Neoadjuvant Serplulimab & Bevacizumab With FOLFOX vs. FOLFOX Alone in RAS/BRAF WT, pMMR/MSS CRC Patients

Trial statusRecruiting
Trial phasePhase 2, Phase 3
Trial typeInterventional
Biological sexAll
Age18-75
SponsorSun Yat-sen University

About this trial

The primary objective of this study is to assess whether the addition of Serplulimab (a PD-1 inhibitor) and Bevacizumab (an anti-angiogenesis agent) to the standard FOLFOX chemotherapy can enhance the immune microenvironment in the liver, increase T lymphocyte infiltration, and consequently improve the postoperative prognosis for patients with surgically resectable colorectal cancer liver metastases (RAS/BRAF wild-type, pMMR/MSS) compared to FOLFOX alone.

Eligibility criteria

Qualifiers

Age ≥18 and ≤75 years old

Histologically confirmed colorectal adenocarcinoma

Radiological and/or pathological confirmation of liver metastases, with ≤5 lesions

Genetic testing and/or immunohistochemistry confirmation of RAS, BRAF wild-type, and pMMR/MSS

Disqualifiers

Diagnosis of colorectal cancer with distant extrahepatic metastases

Prior chemotherapy, targeted therapy, intervention, or immunotherapy for liver metastases

No planned surgical resection for liver metastatic lesions

Received oxaliplatin-containing adjuvant chemotherapy regimen within the past one year

Trial design

Treatments tested in this trial

  • Oxaliplatin
  • Fluorouracil
  • Serplulimab
  • Bevacizumab

Treatment groups

156 Participants
are divided into 2 treatment groups

Sponsors and collaborators