ClinicalTrials.gg
RecruitingNCT05443087TARGETMONITOUpdated Aug 3, 2026

TARGETed Therapy Drug MONITOring in DIGestive Oncology

An interventional study of Blood sampling to build population pharmacokinetics model in Digestive Cancer, Metastatic Colorectal Cancer and Hepatocellular Carcinoma, sponsored by UNICANCER. Recruiting at 29 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-03.

Primary conditionColorectal NeoplasmsRegistry: Gastrointestinal NeoplasmsReclassifiedWhy we changed it
Registry
Gastrointestinal Neoplasms — the first condition term the registry derived for this study.
ClinicalTrials.gg
Colorectal Neoplasms
Why
  1. The study's listed conditions name Colorectal Neoplasms, a narrower term within Gastrointestinal Neoplasms.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by UNICANCER · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Aug 2026, 3 months ago, but the record still lists the study as recruiting.
  • Started Aug 2022; still recruiting 4 years 2 months later.

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Phase
Not applicable
Study type
Interventional
Enrollment
330
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

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

Among 26 studies in Colorectal Neoplasms by UNICANCER — 7 open to participants now, 8 under way, 2 of them phase 3. Colorectal Neoplasms · UNICANCER.

Planned enrollment
5th of 22
330 · median 142
Started
2022
the only one that year
No phase
3 of 26
2 open now
Registered
19th of 26
by date

Among the 26 studies in Colorectal Neoplasms by UNICANCER, this one is the 5th largest by planned enrollment of the 22 interventional ones that give a count, is the only one that started in 2022, is one of 3 with no phase, and was the 19th 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

7 of the 26 studies in Colorectal Neoplasms by UNICANCER are open now, in 1 country. Recruiting first, the newest first:

1 more — sign in →

By country, each count listing its studies:

All 7 open studies →

Where they have run

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 26 studies in Colorectal Neoplasms by UNICANCER, or all of them as a file.
02

Study summary

Targeted therapy drug monitoring in digestive oncology: Dosage of plasma levels of various multikinase inhibitors (MKI) in patients treated for advanced digestive cancer (gastrointestinal stromal tumor (GIST), metastatic colorectal cancer (mCRC), hepatocellular carcinoma (HCC), gastroenteropancreatic neuroendocrine tumor (gepNET), or pancreatic neuroendocrine tumor (pNET)), with the aim of determine the optimal dose adapted for each patient, in the future.

Read the detailed description

Phase IV, national, multicenter, open, multi-cohort interventional study:

  1. Regorafenib - mCRC, GIST, and HCC = 3x30 = 90 patients
  2. Everolimus - gepNET = 60 patients
  3. Sunitinib - pNET and GIST = 60 patients
  4. Cabozantinib - HCC = 60 patients
  5. Encorafenib-cetuximab - mCRC = 60 patients

The patients included will be treated and followed according to standard practice (national recommendations and according to the summary of product characteristics (SmPC) of each molecule). According to the cohort, a maximum of 1 to 2 blood tubes will be taken at different times during the study: at baseline, then 1 month after the start of treatment, then 2 months after the start of treatment, if an adverse event of specific interest (AESI) occurs, and in case of progressive disease.

03

Conditions studied

  • Digestive Cancer
  • Metastatic Colorectal Cancer
  • Hepatocellular Carcinoma
  • GIST
  • Neuroendocrine Tumors

Keywords

  • multi kinases inhibitors
  • therapeutic drug monitoring
  • pharmacokinetics
  • pharmacodynamics
  • advanced digestive cancers
04

In context

Colorectal Neoplasms Reclassified

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

This study's planned enrollment of 330 is above the median of 76 across 4,802 interventional studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

UNICANCER is the lead sponsor of 219 studies on the registry; 52 are open to participants now.

Compared within Colorectal Neoplasms, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Gastrointestinal Neoplasms. The counts are of registry records indexed under each term, refreshed daily. How we classify →

05

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. Patient aged 18 years or over
  2. Advanced digestive cancer ( confirmed or confirmed by imaging for HCC) for which a standard treatment (according to each drug SmPC and as per standard of care) planned with:

    • Regorafenib for GIST, mCRC, and HCC,
    • Everolimus for gepNET,
    • Sunitinib for pNET or GIST,
    • Cabozantinib for HCC,
    • Encorafenib - cetuximab for mCRC
  3. of greater than 3 months - at the discretion of the investigator
  4. according to tumor evaluation criteria as per local practice ( (RECIST) Version 1.1, etc.)
  5. Patients must be affiliated to a Social Security System (or equivalent)
  6. Patient must have signed a written form prior to any trial specific procedures. When the patient is physically unable to give their written consent, a trusted person of their choice, independent from the investigator or the sponsor, can confirm in writing the patient's consent.

