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AzTrials

RAS/BRAF Wild Type Colorectal CancerPhase 1/2NCT07044908

TQB2922 and TAS-102 Tablets for Injection With or Without Bevacizumab in Chemotherapy-failed RAS/BRAF Wild-type Advanced Colorectal Cancer

A Phase 1/2 study testing TQB2922 injection ± TAS-102 tablets and TQB2922 injection+TAS-102 tablets ± Bevacizumab in people with RAS/BRAF Wild Type Colorectal Cancer, run by Chia Tai Tianqing Pharmaceutical Group Nanjing Shunxin Pharmaceutical Co., Ltd. at 27 sites in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This is a multicenter, open Phase Ib/II clinical study evaluating the safety and efficacy of TQB2922 in combination with TAS-102±bevacizumab in subjects with RAS/BRAF wild-type unresectable locally advanced or metastatic colorectal cancer that has failed treatment with oxaliplatin, fluorouracil-based and irinotecan. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
RAS/BRAF Wild Type Colorectal Cancer
What is being tested?
TQB2922 injection ± TAS-102 tablets and TQB2922 injection+TAS-102 tablets ± Bevacizumab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
72 participants
Where
27 sitesChina
Study dates
30 Jul 2025to Jul 2027
Phase
Phase 1/2
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 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects voluntarily enrolled in the study, signed the informed consent and had good compliance;
  • Age: 18-75 years old (including boundaries at the time of signing the informed consent);
  • Eastern Cooperative Oncology Group (ECOG) score: 0-1;
  • Expected survival of more than 3 months;
  • Unresectable locally advanced or metastatic colorectal cancer diagnosed by histological/cytological pathology;
  • Disease progression or intolerable after prior treatment with oxaliplatin, fluorouracil-based and irinotecan and treated with cetuximab or bevacizumab;
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  • Patients with genetic testing showing wild-type for both rat sarcoma (RAS) and B-type rapid response protein kinase (BRAF);
  • Presence of at least 1 measurable lesion according to RECIST 1.1 criteria;
  • Laboratory tests meet the criteria;
  • Female subjects of childbearing potential must agree to use contraception (e.g., Intrauterine Device (IUD), birth control pills, or condoms) for the duration of the study and for 6 months after the end of the study; must have a negative serum pregnancy/urine pregnancy test
  • within 7 days prior to study entry and must not be breastfeeding; male subjects must agree to use contraception for the duration of the study and for 6 months after the end of the study.

