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There are 198 active trials for advanced/metastatic rectal cancer.
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TrialFetch AI summary: This trial enrolls adults with advanced or metastatic solid tumors (including HNSCC, NSCLC, colorectal, TNBC, RCC, and acral melanoma) that are refractory or resistant to standard therapies, testing the investigational HLA-G antagonist monoclonal antibody TTX-080 alone or combined with pembrolizumab, cetuximab, or FOLFIRI plus cetuximab. Control arms include standard regimens for comparison in metastatic colorectal cancer.
ClinicalTrials.gov ID: NCT04485013
TrialFetch AI summary: This trial enrolls adults with advanced or metastatic HER2-expressing solid tumors—particularly colorectal and gastroesophageal cancers after progression on standard therapy—and evaluates intravenous trastuzumab deruxtecan (a HER2-targeted antibody-drug conjugate) in combination with oral ceralasertib (a selective ATR kinase inhibitor targeting DNA damage response pathways).
ClinicalTrials.gov ID: NCT04704661
TrialFetch AI summary: This trial enrolls adults with 1-3 measurable colorectal cancer liver metastases (with specific size/location criteria), ECOG 0-2, and no cirrhosis, including those with prior therapies or extrahepatic disease, to receive a single 40 Gy fraction of MR-guided, adaptive SBRT for local control.
ClinicalTrials.gov ID: NCT06130280
TrialFetch AI summary: Adults with newly diagnosed metastatic (stage IV) colorectal cancer eligible for first-line 5-fluorouracil-based doublet chemotherapy are randomized to standard chemotherapy with or without an investigational microbiome modulation therapy (MBMT) consisting of oral ciprofloxacin, metronidazole, and low-dose aspirin, aiming to assess whether altering the gut microbiome improves treatment response. Patients with recent antibiotic use, high bleeding risk, or MBMT drug allergies are excluded.
ClinicalTrials.gov ID: NCT06728072
TrialFetch AI summary: This trial enrolls adults with recurrent, unresectable, or metastatic KRAS/NRAS/BRAF wild-type colorectal cancer who have progressed after prior fluoropyrimidine- and oxaliplatin-based chemotherapy, randomizing them to receive either amivantamab (a bispecific EGFR/MET antibody) plus FOLFIRI or standard of care FOLFIRI with either cetuximab or bevacizumab. Prior irinotecan, EGFR, MET, or HER2-targeted therapies are exclusionary.
ClinicalTrials.gov ID: NCT06750094
TrialFetch AI summary: This trial enrolls adults with metastatic colorectal cancer who have progressed after standard chemotherapies (including 5-FU, oxaliplatin, irinotecan, and appropriate antibody therapies), evaluating a sequential regimen of TAS-102 (nucleoside metabolic inhibitor) alternating with oxaliplatin and irinotecan plus bevacizumab. Patients must not have had prior TAS-102 exposure and should have good performance status and organ function.
ClinicalTrials.gov ID: NCT05806931
TrialFetch AI summary: Adults with metastatic colorectal cancer who have failed at least two prior lines of therapy and meet standard eligibility criteria are randomized to receive either 5-fluorouracil/leucovorin with regorafenib (an oral multikinase inhibitor targeting angiogenic, stromal, and oncogenic pathways) or trifluridine-tipiracil plus bevacizumab.
ClinicalTrials.gov ID: NCT06887218
TrialFetch AI summary: This trial enrolls children, adolescents, and young adults with recurrent or refractory solid tumors (including lymphomas and desmoid tumors), treating them with intravenous tegavivint, a small molecule inhibitor targeting TBL1 to disrupt Wnt/beta-catenin signaling. Expansion cohorts focus on specific tumor types and Wnt pathway–driven malignancies.
ClinicalTrials.gov ID: NCT04851119
TrialFetch AI summary: Adults with previously treated metastatic colorectal adenocarcinoma whose tumors harbor specific biomarkers are assigned to various arms testing targeted agents—including the PI3Kα inhibitor inavolisib, TIGIT inhibitor tiragolumab (with anti–PD-L1 and bevacizumab), CDK7 inhibitor SY-5609, and KRAS G12C inhibitor divarasib (with chemotherapy or EGFR/VEGF antibodies)—according to their molecular profile.
ClinicalTrials.gov ID: NCT04929223
TrialFetch AI summary: This trial enrolls adult patients with refractory metastatic colorectal adenocarcinoma who self-identify as Black/African American or Hispanic/Latino and have ECOG 0–1, treating them with oral fruquintinib, a VEGFR 1/2/3 inhibitor, to assess safety—particularly incidence of hypertension—and efficacy in this underrepresented population.
ClinicalTrials.gov ID: NCT06562543