This is a Phase IV, single-arm, prospective, open-label, multicenter, interventional study to evaluate safety and efficacy of regorafenib in patients with mCRC who have been previously treated with fluoropyrimidine , oxaliplatin-, and irinotecan based chemotherapy, an anti-VEGF therapy, and, if RAS wild type, an anti-EGFR therapy.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
100
The recommended dose of regorafenib is 160 mg (consisting of 4 tablets, each containing 40 mg of regorafenib) for 3 weeks of every 4 week cycle, (ie. 3 weeks on therapy, 1 week off therapy).
Apollo Research Foundation
Hyderabad, Andhra Pradesh, India
Shalby Hospital
Ahmedabad, Gujarat, India
Healthcare Center Global Hospital
Ahmedabad, Gujarat, India
Number of Adverse Events
Time frame: From the start of regorafenib treatment up to 30 days after the last dose of regorafenib
Changes in Eastern Cooperative Oncology Group Performance Status (ECOG PS)
Time frame: From the start of regorafenib treatment up to 30 days after the last dose of regorafenib
Percentage of participants with change in worst grades for hematological and biochemical toxicities according to CTCAE version 4.03, based on laboratory measurements
Time frame: From the start of regorafenib treatment up to 30 days after the last dose of regorafenib
Change in Body weight (kg)
Time frame: From the start of regorafenib treatment up to 30 days after the last dose of regorafenib
Change in Body height (cm)
Time frame: From the start of regorafenib treatment up to 30 days after the last dose of regorafenib
Change in Systolic / Diastolic BP (mmHg)
Time frame: From the start of regorafenib treatment up to 30 days after the last dose of regorafenib
Change in heart rate (beats/min)
Time frame: From the start of regorafenib treatment up to 30 days after the last dose of regorafenib
Disease control rate (DCR)
Defined as proportion of patients achieving complete response (CR), partial response (PR), or SD (stable disease) per Response Evaluation Criteria in Solid Tumors (RECIST) v. 1.1
Time frame: In each participant, every 8 weeks from the start of regorafenib until radiological disease progression, lost to follow-up, consent withdrawn or end of study, whichever occurs first
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Tata Memorial Hospital
Mumbai, Maharashtra, India
Jaslok Hospital and Research Centre
Mumbai, Maharashtra, India
Sushrut Hospital & Research Centre
Mumbai, Maharashtra, India
Jehangir Hospital
Pune, Maharashtra, India
Fortis Hospital
West-Mumbai, Maharashtra, India
Sir Ganga Ram Hospital
New Delhi, National Capital Territory of Delhi, India
Sparsh Hospital & Critical Care
Bhubaneswar, Odisha, India
...and 3 more locations
Overall response rate (ORR)
Defined as proportion of patients achieving CR, and PR per RECIST v.1.1
Time frame: In each participant, every 8 weeks from the start of regorafenib until radiological disease progression, lost to follow-up, consent withdrawn or end of study, whichever occurs first
Progression free survival (PFS)
Progression free survival is defined as the time from study drug assignment to progressive disease (PD) or death from any cause or date of last tumor assessment if the patient did not progress or die.
Time frame: In each participant, every 8 weeks from the start of regorafenib until radiological disease progression, lost to follow-up, consent withdrawn or end of study, whichever occurs first
Overall survival (OS)
Overall survival is defined as the time from study drug assignment to death from any cause or last date when the patient was known to be alive.
Time frame: In each participant, every 8 weeks from the start of regorafenib until death, lost to follow-up, consent withdrawn or end of study, whichever occurs first