New drug cocktail targets deadly bowel cancer mutation
NCT ID NCT06008119
First seen Jun 26, 2026 · Last updated Sep 10, 2026 · Updated 2 times
Summary
This Phase 3 trial is testing whether a combination of two targeted drugs, tunlametinib and vemurafenib, can help people with a specific genetic mutation (BRAF V600E) in metastatic colorectal cancer. About 165 participants will be randomly assigned to receive either the drug combo or standard chemotherapy. The main goal is to see if the combo slows cancer growth better than current treatments.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- tunlametinib plus vemurafenib
- What this could lead to
- If successful, this combination could offer a new targeted treatment option for people with a specific genetic subtype of advanced colorectal cancer, potentially slowing disease progression.
- What could go wrong
- This is an early-stage Phase 3 trial with only 165 participants. The combination may not prove more effective than standard chemotherapy, and side effects from the two drugs could be significant.
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 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 165 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2023
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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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
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18 to 70 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: * Inclusion Criteria: 1. Before study entry, written informed consent must be obtained from the patient prior to performing any study-related procedures. 2. Male or female patients with 18 to 70 years of age at time of informed consent; 3. Histological or cytologically confirmed metastatic CRC 4. Presence of BRAFV600E in tumor tissue as previously determined by a local assay at any time prior to Screening or by the central laboratory (BRAFV600 is permitted) 5. Able to provide a sufficient amount of representative tumor specimen (primary or metastatic, archival or newly obtained) for confirmatory central laboratory testing of BRAF mutation status. 6. Progression of disease after 1 or more prior regimens in the metastatic setting 7. At least 1 site of radiographically measurable disease by RECIST 1.1 8. Eastern Cooperative Oncology Group (ECOG) Performance Status(PS) of 0 to 1; 9. Life expectancy ≥ 3 months; 10. Can swallow the medicine, 11. Adequate hematologic, renal, cardiac and liver function as defined by laboratory values performed within 7 days prior to initiation of dosing: 12. Be willing and able to complete all the study procedures and follow-up examinations. Exclusion Criteria: * Exclusion Criteria: 1. Prior treatment with any BRAF and MEK inhibitor; 2. Known contraindication to receive the treatment of control arm (according to latest PI). 3. Symptomatic brain metastasis or leptomeningeal disease 4. History of chronic inflammatory bowel disease or Crohn's disease requiring medical intervention (immunomodulatory or immunosuppressive medications or surgery) ≤12 months prior to randomization 5. Known history of acute or chronic pancreatitis 6. Uncontrolled GI bleeding, Dysphagia,refractory nausea, vomiting, small bowel resection or any other gastrointestinal ailment that would preclude study drug absorption. 7. Serious cardiovascular disease , including uncontrolled congestive heart failure, uncontrolled hypertension, cardiac ischemia, myocardial infarction, and severe cardiac arrhythmia , deep vein thrombosis or pulmonary emboli or cerebrovascular events ≤ 6 months prior to starting study treatment; 8. History or current evidence of retinal vein occlusion or current risk factors for retinal vein occlusion (e.g., uncontrolled glaucoma or ocular hypertension, history of hyperviscosity or hypercoagulability syndromes) 9. Concurrent neuromuscular disorder that is associated with the potential of elevated creatine (phosphor)kinase (CK) (e.g., inflammatory myopathies, muscular dystrophy, amyotrophic lateral sclerosis, spinal muscular atrophy) 10. Uncontrolled blood pressure despite medical treatment 11. Concurrent or previous other malignancy within 5 years of study entry, except cured basal or squamous cell skin cancer, superficial bladder cancer, prostate intraepithelial neoplasm, carcinoma in-situ of the cervix, or other noninvasive or indolent malignancy 12. Residual common terminology criteria for adverse events (CTCAE) ≥ Grade 2 toxicity from any prior anticancer therapy, with the exception of Grade 2 alopecia or Grade 2 neuropathy 13. Anti-HIV(+) , Anti-TP( +); Active hepatitis B or hepatitis C infection …….
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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
1 site. 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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Beijing Oncology Hospital
RECRUITINGBeijing, Beijing Municipality, China
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