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Metastatic Colorectal NeoplasmsPhase 1/2IGNITE-CRCNCT07591597

A Multicenter, Phase Ib/II Clinical Trial to Evaluate the Efficacy and Safety of Concurrent Combination Therapy of S-531011 Plus Fruquintinib or S-531011 Plus Fruquintinib Plus Pembrolizumab in Patients With MSS/pMMR Colorectal Cancer

A Phase 1/2 study testing S-531011, Fruquintinib and Pembrolizumab in people with Metastatic Colorectal Neoplasms and Microsatellite Stable / Proficient Mismatch Repair Colorectal Cancer, run by National Cancer Center Hospital East.

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

This study aims to evaluate the efficacy and safety of the concurrent combination therapy of S 531011 + fruquintinib or S 531011 + fruquintinib + pembrolizumab in patients with MSS/pMMR colorectal cancer. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
S-531011, Fruquintinib and Pembrolizumab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
68 participants
Where
No sites listed yet
Study dates
May 2026to May 2029
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients with histologically confirmed unresectable adenocarcinoma of the colon or rectum.
  • Confirmed microsatellite stable (MSS) or proficient mismatch repair (pMMR) status.
  • Prior treatment with standard systemic chemotherapy and refractory or intolerant* to such therapies. Standard chemotherapy must include all of the following:
  • Fluoropyrimidine, irinotecan, and oxaliplatin (with or without anti-VEGF antibody therapy)
  • For patients with RAS and BRAF wild-type tumors: prior treatment with anti-EGFR monoclonal antibody (cetuximab or panitumumab)
  • For patients with BRAF V600E mutation: prior treatment with a BRAF inhibitor (encorafenib)
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  • For patients who relapse during adjuvant chemotherapy or within 6 months after the last dose of postoperative adjuvant chemotherapy, that adjuvant therapy counts as prior systemic therapy.
  • Presence of measurable disease according to RECIST version 1.1.
  • Age ≥ 18 years at the time of informed consent.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Laboratory values within 14 days prior to enrollment meeting all of the following (tests performed on the same weekday 2 weeks before the enrollment date are acceptable):
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  • Absolute neutrophil count ≥ 1,500/mm³
  • Hemoglobin ≥ 9.0 g/dL
  • Platelet count ≥ 75,000/mm³
  • Total bilirubin ≤ 1.5 × institutional upper limit of normal (ULN)
  • AST (GOT) ≤ 2.5 × ULN; ≤ 5 × ULN if liver metastases are present
  • ALT (GPT) ≤ 2.5 × ULN; ≤ 5 × ULN if liver metastases are present
  • Creatinine ≤ 1.5 mg/dL
  • Proteinuria ≤ 1+ or < 1.0 g/24 h (urine protein-to-creatinine ratio < 1 may be used; if 24-hour urine is collected, the measured value takes precedence) 8. No blood transfusion within 7 days prior to enrollment (a transfusion given on the same weekday 1 week earlier is considered ineligible).
  • 9. Women of childbearing potential must have a negative pregnancy test within 14 days prior to enrollment. Both male and female participants must agree to use appropriate contraception during the study and for 4 months after the last dose of study treatment. Female participants must also agree not to breastfeed during the study and for 4 months after the last dose. (Tests performed on the same weekday 2 weeks before the enrollment date are acceptable.) 10. Able to take oral medication. 11. Written informed consent obtained from the participant.

