New drug combo aims to improve colorectal cancer treatment
NCT ID NCT07150403
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This phase 2 trial tests whether a new drug called fruquintinib, combined with standard chemotherapy, can control advanced colorectal cancer better than the current standard treatment (bevacizumab plus chemotherapy). About 74 adults whose cancer has worsened after first-line therapy will be randomly assigned to one of the two combinations. The main goal is to see how many patients have their disease controlled at 4 months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- fruquintinib
- What this could lead to
- If successful, this could provide a new second-line treatment option for people with metastatic colorectal cancer.
- What could go wrong
- This is an early phase 2 trial with only 74 participants, so results may not apply to everyone. The drug may not work better than the current standard or could have unexpected side effects.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 74 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Dec 2025
An estimate. Start dates often move.
- Expected to finish
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Oct 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * \- Age ≥ 18 years and ≤ 80 years; provided the score of the G8 geriatric questionnaire is \>14 for patients 75 years or older * Patients with a histologically confirmed diagnosis of metastatic colorectal cancer (mCRC), with a documented disease progression (as per RECIST v1.1, assessed by the investigator and confirmed through CT or MRI). * Patients must have previously received first-line therapy with Bevacizumab or an EGFRi, in combination with either FOLFOX or FOLFIRI, for non-resectable mCRC. Patients who progressed during the adjuvant chemotherapy (FOLFOX) or within the 6 months following its completion are eligible for inclusion * Patients must have an unresectable tumor at the time of enrollment. * Patients must have at least one measurable/evaluable metastatic lesion according to RECIST v1.1 criteria; images have to be available for collection * Metastases not amenable to surgery and/or thermo-ablation and/or stereotaxic radiotherapy * WHO performance status 0 or 1 * Available parameters to compute the SPOD score: WHO PS, hemoglobin, platelet count, WBC/absolute neutrophil count ratio, lactate dehydrogenase (LDH), alkaline phosphatase, and the number of metastatic sites. * Adequate liver functions: Total Bilirubinemia \< 2,5 ULN, AST and ALT ≤ 5 ULN * Adequate hematological (Hemoglobin ≥10g/dL, platelets ≥100G/L, neutrophils ≥1.5G/L) and renal (creatinine clearance ≥ 50 mL/min according to CKD-EPI) functions * Proteinuria \< 2+ (dipstick urinalysis) (if 2+ or more, proteinuria must be ≤1g/24hour) * Life expectancy ≥ 3 months * Women of childbearing potential must agree to use a highly effective method of contraception during the trial and for at least 15 months after discontinuation of the experimental treatments. Men who have sexual relations with women of childbearing potential must agree to use contraception during treatment and for at least 12 months after discontinuation of the experimental treatments * Ability of the patient to understand, sign and date the information note and informed consent form before any study specific procedures * Patient affiliated to a social security scheme * Available tumor sample and pathology report for collection Exclusion Criteria: * \- Patients who have received more than one prior systemic therapy * FOLFIRINOX Regimen +/- targeted therapy in the first line setting * Unknown RAS status * BRAF V600E mutated tumor * MSI/dMMR tumor * Known brain metastasis * Known peritoneal carcinomatosis if there are signs of clinical occlusion or sub-occlusion * History of gastric ulceration, or myocardial infarction, or severe coronaropathy or severe cardiac dysfunction, within the past 6 months prior to treatment start * Patients with dihydropyrimidine dehydrogenase deficiency (uracilemia ≥ 16 ng/mL) * Hypersensitivity to one of the study drugs or one of its excipients * Inability to swallow capsules * Live attenuated vaccines 30 days prior to treatment start * Untreated bone fracture * Significant haemorrhagic diathesis or coagulopathy (in the absence of anti-coagulant treatment) * Major surgery, open biopsy or major traumatic lesion in the prior 30 days or the need for major surgery during the trial * Pregnant or breastfeeding woman or patients with no adequate contraception * Known Uridine Diphosphate Glucuronyltransferase (UGT1A1) deficiency or known Gilbert disease * Strong inducers of CYP3A4 (treatment with St John's Wort (Hypericum perforatum), fampicin, phenobarbital, primidone, phenytoin and carbamazepine) \-- Strong inhibitors of CYP3A4, continuous use of azole antifungals (posaconazole, voriconazole, itraconazole, isavuconazole), ritonavir, verapamil, diltiazem, grapefruit juice (equivalent to half a fresh grapefruit/day) * Concomitant or recent treatment with sorivudine or its analogs (including brivudine) within 4 weeks prior to the administration of protocol treatment (related to Fluorouracil) * Concomitant treatment with phenytoin or its analogs * QT/QTc interval \> 450 ms for men and \> 470 ms for women * Uncontrolled hypertension (defined as systolic blood pressure \>140 mmHg and/or diastolic blood pressure \>90 mmHg) or history of hypertensive crisis (TA systolic\> 20 mmHg) or hypertensive encephalopathy * History of veinous thromboembolic events, including deep vein thrombosis and pulmonary embolism, within the past month prior to study enrollment * History of stroke and/or transient ischemic attack (TIA) within the past 12 months * Residual Oxaliplatin neuropathy (grade ≥ 2) counter indicates FOLFOX administration * Persistence of clinically significant symptoms after a thromboembolic event despite anticoagulant treatment * Arterial thromboembolism (myocardial infarction, stroke, transient ischemic attack) occurring under antiangiogenic therapy * Other active cancers or history of cancer treated within the last 5 years except for carcinoma in situ of the cervix or basal cell or squamous cell skin carcinoma or any other carcinoma in situ, considered cured * Persons deprived of liberty or under guardianship or unable of giving consent * Inability to undergo the medical follow-up of the trial for geographical, social or psychological reasons
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
45 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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BERGONIÉ
Bordeaux, France
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BRABOIS
Vandœuvre-lès-Nancy, France
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Bayeux Ch
Bayeux, France
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Beauvais Ch
Beauvais, France
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CHD Vendée
La Roche-sur-Yon, France
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Centre Leonard de Vinci
Dechy, France
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Centre Pierre Curie
Beuvry, France
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Centre de Cancérologie du Grand Montpellier
Montpellier, France
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Ch Nord Ouest
Villefranche-sur-Saône, France
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Chauny Ch
Chauny, France
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Cholet Ch
Cholet, France
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Clinique Mutualiste de L'Estuaire
Saint-Nazaire, France
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Clinique de Flandre
Coudekerque-Branche, France
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Confluent Sas
Nantes, France
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Cote Basque
Bayonne, France
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Dijon Bourgogne
Dijon, France
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Docteur Schaffner
Lens, France
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Franco Britannique
Levallois-Perret, France
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GHPSO Site de Creil
Creil, France
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Ght Unyon Auxerre
Auxerre, France
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Groupe Hospitalier Diaconesses Croix Saint Simon
Paris, France
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Gustave Roussy
Villejuif, France
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Hopital Nord Chu Saint Etienne
Saint-Priest-en-Jarez, France
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Hôpital Européen G Pompidou
Paris, France
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ICAN Institut de Cancérologie de Strasbourg Europe
Strasbourg, France
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ICO Site Paul Papin
Angers, France
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ICO Site René Gauducheau
Saint-Herblain, France
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Institut de cancérologie de Bourgogne GRReCC
Dijon, France
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Jean Godinot
Reims, France
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Jean Mermoz
Lyon, France
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Jean Minjoz
Besançon, France
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LAYNÉ CH
Mont-de-Marsan, France
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LEMAN
Thonon-les-Bains, France
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La Miletrie
Poitiers, France
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La Pitié Salpêtrière
Paris, France
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La Timone
Marseille, France
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Les Bonnettes
Arras, France
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Robert Debré
Reims, France
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Saint Côme
Compiègne, France
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Saint Gregoire Chp
Saint-Grégoire, France
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Saint Louis
Paris, France
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Saint Malo Ch
St-Malo, France
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Sainte Anne
Strasbourg, France
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TIVOLI
Bordeaux, France
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Valence Ch
Valence, France
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