ClinicalTrials.gg
Not yet recruitingNCT06470178Updated Jun 24, 2024

A Real-World Study of Neoadjuvant/Conversion Therapy for Colorectal Cancer With Chemotherapy And Anti-Angiogenic Targeted Agents

An observational study in Colorectal Cancer, sponsored by Wuhan University. Not yet recruiting at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2024-06-24.

Sponsored by Wuhan University · Observational

From the registry’s dates

  • Primary completion was expected by Apr 2026, 6 months ago, but the record still lists the study as not yet recruiting.
Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
70
Ages
18 Years to 75 Years
Sex
All
01

Study summary

Fruquintinib is already the standard third-line treatment for metastatic colorectal cancer, but the efficacy of fruquintinib in neoadjuvant and conversion therapy for locally advanced/advanced colorectal cancer has not yet been reported. This study aims to observe the efficacy and safety of fruquintinib combined with chemotherapy in neoadjuvant or conversion therapy for colorectal cancer patients in the real world.

02

Conditions studied

  • Colorectal Cancer

Keywords

  • Fruquintinib
  • anti-angiogenic targeted therapies
  • colorectal cancer
  • neoadjuvant therapy
  • conversion therapy
03

In context

Colorectal Neoplasms

6,541 studies on the registry are indexed under Colorectal Neoplasms; 1,667 are open to participants now.

This study's planned enrollment of 70 is below the median of 250 across 1,440 observational studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

Wuhan University is the lead sponsor of 46 studies on the registry; 14 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
Sampling method
Non-probability sample

Study population

Colorectal cancer who have received chemotherapy and fruquintinib as neoadjuvant or conversion treatment.

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

  • Patients must meet all of the following criteria to be enrolled in this study:

    1. Age ≥18 years and ≤75 years;
    2. Either gender;
    3. Patients with confirmed colorectal cancer. For the treatment cohort: Rectal cancer is limited to high rectal cancer, but patients with mid to low rectal cancer who are unwilling or unsuitable for neoadjuvant chemoradiotherapy can also be included.
    4. Neoadjuvant treatment cohort: Clinically staged as stage II (T3-4N0M0) or stage III (T1-4N1-2M0) and initially resectable; patients with clinical stage M1 but initially resectable can also be included in the neoadjuvant treatment cohort, such as patients with stage IV liver oligometastasis. Conversion treatment cohort: Patients with initially unresectable but potentially resectable locally advanced or advanced distant colorectal cancer (according to AJCC 8th), and patients with locally advanced low rectal cancer who are unsuitable or unwilling to undergo chemoradiotherapy can also be included.
    5. Have received chemotherapy and fruquintinib for at least 2 cycles. For the neoadjuvant therapy cohort, patients who have not previously received anticancer treatment (radiotherapy, chemotherapy, targeted therapy, or immunotherapy, etc.). The patients are eligible for inclusion in the analysis set if they have received fruquintinib treatment for at least 2 cycles and have undergone at least one tumor assessment after baseline. All patients included in the efficacy analysis are included in the safety analysis set.
    6. (ECOG) performance status of 0-1 before treatment.
    7. Expected survival time of >6 months before neoadjuvant therapy and >3 months before conversion therapy.
    8. No significant organ dysfunction or drug before receiving neoadjuvant or conversion therapy.
    9. There is no mandatory requirement for target lesions. Objective response rate (ORR) assessment is based on all evaluable patients, regardless of the presence of target lesions. For patients without target lesions, those assessed as non PR/non PD will be analyzed as stable disease (SD).

Exclusion criteria

Exclusion Criteria:

  • Patients meeting any of the following criteria are not eligible to enter the study:

    1. History of other primary malignant tumors, except: (1) complete remission of malignant tumors at least 2 years before enrollment and no need for other treatment during the study period; (2) adequately treated non-melanoma skin cancer or malignant melanoma without evidence of disease recurrence; (3) adequately treated in situ carcinoma.
    2. dMMR/MSI-H.
    3. Female patients who are pregnant or lactating.
    4. Known allergy (Grade 3 or higher allergic reaction) or to anti-angiogenic drugs or chemotherapy drug components.
    5. Use of non-study drug treatments during the study period that may interfere with the analysis.
    6. Patients who did not undergo any tumor efficacy assessment after receiving or conversion therapy.
    7. Less than 2 cycles of fruquintinib neoadjuvant or conversion therapy.
    8. Patients with insufficient follow-up information as judged by the investigator (such as not returning to the hospital for treatment or efficacy assessment after initial treatment).
Terms in these criteria, in plain language(5)

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.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

Metastases

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

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
70 participants (estimated)
Patient registry
No

Groups and cohorts

  • Cohort 1 : neoadjuvant treatment

    Combination Product: corhot1: chemotherapy combined with fruquintinib

  • Cohort 2:conversion treatment

    Combination Product: corhot2: chemotherapy combined with fruquintinib

Interventions

  • Combination productcorhot1: chemotherapy combined with fruquintinib

    Drug page: HMPL-013

    Chemotherapy Drugs: Selection based on clinical guidelines/indications and patient condition.For example, recommended chemotherapy regimens: mFOLFOX6 or CAPEOX. Fruquintinib: 3mg (starting dose), PO (once daily). Dosing schedule and dosage can be adjusted based on concurrent chemotherapy and immune checkpoint inhibitors. Have received fruquintinib treatment for at least 2 cycles.

