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Refractory Metastatic Colorectal CancerPhase 3NCT07361003

A Phase Ib/III Study of Suvemcitug Plus FTD/TPI in Participants With Refractory Metastatic Colorectal Cancer

A Phase 3 study testing Suvemcitug injection, trifluridine/tipiracil tablets in people with Refractory Metastatic Colorectal Cancer, run by Jiangsu Simcere Pharmaceutical Co., Ltd. at 6 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

The primary goal of Phase Ib Study is to evaluate the safety of Suvemcitug in combination with trifluridine/tipiracil tablets in colorectal cancer participants. The primary goal of Phase III Study is to evaluate the efficacy of Suvemcitug in combination with trifluridine/tipiracil tablets in colorectal cancer… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Refractory Metastatic Colorectal Cancer
What is being tested?
Suvemcitug injection, trifluridine/tipiracil tablets
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
464 participants
Where
6 sitesChina
Study dates
12 Nov 2025to Jul 2028
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

  • 1. Confirmed by histological and/or cytological examination as unresectable metastatic colon or rectal adenocarcinoma;
  • 2. At least one measurable tumor lesion (RECIST v1.1);
  • 3. Previously received fluorouracil, oxaliplatin, and irinotecan based chemotherapy; had previously undergone or was unsuitable for anti-VEGF therapy. (For participants with RAS wild-type, had previously undergone or was unsuitable for anti-EGFR therapy.);
  • 4. Refractory metastatic colorectal cancer having progressed on or are intolerant to the last systemic treatment;
  • 5. Good organ and bone marrow function (no administration of hematopoietic growth factors, blood transfusion, or platelets within 14 days before screening hematology test);
  • 6. RAS mutation status confirmed by testing tumor tissue and /or blood sample.

Who cannot join

  • 1. Having a second active primary malignancy within the past 5 years;
  • 2. Symptomatic central nervous system (CNS) metastases or CNS metastases requiring local CNS-directed therapy (e.g., radiotherapy or surgery) or corticosteroid treatment within 2 weeks prior to the first administration of the study treatment;
  • 3. Any active infection requiring systemic treatment within 2 weeks prior to the initiation of the study treatment;
  • 4. Pleural effusion, pericardial effusion, or ascites that is uncontrolled or has required drainage or medical intervention within 4 weeks prior to the first administration of the study treatment;
  • 5. Received systemic immuno suppressive therapy within 4 weeks prior to randomization (excluding prophylactic use or chronic low-dose steroids [≤20 mg/day prednisone equivalent dose]);
  • 6. Currently taking or has recently taken (within 10 days prior to the first dose) aspirin (>325 mg/day);
Show all 11Show fewer
  • 7. Active or chronic hepatitis B (HBsAg or HBcAb positive and HBV DNA≥2000 IU/mL or ≥10000 copies/mL) or hepatitis C infection (HCV antibody positive and HCV RNA≥ULN);
  • 8. Clinically significant cardiovascular disease within 6 months prior to the first administration of the study treatment;symptomatic coronary artery disease requiring medication; arrhythmia requiring medication (excluding asymptomatic atrial fibrillation with controlled ventricular rate); QTcF interval >470 ms at rest state; or uncontrolled hypertension or pulmonary hypertension;
  • 9. Known hereditary or acquired bleeding and thrombotic tendencies (e.g., hemophilia, coagulation disorders, thrombocytopenia, hypersplenism, etc.); clinically significant bleeding events, arterial or deep venous thrombotic events, or superficial venous thrombosis and intermuscular venous thrombosis requiring intervention within 6 months prior to enrollment;
  • 10. Participants with proteinuria (urine protein >2+ found during screening examinations; or urine protein 2+ with 24-hour urine protein quantification ≥1g/24h);
  • 11. Participants with a history of intestinal obstruction (including incomplete intestinal obstruction) within 1 month prior to enrollment; participants with a history of abdominal fistula, gastrointestinal perforation, or abdominal abscess.

Trial locations and contacts

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

6 sites in 1 country

China6 sites, 6 recruiting
  • Fujian Cancer Hospital

    Fuzhou, Fujian, 350014

    Rongbo Lin, +86-591-83660063, linrongbo@fjzlhospital.com

    Rongbo Lin

    Recruiting
  • The Second Affiliated Hospital Zhejiang University School of Medicine

