The NSABP FC-13 study is being done to determine if using immunotherapies alone or in combination with other drugs will delay or prevent colorectal cancer from coming back in patients with colorectal cancer who are ctDNA-positive after their treatment. Immunotherapeutic drugs (immunotherapies) act on different proteins on the surface of cells of the immune system and trigger the immune system to destroy cancer cells. The drugs being studied in NSABP FC-13 are cemiplimab, fianlimab, and REGN7075.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
79
Cemiplimab 350mg intravenously
Cemiplimab 350mg + Fianlimab 1600mg intravenously
Cemiplimab 350mg + REGN7075 2700mg intravenously
Eligible patients using results for ctDNA-positivity as obtained from a commercial assay run in any CLIA-certified lab will proceed to enrollment and begin treatment. All patients will have confirmation of ctDNA-positivity via the Signatera\^TM assay (Clinical Trial Assay), but treatment may proceed while awaiting confirmatory results.
University of Florida
Gainesville, Florida, United States
RECRUITINGUniversity of Iowa - Holden Comprehensive Cancer Center
Iowa City, Iowa, United States
RECRUITINGUniversity of Kansas Cancer Center
Kansas City, Kansas, United States
RECRUITINGMissouri Baptist
St Louis, Missouri, United States
RECRUITINGFirst Health of the Carolinas
Pinehurst, North Carolina, United States
RECRUITINGAllegheny General Hospital
Pittsburgh, Pennsylvania, United States
RECRUITINGBallad Health Cancer Center - Kingsport
Kingsport, Tennessee, United States
RECRUITINGBon Secours St. Francis Medical Center
Midlothian, Virginia, United States
RECRUITINGVirginia Commonwealth University - Massey
Richmond, Virginia, United States
RECRUITINGClearance of cDNA
To determine the proportion of patients who convert from ctDNA positive at baseline (a condition of eligibility) to ctDNA negative at the 12 week timepoint
Time frame: From enrollment to 12 weeks
Sustainability of clearance of ctDNA
In the subset of patients who did clear ctDNA by 12 weeks (see the primary outcome), to determine the proportion of patients that remain ctDNA-negative at 12 months from trial enrollment.
Time frame: From enrollment to 12 months
Sustainability of clearance of ctDNA
In the subset of patients who did clear ctDNA by 12 weeks (see the primary outcome), to determine the proportion of patients that remain ctDNA-negative at 18 months from trial enrollment.
Time frame: From enrollment to 18 months
Kinetics of ctDNA clearance in MRD in patients crossing over from cemiplimab monotherapy
In the subset of patients who cross over from the cemiplimab monotherapy arm, to determine the proportion of patients who convert to ctDNA negative at 12 weeks after crossover, and at 12 and 18 months after study entry.
Time frame: From crossover to 18 months after enrollment
MRD Response by quantitative ctDNA
To determine the percentage of patients whose MRD show a response to the trial regimen, including both clearance of ctDNA and partial ctDNA quantitative response defined as decrease in the burden of quantitative ctDNA from baseline.
Time frame: From enrollment up to 3 years
Recurrence-free survival (RFS)
To determine time to imaging recurrence following initiation of study therapy through follow-up
Time frame: From enrollment up to 3 years
Safety [Will be performed on the ITT population]
To describe the adverse events observed for each arm of the study according to the CTCAE version 5.0
Time frame: During study therapy and up to 60 days post therapy, approximately up to 425 days
Number of participants with Toxicity [Will be performed on the ITT population]
To describe the reasons for early termination of therapy
Time frame: During study therapy and up to 60 days post therapy, approximately up to 425 days
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