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AzTrials

Metastatic Colorectal Carcinoma (mCRC)Phase 2NCT07150403

Second-line Doublet Chemotherapy (FOLFOX or FOLFIRI) Plus Fruquintinib Versus Doublet Chemotherapy (FOLFOX or FOLFIRI) Plus Bevacizumab in Metastatic Colorectal Cancer

A Phase 2 study testing Oxaliplatin intravenous, 5 FU bolus and Folinic acid in people with Metastatic Colorectal Carcinoma (mCRC), run by Federation Francophone de Cancerologie Digestive at 45 sites in France.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
Search all trials

Trial summary

The standard second-line treatment for metastatic colorectal cancer (mCRC) involves chemotherapy (FOLFOX or FOLFIRI) combined with an antiangiogenic agent, such as bevacizumab or aflibercept. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Metastatic Colorectal Carcinoma (mCRC)
What is being tested?
Oxaliplatin intravenous, 5 FU bolus and Folinic acid
Could I receive a placebo?
No, everyone receives an active treatment
How many people
74 participants
Where
45 sitesFrance
Study dates
31 Dec 2025to 31 Oct 2028
Phase
Phase 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 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • - Age ≥ 18 years and ≤ 80 years; provided the score of the G8 geriatric questionnaire is >14 for patients 75 years or older
  • Patients with a histologically confirmed diagnosis of metastatic colorectal cancer (mCRC), with a documented disease progression (as per RECIST v1.1, assessed by the investigator and confirmed through CT or MRI).
  • Patients must have previously received first-line therapy with Bevacizumab or an EGFRi, in combination with either FOLFOX or FOLFIRI, for non-resectable mCRC. Patients who progressed during the adjuvant chemotherapy (FOLFOX) or within the 6 months following its completion are eligible for inclusion
  • Patients must have an unresectable tumor at the time of enrollment.
  • Patients must have at least one measurable/evaluable metastatic lesion according to RECIST v1.1 criteria; images have to be available for collection
  • Metastases not amenable to surgery and/or thermo-ablation and/or stereotaxic radiotherapy
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  • WHO performance status 0 or 1
  • Available parameters to compute the SPOD score: WHO PS, hemoglobin, platelet count, WBC/absolute neutrophil count ratio, lactate dehydrogenase (LDH), alkaline phosphatase, and the number of metastatic sites.
  • Adequate liver functions: Total Bilirubinemia < 2,5 ULN, AST and ALT ≤ 5 ULN
  • Adequate hematological (Hemoglobin ≥10g/dL, platelets ≥100G/L, neutrophils ≥1.5G/L) and renal (creatinine clearance ≥ 50 mL/min according to CKD-EPI) functions
  • Proteinuria < 2+ (dipstick urinalysis) (if 2+ or more, proteinuria must be ≤1g/24hour)
  • Life expectancy ≥ 3 months
  • Women of childbearing potential must agree to use a highly effective method of contraception during the trial and for at least 15 months after discontinuation of the experimental treatments. Men who have sexual relations with women of childbearing potential must agree to use contraception during treatment and for at least 12 months after discontinuation of the experimental treatments
  • Ability of the patient to understand, sign and date the information note and informed consent form before any study specific procedures
  • Patient affiliated to a social security scheme
  • Available tumor sample and pathology report for collection

