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There are 198 active trials for advanced/metastatic rectal cancer.
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TrialFetch AI summary: Adults with relapsed/refractory metastatic colorectal cancer that is GCC (GUCY2C)–positive by IHC, previously treated with fluoropyrimidine/oxaliplatin/irinotecan and appropriate biologics (anti-VEGF and anti-EGFR if RAS WT), with measurable extracranial disease and limited liver tumor burden (<7 lesions, largest <3 cm) and no curative surgical option. Patients undergo leukapheresis and receive a single infusion of autologous GCC19CART (LYL273), a GCC-targeted CAR T-cell therapy using a coupled GCC CAR plus CD19 CAR component intended to enhance activation/expansion in solid tumors.
ClinicalTrials.gov ID: NCT05319314
TrialFetch AI summary: Enrolling adults with biopsy-confirmed metastatic microsatellite-stable colorectal cancer and at least one radiographically evident liver metastasis who are planned for standard-of-care histotripsy (ECOG 0–3, adequate organ function). Patients receive noninvasive focused ultrasound histotripsy (mechanical tumor disruption via acoustic cavitation) to one or more liver metastases with serial blood draws pre/post procedure to assess systemic immune modulation (T-cell clonal expansion and exhaustion markers).
ClinicalTrials.gov ID: NCT07361107
TrialFetch AI summary: This trial evaluates the combination of Trans-Arterial Tirapazamine Embolization (TATE) and Pembrolizumab in patients with metastatic colorectal cancer (mCRC) and non-small cell lung cancer (NSCLC) who have liver metastases and have progressed after prior therapies. TATE delivers the hypoxia-activated prodrug Tirapazamine to liver tumors, while Pembrolizumab, an immune checkpoint inhibitor, blocks the PD-1 pathway to enhance anti-tumor immunity.
ClinicalTrials.gov ID: NCT04701476
TrialFetch AI summary: This clinical trial evaluates the safety and efficacy of the investigational drug NEO212, a novel conjugate of temozolomide and perillyl alcohol with enhanced brain penetration, in adults with Astrocytoma IDH-mutant, Glioblastoma IDH-wildtype, or uncontrolled brain metastases from select solid tumors, including combinations with standard treatments like pembrolizumab or ipilimumab.
ClinicalTrials.gov ID: NCT06047379
TrialFetch AI summary: Eligible patients are adults with select advanced or metastatic solid tumors (including colorectal, cholangiocarcinoma, appendiceal, pancreatic, gastric, endometrial, triple negative breast, ovarian, or prostate cancers) who have exhausted standard therapies; phase 2 focuses on colorectal cancer. Therapy is with APL-5125, an oral CK2α kinase inhibitor targeting Wnt signaling.
ClinicalTrials.gov ID: NCT06399757
TrialFetch AI summary: This trial enrolls adults with advanced or metastatic solid tumors harboring KRAS G12C mutations (including pretreated NSCLC and other solid tumors), who receive a combination of the investigational KRAS G12C inhibitors RMC-6291 and RMC-6236. Both agents specifically inhibit KRAS G12C mutant protein to suppress tumor growth, and eligibility includes both KRAS G12C inhibitor–naïve and previously treated patients, excluding those with primary CNS tumors or active brain metastases.
ClinicalTrials.gov ID: NCT06128551
TrialFetch AI summary: This trial enrolls adults with locally advanced or metastatic non-GIST solid tumors (such as melanoma, sarcoma, or primary CNS tumors) harboring activating mutations in CKIT or PDGFRA, who have no effective standard therapy options. Patients receive avapritinib, an oral tyrosine kinase inhibitor selective for CKIT and PDGFRA mutations.
ClinicalTrials.gov ID: NCT04771520
TrialFetch AI summary: This trial enrolls adults with metastatic, unresectable colorectal cancer or CEA-positive metastatic breast cancer who have failed standard therapy, testing the combination of stereotactic body radiation therapy (SBRT) and M5A-IL2 immunocytokine—a novel agent that targets CEA-expressing tumors by delivering interleukin-2 directly to the tumor microenvironment. Patients must have 1-5 metastatic lesions amenable to SBRT and good performance status; CNS metastases and significant comorbidities are excluded.
ClinicalTrials.gov ID: NCT06130826
TrialFetch AI summary: This trial enrolls adults with locally advanced, unresectable, or metastatic HER2-expressing solid tumors (excluding breast, gastric, and colorectal), including biliary tract, bladder, cervical, endometrial, ovarian, pancreatic, and rare tumors, who have progressed after prior therapy or lack alternative options. All patients receive trastuzumab deruxtecan, a HER2-targeted antibody-drug conjugate delivering a topoisomerase I inhibitor to HER2-expressing tumor cells.
ClinicalTrials.gov ID: NCT04482309
TrialFetch AI summary: Adults with unresectable, liver-only metastatic colorectal cancer (after 3–6 months of first-line chemotherapy, ECOG 0-1, no significant extrahepatic disease) are randomized to standard systemic chemotherapy (e.g., FOLFOX, FOLFIRI, or OX/IRI ± targeted agents) with or without hepatic arterial infusion of floxuridine, an antimetabolite delivered directly to the liver via an implanted pump.
ClinicalTrials.gov ID: NCT05863195