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OncoMatch/Clinical Trials/NCT05970302

XELOX +Bev +Tislelizumab for First-line Treatment of MSS/pMMR RAS-mutated mCRC

Is NCT05970302 recruiting? Yes, currently enrolling (Jun 2026). This Phase 2 trial studies Tislelizumab+Bevacizumab+Oxaliplatin+Capecitabine for tislelizumab.

Phase 2RecruitingCancer Institute and Hospital, Chinese Academy of Medical SciencesNCT05970302Data as of Jun 2026Location: China

Treatment: Tislelizumab+Bevacizumab+Oxaliplatin+CapecitabineThe goal of this clinical trial is to compare XELOX +Bev +Tislelizumab with standard chemotherapy,in MSS/pMMR-type RAS-mutated metastatic colorectal adenocarcinoma. The main questions it aims to answer are efficacy and safety of the regimen of XELOX +Bev +Tislelizumab. The investigators want to transform ras-mutated colorectal cancer into a "hot tumor" through the combination of anti-vascular therapy and chemotherapy, and then achieve better therapeutic effect through the combination with immunotherapy. Participants will receive the regimen of XELOX +Bev +Tislelizumab.

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Extracted eligibility criteria

Treatments studied

Targeted therapy

Tislelizumab+Bevacizumab+Oxaliplatin+Capecitabine

Cancer type

Colorectal Cancer

Biomarker criteria

Required: KRAS mutation

RAS-mutant

Required: NRAS mutation

RAS-mutant

Required: MLH1 proficient mismatch repair

MSS/pMMR-type

Required: MSH2 proficient mismatch repair

MSS/pMMR-type

Required: MSH6 proficient mismatch repair

MSS/pMMR-type

Required: PMS2 proficient mismatch repair

MSS/pMMR-type

Disease stage

Required: Stage IV

Metastatic disease required

Histologically confirmed initially unresectable MSS/pMMR-type RAS-mutant metastatic colorectal adenocarcinoma; Have at least one measurable lesion (according to RECIST v1.1 standard)

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Must have received: chemotherapy containing fluorouracil (fluorouracil) — neoadjuvant or adjuvant

Neoadjuvant or adjuvant chemotherapy containing fluorouracil drugs is allowed before or after radical resection of colorectal cancer, but the treatment needs to be completed for ≥ 6 months

Must have received: chemotherapy containing oxaliplatin (oxaliplatin) — neoadjuvant or adjuvant

if oxaliplatin is used in neoadjuvant or adjuvant chemotherapy, it includes The oxaliplatin regimen needs to be completed for ≥12 months

Cannot have received: bevacizumab (bevacizumab)

Previously received bevacizumab

Cannot have received: anti-CTLA-4 therapy

anti-CTLA4 therapeutic antibodies

Cannot have received: anti-PD-1 therapy

anti-PD-1 therapeutic antibodies

Cannot have received: anti-PD-L1 therapy

anti-PD-L1 therapeutic antibodies

Cannot have received: pathway-targeted drugs

pathway-targeted drugs

Lab requirements

Blood counts

white blood cells ≥ 3.5*10^9/L and neutrophils ≥ 1.5*10^9/L, hemoglobin ≥ 90g/L, platelets ≥ 100*10^9/L

Kidney function

serum creatinine ≤ 1.5 times of normal value, creatinine clearance rate ≥ 60ml/min

Liver function

serum bilirubin ≤ 1.5 times the normal value, ALT ≤ 2.5 times the normal value, AST ≤ 2.5 times the normal value

Cardiac function

LVEF ≥ lower limit of normal value (50%)

Adequate organ function: ...white blood cells ≥ 3.5*10^9/L and neutrophils ≥ 1.5*10^9/L, hemoglobin ≥ 90g/L, platelets ≥ 100*10^9/L; serum bilirubin ≤ 1.5 times the normal value, alanine aminotransferase (ALT) ≤ 2.5 times the normal value, aspartate aminotransferase (AST) ≤ 2.5 times the normal value; ...serum creatinine ≤ 1.5 times of normal value, creatinine clearance rate ≥ 60ml/min; Doppler ultrasound evaluation: left ventricular ejection fraction (LVEF) ≥ lower limit of normal value (50%)

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

Frequently asked questions

Is NCT05970302 currently recruiting?

Yes, this trial is currently recruiting patients.

Can patients have received prior systemic therapy?

No. This trial requires treatment-naive patients — prior systemic therapy is an exclusion criterion.

Does this trial require KRAS?

Yes, KRAS mutation is a required biomarker for enrollment.

Does this trial require NRAS?

Yes, NRAS mutation is a required biomarker for enrollment.

Does this trial require MLH1?

Yes, MLH1 proficient mismatch repair is a required biomarker for enrollment.

What disease stage is eligible?

Stage IV is required (metastatic disease required).

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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