Evidence map›Paper›PMID 40525914›Full record

Trial reportThe oncologist2025

Efficacy and safety of regorafenib plus biweekly trifluridine/tipiracil for refractory metastatic colorectal cancer: a multicenter single-arm phase II trial.

Xiangling Wang, Zhen Li, Dan Sha, Haipeng Ren, Cuihua Yi, Shuguang Li, Peng Wang, Yunxia Chu, Changlun Li, Guanglian Shan and 3 more

Abstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in The oncologist, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Xiangling WangDepartment of Medical Oncology, Qilu Hospital of Shandong University, Jinan 250012, People's Republic of China.
Zhen LiDepartment of Medical Oncology, Linyi Cancer Hospital, Linyi, People's Republic of China.
Dan ShaDepartment of Minimally Invasive Comprehensive Treatment of Cancer, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250012, People's Republic of China.
Haipeng RenDepartment of Medical Oncology, Weifang People's Hospital, Weifang, People's Republic of China.
Cuihua YiDepartment of Medical Oncology, Qilu Hospital of Shandong University, Jinan 250012, People's Republic of China.
Shuguang LiDepartment of Medical Oncology, Qilu Hospital of Shandong University, Jinan 250012, People's Republic of China.
Peng WangDepartment of Oncology, Weifang Yidu People's Hospital, Weifang, People's Republic of China.
Yunxia ChuDepartment of Medical Oncology, Qilu Hospital of Shandong University, Jinan 250012, People's Republic of China.
Changlun LiDepartment of Oncology, Affiliated Hospital of Jining Medical University, Jining, People's Republic of China.
Guanglian ShanDepartment of Medical Oncology, Xintai People's Hospital, Taian, People's Republic of China.
Jian WangDepartment of Medical Oncology, Qilu Hospital of Shandong University, Jinan 250012, People's Republic of China.
Xiaorong YangDepartment of Medical Oncology, Qilu Hospital of Shandong University, Jinan 250012, People's Republic of China.ORCID 0000-0001-9866-3029
Jing HaoDepartment of Medical Oncology, Qilu Hospital of Shandong University, Jinan 250012, People's Republic of China.ORCID 0009-0005-9110-5370

Funding

Qilu Hospital of Shandong University
6 · The paper itself

Abstract

backgroundBoth regorafenib and trifluridine/tipiracil (TAS-102) monotherapies have shown significant but limited survival benefits in metastatic colorectal cancer (mCRC) cases who progress after standard treatments. This study aimed to evaluate the efficacy and safety of regorafenib plus biweekly TAS-102 in refractory mCRC.

methodsIn this single-arm multicenter phase II trial (ChiCTR2300071752), eligible patients received regorafenib at 120 mg/day for 21 days in a 4-week cycle or were treated with a dose-escalation strategy (80 mg/day, followed by weekly increase of 40 mg to 120 mg/day). TAS-102 was administered biweekly (30 mg/m2 bid on days 1-5). The primary endpoint was progression-free survival (PFS). The secondary endpoints included safety, response rate (ORR), disease control rate (DCR), and overall survival (OS).

resultsBetween March 1, 2022 and December 1, 2023, 28 patients were enrolled. Totally 24 patients had at least one response evaluation. Median PFS and OS were 4.9 months (95% CI, 4.2-5.6) and 15.4 months (95% CI, 11.1-19.7). The ORR was 8.3% and the DCR was 83.3%. Grade 3 or 4 treatment-related adverse events occurred in 21.4% of patients, including hypertension (7.1%), neutropenia (7.1%), thrombocytopenia (3.6%), and hoarseness (3.6%).

conclusionsRegorafenib plus biweekly TAS-102 showed promising benefits in refractory mCRC cases, and adverse events were generally tolerable and manageable. DISCUSSION: (ClinicalTrials.gov Identifier: ChiCTR2300071752. IRB Approved: KYLL-202203-026-1.).

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsColorectal NeoplasmsPhenylurea CompoundsPyridinesPyrrolidinesTrifluridineUracilAdultAgedAged, 80 and overDrug CombinationsFemaleHumansMaleMiddle AgedNeoplasm MetastasisDrug CombinationsPhenylurea CompoundsPyridinesPyrrolidinesregorafenibThymineTrifluridinetrifluridine tipiracil drug combinationUracilrefractory colorectal cancerregorafenibtrifluridine/tipiracil

Identifiers

PMID40525914
PMCPMC12200236

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.