CClinicalTrials.gg
CompletedNCT05025631DOFEMCRCUpdated Apr 28, 2023

A Phase II Study on Dose Optimization of Fruquintinib in Elderly mCRC Patients Refractory to Standard Treatment(DOFEMCRC)

A Phase 2 interventional study of Fruquintinib in Colorectal Cancer, sponsored by Zhen-Yu Ding. Completed at 1 site in China. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2023-04-28.

Sponsored by Zhen-Yu Ding · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Registered 9 months after the study started (first participant enrolled Nov 2020, registered Aug 2021).
Phase
Phase 2
Study type
Interventional
Enrollment
29
Allocation
Not applicable
Ages
65 Years and older
Sex
All
01

Study summary

A Phase II study on dose optimization of fruquintinib in elderly metastatic colorectal cancer patients refractory to standard treatment.

Read the detailed description

This is a prospective, multi-center, single arm, phase II study. In this study, the low-dose initial dose incremental optimization scheme was used in the first cycle in patients ≥65 years old who need to receive fruquintinib. The aim is to observe the safety, tolerability and efficacy of fruquintinib in elderly patients with mCRC refractory to standard treatment. The correlation between the efficacy, toxicity and geriatric evaluation of fruquintinib will also be analysed.

02

Conditions studied

  • Colorectal Cancer
03

In context

Colorectal Neoplasms

5,599 studies on the registry are indexed under Colorectal Neoplasms; 1,458 are open to participants now.

This study's enrollment of 29 is below the median of 77 across 4,122 interventional studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

Zhen-Yu Ding is the lead sponsor of 2 studies on the registry; 1 is open to participants now.

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

04

Who can participate

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

Inclusion criteria

  1. 65 years and older;
  2. Histologically or cytologically confirmed unresectable metastatic colorectal cancer refractory to or unfit for standard therapies;
  3. ECOG PS 0-1;
  4. At least 4 weeks after the last anti-tumor therapy (chemotherapy, radiotherapy, biotherapy or hormone therapy) and more than 3 months after operation treatment before enrollment;
  5. Life expectancy ≥ 3 months;
  6. Cooperative in observation of adverse events and curative effect;
  7. No other anti-tumor concomitant treatment (including steroid drugs);
  8. Adequate organ and bone marrow functions;
  9. At least one measurable lesion(s);
  10. Signed the written informed consent and completed the geriatric questionnaire (G8 screening form) at the time of enrollment.

Exclusion criteria

Exclusion Criteria:

  1. Active upper gastrointestinal ulcer, obvious vomiting, chronic diarrhea, intestinal obstruction, absorption disorder, etc which may affect drug absorption, distribution, metabolism, or clearance;
  2. Evidence of central nervous system metastasis;
  3. One of the following complications: uncontrolled hypertension, coronary artery disease, arrhythmia and heart failure;
  4. Abuse of alcohol or drugs;
  5. Less than 4 weeks from the last clinical trial;
  6. Previous treatment with VEGFR inhibitors;
  7. Severe uncontrolled disability with concurrent infection;
  8. Proteinuria ≥ 2 + (1.0g / 24hr);
  9. Uncontrollable gastrointestinal bleeding;
  10. Arterial / venous thromboembolic events such as cerebrovascular accident (including transient ischemic attack) occurred within 12 months before the first dose;
  11. Acute myocardial infarction, acute coronary syndrome or coronary artery bypass grafting occurred within 6 months before the first dose;
  12. Fracture or wound that has not been cured for a long time;
  13. Coagulation dysfunction, bleeding tendency or receiving anticoagulation treatment;
  14. Congenital or acquired immune deficiency (such as HIV infection), or active hepatitis (HBV DNA ≥ 103copies / ml after regular antiviral therapy);
  15. Patients who are not suitable for the study judged by the researchers.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
29 participants (actual)

Study arms

  • Experimental
    Fruquintinib dose-optimization

    Fruquintinib was administered orally on 21 consecutive days in a 28-day treatment cycle. All patients were dose-optimized for the first cycle of fruquintinib - oral fruquintinib 3 mg/day in the first week; if tolerated, oral fruquintinib 4 mg/day in the second week; if still tolerated, then the dose was increased to 5 mg/day in the third week. From the second cycle, patients were given the maximum dose that they have tolerated in the first cycle.

    Drug: Fruquintinib

Interventions

  • DrugFruquintinib

    Fruquintinib was administered for 21 consecutive days of a 28-day treatment cycle. The starting dose of fruquintinib was 3 mg/day, weekly incremental dose escalation occurred up to the maximum of 5 mg/day if no significant drug-related toxicities were observed. The highest tolerated dose from cycle 1 would be administered in cycle 2 and all subsequent cycles.

06

What researchers measure

Primary outcomes

  1. PFS

    Progression-free survival is determined from the date of treatment to PD or death from any cause

    Time frame: about a year

Secondary outcomes

  1. Safety and tolerability

    Version 5.0 and AEs leading to dose interruption or discontinuation.

    Time frame: about a year

  2. ORR

    Objective Response Rate according to Response Evaluation Criteria in Solid Tumors (RECIST) version. 1.1

    Time frame: about a year

  3. DCR

    Disease Control Rate according to Response Evaluation Criteria in Solid Tumors (RECIST) version. 1.1

    Time frame: about a year

  4. OS

    OS is the time interval from the start of treatment to death due to any reason or lost of follow-up

    Time frame: about a year

  5. Correlation between geriatric assessment and efficacy and safety

    Statistical results obtained by analyzing the patient's geriatric assessment against efficacy and safety

    Time frame: about a year

07

Study locations

1 site
  • China West Hospital
    Chengdu, Sichuan 610000, China
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 28, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05025631
Lead sponsor
Zhen-Yu Ding
Responsible party
Zhen-Yu Ding (Professor, Sichuan University) — Sponsor-investigator
First posted
Aug 27, 2021
Start date
Nov 6, 2020
Primary completion
Oct 30, 2022
Completion
Oct 30, 2022
Last update
Apr 28, 2023

Oversight

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 Apr 2023. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

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.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

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

Start the discussion