Who cannot join

  • Patients who have had previous confirmation of microsatellite high instability/mismatch repair defects (MSI-H/dMMR) by immunohistochemistry (IHC), next-generation sequencing (NGS) or polymerase chain reaction (PCR);
  • Presence of a disease that interferes with intravenous administration, intravenous blood collection, or multiple factors that interfere with oral administration of medications (e.g., inability to swallow, chronic diarrhoea and intestinal obstruction);
  • Active inflammatory bowel disease (ulcerative colitis, Crohn's disease) within 28 days prior to first dose;
  • The presence or current concurrent presence of other malignancies within 2 years prior to the first dose.
  • Unresolved toxic reactions above Common Terminology Criteria for Adverse Events (CTCAE) Grade 1 due to any prior therapy, excluding alopecia, fatigue and peripheral neuropathy;
  • Major surgical treatment, incisional biopsy or significant traumatic injury within 28 days prior to first dose;
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  • The presence of a long-standing unhealed wound or fracture;
  • Cerebrovascular accident (including temporary ischaemic attack, cerebral haemorrhage, cerebral infarction), deep vein thrombosis and pulmonary embolism within 6 months prior to the first dose;
  • Have a history of psychotropic substance abuse and are unable to quit or have a mental disorder;
  • Subjects with any severe and/or uncontrolled medical condition, including:
  • Unsatisfactory control of blood pressure (systolic blood pressure ≥ 160 mmHg or diastolic blood pressure ≥ 100 mmHg, at least 2 measurements taken at intervals of more than 24h);
  • Myocardial infarction, unstable angina pectoris, stable angina pectoris ≥ Grade 2, heart failure ≥ Grade 2 (New York Heart Association (NYHA) classification), arrhythmia ≥ Grade 2;
  • Active or uncontrolled severe bacterial, viral, or systemic fungal infection (≥ CTC AE grade 2 infection) within 28 days prior to first dose; patients with active tuberculosis within 1 year prior to enrolment.
  • Active viral hepatitis with poor control. Subjects will be screened if they meet the following requirements: Hepatitis B surface antigen (HBsAg) positive subjects with Hepatitis B virus (HBV) DNA quantification <2000 IU/ml (or 1*10 4 copy/ml) or at least 1 week of anti-HBV treatment with a 10-fold (1 log) or greater reduction in viral index prior to study entry. Subject is willing to remain on anti-HBV therapy for the entire duration of the study; HCV-infected patients (HCV Ab or HCV RNA positive) who are judged to be stable by the investigator or who are on antiviral therapy at the time of enrolment and who continue to receive approved antiviral therapy during the study;
  • Subjects with a history of (non-infectious) interstitial lung disease requiring systemic steroid therapy, or current interstitial lung disease/interstitial pneumonia; or subjects with Screening Imaging suggestive of suspected interstitial lung disease/interstitial pneumonia that cannot be ruled out;
  • History of immunodeficiency, including being human immunodeficiency virus (HIV) positive or having other acquired, congenital immunodeficiency diseases;
  • Poorly controlled diabetes mellitus (fasting blood glucose (FBG) > 10 mmol/L); and
  • Active syphilis infection.
  • Known tumour-associated spinal cord compression, cancerous meningitis, with symptoms of brain metastases, or symptoms controlled for less than 4 weeks;
  • Imaging suggestive of tumour invasion of large blood vessels or, in the judgement of the investigator, there is a high probability of tumour rupture or invasion of vital blood vessels during the study period leading to fatal haemorrhage;
  • Failure to control a plasma (thoracic, abdominal, or pericardial) effusion that requires repeated drainage;
  • Local radiotherapy within 2 weeks or >30% bone marrow irradiation radiotherapy for bone metastases within 4 weeks prior to first dose.
  • Chemotherapy, targeted therapy, immunotherapy, or other antineoplastic agents within 4 weeks prior to the first dose, or who are still on drug 5.
  • treatment, or subjects who are still within 5 half-lives of the drug (whichever occurs first);
  • Prior use of epidermal growth factor receptor/c-mesenchymal epidermal transforming factor (EGFR/c-Met) dual-antibody drugs;
  • Received treatment with a proprietary Chinese medicine with an anti-tumour indication as specified in the National Drug
  • Administration (NMPA) approved drug insert within 1 week prior to study treatment.
  • History of live attenuated vaccination within 2 weeks prior to the first dose or planned live attenuated vaccination during the study period.

Trial locations and contacts

27 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Suxia Luo, Master contact

18638553211

luosxrm@163.com

Shegan Gao, Doctor contact

18639859977

gsg112258@163.com

27 sites in 1 country

China27 sites, 27 recruiting
  • National Cancer Center/Chinese Academy of Medical Sciences Cancer Hospital

    Beijing, Beijing Municipality, 100021

    Ning Li, Doctor, 15601395554, lining@cicams.ac.cn

    Not yet recruiting
  • Jilin Cancer Hospital

    Changchun, Jilin, 130012

    Lixia Ma, Master, 13578670958, 13578670958@163.com

    Not yet recruiting
  • Hunan Cancer Hospital

    Changsha, Hunan, 410013

    Yi He, Doctor, 18692237222, heyi@hnca.org.cn

    Not yet recruiting
  • The First Affiliated Hospital of Chongqing Medical University

