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Clinical Trial NCT07462143 for Colorectal (Colon or Rectal) Cancer is not yet recruiting. See the Trial Radar Card View and AI discovery tools for all the details. Or ask anything here.
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A Phase Ⅱ/Ⅲ Clinical Trial of RC148 Plus Chemotherapy as 1L Therapy for Unresectable or Metastatic Colorectal Cancer Phase 2, Phase 3 700

Not yet recruiting
Clinical Trial NCT07462143 is designed to study Treatment for Colorectal (Colon or Rectal) Cancer. This Phase 2 Phase 3 interventional study is not yet recruiting. Enrollment is planned to begin on 30 April 2026 until the study accrues 700 participants. Led by RemeGen Co., Ltd., this study is expected to complete by 31 December 2030. The latest data from ClinicalTrials.gov was last updated on 10 March 2026.
Brief Summary
This is a Phase Ⅱ/Ⅲ study. The purpose of this study is to evaluate the efficacy and safety of RC148 combined with chemotherapy for the first-line treatment of unresectable metastatic colorectal cancer (CRC)
Detailed Description
Primary objective in Phase II: To preliminarily evaluate the efficacy of RC148 combined with chemotherapy as first - line treatment for unresectable or metastatic CRC.

Primary objective in Phase III: To evaluate the efficacy of RC148 combined with chemotherapy compared with bevacizumab combined with chemotherapy as first - line treatment for unresectable or metastatic CRC.

Official Title

A Randomized, Multicenter, Phase Ⅱ/Ⅲ Study of RC148 Combined With Chemotherapy Versus Bevacizumab Combined With Chemotherapy as First-line Treatment for Unresectable or Metastatic Colorectal Cancer

Conditions
Colorectal (Colon or Rectal) Cancer
Other Study IDs
  • RC148-C303
NCT ID Number
Start Date (Actual)
2026-04-30
Last Update Posted
2026-03-10
Completion Date (Estimated)
2030-12-31
Enrollment (Estimated)
700
Study Type
Interventional
PHASE
Phase 2
Phase 3
Status
Not yet recruiting
Primary Purpose
Treatment
Design Allocation
Randomized
Interventional Model
Parallel
Masking
None (Open Label)
Arms / Interventions
Participant Group/ArmIntervention/Treatment
ExperimentalExperimental Group 1
Drug: RC148 (Dose1) in combination with CAPEOX
RC148 (Dose 1) plus Capecitabine and Oxaliplatin
RC148 (Dose 1) plus Capecitabine and Oxaliplatin
ExperimentalExperimental Group 2
Drug: RC148 RC148 (Dose 2) in combination with CAPEOX
RC148 (Dose 2) plus Capecitabine and Oxaliplatin
RC148 (Dose 2) plus Capecitabine and Oxaliplatin
Primary Outcome Measures
Outcome MeasureMeasure DescriptionTime Frame
Objective Response Rate (ORR)
Objective Response Rate (ORR) assessed by the investigator according to RECIST v1.1
24 months
Secondary Outcome Measures
Outcome MeasureMeasure DescriptionTime Frame
Duration of Response (DoR)
Duration of Response (DoR) assessed by the investigator according to RECIST v1.1
24 months
Disease Control Rate (DCR)
Disease Control Rate (DCR) assessed by the investigator according to RECIST v1.1
24 months
Time to Response (TTR)
Time to Response (TTR) assessed by the investigator according to RECIST v1.1
24 months
Overall Survival (OS)
OS
36 months
AEs/SAE
The incidence and severity of adverse events / serious adverse events
36 months
Participation Assistant
Eligibility Criteria