Who cannot join

  • Prior treatment with fruquintinib for metastatic colorectal cancer.
  • Prior treatment with any anti-CCR8 antibody, regardless of indication.
  • Receipt of chemotherapy, radiotherapy, immunotherapy, or any antitumor therapy, or investigational agents within 14 days prior to enrollment, or persistence of CTCAE Grade ≥ 2 toxicities from prior therapies (excluding alopecia, hyperpigmentation, and peripheral sensory neuropathy).
  • History of acute coronary syndrome (including myocardial infarction or unstable angina), coronary angioplasty, or stent placement within 6 months prior to enrollment.
  • History or current findings of congestive heart failure of NYHA Class III or higher.
  • Uncontrolled hypertension.
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  • Known central nervous system metastases. (If CNS metastasis is clinically suspected, brain CT or MRI must be performed during screening.)
  • Active double primary malignancy (simultaneous or metachronous with disease-free interval < 2 years), except for carcinoma in situ or intramucosal carcinoma lesions considered curable by local therapy.
  • Serious comorbidities requiring inpatient treatment (e.g., paralytic ileus, bowel obstruction, pulmonary fibrosis, uncontrolled diabetes, heart failure, myocardial infarction, angina, renal failure, hepatic failure, psychiatric disorders, cerebrovascular disorders, or transfusion-requiring ulcers).
  • Active infections, including:
  • HBs antigen positive
  • Patients may be eligible if receiving nucleoside analog antiviral therapy and HBV-DNA < 20 IU/mL (1.3 log IU/mL).
  • HBs antibody positive or HBc antibody positive AND HBV-DNA positive
  • If HBV-DNA < 20 IU/mL, the patient may be eligible. - HCV antibody positive
  • Patients may be eligible if HCV-RNA is below the detection limit. - HIV positive
  • Patients may be eligible if HIV infection is ruled out by confirmatory testing.
  • Other active infections requiring treatment.
  • History of autoimmune disease or chronic/recurrent autoimmune disease (patients with type 1 diabetes, hypothyroidism manageable with hormone replacement, or localized skin diseases such as vitiligo, psoriasis, or alopecia not requiring systemic therapy are eligible).
  • Requirement for systemic corticosteroids or immunosuppressive agents, or receipt of such therapy within 2 weeks prior to enrollment (treatment given on the same weekday 2 weeks earlier renders the patient ineligible), except for temporary administration for testing, allergic reactions, or edema associated with radiotherapy.
  • Lack of willingness or inability to comply with study procedures.
  • Considered unsuitable for the study by the principal investigator or sub-investigator.
  • Pregnancy and Contraception:
  • A woman of childbearing potential includes any female who has experienced menarche, has not undergone permanent sterilization (e.g., hysterectomy, bilateral tubal ligation, or bilateral oophorectomy), and is not postmenopausal. Postmenopause is defined as at least 12 consecutive months of amenorrhea without another medical cause. Women using oral contraceptives, intrauterine devices, or mechanical barrier methods are considered capable of becoming pregnant. If a female participant is determined to be not capable of becoming pregnant, this must be documented in source records.
  • Women must use effective contraception for at least 1 month prior to first study treatment, from the time of consent, and for at least 4 months after the last dose. Men must use effective contraception during study treatment and for at least 4 months after the last dose.
  • Acceptable contraception includes vasectomy or condom use for male participants or male partners, and tubal ligation, contraceptive pessary, intrauterine devices, or oral contraceptives for female participants or female partners.

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

About this study

This study aims to evaluate the efficacy and safety of the concurrent combination therapy of S 531011 + fruquintinib or S 531011 + fruquintinib + pembrolizumab in patients with MSS/pMMR colorectal cancer.

Read the detailed description

This study aims to evaluate the efficacy and safety of the concurrent combination therapy of S-531011 plus fruquintinib, or S-531011 plus fruquintinib plus pembrolizumab, in patients with MSS/pMMR colorectal cancer. Eligible participants include patients with metastatic colon or rectal cancer who are 18 years of age or older, have an ECOG Performance Status of 0-1, and have MSS or pMMR tumor status. After written explanation and the provision of written informed consent, participants will be enrolled.

The study consists of a Phase Ib part and a Phase II part. In the Phase Ib part (N = 6-12/Arm), participants will be assigned to Arm A or Arm B. Enrollment into Arm B will begin only after enrollment into Arm A has been completed in both phases.

Arm A consists of S-531011 (intravenous, once every 3 weeks) plus fruquintinib (5 mg orally once daily on Days 1-21 of a 28-day cycle).

