Liver Metastases From Colorectal Cancer (mCRC)Phase 2NCT07441369
Abemaciclib Combined With FOLFOX/FOLFIRI Regimen in Patients With Advanced Colorectal Liver Metastases Cancer
A Phase 2 study testing Abemaciclib, Oxaliplatin and Calcium Folinate in people with Liver Metastases From Colorectal Cancer (mCRC), run by Fudan University at 1 site in China.
Trial summary
This is a single-center, single-arm, open-label clinical study, to explore the efficacy and safety of abemaciclib combined with FOLFOX/FOLFIRI regimen in patients with advanced colorectal liver metastases cancer who failed standard two or three-line therapy. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Liver Metastases From Colorectal Cancer (mCRC)
- What is being tested?
- Abemaciclib, Oxaliplatin and Calcium Folinate
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 16 participants
- Where
- 1 siteChina
- Study dates
- 30 Jul 2026to 30 Apr 2027
- Phase
- Phase 2
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Informed consent has been signed
- Histologically or cytologically confirmed unresectable advanced colorectal liver metastases cancer
- Age ≥ 18 years, ≤75 years
- ECOG PS:0-1
- Patients who failed standard two or three-line therapy
- Expected overall survival ≥3 months
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- Patients must have at least one measurable liver metastases (RECIST 1.1)
- Patients who have previously failed standard treatment, or who cannot tolerate standard treatment
- Patients must have adequate organ and bone marrow function
- Women of childbearing age must have a negative pregnancy test within the first day of the study, and contraceptive methods should be taken during the study until 6 months after the last administration
Who cannot join
- Patients had other malignant tumors in the past 5 years or at the same time (except for the cured skin basal cell carcinoma and cervical carcinoma in situ);
- Patients who have previously received CDK inhibitors treatment;
- Patients with obstruction, bleeding or perforation who require surgical or interventional treatment;
- Patients who are allergic or suspected to be allergic to the study drug, similar drugs or drug excipients;
- Patients currently have central nervous system (CNS) metastasis or previous brain metastasis and the symptom control time is less than 2 months;
- Clinical uncontrolled active infections, including human immunodeficiency virus (HIV) infection, active hepatitis B / C (HBV DNA Positive[1×104 copies/mL or >2000 IU/ml], HCV RNA positive[>1×103 copies/mL]);
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- Clinically significant cardiovascular disease, including but not limited to acute myocardial infarction, severe/unstable angina pectoris or coronary artery bypass grafting within 6 months before enrollment; NYHA classification > 2 Grade; ventricular arrhythmia requiring medical therapy; ECG showing QTc interval > 450 ms (Male) or 470ms (Female);
- Abnormal coagulation function (INR>2.3 or APTT>1.5×ULN), with a bleeding tendency or currently undergoing thrombolytic or anticoagulant therapy;
- Hereditary or acquired tendency for bleeding and thrombosis, such as hemophilia, coagulation disorders, thrombocytopenia, hypersplenism;
- Within 3 months prior to entering the study, clinically bleeding symptoms or bleeding tendency, such as gastrointestinal bleeding without ligation or sclerotherapy injection, hemorrhagic gastric ulcer, positive Fecal Occult Blood Test (++ or above), or suffering from phlebitis;
- Arterial/venous thrombotic events that occurred within 6 months, such as cerebrovascular accidents (including transient ischemic attack, cerebral hemorrhage, cerebral infarction), deep vein thrombosis and pulmonary embolism;
- Long-term anticoagulation therapy with warfarin or heparin is required, or long-term antiplatelet therapy (aspirin ≥300 mg/ day or clopidogrel ≥75 mg/ day) is needed;
- Concurrent severe infection within 2 weeks before the first administration (e.g., requiring intravenous infusion of antibiotics, antifungal or antiviral drugs), or unexplained fever during screening/before the first administration (>38.5°C);
- A known history of allogeneic organ transplantation or allogeneic hematopoietic stem cell transplantation;
- Participating in other clinical trials and received at least one treatment within 3 months before enrollment;
- A history of abuse or drug use of psychotropic substances;
- Patients with other serious physical or mental illnesses or abnormal laboratory tests that may increase the risk of participating in the study or interfere with the research results, as well as those deemed unsuitable for participation in this study by the researchers.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
About this study
Official title: Abemaciclib Combined With FOLFOX/FOLFIRI Regimen in Patients With Advanced Colorectal Liver Metastases Cancer Who Failed Standard Two or Three-line Therapy
This is a single-center, single-arm, open-label clinical study, to explore the efficacy and safety of abemaciclib combined with FOLFOX/FOLFIRI regimen in patients with advanced colorectal liver metastases cancer who failed standard two or three-line therapy.
