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NCT07228832PHASE3Recruiting

Phase III Study of Ivonescimab or Bevacizumab Combined With FOLFOX in Patients With Metastatic Colorectal Cancer

Summit Therapeutics

Start Date

11/18/2025

Completion Date

11/30/2029

Summary

A Randomized, Active-Controlled, Double-blind, Multicenter, Phase 3 Clinical Study of Ivonescimab in Combination with mFOLFOX6 (Oxaliplatin, Leucovorin and 5-Fluorouracil) versus Bevacizumab in Combination with FOLFOX for the First-line Treatment of Metastatic Colorectal Cancer(HARMONi-GI3)

Detailed Description

This trial will be performed as a phase 3, randomized, active-controlled, double-blind, multiregional study comparing Ivonescimab in combination with mFOLFOX6 (Oxaliplatin, Leucovorin and 5-Fluorouracil) versus Bevacizumab in combination with mFOLFOX6 in patients with metastatic colorectal cancer who have not previously received systemic therapy for metastatic disease. Approximately 600 patients will be randomly assigned to the 2 treatment groups in a 1:1 ratio. Each enrolled subject will receive an intravenous infusion of the Ivonescimab/Bevacizumab Plus mFOLFOX6 (Q2W, up to 8 cycles) in treatment periods per the randomization schedule. Afterward, Ivonescimab/ Bevacizumab Plus 5-Fluorouracil and Leucovorin will be used for maintenance treatment (administered on Day 1 of each cycle, Q2W) for up to 2 years.

Eligibility Criteria

Age Range: 18 years to No maximum

Inclusion Criteria: 1. ECOG performance status score of 0 or 1 2. Expected life expectancy ≥ 6 months 3. Patients with histologically or cytologically confirmed metastatic CRC 4. No prior systemic therapy for metastatic CRC 5. At least 1 measurable noncerebral lesion Exclusion Criteria: 1. Microsatellite instability-high (MSI-H) or mismatch repair deficient (dMMR) disease 2. Known BRAF V600E mutant status 3. Current presence of significant radiographic or clinical manifestations of gastrointestinal (GI) obstruction 4. Ascites requiring paracentesis within last 30 days 5. Patients who have received prior immunotherapy or anti-angiogenic therapy for colorectal cancer 6. Active or prior history of inflammatory bowel disease (eg, Crohn's disease, ulcerative colitis, or chronic diarrhea) 7. Resectable disease

Interventions

DRUG

Drug: Ivonescimab Injection

DRUG

Drug: Bevacizumab Injection

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Conditions

Metastatic Colorectal Cancer (CRC)