Arm B consists of S-531011 (intravenous, once every 3 weeks), fruquintinib (5 mg orally once daily on Days 1-21 of a 28-day cycle), and pembrolizumab (200 mg, intravenous, once every 3 weeks).

In the Phase II part (N = 22/Arm), the recommended dose determined in the Phase Ib part will be used.

Being tested
S-531011, Fruquintinib, Pembrolizumab
Keywords
Colorectal Neoplasms, Metastatic Colorectal Cancer, Microsatellite Stability, DNA Mismatch Repair, Receptors, CCR8, CCR8 Antagonists, Fruquintinib, Pembrolizumab, Antibodies, Monoclonal, Immune Checkpoint Inhibitors, VEGFR Inhibitors, Combination Drug Therapy, Phase Ib Clinical Trial, Phase II Clinical Trial
Medical subject headings
Colorectal Neoplasms

What participants receive

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

  • S-531011Biological

    S-531011 will be administered intravenously once every 3 weeks (q3w). In the Phase Ib part, A reduced dose of S-531011 may be used in Dose Level -1 according to the predefined dose-finding scheme by evaluating DLT profile. In the Phase II part, S-531011 will be administered at the recommended dose determined in the Phase Ib part.

  • FruquintinibDrug

    Also called FRUZAQLA

    Fruquintinib will be administered orally once daily on Days 1-21 of each 28-day cycle.

    In the Phase Ib part, fruquintinib will be started at 5 mg (Dose Level 0). A reduced dose of 4 mg may be used in Dose Level -1 according to the predefined dose-finding scheme by evaluating DLT profile. In the Phase II part, fruquintinib will be administered at the recommended dose determined in the Phase Ib part.

  • PembrolizumabBiological

    Also called KEYTRUDA

    Pembrolizumab will be administered intravenously at a dose of 200 mg once every 3 weeks (q3w).

Study groups in NCT07591597
Study groupRoleWhat they receive
Arm A S-531011 + FruquintinibExperimentalParticipants receive S-531011 and fruquintinib. In the Phase Ib part, dose levels may vary according to the dose finding scheme. In Phase II, the recommended dose determined in Phase Ib will be used.
Receives: Biological: S-531011; Drug: Fruquintinib
Arm B S-531011 + Fruquintinib + PembrolizumabExperimentalParticipants receive S-531011, fruquintinib, and pembrolizumab. In the Phase Ib part, dose levels of S-531011 and fruquintinib may vary according to the dose finding scheme. In Phase II, the recommended dose determined in Phase Ib will be used. Pembrolizumab is administered at a fixed dose throughout both the Phase Ib and Phase II parts.
Receives: Biological: S-531011; Drug: Fruquintinib; Biological: Pembrolizumab

What is being measured

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

  1. Dose-Limiting Toxicity (DLT) Rate [Phase Ib Part]

    Percentage of participants experiencing dose-limiting toxicities (DLTs).

    Measured: Up to 29 days after first dose

  2. Objective Response Rate (ORR) [Phase II Part]

    Objective response rate assessed by the principal investigator or sub-investigator.Participants treated at the recommended dose in Phase Ib are included.

    Measured: From baseline to objective disease progression or death, assessed up to 24 months.

Secondary outcomes (13)
  1. Maximum Observed Serum Concentration of S-531011 (Cmax)

    Maximum observed concentration of S-531011 in serum.

    Measured: From the first through the ninth administration of S-531011 (each cycle is 21 days) and at 30 days after the final administration

  2. Time to Maximum Observed Serum Concentration of S-531011 (Tmax)

    Time to reach the maximum observed serum concentration of S-531011.

    Measured: From the first through the ninth administration of S-531011 (each cycle is 21 days) and at 30 days after the final administration

  3. Area Under the Serum Concentration-Time Curve of S-531011 (AUC)

    Area under the serum concentration-time curve of S-531011.

