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Fluoropyrimidine

NUC-3373 + Chemotherapy for Colorectal Cancer

Phase 2
Waitlist Available
Research Sponsored by NuCana plc
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up assessed from baseline to 30 days after last dose of study drug
Awards & highlights

Study Summary

This trial is comparing 3 treatments for colorectal cancer to measure their efficacy and safety. 171 patients will be randomized to each regimen.

Who is the study for?
This trial is for adults with advanced colorectal cancer that can't be removed by surgery. They must have had previous chemotherapy, know their UGT1A1 status (or agree to testing), and not have certain genetic mutations or serious health conditions. Women of childbearing age need a negative pregnancy test and must use effective contraception.Check my eligibility
What is being tested?
The study compares NUC-3373 combined with leucovorin, irinotecan, and bevacizumab against the standard treatment using 5-FU instead of NUC-3373. Patients are randomly assigned to one of three groups receiving different schedules of these drugs to see which works best.See study design
What are the potential side effects?
Possible side effects include reactions related to the immune system, fatigue, digestive issues like nausea or diarrhea, increased risk of infections due to lowered white blood cells, bleeding complications from low platelets, anemia from low red blood cell counts, liver function changes, and potential skin sensitivity.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~assessed from baseline to 30 days after last dose of study drug
This trial's timeline: 3 weeks for screening, Varies for treatment, and assessed from baseline to 30 days after last dose of study drug for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Number of patients achieving progress-free survival (PFS)
Secondary outcome measures
Number of patients achieving a reduction in tumour volume
Number of patients reporting treatment-emergent adverse events (TEAEs)
Number of patients surviving

Trial Design

3Treatment groups
Experimental Treatment
Active Control
Group I: NUFIRI-bev on a Q2W NUC-3373 scheduleExperimental Treatment4 Interventions
Arm B: Study treatment will be administered in 28-day cycles as follows: Bevacizumab 5 mg/kg on Days 1 and 15: 90 minutes for the first dose 60 minutes for the second dose (if first dose is tolerated) 30 minutes for subsequent doses (if second dose is tolerated) LV 400 mg/m2 (or equivalent levo-LV) over 120 minutes on Days 1 and 15. Irinotecan 180 mg/m2 over 90 minutes (concurrently with the LV infusion) on Days 1 and 15. NUC-3373 1500 mg/m2 over 120 minutes on Days 1 and 15.
Group II: NUFIRI-bev on a Q1W NUC-3373 scheduleExperimental Treatment4 Interventions
Arm A: Study treatment will be administered in 28-day cycles as follows: Bevacizumab 5 mg/kg on Days 1 and 15: 90 minutes for the first dose 60 minutes for the second dose (if first dose is tolerated) 30 minutes for subsequent doses (if second dose is tolerated) LV 400 mg/m2 (or equivalent levo-LV) over 120 minutes on Days 1, 8, 15, and 22. Irinotecan 180 mg/m2 over 90 minutes (concurrently with the LV infusion) on Days 1 and 15. NUC-3373 1500 mg/m2 over 120 minutes on Days 1, 8, 15, and 22.
Group III: FOLFIRI-bev on a Q2W scheduleActive Control4 Interventions
Arm C: Study treatment will be administered in 28-day cycles as follows: Bevacizumab 5 mg/kg on Days 1 and 15: 90 minutes for the first dose 60 minutes for the second dose (if first dose is tolerated) 30 minutes for subsequent doses (if second dose is tolerated) LV 400 mg/m2 (or equivalent levo-LV) over 120 minutes on Days 1 and 15. Irinotecan 180 mg/m2 over 90 minutes (concurrently with the LV infusion) on Days 1 and 15. 5-FU 400 mg/m2 bolus on Days 1 and 15. 5-FU 2400 mg/m2 infusion over 46 hours on Days 1 and 15.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Irinotecan
2017
Completed Phase 4
~2680
Leucovorin
2005
Completed Phase 4
~5730
Bevacizumab
2013
Completed Phase 4
~5280

Find a Location

Who is running the clinical trial?

NuCana plcLead Sponsor
5 Previous Clinical Trials
1,118 Total Patients Enrolled
Elisabeth Oelmann, MD, PhDStudy DirectorNuCana plc
1 Previous Clinical Trials
91 Total Patients Enrolled

Media Library

5-FU (Fluoropyrimidine) Clinical Trial Eligibility Overview. Trial Name: NCT05678257 — Phase 2
Colorectal Cancer Research Study Groups: NUFIRI-bev on a Q1W NUC-3373 schedule, NUFIRI-bev on a Q2W NUC-3373 schedule, FOLFIRI-bev on a Q2W schedule
Colorectal Cancer Clinical Trial 2023: 5-FU Highlights & Side Effects. Trial Name: NCT05678257 — Phase 2
5-FU (Fluoropyrimidine) 2023 Treatment Timeline for Medical Study. Trial Name: NCT05678257 — Phase 2

Frequently Asked Questions

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

Has the FDA cleared NUFIRI-bev for a one week administration of NUC-3373?

"While there is a certain level of evidence suggesting the security of NUFIRI-bev on a Q1W NUC-3373 regimen, no data exists that conclusively shows its efficacy. Therefore, it has been assigned a safety score of 2."

Answered by AI

What is the sample size of participants in this clinical trial?

"Affirmative. Clinicaltrials.gov states that this experimental procedure, which was first made public on January 1st 2023, is actively searching for participants. A total of 171 people need to be recruited from two separate medical establishments"

Answered by AI

Are there still opportunities to enroll in this experiment?

"Confirmed, the clinical trial is actively enrolling patients. According to information found on clinicaltrials.gov, this study was published on January 1st 2023 and updated for a final time in September of that year. Specifically, 171 people are being sought after from two distinct medical facilities."

Answered by AI
~45 spots leftby Sep 2024