Metastatic Colorectal CancerPhase 1NCT04929223
A Study Evaluating the Safety and Efficacy of Targeted Therapies in Subpopulations of Patients With Metastatic Colorectal Cancer (INTRINSIC)
A Phase 1 study testing Inavolisib, Bevacizumab and Cetuximab in people with Metastatic Colorectal Cancer, run by Hoffmann-La Roche at 84 sites in 11 countries.
Trial summary
This open-label, exploratory study is designed to evaluate the safety and efficacy of targeted therapies or immunotherapy as single agents or combinations, in participants with metastatic colorectal cancer (mCRC) whose tumors are biomarker positive as per treatment arm-specific definition. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Metastatic Colorectal Cancer
- What is being tested?
- Inavolisib, Bevacizumab and Cetuximab
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 542 participants
- Where
- 84 sitesin 11 countries
- Study dates
- 22 Oct 2021to 31 Aug 2030
- Phase
- Phase 1
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Signed cohort-specific Informed Consent Form
- Age >= 18 years at time of signing Informed Consent Form
- Biomarker eligibility as determined by:
- A validated test approved by local health authorities for detection of the specified biomarkers/mutations.
- A validated test performed at a College of American Pathologists/clinical laboratory improvement amendments (CAP/CLIA) -certified or equivalently accredited diagnostic laboratory using a validated test for detection of the specified biomarkers.
- Prior test results completed before signing cohort-specific Informed Consent Form or local test results generated prior to or during screening, and availability of a full report of the testing results OR
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- Blood-based FoundationOne Liquid CDx biomarker eligibility test result generated prior to or during screening or, in case of re-enrollment after treatment discontinuation, prior to starting a new anti-cancer therapy.
- Eastern Cooperative Oncology Group (ECOG) Performance Status of <= 1
- Life expectancy >= 3 months, as determined by the investigator
- Histologically confirmed adenocarcinoma originating from the colon or rectum
- Metastatic disease
- Prior therapies for metastatic disease
- Ability to comply with the study protocol, in the investigators judgment
- Measurable disease (at least one target lesion) according to Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST v1.1)
- Baseline tumor tissue samples will be collected from all participants for exploratory biomarker research
- Adequate hematologic and organ function within 14 days prior to initiation of study treatment
- For women of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive measures
- For men: agreement to remain abstinent or use contraceptive measures, and agreement to refrain from donating sperm
Who cannot join
- Current participation or enrollment in another interventional clinical trial. Participants who are participating in the follow-up period of an interventional clinical trial are eligible for the study.
- Any systemic anti-cancer treatment within 2 weeks or 5 half-lives (whichever is shorter) prior to start of study treatment
- Treatment with investigational therapy within 28 days prior to initiation of study treatment
- Pregnant or breastfeeding, or intending to become pregnant during the study
- History of or concurrent serious medical condition or abnormality in clinical laboratory tests that, in the investigator's judgment, precludes the patient's safe participation in and completion of the study or confounds the ability to interpret data from the study
- Severe infection within 4 weeks prior to initiation of study treatment or any active infection that, in the opinion of the investigator, could impact patient safety
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- Incomplete recovery from any surgery prior to the start of study treatment that would interfere with the determination of safety or efficacy of study treatment
- Uncontrolled pleural effusion, pericardial effusion, or ascites requiring recurrent drainage procedures (once monthly or more frequently)
- Uncontrolled tumor-related pain
- Uncontrolled or symptomatic hypercalcemia
- Clinically significant and active liver disease
- Negative HIV test at screening, with the following exception: Participants with a positive HIV test at screening are eligible provided they are stable on anti-retroviral therapy for at least 4 weeks, have a CD4 count greater than or equal to 200/uL, have an undetectable viral load, and have not had a history of opportunistic infection attributable to AIDS within the last 12 months.
- Symptomatic, untreated, or actively progressing CNS metastases
- History of leptomeningeal disease or carcinomatous meningitis
- History of malignancy other than CRC within 2 years prior to screening, with the exception of malignancies with a negligible risk of metastasis or death
- Any other disease, unresolved toxicity from prior therapy, metabolic dysfunction, physical examination finding, or clinical laboratory finding that contraindicates the use of an investigational drug, may affect the interpretation of the results, or may render the participant at high risk from treatment complications
- Requirement for treatment with any medicinal product that contraindicates the use of any of the study treatments, may interfere with the planned treatment, affects participant compliance, or puts the patient at higher risk for treatment-related complications
Trial locations and contacts
84 sites in 11 countries. Contact the study team or a site near you to ask about taking part.
