Metastatic Colorectal CancerPhase 3SOLSTICENCT03869892
Phase III Study in First-line Treatment of Patients With Metastatic Colorectal Cancer Who Are Not Candidate for Intensive Therapy.
A Phase 3 study testing Trifluridine/tipiracil hydrochloride (S95005), Capecitabine and Bevacizumab experimental in people with Metastatic Colorectal Cancer, run by Institut de Recherches Internationales Servier at 190 sites in 25 countries.
Trial summary
The main purpose of this study is to demonstrate the superiority of S 95005 in combination with bevacizumab over capecitabine in combination with bevacizumab. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Metastatic Colorectal Cancer
- What is being tested?
- Trifluridine/tipiracil hydrochloride (S95005), Capecitabine and Bevacizumab experimental
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 856 participants
- Where
- 190 sitesin 25 countries
- Study dates
- 21 Mar 2019to 31 Dec 2026
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Has definitive histologically confirmed adenocarcinoma of the colon or rectum (all other histological types are excluded). Primary tumour localisation must be known.
- RAS status based on local biological assessment of tumour biopsy must be available. If RAS status is not available at the time of randomisation, tumour biopsy must be available for RAS status determination (based on local biological assessment).
- Patient is not a candidate for standard full dose combination chemotherapy with irinotecan or oxaliplatin
- Patient is not a candidate for curative resection of metastatic lesions.
- No previous systemic anticancer therapy for unresectable metastatic colorectal cancer.
- ECOG (Eastern Cooperative Oncology Group) performance status ≤2.
- Adequate organ function (renal, haematological, hepatic, coagulation) as described in the study protocol'
Who cannot join
- Pregnancy, breastfeeding or possibility of becoming pregnant during the study.
- Participation in another interventional study within 4 weeks prior to the randomisation .
- Patients who have not recovered from clinically relevant non-hematologic CTCAE grade ≥ 3 toxicity of previous anticancer therapy prior to the randomisation.
- Symptomatic central nervous system metastases.
- Major surgery within 4 weeks prior to the randomisation.
- History of allergic reactions attributed to compounds of similar composition to S 95005 or any of its excipients.
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- Any contraindication present in the SmPC of trifluridine/tipiracil
- Any contraindication present in the SmPC of bevacizumab
- Any contraindication present in the SmPC of capecitabine
Trial locations and contacts
190 sites in 25 countries.
190 sites in 25 countries
Russia17 sites
Arkhangelsk Clinical Oncology Dispensary chemotherapy department
Arkhangelsk, 163045
Clinical Oncology Dispensary No.1 Chemotherapy Department
Krasnodar, 350040
Kursk Regional Clinical Oncology Dispensary Oncology Department
Kursk, 305524
Russian Cancer Research Center n.a. NN Blokhin Clinical Pharmacology and Chemotherapy
Moscow, 115478
University Headache Clinic Outpatient oncology clinic
Moscow, 121467
Moscow City Oncology Hospital # 62 chemotherapy department
Moscow, 143423
Omsk Clinical Oncologic Dispensary Chemotherapy
Omsk, 644046
Pyatigorsk Interdistrict Oncology Dispensary Chemotherapy department
Pyatigorsk, 357502
Rostov Research Institute of Oncology Chemotherapy department
Rostov-on-Don, 344037
Regional Clinical Oncology Dispensary
Ryazan, 390011
Scientific Centre for Specialized Medical Care (oncological) Chemotherapy
Saint Petersburg, 115478
National Medical Research Center of Oncology N.N. Petrova
Saint Petersburg, 197758
Saint Petersburg City Oncology Clilnic
Saint Petersburg, 198255
Multidisciplinary clinic "Reaviz"
Samara, 443011
Oncology Dispensary No.2
Sochi, 354057
State Research Institution of Oncology of Tomsk Chemotherapy
Tomsk, 634024
SBIH of YR "Clinical oncology hospital" chemotherapy department
Yaroslavl, 150054
Hungary16 sites
Magyar Honvedseg Egeszsegugyi Kozpont Onkologiai Osztaly
Budapest, 1062
Semmelweis University Radiology and Oncotherapy Clinic
Budapest, 1083
Del-Pesti Centrumkh-Orsz. Hematologiai es Infektologiai Int. Szent Laszlo Telephely
Budapest, 1097
Szent Imre Egyetem Oktatokorhaz Klinikai Onkologia
Budapest, 1115
Orszagos Onkologiai Intezet "B" Belgyogyaszati-Onkologiai O. Es Klin. Farmakologiai O.
