ClinicalTrials.gg
CompletedNCT03274804PICCASSOUpdated Jun 7, 2022Results posted

Combined PD-1 and CCR5 Inhibition for the Treatment of Refractory Microsatellite Stable mCRC

A Phase 1 interventional study of Pembrolizumab and Maraviroc in Metastatic Colorectal Cancer and MSS, sponsored by University Hospital Heidelberg. Completed at 1 site in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-06-07.

Sponsored by University Hospital Heidelberg · Phase 1, Interventional, and Treatment

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Phase
Phase 1
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 33 studies testing pembrolizumab in Colorectal Neoplasms — 5 open to participants now, 10 under way, 1 of them phase 3. pembrolizumab · Colorectal Neoplasms.

Enrollment
28th of 33
20 · median 45
Started
2018
with 2 others
Phase 1
5 of 33
none open now
Registered
13th of 33
by date

Among the 33 studies testing pembrolizumab in Colorectal Neoplasms, this one is the 28th largest by enrollment, is one of 3 that started in 2018, is one of 5 in phase 1, and was the 13th registered.

Colorectal Neoplasms

6,545 studies on the registry are indexed under Colorectal Neoplasms; 1,664 are open to participants now.

Browse Colorectal Neoplasms studies →

Open to participants now

5 of the 33 studies testing pembrolizumab in Colorectal Neoplasms are open now, in 4 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 5 open studies →

About pembrolizumab

pembrolizumab: first FDA approval 2014 (KEYTRUDA), first EMA approval 2015. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 1,181 Colorectal Neoplasms studies recruiting now, 764 (65%) set no upper age limit and 264 (22%) stop at 75 or younger; 48 take children under 18; 123 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 33 studies testing pembrolizumab in Colorectal Neoplasms, or all of them as a file.
02

Study summary

This is a monocentric, single arm, prospective, open-label trial of a combination treatment consisting of pembrolizumab and maraviroc in previously treated subjects who have refractory microsatellite stable (MSS) metastatic colorectal cancer (mCRC).

Read the detailed description

Eligible subjects will receive pembrolizumab beginning on Day 1 of each 3-week dosing cycle (d1, qd22) together with maraviroc administered perorally on day 1 to 21 of each cycle (d1-21; qd22).

Treatment with pembrolizumab / maraviroc combination will continue until progressive disease (PD), unacceptable adverse events (AEs), intercurrent illness that prevents further administration of treatment, investigator's decision to withdraw the subject, subject withdraws consent, pregnancy of the subject, noncompliance with trial treatment or procedure requirements, administrative reasons requiring cessation of treatment, or completion of treatment per protocol.

Subjects with a treatment response or stable disease after completion of the first treatment phase of eight cycles (core treatment period) will be offered, at the discretion of the investigator, participation in a maintenance phase consisting of up to 24 additional treatment cycles of pembrolizumab monotherapy (total treatment duration up to 24 months).

Subjects who discontinue for reasons other than PD will have post-treatment follow-up for disease status until PD, initiating a non-study cancer treatment, withdrawing consent, or becoming lost to follow-up. All subjects will be followed for overall survival (OS) until death, withdrawal of consent, loss to follow-up, or the end of the study.

After the end of treatment, each subject will be followed for 30 days for AE monitoring. Serious adverse events (SAEs) and AEs of special interest (AESIs) will be collected for 90 days after the end of treatment or for 30 days after the end of treatment if the subject initiates new anticancer therapy, whichever is earlier.

03

Conditions studied

  • Metastatic Colorectal Cancer
  • MSS
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. confirmed colorectal cancer. Microsatellite stability (MSS) is confirmed by PCR or immunohistochemistry.
  2. Patient failed standard therapy or is intolerable towards standard therapy which must include a fluoropyrimidine, oxaliplatin, irinotecan, an antiangiogenic monoclonal antibody (e.g. bevacizumab, aflibercept, ramucirumab), an EGFR inhibitor in case of RAS/BRAF wildtype tumors and optional regorafenib or TAS 102
  3. as per 1.1
  4. Metastatic lesion accessible for repetitive and patient willing to provide tissue from newly obtained biopsies. Patients without accessible lesions might be enrolled after discussion with the principle investigator.
  5. performance status 0 or 1
  6. Adequate hematological, hepatic and renal function parameters:

    • Leucocytes> 3.000/μl
    • >9 g/dl
    • > 100.000/μl
    • Serum creatinine ≤ 1.5 x (ULN) or ≥60 mL/min for subject with creatinine levels > 1.5 x institutional ULN
    • Serum total ≤ 1.5 x upper limit of normal or direct bilirubin ≤ ULN for subjects with total bilirubin levels > 1.5 ULN
    • and ALT ≤ 2.5 x upper limit of normal (or ≤ 5 x if liver metastases are present)
    • Albumin ≥ 2.5 mg/dL
  7. Adequate coagulation functions as defined by (INR) ≤1.5, and a partial thromboplastin time (PTT) ≤ 5 seconds above the ULN (unless receiving anticoagulation therapy). Patients receiving warfarin/ phenprocoumon must be switched to low molecular weight heparin and have achieved stable coagulation profile.
  8. Female and male patients' ≥ 18 years. Patients in reproductive age must be willing to use adequate during the study and 4 months after the end of the study (appropriate contraception is defined as surgical sterilization (e.g., bilateral tubal ligation, vasectomy), hormonal contraception (implantable, patch, oral), and doublebarrier methods (any double combination of: IUD, male or female condom with spermicidal gel, diaphragm, sponge, cervical cap)). Abstinence (relative to heterosexual activity) can be used as the sole method of contraception if it is consistently employed as the subject's preferred and usual lifestyle and if considered acceptable by local regulatory agencies and ERCs/IRBs. Periodic abstinence (e.g., calendar, ovulation, sympto-thermal, post-ovulation methods, etc.) and withdrawal are not acceptable methods of contraception. Female patients with need to have a negative pregnancy test within 7 days before study start.
  9. Patient able and willing to provide written and to comply with the study protocol and with the planned surgical procedures.

Exclusion criteria

Exclusion Criteria:

  1. Inability to understand the aims of the study and/or protocol procedures
  2. towards pembrolizumab, maraviroc, or any ingredients of the formulations administered
  3. History of severe allergic, anaphylactic, or other hypersensitivity reactions to chimeric or humanized antibodies
  4. Any other concurrent antineoplastic treatment including irradiation (local radiation of single non-target lesions for palliation only allowed)
  5. Active disease requiring therapy
  6. Any condition requiring continuous systemic treatment with either (>10 mg daily prednisone equivalents) or other immunosuppressive medications within 2 weeks prior to first dose of study treatment. Inhaled or topical steroids and physiological replacement doses of up to 10 mg daily prednisone equivalent are permitted in the absence of active autoimmune disease.
  7. Secondary malignant disease during the last 5 years (exceptions include basal cell carcinoma of the skin, squamous cell carcinoma of the skin, or in situ cervical cancer that has undergone potentially curative therapy).
  8. Clinical relevant comorbidity also including significant psychiatric disease
  9. active coronary heart disease, cardiomyopathy or congestive heart failure, III-IV
  10. Cardiocirculatory insufficiency with hypotension (systolic blood pressure \<100 mmHg)
  11. Cirrhosis of the liver (Child > Grade A), pronounced alcohol abuse with anticipated detoxification, severe pulmonary infection with considerable reduction of pulmonary function
  12. Prior bone marrow transplantation
  13. Prior treatment with , anti-PD-L1, or anti-PD-L2 therapeutic antibody
  14. Administration of a live, attenuated vaccine within four weeks prior to start of maintenance treatment or anticipation that such a will be required during the remainder of the study Note: Seasonal influenza vaccines for injection are generally inactivated flu vaccines and are allowed; however intranasal influenza vaccines (e.g., Flu-Mist®) are live attenuated vaccines, and are not allowed.
  15. Chronic intake of drugs that lead to known interference with Maraviroc metabolism through strong Cytochrome P450 3A4 () interaction: e.g. Rifampicin, Rifabutin, Clarithromycin, Telithromycin, Ketoconazole, Itraconazole, Fluconazole, Hypericum perforatum (St. John's Worth /Johanniskraut) or any strong CYP3A4 inducing or inhibiting drug (See Section 5.5.2)
  16. Positive test for (HIV) or HIV infection
  17. Active (defined as having a positive hepatitis B surface antigen [HBsAg] test) or . Note: Patients with past hepatitis B virus (HBV) infection or resolved HBV infection (defined as having a negative HBsAg test and a positive antibody to hepatitis B core antigen antibody test) are eligible.
  18. Active or latent tuberculosis
  19. Clinically active , defined as untreated symptomatic, or requiring therapy with steroids or anticonvulsants to control associated symptoms.

    Subjects with treated brain metastases that are no longer symptomatic and require no treatment with steroids may be included in the study if they have recovered from the acute toxic effect of radiotherapy and have no evidence of disease progression on imaging studies (MRI/CT scan).

  20. On-treatment participation in another clinical study in the period 30 days prior to start of study treatment and during the study
  21. Patients in a closed institution according to an authority or court decision (AMG § 40, Abs. 1 No. 4)
  22. Pregnancy or lactation
  23. Known history of, or any evidence of active, non-infectious pneumonitis or interstitial lung disease.
  24. Active infection requiring systemic therapy.
Terms in these criteria, in plain language(30)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

PD-1, PD-L1 and checkpoint inhibitors

PD-1, PD-L1 and CTLA-4 are proteins that act as brakes on the immune system. Checkpoint inhibitors, such as pembrolizumab or nivolumab, block them so the immune system can attack a cancer.