    Chongqing, Chongqing Municipality, 400016

    Xingye Wu, Doctor, 18696685221, wuxingye19830221@126.com

    Not yet recruiting
  • The Third Affiliated Hospital of Sun Yat-sen University

    Guangzhou, Guangdong, 510630

    Min Dong, Doctor, 13286800883, dongmin@mail.sysu.edu.cn

    Not yet recruiting
  • Harbin Medical University Cancer Hospital

    Harbin, Heilongjiang, 150081

    Zhiwei Li, Doctor, 15004683651, lzhw0451@163.com

    Not yet recruiting
  • The First Affiliated Hospital of Anhui Medical University

    Hefei, Anhui, 230022

    Jiqing Hao, Doctor, 13965029739, ayfy_hjq@163.com

    Not yet recruiting
  • Shandong Public Health Clinical Center

    Jinan, Shandong, 250013

    Jie Liu, Doctor, 15553119051, lj691012@126.com

    Not yet recruiting
  • Meizhou People's Hospital

    Meizhou, Guangdong, 514031

    Xiwen Huang, Bachelor, 13751952289, 811253076@qq.com

    Not yet recruiting
  • Jiangxi Cancer Hospital

    Nanchang, Jiangxi, 330029

    RongFeng Song, Master, 13879172671, rfeng3471@163.com

    Not yet recruiting
  • Jiangsu Cancer Hospital

    Nanjing, Jiangsu, 210000

    Sheng Li, Master, 13770768636, Lihsh198@163.com

    Not yet recruiting
  • Jiangsu Provincial People's Hospital

    Nanjing, Jiangsu, 210029

    Yanhong Gu, Doctor, 13813908678, Guyanhong@jsph.org.cn

    Not yet recruiting
  • Guangxi Zhuang Autonomous Region Cancer Hospital

    Nanning, Guangxi, 530021

    Yumei Zhang, Master, 13617716921, Zhzm05@163.com

    Not yet recruiting
  • Qingdao Municipal Hospital

    Qingdao, Shandong, 266011

    Xiaomei Xu, Master, 18661675699, Xuxiaomei7171@qq.com

    Recruiting
  • Fudan University Shanghai Cancer Center

    Shanghai, Shanghai Municipality, 200032

    Zhiyu Chen, Doctor, 13818197511, chanhj75@aliyun.com

    Not yet recruiting
  • Renji Hospital, Shanghai Jiao Tong University School of Medicine

    Shanghai, Shanghai Municipality, 200127

    XiuYing Xiao, Doctor, 13564579313, xiaoxiuying2002@163.com

    Not yet recruiting
  • Shantou University Medical College Affiliated Cancer Hospital

    Shantou, Guangdong, 515031

    Yi Jiang, Bachelor, 13553389578, jiangzy_123@sina.com

    Not yet recruiting
  • The First Affiliated Hospital of China Medical University

    Shenyang, Liaoning, 110001

    Jinglei Qu, Doctor, 15904058133, qujinglei@hotmail.com

    Not yet recruiting
  • Suzhou Municipal Hospital

    Suzhou, Jiangsu, 215002

    Hui Yang, Bachelor, 13625281515, szslyyzlzxpiyh@163.com

    Not yet recruiting
  • The First Hospital of Shanxi Medical University

    Taiyuan, Shanxi, 030001

    Yusheng Wang, Doctor, 13834646436, wangyusheng1972@163.com

    Not yet recruiting
  • Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology

    Wuhan, Hubei, 430030

    Hong Qiu, Doctor, 13986296106, tjqiuhong@163.com

    Not yet recruiting
  • Jiangnan University Affiliated Hospital

    Wuxi, Jiangsu, 214000

    Yong Mao, Doctor, 18651581690, mydoctorwx@aliyun.com

    Not yet recruiting
  • The First Affiliated Hospital of Xi'an Jiaotong University

    Xi'an, Shaanxi, 710061

    Aili Suo, Doctor, 18991232561, ailisuo@mail.xjtu.edu.cn

    Not yet recruiting
  • Zhongshan Hospital Affiliated to Xiamen University

    Xiamen, Fujian, 361004

    Li Xiao, Doctor, 13906036392, xiaolibohan@163.com

    Zhenyu Yin, Doctor, 13950120518, yinzy@xmu.edu.cn

    Not yet recruiting
  • Xinyang Central Hospital

    Xinyang, Henan, 464000

    Xiuqing Wang, Bachelor, 13569708115, 360675156@qq.com

    Not yet recruiting
  • Yibin First People's Hospital

    Yibin, Sichuan, 644000

    Zhiping Yuan, Doctor, 13568574713, yuanzhiping9@126.com

    Not yet recruiting
  • Zhoukou Central Hospital

    Zhoukou, Henan, 466000

    Keyou Xu, Bachelor, 13938095230, xky0394@163.com

    Not yet recruiting

Other trials in China

About this study

Official title: A Phase Ib/II Clinical Study Evaluating TQB2922 for Injection and Chemotherapy in Combination With or Without Bevacizumab in Subjects With RAS/BRAF Wild-Type Advanced Colorectal Cancer Who Have Failed Chemotherapy

This is a multicenter, open Phase Ib/II clinical study evaluating the safety and efficacy of TQB2922 in combination with TAS-102±bevacizumab in subjects with RAS/BRAF wild-type unresectable locally advanced or metastatic colorectal cancer that has failed treatment with oxaliplatin, fluorouracil-based and irinotecan.