Budapest, 1122
Uzsoki Utcai Korhaz Onkoradiologiai Osztaly
Budapest, 1145
Debreceni Egyetem Orvos es Egeszsegtudomanyi Centrum Onkologiai Intezet
Debrecen, 4032
Petz Aladar Megyei Oktato Korhaz Onkoradiologiai Osztaly
Győr, 9024
Bekes Megyei Kozponti Korhaz
Gyula, 57000
Bacs-Kiskun Megyei Korhaz Onkoradiologiai Kozpont
Kecskemét, 6000
Szabolcs-Szatmar-Bereg Megyei Korhazak Onkoradiologiai Osztaly
Nyíregyháza, 4400
Pecsi Tudomanyegyetem, Klinikai Kozpont Onkoterapias Intezet
Pécs, 7624
Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai Kp. Onkoterápiás Klinika
Szeged, 6720
JNSZ Megyei Hetenyi Geza Korhaz es Rendelointezet Megyei Onkologiai Centrum
Szolnok, 5004
Markusovsky Egyetemi Oktatokorhaz Onkoradiologiai Osztaly
Szombathely, 9700
Zala Megyei Korhaz Onkologiai osztaly
Zalaegerszeg, 8900
Spain15 sites
Hospital General Universitario Alicante Servicio de Oncología
Alicante, 03010
Hospital Germans Trias i Pujol Unidad de Investigación clínica (UIC) ICO-Oncología medica
Badalona, 08916
H. Valle de Hebrón Servicio de Oncología - (VHIR)
Barcelona, 08035
Hospital de la Santa Creu I Sant Pau Oncología Medica
Barcelona, 08041
Hospital Uni. Reina Sofía - Hospital Provincial Departamento de Oncología Médica
Córdoba, 14004
INSTITUTO CATALAN DE ONCOLOGÍA - ICO Oncología Médica
L'Hospitalet de Llobregat, 08908
Hospital Unviersitario Gregorio Marañon Servicio de Oncología Médica
Madrid, 28007
Hospital Universitario Ramón y Cajal, Servicio de Oncologia Médica
Madrid, 28034
H. Clínico San Carlos Servicio de Oncología Médica
Madrid, 28040
HOSPITAL 12 DE OCTUBRE Servicio Oncología Médica
Madrid, 28041
H. Universitario La Paz Oncología Médica
Madrid, 28046
Hospital Universitario Marqués de Valdecilla Oncología médica
Santander, 39008
H.Virgen Del Rocio
Seville, 41013
Hospital Quirónsalud Valencia Servicio de Oncología Médica
Valencia, 46010
Hospital Universitario Miguel Servet Servicio de Oncología
Zaragoza, 50009
Italy11 sites
Azienda Policlinico Universitaria - Presidio Monserrato Oncologia Medica
Cagliari, 09100
Azienda Socio Sanitaria Territoriale di Cremona ONCOLOGIA
Cremona, 26100
Istituto Nazionale Tumori I.R.C.C.S "Fondazione G. Pascale" Struttura Complessa di Oncologia Medica Addominale
Naples, 80131
Istituto Oncologico Veneto IOV - IRCCS Unità Operativa Complessa Oncologia Medica 1
Padova, 35128
A.O.U. Pisana-Ospedale Santa Chiara U.O. di Oncologia Medica 2
Pisa, 56126
Ospedale San Carlo U.O. Oncologia Medica
Potenza, 85100
Arcispedale Santa Maria Nuova Unità di Oncologia
Reggio Emilia, 42123
Policlinico Universitario Campus Biomedico UOC di Oncologia Medica
Roma, 00128
Istituto Clinico Humanitas I.R.C.C.S Dipartimento di Oncologia Medica ed Ematologia
Rozzano (MI), 20089
IRCSS Casa Sollievo della Sofferenza Dipartimento Onco-Ematologia
San Giovanni Rotondo, 71013
Ospedale S. Bortolo -ULSS8 Berica Distretto Est U.O. ONCOLOGIA
Vicenza, 36100
Ukraine11 sites
Cherkasy Regional Oncological Dispensary Regional Clinical Oncological Centre
Cherkasy, 18009
Dnipro Regional Oncology Dispensary
Dnipro, 49055
MI "Dnipropetrovsk City Multi-field Clinical Hospital #4" Department of Oncology
Dnipro, 49102
Institute of Medical Radiology of S.P. Grygoryev of AMS UKR
Kharkiv, 61024
National Institute of Cancer Abdominal Oncology Department
Kyiv, 03022
Kyiv City Clinical Oncology Centre Chemotherapy Department #2
Kyiv, 03115
Municipal Institution of Kyiv Regional Council "Kyiv Regional Clinical Hospital", proctology department
