Pancreatic Cancer Research

Clinical trialPhase 3Active not recruiting

Evaluating Novel Therapies in ctDNA Positive GI Cancers

Evaluating Novel Therapies and ctDNA as a Marker in Curatively-Treated Gastrointestinal Cancers With Microscopic Residual Disease

Outcome
Ongoing
Phase
Phase 3
Status
Active not recruiting
Study type
Interventional
Start
29 March 2023
Expected end
December 2027
Enrollment
11 participants
Sites
1
Primary outcomes
Rates of SignateraTM ctDNA positive Patient identification; Rate of Enrollment; Rate of ctDNA Complete Response (CR); Rate of ctDNA Partial Response (PR); Rate of ctDNA Progression of Disease (POD) or Clinical/radiographic Relapse
Sponsor
Other
Results posted
No
Last update
6 October 2026

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Brief summary public domain (ClinicalTrials.gov)

This study is a non-randomized, open-label, multi-cohort, multi-site, pilot feasibility therapeutic trial. The study will enroll 20 patients across 4 cohorts (CRC, gastric, PDAC, and HCC/intra-hepatic-/extra-hepatic-, gall bladder adenocarcinomas) diagnosed with histologically confirmed GI cancers. These patients will have already completed all Standard of Care (SOC) treatments (including neoadjuvant, surgery, local therapies, and/or adjuvant therapy as applicable), as defined by the treating primary physician or research team, with curative intent but have a positive SignateraTM tumor-informed ctDNA test and NED radiographically by standard imaging within 28 days prior to enrollment and within 1 year of completing all curative-intent therapy. All patients will be treated with intravenous (IV) atezolizumab 1200 mg IV and bevacizumab 15 mg/kg on Day 1 of 21-day cycles until disease recurrence, ctDNA POD, unacceptable toxicity, or subject withdrawal of consent with a maximum 12 month total duration of study therapy. Atezolizumab and bevacizumab drug will be provided.