Read the detailed description
Colorectal Cancer (CRC) is the third most common malignant tumor worldwide, and its mortality rate ranks second globally. Approximately 70% of distant metastases of colorectal cancer occur in the liver, and about 50% of colorectal cancers develop liver metastases (CRLM), which is one of the main factors contributing to the poor prognosis of colorectal cancer. FOLFOX and FOLFIRI regimens are standard therapy for CRLM. Abemaciclib, a FDA approved drug targeting CDK4/6 in breast cancer, also shows anti-tumor activities in other types of solid tumors. In our preclinical experiments, our results also indicated that Abemaciclib conbined with FOLFOX or FOLFIRI regimen showed synergistic anti-tumor activity in CRC.
- Being tested
- Abemaciclib, Oxaliplatin, Calcium Folinate, 5-Fluorouracil, Irinotecan
- Keywords
- Abemaciclib, FOLFOX, FOLFIRI, Advanced Colorectal Liver Metastases Cancer
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AbemaciclibDrug
Also called LY2835219
Abemaciclib was administered orally at 100-200mg twice daily for each 28-day cycle.
OxaliplatinDrug
Also called L-OHP
85mg/m², ivdrip, D1
Calcium FolinateDrug
Also called Leucovorin
400mg/m², ivdrip, D1; or calcium levofolinate, 200 mg/m², ivdrip, D1
5-FluorouracilDrug
Also called Fluorouracil, 5-FU
400mg/m², iv, D1; and 2400mg/m², civ, 46-48h
IrinotecanDrug
Also called CPT-11
180mg/m², ivdrip, D1
| Study group | Role | What they receive |
|---|---|---|
| Abemaciclib+ mFOLFOX/FOLFIRI | Experimental | Abemaciclib was administered orally at 100-200mg twice daily for each 28-day cycle. mFOLFOX6 and FOLFIRI will be administered every 2-4 weeks. Receives: Drug: Abemaciclib; Drug: Oxaliplatin; Drug: Calcium Folinate; Drug: 5-Fluorouracil; Drug: Irinotecan |
What is being measured
The primary outcome is the main question the study is designed to answer.
ORR
Objective Response Rate
Measured: 12 months
Secondary outcomes (4)
PFS
Objective Response Rate
Measured: 12 months
DCR
Disease Control Rate
Measured: 12 months
TTP
Time To Progression
Measured: 12 months
ADRs
Adverse Drug Reactions
Measured: 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Mar 2026
- Study start30 Jul 2026 (estimated)
- Primary completion30 Apr 2027 (estimated)
- Study completion30 Apr 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Liver Metastases From Colorectal Cancer (mCRC)Studies of the same condition, open and under way.
- More trials run by Fudan UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 16 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Fudan University
- Sponsor type
- University, hospital or other
- Collaborators
- Shanghai Cancer Hospital, China
- Responsible party
- Principal investigator, Lu Wang, MD, PhD, Fudan University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07441369
- Sponsor's protocol ID
- GWK-2026-002
- Status last verified
- Jul 2026
- First submitted
- 22 Feb 2026
- Last updated
- 22 Jul 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 22 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Abemaciclib Combined With FOLFOX/FOLFIRI Regimen in Patients With Advanced Colorectal Liver Metastases Cancer Who Failed Standard Two or Three-line Therapy
- ClinicalTrials.gov ID
- NCT07441369
- Acronym / sponsor ID
- GWK-2026-002
- Keywords
- Abemaciclib, FOLFOX, FOLFIRI, Advanced Colorectal Liver Metastases Cancer
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Enrolling by invitation
- Enrolment
- 16 participants (estimated)
- Lead sponsor
- Fudan UniversityUniversity, hospital or other
- Collaborators
- Shanghai Cancer Hospital, China
- Study start
- 30 Jul 2026 (estimated)
- Primary completion
- 30 Apr 2027 (estimated)
- Study completion
- 30 Apr 2027 (estimated)
- First posted
- 2 Mar 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a single-center, single-arm, open-label clinical study, to explore the efficacy and safety of abemaciclib combined with FOLFOX/FOLFIRI regimen in patients with advanced colorectal liver metastases cancer who failed standard two or three-line therapy.