Kyiv, 04107
Lviv Regional Oncology Center Chemotherapy department
Lviv, 79031
Odesa Regional Oncology Dispensary Day patient Department
Odesa, 65010
Podillia Regional Oncology Centre Chemotherapy Department
Vinnytsia, 21029
Regional Clinical Oncological Dispensary Department of Oncology
Zaporizhzhya, 69000
United Kingdom11 sites
Aberdeen Royal Infirmary Oncology Department
Aberdeen, AB25 2ZN
University Hospitals Bristol Bristol Haematology & Oncology Centre
Bristol, BS2 8ED
St James's University Hospital
Leeds, LS9 7TF
Leicester Royal Infirmary The HOPE Clinical Trials Unit
Leicester, LE1 5WW
Royal Marsden Hospital Department of Medicine
London, SW3 6JJ
Hammersmith Hospital Gary Weston Centre
London, W12 0HS
Sarah Cannon Research Institute UK Clinical Trials
London, W1G 6AD
Imperial Healthcare NHS Trust Charing Cross Hospital
London, W6 8RF
Christie Hospital NHS Foundation Trust GI & Endocrine
Manchester, M20 4BX
Glan Clwyd Hospital North Wales Cancer Treatment Centre
Rhyl, LL18 5UJ
Royal Marsden Hospital Department of Medicine
Sutton, SM2 5PT
Argentina10 sites
Centro de Oncología e Investigación de Buenos Aires COIBA
Berazategui, B1884BBF
Hospital de Gastroenterología Dr. Carlos Borino Udaondo Oncology Unit
Buenos Aires, 1264
Fundación Favaloro Oncology Unit
Buenos Aires, C1093AAS
Instituto Alexander Fleming
Buenos Aires, C1426ANZ
Hospital Universitario CEMIC Servicio de Oncología, Unidad de tumores gastrointestinales
Buenos Aires, C1431FWO
Centro Oncológico Riojano Integral CORI Fundación CORI para la Investigación y Prevención del Cáncer
La Rioja, F5300COE
Fundación COIR Centro Oncológico de Interación Regional
Mendoza, 5500
Centro Médico San Roque
San Miguel de Tucumán, T4000IAK
Instituto de Oncología de Rosario
Santa Fe, S2000KZE
ISIS Centro especializado
Santa Fe, S3000FFU
Brazil10 sites
Hospital do Câncer de Barretos - Fundação Pio XII Unidade de Pesquisa Clínica
Barretos, 14784-400
Cenantron - Clinica
Belo Horizonte, 30150-320
Sirio Libanes DF - Centro de Oncologia de Braslia do Sirio- Centro Intergrado de Pesquisa
Brasília, 70200-730
Centro de Pesquisa Hospital de Caridade de Ijuí Unidade de Pesquisa Clínica
Ijuí, 98700-000
Hospital Mae de Deus Oncologia
Porto Alegre, 90880-480
Hospital São Rafael Centro Intergrado de Pesquisa
Salvador, 41253-191
CEPHO - Centro de Estudos e Pesquisas em Hematologia e Oncol Centro Intergrado de Pesquisa
Santo André, 09060-870
Hospital de Base Centro Integrado de Pesquisa
São José do Rio Preto, 15090-000
ICESP - Instituto do Câncer do Estado de São Paulo Centro Integrado de Pesquisa
São Paulo, 01246-000
Hospital A C Camargo Unidade de Pesquisa Clinica
São Paulo, 01509-900
France10 sites
Institut Sainte Catherine
Avignon, 84918
CHU Jean Minjoz Service d'oncologie médicale
Besançon, 25030
CHU Morvan Institut de Cancérologie et d'Hématologie
Brest, 29200
Hopital Privé Jean Mermoz Service de Gastro entérologie et d'Oncologie médicale
Lyon, 69008
Hôpital Nord Franche-Comté - Site du Mittan Service d'oncologie médicale
Montbéliard, 25209
Centre Antoine Lacassagne Dpt d'Oncologie Médicale
Nice, 06189
Hôpital Saint-Antoine Service d'Oncologie Médicale
Paris, 75012
Hôpital Européen Georges Pompidou Oncologie Hépatogastroenterologie-oncologie digestive
Paris, 75015
Hopital Haut-Leveque Hepato-gastroenterologie et oncologie digestive
Pessac, 33604
CHU Toulouse Rangueil Oncologie médicale digestive
