The Combination of Immunotherapy and Stereotactic Ablative Radiotherapy in MSS Oligometastatic Colorectal Cancer
NCT04535024 · Status: UNKNOWN · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2021-05-11
Summary
This is a prospective, single-center, single-arm phase II clinical trial. This study aims to evaluate the safety and tolerability of stereotactic ablative radiotherapy (SABR) in combination with Sintilimab, and to examine the impact of the combination therapy on tumor control, long-term survival and quality of life in patients with microsatellite stable (MSS) oligometastatic colorectal cancer.
A total of 60 MSS oligometastatic colorectal cancer patients will be recruited and receive multisite SABR followed by immunotherapy of Sintilimab within one week from completion. Sintilimab will be given at a fixed dose of 200mg (100mg if weight \< 50 kg) via intravenous infusion on the first day of each cycle, repeated every three weeks. The dosing will continue for up to two years until disease progression, unacceptable toxicity or patient withdrawal. The tumor regression, disease control, adverse events and long-term survival will be analyzed.
Conditions
Interventions
- RADIATION
-
Stereotactic Ablative Radiotherapy (SABR)
We plan to irradiate as many metastatic lesions as possible, in the precondition that normal tissues can tolerate. Target dose will be adjusted depending on site of the lesion and organs at risk (BED \> 100Gy). Treatment schedule is once per day and five days per week. Sequence of irradiation for multiple metastases is at the discretion of the investigators based on their experience.
- DRUG
-
Sintilimab
Starts within one week upon SABR completion: 200mg, d1, q3w; Continued until disease progression, unacceptable toxicity or patient withdrawal.
Sponsors & Collaborators
-
Fudan University
lead OTHER
Principal Investigators
-
Zhen Zhang, MD, PhD · Fudan University
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-03-04
- Primary Completion
- 2022-06-30
- Completion
- 2022-12-31
Countries
- China
Study Locations
More Related Trials
-
Chemoradiotherapy Combined With or Without PD-1 Blockade in Anal Canal Squamous Carcinoma Patients
NCT05374252 ·Status: RECRUITING ·Phase: PHASE3
-
The Combination of Immunotherapy and Neoadjuvant Chemoradiotherapy in MSS Locally Advanced Rectal Cancer
NCT04411537 ·Status: UNKNOWN ·Phase: PHASE2
-
Neoadjuvant Chemoradiotherapy Plus Sintilimab for MSS, Locally Advanced Rectal Cancer-
NCT06895577 ·Status: WITHDRAWN ·Phase: PHASE2
-
Postoperative Chemotherapy With/Without Radiotherapy and Immunotherapy for Colorectal Liver Metastases With High Risk of Locally Recurrence
NCT06120127 ·Status: RECRUITING ·Phase: PHASE2
-
Intestinal Microbiota Transplantation, Radiochemotherapy and Sintilimab in Localized Advanced Colon Cancer
NCT06931808 ·Status: ENROLLING_BY_INVITATION ·Phase: PHASE4
-
Radiotherapy Combined With Tislelizumab and Irinotecan in MSS/pMMR Recurrence and Metastatic Colorectal Cancer
NCT05160727 ·Status: UNKNOWN ·Phase: PHASE2
-
Stereotactic Body Radiotherapy for Oligometastases From Colorectal Cancer
NCT02909114 ·Status: UNKNOWN ·Phase: PHASE2
-
Oral Chemotherapy, Targeted Therapy and Immunotherapy With/Without Radiotherapy as 3rd- or Later-line Therapy for Advanced MSS/pMMR Colorectal Cancer
NCT06764680 ·Status: RECRUITING ·Phase: PHASE2
-
A Combination Therapy Including Anti-PD-1 Immunotherapy in MSS Rectal Cancer With Resectable Distal Metastasis
NCT05359393 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Node-sparing Radiotherapy Combined With Total Neoadjuvant CAPOX and Sintilimab for MSS Middle and Low Rectal Cancer
NCT06204094 ·Status: RECRUITING ·Phase: PHASE2
-
Node-Sparing Low-Dose Radiotherapy Concurrent With Chemotherapy and PD-1 Inhibitor in pMMR/MSS High-Risk Locally Advanced Colon Cancer: A Prospective, Single-Arm, Phase II Trial
NCT07279077 ·Status: RECRUITING ·Phase: PHASE2
-
Chemotherapy Combined With High-dose Radiotherapy for Low Rectal Cancer Using MR Guided Linear Accelerator
NCT05338866 ·Status: ENROLLING_BY_INVITATION
-
Neoadjuvant Chemoradiation Therapy Combined With Immunotherapy for MSS Ultra-low Rectal Cancer
NCT05215379 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Stereotactic Body Radiation Therapy (SBRT) for Unresectable Liver Metastases
NCT02185443 ·Status: RECRUITING ·Phase: PHASE2
-
Efficacy of Combination Immunotherapy in Patients With Metastatic Colorectal Cancer
NCT05414461 ·Status: COMPLETED ·Phase: PHASE2
-
The Combination of Immunotherapy and Neoadjuvant Chemoradiotherapy in MSI-H Locally Advanced Rectal Cancer
NCT04411524 ·Status: UNKNOWN ·Phase: PHASE2
-
Single-arm, Single-center, Exploratory Phase II Clinical Study of Envafolimab Combined With Chemoradiotherapy in the Treatment of Locally Advanced pMMR/MSS Rectal Cancer
NCT06239870 ·Status: RECRUITING ·Phase: PHASE2
-
Treatment of Rectal Cancer With Long-term Concurrent Chemoradiotherapy Combined With Camrelizumab
NCT06304545 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Combined Use of Raltitrexed and S-1 as Treatment for Patients With Metastasizing Colorectal Cancer
NCT02618356 ·Status: UNKNOWN ·Phase: PHASE2
-
Bioinformation Therapy for Intestinal Cancer
NCT03350490 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Pd1 Antibody Sintilimab ± Chemoradiotherapy for Locally Advanced Rectal Cancer
NCT04304209 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Cryoablation Combined with Sintilimab Plus Regorafenib in Previously Treated Colorectal Cancer Liver Metastasis
NCT05057052 ·Status: RECRUITING ·Phase: PHASE2
-
SBRT + PD-1 Antibody in Unresectable Locally Recurrent Rectal Cancer(SPARKLE)
NCT06767007 ·Status: RECRUITING ·Phase: PHASE2
-
QL1706 With Short-Course Radiotherapy and Chemotherapy for MSS Rectal Cancer
NCT07175636 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
A Study of Combination of Anti-PD1 Antibody-activated TILs and Chemotherapy in Colorectal Cancer
NCT03904537 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2