Study of ctDNA Guided Change in Tx for Refractory Minimal Residual Disease in Colon Adenocarcinomas
NCT04920032 · Status: RECRUITING · Phase: PHASE1 · Type: INTERVENTIONAL · Enrollment: 22
Last updated 2026-05-11
Summary
This is a phase 1b, prospective, single arm, non-randomized, open-label clinical trial determining the efficacy of adjuvant trifluridine and tipiracil (TAS-102) in combination with irinotecan in patients with ctDNA positive colon adenocarcinoma.
Conditions
- Colon Adenocarcinoma
- Colorectal Cancer
Interventions
- DRUG
-
TAS-102
Given PO
- DRUG
-
Given IV
- COMBINATION_PRODUCT
-
Standard Treatment
6 cycles for a 2-week regimen (infusional 5FU based) and up to 4 cycles for a 3-week regimen (oral capecitabine based) after randomization
- DIAGNOSTIC_TEST
-
Signatera MRD ctDNA Assay
To be performed within 6-8 weeks of Cycle 1 Day 1. A Mid-treatment ctDNA is to be completed within 6 - 8 weeks of starting treatment. ctDNA is to also be completed within four weeks after completion of study treatment (+/- two weeks)
Sponsors & Collaborators
-
Taiho Pharmaceutical Co., Ltd.
collaborator INDUSTRY -
Natera, Inc.
collaborator INDUSTRY -
University of California, Irvine
lead OTHER
Principal Investigators
-
Farshid Dayyani, MD, PhD · Chao Family Comprehensive Cancer Center
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-08-26
- Primary Completion
- 2027-01-21
- Completion
- 2028-01-21
- FDA Drug
- Yes
Countries
- United States
Study Locations
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