Being tested
TQB2922 injection ± TAS-102 tablets, TQB2922 injection+TAS-102 tablets ± Bevacizumab

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TQB2922 injection ± TAS-102 tabletsDrug

    TQB2922 is an anti-EGFR/c-Met bispecific antibody, subtype Immunoglobulin G1 (IgG1). TQB2922 blocks the activation of EGFR and c-Met signalling pathway by binding to EGFR and c-Met on the surface of tumour cells, thus preventing tumour growth and progression. At the same time, TQB2922 can target EGFR and c-Met on the surface of tumour cells through antibody-dependent cytotoxicity (ADCC) and antibody-dependent cell phagocytosis by natural killer cells and macrophages, thus killing tumour cells.

  • TQB2922 injection+TAS-102 tablets ± BevacizumabDrug

    TQB2922 is an anti-EGFR/c-Met bispecific antibody, subtype IgG1. TQB2922 blocks the activation of EGFR and c-Met signalling pathway by binding to EGFR and c-Met on the surface of tumour cells, thus preventing tumour growth and progression. At the same time, TQB2922 can target EGFR and c-Met on the surface of tumour cells through antibody-dependent cytotoxicity (ADCC) and antibody-dependent cell phagocytosis by natural killer cells and macrophages, thus killing tumour cells.

Study groups in NCT07044908
Study groupRoleWhat they receive
TQB2922 injection + TAS-102 tabletsExperimentalPhase Ib: TQB2922 injection + TAS-102 tablets; TQB2922 is administered in the appropriate dose group, intravenously, every 28 days, once weekly in cycle 1 and every 2 weeks starting in cycle 2; TAS-102 tablets are administered at 35 mg/m2 (maximum 80 mg in a single dose), orally, twice daily, repeated every 28 days, on days 1 to 5 and 8 to 12. The dosage will be repeated every 28 days.
Receives: Drug: TQB2922 injection ± TAS-102 tablets
TQB2922 injectionExperimentalPhase Ib: TQB2922 injection; TQB2922 is administered in the appropriate dose group, intravenously, every 28 days, once weekly in cycle 1 and every 2 weeks starting in cycle 2; TAS-102 tablets are administered at 35 mg/m2 (maximum 80 mg in a single dose), orally, twice daily, repeated every 28 days, on days 1 to 5 and 8 to 12. The dosage will be repeated every 28 days.
Receives: Drug: TQB2922 injection ± TAS-102 tablets
TQB2922 injection+TAS-102 tablets + BevacizumabExperimentalPhase II: TQB2922 injection + TAS-102 tablets + bevacizumab; TQB2922 will be administered according to Recommended Phase 2 Dose (RP2D), one treatment cycle every 28 days, and once a week in the first cycle. TQB2922 was administered according to RP2D, one treatment cycle every 28 days, once a week in the 1st cycle, and once every 2 weeks starting from the 2nd cycle; TAS-102 tablets were administered at 35 mg/m2 (maximum 80 mg in a single dose) orally twice a day on days 1-5 and 8-12, and repeated every 28 days; bevacizumab was administered at 5 mg/kg intravenously on the 1st day, and repeated every 2 weeks.
Receives: Drug: TQB2922 injection+TAS-102 tablets ± Bevacizumab
TQB2922 injection+TAS-102 tabletsExperimentalPhase II: TQB2922 injection + TAS-102 tablets; TQB2922 will be administered according to RP2D, one treatment cycle every 28 days, and once a week in the first cycle. TQB2922 was administered according to RP2D, one treatment cycle every 28 days, once a week in the 1st cycle, and once every 2 weeks starting from the 2nd cycle; TAS-102 tablets were administered at 35 mg/m2 (maximum 80 mg in a single dose) orally twice a day on days 1-5 and 8-12, and repeated every 28 days; bevacizumab was administered at 5 mg/kg intravenously on the 1st day, and repeated every 2 weeks.
Receives: Drug: TQB2922 injection+TAS-102 tablets ± Bevacizumab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Dose limiting toxicity (DLT)

    One or more unacceptable toxic reactions following administration of the drug, resulting in the inability to continue increasing the dose or prolonging the dosing cycle.