Exclusion criteria

Exclusion Criteria:

  1. Other concomitant anticancer systemic treatment (chronic chemotherapy, antitumor hormone therapy or immunotherapy) than the one studied
  2. Unresolved toxicity higher than v5.0 Grade 1 attributed to any prior therapy/procedure excluding alopecia and peripheral neuropathy
  3. Prior treatment with the same MKI molecule(s) planned to be given in the cohort. If different MKI molecules (from the one(s) planned in the study) have been previously taken, a wash out period of 2 weeks before treatment should be observed.
  4. Other invasive either currently active or active in the last 3 years, except adequately treated in situ carcinoma of the cervix and basal or squamous cell carcinoma of the skin
  5. Any condition that may jeopardize patient participation in the study as well as non for male and female with , pregnancy or breast feeding.
  6. Patient unwilling or unable to comply with the medical follow-up required by the standard treatment taken (including PK sampling during treatment phase and vital status collection during follow-up phase) because of psychosocial, familial, social or geographical reasons
  7. Participation in another clinical study with an medicinal product during the last 30 days prior to inclusion and during the present study (except if patient is included in the control arm, with placebo or with a product which have a marketed authorisation, used as per the SmPC for the given indication)
  8. Patient deprived of their liberty or under protective custody or guardianship
Terms in these criteria, in plain language(10)

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.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

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.

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.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

06

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
330 participants (estimated)

Study arms

  • Experimental
    Regorafenib - mCRC, GIST, HCC

    3 x 30 = 90 patients Patients with mCRC, GIST or HCC treated with Regorafenib

    Other: Blood sampling to build population pharmacokinetics model

  • Experimental
    Everolimus - gepNET

    60 patients Patients with gepNET treated with Everolimus

    Other: Blood sampling to build population pharmacokinetics model

  • Experimental
    Sunitinib - pNET, GIST

    2 x 30 = 60 patients Patients with pNET and GIST, treated with Sunitinib

    Other: Blood sampling to build population pharmacokinetics model

  • Experimental
    Cabozantinib - HCC

    60 patients Patients with HCC treated with Cabozantinib

    Other: Blood sampling to build population pharmacokinetics model

  • Experimental
    Encorafenib - Cetuximab - mCRC

    60 patients Patients with mCRC treated with the association Encorafenib - Cetuximab

    Other: Blood sampling to build population pharmacokinetics model

Interventions

  • OtherBlood sampling to build population pharmacokinetics model

    Determine for each drug plasmatic exposure (Css, trough) through the PopPK model. Concentrations measured at the following time points: * 1 month after the first treatment administration * 2 months after the first treatment administration * In case of progression * In case of severe toxicities (AESI) related to the drug received

This study also gives Cabozantinib. No intervention listed here names it: that was found by reading the record.

07

What researchers measure

Primary outcomes

  1. Trough concentration (Ctrough)

    Trough concentration (Ctrough) shows the blood concentration reached by a drug immediately before the next dose is administered, once steady state has been attained. It can also be defined as the minimal drug concentration in the patient's body. Plasmatic measures will be performed by liquid chromatography with tandem mass spectrometry after protein precipitation by acetonitrile.

    Time frame: From inclusion untill the end of treatment up to 4 years

Secondary outcomes

  1. Progression-free survival

    Progression-free survival (PFS) is the lenght of the time between inclusion and the first event of disease progression or death whatever the cause.

    Time frame: 4 years

  2. Overall survival

    Overall survival (OS) is the lenght of time between inclusion and death whatever the cause.

    Time frame: 4 years

  3. Objective response rate

    Objective response rate (ORR) is the percentage of patients with a best response during treatment being either complete response (CR) or partial response (PR).

    Time frame: 4 years

  4. Disease control rate

    Disease control rate (DCR) is defined as the percentage of patients with a best response during treatment being either CR, PR, or Stable Disease (SD).

    Time frame: 4 years

  5. Safety: drug toxicity

    Drug toxicity occurrence related to standard treatment will be graded according to the National Cancer Institute-Common Terminology Criteria for Adverse Events version 5.0. NCI-CTCAE is widely accepted in the community of oncology research as the leading rating scale for adverse events. This scale, divided into 5 grades (1 = "mild", 2 = "moderate", 3 = "severe", 4 = "life-threatening", and 5 = "death") determined by the investigator, will make it possible to assess the severity of the disorders. Only AE of Specific Interest (AESI) will be collected. An AESI is an AE related to treatment that is: * G3 or G4 according to NCI-CTCAE version 5.0, or * Leading to treatment modification (dose reduction or treatment interruption), or * Categorized as serious adverse event (SAE) by the investigator, or * Considered as clinically significant by the investigator.

    Time frame: Throughout study completion, up to 4 years

08

Study locations

19 of 29 sites recruiting
09

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

Started Aug 2022 (actual). Primary completion is estimated for Aug 2026, 48 months after the start.

Of 899 non-industry interventional studies with no phase under Colorectal Neoplasms, half reached primary completion within 32 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 62. This study's planned 48 months is above that.

Counting every sponsor, half of 956 studies reached it within 32 months; a quarter within 14 and three quarters within 60.

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

Registered
Jun 23, 2022
First posted
Jul 5, 2022
StartActual
Aug 29, 2022
Primary completionEst.
Aug 2026
CompletionEst.
Jun 2027
Last update
Aug 3, 2026
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 Aug 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05443087
Lead sponsor
UNICANCER
Responsible party
Sponsor
First posted
Jul 5, 2022
Start date
Aug 29, 2022
Primary completion
Aug 2026 (estimated)
Completion
Jun 2027 (estimated)
Last update
Aug 3, 2026

Study contacts

Michaël CHEVROT, Ph.D
Contact
m-chevrot@unicancer.fr
+33 (0) 1 71 93 61 61
David MALKA, Dr
principal investigator · Gustave ROUSSY - VILLEJUIF

Oversight

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

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