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RecruitingNCT05555901Updated Aug 30, 2023

The Efficacy and Safety of Fruquintinib Plus Chemotherapy as Second-line Treatment in Metastatic Colorectal Cancer

A Phase 2 interventional study of Fruquintinib+ chemotherapy and Bevacizumab+ chemotherapy in Metastatic Colorectal Cancer, sponsored by Fudan University. Recruiting at 13 sites in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2023-08-30.

Sponsored by Fudan University · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Sep 2025, 1 year 1 month ago, but the record still lists the study as recruiting.
  • Started Jun 2023; still recruiting 3 years 3 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
116
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This is a prospective, multi-center, randomized study evaluating the efficacy and safety of fruquintinib combined with chemotherapy vs bevacizumab combined with chemotherapy as second-line treatment in patients with metastatic colorectal cancer. Patients will receive fruquintinib+ FOLFIRI or bevacizumab+FOLFIRI as the second-line treatment. After receiving 4-6 months of second-line treatment, patients who achieve disease control will receive fruquintinib + capecitabine or bevacizumab+ capecitabine as maintenance treatment. All patients will be treated until progressive disease, death from any cause, unacceptable toxicity or informed consent withdrawal.

02

Conditions studied

  • Metastatic Colorectal Cancer

Keywords

  • Fruquintinib plus Chemotherapy
  • second-line treatment
03

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 116 is above the median of 77 across 4,123 interventional studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

Fudan University is the lead sponsor of 1,270 studies on the registry; 623 are open to participants now.

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

04

Who can participate

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

Inclusion criteria

  • Aged 18-75years (inclusive);
  • Body weight ≥40 kg;
  • Histological or cytological confirmed colorectal cancer;
  • Expected survival >12 weeks;
  • Fail in previous first-line standard therapy, which must include a fluorouracil (5-fluorouracil or capecitabine), oxaliplatin ;
  • At least one measurable lesion (according to RECIST1.1);
  • Adequate hepatic, renal, heart, and hematologic functions;
  • Negative serum pregnancy test at screening for women of childbearing potential.

Exclusion criteria

Exclusion Criteria:

  • Received radiation therapy, surgical procedure, chemotherapy, immunotherapy or molecular targeted therapy, or other investigational drugs within 4 weeks prior to treatment
  • Prior treatment with anti-angiogenic small molecule targeted drugs, such as fruquintinib, etc
  • Prior treatment with an irinotecan-based chemotherapy regimen
  • Symptomatic brain or meningeal metastases (except for patients with BMS who have received local radiotherapy or surgery for more than 6 months and whose disease is stable);
  • Patients with hypertension that cannot be well controlled by antihypertensive medication (systolic blood pressure ≥140 mmHg or diastolic blood pressure ≥90 mmHg)
  • Have obvious clinical bleeding symptoms or obvious bleeding tendency within 3 months before treatment (bleeding > 30 mL within 3 months, hematemesis, black feces, hematozoia), hemoptysis (fresh blood > 5 mL within 4 weeks), etc. Treatment for venous/venous thrombosis events within the previous 6 months, such as cerebrovascular accident (including transient ischemic attack, cerebral hemorrhage, cerebral infarction), deep vein thrombosis, and pulmonary embolism; Long-term anticoagulant therapy with warfarin or heparin, or long-term antiplatelet therapy (aspirin ≥300 mg/day or clopidogrel ≥75 mg/day);
  • Tumor invasion of large vascular structures, such as pulmonary artery, superior vena cava or inferior vena cava, was found during screening, which was judged by the investigator to have a greater risk of bleeding;
  • Active heart disease, including myocardial infarction, severe/unstable angina, 6 months prior to treatment. Echocardiography examination left ventricular ejection fraction \< 50%, arrhythmia control is not good;
  • The patient has had other malignant tumors within 5 years (except cured basal cell carcinoma of the skin and carcinoma in situ of the cervix);
  • Allergy to the study drug or any of its excipients;
  • Severe infection with active or uncontrolled infection;
  • Any other disease, with clinical significance of metabolic abnormalities, abnormal physical examination or laboratory abnormalities, according to researchers, there is reason to suspect the patient has not suitable for the use of study drugs of a disease or condition (such as have a seizure and require treatment), or will affect the interpretation of results, or to make patients in high-risk situations;
  • Urine routine showed urine protein ≥2+, and 24-hour urine protein level >1.0g.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
116 participants (estimated)

Study arms

  • Experimental
    Fruquintinib+ chemotherapy

    Patients will receive fruquintinib+ FOLFIRI once every four weeks as the second-line treatment. After receiving 4-6 months of second-line treatment, patients who achieve disease control will receive fruquintinib + capecitabine as maintenance treatment.

    Drug: Fruquintinib+ chemotherapy

  • Active comparator
    Bevacizumab+ chemotherapy

    Patients will receive bevacizumab+ FOLFIRI once every two weeks as the second-line treatment. After receiving 4-6 months of second-line treatment, patients who achieve disease control will receive bevacizumab + capecitabine as maintenance treatment.