Who cannot join

  • - Patients who have received more than one prior systemic therapy
  • FOLFIRINOX Regimen +/- targeted therapy in the first line setting
  • Unknown RAS status
  • BRAF V600E mutated tumor
  • MSI/dMMR tumor
  • Known brain metastasis
Show all 31Show fewer
  • Known peritoneal carcinomatosis if there are signs of clinical occlusion or sub-occlusion
  • History of gastric ulceration, or myocardial infarction, or severe coronaropathy or severe cardiac dysfunction, within the past 6 months prior to treatment start
  • Patients with dihydropyrimidine dehydrogenase deficiency (uracilemia ≥ 16 ng/mL)
  • Hypersensitivity to one of the study drugs or one of its excipients
  • Inability to swallow capsules
  • Live attenuated vaccines 30 days prior to treatment start
  • Untreated bone fracture
  • Significant haemorrhagic diathesis or coagulopathy (in the absence of anti-coagulant treatment)
  • Major surgery, open biopsy or major traumatic lesion in the prior 30 days or the need for major surgery during the trial
  • Pregnant or breastfeeding woman or patients with no adequate contraception
  • Known Uridine Diphosphate Glucuronyltransferase (UGT1A1) deficiency or known Gilbert disease
  • Strong inducers of CYP3A4 (treatment with St John's Wort (Hypericum perforatum), fampicin, phenobarbital, primidone, phenytoin and carbamazepine)
  • -- Strong inhibitors of CYP3A4, continuous use of azole antifungals (posaconazole, voriconazole, itraconazole, isavuconazole), ritonavir, verapamil, diltiazem, grapefruit juice (equivalent to half a fresh grapefruit/day)
  • Concomitant or recent treatment with sorivudine or its analogs (including brivudine) within 4 weeks prior to the administration of protocol treatment (related to Fluorouracil)
  • Concomitant treatment with phenytoin or its analogs
  • QT/QTc interval > 450 ms for men and > 470 ms for women
  • Uncontrolled hypertension (defined as systolic blood pressure >140 mmHg and/or diastolic blood pressure >90 mmHg) or history of hypertensive crisis (TA systolic> 20 mmHg) or hypertensive encephalopathy
  • History of veinous thromboembolic events, including deep vein thrombosis and pulmonary embolism, within the past month prior to study enrollment
  • History of stroke and/or transient ischemic attack (TIA) within the past 12 months
  • Residual Oxaliplatin neuropathy (grade ≥ 2) counter indicates FOLFOX administration
  • Persistence of clinically significant symptoms after a thromboembolic event despite anticoagulant treatment
  • Arterial thromboembolism (myocardial infarction, stroke, transient ischemic attack) occurring under antiangiogenic therapy
  • Other active cancers or history of cancer treated within the last 5 years except for carcinoma in situ of the cervix or basal cell or squamous cell skin carcinoma or any other carcinoma in situ, considered cured
  • Persons deprived of liberty or under guardianship or unable of giving consent
  • Inability to undergo the medical follow-up of the trial for geographical, social or psychological reasons

