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Checkpoint Inhibitor

Regorafenib + Nivolumab for Colorectal Cancer

Phase 1
Waitlist Available
Led By Dae W Kim, MD
Research Sponsored by H. Lee Moffitt Cancer Center and Research Institute
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Eastern Cooperative Oncology Group (ECOG) Performance Score 0 or 1
Received and progressed through or become intolerant to specified therapies
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 24 months after conclusion of treatment
Awards & highlights

Study Summary

This trial is testing the safety and side effects of a combination of two drugs, Regorafenib and Nivolumab, in people with metastatic colorectal cancer. Researchers want to find out if this combination can help people with a certain type of cancer, called metastatic colorectal cancer with mismatch repair (MMR) proficiency.

Who is the study for?
This trial is for adults with colorectal cancer that's spread and doesn't respond to standard treatments. They should be relatively healthy otherwise, able to perform daily activities with little or no help (ECOG score 0-1), and have not had certain other treatments recently. Women who can have children must test negative for pregnancy and use birth control, as must men.Check my eligibility
What is being tested?
Researchers are testing the combination of two drugs, Regorafenib and Nivolumab, to find the safest high dose for metastatic colorectal cancer patients whose tumors repair DNA normally (MMR proficient). The goal is also to see if this drug combo helps against their cancer.See study design
What are the potential side effects?
Possible side effects include fatigue, weakness, high blood pressure, hand-foot skin reactions from Regorafenib; immune-related issues like inflammation in organs or skin problems from Nivolumab. Each person may experience side effects differently.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am fully active or can carry out light work.
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My condition worsened or I couldn't tolerate my previous treatments.
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My diagnosis is colorectal cancer confirmed by tissue analysis.
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I am capable of becoming pregnant and have a negative pregnancy test.
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My cancer has normal DNA repair ability or stable genes.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 24 months after conclusion of treatment
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 24 months after conclusion of treatment for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Maximum Tolerated Dose
Secondary outcome measures
Frequency and Severity of Adverse Events
Overall Survival (OS)
Response Rate

Trial Design

2Treatment groups
Experimental Treatment
Group I: Regorafenib and Nivolumab Combination - ExpansionExperimental Treatment2 Interventions
Dose Expansion: To find the effect on tumor of the combination of regorafenib and nivolumab.
Group II: Regorafenib and Nivolumab Combination - EscalationExperimental Treatment2 Interventions
Dose Escalation: To find the dose of regorafenib that can be safely given with nivolumab in patients with advanced, refractory colorectal cancers.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Regorafenib
2014
Completed Phase 2
~1580
Nivolumab
2014
Completed Phase 3
~4750

Find a Location

Who is running the clinical trial?

H. Lee Moffitt Cancer Center and Research InstituteLead Sponsor
542 Previous Clinical Trials
135,440 Total Patients Enrolled
Bristol-Myers SquibbIndustry Sponsor
2,638 Previous Clinical Trials
4,128,462 Total Patients Enrolled
Dae W Kim, MDPrincipal InvestigatorH. Lee Moffitt Cancer Center and Research Institute
1 Previous Clinical Trials
23 Total Patients Enrolled

Media Library

Nivolumab (Checkpoint Inhibitor) Clinical Trial Eligibility Overview. Trial Name: NCT03712943 — Phase 1
Colorectal Cancer Research Study Groups: Regorafenib and Nivolumab Combination - Escalation, Regorafenib and Nivolumab Combination - Expansion
Colorectal Cancer Clinical Trial 2023: Nivolumab Highlights & Side Effects. Trial Name: NCT03712943 — Phase 1
Nivolumab (Checkpoint Inhibitor) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03712943 — Phase 1
Colorectal Cancer Patient Testimony for trial: Trial Name: NCT03712943 — Phase 1

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Are researchers currently looking for participants to join this clinical trial?

"At this point in time, no further participants are being sought for the aforementioned trial. Initially posted on October 23rd 2018, it was last updated November 2nd 2022. For those interested in other studies involving colorectal carcinoma, 1265 trials are presently recruiting patients and 762 trials need volunteers to test Nivolumab's efficacy."

Answered by AI

Has Nivolumab obtained authorization from the Federal Drug Administration?

"Given the limited clinical information available, Nivolumab's safety rating is 1 on our 3-point scale. This trial is currently in Phase 1 and has yet to generate sufficient data regarding efficacy or safety."

Answered by AI

Is there any precedent for the utilization of Nivolumab in medical research?

"Currently, Nivolumab is being studied in 762 active clinical trials with 87 of those studies entering Phase 3. Basel, BE hosts the greatest number of these experiments; however, other 41034 sites around the world are also conducting research on this medication."

Answered by AI

How many participants are eligible to partake in this experiment?

"Recruitment for this trial has ceased. The initial post was published on October 23rd 2018 and the most recent update occured November 2nd 2022. Those searching for related studies can view 1265 trials actively accepting enrollees with colorectal carcinoma, as well as 762 clinical trials that are utilizing Nivolumab to treat their patients at present."

Answered by AI

Is this a pioneering research endeavor?

"Nivolumab has been the subject of inquiry since 2012 when Ono Pharmaceutical Co. Ltd first conducted a study with 659 participants. After demonstrating positive results in Phase 1 & 2 trials, 762 live experiments are currently being run across 2449 cities and 50 countries."

Answered by AI

What maladies or diseases can Nivolumab be utilized to address?

"The immunotherapy drug, Nivolumab, has been proven effective in treating malignant neoplasms, irresectable melanoma, and squamous cell carcinoma."

Answered by AI

Who else is applying?

What state do they live in?
Missouri
Arizona
What portion of applicants met pre-screening criteria?
Did not meet criteria
Met criteria
How many prior treatments have patients received?
1
What site did they apply to?
H. Lee Moffitt Cancer Center and Research Institute

Why did patients apply to this trial?

because the type of chemotherapy and immunotherapy I am currently taking is wrecking my body and I have no quality of life.
PatientReceived 1 prior treatment
~8 spots leftby Apr 2025