NCT06992258

Brief Summary

A Randomized Phase 2 Trial of Fruquintinib and TAS-102 as Compared to Fruquintinib in Patients with Refractory Advanced/Metastatic Microsatellite Stable Colorectal Cancer

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
120

participants targeted

Target at P75+ for phase_2 colorectal-cancer

Timeline
33mo left

Started Oct 2025

Geographic Reach
1 country

9 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress17%
Oct 2025Dec 2028

First Submitted

Initial submission to the registry

April 30, 2025

Completed
28 days until next milestone

First Posted

Study publicly available on registry

May 28, 2025

Completed
5 months until next milestone

Study Start

First participant enrolled

October 27, 2025

Completed
2.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2027

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2028

Last Updated

March 17, 2026

Status Verified

March 1, 2026

Enrollment Period

2.2 years

First QC Date

April 30, 2025

Last Update Submit

March 16, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • To estimate the progression-free survival (PFS) benefit of fruquintinib in combination with TAS-102 as compared to fruquintinib

    Progression free survival (PFS) defined as time from randomization to first observation of progression using RECIST v1.1 or death from any cause.

    24 months

Secondary Outcomes (5)

  • Estimate the confirmed objective response rate (ORR) of fruquintinib in combination with TAS-102 as compared to fruquintinib

    24 months

  • Estimate the disease control rate (DCR) of fruquintinib in combination with TAS-102 as compared to fruquintinib

    24 months

  • Estimate the clinical benefit rate (CBR) of fruquintinib in combination with TAS-102 as compared to fruquintinib

    24 months

  • Estimate the overall survival (OS) of fruquintinib in combination with TAS-102 as compared to fruquintinib

    24 months

  • Characterize the toxicity profile of fruquintinib in combination with TAS-102

    24 months

Study Arms (2)

Fruquintinib and Lonsurf

EXPERIMENTAL
Drug: Fruquintinib+ Lonsurf (trifluridine and tipiracil)

Fruquintinib

ACTIVE COMPARATOR
Drug: Fruquintinib

Interventions

Experimental arm

Fruquintinib and Lonsurf

Standard Of Care Arm

Fruquintinib

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may not qualify if:

  • Patients with known MSI-high or mismatch repair deficient (dMMR) status or in whom the status of both are unknown
  • Patients with BRAF V600 mutations
  • Prior treatment with regorafenib, trifluridine-tipiracil (TAS-102), or fruquintinib.
  • Major surgery within 14 days of C1D1. Minor procedures (e.g. biopsies, central venous catheters) are not considered major surgery.
  • Patients must have recovered from clinically significant AEs of their most recent prior therapy/intervention prior to enrollment as determined by relevant clinical and laboratory parameters.
  • Untreated CNS metastases or known leptomeningeal disease. Patients with treated CNS metastases (either by surgical or radiation techniques) are eligible provided there is no evidence of progression for at least 4 weeks after CNS-directed therapy as ascertained by clinical examination and brain imaging (MRI or CT) during the screening period.
  • Patients with a prior or concurrent malignancy whose natural history or treatment has the potential to interfere with the safety or efficacy assessments of the investigational regimen. Patients whose prior or concurrent malignancy natural history and/or treatment does NOT have the potential to impact safety or study assessments are eligible.
  • Uncontrolled intercurrent illness (defined as but not limited to others in the opinion of the treating investigator):
  • Uncontrolled pleural effusion, pericardial effusion or ascites defined as requiring recurrent drainage procedures within 3 weeks of C1D1
  • Uncontrolled arrhythmia or any ventricular arrhythmia requiring treatment
  • Uncontrolled hypertension (≥ 160 mmHg systolic or ≥ 100mmHg diastolic in spite of maximal medical therapy)
  • Urine dipstick or urinalysis with protein ≥ 2+ or 24-hour urine protein ≥ 1.0g/24 hours. Patients with 1+ proteinuria must undergo a urine protein creatinine ratio (UPCR) or 24-hour urine collection to assess protein level. For interpretation of lab values for proteinuria please see Appendix E.
  • New York Heart Association (NYHA) Functional Classification class 3 or 4 congestive heart failure or left ventricular ejection fraction \< 50%
  • Severe or unstable angina within 3 months prior to C1D1
  • Active infection requiring IV antibiotics within 1 week prior to C1D1. Antibiotics used for prophylactic purposes are allowed.
  • +15 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (9)

Yale University

New Haven, Connecticut, 06520, United States

RECRUITING

Mount Sinai Cancer Research Program

Miami Beach, Florida, 33140, United States

RECRUITING

Orlando Health Cancer Institute

Orlando, Florida, 32806, United States

RECRUITING

Rutgers Cancer Institute

New Brunswick, New Jersey, 08903, United States

RECRUITING

NYU Langone Health

New York, New York, 10016, United States

RECRUITING

UPenn Lancaster-Ann B. Barshinger Cancer Institute

Lancaster, Pennsylvania, 17601, United States

RECRUITING

Vanderbilt University Medical Center

Nashville, Tennessee, 37232, United States

RECRUITING

Mays Cancer Center at University of Texas Health at San Antonio

San Antonio, Texas, 78229, United States

RECRUITING

Inova Schar Cancer

Fairfax, Virginia, 22031, United States

RECRUITING

MeSH Terms

Conditions

Colorectal Neoplasms

Interventions

TrifluridinetipiracilHMPL-013

Condition Hierarchy (Ancestors)

Intestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesColonic DiseasesIntestinal DiseasesRectal Diseases

Intervention Hierarchy (Ancestors)

ThymidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsDeoxyribonucleosidesNucleosidesNucleic Acids, Nucleotides, and Nucleosides

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Randomized Study
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 30, 2025

First Posted

May 28, 2025

Study Start

October 27, 2025

Primary Completion (Estimated)

December 31, 2027

Study Completion (Estimated)

December 31, 2028

Last Updated

March 17, 2026

Record last verified: 2026-03

Data Sharing

IPD Sharing
Will not share

Locations