    Measured: Baseline up to 48 weeks

  2. Objective Response Rate (ORR)

    Proportion of patients with tumour volume reduction to a pre-specified value that maintains the minimum timeframe requirement.

    Measured: Complete response time was achieved, evaluation is expected to take 1 years.

Secondary outcomes (12)
  1. Maximum tolerated dose (MTD)

    If dose limiting toxicity (DLT) occurs in 2 or more subjects in a given dose group, the dose level in the previous dose group is considered MTD.

    Measured: Baseline up to 48 weeks

  2. Incidence of adverse event (AE) and serious adverse event (SAE)

    The incidence and severity of adverse events were determined according to the NCI Common Terminology Criteria for Adverse Events (CTCAE) v5.0 rating scale

    Measured: Baseline up to 48 weeks

  3. Disease Control Rate (DCR)

    The proportion of subjects who achieved complete response (CR), partial response (PR), or stable disease (SD) was assessed.

    Measured: Complete response time was achieved, evaluation is expected to take 1 years.

  4. Recommended Phase 2 Dose

    The dose recommended for Phase 2 trials based on Phase 1 safety, tolerability, and pharmacokinetic data.

    Measured: Baseline up to 48 weeks

  5. Elimination Half-life

    The time required for the plasma concentration of a drug to decrease by 50% during the elimination phase, reflecting metabolic and excretory rates.

    Measured: Baseline up to 48 weeks

  6. Area Under the Curve

    The integral of the drug concentration-time curve in plasma, representing total systemic drug exposure.

    Measured: Baseline up to 48 weeks

  7. Apparent Clearance

    The apparent volume of plasma cleared of the drug per unit time, typically expressed in L/h.

    Measured: Baseline up to 48 weeks

  8. Apparent Volume of Distribution in Terminal Phase

    The apparent volume in which a drug is distributed during the terminal phase, calculated based on plasma concentration, indicating tissue distribution extent.

    Measured: Baseline up to 48 weeks

  9. Trough Concentration

    The plasma drug concentration measured at the end of a dosing interval (before next administration), used to assess accumulation risk.

    Measured: Baseline up to 48 weeks

  10. Duration of Response

    Time from first documented objective response (e.g., tumor shrinkage) to disease progression or death.

    Measured: Complete response time was achieved, evaluation is expected to take 1 years.

  11. Progression-Free Survival

    Time from enrollment to disease progression or death from any cause, evaluating treatment's disease control ability.

    Measured: 1 year of assessment is expected from the start of enrolment to the first occurrence of disease progression or death from any cause

  12. Incidence of Anti-Drug Antibody

    The proportion of patients developing antidrug antibodies during treatment, indicating immunogenicity risk.

    Measured: Baseline up to 48 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Jul 2025
  2. Study start30 Jul 2025
  3. Primary completionJul 2026 (estimated)
  4. Study completionJul 2027 (estimated)

Resources

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 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Factorial
Masking
None (open label)
Enrolment
72 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07044908
Sponsor's protocol ID
TQB2922-Ib/II-01
Status last verified
Apr 2025
First submitted
23 Jun 2025
Last updated
12 Aug 2025
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing TQB2922 injection ± TAS-102 tablets and TQB2922 injection+TAS-102 tablets ± Bevacizumab in people with RAS/BRAF Wild Type Colorectal Cancer, run by Chia Tai Tianqing Pharmaceutical Group Nanjing Shunxin Pharmaceutical Co., Ltd. at 27 sites in China.

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 11 inclusion and 28 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: looking for participants now, as of the sponsor's last update on 12 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 27 sites in China. 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 combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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?

Contact Suxia Luo, Master (18638553211, luosxrm@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Dose limiting toxicity (DLT) (time frame: Baseline up to 48 weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 12 Aug 2025.

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