    Drug: Bevacizumab+ chemotherapy

Interventions

  • DrugFruquintinib+ chemotherapy

    Second-line treatment : Fruquintinib+FOLFIRI Drug: Fruquintinib 4mg, orally, once daily, 3 weeks on/ 1 week off, q4w Drug: FOLFIRI regimen Irinotecan 180 mg/m2, and LV 400 mg/m2 followed by bolus 5-fluorouracil 400mg/m2 and a 46-48-hour continuous infusion 2400mg/m2 5-fluorouracil on day 1, q2w Maintenance treatment:Fruquintinib+Capecitabine Drug: Fruquintinib 4mg, orally, once daily, 2 weeks on/ 1 week off, q3w Drug: Capecitabine 825 mg/m2, orally, twice daily, q3w

  • DrugBevacizumab+ chemotherapy

    Second-line treatment : Bevacizumab+FOLFIRI Drug: Bevacizumab 5mg/kg on day 1, q2w Drug: FOLFIRI regimen Irinotecan 180 mg/m2, and LV 400 mg/m2 followed by bolus 5-fluorouracil 400mg/m2 and a 46-48-hour continuous infusion 2400mg/m2 5-fluorouracil on day 1, q2w Maintenance treatment:Bevacizumab+Capecitabine Drug: Bevacizumab 7.5mg/kg on day 1, q3w Drug: Capecitabine 825 mg/m2, orally, twice daily, q3w

06

What researchers measure

Primary outcomes

  1. Progression-Free Survival (PFS)

    time from randomization to the first documented disease progression or death due to any cause, whichever occurs first. Responses are according to the Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) as assessed by investigator

    Time frame: from randomization up to progressive disease or EOT due to any cause, assessed up to 1 year

Secondary outcomes

  1. Objective response rate (ORR)

    the proportion of patients with complete response or partial response, using RECIST v 1.1.

    Time frame: from randomization up to progressive disease or EOT due to any cause, assessed up to 1 year

  2. Disease Control Rate (DCR)

    the proportion of patients with complete response, partial response or stable disease, using RECIST v 1.1.

    Time frame: from randomization up to progressive disease or EOT due to any cause, assessed up to 1 year

  3. Overall survival (OS)

    time from randomization to death from any cause.

    Time frame: from randomization until death due to any cause, assessed up to 2 year

07

Study locations

1 of 13 sites recruiting
  • The First Hospital of Putian City
    Putian, Fujian 351100, China
    • Yanchang Xu · Contact
    Not yet recruiting
  • The Fourth Hospital of Hebei Medical University and Hebei Tumor Hospital
    Shijiazhuang, Hebei 050011, China
    • Guiying Wang · Contact
    Not yet recruiting
  • Henan Cancer Hospital
    Zhengzhou, Henan 450008, China
    • Xiaobing Chen · Contact
    Not yet recruiting
  • Xiangya Hospital of Central South University
    Changsha, Hunan 410008, China
    • Shan Zeng · Contact
    Not yet recruiting
  • Qilu Hospital of Shandong University (QLH)
    Jinan, Shandong 250012, China
    • Yong Dai · Contact
    Not yet recruiting
  • The Affiliated Hospital of Qingdao University
    Qingdao, Shandong 266071, China
    • Wensheng Qiu · Contact
    Not yet recruiting
  • Renji hospital, Shanghai Jiaotong University
    Shanghai, Shanghai 200001, China
    • Zizhen zhang, phd · Contact
    Not yet recruiting
  • Changhai Hospital
    Shanghai, Shanghai 200433, China
    • Wei Zhang · Contact
    Not yet recruiting
  • Ruijin Hospital Affiliated to The Shanghai Jiao Tong University Medical School
    Shanghai, Shanghai 201801, China
    • Ren Zhao · Contact
    Not yet recruiting
  • the Second Affiliated Hospital of Medical College of Zhejiang University
    Hangzhou, Zhejiang 310000, China
    • Ying Yuan, Ph.D & MD · Contact
    Not yet recruiting
  • Zhejiang Provincial People's Hospital
    Hangzhou, Zhejiang 310014, China
    • Zhiquan Qin · Contact
    Not yet recruiting
  • Sir Run Run Shaw Hospital
    Hangzhou, Zhejiang 310016, China
    • Zhangfa Song · Contact
    Not yet recruiting
  • Zhongshan hosptial, Fudan University
    Shanghai, 200032, China
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 30, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05555901
Lead sponsor
Fudan University
Responsible party
Xu jianmin (Deputy director of the department of general surgery, Fudan University) — Principal investigator
First posted
Sep 27, 2022
Start date
Jun 18, 2023
Primary completion
Sep 2025 (estimated)
Completion
Sep 2025 (estimated)
Last update
Aug 30, 2023

Study contacts

Jianmin Xu, MD
Contact
xujmin@aliyun.com
86-21-6404-1990 ext. 3449

Oversight

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

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