Trial locations and contacts

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

Sofia BOUHLAL JOURDAN, PhD contact

+33(0)7 55 67 67 95

prodige115.ulysse@ffcd.fr

45 sites in 1 country

France45 sites
  • ICO Site Paul Papin

    Angers

    Victor SIMMET, MD, victor.simmet@ch-cholet.fr

  • Les Bonnettes

    Arras

    Bruno HUGUENIN, MD, drbhuguenin@orange.fr

  • Ght Unyon Auxerre

    Auxerre

    Anne-Laure VILLING, MD, alvilling@ch-auxerre.fr

  • Bayeux Ch

    Bayeux

    Annie PEYTIER, MD, a.peytier@ch-ab.fr

  • Cote Basque

    Bayonne

    Franck AUDEMAR, MD, faudemar@ch-cotebasque.fr

  • Beauvais Ch

    Beauvais

    Hanifa AMMARGUELLAT, MD, h.ammarguellat@ch-beauvais.fr

  • Jean Minjoz

    Besançon

    Antoine EL KADDISSI, MD, aelkaddissi@chu-besancon.fr

  • Centre Pierre Curie

    Beuvry

    Laurent BASSON, MD, laurent.basson@ichf.fr

  • BERGONIÉ

    Bordeaux

    Simon PERNOT, MD, s.pernot@bordeaux.unicancer.fr

  • TIVOLI

    Bordeaux

    Valérie COCHIN, MD, v.cochin@tivoli-oncologie.fr

  • Chauny Ch

    Chauny

    Marc KANAAN, MD, marc.kanaan@ch-chauny.fr

  • Cholet Ch

    Cholet

    Thomas DAVIEAU, MD, thomas.davieau@ch-cholet.fr

  • Saint Côme

    Compiègne

    Kaïs ALDABBAGH, MD, kais.aldabbagh@stcome.com

  • Clinique de Flandre

    Coudekerque-Branche

    Jean Baptiste AISENFARB, MD, jbaisenfarb@iadonco.org

  • GHPSO Site de Creil

    Creil

    Candice CAROLA DELVALLEZ, MD, Candice.CarolaDelvallez@ghpso.fr

  • Centre Leonard de Vinci

    Dechy

    Claire GIRAUD, MD, cgiraud@clinique-psv.fr

  • Dijon Bourgogne

    Dijon

    Jean-Louis JOUVE, MD, jean-louis.jouve@chu-dijon.fr

  • Institut de cancérologie de Bourgogne GRReCC

    Dijon

    Antoine DROUILLARD, MD, adrouillard@icb-cancer.fr

  • CHD Vendée

    La Roche-sur-Yon

    Margot LALY, MD, margot.laly@ght85.fr

  • Docteur Schaffner

    Lens

    Fabienne WATELLE, MD, fwatelle@ch-lens.fr

  • Franco Britannique

    Levallois-Perret

    Benoist CHIBAUDEL, MD, benoist.chibaudel@ihfb.org

  • Jean Mermoz

    Lyon

    Léa CLAVEL, MD, leaclavel1@gmail.com

  • La Timone

    Marseille

    Laétitia DAHAN, MD, laetitia.dahan@ap-hm.fr

  • LAYNÉ CH

    Mont-de-Marsan

    Morgan ANDRE, MD, morgan.andre@ch-mdm.fr

  • Centre de Cancérologie du Grand Montpellier

    Montpellier

    Emmanuel GUARDIOLA, MD, guardiola@ccgm.fr

  • Confluent Sas

    Nantes

    Benjamin LINOT, MD, benjamin.linot@groupeconfluent.fr

  • Groupe Hospitalier Diaconesses Croix Saint Simon

    Paris

    Olivier DUBREUIL, MD, odubreuil@hopital-dcss.org

  • Hôpital Européen G Pompidou

    Paris

    Julien TAIEB, MD, julien.taieb@aphp.fr

  • La Pitié Salpêtrière

    Paris

    Jean-Baptiste BACHET, MD, jean-baptiste.bachet@aphp.fr

  • Saint Louis

    Paris

    Thomas APARICIO, MD, thomas.aparicio@aphp.fr

  • La Miletrie

    Poitiers

    David TOUGERON, MD, david.tougeron@chu-poitiers.fr

  • Jean Godinot

    Reims

    Damien BOTSEN, MD, dbotsen@chu-reims.fr

  • Robert Debré

    Reims

    Olivier BOUCHÉ, MD, obouche@chu-reims.fr

  • Saint Gregoire Chp

    Saint-Grégoire

    Caroline CHENEAU, MD, caroline.cheneau@icrb.fr

  • ICO Site René Gauducheau

    Saint-Herblain

    Sandrine HIRET, MD, sandrine.hiret@ico.unicancer.fr

  • Clinique Mutualiste de L'Estuaire

    Saint-Nazaire

    Catherine LIGEZA POISSON, MD, catherine.ligeza@hospigrandouest.fr

  • Hopital Nord Chu Saint Etienne

    Saint-Priest-en-Jarez

    Jean-Marc PHELIP, MD, j.marc.phelip@chu-st-etienne.fr

  • Saint Malo Ch

    St-Malo

    Anaïs BODERE, MD, a.bodere@ch-stmalo.fr

  • ICAN Institut de Cancérologie de Strasbourg Europe

    Strasbourg

    Meher BEN ABDELGHANI, MD, m.ben-abdelghani@icans.eu

  • Sainte Anne

    Strasbourg

    Louis-Marie DOURTHE, MD, lm.dourthe@solcrr.org

  • LEMAN

    Thonon-les-Bains

    Fanny POMMERET, MD, f-pommeret@ch-hopitauxduleman.fr

  • Valence Ch

    Valence

    Nicolas ETCHEPARE, MD, netchepare@ch-valence.fr

  • BRABOIS

    Vandœuvre-lès-Nancy

    Marie MULLER, MD, m.muller7@chru-nancy.fr

  • Ch Nord Ouest

    Villefranche-sur-Saône

    Boris MOREL, MD, bomorel@hno.fr

  • Gustave Roussy

    Villejuif

    Valérie BOIGE, MD, valerie.boige@gustaveroussy.fr

Other trials in France

About this study

Official title: A Phase II, Open-label, Non-comparative, Randomized Study of Second-line Doublet Chemotherapy (FOLFOX or FOLFIRI) Plus Fruquintinib Versus Doublet Chemotherapy (FOLFOX or FOLFIRI) Plus Bevacizumab in Metastatic Colorectal Cancer