PD-L1 can also be measured in a tumour sample. Some scores count stained tumour cells only (TPS); others also count certain immune cells (CPS). The study names the score and the minimum it uses.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (actual)

Study arms

  • Experimental
    Single arm, prospective, open-label trial

    Eligible subjects will receive pembrolizumab beginning on Day 1 of each 3-week dosing cycle (d1, qd22) together with maraviroc administered perorally on day 1 to 21 of each cycle (d1-21; qd22).

    Biological: Pembrolizumab · Drug: Maraviroc

Interventions

  • BiologicalPembrolizumab

    Eligible subjects will receive pembrolizumab beginning on Day 1 of each 3-week dosing cycle (d1, qd22)

    Also known as: Keytruda

  • Maraviroc will be administered perorally on day 1 to 21 of each cycle (d1-21; qd22)

    Also known as: Celsentri

06

What researchers measure

Primary outcomes

  1. Feasibility Rate of a Combined Therapy

    Defined as the rate of patients receiving the protocol treatment according to the planned schedule without occurrence of at least one of the following events: Study treatment-related Grade ≥ 3 immune-related abnormalities; Study treatment-related Grade ≥ 4 AEs of any aetiology; Any toxic event leading to the premature withdrawal of protocol treatment

    Time frame: After core treatment period of 8 cycles (each cycle is 21 days)

Secondary outcomes

  1. Safety and Toxicity of a Combined Therapy Based on Subjects Who Experienced Toxicities

    The primary safety analysis will be based on subjects who experienced toxicities as defined by the current National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE, v4.0; Section 11.2). The attribution to drug, time-of-onset, duration of the event, its resolution, and any concomitant medications administered will be recorded.

    Time frame: After core treatment period of 8 cycles (each cycle is 21 days)

  2. Efficacy Endpoint: Disease Control Rate

    Determine DCR defined as percentage of patients displaying CR/PR or SD as best response according to the RECIST criteria version 1.1.

    Time frame: through study completion (20 months)

  3. Efficacy Endpoint: Objective Response Rate

    ORR and immune related (ir) ORR (irORR) will be analyzed.

    Time frame: through study completion (20 months)

  4. Efficacy Endpoint: Progression-free Survival

    Individual PFS will be analyzed.

    Time frame: through study completion (20 months)

  5. Overall Survival

    Individual OS will be analyzed.

    Time frame: through study completion (20 months)

07

Results

Posted Apr 22, 2021

Participant flow

Participant flow — Overall Study
MilestoneSingle Arm, Prospective, Open-label Trial
Started20
Completed20
Not completed0

Outcome measures

PrimaryFeasibility Rate of a Combined Therapy

Defined as the rate of patients receiving the protocol treatment according to the planned schedule without occurrence of at least one of the following events: Study treatment-related Grade ≥ 3 immune-related abnormalities; Study treatment-related Grade ≥ 4 AEs of any aetiology; Any toxic event leading to the premature withdrawal of protocol treatment

Time frame:
After core treatment period of 8 cycles (each cycle is 21 days)
Reported as:
Count of participants · Participants
Feasibility Rate of a Combined Therapy
ParticipantsSingle Arm, Prospective, Open-label Trial
Feasibility Rate of a Combined Therapy18
SecondarySafety and Toxicity of a Combined Therapy Based on Subjects Who Experienced Toxicities

The primary safety analysis will be based on subjects who experienced toxicities as defined by the current National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE, v4.0; Section 11.2). The attribution to drug, time-of-onset, duration of the event, its resolution, and any concomitant medications administered will be recorded.

Time frame:
After core treatment period of 8 cycles (each cycle is 21 days)
Reported as:
Count of participants · Participants
Safety and Toxicity of a Combined Therapy Based on Subjects Who Experienced Toxicities
ParticipantsStudy Treatment Arm
Safety and Toxicity of a Combined Therapy Based on Subjects Who Experienced Toxicities20
SecondaryEfficacy Endpoint: Disease Control Rate

Determine DCR defined as percentage of patients displaying CR/PR or SD as best response according to the RECIST criteria version 1.1.

Time frame:
through study completion (20 months)
Reported as:
Count of participants · Participants
Efficacy Endpoint: Disease Control Rate
ParticipantsStudy Treatment Arm
Efficacy Endpoint: Disease Control Rate1
SecondaryEfficacy Endpoint: Objective Response Rate

ORR and immune related (ir) ORR (irORR) will be analyzed.