Locations

Clinical Study Site

Mobile, Alabama 36604

United States

Clinical Study Site

Tuscaloosa, Alabama 35487

United States

Clinical Study Site

Goodyear, Arizona 85338

United States

Clinical Study Site

Beverly Hills, California 90211

United States

Clinical Study Site

Beverly Hills, California 90212

United States

Clinical Study Site

Cerritos, California 90703

United States

Clinical Study Site

Corona, California 92882

United States

Clinical Study Site

Duarte, California 91010

United States

Clinical Study Site

Fountain Valley, California 92708

United States

Clinical Study Site

Huntington Beach, California 92648

United States

Clinical Study Site

Irvine, California 92612

United States

Clinical Study Site

Irvine, California 92618

United States

Clinical Study Site

Los Angeles, California 90027

United States

Clinical Study Site

Los Angeles, California 90067

United States

Clinical Study Site

Los Angeles, California 90404

United States

Clinical Study Site

Murrieta, California 92562

United States

Clinical Study Site

Orange, California 92868

United States

Clinical Study Site

Pasadena, California 91030

United States

Clinical Study Site

Torrance, California 90503

United States

Clinical Study Site

Upland, California 91786

United States

Clinical Study Site

West Hollywood, California 90048

United States

Clinical Study Site

Hartford, Connecticut 06106

United States

Clinical Study Site

New Haven, Connecticut 06520-8028

United States

Clinical Study Site

Norwich, Connecticut 06360

United States

Clinical Study Site

Newark, Delaware 19713

United States

Clinical Study Site

Hialeah, Florida 33013

United States

Clinical Study Site

Miami, Florida 33176

United States

Clinical Study Site

Orlando, Florida 32806

United States

Clinical Study Site

Plantation, Florida 33322

United States

Clinical Study Site

Port Saint Lucie, Florida 34952

United States

Clinical Study Site

St. Petersburg, Florida 33705

United States

Clinical Study Site

Tamarac, Florida 33321

United States

Clinical Study Site

Atlanta, Georgia 30303

United States

Clinical Study Site

Atlanta, Georgia 30322

United States

Clinical Study Site

Newnan, Georgia 30265

United States

Clinical Study Site

Chicago, Illinois 60611

United States

Clinical Study Site

Elmhurst, Illinois 60540

United States

Clinical Study Site

O'Fallon, Illinois 62269

United States

Clinical Study Site

Fort Wayne, Indiana 46804

United States

Clinical Study Site

Indianapolis, Indiana 46202

United States

Clinical Study Site

Westwood, Kansas 66205

United States

Clinical Study Site

Edgewood, Kentucky 41017

United States

Clinical Study Site

New Orleans, Louisiana 70121

United States

Clinical Study Site

Baltimore, Maryland 21201

United States

Clinical Study Site

Detroit, Michigan 48201

United States

Clinical Study Site

Saint Louis Park, Minnesota 55426

United States

Clinical Study Site

Springfield, Missouri 65804

United States

Clinical Study Site

Billings, Montana 59102

United States

Clinical Study Site

Lincoln, Nebraska 68506

United States

Clinical Study Site

Lebanon, New Hampshire 03766

United States

Clinical Study Site

New Brunswick, New Jersey 08901

United States

Clinical Study Site

Mineola, New York 11501

United States

Clinical Study Site

New York, New York 10016

United States

Clinical Study Site

Rochester, New York 14642

United States

Clinical Study Site

Syracuse, New York 13210

United States

Clinical Study Site

The Bronx, New York 10461

United States

Clinical Study Site

White Plains, New York 10601-5000

United States

Clinical Study Site

Akron, Ohio 44032

United States

Clinical Study Site

Canton, Ohio 44703

United States

Clinical Study Site

Cincinnati, Ohio 45219

United States

Clinical Study Site

Cincinnati, Ohio 45220

United States

Clinical Study Site

Cleveland, Ohio 44111

United States

Clinical Study Site

Cleveland, Ohio 44195

United States

Clinical Study Site

Mayfield Heights, Ohio 44124

United States

Clinical Study Site

Oklahoma City, Oklahoma 73120

United States

Clinical Study Site

Lebanon, Pennsylvania 17042

United States

Clinical Study Site

Philadelphia, Pennsylvania 19111

United States

Clinical Study Site

Philadelphia, Pennsylvania 19140

United States

Clinical Study Site

Pittsburgh, Pennsylvania 15212

United States

Clinical Study Site

Providence, Rhode Island 02903

United States

Clinical Study Site

Greenville, South Carolina 29605

United States

Clinical Study Site

Hermitage, Tennessee 37129

United States

Clinical Study Site

Dallas, Texas 75235

United States

Clinical Study Site

Dallas, Texas 75390

United States

Clinical Study Site

Fort Worth, Texas 76104

United States

Clinical Study Site

Tyler, Texas 75701

United States

Clinical Study Site

Salt Lake City, Utah 84106

United States

Clinical Study Site

Charlottesville, Virginia 22908

United States

Clinical Study Site

Fairfax, Virginia 22031

United States

Clinical Study Site

Spokane, Washington 99208

United States

Clinical Study Site

Tacoma, Washington 98405

United States

Clinical Study Site

Charleston, West Virginia 25304

United States

Clinical Study Site

Madison, Wisconsin 53792

United States

Clinical Study Site

Brussels, 1000

Belgium

Clinical Study Site

Ghent, 9000

Belgium

Clinical Study Site

Haine-Saint-Paul, 7100

Belgium

Clinical Study Site

Kortrijk, 8500

Belgium

Clinical Study Site

Toronto, Ontario M4N 3M5

Canada

Clinical Study Site

Montreal, Quebec H4A 3J1

Canada

Clinical Study Site

Regina, Saskatchewan S4T7T1

Canada

Clinical Study Site

Hradec Králové, 50005

Czechia

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Prague, 14059

Czechia

Clinical Study Site

Lyon, 69374

France

Clinical Study Site

Montpellier, 34298

France

Clinical Study Site

Nantes, 44000

France

Clinical Study Site

Paris, 75015

France

Clinical Study Site

Paris, 75020

France

Clinical Study Site

Pierre-Bénite, 69495

France

Clinical Study Site

Poitiers, 86000

France

Clinical Study Site

Strasbourg, 67033

France

Clinical Study Site

Bonn, 53113

Germany

Clinical Study Site

Hamburg, 20249

Germany

Clinical Study Site

Hamburg, 22763

Germany

Clinical Study Site

Meldola, 47014

Italy

Clinical Study Site

Osaka, Ontario 565-0871

Japan

Clinical Study Site

Aichi, 464-8681

Japan

Clinical Study Site

Chiba, 260-8717

Japan

Clinical Study Site

Ehime, 791-0280

Japan

Clinical Study Site

Fukuoka, 812-8582

Japan

Clinical Study Site

Gifu, 501-1194

Japan

Clinical Study Site

Hiroshima, 734-8551

Japan

Clinical Study Site

Hokkaido, 060-8648

Japan

Clinical Study Site

Kawasaki, 216-8511

Japan

Clinical Study Site

Osaka, 541-8567

Japan

Clinical Study Site

Saitama, 362-0806

Japan

Clinical Study Site

Sendai, 980-0872

Japan

Clinical Study Site

Shizuoka, 411-8777

Japan

Clinical Study Site

Tokyo, 104-0045

Japan

Clinical Study Site

Tokyo, 135-8550

Japan

Clinical Study Site

Toyama, 930-0194

Japan

Clinical Study Site

Yokohama, 241-8515

Japan

Clinical Study Site

Rzeszów, Podkarpackie Voivodeship 35-021

Poland

Clinical Study Site

Warsaw, 04-141

Poland

Clinical Study Site

Rio Piedras, 00935

Puerto Rico

Clinical Study Site

A Coruña, 15006

Spain

Clinical Study Site

Barcelona, 08035

Spain

Clinical Study Site

Barcelona, 08908

Spain

Clinical Study Site

Madrid, 28009

Spain

Clinical Study Site

Madrid, 28046

Spain

Clinical Study Site

Madrid, 28050

Spain

Clinical Study Site

Palma de Mallorca, 07198

Spain

Clinical Study Site

Santander, 39008

Spain

Clinical Study Site

Valencia, 46010

Spain

Clinical Study Site

Valencia, 46014

Spain

Clinical Study Site

Valencia, 46026

Spain

Clinical Study Site

Canterbury, England CT13NS

United Kingdom

Clinical Study Site

London, England EC1M 6BQ

United Kingdom

Clinical Study Site

Aberdeen, Scotland AB25 2ZN

United Kingdom

Clinical Study Site

Edinburgh, EH4 2XU

United Kingdom

Clinical Study Site

Manchester, M20 4BX

United Kingdom