About this trial
Patients with refractory metastatic colorectal cancer or non-small cell lung cancer with liver metastasis treated with Trans-arterial Tirapazamine Embolization along with Pembrolizumab.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Liver metastatic MSS-mCRC or NSCLC without EGFR or AKT mutations
mCRC progressed on at least two lines of standard chemotherapy; or
NSCLC progressed on chemotherapy and an immune checkpoint inhibitor
Measurable disease
Disqualifiers
Prior organ transplantation
Liver metastasis more than 50%
Oxygen saturation less than 92% in room air
Prior autoimmune disorder
Trial design
Parallel
Treatments tested in this trial
TATE and pembrolizumab
DrugAll liver metastatic lesions will be treated with TATE for maximally debulking. Pembrolizumab IV infusion per standard schedule every 3 or 6 weeks until progression or maximally 2 years.
TAS-102 pill
DrugThe comparator of the mCRC arm is TAS-102 at 60 mg BID 5 days per week for 2 weeks then 2 weeks off.
Regorafenib Pill
DrugAs an alternative to TAS-102 per treating physician's discretion. If selected, Regorafenib 160 mg oral daily for 3 weeks on and one week off, every 4 weeks per cycle. Do not take Regoarefnib if taking TAS-102.
Treatment groups
Trial outcomes
Primary outcomes
Overall Survival for the mCRC cohort
From the first day of treatment to death
Overall Response Rate (ORR) for the NSCLC cohort
Per RECIST 1.1 criteria
Secondary outcomes
Duration of Response
per RECIST 1.1
Response rate
in TATE treated or TATE-untreated lesions by RECIST and mRECIST
PFS
Progression Free Survival
TTP
Time to Progression
Sponsors and contacts
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Teclison Ltd.
Lead sponsor
Merck Sharp & Dohme LLC
Collaborator