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 (May 2026). This Phase 2/3 trial studies multiple treatments including Oxaliplatin and Fluorouracil for colorectal cancer.

Phase 2/3RecruitingSun Yat-sen UniversityNCT06280495Data as of May 2026

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

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)

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.

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