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Ramucirumab and Paclitaxel or FOLFIRI in Advanced Small Bowel Cancers

NCT04205968

This study is recruiting at 397 US sites in 32 states, according to its ClinicalTrials.gov record last updated .

Summary

This phase II trial studies how well ramucirumab and paclitaxel or the FOLFIRI regimen (leucovorin calcium, fluorouracil, and irinotecan hydrochloride) work in treating patients with small bowel cancers that have spread extensively to other anatomic sites (advanced) or are no longer responding to treatment (refractory). Ramucirumab is a monoclonal antibody that attaches to and inhibits a molecule called VEGFR-2. This may restrain new blood vessel formation therefore reducing nutrient supply to tumor which may interfere with tumor cell growth and expansion.

Shortened from the sponsor's brief summary. View official record on ClinicalTrials.gov

Conditions studied

  • Metastatic Small Intestinal Adenocarcinoma
  • Stage III Small Intestinal Adenocarcinoma AJCC v8
  • Stage IIIA Small Intestinal Adenocarcinoma AJCC v8
  • Stage IIIB Small Intestinal Adenocarcinoma AJCC v8
  • Stage IV Small Intestinal Adenocarcinoma AJCC v8

Eligibility basics and study details

Study type
Interventional
Phase
Phase 2
Ages
18 years and older
Sex
All
Healthy volunteers
Not accepted
Sponsor
SWOG Cancer Research Network
Last updated on ClinicalTrials.gov
August 20, 2026

These are the basic criteria only. The full inclusion and exclusion criteria are on the official record, and the study team decides who can take part.

US recruiting sites

Alaska · 6

  • Alaska Breast Care and Surgery LLC · Anchorage, AK
  • Alaska Oncology and Hematology LLC · Anchorage, AK
  • Alaska Women's Cancer Care · Anchorage, AK
  • Anchorage Associates in Radiation Medicine · Anchorage, AK
  • Katmai Oncology Group · Anchorage, AK
  • Providence Alaska Medical Center · Anchorage, AK

Arizona · 1

  • Kingman Regional Medical Center · Kingman, AZ

Arkansas · 3

  • Mercy Hospital Fort Smith · Fort Smith, AR
  • NEA Baptist Memorial Hospital and Fowler Family Cancer Center - Jonesboro · Jonesboro, AR
  • CARTI Cancer Center · Little Rock, AR

California · 20

  • Kaiser Permanente-Anaheim · Anaheim, CA
  • PCR Oncology · Arroyo Grande, CA
  • Kaiser Permanente-Baldwin Park · Baldwin Park, CA
  • Kaiser Permanente-Bellflower · Bellflower, CA
  • Providence Saint Joseph Medical Center/Disney Family Cancer Center · Burbank, CA
  • Kaiser Permanente-Fontana · Fontana, CA
  • Kaiser Permanente South Bay · Harbor City, CA
  • Kaiser Permanente-Irvine · Irvine, CA
  • Kaiser Permanente Los Angeles Medical Center · Los Angeles, CA
  • Kaiser Permanente West Los Angeles · Los Angeles, CA
  • Providence Queen of The Valley · Napa, CA
  • Kaiser Permanente-Ontario · Ontario, CA
  • Kaiser Permanente - Panorama City · Panorama City, CA
  • Kaiser Permanente-Riverside · Riverside, CA
  • Kaiser Permanente-San Diego Mission · San Diego, CA
  • Kaiser Permanente-San Diego Zion · San Diego, CA
  • Kaiser Permanente-San Marcos · San Marcos, CA
  • Providence Medical Foundation - Santa Rosa · Santa Rosa, CA
  • Providence Santa Rosa Memorial Hospital · Santa Rosa, CA
  • Kaiser Permanente-Woodland Hills · Woodland Hills, CA

Colorado · 8

  • Cancer Center of Colorado at Sloan's Lake · Denver, CO
  • National Jewish Health-Main Campus · Denver, CO
  • Saint Joseph Hospital - Cancer Centers of Colorado · Denver, CO
  • National Jewish Health-Western Hematology Oncology · Golden, CO
  • Saint Mary's Hospital and Regional Medical Center · Grand Junction, CO
  • Good Samaritan Hospital - Cancer Centers of Colorado · Lafayette, CO
  • National Jewish Health-Northern Hematology Oncology · Thornton, CO
  • Intermountain Health Lutheran Hospital · Wheat Ridge, CO