Detailed description
Colorectal Cancer (CRC) is the third most common malignant tumor worldwide, and its mortality rate ranks second globally. Approximately 70% of distant metastases of colorectal cancer occur in the liver, and about 50% of colorectal cancers develop liver metastases (CRLM), which is one of the main factors contributing to the poor prognosis of colorectal cancer. FOLFOX and FOLFIRI regimens are standard therapy for CRLM. Abemaciclib, a FDA approved drug targeting CDK4/6 in breast cancer, also shows anti-tumor activities in other types of solid tumors. In our preclinical experiments, our results also indicated that Abemaciclib conbined with FOLFOX or FOLFIRI regimen showed synergistic anti-tumor activity in CRC.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Abemaciclib+ mFOLFOX/FOLFIRI | Experimental | Drug: Abemaciclib, Drug: Oxaliplatin, Drug: Calcium Folinate, Drug: 5-Fluorouracil, Drug: IrinotecanAbemaciclib was administered orally at 100-200mg twice daily for each 28-day cycle. mFOLFOX6 and FOLFIRI will be administered every 2-4 weeks. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Informed consent has been signed
- Histologically or cytologically confirmed unresectable advanced colorectal liver metastases cancer
- Age ≥ 18 years, ≤75 years
- ECOG PS:0-1
- Patients who failed standard two or three-line therapy
Key exclusion criteria (17 listed)
- Patients had other malignant tumors in the past 5 years or at the same time (except for the cured skin basal cell carcinoma and cervical carcinoma in situ);
- Patients who have previously received CDK inhibitors treatment;
- Patients with obstruction, bleeding or perforation who require surgical or interventional treatment;
- Patients who are allergic or suspected to be allergic to the study drug, similar drugs or drug excipients;
- Patients currently have central nervous system (CNS) metastasis or previous brain metastasis and the symptom control time is less than 2 months;
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| AbemaciclibAlso: LY2835219Abemaciclib was administered orally at 100-200mg twice daily for each 28-day cycle. | Drug | Abemaciclib+ mFOLFOX/FOLFIRI |
| OxaliplatinAlso: L-OHP85mg/m², ivdrip, D1 | Drug | Abemaciclib+ mFOLFOX/FOLFIRI |
| Calcium FolinateAlso: Leucovorin400mg/m², ivdrip, D1; or calcium levofolinate, 200 mg/m², ivdrip, D1 | Drug | Abemaciclib+ mFOLFOX/FOLFIRI |
| 5-FluorouracilAlso: Fluorouracil, 5-FU400mg/m², iv, D1; and 2400mg/m², civ, 46-48h | Drug | Abemaciclib+ mFOLFOX/FOLFIRI |
| IrinotecanAlso: CPT-11180mg/m², ivdrip, D1 | Drug | Abemaciclib+ mFOLFOX/FOLFIRI |
Primary outcome
ORR
Time frame: 12 months
Objective Response Rate
4 secondary outcomes
PFS
Time frame: 12 months
DCR
Time frame: 12 months
TTP
Time frame: 12 months
ADRs
Time frame: 12 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 Jul 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Abemaciclib, Oxaliplatin and Calcium Folinate in people with Liver Metastases From Colorectal Cancer (mCRC), run by Fudan University at 1 site in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 10 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: enrolling by invitation, as of the sponsor's last update on 22 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
ORR (time frame: 12 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Jul 2026.