Triple therapy shows promise for Hard-to-Treat colorectal cancer
NCT ID NCT05217446
First seen Jun 27, 2026 · Last updated Jul 31, 2026 · Updated 1 time
Summary
This study tests whether adding two targeted drugs (encorafenib and cetuximab) to standard immunotherapy (pembrolizumab) works better than immunotherapy alone for people with a specific genetic type of advanced colorectal cancer. About 107 participants with untreated, metastatic BRAF V600E-mutant, MSI-H/dMMR colorectal cancer will be randomly assigned to receive either the triple combination or pembrolizumab alone. The main goal is to see if the combination delays cancer growth or improves survival.
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
-
Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
108 people
The number who actually took part.
- Started
-
Jul 2022
- Expected to finish
-
Jan 2027
An estimate. End dates often move.
- Lead sponsor
-
A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
16 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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: * Locally confirmed microsatellite instability-high/ deficient mismatch repair (MSI-H/dMMR) stage IV colorectal carcinoma * Locally confirmed BRAF V600E mutation in tumor tissue or blood * Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 * Have not received prior systemic regimens for metastatic disease. * Measurable disease per RECIST 1.1 * Adequate organ function Exclusion Criteria: * Colorectal adenocarcinoma that is RAS mutant or for which RAS mutation status is unknown * Known active central nervous system metastases and/or carcinomatous meningitis; leptomeningeal disease * Immunodeficiency or active autoimmune disease requiring systemic treatment in the past 2 years * Presence of acute or chronic pancreatitis * Clinically significant cardiovascular diseases (eg, thromboembolic or cerebrovascular accident events ≤ 12 wks prior) * Received a live or live-attenuated vaccine within 30 days of planned start of study medication * Previous treatment with any selective BRAF inhibitor (eg, encorafenib, dabrafenib, vemurafenib, XL281/BMS-908662) or any epidermal growth factor receptor (EGFR) inhibitor (eg, cetuximab, panitumumab). * Previous treatment with an immune checkpoint inhibitor (eg, anti-programmed cell death \[PD-1\], anti-PD-L1 or anti-PD-L2 agent); or with an agent directed to another stimulatory or co-inhibitory T-cell receptor (eg, CTLA-4, OX 40, CD137).
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Metastatic colorectal cancer are added.
Genom att skicka in godkänner du våra Användarvillkor
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.
Contacts and locations
Locations
-
ASST Grande Ospedale Metropolitano Niguarda
Milan, Milano, 20162, Italy
-
Aalborg Universitetshospital, Syd
Aalborg, North Denmark, 9000, Denmark
-
Aberdeen Royal Infirmary
Aberdeen, Aberdeen CITY, AB25 2ZN, United Kingdom
-
Arcispedale Santa Maria Nuova
Reggio Emilia, 42123, Italy
-
Austin Health
Heidelberg, Victoria, 3084, Australia
-
Azienda Ospedaliera Universitaria dell'Università "Luigi Vanvitelli" Piazza Luigi Miraglia, 2 Napoli
Naples, Campania, 80131, Italy
-
Azienda Ospedaliero Universitaria Pisana
Pisa, Tuscany, 56126, Italy
-
Azienda USL Toscana Nord Ovest_Ospedale Civile di Livorno
Livorno, Tuscany, 57124, Italy
-
CHU Estaing
Clermont-Ferrand, 63100, France
-
CHUS - Hospital Clinico Universitario
Santiago de Compostela, A Coruña [LA Coruña], 15706, Spain
-
Centre Hospitalier Universitaire Estaing
Clermont-Ferrand, 63100, France
-
Cliniques universitaires Saint-Luc
Brussels, Bruxelles-capitale, Région de, 1200, Belgium
-
Facharztzentrum Eppendorf
Hamburg, 20249, Germany
-
Fakultni Thomayerova nemocnice
