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Clinical Trials List

Protocol NumberXL092-303
NCT Number(ClinicalTrials.gov Identfier)NCT05425940
Active

2022-08-31 - 2026-02-28

Phase III

Recruiting6

ICD-10C18.3

Malignant neoplasm of hepatic flexure

ICD-10Z51.12

Encounter for antineoplastic immunotherapy

ICD-9153.0

Malignant neoplasm of hepatic flexure colon

A Randomized Open-Label Phase 3 Study of XL092 + Atezolizumab vs Regorafenib in Subjects With Metastatic Colorectal Cancer

  • Trial Applicant

    Pharmaceutical Research Associates Taiwan Inc.

  • Sponsor

  • Trial scale

    Multi-Regional Multi-Center

  • Update

    2026/02/01

Investigators and Locations

Principal Investigator Hwei-Ming Wang

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator Hung-Chih Hsu

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator 黃文聰

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator Jaw-Yuan Wang

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator 陳鴻華

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator Yu-Min Yeh Division of General Internal Medicine

The Actual Total Number of Participants Enrolled

0 Recruiting

Condition/Disease

Colorectal Cancer

Objectives

The primary objective of this trial was to evaluate the OS of XL092 + atezolizumab compared with regorafenib in subjects with MSS/low MSI mCRC NLM who progressed during, after, or were intolerant of SOC therapy.

Test Drug

XL092

Active Ingredient

XL092

Dosage Form

Tablet

Dosage

40, 60, 100

Endpoints

Main efficacy outcome measures
‧Overall survival (OS) duration

Inclution Criteria

Inclusion Criteria:

Subjects with histologically or cytologically confirmed adenocarcinoma of the colon or rectum.

Documented RAS status (mutant or wild-type [WT]), by tissue-based analysis.
Documented NOT to have microsatellite instability-high (MSI-high) or mismatch repair deficient (dMMR) CRC by tissue-based analysis.
Has received standard-of-care (SOC) anticancer therapies as prior therapy for metastatic CRC and has radiographically progressed, is refractory or intolerant to these therapies.

Systemic SOC anticancer therapy if approved and available in the country where the subject is randomized.
Radiographic progression during treatment with or within 4 months following the last dose of the most recent approved SOC chemotherapy regimen.
Measurable disease according to RECIST v1.1 as determined by the Investigator.
Available archival tumor biopsy material. If archival tissue is unavailable, must provide fresh tumor tissue biopsy prior to randomization.
Recovery to baseline or ≤ Grade 1 severity (CTCAE v5) from adverse events (AEs) related to any prior treatments, unless AE(s) are clinically nonsignificant and/or stable on supportive therapy.
Age 18 years or older on the day of consent.
Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
Adequate organ and marrow function.
Fertile subjects and their partners must agree to use highly effective methods of contraception during the course of the study and after the last dose of treatment.
Female subjects of childbearing potential must not be pregnant at screening.

Exclusion Criteria

Exclusion Criteria:

Prior treatment with XL092, regorafenib, trifluridine/tipiracil, or PD-L1/PD-1 targeting immune checkpoint inhibitors (ICIs).
Receipt of a small molecule kinase inhibitor (including investigational agents) within 2 weeks before randomization.
Receipt of any type of anticancer antibody therapy, systemic chemotherapy, or hormonal anti-cancer therapy within 3 weeks (or bevacizumab within 4 weeks) before randomization.
Radiation therapy for bone metastasis within 2 weeks, any other radiation therapy within 4 weeks before randomization.
Known brain metastases or cranial epidural disease unless adequately treated with radiotherapy and/or surgery (including radiosurgery) and stable for at least 4 weeks before randomization.
Subject has uncontrolled, significant intercurrent or recent illness.
Major surgery (e.g., GI surgery, removal or biopsy of brain metastasis) within 4 weeks prior to randomization.
Systemic treatment with, or any condition requiring, either corticosteroids (> 10 mg daily prednisone equivalent) or other immunosuppressive medications within 14 days prior to randomization.
Corrected QT interval calculated by the Fridericia formula (QTcF) > 460 ms within 10 days before randomization.
History of psychiatric illness likely to interfere with ability to comply with protocol requirements or give informed consent.
Pregnant or lactating females.
Inability to swallow study treatment formulation, inability to receive IV administration, or presence of GI condition that might affect the absorption of study drug.
Previously identified allergy or hypersensitivity to components of the study treatment formulations.
Any other active malignancy or diagnosis of another malignancy within 2 years before randomization. Exceptions are noted in the protocol.
Administration of a live, attenuated vaccine within 30 days before randomization.

The Estimated Number of Participants

  • Taiwan

    28 participants

  • Global

    901 participants