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OncoMatch/Clinical Trials/NCT05768503

Comparing Chidamide+Sintilimab+Bev With Standard Second-line FOLFIRI+Bev in Advanced MSS/pMMR mCRC

Is NCT05768503 recruiting? Yes, currently enrolling (May 2026). This Phase 3 trial studies Experimental drug for metastatic microsatellite-stable colorectal cancer.

Phase 3RecruitingSun Yat-sen UniversityNCT05768503Data as of May 2026

Treatment: Experimental drugThis is a randomized, controlled, multicenter phase Ⅲ study to evaluate the therapeutic efficacy and safety of chidamide + sintilimab + bevacizumab versus standard second-line FOLFIRI + bevacizumab therapy in subjects with advanced microsatellite stable colorectal cancer who have failed first-line oxaliplatin-containing standard therapy. The primary purpose is to compare the progression-free survival (PFS) of chidamide + sintilimab + bevacizumab versus standard second-line FOLFIRI + bevacizumab therapy for colorectal cancer, with a planned enrollment of 176 subjects with advanced microsatellite stable colorectal cancer who have failed first-line oxaliplatin-containing standard therapy.

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Extracted eligibility criteria

Cancer type

Colorectal Cancer

Biomarker criteria

Required: MLH1 no protein deletion

immunohistochemistry for DNA mismatch repair (MMR) proteins, including MLH1, MSH2, MSH6 and PMS2 protein expression, which result in no protein deletion

Required: MSH2 no protein deletion

immunohistochemistry for DNA mismatch repair (MMR) proteins, including MLH1, MSH2, MSH6 and PMS2 protein expression, which result in no protein deletion

Required: MSH6 no protein deletion

immunohistochemistry for DNA mismatch repair (MMR) proteins, including MLH1, MSH2, MSH6 and PMS2 protein expression, which result in no protein deletion

Required: PMS2 no protein deletion

immunohistochemistry for DNA mismatch repair (MMR) proteins, including MLH1, MSH2, MSH6 and PMS2 protein expression, which result in no protein deletion

Disease stage

Metastatic disease required

Locally advanced unresectable or metastatic colorectal adenocarcinoma

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Max 1 prior line
Min 1 prior line

Must have received: oxaliplatin-containing chemotherapy (oxaliplatin) — first-line

Patients who have failed first-line oxaliplatin-containing standard therapy and have imaging evidence (e.g., CT scan) or clinical evidence (e.g., cytology report of new ascites or pleural effusion) of disease progression during or after treatment; patients whose intolerance of toxicity has led to discontinuation of first-line oxaliplatin-containing standard therapy may be enrolled; relapse within 180 days after the last dose of oxaliplatin-containing adjuvant therapy.

Cannot have received: anti-PD-1 therapy

Prior exposure to any anti-PD-1 antibody

Cannot have received: anti-PD-L1 therapy

Prior exposure to any anti-PD-L1 antibody

Cannot have received: HDAC inhibitor

Prior exposure to any...HDAC inhibitor

Cannot have received: topoisomerase inhibitor (irinotecan)

Prior exposure to...irinotecan

Lab requirements

Blood counts

absolute neutrophil count (ANC) ≥ 1.5×10^9/L; platelet count (PLT) ≥ 100×10^9/L; hemoglobin level (HGB) ≥ 9.0 g/dL

Kidney function

serum creatinine (Cr) ≤ 1.5 x ULN; urine protein <2+ or, if ≥2+, 24-hour urine protein quantification < 1 g

Liver function

serum total bilirubin (TBIL) ≤ 1.5 × ULN; ALT and AST ≤ 3.0 × ULN in subjects without liver metastases, and ALT and AST ≤ 5.0 × ULN in subjects with liver metastases; serum albumin ≥ 25 g/L

Subjects having adequate organ and bone marrow functions with laboratory test values within 7 days prior to enrollment meeting the following requirements...

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

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