Eligible Ages
Adult, Older Adult
Minimum Age
18 Years
Eligible Sexes
All
  1. Voluntarily agree to participate in the study, sign the informed consent form, and be able to comply with the study protocol.
  2. Aged 18-75 years old (including 18 years old and 75 years old).
  3. Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1.
  4. Expected survival period ≥ 12 weeks.
  5. At least one measurable lesion according to RECIST v1.1 criteria.
  6. Histologically or cytologically confirmed colorectal adenocarcinoma, judged by the investigator as unsuitable for curative treatment, and no prior systemic anti-tumor treatment in the recurrent or metastatic stage.
  7. Subjects must be able to provide tumor tissue samples for biomarker detection.
  8. Adequate bone marrow, liver, kidney, and coagulation function.
  9. Female subjects of childbearing potential must agree to use at least one medically approved contraceptive method during the study treatment and for 6 months after the end of the study treatment, and must have a negative blood pregnancy test within 7 days before study enrollment; male subjects must agree to use at least one medically approved contraceptive method during the study treatment and for 6 months after the end of the study treatment.

  1. Known to have microsatellite instability-high (MSI-H) or deficient mismatch repair (dMMR).
  2. Imaging shows obvious tumor necrosis or cavitation, and the investigator judges that participation in the study may increase the risk of bleeding.
  3. Subjects with brain metastases.
  4. Toxicities from prior anti-tumor therapy have not recovered to ≤ grade 1 according to NCI-CTCAE v6.0.
  5. Known hypersensitivity or delayed-type allergy to any component of the study drug or similar drugs.
  6. Subjects with refractory nausea and vomiting, chronic gastrointestinal diseases, or other diseases that may interfere the adequate absorption, distribution, metabolism, or excretion of oral drugs.
  7. Subjects with acute, chronic, or symptomatic infections.
  8. Subjects with diagnosed or suspected interstitial lung disease (ILD), drug-related pneumonia, radiation pneumonitis, severe impairment of lung function, or other lung diseases.
  9. Subjects with active inflammatory bowel disease, a history of gastrointestinal perforation and/or fistula, or clinical symptoms of gastrointestinal obstruction.
  10. Subjects with severe arterial/venous thromboembolic events within 6 months before randomization.
  11. Active gastrointestinal bleeding, hemoptysis, peptic ulcer, or hemorrhagic events requiring intervention within 28 days before randomization; or presence of severe esophagogastric varices or epistaxis.
  12. Presence of symptomatic or intervention-requiring third-space effusions.
  13. Subjects with active or previously diagnosed autoimmune diseases that may recur.
  14. History of other invasive malignant tumors within 5 years before randomization, or presence of any residual evidence of previously diagnosed malignant tumors.
  15. Subjects who are pregnant, lactating, or planning to become pregnant.
RemeGen Co., Ltd. logoRemeGen Co., Ltd.
Study Central Contact
Contact: Hongfang Li, 010-65018841, [email protected]
19 Study Locations in 1 Countries

Beijing Municipality

Beijing Cancer Hospital, Beijing, Beijing Municipality, China
Beijing Friendship Hospital, Capital Medical University, Beijing, Beijing Municipality, China

Chongqing Municipality

Chongqing Cancer Hospital, Chongqing, Chongqing Municipality, China

Fujian

Fujian Medical University Union Hospital, Fuzhou, Fujian, China

Guangdong

Meizhou People's Hospital, Meizhou, Guangdong, China

Guangxi

Guangxi Medical University Cancer Hospital, Nanjing, Guangxi, China

Hebei

The Fourth Hospital of Hebei Medical University and Hebei Tumor Hospital, Shijiazhuang, Hebei, China

Henan

The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China

Hubei

Tongji Medical College of Huazhong University of Science &Technology, Wuhan, Hubei, China
Union Hospital Tongji Medical College Huazhong University of Science and Technology, Wuhan, Hubei, China

Jiangsu

Jiangsu Cancer Hospital, Nanjing, Jiangsu, China
Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu, China

Jilin

The first hospital of Jilin University, Changchun, Jilin, China

Shanghai Municipality

Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, Shanghai Municipality, China

Shanxi

Shanxi Cancer Hospital, Taiyuan, Shanxi, China

Sichuan

West China Hospital of Sichuan University, Chengdu, Sichuan, China

Tianjin Municipality

People's Hospital of Tianjin, Tianjin, Tianjin Municipality, China

Yunnan

Yunnan Cancer Hospital, Kunming, Yunnan, China

Zhejiang

The Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, Zhejiang, China