Connecticut · 12

  • Smilow Cancer Hospital-Derby Care Center · Derby, CT
  • Smilow Cancer Hospital Care Center-Fairfield · Fairfield, CT
  • Smilow Cancer Hospital Care Center at Greenwich · Greenwich, CT
  • Smilow Cancer Hospital Care Center - Guilford · Guilford, CT
  • Smilow Cancer Hospital Care Center at Saint Francis · Hartford, CT
  • Smilow Cancer Center/Yale-New Haven Hospital · New Haven, CT
  • Yale-New Haven Hospital North Haven Medical Center · North Haven, CT
  • Smilow Cancer Hospital-Orange Care Center · Orange, CT
  • Smilow Cancer Hospital-Torrington Care Center · Torrington, CT
  • Smilow Cancer Hospital Care Center-Trumbull · Trumbull, CT
  • Smilow Cancer Hospital-Waterbury Care Center · Waterbury, CT
  • Smilow Cancer Hospital Care Center - Waterford · Waterford, CT

Florida · 1

  • Holy Cross Hospital · Fort Lauderdale, FL

Idaho · 12

  • Saint Alphonsus Cancer Care Center-Boise · Boise, ID
  • Saint Luke's Cancer Institute - Boise · Boise, ID
  • Saint Alphonsus Cancer Care Center-Caldwell · Caldwell, ID
  • Kootenai Health - Coeur d'Alene · Coeur d'Alene, ID
  • Saint Luke's Cancer Institute - Fruitland · Fruitland, ID
  • Idaho Urologic Institute-Meridian · Meridian, ID
  • Saint Luke's Cancer Institute - Meridian · Meridian, ID
  • Saint Alphonsus Cancer Care Center-Nampa · Nampa, ID
  • Saint Luke's Cancer Institute - Nampa · Nampa, ID
  • Kootenai Clinic Cancer Services - Post Falls · Post Falls, ID
  • Kootenai Clinic Cancer Services - Sandpoint · Sandpoint, ID
  • Saint Luke's Cancer Institute - Twin Falls · Twin Falls, ID

Illinois · 40

  • OSF Saint Anthony's Health Center · Alton, IL
  • Rush-Copley Medical Center · Aurora, IL
  • Illinois CancerCare-Bloomington · Bloomington, IL
  • Illinois CancerCare-Canton · Canton, IL
  • Memorial Hospital of Carbondale · Carbondale, IL
  • SIH Cancer Institute · Carterville, IL
  • Illinois CancerCare-Carthage · Carthage, IL
  • Centralia Oncology Clinic · Centralia, IL
  • Saint Mary's Hospital · Centralia, IL
  • University of Chicago Comprehensive Cancer Center · Chicago, IL
  • Carle at The Riverfront · Danville, IL
  • Cancer Care Specialists of Illinois - Decatur · Decatur, IL
  • Decatur Memorial Hospital · Decatur, IL
  • Illinois CancerCare-Dixon · Dixon, IL
  • Carle Physician Group-Effingham · Effingham, IL
  • Crossroads Cancer Center · Effingham, IL
  • Illinois CancerCare-Eureka · Eureka, IL
  • Illinois CancerCare-Galesburg · Galesburg, IL
  • Illinois CancerCare-Kewanee Clinic · Kewanee, IL
  • Illinois CancerCare-Macomb · Macomb, IL
  • Carle Physician Group-Mattoon/Charleston · Mattoon, IL
  • SSM Health Good Samaritan · Mount Vernon, IL
  • UC Comprehensive Cancer Center at Silver Cross · New Lenox, IL
  • Cancer Care Center of O'Fallon · O'Fallon, IL
  • HSHS Saint Elizabeth's Hospital · O'Fallon, IL
  • University of Chicago Medicine-Orland Park · Orland Park, IL
  • Illinois CancerCare-Ottawa Clinic · Ottawa, IL
  • Illinois CancerCare-Pekin · Pekin, IL
  • Illinois CancerCare-Peoria · Peoria, IL
  • Methodist Medical Center of Illinois · Peoria, IL
  • Illinois CancerCare-Peru · Peru, IL
  • Valley Radiation Oncology · Peru, IL
  • Illinois CancerCare-Princeton · Princeton, IL
  • Southern Illinois University School of Medicine · Springfield, IL
  • Springfield Clinic · Springfield, IL
  • Springfield Memorial Hospital · Springfield, IL
  • Carle Cancer Center · Urbana, IL
  • The Carle Foundation Hospital · Urbana, IL
  • Illinois CancerCare - Washington · Washington, IL
  • Rush-Copley Healthcare Center · Yorkville, IL

