Study on Anti-Cancer Drugs Botensilimab and Balstilimab After Standard Treatment for Colorectal Cancer
Sponsor: National Cancer Institute (NCI)
ClinicalTrials ID:NCT07551596
This clinical trial is testing a combination of two drugs, botensilimab and balstilimab, to see if they can help eliminate remaining cancer cells in the blood of patients with stage II/III colorectal cancer after standard treatment.
Patient Parameters
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Program Overview
This study is exploring whether the combination of two immunotherapy drugs, botensilimab and balstilimab, can help the immune system attack and remove any remaining cancer cells in the blood of patients with stage II/III colorectal cancer. The trial aims to see if this treatment can clear circulating tumor DNA (ctDNA) from the blood, which may indicate a positive response to the treatment.
Description
The main goal of this study is to find out how effective the combination of botensilimab and balstilimab is in clearing circulating tumor DNA (ctDNA) from the blood after six months of treatment in patients with colorectal cancer who have no visible signs of cancer but still have molecular residual disease (MRD) after completing standard treatment.
Secondary goals include:
- Checking the ctDNA clearance rate after three months of treatment.
- Evaluating how long patients remain free from cancer recurrence one year after treatment.
- Assessing overall survival one year after treatment.
- Determining the safety and tolerability of the drug combination.
- Investigating if certain genetic markers can predict the treatment's effectiveness.
Patients will receive balstilimab through an IV on specific days of each treatment cycle and botensilimab on other days. The treatment cycles repeat every 42 days for up to four cycles (six months), unless the cancer progresses or side effects become unacceptable. Patients will also have regular blood and urine tests, imaging scans, and may have optional tumor biopsies.
After completing the treatment, patients will be monitored for up to three years with regular follow-up visits to check for cancer recurrence or other health changes.
Eligibility Criteria
Inclusion Criteria
- Must be 18 years or older.
- Have a performance status that allows for daily activities with some limitations.
- Have adequate blood cell counts and organ function based on specific tests.
- Have a confirmed diagnosis of stage II/III colorectal cancer.
- Completed all planned standard treatments for colorectal cancer.
- Have no visible signs of cancer on scans within 28 days of a positive ctDNA test.
- Have positive ctDNA results indicating molecular residual disease (MRD).
- HIV-positive patients must have an undetectable viral load on treatment.
- Hepatitis B and C patients must have controlled or cured infections.
- Women of childbearing potential must use effective contraception during and after the study.
- Men must also use contraception during and after the study.
- Must be able to understand and sign a consent form.
Exclusion Criteria
- Currently receiving other investigational treatments.
- History of severe allergic reactions to similar drugs.
- Pregnant or breastfeeding women, or those planning to become pregnant during the study.
- Patients with certain genetic markers (MSI-high or dMMR) in their cancer.
- Recent major surgery or significant injury.
- Use of immunosuppressive drugs or investigational drugs recently.
- Previous treatment with similar immunotherapy drugs.
- History of organ transplantation requiring immunosuppression.
- Active autoimmune diseases that could worsen with treatment.
- Severe heart conditions or uncontrolled medical issues.
- Recent live-virus vaccination.
- Serious infections or lung conditions.
- Severe proteinuria or high blood pressure.
- Active inflammatory bowel disease.
Locations
| FACILITY | ZIP | CITY | STATE |
|---|---|---|---|
| Ochsner Medical Center Jefferson | 70121 | New Orleans | Louisiana |
| University of Texas MD Anderson Cancer Center LAO | 77030 | Houston | Texas |
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