  • Combination productcorhot2: chemotherapy combined with fruquintinib

    Drug page: HMPL-013

    Chemotherapy Drugs: Selection based on clinical guidelines/indications and patient condition.For example, recommended chemotherapy regimens: mFOLFOX6 or CAPEOX. Fruquintinib: 3mg (starting dose), PO (once daily). Dosing schedule and dosage can be adjusted based on concurrent chemotherapy and immune checkpoint inhibitors. Have received fruquintinib treatment for at least 2 cycles.

06

What researchers measure

Primary outcomes

  1. Corhot1: Pathological Complete Response Rate (pCR)

    Pathological Complete Response Rate (pCR), defined as no residual tumor cells in the surgical specimen of the primary tumor and lymph nodes (ypT0N0); corresponds to TRG grade 0.

    Time frame: Time from the first treatment up to 12 weeks

  2. Corhot2: R0 surgical conversion rate

    R0 surgical conversion rate:The proportion of subjects who achieve complete R0 resection of both the primary gastric lesion and any metastases among all subjects receiving the conversion therapy regimen.

    Time frame: Time from the first treatment up to 24 weeks

Secondary outcomes

  1. Corhot1: R0 resection rate

    R0 resection rate: Defined as the proportion of subjects achieving negative margins among those who underwent surgical treatment.

    Time frame: Time from the first treatment up to 12 weeks

  2. Corhot1: Event-Free Survival (EFS)

    Event-Free Survival (EFS): Time from initiation of neoadjuvant study treatment until first documented progression, recurrence/metastasis, or death from any cause (whichever occurs first, without progression/recurrence at the time of death).

    Time frame: Time from the first treatment up to 2 years

  3. Corhot1: 1-year Event-Free Survival (EFS) rate

    1-year Event-Free Survival rate: Survival rate of patients who, from initiation of neoadjuvant study treatment, have not experienced progression, recurrence/metastasis, or death from any cause at 12 months.

    Time frame: Time from the first treatment up to 12 months.

  4. Corhot1 and Corhot2: Overall Survival (OS)

    Overall Survival (OS): Time from the first study treatment until death from any cause.

    Time frame: Time from the first treatment up to 2 years.

  5. Corhot1 and Corhot2: 1-year Overall Survival (OS) rate

    1-year OS rate: Survival rate of patients who have not experienced progression or death from any cause at 12 months from the first study treatment.

    Time frame: Time from the first treatment up to 12 months.

  6. Corhot1 and Corhot2: Objective Response Rate (ORR)

    Objective Response Rate (ORR): Proportion of patients with target lesions who achieve a complete response (CR) or partial response (PR) among all treated patients.

    Time frame: corhot1 :Time from the first treatment up to 12 weeks. Corhot2:Time from the first treatment up to 2 years.

  7. Corhot1 and Corhot2: Disease Control Rate (DCR)

    Disease Control Rate (DCR): Proportion of patients with target lesions who achieve a complete response (CR), partial response (PR), or stable disease (SD) among all treated patients.

    Time frame: corhot1 :Time from the first treatment up to 12 weeks. Corhot2:Time from the first treatment up to 2 years.

  8. Corhot2: Curative Surgery Conversion Rate

    Curative Surgery Conversion Rate: The proportion of subjects who undergo potentially curative surgical resection of both the primary gastric lesion and any metastases among all subjects receiving the conversion therapy regimen.

    Time frame: Time from the first treatment up to 24 weeks

  9. Corhot2: Progression-Free Survival (PFS)

    Progression-Free Survival (PFS): Defined as the time from initiation of the study treatment regimen until the first radiographic disease progression, postoperative disease recurrence, or death (whichever occurs first). This can be calculated separately for surgical and non-surgical patients, with surgical patients considering postoperative disease recurrence or death (whichever occurs first).

    Time frame: Time from the first treatment up to 2 years.

  10. Corhot1and Corhot2: Adverse events

    Adverse events during neoadjuvant or conversion therapy, impact on surgery (delay, surgical complications) for corhot1, impact on surgical procedure and postoperative outcomes for corhot2.

    Time frame: through study completion, an average of 1 year

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 24, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06470178
Lead sponsor
Wuhan University
Responsible party
Bin Xiong, MD (Chief Physician, Wuhan University) — Principal investigator
First posted
Jun 24, 2024
Start date
May 1, 2025 (estimated)
Primary completion
Apr 30, 2026 (estimated)
Completion
Apr 30, 2027 (estimated)
Last update
Jun 24, 2024

Study contacts

ChunWei Peng, doctor
Contact
whupengcw@whu.edu.cn
13476196566
Bin Xiong, doctor
Contact
binxiong1961@whu.edu.cn
13886029351
Bin Xiong, doctor
principal investigator · Zhongnan Hospital

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Jun 2024. You cannot join it, but the record below documents what was studied.

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Discussion

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