Toulouse, 31059
Bulgaria9 sites
"Complex oncology center - Burgas" EOOD Department of medical oncology
Burgas, 8000
"Multiprofile hosp. for active treatmen Dr. Tota Venkova" AD Department of medical oncology
Gabrovo, 5300
"Complex oncology center - Plovdiv" EOOD, IInd base Dpt. of Med. oncology and onc. diseases in gastroenterology
Plovdiv, 4004
"Medical Center Nadezhda Clinical" EOOD Medical Oncology Department
Sofia, 1330
"UMHAT Sv. Ivan Rilski" EAD Clinic of clinical hematology, Dpt. of medical oncology
Sofia, 1431
MHAT Serdika EOOD Department of Medical Oncology
Sofia, 1632
Spec. hospital for active treatment of oncology dis. EOOD Department of medical oncology and palliative care
Sofia, 1756
SHAT of oncology diseases Dr. Marko Antonov Markov" EOOD Department of medical oncology and palliative therapy
Varna, 9003
"Complex Ongology Center - Vratsa" EOOD Department of Medical oncology
Vratsa, 3000
Poland8 sites
Bialostockie Centrum Onkologii im Marii Curie-Sklodowskiej Oddzial Onkologii Klinicznej im Dr Ewy Pileckiej z pododdzialem Chemioterapii Dziennej
Bialystok, 15-027
Uniwersyteckie Centrum Kliniczne Klinika Onkologii i Radioterapii
Gdansk, 80-952
Przychodnia Lekarska "KOMED"
Konin, 62-500
M. Kopernika Provincial Hospital Oddzial Chemioterapii Nowotworow
Lodz, 93-513
SPZOZ MSWiA z Warminsko-Mazurskim Centrum Onkologii Oddzial Kliniczny Onkologii i Immunoonkologii
Olsztyn, 10-228
Opolskie Centrum Onkologii im. Tadeusza Koszarowskiego Oddzial Onkologii Klinicznej
Opole, 45-061
Wielkopolskie Centrum Onkologii im Marii Sklodowskiej-Curie Oddzial Chemioterapii
Poznan, 61-866
NU-MED Centrum Diagnostyki i Terapii Onkologicznej Tomaszów Mazowiecki II Sp. z o.o., Pododdzial Chemioterapi
Tomaszów Mazowiecki, 97-200
Romania8 sites
Institutul Oncologic "Prof Alexandru Trestioreanu" Busuresti Sectia Oncologie Medicala I
Bucharest, 022328
Spitalul Clinic "Coltea" Sectia Oncologie Medicala
Bucharest, 030171
Institutul Oncologic "Prof. Dr. I. Chiricuta" Cluj Napoca Oncologie Medicala
Cluj-Napoca, 400015
Centrul de Oncologie Sf Nectarie Oncology Department
Craiova, 200347
S.C Oncolab S.R.L Sectia Oncologie Medicala
Craiova, 200385
Institutul Regional de Oncologie Iasi Clinica de Oncologie Medicala
Iași, 700483
Spitalul Clinic Judetean de Urgenta Sibiu Sectia Oncologie Medicala
Sibiu, 550245
S.C ONCOMED S.R.L Departament Oncologie Medicala
Timișoara, 300239
Australia6 sites
Blacktown Hospital Cancer and Haematology Centre
Blacktown, 2148
Frankston Private Peninsula and Southeast Oncology Group
Frankston, 3199
Lake Macquarie Private Hospital
Gateshead, 2290
St George Hospital St George Hospital Cancer Care Centre
Kogarah, 2217
Adventist HealthCare Integrated Cancer Centre
Wahroonga, 2076
Southern Medical Day Care Centre
Wollongong, 2500
Austria6 sites
Med. Universität Graz Klinische Abteilung für Onkologie
Graz, 8036
Medizinische Universität Innsbruck Univ.-Klinik für Innere Medizin V
Innsbruck, 6020
Ordensklinikum Linz Barmherzige Schwestern Interne I
Linz, 4010
Landeskrankenhaus (SALK) Universitätsklinik für Innere Medizin III (SALK)
Salzburg, 5020
Universitätsklinikum St. Pölten Klinische Abteilung für Innere Medizin I
Sankt Pölten, 3100
Allgemeines Krankenhaus - Universitätskliniken Klinische Abteilung für Onkologie
Vienna, 1090
Netherlands6 sites
Rijnstate Oncologie
Arnhem, 6815 AD
Albert Schweitzer Ziekenhuis Interne Geneeskunde
Dordrecht, 3318 AT