    Hangzhou, Zhejiang, 310009

    Kefeng Ding, +86-571-87783777, dingkefeng@zju.edu.cn

    Kefeng Ding

    Recruiting
  • Harbin Medical University University Cancer Hospital

    Harbin, Heilongjiang

    Yanqiao Zhang, +86-451-86298000, yanqiaozhang@126.com

    Yanqiao Zhang

    Recruiting
  • Cancer Hospital of Shandong First Medical University

    Jinan, Shandong

    Shuqin Ni, 0086-0531-87984777, nsq163@163.com

    Shuqin Ni

    Recruiting
  • The First Affiliated Hospital of Nanjing Medical University

    Nanjing, Jiangsu, 210029

    Yanhong Gu, +86-25-83714511, guluer@163.com

    Yanhong Gu

    Recruiting
  • Tianjin Medical University Cancer Institute and Hospital

    Tianjin, Tianjin Municipality

    Ting Deng, 86-22-23359337, xymcdengting@126.com

    Ting Deng

    Recruiting

Other trials in China

About this study

Official title: A Phase Ib/III Study of Suvemcitug Plus Trifluridine/Tipiracil Tablets (FTD/TPI) Versus Placebo Plus Trifluridine/Tipiracil Tablets in Participants With Refractory Metastatic Colorectal Cancer

The primary goal of Phase Ib Study is to evaluate the safety of Suvemcitug in combination with trifluridine/tipiracil tablets in colorectal cancer participants.

The primary goal of Phase III Study is to evaluate the efficacy of Suvemcitug in combination with trifluridine/tipiracil tablets in colorectal cancer participants. Researchers will compare Suvemcitug + trifluridine/tipiracil tablets with placebo (a look-alike substance that contains no drug)+ trifluridine/tipiracil tablets to see if Suvemcitug + trifluridine/tipiracil tablets works better in treating refractory metastatic colorectal cancer.

Read the detailed description

The study will enroll approximately 464 participants (30 for Phase Ib and 434 for Phase III stage) with refractory metastatic colorectal cancer who have previously received fluorouracil, oxaliplatin, and irinotecan-based chemotherapy, and who have either previously received or are unsuitable for anti-vascular endothelial growth factor (VEGF) therapy or anti-epidermal growth factor receptor (EGFR) therapy (RAS wild-type).

For Phase Ib Study, all 30 participants will be receiving the treatment with Suvemcitug in combination with trifluridine/tipiracil tablets. For Phase III Study, approximately 434 participants will be randomly assigned in a 1:1 ratio to two groups. One group will receive treatment with Suvemcitug + trifluridine/tipiracil tablets. The other group will receive the treatment with placebo + trifluridine/tipiracil tablets.

All participants will receive study treatment until they meet the criteria for treatment discontinuation. During study treatment period, investigators will evaluate the efficacy, safety and participants' quality of life. After treatment discontinuation, investigators will continue to follow up for subsequent treatment and survival information until the criteria for study discontinuation are met.

By the end of study, for participants who are still receiving study treatment, if their efficacy evaluation result is stable or response and they are tolerant to the treatment, then after obtaining approval from health regulatory authorities and ethics committees, they can continue study treatment by joining another extension study or in other ways as discussed by the sponsor.

Being tested
Suvemcitug injection, trifluridine/tipiracil tablets, Suvemcitug placebo injection, trifluridine/tipiracil tablets
Keywords
refractory metastatic colorectal cancer, Suvemcitug, trifluridine/tipiracil
Medical subject headings
Colorectal Neoplasms

What participants receive

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

  • Suvemcitug injection, trifluridine/tipiracil tabletsDrug

    Suvemcitug injection at 1.5mg/kg, Trifluridine/tipiracil tablets at 35 mg/m²

  • Suvemcitug placebo injection, trifluridine/tipiracil tabletsDrug

    Suvemcitug placebo injection, Trifluridine/tipiracil tablets at 35 mg/m².

Study groups in NCT07361003
Study groupRoleWhat they receive
Suvemcitug+ trifluridine/tipiracil tabletsExperimentalParticipants will receive Suvemcitug injection (at 1.5mg/kg for Phase Ib; and a recommended dose level based on Phase Ib result will be used for Phase III part) on Day 1 and Day 15 of each cycle (28 days), and trifluridine/tipiracil tablets at 35 mg/m² on day 1-5, 8-12 of each cycle (28 days), until disease progression, intolerable adverse event, participant withdrawal, or meet other discontinuation criteria as described by the protocol.
Receives: Drug: Suvemcitug injection, trifluridine/tipiracil tablets
Placebo+ trifluridine/tipiracil tabletsPlacebo comparatorParticipants will receive Suvemcitug placebo injection on Day 1 and Day 15 of each cycle (28 days), and trifluridine/tipiracil tablets at 35 mg/m² on day 1-5, 8-12 of each cycle (28 days), until disease progression, intolerable adverse event, participant withdrawal, or meet other discontinuation criteria as described by the protocol.
Receives: Drug: Suvemcitug placebo injection, trifluridine/tipiracil tablets

What is being measured

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

  1. Phase Ib: dose limiting toxicity (DLT)

    Measured: At the end of Cycle 1 (each cycle is 28 days)

  2. Phase Ib: Adverse Events

    The incidence (number of participants) and severity of adverse events (AE) and serious adverse events (SAE) assessed by CTCAE v5.0

    Measured: From signing informed consent form until 28 days after the last dose of study treatment, up to about 18 months

  3. Phase Ib: Tolerance

    Number of participants who experienced adverse event related dose interruption, dose reduction and treatment discontinuation as assessed by investigators.