Time frame:
through study completion (20 months)
Reported as:
Count of participants · Participants
Efficacy Endpoint: Objective Response Rate
ParticipantsSingle Arm, Prospective, Open-label Trial
Efficacy Endpoint: Objective Response Rate1
SecondaryEfficacy Endpoint: Progression-free Survival

Individual PFS will be analyzed.

Time frame:
through study completion (20 months)
Reported as:
Median · weeks
Efficacy Endpoint: Progression-free Survival
weeksStudy Treatment Arm
Efficacy Endpoint: Progression-free Survival9 (7.00 to 10.00)
SecondaryOverall Survival

Individual OS will be analyzed.

Time frame:
through study completion (20 months)
Reported as:
Median · Time until event, month
Overall Survival
Time until event, monthStudy Treatment Arm
Overall Survival9 (6.00 to 20.00)

Adverse events

Collected over From the time of treatment allocation through 30 days following discontinuation of treatment, up to 20 months, all adverse events must be reported by the investigator.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Study Treatment Arm0/20 (0%)4/20 (20%)20/20 (100%)
Most frequent serious events
Most frequent serious events
EventStudy Treatment Arm
Infections and infestations - OtherInfections and infestations1/20
Catheter related infectionInfections and infestations1/20
HyperglycemiaMetabolism and nutrition disorders1/20
DyspneaRespiratory, thoracic and mediastinal disorders1/20
Most frequent other events
Showing 10 of 82
Most frequent other events
EventStudy Treatment Arm
Abdominal painGastrointestinal disorders1/20
Alanine aminotransferase increasedInvestigations1/20
Allergic rhinitisRespiratory, thoracic and mediastinal disorders1/20
AlopeciaSkin and subcutaneous tissue disorders1/20
Anal hemorrhageGastrointestinal disorders1/20
AnemiaBlood and lymphatic system disorders1/20
AnorexiaMetabolism and nutrition disorders1/20
AscitesGastrointestinal disorders1/20
Aspartate aminotransferase increasedInvestigations1/20
Back painMusculoskeletal and connective tissue disorders1/20

Baseline characteristics

The required parameters as defined in the inclusion and exclusion criteria are met by all patients.

Age, Categorical
Age, Categorical(Participants)Study Treatment Arm
<=18 years0
Between 18 and 65 years11
>=65 years9
Age, Continuous
Age, Continuous(years)Study Treatment Arm
Median61 ± 8.94
Sex: Female, Male
Sex: Female, Male(Participants)Study Treatment Arm
Female13
Male7
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Study Treatment Arm
American Indian or Alaska Native0
Asian1
Native Hawaiian or Other Pacific Islander0
Black or African American0
White19
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(Participants)Study Treatment Arm
Germany20
08

Study locations

1 site
  • National Center for Tumor Diseases, University Hospital Heidelberg
    Heidelberg, Germany
09

References and documents

Publications

  • Haag GM, Springfeld C, Grun B, Apostolidis L, Zschabitz S, Dietrich M, Berger AK, Weber TF, Zoernig I, Schaaf M, Waberer L, Muller DW, Al-Batran SE, Halama N, Jaeger D. Pembrolizumab and maraviroc in refractory mismatch repair proficient/microsatellite-stable metastatic colorectal cancer - The PICCASSO phase I trial. Eur J Cancer. 2022 May;167:112-122. doi: 10.1016/j.ejca.2022.03.017. Epub 2022 Apr 12. PubMed 35427833 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Apr 2018 to primary completion in Mar 2020, 23 months.

Results were first posted in Apr 2021, 1 year 1 month after primary completion.

Of 166 non-industry phase 1 interventional studies under Colorectal Neoplasms, half reached primary completion within 49 months of starting (the median), counting those still running; a quarter within 31 and three quarters within 74. This study's 23 months is below that.

Counting every sponsor, half of 434 studies reached it within 48 months; a quarter within 31 and three quarters within 69.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 14, 2017
First posted
Sep 7, 2017
StartActual
Apr 1, 2018
Primary completionActual
Mar 1, 2020
CompletionActual
Mar 1, 2020
Results first posted
Apr 22, 2021
Last update
Jun 7, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 7, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03274804
Collaborators
Institut für Klinische Krebsforschung IKF GmbH at Krankenhaus Nordwest
Responsible party
Dirk Jäger (Prof. Dr., University Hospital Heidelberg) — Principal investigator
First posted
Sep 7, 2017
Start date
Apr 1, 2018
Primary completion
Mar 1, 2020
Completion
Mar 1, 2020
Results posted
Apr 22, 2021
Last update
Jun 7, 2022

Study contacts

Dirk Jäger, Prof.
principal investigator · NCT, Med Oncology, University Hospital Heidelberg

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2022. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drugs tested here: Pembrolizumab · Maraviroc

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