OncoMatch

OncoMatch/Clinical Trials/NCT06280495

Neoadjuvant Serplulimab & Bevacizumab With FOLFOX vs. FOLFOX Alone in RAS/BRAF WT, pMMR/MSS CRC Patients

Is NCT06280495 recruiting? Yes, currently enrolling (Jun 2026). This Phase 2/3 trial studies multiple treatments including Oxaliplatin and Fluorouracil for colorectal cancer.

Phase 2/3RecruitingSun Yat-sen UniversityNCT06280495Data as of Jun 2026Location: China

Treatment: Oxaliplatin · Fluorouracil · Serplulimab · BevacizumabThe primary objective of this study is to assess whether the addition of Serplulimab (a PD-1 inhibitor) and Bevacizumab (an anti-angiogenesis agent) to the standard FOLFOX chemotherapy can enhance the immune microenvironment in the liver, increase T lymphocyte infiltration, and consequently improve the postoperative prognosis for patients with surgically resectable colorectal cancer liver metastases (RAS/BRAF wild-type, pMMR/MSS) compared to FOLFOX alone.

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Extracted eligibility criteria

Treatments studied

Targeted therapy

Bevacizumab

Chemotherapy

OxaliplatinFluorouracil

Other

Serplulimab

Cancer type

Colorectal Cancer

Biomarker criteria

Required: KRAS wild-type

Genetic testing and/or immunohistochemistry confirmation of RAS, BRAF wild-type, and pMMR/MSS

Required: NRAS wild-type

Genetic testing and/or immunohistochemistry confirmation of RAS, BRAF wild-type, and pMMR/MSS

Required: BRAF wild-type

Genetic testing and/or immunohistochemistry confirmation of RAS, BRAF wild-type, and pMMR/MSS

Required: MLH1 proficient mismatch repair (pMMR)

Genetic testing and/or immunohistochemistry confirmation of RAS, BRAF wild-type, and pMMR/MSS

Required: MSH2 proficient mismatch repair (pMMR)

Genetic testing and/or immunohistochemistry confirmation of RAS, BRAF wild-type, and pMMR/MSS

Required: MSH6 proficient mismatch repair (pMMR)

Genetic testing and/or immunohistochemistry confirmation of RAS, BRAF wild-type, and pMMR/MSS

Required: PMS2 proficient mismatch repair (pMMR)

Genetic testing and/or immunohistochemistry confirmation of RAS, BRAF wild-type, and pMMR/MSS

Required: MSI1 microsatellite stable (MSS)

Genetic testing and/or immunohistochemistry confirmation of RAS, BRAF wild-type, and pMMR/MSS

Disease stage

Metastatic disease required

Performance status

ECOG 0–1(Restricted strenuous activity)

Demographics

Ages ≤ 75

Prior therapy

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

Must have received: surgical resection — primary colorectal tumor

Primary colorectal tumor has been or can be radically resected

Cannot have received: chemotherapy

Exception: except for surgical resection of primary lesions

No prior anti-tumor therapy for liver metastases, except for surgical resection of primary lesions

Cannot have received: targeted therapy

No prior anti-tumor therapy for liver metastases, except for surgical resection of primary lesions

Cannot have received: immunotherapy

No prior anti-tumor therapy for liver metastases, except for surgical resection of primary lesions

Cannot have received: intervention

No prior anti-tumor therapy for liver metastases, except for surgical resection of primary lesions

Cannot have received: oxaliplatin-containing adjuvant chemotherapy (oxaliplatin)

Exception: if received within the past one year

Received oxaliplatin-containing adjuvant chemotherapy regimen within the past one year

Lab requirements

Blood counts

platelets >90×10^9/L; white blood cells >3×10^9/L; neutrophils >1.5×10^9/L

Kidney function

Serum creatinine below the upper limit of normal (ULN), or calculated creatinine clearance rate >50ml/min (using Cockcroft-Gault formula)

Liver function

Serum bilirubin ≤1.5 times the upper limit of normal (ULN), transaminases ≤5 times ULN, alkaline phosphatase ≤2.5 ULN, no ascites, normal coagulation function, albumin ≥35g/L; Liver function classified as Child-Pugh grade A

Normal hematological function (platelets >90×10^9/L; white blood cells >3×10^9/L; neutrophils >1.5×10^9/L); Serum bilirubin ≤1.5 times the upper limit of normal (ULN), transaminases ≤5 times ULN, alkaline phosphatase ≤2.5 ULN, no ascites, normal coagulation function, albumin ≥35g/L; Liver function classified as Child-Pugh grade A; Serum creatinine below the upper limit of normal (ULN), or calculated creatinine clearance rate >50ml/min (using Cockcroft-Gault formula)

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

Frequently asked questions

Is NCT06280495 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 wild-type is a required biomarker for enrollment.

Does this trial require NRAS?

Yes, NRAS wild-type is a required biomarker for enrollment.

Does this trial require BRAF?

Yes, BRAF wild-type is a required biomarker for enrollment.

Is there an age limit?

Yes. Patients must be 75 years or younger.

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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