Reference Study ID Number: WO42758 https://forpatients.roche.com/ No attachments to email below. contact
Fastest response: use the inquiry form. https://www.gene.com/contact-us/submit-medical-inquiry contact
84 sites in 11 countries
United States35 sites, 17 recruiting
- Recruiting
Illinois Cancer Specialists
Arlington Heights, Illinois, 60005
- Recruiting
University of Colorado Cancer Center
Aurora, Colorado, 80045
- Recruiting
Mary Bird Perkins Cancer Ctr
Baton Rouge, Louisiana, 70809
- Withdrawn
UAB Comprehensive Cancer Center
Birmingham, Alabama, 35233
- Completed
Massachusetts General Hospital
Boston, Massachusetts, 02114-2621
- Recruiting
Texas Oncology - Northeast Texas
Denton, Texas, 76201
- Withdrawn
Karmanos Cancer Institute
Detroit, Michigan, 48201
- Recruiting
City of Hope Comprehensive Cancer Center
Duarte, California, 91010
- Completed
Duke University Medical Center
Durham, North Carolina, 27710
- Withdrawn
cCare
Encinitas, California, 92024
- Completed
Mayo Clinic in Florida
Jacksonville, Florida, 32224
- Withdrawn
Lumi Research
Kingwood, Texas, 77339
- Recruiting
Rocky Mountain Cancer Centers, LLP
Lone Tree, Colorado, 80124
- Completed
USC Norris Cancer Center
Los Angeles, California, 90033
- Recruiting
Cedars-Sinai Medical Center
Los Angeles, California, 90048
- Recruiting
UCLA
Los Angeles, California, 90095
- Completed
Sarah Cannon Research Institute / Tennessee Oncology
Nashville, Tennessee, 37203
- Recruiting
SCRI Oncology Partners
Nashville, Tennessee, 37203
- Completed
Vanderbilt University Medical Center
Nashville, Tennessee, 37232
- Recruiting
Yale Cancer Center
New Haven, Connecticut, 06520
- Recruiting
New York Cancer & Blood Specialists - New Hyde Park
New Hyde Park, New York, 11042-1116
- Recruiting
New York Cancer and Blood Specialists-Central Park Hematology & Oncology
New York, New York, 10028
- Withdrawn
Hoag Memorial Hospital Presbyterian
Newport Beach, California, 92663
- Withdrawn
Eastern Ct Hema/Onco Assoc
Norwich, Connecticut, 06360
- Active, not recruiting
Mayo Clinic Arizona
Phoenix, Arizona, 85259
- Active, not recruiting
UPMC - Hillman Cancer Center
Pittsburgh, Pennsylvania, 15232
- Recruiting
New York Cancer & Blood Specialists
Port Jefferson Station, New York, 11776
- Recruiting
Mayo Clinic Rochester
Rochester, Minnesota, 55902
- Completed
Hematology Oncology Salem
Salem, Oregon, 97301
- Completed
Swedish Cancer Inst.
Seattle, Washington, 98104
- Withdrawn
Medical Oncology Associates
Spokane, Washington, 99208
- Completed
Stanford Cancer Center
Stanford, California, 94305-5820
- Recruiting
Moffitt Cancer Center
Tampa, Florida, 33612
- Recruiting
New York Cancer & Blood Specialists - Bronx
The Bronx, New York, 10469-5930
- Recruiting
Texas Oncology - Gulf Coast
Webster, Texas, 77598-4420
Germany8 sites, 7 recruiting
- Recruiting
Charité Universitätsmedizin Berlin
Berlin, 13353
- Recruiting
Katholisches Klinikum Bochum gGmbH - St. Josef-Hospital
Bochum, 44791
- Recruiting
Universitätsklinik Carl Gustav Carus der Technischen Universität Dresden
Dresden, 01307
- Recruiting
Universitätsklinikum Düsseldorf
Düsseldorf, 40225
- Recruiting
Asklepios Klinik Altona
Hamburg, 22763
- Recruiting
SLK-Kliniken Heilbronn GmbH;Klinik für Innere Medizin III
Heilbronn, 74078
- Withdrawn
Klinikum der Universität München, Campus Großhadern
München, 81377
- Recruiting
Universitätsklinikum Ulm
Ulm, 89081
United Kingdom8 sites, 7 recruiting
- Recruiting
Addenbrookes Hospital
Cambridge, CB2 0QQ
- Recruiting
Velindre Cancer Centre
Cardiff, CF14 2TL
- Withdrawn
Royal Free Hospital
London, NW3 2QG
- Recruiting
Royal Marsden Hospital;Dept of Med-Onc
London, SW3 6JJ
- Recruiting
Sarah Cannon Research Institute
London, W1G 6AD
- Recruiting
Imperial College Healthcare NHS Trust
London, W2 1NY
- Recruiting
The Christie NHS Foundation Trust
Manchester, M20 4BX
- Recruiting
Royal Marsden Hospital
Sutton, SM2 5PT
South Korea7 sites, 7 recruiting
- Recruiting
National Cancer Center
Goyang-si, 10408
- Recruiting
Chonnam National University Hwasun Hospital
Jeollanam-do, 58128
- Recruiting
Seoul National University Bundang Hospital
Seongnam-si, 13605
- Recruiting
Samsung Medical Center
Seoul, (0)6351
- Recruiting
Seoul National University Hospital
Seoul, 03080
- Recruiting
Severance Hospital, Yonsei University Health System
Seoul, 03722
- Recruiting
Asan Medical Center
Seoul, 05505
Spain7 sites, 6 recruiting
- Recruiting