Catharina Ziekenhuis Interne Gesneeskunde/Oncologie
Eindhoven, 5623 EJ
Ikazia Ziekenhuis Oncologie
Rotterdam, 3083 AN
ETZ Elisabeth Interne Geneeskunde
Tilburg, 5022 GC
Bernhoven Interne Geneeskunde
Uden, 5406 PT
Czechia5 sites
Masarykuv onkologicky ustav Klinika komplexni onkologicke pece
Brno, 656 53
Fakultni nemocnice Ostrava Klinika onkologicka
Ostrava
Vseobecna fakultni nemocnice Onkologicka klinika VFN a 1. LF UK
Prague, 128 08
Thomayerova nemocnice Onkologicka klinika 1. LF UK a TN
Prague, 140 59
Fakultni nemocnice Olomouc Onkologicka klinika
Prague, 77900
Portugal5 sites
Hospital Garcia de Orta Serviço de Oncologia Médica
Almada, 2805-267
Centro Hospitalar e Universitário de Coimbra - CHUC Unidade de Inovação e Desenvolvimento (UID)
Coimbra, 3000-075
Centro Hospitalar Lisboa Norte, Hospital de Santa Maria Serviço de Oncologia Médica
Lisbon, 1649-035
Hospital Beatriz Ângelo Serviço de oncologia medic
Loures, 2674-514
Instituto Português de Oncologia do Porto FG, EPE -IPO Porto Medical Oncology Dept.
Porto, 4200-072
Sweden5 sites
Falu Lasarett Onkologmottagningen
Falun, 791 82
Lanssjukhuset Ryhov Onkologiska kliniken
Jönköping, 551 85
Universitetssjukhuset Orebro
Örebro, 701 85
Karolinska University Hospital, Solna Studiebehandlingsenheten, B8:09
Solna, 171 64
Norrlands Universitetssjukhus Cancercentrum Umea
Umeå, 901 85
Denmark4 sites
Aalborg Universitetshospital, Syd Onkologisk Afdelin
Aalborg, 9000
Rigshospitalet Onkologisk Klinik
Copenhagen, 2100
Regionshospitalet Herning, Hospitalsenheden Vest Onkologisk Afdeling
Herning, 7400
Odense Universitetshospital Onkologisk Afdeling R
Odense, 5000
Lithuania4 sites
Oncology Hospital, Branch of Hospital of Lithuanian Uni. of Health Sciences Kauno klinikos
Kaunas, 45434
Hospital of Lithuania Univ of Health Sciences Kauno klinikos Oncology Institute
Kaunas, LT-50161
Klaipeda University hospital
Klaipėda, 92288
National Cancer Institute
Vilnius, LT-08660
Estonia3 sites
East Tallinn Central Hospital Center of Oncology
Tallinn, 11312
North Estonia Medical Centre Foundation Oncology and Haematology clinic
Tallinn, 13419
Tartu University Hospital, Hematology - Oncology clinic, Radiotherapy and oncological therapy
Tartu, 51014
Germany3 sites
Onkologische Schwerpunktpraxis Kurfuerstendamm
Berlin, 10707
Lübecker Onkologische Schwerpunktpraxis im Hochschulstadttei
Lübeck, 23562
Klinikum der Universität München Campus Großhadern, Medizinische Klinik und Poliklinik III
München, 81377
Ireland3 sites
Bon Secours Hospital
Cork, 90
Cork University Hospital Department of Medical Oncology
Cork, T12 DC4A
The Adelaide and Meath Hospital
Dublin, D24 NROA
Latvia2 sites
P. Stradins Clinical University Hospital
Riga, 1002
Riga East Univerity Hospital Oncology Centre of Latvia
Riga, 1079
Slovakia2 sites
Narodny onkologicky ustav Oddelenie klinickej onkologie
Bratislava, 833 10
Vychodoslovensky onkologicky ustav Oddelenie klinickej onkologie
Košice, 04191
About this study
Official title: An Open-label, Randomised, Phase III Study cOmparing trifLuridine/Tipiracil (S 95005) in Combination With Bevacizumab to Capecitabine in Combination With Bevacizumab in firST-line Treatment of Patients With metastatIC Colorectal Cancer Who Are Not candidatE for Intensive Therapy (SOLSTICE Study)
The main purpose of this study is to demonstrate the superiority of S 95005 in combination with bevacizumab over capecitabine in combination with bevacizumab.