The standard second-line treatment for metastatic colorectal cancer (mCRC) involves chemotherapy (FOLFOX or FOLFIRI) combined with an antiangiogenic agent, such as bevacizumab or aflibercept. Maintaining VEGF inhibition between first and second-line treatments has shown modest clinical benefits, with exploratory analyses suggesting that bevacizumab is more effective in smaller tumors. The ULYSSE trial aims to evaluate the efficacy and safety of Fruquintinib, a potent antiangiogenic agent, combined with a doublet chemotherapy (FOLFOX or FOLFIRI) in second-line treatment for BRAF wild-type, MSS mCRC patients who have failed prior treatment.

Being tested
Oxaliplatin intravenous, 5 FU bolus, Folinic acid, 5 FU continuous, Irinotecan
Medical subject headings
Colorectal Neoplasms

What participants receive

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

  • Oxaliplatin intravenousDrug

    85 mg/m² IV over 2 hours ; 1 cycle each 15 days

  • 5 FU bolusDrug

    5 fluorouracil : 400 mg/m² in bolus of 10 minutes (intravenous)

  • Folinic acidDrug

    400 mg/m² in intravenous

  • 5 FU continuousDrug

    2400 mg/m² intravenously over 46 hours

  • IrinotecanDrug

    180 mg/m² IV over 1h30

  • FRUQUINTINIBDrug

    5 mg capsule, taken orally, once daily for 3 weeks, followed by a 7-day break, then resumed (Day 1= Day 29).

  • BEVACIZUMABDrug

    5 mg/kg over 90 minutes for the 1st course and in case of good tolerance the 2nd course should be administered over 60 minutes. The next courses should be administered in 30 minutes in case of good tolerance during the 2nd course

Study groups in NCT07150403
Study groupRoleWhat they receive
Experimental arm A FOLFOX/FOLFIRI + FruquintinibExperimentalFOLFOX (if FOLFIRI in first line) OR FOLFIRI (if FOLFOX in first line); D1 = D15 + FRUQUINTINIB
Receives: Drug: Oxaliplatin intravenous; Drug: 5 FU bolus; Drug: Folinic acid; Drug: 5 FU continuous; Drug: Irinotecan; Drug: FRUQUINTINIB
Control arm B FOLFOX/FOLFIRI + BevacizumabActive comparatorFOLFOX (if FOLFIRI in first line) OR FOLFIRI (if FOLFOX in first line); D1 = D15 + BEVACIZUMAB (D1 = D15)
Receives: Drug: Oxaliplatin intravenous; Drug: 5 FU bolus; Drug: Folinic acid; Drug: 5 FU continuous; Drug: Irinotecan; Drug: BEVACIZUMAB

What is being measured

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

  1. Disease Control Rate (DCR)

    the percentage of patients with a complete response, a partial response or a stable disease at 4 months after the start of treatment.

    Measured: at 4 months after the start of treatment

Timeline

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

  1. First posted2 Sep 2025
  2. Study start31 Dec 2025 (estimated)
  3. Primary completion28 Feb 2028 (estimated)
  4. Study completion31 Oct 2028 (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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
74 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07150403
Sponsor's protocol ID
PRODIGE 115 - FFCD 2406-ULYSSE
Other IDs
2025-522108-26-00, 2025
Status last verified
Sep 2025
First submitted
25 Aug 2025
Last updated
8 Sep 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Oxaliplatin intravenous, 5 FU bolus and Folinic acid in people with Metastatic Colorectal Carcinoma (mCRC), run by Federation Francophone de Cancerologie Digestive at 45 sites in France.

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 16 inclusion and 31 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: opening soon, as of the sponsor's last update on 8 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 45 sites in France. 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 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 Sofia BOUHLAL JOURDAN, PhD (+33(0)7 55 67 67 95, prodige115.ulysse@ffcd.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Disease Control Rate (DCR) (time frame: at 4 months after the start of treatment). 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 8 Sep 2025.

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