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OncoMatch/Clinical Trials/NCT06621173

A Clinical Trial Evaluating the Safety and Efficacy of Intravenous HNF4α SrRNA in Treating Metastatic CRC Patients

Is NCT06621173 recruiting? Yes, currently enrolling (May 2026). This Early Phase 1 trial studies HNF4α srRNA for metastatic colorectal cancer (mcrc).

Early Phase 1RecruitingShanghai Changzheng HospitalNCT06621173Data as of May 2026

Treatment: HNF4α srRNAThis trial is a single-arm, open-label, exploratory first-in-human clinical study designed to evaluate the safety and tolerability of HNF4α srRNA injection in patients with locally unresectable or metastatic colorectal cancer, and to preliminarily explore its effectiveness in treating metastatic colorectal cancer.

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Extracted eligibility criteria

Cancer type

Colorectal Cancer

Biomarker criteria

Required: MSH2 deficient mismatch repair

confirmed deficient mismatch repair (dMMR) or high microsatellite instability (MSI-H) in tumor tissue

Required: MSH6 deficient mismatch repair

confirmed deficient mismatch repair (dMMR) or high microsatellite instability (MSI-H) in tumor tissue

Required: MLH1 deficient mismatch repair

confirmed deficient mismatch repair (dMMR) or high microsatellite instability (MSI-H) in tumor tissue

Required: PMS2 deficient mismatch repair

confirmed deficient mismatch repair (dMMR) or high microsatellite instability (MSI-H) in tumor tissue

Disease stage

Metastatic disease required

Performance status

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

Prior therapy

Min 1 prior line

Must have received: systemic chemotherapy (fluorouracil, oxaliplatin, irinotecan) — standard systemic therapy

have received standard systemic therapy but have disease progression based on RECIST (version 1.1) criteria, including chemotherapy based on fluorouracil, oxaliplatin, or irinotecan

Must have received: anti-VEGF therapy — targeted therapy

targeted therapies with anti-VEGF/EGFR monoclonal antibodies

Must have received: anti-EGFR therapy — targeted therapy

targeted therapies with anti-VEGF/EGFR monoclonal antibodies

Must have received: anti-PD-1 therapy — immune checkpoint inhibitor

treated with immune checkpoint inhibitors (anti-PD-1 or anti-PD-L1 antibodies) and are assessed with disease progression

Must have received: anti-PD-L1 therapy — immune checkpoint inhibitor

treated with immune checkpoint inhibitors (anti-PD-1 or anti-PD-L1 antibodies) and are assessed with disease progression

Cannot have received: systemic chemotherapy

Exception: adjuvant chemotherapy after tumor resection with recurrence/metastasis within 6 months and no standard systemic therapy

Patients who have undergone standard adjuvant chemotherapy after tumor resection, and have experienced recurrence or metastasis within 6 months after discontinuing the medication, and have not received standard systemic therapy

Cannot have received: immunotherapy

Exception: except for treatment regimens assessed as disease progression according to RECIST v1.1

Patients who have received local or systemic anti-tumor treatments such as immunotherapy, targeted therapy, and chemotherapy within 4 weeks, or radiation therapy within 3 weeks, except for treatment regimens assessed as disease progression according to RECIST v1.1

Cannot have received: targeted therapy

Exception: except for treatment regimens assessed as disease progression according to RECIST v1.1

Patients who have received local or systemic anti-tumor treatments such as immunotherapy, targeted therapy, and chemotherapy within 4 weeks, or radiation therapy within 3 weeks, except for treatment regimens assessed as disease progression according to RECIST v1.1

Cannot have received: chemotherapy

Exception: except for treatment regimens assessed as disease progression according to RECIST v1.1

Patients who have received local or systemic anti-tumor treatments such as immunotherapy, targeted therapy, and chemotherapy within 4 weeks, or radiation therapy within 3 weeks, except for treatment regimens assessed as disease progression according to RECIST v1.1

Cannot have received: radiation therapy

Exception: except for treatment regimens assessed as disease progression according to RECIST v1.1

Patients who have received local or systemic anti-tumor treatments such as immunotherapy, targeted therapy, and chemotherapy within 4 weeks, or radiation therapy within 3 weeks, except for treatment regimens assessed as disease progression according to RECIST v1.1

Lab requirements

Blood counts

anc < 1.5×10^9/l, or platelets < 50×10^9/l, or hemoglobin < 9.0 g/dl

Kidney function

creatinine >1.5 × uln or calculated creatinine clearance < 40 ml/min

Liver function

serum bilirubin > 3 × uln, or ast, alp, or alt > 5 × uln

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

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