- Conditions
- Metastatic Colorectal Cancer
- Being tested
- Trifluridine/tipiracil hydrochloride (S95005), Capecitabine, Bevacizumab experimental, Bevacizumab control
- Keywords
- Metastatic, Cancer, Colorectal, Colorectal Cancer, Colon, Rectum, Metastasis
- Medical subject headings
- Colorectal Neoplasms, Neoplasm Metastasis, Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Trifluridine/tipiracil hydrochloride (S95005)Drug
Film-coated tablets of S 95005 (35 mg/m²/dose) will be administered orally twice a day (BID), within 1 hour after completion of morning and evening meals, 5 days on/2 days off, over 2 weeks, followed by a 14-day rest; This treatment cycle will be repeated every 4 weeks.
CapecitabineDrug
Film-coated tablets, Capecitabine (1250 mg/m²/dose) will be administered orally BID on Days 1-14 of each cycle. This treatment cycle will be repeated every 3 weeks.
Bevacizumab experimentalBiological
Concentrate for solution for infusion, Bevacizumab (5 mg/kg, IV) administered every 2 weeks (Day 1 and Day 15). This treatment cycle will be repeated every 4 weeks.
Bevacizumab controlBiological
Concentrate for solution for infusion, Bevacizumab (7.5 mg/kg, IV) will be administered on Day 1 of each cycle.This treatment cycle will be repeated every 3 weeks.
| Study group | Role | What they receive |
|---|---|---|
| S95005 + Bevacizumab | Experimental | Not described Receives: Drug: Trifluridine/tipiracil hydrochloride (S95005); Biological: Bevacizumab experimental |
| Capecitabine + Bevacizumab | Active comparator | Not described Receives: Drug: Capecitabine; Biological: Bevacizumab control |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free Survival (PFS)
Time elapsed between the randomization and the date of radiological tumour progression (according to RECIST 1.1) or death from any cause.
Measured: Up to 24 months
Secondary outcomes (12)
Overall Survival (OS)
Time elapsed between the date of randomization and the date of death due to any cause.
Measured: Up to 8 years
Overall response rate (ORR)
The proportion of patients with objective evidence of complete response (CR) or partial response (PR) according to RECIST 1.1 criteria and using investigator's tumour assessment.
Measured: Up to 8 years
Disease control rate (DCR)
The proportion of patients with objective evidence of CR or PR or stable disease (SD) according to RECIST 1.1 criteria and using investigator's tumour assessment.
Measured: Up to 8 years
Duration of response (DoR)
The time from the first documentation of response (CR or PR) to the first documentation of objective tumour progression or death due to any cause, whichever occurs first.
Measured: Up to 8 years
Time to treatment failure (TTF)
The time from randomization to treatment discontinuation for any reason, including disease progression, treatment toxicity, patient preference, or death.
Measured: Up to 8 years
Incidence of Adverse Events (AEs)
Measured: Up to 8 years
Number of clinically significant changes to hematology, biochemistry, coagulation and urinalysis tests
Measured: Up to 8 years
Changes in ECOG performance status
Measured: Up to 8 years
Number of clinically significant changes to blood pressure, heart rate, body temperature and body weight
Measured: Up to 8 years
Number of clinically significant changes to 12-leads ECG parameters
Measured: Up to 8 years
Quality of life as assessed by EORTC QLQ-C30
European organization for research and treatment of cancer (EORTC) Quality of Life Questionnaire - Core Questionnaire (QLQ-C30) scores range from 0-100 and assess functional and symptom scores. For functional scores, a higher score represents an increase in functioning. For symptom scores, a higher score represents an increase in symptoms.
Measured: Up to 8 years
Quality of life as assessed by EQ-5D-5L
The 5-level EQ-5D version questionnaire scores range from 5 to 25 with a higher score representing a worse health status.
