Recent Updates
Recently added Catalysts

Trifluridine-tipiracil plus Bevacizumab Alone

Phase 2

Refractory Metastatic Colorectal Cancer | Small molecule | Oncology |Delcath Systems, Inc.|Last Updated: Jun 1, 2026

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment90

FDA Designations

No designations recorded

Clinical trial landscape

Trifluridine-tipiracil plus Bevacizumab Alone · 1 trial · 1 indication

Phase 2 1
NCT06607458Evaluation of the Safety and Efficacy of Treatment w/High Dose Melphalan Given Directly Into the Liver Followed by Treatment w/Approved Cancer Treatment or Approved Cancer Treatment Alone in Patients w/ Metastatic Colorectal Cancer w/Liver Dominant DiseaseRefractory Metastatic Colorectal Cancer
RECRUITING90 Analytics
PHASE2RECRUITING
Evaluation of the Safety and Efficacy of Treatment w/High Dose Melphalan Given Directly Into the Liver Followed by Treatment w/Approved Cancer Treatment or Approved Cancer Treatment Alone in Patients w/ Metastatic Colorectal Cancer w/Liver Dominant Disease
Refractory Metastatic Colorectal CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

hPFS
time from randomization to the first occurrence of hepatic disease progression, assessed over 24 months

Hepatic Progression Free Survival

Secondary Endpoints

PFS
time from randomization to the first occurrence of progression, assessed up to 24 months
OS
time from randomization date to the date of death due to any cause, assessed up to 36 months
ORR
Baseline through completion of treatment, assessed up to 24 months
Unlock Study Endpoints

Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Melphalan/HDS followed by Consolidation Treatment with Trifluridine-tipiracil plus BevacizumabEXPERIMENTALMelphalan/HDS is given as an infusion of Melphalan into the hepatic artery under general anesthesia. This treatment is administered twice, 8 weeks apart. Following 2 treatments with Melphalan/HDS, Trifluridine-tipiracil is given 35 mg/m2 up to a maximum of 80 mg per dose orally twice daily with food on Days 1 through 5 and Days 8 through 12 of each 28-day cycle; and intravenous (IV) bevacizumab 5 mg/kg body weight on Days 1 and 15 of each 28-day cycle until disease progression or unacceptable toxicity
Trifluridine-tipiracil plus Bevacizumab AloneACTIVE_COMPARATORTrifluridine-tipiracil plus Bevacizumab is the standard of care for patients with metastatic colorectal cancer. Trifluridine-tipiracil is given 35 mg/m2 up to a maximum of 80 mg per dose orally twice daily with food on Days 1 through 5 and Days 8 through 12 of each 28-day cycle; and intravenous (IV) bevacizumab 5 mg/kg body weight on Days 1 and 15 of each 28-day cycle until disease progression or unacceptable toxicity

Interventions

NameTypeDescription
Melphalan/HDS Followed by Consolidation Treatment with Trifluridine-tipiracil plus BevacizumabDRUGTrifluridine-tipiracil plus Bevacizumab Alone
Trifluridine-tipiracil plus Bevacizumab AloneDRUGTrifluridine-tipiracil plus Bevacizumab Alone
Unlock Study Design Details

Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites14

Inclusion Criteria: * Histologically confirmed diagnosis of metastatic colorectal cancer and histologically or cytologically proven CRC metastases that occupy 50% or less of the liver parenchyma. * Patient has liver-dominant metastatic disease. Liver-dominant is defined as the majority of total tum...

Countries:United StatesCzechiaGermanyItalyNetherlandsSerbiaSpainTurkey (Türkiye)
Unlock Eligibility Criteria

Competitive Landscape -Colorectal Cancer 257 trials (matched to "Refractory Metastatic Colorectal Cancer")

Frequently asked questions about Trifluridine-tipiracil plus Bevacizumab Alone

What is Trifluridine-tipiracil plus Bevacizumab Alone used for?

Trifluridine-tipiracil plus Bevacizumab Alone is being studied for the treatment of refractory metastatic colorectal cancer. It is an investigational combination regimen evaluated in a Phase 2 clinical trial for patients with liver-dominant disease. The regimen is being tested as an active control arm in the study.

Who makes Trifluridine-tipiracil plus Bevacizumab Alone?

Trifluridine-tipiracil plus Bevacizumab Alone is being developed by Delcath Systems, Inc., a company traded under the ticker DCTH. The company is conducting a Phase 2 clinical trial to evaluate this regimen in patients with refractory metastatic colorectal cancer.

What phase is Trifluridine-tipiracil plus Bevacizumab Alone in?

Trifluridine-tipiracil plus Bevacizumab Alone is in Phase 2 clinical development. It is an investigational regimen and is not yet approved by regulatory authorities. The ongoing trial is actively recruiting participants to assess its safety and efficacy in refractory metastatic colorectal cancer.

What clinical trials is Trifluridine-tipiracil plus Bevacizumab Alone in?

Trifluridine-tipiracil plus Bevacizumab Alone is being evaluated in clinical trial NCT06607458. This Phase 2 study is recruiting 90 patients with refractory metastatic colorectal cancer and liver-dominant disease. The trial is active in the United States, Czechia, Germany, Italy, Netherlands, Serbia, Spain, and Turkey.

Is Trifluridine-tipiracil plus Bevacizumab Alone the same as Trifluridine-tipiracil plus Bevacizumab?

Trifluridine-tipiracil plus Bevacizumab Alone refers to the regimen of trifluridine-tipiracil combined with bevacizumab, used as a standalone treatment arm in the clinical trial. It is compared against a treatment that includes high-dose melphalan delivered directly into the liver followed by approved cancer treatment.