Study on the Effectiveness and Safety of the Combination of the Two Drugs Regorafenib and Nivolumab in Patients With Colorectal Cancer (Cancer of the Colon or Rectum Classified as Proficient Mismatch Repair and Microsatellite Stable)

Last updated: June 25, 2023
Sponsor: Bayer
Overall Status: Completed

Phase

2

Condition

Colorectal Cancer

Colon Cancer; Rectal Cancer

Colon Cancer

Treatment

Regorafenib (Stivarga, BAY73-4506)

Nivolumab (Opdivo)

Clinical Study ID

NCT04126733
20975
  • Ages > 18
  • All Genders

Study Summary

The purpose of this study is to learn if combination of the two drugs regorafenib and nivolumab is an effective treatment for pMMR - MSS colorectal cancer, a special type of cancer of the colon or rectum (pMMR stands for proficient Mismatch Repair; MSS stands for Microsatellite Stable) and whether it is safe for patients. Regorafenib works by blocking several different proteins involved in tumor growth. Nivolumab is an immunotherapy drug encouraging the body's own immune system to attack cancer cells.

Both drugs have been approved, but not for how they are being used as combination therapy in this study. Brand name of regorafenib is Stivarga; brand name of nivolumab is Opdivo.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Histological or cytological confirmed advanced, metastatic, or progressive pMMR/MSSadenocarcinoma of colon or rectum
  • Participant must have progressed or be intolerant to prior systemic chemotherapyincluding fluoropyrimidines, irinotecan, oxaliplatin, anti-vascular endothelial growthfactor (VEGF) therapy, and, if extended rat sarcoma viral oncogene homolog (RAS) wildtype, an anti-epidermal growth factor receptor (EGFR) therapy. Exceptions may apply
  • Participants must have adequate organ and marrow function defined byprotocol-specified laboratory tests
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1
  • Measurable disease as determined by response evaluation criteria in solid tumors (RECIST) v1.1
  • Provision of recently obtained tumor tissue as per protocol specified requirement
  • Anticipated life expectancy greater than 3 months
  • Be able to swallow and absorb oral tablets

Exclusion

Exclusion Criteria:

  • Participants with Mismatch repair deficient (dMMR) / microsatellite instable-high (MSI-H) colorectal cancer
  • Prior therapy with regorafenib, anti-programmed cell death protein 1 (PD-1),programmed cell death protein 1 ligand 1 (PD-L1), or cytotoxic T-lymphocyte-associatedprotein 4 (CTLA-4) inhibitors, or any form of immunotherapy to treat cancer
  • Presence of active central nervous system (CNS) metastases; participants with stableCNS disease or previously treated lesions are eligible for study entry
  • Poorly controlled hypertension, defined as a blood pressure consistently above 150/90mmHg despite optimal medical management
  • Arterial thrombotic or embolic events such as cerebrovascular accident (includingtransient ischemic attacks) within 6 months before the start of study medication.Active pulmonary emboli or deep vein thrombosis that are significant or not adequatelycontrolled on anticoagulation regimen
  • Any hemorrhage or bleeding event ≥ National Cancer Institute - Common terminologycriteria for adverse events (NCI-CTCAE) Grade 3 within 28 days prior to the start ofstudy medication
  • Participants with an active, known or suspected autoimmune disease
  • History of interstitial lung disease or pneumonitis
  • Known history of human immunodeficiency virus (HIV) infection or current chronic oractive hepatitis B or C infection
  • Other protocol defined inclusion/exclusion criteria could apply

Study Design

Total Participants: 70
Treatment Group(s): 2
Primary Treatment: Regorafenib (Stivarga, BAY73-4506)
Phase: 2
Study Start date:
October 14, 2019
Estimated Completion Date:
March 28, 2022

Connect with a study center

  • City of Hope National Medical Center

    Duarte, California 91010
    United States

    Site Not Available

  • Rocky Mountain Cancer Centers

    Denver, Colorado 80218
    United States

    Site Not Available

  • Miami Cancer Institute at Baptist Health South Florida

    Miami, Florida 33176
    United States

    Site Not Available

  • Illinois Cancer Specialists

    Arlington Heights, Illinois 60005
    United States

    Site Not Available

  • Minnesota Oncology Hematology, PA

    Minneapolis, Minnesota 55404
    United States

    Site Not Available

  • Nebraska Cancer Specialists

    Papillion, Nebraska 68046
    United States

    Site Not Available

  • New York Oncology Hematology. P.C.

    Albany, New York 12206
    United States

    Site Not Available

  • Willamette Valley Cancer Institute and Research Center

    Eugene, Oregon 97401
    United States

    Site Not Available

  • Sarah Cannon Cancer Center

    Nashville, Tennessee 37203
    United States

    Site Not Available

  • Texas Oncology-Arlington North

    Arlington, Texas 76012
    United States

    Site Not Available

  • Baylor Charles A. Sammons Cancer Center at Dallas

    Dallas, Texas 75246
    United States

    Site Not Available

  • University of Texas MD Anderson Cancer Center

    Houston, Texas 77030
    United States

    Site Not Available

  • Texas Oncology-Sherman

    Sherman, Texas 75090
    United States

    Site Not Available

  • Virginia Oncology Associates

    Newport News, Virginia 23606
    United States

    Site Not Available

  • Northwest Cancer Specialists, PC

    Vancouver, Washington 98684
    United States

    Site Not Available

Map preview placeholder

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.