Study to Evaluate Efficacy and Safety of Selective Internal Radiation Therapy Plus Xelox, Bevacizumab and Atezolizumab (Immune Chekpoint Inhibitor) in Patients With Liver-dominant Metastatic Colorectal Cancer
NCT04659382 · Status: UNKNOWN · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 52
Last updated 2023-08-18
Summary
The main objective of the SIRTCI study is to evaluate the safety and efficacy of the combination chemotherapy (XELOX: Capecitabine plus oxaliplatin), anti-angiogenic (Bevacizumab), SIRT (TheraSphere®) and ICI (Atezolizumab) in patients with CRC with predominant liver metastases. SIRTCI is a single-arm, prospective, multi-centre phase II study. The main inclusion criteria are patients with MSS mRCC with predominantly non-operable liver metastases and measurable disease. Patients with extra-hepatic metastases can be included since the objective of the study is to induce local and abscopal effects of radiotherapy combined with ICI by stimulating the anti-tumour immune response to destroy both hepatic and extra-hepatic metastases.
Conditions
- Metastatic Colorectal Cancer
- pMMR
- MSS
- Immune Checkpoint Inhibitor
- Internal Radiotherapy
Interventions
- DRUG
-
Atezolizumab combined to standard chemotherapy (XELOX + bevacizumab) and targeted therapy in patients whose tumour has been made immunogenic by radiotherapy (Therasphere) and ICI (atezolizumab).
- DEVICE
-
Therasphere
Therasphere injected to patients to promote the release of neoantigens from their tumour and convert it into an immunogenic tumour.
- DRUG
-
XELOX
standard chemotherapy for first line treament of metastatic CRC (in pMMR and/or MSS patients)
- DRUG
-
standard targeted therapy associated with XELOX for first line treament of metastatic CRC (in pMMR and/or MSS patients)
Sponsors & Collaborators
-
Federation Francophone de Cancerologie Digestive
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-10-07
- Primary Completion
- 2024-10-31
- Completion
- 2024-10-31
Countries
- France
Study Locations
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