Prague, Praha 4, 14059, Czechia
-
Fakultni nemocnice Bulovka
Prague, Praha 8, 180 81, Czechia
-
Fakultni nemocnice Hradec Kralove
Hradec Králové, Hradec Králové, 500 05, Czechia
-
Fondazione Poliambulanza Istituto Ospedaliero
Brescia, 25124, Italy
-
Heartlands Hospital
Birmingham, B9 5SS, United Kingdom
-
Herlev and Gentofte Hospital
Copenhagen, Capital Region, 2730, Denmark
-
Hospital Clínic de Barcelona
Barcelona, Catalunya [cataluña], 08036, Spain
-
Hospital General Universitario Gregorio Marañon
Madrid, 28007, Spain
-
Hospital General Universitario de Valencia
Valencia, 46014, Spain
-
Hospital Universitari Vall d'Hebron
Barcelona, Barcelona [barcelona], 08035, Spain
-
Hospital Universitario Miguel Servet
Zaragoza, 50009, Spain
-
Hospital Universitario Ramón y Cajal
Madrid, Madrid, Comunidad de, 28034, Spain
-
Hospital Universitario Virgen Del Rocio
Seville, 41013, Spain
-
Hôpital Européen Georges Pompidou
Paris, Paris, 75015, France
-
Hôpital Saint Antoine
Paris, 75571, France
-
IRCCS Casa Sollievo della Sofferenza
San Giovanni Rotondo, Foggia, 71013, Italy
-
Imelda General Hospital
Bonheiden, Antwerpen, 2820, Belgium
-
Institut Català d'Oncologia - L'Hospitalet
L'Hospitalet de Llobregat, Catalunya [cataluña], 08908, Spain
-
Institut Jules Bordet
Anderlecht, Bruxelles-capitale, Région de, 1070, Belgium
-
Institut Regional du Cancer de Montpellier - ICM Val d'Aurelle
Montpellier, 34298, France
-
Istituto Europeo di Oncologia IRCCS
Milan, 20141, Italy
-
Istituto Oncologico Veneto IRCCS
Padova, Veneto, 35128, Italy
-
Istituto di Candiolo IRCCS - Fondazione del Piemonte per l'Oncologia
Candiolo, Torino, 10060, Italy
-
MD Anderson Cancer Center
Houston, Texas, 77030, United States
-
Maastricht UMC+
Maastricht, Limburg, 6229 HX, Netherlands
-
Mayo Clinic
Scottsdale, Arizona, 85259, United States
-
Mayo Clinic Building - Phoenix
Phoenix, Arizona, 85054, United States
-
Mayo Clinic Hospital
Phoenix, Arizona, 85054, United States
-
Mount Sinai Cancer Center
Miami Beach, Florida, 33140, United States
-
Muenchen Klinik Neuperlach, Klinik fuer Haematologie und Onkologie
Munich, Bavaria, 81737, Germany
-
Narodny onkologicky ustav
Bratislava, 833 10, Slovakia
-
Oslo Universitetssykehus Ullevål
Oslo, 0450, Norway
-
Ospedale di Guastalla
Guastalla, Emilia-Romagna, 42016, Italy
-
Peter MacCallum Cancer Centre
Melbourne, Victoria, 3000, Australia
-
Policlinico Universitario Monserrato
Monserrato, Cagliari, 09042, Italy
-
Przychodnia Lekarska KOMED
Konin, Greater Poland Voivodeship, 62-500, Poland
-
Rigshospitalet
Copenhagen, Capital, 2100, Denmark
-
Royal Melbourne Hospital
Parkville, Victoria, 3000, Australia
-
Saskatchewan Health Authority
Saskatoon, Saskatchewan, S7K 0M7, Canada
-
Saskatoon Cancer Center
Saskatoon, Saskatchewan, S7N4H4, Canada
-
Sunnybrook Health Sciences - Odette Cancer Centre
Toronto, Ontario, M4N 3M5, Canada
-
Szpital Specjalistyczny w Brzozowie Podkarpacki Osrodek Onkologiczny im. Ks. B. Markiewicza
Brzozów, 36-200, Poland
-
The Ottawa Hospital - General Campus
Ottawa, Ontario, K1H 8L6, Canada
-
The West Clinic, PLLC dba West Cancer Center
Germantown, Tennessee, 38138, United States
-
Vejle Hospital, Department of Oncology
Vejle, Region Syddanmark, 7100, Denmark
-
Vejle Sygehus
Vejle, Region Syddanmark, 7100, Denmark
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a hyaluronic acid drug combo outperform bevacizumab in Hard-to-Treat colon cancer?
- Can a targeted drug boost chemotherapy in advanced colorectal cancer?
- New antibody aims to preserve immune checkpoint while fighting cancer
- Two-Step PET scan aims to spot hidden colorectal cancer spread
- Can a targeted drug conjugate outsmart advanced colorectal cancer?
- Can an antimalarial drug boost immunotherapy against colorectal cancer?