    Measured: From the first through the ninth administration of S-531011 (each cycle is 21 days) and at 30 days after the final administration

  4. Terminal Elimination Half-Life of S-531011 (t1/2)

    Terminal elimination half-life of S-531011 estimated from serum concentration-time data.

    Measured: From the first through the ninth administration of S-531011 (each cycle is 21 days) and at 30 days after the final administration

  5. Anti-S-531011 Antibody (ADA) Titer

    Titer of anti-S-531011 antibodies measured to assess immunogenicity.

    Measured: From the first through the ninth administration of S-531011 (each cycle is 21 days) and at 30 days after the final administration

  6. Incidence of Anti-S-531011 Antibody (ADA) Positivity

    Proportion of participants with detectable anti-S-531011 antibodies.

    Measured: From the first through the ninth administration of S-531011 (each cycle is 21 days) and at 30 days after the final administration

  7. Neutralizing Anti-S-531011 Antibody (NAb) Titer

    Titer of neutralizing anti-S-531011 antibodies in participants who test positive for anti-S-531011 antibodies.

    Measured: From the first through the ninth administration of S-531011 (each cycle is 21 days) and at 30 days after the final administration

  8. Incidence of Neutralizing Anti-S-531011 Antibody (NAb) Positivity

    Proportion of participants with detectable neutralizing anti-S-531011 antibodies.

    Measured: From the first through the ninth administration of S-531011 (each cycle is 21 days) and at 30 days after the final administration

  9. Duration of Response (DoR) [Phase Ib/II Part]

    Duration of confirmed objective response.

    Measured: From first documented response until disease progression or death from any cause, whichever occurs first, assessed up to 12 months after the last subject is enrolled

  10. Disease Control Rate (DCR) [Phase Ib/II Part]

    Percentage of participants achieving CR, PR, or SD.

    Measured: Up to 12 months after the last subject is enrolled

  11. Progression-Free Survival (PFS) [Phase Ib/II Part]

    Time from enrollment to radiological progression or death.

    Measured: From enrollment until disease progression or death from any cause, whichever occurs first, assessed up to 12 months after the last subject is enrolled

  12. Overall Survival (OS) [Phase Ib/II Part]

    Time from enrollment to death.

    Measured: From enrollment until death from any cause, assessed up to 12 months after the last subject is enrolled

  13. Incidence of Adverse Events [Phase Ib/II Part]

    Percentage of participants experiencing adverse events.

    Measured: From first dose until 30 days after last dose for all adverse events, and thereafter for related adverse events up to 12 months after the last subject is enrolled

Timeline

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

  1. First posted18 May 2026
  2. Study startMay 2026 (estimated)
  3. Primary completionJul 2027 (estimated)
  4. Study completionMay 2029 (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
Non-randomised
Intervention model
Parallel groups
Model description
This study uses a parallel assignment model with two experimental arms (Arm A and Arm B). Enrollment into Arm B will begin only after enrollment into Arm A has been completed. Participants will receive the assigned intervention throughout the study without crossover between arms.
Masking
None (open label)
Enrolment
68 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07591597
Sponsor's protocol ID
EPOC2501
Other IDs
jRCT2031260047
Acronym
IGNITE-CRC
Status last verified
Apr 2026
First submitted
13 Apr 2026
Last updated
18 May 2026
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 1/2 study testing S-531011, Fruquintinib and Pembrolizumab in people with Metastatic Colorectal Neoplasms and Microsatellite Stable / Proficient Mismatch Repair Colorectal Cancer, run by National Cancer Center Hospital East.

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 21 inclusion and 25 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 18 May 2026. Status can change between updates, so confirm with the study contact before making plans.

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 Akihito Kawazoe, MD (+81-4-7133-1111, ignite-crc_core@east.ncc.go.jp), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Dose-Limiting Toxicity (DLT) Rate [Phase Ib Part] (time frame: Up to 29 days after first dose). 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 18 May 2026; AzTrials last refreshed its copy on 1 Nov 2026.

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