    Measured: From signing informed consent until 28 days after the last dose of study treatment, for up to 18 months

  4. Phase III: overall survival (OS)

    OS is the time interval from the date of randomization to death from any cause.

    Measured: For about 18 months from the randomization of the last participant

Secondary outcomes (15)
  1. Suvemcitug Serum concentration change over time of all participants

    Area under the serum concentration versus time curve (AUC)

    Measured: For about 6 cycles, each cycle is 28 days.

  2. Peak Suvemcitug serum concentration (Cmax) of all participants

    Measured: For about 6 cycles, each cycle is 28 days

  3. The time taken to reach peak Suvemcitug concentration after administration (Tmax)

    Measured: For about 6 cycles, each cycle is 28 days

  4. The time required for Suvemcitug concentration in the serum to decrease by half (t1/2)

    Measured: For about 6 cycles, each cycle is 28 days

  5. Serum anti-drug antibody (ADA) incidence of Suvemcitug

    The number of participants with anti-drug antibody (ADA) tested positive from blood

    Measured: For about 6 cycles, each cycle is 28 days

  6. Serum anti-drug antibody (ADA) duration of Suvemcitug

    Duration of ADA measures how long the antibody persists in the blood

    Measured: For about 6 cycles, each cycle is 28 days

  7. Serum anti-drug antibody (ADA) titer of Suvemcitug

    ADA titer measures how much anti-drug antibody is present in the blood

    Measured: For about 6 cycles, each cycle is 28 days

  8. Objective Response Rate (ORR) of all participants

    Proportion of participants who have a complete or partial response relative to baseline as assessed according to RECIST 1.1 criteria

    Measured: From the date when the first dose of Suvemcitug is administered until radiological progression, initiation of new anti-cancer therapy, death or withdrawal from study, whichever came first, assessed up to 18 months.

  9. Duration of response (DoR) of all participants

    Measured from the date of partial or complete response to therapy until the cancer progresses based on RECIST v1.1 criteria.

    Measured: From the date when the first dose of Suvemcitug is administered until radiological progression, initiation of new anti-cancer therapy, death or withdrawal from study, whichever came first, assessed up to 18 months

  10. Disease control rate (DCR) of all participants

    Proportion of participants who have a complete or partial response, or stable disease relative to baseline as assessed according to RECIST 1.1 criteria

    Measured: From the date when the first dose of Suvemcitug is administered until radiological progression, initiation of new anti-cancer therapy, death or withdrawal from study, whichever came first, assessed up to 18 months.

  11. Progression free survival (PFS) of all participants

    Measured: From the date when the first dose of Suvemcitug is administered until radiological progression, initiation of new anti-cancer therapy, death or withdrawal from study, whichever came first, assessed up to 18 months.

  12. Phase Ib: overall survival (OS)

    OS is the time interval from the date of randomization to death from any cause

    Measured: For about 18 months from the randomization of the last participant

  13. Phase III: Adverse Events

    The incidence (number of participants) and severity of adverse events (AE) and serious adverse events (SAE) assessed by CTCAE v5.0

    Measured: From signing informed consent form until 28 days after the last dose of study treatment, for about 18 months.

  14. Phase III: quality of life - EORTC QLQ-C30

    Quality of life evaluated by participant reported questionnaires: European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 .

    Measured: Questionnaires will be collected from participants at baseline, and all efficacy evaluation visits, for up to 18 months

  15. Phase III: quality of life - Euro Qol (EQ)-5D

    Evaluated by participant reported questionnaires: EuroQol- 5 Dimension Questionnaire.

    Measured: Questionnaires will be collected from participants at baseline, and all efficacy evaluation visits, for up to 18 months

Timeline

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

  1. First posted22 Jan 2026
  2. Study start12 Nov 2025
  3. Primary completionJan 2028 (estimated)
  4. Study completionJul 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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
This study is divided into two parts: the first part (Phase Ib) is open-label, and the second part (Phase III) is a randomized double-blind study. This study is currently in the first part.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
464 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07361003
Sponsor's protocol ID
SIM0063-302
Other IDs
CTR20254831
Status last verified
Dec 2025
First submitted
30 Sep 2025
Last updated
22 Jan 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Suvemcitug injection, trifluridine/tipiracil tablets in people with Refractory Metastatic Colorectal Cancer, run by Jiangsu Simcere Pharmaceutical Co., Ltd. at 6 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 6 inclusion and 11 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 22 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 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. Some participants in this study may receive a placebo. 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?

Contact Xueyan Li (+86-25-85566666, lixueyan1@zaiming.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Phase Ib: dose limiting toxicity (DLT) (time frame: At the end of Cycle 1 (each cycle is 28 days)). The study lists 4 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 22 Jan 2026.

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