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Study Comparing Sacituzumab Govitecan with Standard Treatment for Patients with Metastatic Colorectal Cancer

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What is this study about?

This clinical trial is focused on studying a treatment for Metastatic Colorectal Cancer, a type of cancer that has spread from the colon or rectum to other parts of the body. The trial is investigating the effectiveness of a medication called Sacituzumab Govitecan, which is a type of drug known as an antibody-drug conjugate. This means it combines an antibody, which can specifically target cancer cells, with a drug that can kill these cells. The study aims to see how well this treatment works compared to the standard treatments currently used for this type of cancer.

Participants in the study will receive either Sacituzumab Govitecan or a standard treatment chosen by their doctor. The study will be conducted in two parts. In the first part, all participants will receive Sacituzumab Govitecan to see how effective it is in stopping the cancer from getting worse. If the results are promising, the second part will compare Sacituzumab Govitecan directly with standard treatments to see which is better. The study will last for up to 24 months, and participants will be monitored regularly to assess the progress of their cancer and any side effects they may experience.

Other medications involved in the study include Regorafenib, Trifluridine combined with Tipiracil, and Bevacizumab. These are standard treatments for colorectal cancer and will be used as comparisons in the study. The goal is to determine if Sacituzumab Govitecan can provide better outcomes for patients with metastatic colorectal cancer. Participants will be closely monitored throughout the study to ensure their safety and to gather information on how well the treatments are working.

1 joining the trial

Upon joining the trial, eligibility is confirmed based on specific criteria such as age, diagnosis of metastatic colorectal cancer, and previous treatment history.

A comprehensive assessment is conducted to ensure all criteria are met, including a review of medical history and current health status.

2 initial assessment

An initial assessment involves imaging tests like computed tomography (CT) or magnetic resonance imaging (MRI) to identify measurable lesions.

These tests help establish a baseline for monitoring the disease’s progression throughout the trial.

3 treatment phase part I

The first part of the trial involves treatment with sacituzumab govitecan, an antibody-drug conjugate targeting TROP2.

The treatment is administered through infusion, and its effectiveness is measured by progression-free survival, which is the time until the disease progresses or any cause of death occurs.

4 evaluation of efficacy

The effectiveness of the treatment is evaluated based on progression-free survival.

If the treatment shows high clinical efficacy, the trial progresses to the next phase.

5 treatment phase part II

In the second part of the trial, participants are randomly assigned to receive either sacituzumab govitecan or the standard of care, which is determined by the physician’s choice.

The goal is to compare the effectiveness of sacituzumab govitecan against standard treatments.

6 ongoing monitoring

Throughout the trial, regular monitoring is conducted to assess overall survival, response rate, disease control rate, and duration of response.

These assessments help determine the treatment’s impact on the disease and overall health.

7 completion of trial

The trial is estimated to conclude by August 2028.

Final assessments are conducted to evaluate the long-term effects and overall success of the treatment.

Who Can Join the Study?

  • Must have a diagnosis of Stage IV Metastatic Colorectal Cancer (mCRC), which means the cancer has spread to other parts of the body and cannot be treated with local therapies like surgery.
  • Must be a woman or man aged 18 years or older. There is no upper age limit.
  • Must have an ECOG performance status of 2 or less. This is a scale that measures how well a person can perform daily activities. A score of 2 means the person is up and about more than half the day and can take care of themselves but cannot work.
  • Must have tried standard cancer treatments and either did not respond to them or could not tolerate them. These treatments include fluoropyrimidine, oxaliplatin, and irinotecan. Previous treatments with targeted therapies, such as certain antibodies or proteins, are allowed.
  • Must not have received Irinotecan treatment in the last 6 months. If they had Irinotecan treatment more than 6 months ago, they must have responded well to it, meaning the cancer either shrank or stayed the same for at least 3 months.
  • Must have at least one measurable lesion. This means there is a tumor that can be seen and measured using imaging tests like a CT scan or MRI. The scan should be recent, not older than 30 days before starting the trial treatment.

Who Cannot Join the Study?

  • Patients who have a different type of cancer other than Metastatic Colorectal Cancer (mCRC) cannot participate. Metastatic means the cancer has spread to other parts of the body.
  • Individuals who are not within the specified age range for the study are excluded. The study is open to certain age groups only.
  • Participants who are part of a vulnerable population, which means they might need special protection or care, are not eligible.
  • Both men and women can participate, so gender is not a reason for exclusion.
  • There are no specific medical conditions listed that would exclude someone from participating, other than having a different type of cancer.

Where you can join this trial?

Verified and Recommended Sites

No sites found in this category

Verified Sites

Site Name City Country Status
Technische Universitaet Dresden Dresden Germany
Haematologisch Onkologische Praxis Eppendorf Hamburg Germany
Universitaetsklinikum Heidelberg AöR Heidelberg Germany

Other Sites

Site Name City Country Status
Krankenhaus Nordwest GmbH Frankfurt Germany
Klinikum der Technischen Universitaet Muenchen (TUM Klinikum) Munich Germany
Universitaetsklinikum Tuebingen AöR Tuebingen Germany
Charite Universitaetsmedizin Berlin KöR Berlin Germany
Medical Center – University Of Freiburg Freiburg Im Breisgau Germany
Uyfamxwdbrswstujoponc Ebveb Aui Essen Germany
Mhlmdv Hhgjdmwl Wtcmet Witten Germany
Kkpigaww Edrfizcoszaigvjrvxlrqyfe Hhvubznwbzafyzwdf Essen Germany

Want to learn more about this study or check if you can participate? Contact us.

Trial status

Country Status Recruitment Start
Germany Germany
Not recruiting
01.05.2024

Trial locations

Investigated drugs:

Sacituzumab Govitecan is an antibody-drug conjugate used in this trial to treat patients with metastatic colorectal cancer. It targets a protein called TROP2, which is often found in high levels on cancer cells. The medication works by delivering a powerful anti-cancer drug directly to the cancer cells, helping to stop their growth and spread. This trial aims to determine how effective Sacituzumab Govitecan is in improving the survival of patients compared to other standard treatments.

Investigated diseases:

Metastatic Colorectal Cancer – This is a type of cancer that begins in the colon or rectum and has spread to other parts of the body, such as the liver or lungs. It often starts as a growth, called a polyp, on the inner lining of the colon or rectum, which can become cancerous over time. As the disease progresses, cancer cells can break away from the original tumor and travel through the blood or lymphatic system to form new tumors in other organs. The progression of metastatic colorectal cancer can vary, with some tumors growing slowly and others more rapidly. Symptoms may include changes in bowel habits, blood in the stool, abdominal pain, and unexplained weight loss. The disease is typically diagnosed through a combination of imaging tests, biopsies, and blood tests.

Trial ID:
2023-509771-17-00
Protocol code:
NCT_GI_BCK_01
Trial Phase:
Therapeutic use (Phase IV)

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