Dual EGFR/HER2 Blockade Combined With Irinotecan for the Treatment of HER2-Positive Metastatic Colorectal Cancer
NCT07059338 · Status: NOT_YET_RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 34
Last updated 2025-07-10
Summary
In colorectal cancer (CRC), HER2 has emerged as a critically targeted biomarker in recent years. Although multiple clinical trials have demonstrated the potential of HER2-targeted therapies in HER2-positive (overexpressed/amplified) metastatic CRC (mCRC), the duration of treatment response remains short with rapid disease progression. This underscores the urgent need to develop novel therapeutic strategies for HER2-positive mCRC. The EGFR pathway is constitutively activated in CRC and mediates resistance to HER2-targeted therapies through the formation of EGFR-HER2 heterodimers. Notably, EGFR-targeting antibodies combined with irinotecan can reverse irinotecan chemoresistance. Building upon these mechanisms, this study proposes to evaluate the combination of trastuzumab (anti-HER2), cetuximab beta (anti-EGFR), and irinotecan in chemotherapy-refractory HER2-positive mCRC.
Conditions
- HER2 Positive
- Colorectal Cancer (CRC)
Interventions
- DRUG
-
Trastuzumab +Cetuximab β+Irinotecan
Trastuzumab 4 mg/kg , Cetuximab β: 500 mg/m² ,Irinotecan 180 mg/m², repeat once every 2 weeks
Sponsors & Collaborators
-
Sun Yat-sen University
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-07-11
- Primary Completion
- 2027-12-30
- Completion
- 2028-12-30
Countries
- China
Study Locations
More Related Trials
-
Genotype-driven Phase I Study of Irinotecan Administered in Neoadjuvant Chemoradiotherapy in Patients With Stage II/III Rectal Cancer
NCT01474187 ·Status: UNKNOWN ·Phase: PHASE1
-
Neoadjuvant Therapy for Locally Advanced Rectal Cancer With Fruquintinib, Toripalimab and SRT
NCT05763927 ·Status: UNKNOWN ·Phase: PHASE2
-
c-CetuIRI Versus Ersecond-line Irinotecan s-IRI-CetuIRI
NCT04833036 ·Status: UNKNOWN ·Phase: PHASE2
-
Preoperative Systemic Therapy for Colorectal Cancer Peritoneal Metastases
NCT05353582 ·Status: UNKNOWN ·Phase: PHASE2
-
Camrelizumab Combined With Trastuzumab and Chemotherapy in Patients With HER2-positive Advanced Colorectal Cancer
NCT05193292 ·Status: UNKNOWN ·Phase: PHASE2
-
A Prospective Cohort Study of Advanced Colorectal Cancer Treated With Oxaliplatin and Irinotecan.
NCT05731336 ·Status: RECRUITING
-
Neoadjuvant Treatment of Fruquintinib Combined With Concurrent Chemoradiotherapy for LARC
NCT05575635 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
EGFR-IL12-CART Cells for Patients With Metastatic Colorectal Cancer
NCT03542799 ·Status: UNKNOWN ·Phase: PHASE1
-
MRD Test in Common Risk Stage II Colorectal Cancer
NCT05795010 ·Status: UNKNOWN
-
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
-
SCRT + mFOLFOX6 + PD-1 Antibody + Targeted Therapy for HIgh-Risk pMMR/MSS Rectal Cancer
NCT06908031 ·Status: RECRUITING ·Phase: PHASE2
-
Neoadjuvant Moderately Hypofractionated Radiotherapy Combined with Chemotherapy and Immunotherapy for High-risk LARC
NCT06599827 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Preoperative Chemoradiotherapy With Capecitabine Plus Irinotecan in Rectal Cancer
NCT00506623 ·Status: UNKNOWN ·Phase: PHASE2
-
A Study of Cetuximabβ Combined With Envolimab and mFOLFOX6 in Subjects With Advanced Colorectal Cancer
NCT07000305 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Surufatinib Combine With Immunotherapy and Chemotherapy for Second-line Treatment in Advanced Colorectal Cancer
NCT04929652 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2
-
A Study of Radiotherapy Combined With Raltitrexed and Irinotecan in Metastatic or Locally Recurrent Colorectal Cancer
NCT04499586 ·Status: UNKNOWN ·Phase: PHASE2
-
Efficacy and Safety Study of DC-CIK Cell Therapy Combined With Epaloliposide, Vortexil, and Regorafenib as Third-line Treatment for Advanced Colorectal Cancer.
NCT07343791 ·Status: RECRUITING ·Phase: EARLY_PHASE1
-
EGFR CART Cells for Patients With Metastatic Colorectal Cancer
NCT03152435 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2
-
Evaluation of Low-dose Irinotecan and Cyberknife® SBRT to Treat Colorectal Cancer With Limited Liver Metastasis
NCT01847495 ·Status: WITHDRAWN ·Phase: NA
-
The Combination of Hypofractionated Radiotherapy and Immunotherapy in Locally Recurrent Rectal Cancer
NCT05628038 ·Status: RECRUITING ·Phase: PHASE2
-
Study of Tislelizumab Combined With DisitamabVedotin and Pyrotinib Maleate in HER2-positive or Mutated Advanced Colorectal Cancer Who Failed Standard Therapy
NCT05350917 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
RC48-ADC Combined With Bevacizumab in HER2-positive Advanced Colorectal Cancer
NCT05785325 ·Status: UNKNOWN ·Phase: PHASE2
-
Radiotherapy Combined With Tislelizumab and Irinotecan in MSS/pMMR Recurrence and Metastatic Colorectal Cancer
NCT05160727 ·Status: UNKNOWN ·Phase: PHASE2
-
Irinotecan Liposomes in Total Neoadjuvant Therapy in Locally Advanced Rectal Cancer
NCT07074353 ·Status: NOT_YET_RECRUITING ·Phase: PHASE3
-
Resource-Sparing Curative Treatment for Rectal Cancer
NCT01459328 ·Status: UNKNOWN ·Phase: PHASE3