Measured: Up to 8 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Mar 2019
- Study start21 Mar 2019
- Primary completion29 Jun 2021
- Study completion31 Dec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Metastatic Colorectal CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 856 participants (actual)
Sponsor and investigators
- Lead sponsor
- Institut de Recherches Internationales Servier
- Sponsor type
- University, hospital or other
- Collaborators
- ADIR, a Servier Group company
- Responsible party
- Sponsor
- Investigators
- Thierry ANDRE, PhD, Principal investigator, Medical Oncology departement Saint-Antoine hospital (Paris France 75012)
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03869892
- Sponsor's protocol ID
- CL3-95005-006
- Other IDs
- 2017-004059-22, U1111-1206-3198, 2017
- Acronym
- SOLSTICE
- Status last verified
- Dec 2025
- First submitted
- 23 Feb 2018
- Last updated
- 22 Dec 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: Qualified scientific and medical researchers can request access to anonymized patient-level and study-level clinical trial data. Access can be requested for all interventional clinical studies: * used for Marketing Authorization (MA) of medicines and new indications approved after 1 January 2014 in the European Economic Area (EEA) or the United States (US). * where Servier is the Marketing Authorization Holder (MAH). The date of the first MA of the new medicine (or the new indication) in one of the EEA Member States will be considered for this scope. In addition, access can be requested for all interventional clinical studies in patients: * sponsored by Servier * with a first patient enrolled as of 1 January 2004 onwards * for New Chemical Entity or New Biological Entity (new pharmaceutical form excluded) for which development has been terminated before any Marketing authorization (MA) approval.
Publications
Andre T, Falcone A, Shparyk Y, Moiseenko F, Polo-Marques E, Csoszi T, Campos-Bragagnoli A, Liposits G, Chmielowska E, Aubel P, Martin L, Fougeray R, Amellal N, Saunders MP. Trifluridine-tipiracil plus bevacizumab versus capecitabine plus bevacizumab as first-line treatment for patients with metastatic colorectal cancer ineligible for intensive therapy (SOLSTICE): a randomised, open-label phase 3 study. Lancet Gastroenterol Hepatol. 2023 Feb;8(2):133-144. doi: 10.1016/S2468-1253(22)00334-X. Epub 2022 Dec 2.
PubMed 36470291
Study at a glance
From the registry record, last updated by the sponsor on 22 Dec 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open-label, Randomised, Phase III Study cOmparing trifLuridine/Tipiracil (S 95005) in Combination With Bevacizumab to Capecitabine in Combination With Bevacizumab in firST-line Treatment of Patients With metastatIC Colorectal Cancer Who Are Not candidatE for Intensive Therapy (SOLSTICE Study)
- ClinicalTrials.gov ID
- NCT03869892
- Acronym / sponsor ID
- SOLSTICE / CL3-95005-006
- Conditions
- Metastatic Colorectal Cancer
- Keywords
- Metastatic, Cancer, Colorectal, Colorectal Cancer, Colon, Rectum, Metastasis
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 856 participants (actual)
- Lead sponsor
- Institut de Recherches Internationales ServierUniversity, hospital or other
- Collaborators
- ADIR, a Servier Group company
- Study start
- 21 Mar 2019 (actual)
- Primary completion
- 29 Jun 2021 (actual)
- Study completion
- 31 Dec 2026 (estimated)
- First posted
- 11 Mar 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The main purpose of this study is to demonstrate the superiority of S 95005 in combination with bevacizumab over capecitabine in combination with bevacizumab.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| S95005 + Bevacizumab | Experimental | Drug: Trifluridine/tipiracil hydrochloride (S95005), Biological: Bevacizumab experimental |
| Capecitabine + Bevacizumab | Active comparator | Drug: Capecitabine, Biological: Bevacizumab control |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Has definitive histologically confirmed adenocarcinoma of the colon or rectum (all other histological types are excluded). Primary tumour localisation must be known.
- RAS status based on local biological assessment of tumour biopsy must be available. If RAS status is not available at the time of randomisation, tumour biopsy must be available for RAS status determination (based on local biological assessment).
- Patient is not a candidate for standard full dose combination chemotherapy with irinotecan or oxaliplatin
- Patient is not a candidate for curative resection of metastatic lesions.
- No previous systemic anticancer therapy for unresectable metastatic colorectal cancer.
Key exclusion criteria (9 listed)
- Pregnancy, breastfeeding or possibility of becoming pregnant during the study.
- Participation in another interventional study within 4 weeks prior to the randomisation .
- Patients who have not recovered from clinically relevant non-hematologic CTCAE grade ≥ 3 toxicity of previous anticancer therapy prior to the randomisation.
