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Status unknownNCT04380012Updated Jul 15, 2021

A Clinical Study of Pyrotinib in Patients With HER2-positive Advanced Colorectal Cancer

A Phase 2 interventional study of Pyrotinib and Pyrotinib in combination with trastuzumab in Colorectal Cancer, sponsored by Second Affiliated Hospital, School of Medicine, Zhejiang University. Status unknown at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2021-07-15.

Sponsored by Second Affiliated Hospital, School of Medicine, Zhejiang University · Phase 2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Feb 2021), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
40
Allocation
Non-randomized
Ages
18 Years to 75 Years
Sex
All
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Study summary

To Observe the Efficacy and Safety of Pyrotinib Maleate in Patients With HER2-positive Advanced Colorectal Cancer

Read the detailed description

This study is an investigator-initiated, open-label, two-cohort phase II trial, assessing the objective response rate (ORR) of pyrotinib monotherapy (Cohort 1) or in combination with trastuzumab (Cohort 2), in HER2-positive advanced colorectal cancer.

HER2 positivity is centrally established by immunohistochemistry (IHC) and silver in situ hybridization (SISH). To be HER2 eligible the original tumor, or the biopsied metastasis (whichever is last available), must be IHC 3+ or 2+ in more than 50% of cells, confirmed by SISH or fluorescence in situ hybridization (FISH) with a HER2:CEP17 ratio ≥ 2.0. For IHC a positive staining (3+) is defined as an intense membrane staining which can be circumferential, basolateral, or lateral of the tumor cells.

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Conditions studied

  • Colorectal Cancer

Keywords

  • HER2
  • Advanced Colorectal Cancer
  • Pyrotinib
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In context

Colorectal Neoplasms

5,599 studies on the registry are indexed under Colorectal Neoplasms; 1,459 are open to participants now.

This study's planned enrollment of 40 is below the median of 77 across 4,123 interventional studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

Second Affiliated Hospital, School of Medicine, Zhejiang University is the lead sponsor of 1,058 studies on the registry; 511 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

    1. Aged 18-75 years, male or female;
    1. ECOG performance status 0-2;
    1. Recurrent/metastatic advanced colorectal cancer diagnosed by histology or cytology;
    1. Patients who progressed on or were intolerable to standard therapy, or those who refused chemotherapy;
    1. At least one measurable lesion according to RECIST v1.1;
    1. HER2 positivity (including amplification, mutation, and overexpression) detected by clinically recognized methods (including PCR, FISH, immunohistochemistry, and NGS), and the data obtained by NGS at the pathology department of hospital or qualified gene testing organization could be accepted;
  • 7.The functional level of the major organs must meet the following requirements (no blood transfusion within 2 weeks prior to screening, no use of leukocytes- or platelet-raising drugs):

    1. Blood routine: neutrophils (ANC) ≥ 1.5 × 10\^9 / L; platelet count (PLT) ≥ 90 × 10\^9 / L; hemoglobin (Hb) ≥ 90 g / L;
    2. Blood biochemistry: total bilirubin (TBIL) ≤ upper limit of normal (ULN); alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 2 × ULN(Patients with liver metastases were ≤5 × ULN);
    3. Cardiac color doppler ultrasound: left ventricular ejection fraction (LVEF) ≥ 55%;
    4. 12-lead electrocardiogram: The QT interval corrected by the Fridericia method (QTcF) \< 470 msec;
    1. Sign the informed consent and agree to collect the clinical efficacy and information of the patient.

Exclusion criteria

Exclusion Criteria:

    1. The presence of third interstitial effusion (such as a large amount of pleural fluid and ascites) that cannot be controlled by drainage or other methods makes it impossible to evaluate the clinical treatment effect;
    1. History of substance abuse and cannot be cured or with mental disorders;
    1. Pregnant or lactating women; patients with fertility who are unwilling or unable to use effective contraception;
    1. Severe concomitant disease, or unsuitable to participate in this study decided by the investigator.
    1. Prior use of pyrotinib.
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    Single drug group

    Pyrotinib: 400 mg, po, qd, 21d for a treatment cycle

    Drug: Pyrotinib

  • Experimental
    Dual-targeted drug group

    Pyrotinib: 400 mg, po, qd, 21d for one treatment cycle; Trastuzumab: first dose 8 mg/kg, then 6 mg/kg, iv, q3w, 21d for one treatment cycle

    Drug: Pyrotinib in combination with trastuzumab

Interventions

  • DrugPyrotinib

    Pyrotinib as interventions were used in patients with HER2-positive advanced colorectal cancer

  • DrugPyrotinib in combination with trastuzumab

    Pyrotinib in combination with trastuzumab as interventions were used in patients with HER2-positive advanced colorectal cancer

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What researchers measure

Primary outcomes

  1. Objective Response Rate

    The proportion of patients with complete response or partial response according to RECIST v1.1.

    Time frame: Approximately 24 months

Secondary outcomes

  1. Disease Control Rate

    The proportion of patients with complete response, partial response or stable disease according to RECIST v1.1.

    Time frame: Approximately 24 months

  2. Progression-Free Survival

    Time from the initiation of treatment to disease progression or any-cause death.

    Time frame: Up to 2 years

  3. Overall Survival

    Time from the initiation of treatment to any-cause death.

    Time frame: Up to 2 years

  4. Duration of Response

    Time from complete response or partial response to disease progression or any-cause death.

    Time frame: Approximately 24 months

  5. The Incidence of Adverse Events

    Adverse Events and Serious Adverse Events were graded according to the NCI-CTCAE V5.0.

    Time frame: From the first drug administration to within 28 days for the last treatment

07

Study locations

1 of 1 sites recruiting
  • The Second Affiliated hospital of Zhejiang University School of Medical
    Hangzhou, Zhejiang 310009, China
    Recruiting
08

References and documents

Publications

  • Fu X, Ying J, Yang L, Fang W, Han W, Hu H, Zhang S, Yuan Y. Dual targeted therapy with pyrotinib and trastuzumab for HER2-positive advanced colorectal cancer: A phase 2 trial. Cancer Sci. 2023 Mar;114(3):1067-1074. doi: 10.1111/cas.15660. Epub 2022 Dec 5. PubMed 36382603 ↗

Individual participant data

Plan to share: Undecided — The data were Shared with the sub-center, and the preliminary efficacy results were to be submitted to the tumor conference

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 15, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04380012
Lead sponsor
Second Affiliated Hospital, School of Medicine, Zhejiang University
Collaborators
Zhejiang Cancer Hospital, Zhejiang Provincial People's Hospital, First Affiliated Hospital of Zhejiang University, Sir Run Run Shaw Hospital
Responsible party
Sponsor
First posted
May 8, 2020
Start date
Dec 17, 2019
Primary completion
Dec 17, 2021 (estimated)
Completion
Jun 17, 2022 (estimated)
Last update
Jul 15, 2021

Study contacts

Ying Yuan, Doctor
Contact
yuany@z2hospital.com
+86 13858193601
XianHua Fu, Doctor
Contact
fxh198501@163.com
+86 15258222675

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 status unknown, as verified in Feb 2021. You cannot join it, but the record below documents what was studied.

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