Iowa · 18

  • UI Health Care Mission Cancer and Blood - Ankeny Clinic · Ankeny, IA
  • University of Iowa Healthcare Cancer Services Quad Cities · Bettendorf, IA
  • Saint Anthony Regional Hospital · Carroll, IA
  • Mercy Cancer Center-West Lakes · Clive, IA
  • UI Health Care Mission Cancer and Blood - West Des Moines Clinic · Clive, IA
  • Greater Regional Medical Center · Creston, IA
  • Broadlawns Medical Center · Des Moines, IA
  • Iowa Lutheran Hospital · Des Moines, IA
  • Iowa Methodist Medical Center · Des Moines, IA
  • Mercy Medical Center - Des Moines · Des Moines, IA
  • UI Health Care Mission Cancer and Blood - Des Moines Clinic · Des Moines, IA
  • UI Health Care Mission Cancer and Blood - Laurel Clinic · Des Moines, IA
  • UI Healthcare Mission Cancer and Blood - Fort Dodge · Fort Dodge, IA
  • University of Iowa/Holden Comprehensive Cancer Center · Iowa City, IA
  • UI Health Care Mission Cancer and Blood - Waukee Clinic · Waukee, IA
  • Mercy Medical Center-West Lakes · West Des Moines, IA
  • Methodist West Hospital · West Des Moines, IA
  • The Iowa Clinic PC · West Des Moines, IA

Kansas · 3

  • Central Care Cancer Center - Garden City · Garden City, KS
  • Central Care Cancer Center - Great Bend · Great Bend, KS
  • Mercy Hospital Pittsburg · Pittsburg, KS

Maine · 1

  • Lafayette Family Cancer Center-EMMC · Brewer, ME

Michigan · 25

  • MyMichigan Medical Center Gratiot · Alma, MI
  • MyMichigan Medical Center Alpena · Alpena, MI
  • Trinity Health Saint Joseph Mercy Hospital Ann Arbor · Ann Arbor, MI
  • University of Michigan Comprehensive Cancer Center · Ann Arbor, MI
  • Bronson Battle Creek · Battle Creek, MI
  • Trinity Health IHA Medical Group Hematology Oncology - Brighton · Brighton, MI
  • Trinity Health Medical Center - Brighton · Brighton, MI
  • Trinity Health IHA Medical Group Hematology Oncology - Canton · Canton, MI
  • Trinity Health Medical Center - Canton · Canton, MI
  • Chelsea Hospital · Chelsea, MI
  • Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital · Chelsea, MI
  • Hematology Oncology Consultants-Clarkston · Clarkston, MI
  • Newland Medical Associates-Clarkston · Clarkston, MI
  • Henry Ford Macomb Hospital-Clinton Township · Clinton Township, MI
  • Henry Ford Medical Center-Fairlane · Dearborn, MI
  • Henry Ford Health Saint John Hospital · Detroit, MI
  • Henry Ford Hospital · Detroit, MI
  • Cancer Hematology Centers - Flint · Flint, MI
  • Genesee Hematology Oncology PC · Flint, MI
  • Genesys Hurley Cancer Institute · Flint, MI
  • Hurley Medical Center · Flint, MI
  • MyMichigan Medical Center Gladwin · Gladwin, MI
  • Corewell Health Grand Rapids Hospitals - Butterworth Hospital · Grand Rapids, MI
  • Corewell Health Grand Rapids Hospitals - Helen DeVos Children's Hospital · Grand Rapids, MI
  • Trinity Health Grand Rapids Hospital · Grand Rapids, MI

+247 more sites listed on ClinicalTrials.gov

Source: ClinicalTrials.gov, data processed . Recruiting US sites filtered by distance and site status; summaries shortened.