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Trial Title: The Efficacy and Safety of Fluzoparib Plus Irinotecan as Second-line Treatment in Patients With Homologous Recombination Deficiency (HRD) Metastatic Colorectal Cancer.

NCT ID: NCT05732129

Condition: Homologous Recombination Deficiency Alterations Metastatic Colorectal Cancer

Conditions: Official terms:
Colorectal Neoplasms
Irinotecan
Fluzoparib

Conditions: Keywords:
Fluzoparib Plus Irinotecan
Homologous Recombination Deficiency (HRD) Alterations

Study type: Interventional

Study phase: Phase 2

Overall status: Not yet recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Fluzoparib
Description: 150mg,orally, bid (days 1-7) every 2 weeks
Arm group label: Fluzoparib plus Irinotecan

Intervention type: Drug
Intervention name: Irinotecan
Description: 30-90min continuous infusion 180mg/m2 Irinotecan on day 1, q2w
Arm group label: Fluzoparib plus Irinotecan

Summary: Preclinical data support the investigation of PARP inhibitors in other neoplasms exhibiting homologous recombination deficiency (HRD) as monotherapy as well as in combination with chemotherapy. However,in colorectal cancer (CRC), the role of HRD alterations is mostly unknown. This study aims to explore the the Efficacy and Safety of Fluzoparib combined with Irinotecan in the Second-line treatment of HRD alterations metastatic colorectal cancer.

Detailed description: Study protocol for an open-label, single-arm, phase II study of combination of Fluzoparib and rinotecan as the second-line treatment for patients with HRD alterations metastatic colorectal cancer (mCRC). Patients will receive Fluzoparib combined with Irinotecan treatment protocol, which included irinotecan asintravenous infusion at 180mg/m2 (on day 1) and Fluzoparib 150mg capsules given bid (days 1-7) every 2 weeks.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - 18-75 years; - Histological or cytological confirmed metastatic colorectal cancer; - HRD alterations(inclued BRCA1/2、ATM、CDK12、PALB2、Check2、RAD51C、RAD51D etc.); - Intolerability toxicity occurs 8 weeks within first-line therapy; - ECOG PS 0-1; - Adequate hepatic, renal, heart, and hematologic functions; - Negative serum pregnancy test at screening for women of childbearing potential; - Informed consent was signed before the study began. Exclusion Criteria: - Prior treatment with PARPi drugs; - Symptomatic brain or meningeal metastases; - Patients have received local radiotherapy within 1 month prior to treatment; - Patients who had active bleeding or coagulopathy before enrollment, had a tendency to bleed, or were receiving thrombolytic therapy and were considered by the investigator to be ineligible for enrollment; - Women who are pregnant (with a positive pregnancy test before medication) or breastfeeding; - Expected survival <3 months; - Received other investigational drugs within 4 weeks prior to treatment; - Patients who had active uncontrollable neurological, mental disease or mental disorder, poor compliance, unable to cooperate and describe the treatment response; - Allergy to the study drug or any of its excipients;

Gender: All

Minimum age: 18 Years

Maximum age: 75 Years

Healthy volunteers: No

Locations:

Facility:
Name: Department of Colorectal Surgery Fudan University Shanghai Caner Center

Address:
City: Shanghai
Zip: 200032
Country: China

Start date: March 1, 2023

Completion date: December 31, 2023

Lead sponsor:
Agency: Fudan University
Agency class: Other

Source: Fudan University

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05732129

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