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OncoMatch/Clinical Trials/NCT05462613

Regorafenib With Low-dose Chemotherapies and Aspirin Followed by Standard Chemotherapies in Metastatic Colorectal Cancer

Is NCT05462613 recruiting? Yes, currently enrolling (May 2026). This Phase 2/3 trial studies multiple treatments for metastatic colorectal cancer.

Phase 2/3RecruitingCentre Hospitalier Universitaire de BesanconNCT05462613Data as of May 2026

Treatment: Regorafenib · Metronomic chemotherapies · Aspirin · Bevacizumab · FOLFIRI or FOLFOXThis study evaluates the interest of regorafenib in combination of metronomic chemotherapies and low-dose aspirin as a 2 months induction therapy before chemotherapy initiation in the second-line metastatic colorectal carcinoma

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Extracted eligibility criteria

Cancer type

Colorectal Cancer

Biomarker criteria

Required: MSH2 microsatellite-stable

patients eligible should have microsatellite-stable (MSS) status

Required: KRAS known status

a known RAS (Retrovirus Associated Sequences) status

Required: NRAS known status

a known RAS (Retrovirus Associated Sequences) status

Excluded: BRAF V600E

absence of BRAF V600E (B(Raf gene, val600-to-glu) mutation

Disease stage

Required: Stage IV

Metastatic disease required

metastatic colorectal cancer in progression after a first line of chemotherapy

Performance status

ECOG-WHO 0–1

Prior therapy

Max 1 prior line
Min 1 prior line

Must have received: cytotoxic chemotherapy (FOLFOX, FOLFIRI, FOLFIRINOX, FOLFOXIRI) — first-line metastatic

Patients must have been treated for their metastatic disease with one of the following regimens as first-line therapy: FOLFOX, FOLFIRI, FOLFIRINOX, FOLFOXIRI

Cannot have received: regorafenib (regorafenib)

Previous exposure to regorafenib

Cannot have received: anti-angiogenic therapy

Exception: bevacizumab

Previous exposure to other anti-angiogenic treatment than bevacizumab

Lab requirements

Blood counts

Haemoglobin ≥ 9 g/dL; absolute neutrophil count (ANC) ≥ 1.5 x 10^9/L; platelets ≥ 100 x 10^9/L

Kidney function

Cockcroft glomerular filtration rate > 50 ml/min; Proteinuria <2+ (dipstick urinalysis) or ≤1g/24hour

Liver function

Total serum bilirubin ≤ 1.5 times upper normal value (ULN), serum alkaline phosphatase < 5 times ULN, aminotransferases (AST/ALT) ≤ 3 × ULN in absence of hepatic metastasis or ≤ 5 if presence of hepatic lesions

Adequate bone marrow, liver and renal functions.

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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