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OncoMatch/Clinical Trials/NCT06547203

Cetuximab, Irinotecan, Toripalimab in RAS/BRAF Wild-type Ultraselected Right-sided Colorectal Cancer Study

Is NCT06547203 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Cetuximab and Toripalimab for colorectal cancer metastatic.

Phase 2RecruitingSun Yat-sen UniversityNCT06547203Data as of May 2026

Treatment: Cetuximab · Toripalimab · IrinotecanThe objective of this clinical trial is to evaluate the efficacy and safety of cetuximab combined with PD-1 inhibitor and irinotecan in negative ultraselection RAS/BRAF wild-type refractory right-sided metastatic colorectal cancer.

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Extracted eligibility criteria

Cancer type

Colorectal Cancer

Biomarker criteria

Required: KRAS wild-type

Histologically tested as RAS/BRAF V600E wild-type

Required: NRAS wild-type

Histologically tested as RAS/BRAF V600E wild-type

Required: BRAF V600E wild-type

Histologically tested as RAS/BRAF V600E wild-type

Required: PIK3CA wild-type

negative ultraselected for mutations including: RAS/BRAF V600E/PIK3CA/PTEN/EGFR (ECD), HER2 and MET amplification, and ALK/RET/NTRK1 gene fusions

Required: PTEN wild-type

negative ultraselected for mutations including: RAS/BRAF V600E/PIK3CA/PTEN/EGFR (ECD), HER2 and MET amplification, and ALK/RET/NTRK1 gene fusions

Required: EGFR extracellular domain wild-type

negative ultraselected for mutations including: RAS/BRAF V600E/PIK3CA/PTEN/EGFR (ECD), HER2 and MET amplification, and ALK/RET/NTRK1 gene fusions

Required: HER2 (ERBB2) amplification wild-type

negative ultraselected for mutations including: RAS/BRAF V600E/PIK3CA/PTEN/EGFR (ECD), HER2 and MET amplification, and ALK/RET/NTRK1 gene fusions

Required: MET amplification wild-type

negative ultraselected for mutations including: RAS/BRAF V600E/PIK3CA/PTEN/EGFR (ECD), HER2 and MET amplification, and ALK/RET/NTRK1 gene fusions

Required: ALK fusion wild-type

negative ultraselected for mutations including: RAS/BRAF V600E/PIK3CA/PTEN/EGFR (ECD), HER2 and MET amplification, and ALK/RET/NTRK1 gene fusions

Required: RET fusion wild-type

negative ultraselected for mutations including: RAS/BRAF V600E/PIK3CA/PTEN/EGFR (ECD), HER2 and MET amplification, and ALK/RET/NTRK1 gene fusions

Required: NTRK1 fusion wild-type

negative ultraselected for mutations including: RAS/BRAF V600E/PIK3CA/PTEN/EGFR (ECD), HER2 and MET amplification, and ALK/RET/NTRK1 gene fusions

Disease stage

Metastatic disease required

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Must have received: VEGF inhibitor (bevacizumab)

Patients who have progressed after previous treatments including bevacizumab, irinotecan, oxaliplatin, and 5-fluorouracil

Must have received: topoisomerase inhibitor (irinotecan)

Patients who have progressed after previous treatments including bevacizumab, irinotecan, oxaliplatin, and 5-fluorouracil, with tumor progression occurring during or within 3 months after irinotecan treatment

Must have received: platinum-based chemotherapy (oxaliplatin)

Patients who have progressed after previous treatments including bevacizumab, irinotecan, oxaliplatin, and 5-fluorouracil

Must have received: antimetabolite (5-fluorouracil)

Patients who have progressed after previous treatments including bevacizumab, irinotecan, oxaliplatin, and 5-fluorouracil

Cannot have received: EGFR-targeted therapy

No prior treatment with anti-EGFR

Cannot have received: anti-PD-1 therapy

No prior treatment with ... PD-1 antibodies

Lab requirements

Blood counts

platelets >90×10^9/L; white blood cells >3×10^9/L; neutrophils >1.5×10^9/L; albumin ≥35 g/L

Kidney function

Serum creatinine less than ULN, or calculated creatinine clearance >50 ml/min (using the Cockcroft-Gault formula)

Liver function

Serum bilirubin ≤1.5 times the upper limit of normal (ULN), transaminases ≤5 times ULN, 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. Liver function classified as Child-Pugh grade A. Serum creatinine less than ULN, or calculated creatinine clearance >50 ml/min (using the Cockcroft-Gault formula). Albumin ≥35 g/L.

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

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