Ireland
--:--IST
Recruiting Phase 2

A Study to Evaluate the Safety and Efficacy of Two Dose Levels of ONO-4578 With Opdivo®, in Combination With mFOLFOX6 and Bevacizumab Versus Standard of Care in Participants With Non-MSI-H/dMMR, PD-L1 Positive Advanced Colorectal Cancer

NCT06948448 · tracked via the Priya Life Science Spain tracker
Phase
Phase 2
Started
2025-11-18
Last updated
2026-07-16

Condition(s) studied

Colorectal Cancer

Investigational drug(s) / intervention(s)

ONO-4578 →Opdivo® →Oxaliplatin →5-Fluorouracil →Bevacizumab →Leucovorin →

ONO-4578: ONO-4578 tablets once a day

Opdivo®: Specified dose on specified days

Oxaliplatin: Specified dose on specified days

5-Fluorouracil: Specified dose on specified days

Bevacizumab: Specified dose on specified days

Leucovorin: Specified dose on specified days

Study summary

The purpose of this study is to evaluate the safety and efficacy of two dose levels of ONO-4578 with Opdivo® when added to mFOLFOX6 and bevacizumab versus SOC as first-line treatment for advanced CRC.

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria: * Histologically confirmed advanced (locally advanced or metastatic) colorectal cancer not amenable to curative resection * ECOG Performance Status of 0-1 * No prior systemic treatment for advanced local or mCRC * Participants whose tumor is positive for PD-L1 expression as determined at a central laboratory Exclusion Criteria: * Participants with high microsatellite instability (MSI-High), or mismatch repair deficient (dMMR) tumor * Participants with BRAF V600E mutation * Unable to swallow tablets. * Participants with complication or history of interstitial lung disease, pneumonitis or pulmonary fibrosis * Participants with an active, known or suspected autoimmune disease. * Prior treatment with an anti-PD-1, anti-PD-L1, anti-PD-L2, or anti-CTLA-4 antibody, or any other antibody or drug specifically targeting T-cell co-stimulation or immune checkpoint pathways. Other protocol-defined inclusion/exclusion criteria apply

Primary outcome measure(s)

  • Overall Response Rate (ORR) per Blinded Independent Central Review (BICR) — From randomization to the end of treatment (Up to 39 months)
    ORR (assessed by BICR per RECIST v1.1) is defined as the proportion of participants with a BOR of confirmed CR or PR. The ORR will be estimated as the number of participants achieving BOR of CR or PR assessed by BICR per RECIST v1.1 divided by the total number of participants.
  • Number of participants with Adverse Events (AEs) — From first dose to 28 days post last dose
    An AE is any untoward medical occurrence in a patient or clinical study patient, temporally associated with the use of a study intervention, whether or not considered related to the study intervention.
  • Number of participants with Serious Adverse Events (SAEs) — From first dose to 28 days post last dose
    SAE is defined as any untoward medical occurrence that, at any dose results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in significant disability/incapacity.

Trial sites (39)

FacilityCityRegionStatus
Mayo Clinic Arizona Phoenix Arizona Recruiting
USC Norris Comprehensive Cancer Center Los Angeles California Recruiting
Rocky Mountain Cancer Centers, LLP Lone Tree Colorado Recruiting
Mayo Clinic Florida Jacksonville Florida Recruiting
Advent Health Orlando Florida Recruiting
May Clinic Rochester Rochester Minnesota Recruiting
The Ohio State University Comprehensive Cancer Center Columbus Ohio Recruiting
Thomas Jefferson University, Sidney Kimmel Cancer Center Philadelphia Pennsylvania Recruiting
Baylor Scott & White Medical Center Temple Texas Recruiting
Virginia Oncology Associates Norfolk Virginia Recruiting
Blue Ridge Cancer Care Salem Virginia Recruiting
The Ottawa Hospital Cancer Centre Ottawa Ontario Recruiting
Princess Margaret Cancer Centre- University Health Network Toronto Ontario Recruiting
Jewish General Hospital Montreal Quebec Recruiting
CHU Besançon - Hôpital Jean Minjoz Besançon Doubs Recruiting
CHU Bordeaux - Hôpital Haut-Lévêque Pessac Gironde Recruiting
Chru De Nantes Hotel-Dieu Nantes Loire Atlantique Recruiting
Hôpital de la Timone Marseille Marseille Recruiting
Hôpital Européen Georges Pompidou Paris Paris Recruiting
Hôpital Saint-Antoine Paris Paris Recruiting
Centre Leon Berard Lyon Rhone Recruiting
CHU Poitiers - Hôpital la Milétrie Poitiers Vienne Recruiting
Azienda Socio Sanitaria Territoriale Niguarda Milan Italy Recruiting
Istituto Clinico Humanitas Milan Italy Recruiting
Istituto Europeo di Oncologia Milan Italy Recruiting
AOU Uni degli Studi Della Campania Lugi Vanvitelli Naples Napoli Recruiting
Istituto Nazionale Tumori Fondazione G. Pascale Naples Napoli Recruiting
IOV-Istituto Oncologico Padova Padova Recruiting
Kobe City Medical Center General Hospital Hyōgo Kobe-shi Recruiting
National Hospital Organization Osaka National Hospital Osaka Osaka-shi Recruiting
Osaka General Medical Center Osaka Osaka-shi Recruiting
Osaka International Cancer Institute Osaka Osaka-shi Recruiting
Institut Catala d'Oncologia (H. Germans Trias I Pujol, ICO-Barcelona) Badalona Barcelona Recruiting
Hosptial Universitari Vall d'Hebron Barcelona Barcelona Recruiting
Hospital Universitario Reina Sofia Córdoba Córdoba Recruiting
Hospital Universitario 12 de Octubre Madrid Madrid Recruiting
Hospital Universitario Virgen del Rocio Seville Sevilla Recruiting
Hospital Regional Universitario de Malaga Málaga Spain Recruiting
Hospital General Universitario de Valencia Valencia Valencia Recruiting
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT06948448 on ClinicalTrials.gov ↗ ← All trials in Spain