MA-CRC-II-016 SHR-1811

Trial statusNot yet recruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18-75
SponsorPeking Union Medical College Hospital

About this trial

A randomized, controlled, multicenter clinical study of SHR-A1811 combined with bevacizumab for the second-line treatment of metastatic colorectal cancer

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients with histologically or cytologically confirmed recurrent or metastatic colorectal adenocarcinoma that is not amenable to curative resection.

Patients who have experienced disease progression following first-line standard therapy with oxaliplatin combined with fluoropyrimidine-based drugs.

Patients with disease progression within 12 months after completion of neoadjuvant or adjuvant therapy are eligible for inclusion.

Patients who have previously received irinotecan as part of first-line therapy may be included if investigators from the leading center determine through discussion that the patient is likely to benefit from treatment in the control group.

Disqualifiers

Toxicities from prior anti-tumor therapies have not resolved to ≤ Grade 1 per the CTCAE v5.0 criteria (except for toxicities deemed to pose no safety risk by the investigator, e.g., alopecia) or to the levels specified in the inclusion/exclusion criteria.

Known active central nervous system (CNS) metastases and/or carcinomatous meningitis. Subjects with a history of treated brain metastases may be enrolled provided that their brain metastases are stable, and they have not received steroid therapy for brain metastases for at least 28 days prior to study initiation. This exception does not apply to carcinomatous meningitis, as patients with carcinomatous meningitis are excluded regardless of clinical stability.

Known microsatellite instability-high (MSI-H) status confirmed by genetic testing or deficient mismatch repair (dMMR) status confirmed by immunohistochemistry.

A history of hypersensitivity to monoclonal antibodies, the formulation components of SHR-A1811, or anti-angiogenic agents.

Trial design

Design model

Factorial

Treatments tested in this trial

  • SHR-A1811 & Bevacizumab injection

    Drug

    HER2 ADC

  • Chemotherapeutic Combinations

    Drug

    FOLFIRI+BEV

Treatment groups

80 Participants
are divided into 2 treatment groups
Group A: SHR-A1811 combined with bevacizumabActive comparator 1 intervention
Group B: Chemotherapeutic CombinationsActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

ORR

objective response rate

Time frame
The end of cycle 2 (each cycle is 21 days) for SHR-A1811+BEV group and the end of cycle 3 (each cycle is 14 days) for FOLFIRI+BEV group

Secondary outcomes

1

PFS

progression free survival

Time frame
From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 100 months
2

OS

overall survival

Time frame
From data of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 100 months

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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