- Symptomatic central nervous system metastases.
- Major surgery within 4 weeks prior to the randomisation.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Trifluridine/tipiracil hydrochloride (S95005)Film-coated tablets of S 95005 (35 mg/m²/dose) will be administered orally twice a day (BID), within 1 hour after completion of morning and evening meals, 5 days on/2 days off, over 2 weeks, followed by a 14-day rest; This treatment cycle will be repeated every 4 weeks. | Drug | S95005 + Bevacizumab |
| CapecitabineFilm-coated tablets, Capecitabine (1250 mg/m²/dose) will be administered orally BID on Days 1-14 of each cycle. This treatment cycle will be repeated every 3 weeks. | Drug | Capecitabine + Bevacizumab |
| Bevacizumab experimentalConcentrate for solution for infusion, Bevacizumab (5 mg/kg, IV) administered every 2 weeks (Day 1 and Day 15). This treatment cycle will be repeated every 4 weeks. | Biological | S95005 + Bevacizumab |
| Bevacizumab controlConcentrate for solution for infusion, Bevacizumab (7.5 mg/kg, IV) will be administered on Day 1 of each cycle.This treatment cycle will be repeated every 3 weeks. | Biological | Capecitabine + Bevacizumab |
Primary outcome
Progression-free Survival (PFS)
Time frame: Up to 24 months
Time elapsed between the randomization and the date of radiological tumour progression (according to RECIST 1.1) or death from any cause.
12 secondary outcomes
Overall Survival (OS)
Time frame: Up to 8 years
Overall response rate (ORR)
Time frame: Up to 8 years
Disease control rate (DCR)
Time frame: Up to 8 years
Duration of response (DoR)
Time frame: Up to 8 years
Time to treatment failure (TTF)
Time frame: Up to 8 years
Incidence of Adverse Events (AEs)
Time frame: Up to 8 years
Number of clinically significant changes to hematology, biochemistry, coagulation and urinalysis tests
Time frame: Up to 8 years
Changes in ECOG performance status
Time frame: Up to 8 years
Number of clinically significant changes to blood pressure, heart rate, body temperature and body weight
Time frame: Up to 8 years
Number of clinically significant changes to 12-leads ECG parameters
Time frame: Up to 8 years
Quality of life as assessed by EORTC QLQ-C30
Time frame: Up to 8 years
Quality of life as assessed by EQ-5D-5L
Time frame: Up to 8 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 Dec 2025.
- Background: PubMed 36470291Andre T, Falcone A, Shparyk Y, Moiseenko F, Polo-Marques E, Csoszi T, Campos-Bragagnoli A, Liposits G, Chmielowska E, Aubel P, Martin L, Fougeray R, Amellal N, Saunders MP. Trifluridine-tipiracil plus bevacizumab versus capecitabine plus bevacizumab as first-line treatment for patients with metastatic colorectal cancer ineligible for intensive therapy (SOLSTICE): a randomised, open-label phase 3 study. Lancet Gastroenterol Hepatol. 2023 Feb;8(2):133-144. doi: 10.1016/S2468-1253(22)00334-X. Epub 2022 Dec 2.
- Individual participant dataSharing planned: Yes. Qualified scientific and medical researchers can request access to anonymized patient-level and study-level clinical trial data. Access can be requested for all interventional clinical studies: * used for Marketing Authorization (MA) of medicines and new indications approved after 1 January 2014 in the European Economic Area (EEA) or the United States (US). * where Servier is the Marketing Authorization Holder (MAH). The date of the first MA of the new medicine (or the new indication) in one of the EEA Member States will be considered for this scope. In addition, access can be requested for all interventional clinical studies in patients: * sponsored by Servier * with a first patient enrolled as of 1 January 2004 onwards * for New Chemical Entity or New Biological Entity (new pharmaceutical form excluded) for which development has been terminated before any Marketing authorization (MA) approval.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Thierry ANDRE, PhD principal investigator
Medical Oncology departement Saint-Antoine hospital (Paris France 75012)
190 sites in 25 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Trifluridine/tipiracil hydrochloride (S95005), Capecitabine and Bevacizumab experimental in people with Metastatic Colorectal Cancer, run by Institut de Recherches Internationales Servier at 190 sites in 25 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 22 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 190 sites in Russia, Hungary, Spain, Italy, Ukraine and 20 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-free Survival (PFS) (time frame: Up to 24 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03869892, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Dec 2025.