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There are 188 active trials for advanced/metastatic rectal cancer.
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TrialFetch AI summary: This trial enrolls adults with recurrent or metastatic solid tumors—including endometrial, head and neck, pancreatic, colorectal, hepatocellular, gastric, urothelial, ovarian, cervical, biliary tract, certain subtypes of breast cancer, and cutaneous melanoma—whose disease has progressed after standard therapy and who have measurable, biopsiable disease. All patients receive ifinatamab deruxtecan, an investigational B7-H3-directed antibody-drug conjugate delivering a topoisomerase I inhibitor, administered intravenously every three weeks.
ClinicalTrials.gov ID: NCT06330064
TrialFetch AI summary: Adults with solid tumors and high-risk brain metastases (e.g., melanoma refractory to immunotherapy, GI primaries, HER2+ breast cancer, cystic or large lesions, or local recurrence after prior brain radiation) are randomized to stereotactic radiation with or without intravenous AGuIX gadolinium-based nanoparticles, which act as tumor-targeted radiosensitizers and MRI contrast agents.
ClinicalTrials.gov ID: NCT04899908
TrialFetch AI summary: This trial enrolls adults with refractory metastatic colorectal cancer that overexpresses c-Met (no prior c-MET-targeted therapy) and randomizes them to ABBV-400, an antibody-drug conjugate targeting c-Met and delivering a topoisomerase 1 inhibitor, versus standard trifluridine/tipiracil plus bevacizumab. Eligible patients must have measurable disease and ECOG 0-1.
ClinicalTrials.gov ID: NCT06614192
TrialFetch AI summary: This trial enrolls adults with metastatic, pMMR/MSS colorectal adenocarcinoma (no liver or CNS metastases, ECOG 0-1, no prior systemic therapy for metastatic disease) to evaluate the addition of volrustomig—a bispecific anti-PD-1/CTLA-4 antibody—to FOLFIRI and bevacizumab versus standard FOLFIRI plus bevacizumab. Volrustomig is designed to enhance immune response by targeting CTLA-4 selectively on PD-1+ T cells.
ClinicalTrials.gov ID: NCT06792695
TrialFetch AI summary: This trial enrolls adults with metastatic colorectal cancer (ECOG 0-1) and tests combinations of telisotuzumab adizutecan, a c-Met–targeting antibody-drug conjugate linked to a topoisomerase I inhibitor, with standard regimens (FOLFOX plus bevacizumab or 5-FU/LV plus panitumumab) versus standard therapy alone, excluding patients with prior c-Met or topoisomerase inhibitor treatment.
ClinicalTrials.gov ID: NCT06820463
TrialFetch AI summary: Adults with metastatic or recurrent HPV16-positive cancers (e.g., cervical, oropharyngeal, anal, vulvar, vaginal, penile) who are HLA-A*02:01–positive receive lymphodepleting cyclophosphamide/fludarabine, a single infusion of autologous T cells engineered with a high-avidity TCR targeting HPV16 E7(11–19), followed by high-dose IL-2. Designed for patients post standard therapy or who declined it; controlled brain metastases allowed.
ClinicalTrials.gov ID: NCT05686226
TrialFetch AI summary: Adults with inoperable/metastatic microsatellite-stable (pMMR) colorectal cancer with measurable disease who progressed on/intolerant to standard therapies and have had ≤3 prior lines (no prior fruquintinib or regorafenib; limited prior targeted therapy allowed for select biomarker-defined subgroups) are randomized 1:1. Treatment compares atezolizumab plus DSP107 (a CD47-blocking SIRPα fusion protein delivering tumor-anchored 4-1BBL costimulation to enhance innate phagocytosis and T-cell activation) versus oral fruquintinib (VEGFR TKI).
ClinicalTrials.gov ID: NCT07235293
TrialFetch AI summary: This trial enrolls adults with advanced, metastatic, and progressive colorectal cancer who have failed or are ineligible for all standard therapies, comparing best supportive care with or without RBS2418, an oral selective ENPP1 inhibitor that stimulates anti-tumor immunity via the cGAS-STING pathway. Patients must have measurable disease and ECOG 0–2, with stratification by ENPP1 and cGAS status.
ClinicalTrials.gov ID: NCT06824064
TrialFetch AI summary: Enrolling adults with advanced solid tumors requiring an injectable lesion: first-line PD-1–eligible HNSCC (PD-L1 CPS ≥1%, no prior PD-(L)1), cutaneous melanoma with primary resistance or progression on prior PD-(L)1 (BRAF+ should have received/declined targeted therapy), and a closed-to-enrollment non–MSI-H CRC cohort; ECOG 0–1 required. Treatment is intratumoral VV1 (VSV engineered to express IFN-β and NIS; oncolytic/immune-stimulatory) combined with IV cemiplimab every 3 weeks until progression/toxicity.
ClinicalTrials.gov ID: NCT04291105
TrialFetch AI summary: Adults with advanced/metastatic solid tumors (endometrial, gastric, mCRPC, ovarian, colorectal, urothelial, biliary) receive datopotamab deruxtecan (anti‑TROP2 antibody–drug conjugate delivering a topoisomerase I inhibitor) as monotherapy or combined with agents such as capecitabine/5‑FU, bevacizumab ± platinum, prednisone (mCRPC), platinum in urothelial cancer, or bispecific PD‑1/CTLA‑4 (volrustomig) or PD‑1/TIGIT (rilvegostomig) immunotherapies. Key exclusions include active/untreated CNS disease, prior TROP2- or deruxtecan-based ADCs, significant ILD/pneumonitis history, and uncontrolled infections/comorbidities.
ClinicalTrials.gov ID: NCT05489211