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RecruitingInterventionalPhase 2

A Phase II, Open-label, Multicenter, Master Protocol to Evaluate the Safety and Efficacy of Novel Study Interventions and Combinations in Participants With Colorectal Cancer (CANTOR)

NCT ID: NCT06792695Sponsor: AstraZenecaLast updated: 2026-05-11

Summary

The main purpose of this study is to evaluate the safety and efficacy of novel study interventions and combinations in participants with Colorectal Cancer (CRC).

Detailed description

This is a Phase II, platform, open-label, multi-drug, multicenter, global study. This is a modular study, that includes a master protocol and substudies. Partcipants will be randomised to one of the following intervention groups: * Volrustomig + FOLFIRI + bevacizumab group (Arm A) * FOLFIRI + bevacizumab group (Arm B) The substudy will evaluate the effects of volrustomig in combination with FOLFIRI (irinotecan, 5-FU, and leucovorin) and bevacizumab versus FOLFIRI and bevacizumab only in participants with Mismatch-repair-proficient (pMMR)/Microsatellite stable (MSS) metastatic CRC (mCRC) in the absence of liver metastases and who have not received previous systemic treatment for advanced or metastatic disease.

Arms & interventions

  • DrugVolrustomig

    Volrustomig will be administered as intravenous (IV) infusion.

  • DrugFOLFIRI (Fluorouracil (5-FU), leucovorin, irinotecan)

    FOLFIRI will be administered as IV infusion.

  • DrugBevacizumab

    Bevacizumab will be administered as IV infusion.

Outcome measures

Primary

  • Progression Free Survival (PFS)

    PFS is defined as the time from randomization until progression per Response Evaluation Criteria in Solid Tumours, Version 1.1 (RECIST 1.1) or death due to any cause.

    Time frame: Approximately 3 years

  • Number of Participants with Adverse Events (AEs)

    Number of participants who received at least one dose of study treatment will be assessed.

    Time frame: Approximately 3 years

Secondary

  • Overall Survival (OS)

    Time frame: Approximately 3 years

  • Objective Response Rate (ORR)

    Time frame: Approximately 3 years

  • Disease Control Rate (DCR)

    Time frame: Approximately 3 years

  • Duration of Response (DOR)

    Time frame: Approximately 3 years

  • Time to second progression or death (PFS2)

    Time frame: Approximately 3 years

  • Maximum Observed Concentration (Cmax)

    Time frame: Approximately 3 years

  • Observed lowest concentration before the next dose is administered (Ctrough)

    Time frame: Approximately 3 years

  • Number of patients with positive Antidrug Antibodies (ADAs)

    Time frame: Approximately 3 years

Eligibility criteria

Sex: AllAge: 18 Years to 130 YearsHealthy volunteers: No
Overall Inclusion Criteria: * Histopathologically confirmed colorectal adenocarcinoma. * Provision of FFPE tumor sample collected as per SoC. * Presence of measurable disease by RECIST 1.1 criteria. * ECOG performance status of 0 or 1. * Life expectancy ≥ 12 weeks at the time of screening. Substudy Inclusion Criteria: * No radiological evidence of liver metastasis. * No prior systemic therapy for mCRC, except for neoadjuvant/adjuvant chemotherapy where, \> 6 months have elapsed between completion of therapy and documented date of diagnosis of recurrent or metastatic disease. * Known pMMR/MSS status (only pMMR/MSS mCRC allowed). * Adequate organ and bone marrow function * Body weight \> 35 kg at screening and at randomization. * Contraceptive use by participants should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies. Overall Exclusion Criteria: * Central nervous system metastases or spinal cord compression * Known history of severe allergy to any monoclonal antibody or study intervention. * Any unresolved toxicity CTCAE Grade ≥ 2 from a previous anticancer therapy. * History of another primary malignancy. Substudy Exclusion Criteria: * Potentially resectable disease with multidisciplinary plan for radical surgery. * Active or prior documented autoimmune or inflammatory disorders or cardiac conditions. * Participants with a prior history of hypertensive crisis or hypertensive encephalopathy or bleeding risks. * Deep venous thrombosis, pulmonary embolism, arterial thrombosis, transient ischemic attack or cerebrovascular accident. * History of abdominal or tracheoesophageal fistula, GI perforation and/or fistulae, or intraabdominal abscess within 6 months prior to randomization. * Prior exposure to immune mediated therapy.

Study locations (14)

Research Site

Scottsdale, Arizona, 85259

Recruiting

Research Site

Los Angeles, California, 90089

Recruiting

Research Site

Washington D.C., District of Columbia, 20007

Not Yet Recruiting

Research Site

Chicago, Illinois, 60637

Not Yet Recruiting

Research Site

Baltimore, Maryland, 21224

Recruiting

Research Site

Boston, Massachusetts, 02114

Completed

Research Site

Rochester, Minnesota, 55905

Recruiting

Research Site

Trenton, New Jersey, 08690

Not Yet Recruiting

Research Site

Rochester, New York, 14618

Recruiting

Research Site

Cleveland, Ohio, 44106

Withdrawn

Research Site

Portland, Oregon, 97239

Not Yet Recruiting

Research Site

Philadelphia, Pennsylvania, 19104

Withdrawn

Research Site

Nashville, Tennessee, 37232

Not Yet Recruiting

Research Site

Houston, Texas, 77030

Recruiting
A Study of Novel Study Interventions and Combinations in Participants With Colorectal Cancer | Cancerify