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NCT07525206PHASE3Recruiting

A Study to Access Intravenous (IV) Telisotuzumab Adizutecan in Combination With IV Bevacizumab Compared to Standard of Care IV Bevacizumabin Combination With Oral Trifluridine and Tipiracil in Adult Participants With Refractory Metastatic Colorectal Cancer

AbbVie

Start Date

5/22/2026

Completion Date

3/1/2030

Summary

Colorectal cancer (CRC) is the third most common type of cancer diagnosed worldwide. The purpose of this study is to assess the adverse events and change in disease activity of telisotuzumab adizutecan plus bevacizumab compared to standard of care (SOC) of LONSURF (trifluridine and tipiracil) plus bevacizumab in adult participants with c-Met over-expressed refractory metastatic colorectal cancer (mCRC). Telisotuzumab adizutecan is an investigational drug being developed for the treatment of CRC. Participants will then be randomized into 2 groups called treatment arms. One group will receive telisotuzumab adizutecan with bevacizumab in different doses. Another group will receive standard of care (SOC), trifluridine and tipiracil (LONSURF), with Bevacizumab. Up to approximately 700 adult participants with refractory mCRC, will be enrolled in the study in approximately 125 sites globally. In this Phase 3, one of two groups will receive doses of Intravenous (IV) telisotuzumab adizutecan + bevacizumab and other group will receive oral SOC of trifluridine/tipiracil (LONSURF)+ Intravenous (IV) bevacizumab. The study will run for a duration of approximately of 36 months. There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at an approved institution (hospital or clinic). The effect of the treatment will be frequently checked by medical assessments, blood tests, questionnaires and side effects.

Eligibility Criteria

Age Range: 18 years to No maximum

Inclusion Criteria: * Must voluntarily sign and date an informed consent, approved by an Ethics Committee (IEC)/ Institutional Review Board (IRB), prior to the initiation of any screening or study-specific procedures. Participants must have the capacity to consent in the opinion of the investigator. * Life expectancy \>= 12 weeks per investigator assessment Exclusion Criteria: * Prior systemic regimen containing c-Met targeting agent (e.g., antibody, antibody drug conjugate, bispecific) or any other unapproved investigational agent. * History of allergic reactions or hypersensitivity to bevacizumab or any of its excipients, or to compounds similar to trifluridine/tipiracil. * History of hypersensitivity to Chinese Hamster Ovary cell products or other recombinant human or humanized antibodies. * History of clinically significant (per investigator's judgment) drug or alcohol abuse within the last 6 months.

Interventions

DRUG

Telisotuzumab adizutecan

DRUG

Bevacizumab

DRUG

Trifluridine/Tipiracil

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Conditions

Colorectal Cancer

Locations

Astera Cancer Care /ID# 279532

East Brunswick, New Jersey 08816-4096

United States

Northwell Health Center for Advanced Medicine. /ID# 279590

Lake Success, New York 11042

United States

Compass Oncology - Rose Quarter /ID# 280127

Portland, Oregon 97227

United States

University Of Washington-Fred Hutchinson Cancer Center - Seattle /ID# 281451

Seattle, Washington 98109

United States

Imelda Ziekenhuis /ID# 279333

Bonheiden, Antwerpen 2820

Belgium

Algemeen Ziekenhuis klina /ID# 279331

Brasschaat, Antwerpen 2930

Belgium

Universitair Ziekenhuis Antwerpen /ID# 279334

Edegem, Antwerpen 2650

Belgium

Institut Jules Bordet /ID# 279406

Anderlecht, Brussels Capital 1070

Belgium

Grand Hopital de Charleroi - Les Viviers /ID# 279336

Charleroi, Hainaut 6280

Belgium

AZ Maria Middelares /ID# 280141

Ghent, Oost-Vlaanderen 9000

Belgium

AZ-Delta. /ID# 279329

Roeselare, West-Vlaanderen 8800

Belgium

Athens Medical Center - Psychikon Branch /ID# 279134

Athens, Attica 11525

Greece

National Cancer Center Hospital East /ID# 279917

Kashiwa-shi, Chiba 277-8577

Japan

National Hospital Organization Shikoku Cancer Center /ID# 280224

Matsuyama, Ehime 791-0280

Japan

Kobe City Medical Center General Hospital /ID# 280233

Kobe, Hyōgo 650-0047

Japan

Unidade Local de Saude do Alto Ave, EPE /ID# 279703

Guimarães, Braga District 4835-044

Portugal

Unidade Local de Saude de Loures-Odivelas /ID# 279636

Loures, Lisbon District 2674-514

Portugal

Unidade Local de Saude de Almada-Seixal, EPE /ID# 279637

Almada, Setúbal District 2805-267

Portugal

Unidade Local de Saude de Santa Maria /ID# 279624

Lisbon, 1649-035

Portugal

Instituto Portugues de Oncologia do Porto Francisco Gentil /ID# 279702

Porto, 4200-072

Portugal

Dong-A University Medical Center /ID# 279610

Busan, Busan Gwang Yeogsi 49201

South Korea

Gachon University Gil Medical Center /ID# 279592

Incheon, Gyeonggido 21565

South Korea

CHA Bundang Medical Center /ID# 279589

Seongnam, Gyeonggido 13496

South Korea

The Catholic University Of Korea St. Vincent's Hospital /ID# 279675

Suwon, Gyeonggido 16247

South Korea

Hospital de la Santa Creu i Sant Pau /ID# 279642

Barcelona, 08041

Spain

Hospital General Universitario Gregorio Maranon /ID# 279650

Madrid, 28007

Spain

Hospital Universitario 12 de Octubre /ID# 279659

Madrid, 28041

Spain

Hospital Universitario La Paz /ID# 279664

Madrid, 28046

Spain

Hospital Clinico Universitario de Valencia /ID# 279645

Valencia, 46010

Spain

Taipei Medical University Hospital /ID# 280607

Taipei, Tainan 110

Taiwan

E-Da Cancer Hospital /ID# 279745

Kaohsiung City, 824

Taiwan

Taipei Medical University - Shuang Ho Hospital, Ministry of Health and Welfare /ID# 279708

New Taipei City, 235

Taiwan

Chi Mei Medical Center /ID# 279710

Tainan, 71004

Taiwan

Tri-Service General Hospital - Neihu Branch /ID# 279768

Taipei, 114

Taiwan

Taipei Municipal Wan Fang Hospital /ID# 280285

Taipei, 116

Taiwan