Vall d'Hebron Institute of Oncology (VHIO), Barcelona
Barcelona, 08035
- Recruiting
Hospital Universitario de Donostia
Donostia / San Sebastian, Guipuzcoa, 20080
- Recruiting
START Madrid-FJD, Hospital Fundacion Jimenez Diaz
Madrid, 28040
- Withdrawn
START Madrid. Centro Integral Oncologico Clara Campal
Madrid, 28050
- Recruiting
Hospital Universitario Puerta de Hierro - Majadahonda
Majadahonda, Madrid, 28222
- Recruiting
Hospital Clínico Universitario de Valencia
Valencia, 46010
- Recruiting
Hospital Clinico Universitario Lozano Blesa
Zaragoza, 50009
Italy6 sites, 5 recruiting
- Recruiting
Istituto Scientifico Romagnolo Per Lo Studio E La Cura Dei Tumori IRST - PPDS
Meldola, Emilia-Romagna, 47014
- Withdrawn
Irccs Istituto Nazionale Dei Tumori (Int)
Milan, Lombardy, 20133
- Recruiting
Azienda Socio Sanitaria Territoriale Niguarda (Ospedale Niguarda Ca' Granda)
Milan, Lombardy, 20162
- Recruiting
Università degli Studi della Campania Luigi Vanvitelli
Naples, Campania, 80131
- Recruiting
IRCCS Istituto Oncologico Veneto (IOV)
Padova, Veneto, 35128
- Recruiting
Policlinico Universitario Agostino Gemelli IRCCS
Rome, Lazio, 00168
Poland4 sites, 2 recruiting
- Recruiting
Uniwersyteckie Centrum Kliniczne, O?rodek Bada? Klinicznych Wczesnych Faz
Gdansk, 80-952
- Suspended
Szpital Uniwersytecki w Krakowie, Oddzia? Kliniczny Kliniki Onkologii
Krakow, 30-688
- Recruiting
Uniwersytecki Szpital Kliniczny w Poznaniu
Poznan, 60-569
- Suspended
Narodowy Instytut Onkologii im. M. Sklodowskiej-Curie
Warsaw, 02-781
Canada3 sites
- Withdrawn
Jewish General Hospital
Montreal, Quebec, H3T 1E2
- Withdrawn
McGill University Health Center
Montreal, Quebec, H4A 3J1
- Active, not recruiting
Princess Margaret Cancer Center
Toronto, Ontario, M5G 1X6
Taiwan3 sites, 3 recruiting
- Recruiting
National Cheng Kung University Hospital
Tainan, 00704
- Recruiting
Taipei Veterans General Hospital
Taipei, 112201
- Recruiting
National Taiwan University Hospital
Zhongzheng Dist., 10048
Denmark2 sites, 1 recruiting
- Recruiting
Herlev Hospital, Afdeling for Kræftbehandling, Center for Kræftforskning, Klinisk Forskningsenhed
Herlev, 2730
- Completed
Rigshospitalet, Onkologisk Klinik
København Ø, 2100
Australia1 site, 1 recruiting
- Recruiting
Peter Maccallum Cancer Centre
Melbourne, Victoria, 3000
About this study
Official title: A Phase I/Ib Global, Multicenter, Open-label Umbrella Study Evaluating the Safety and Efficacy of Targeted Therapies in Subpopulations of Patients With Metastatic Colorectal Cancer (INTRINSIC)
This open-label, exploratory study is designed to evaluate the safety and efficacy of targeted therapies or immunotherapy as single agents or combinations, in participants with metastatic colorectal cancer (mCRC) whose tumors are biomarker positive as per treatment arm-specific definition. Eligible participants with mCRC will be enrolled into specific treatment arms based on their biomarker assay results.
- Conditions
- Metastatic Colorectal Cancer
- Being tested
- Inavolisib, Bevacizumab, Cetuximab, Atezolizumab, Tiragolumab
- Keywords
- KRAS G12C
- Medical subject headings
- Colorectal Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
InavolisibDrug
Inavolisib will be administered orally as per schedule specified in the respective arms.
BevacizumabDrug
Also called Avastin
Bevacizumab IV will be administered as per schedule specified in the respective arm.
CetuximabDrug
Cetuximab IV will be administered as per schedule specified in the respective arm.
AtezolizumabDrug
Also called Tecentriq
Atezolizumab IV infusion will be administered as per schedule specified in the respective arm.
TiragolumabDrug
Tiragolumab IV infusion will be administered as per schedule specified in the respective arm.
SY-5609Drug
SY-5609 will be administered by mouth as per schedule specified in the respective arm.
DivarasibDrug
Also called GDC-6036
Divarasib will be administered orally as per schedule specified in the respective arms.
FOLFOXDrug
FOLFOX (5-fluorouracil, leucovorin, oxaliplatin) IV will be administered as per schedule specified in the respective arm.
FOLFIRIDrug
FOLFIRI (leucovorin, 5-fluorouracil, irinotecan) IV will be administered as per schedule specified in the respective arm.
FoundationOne®Liquid CDxDiagnostic test
FoundationOne®Liquid CDx is used to identify presence of genomic alterations for participant cohort assignment.
| Study group | Role | What they receive |
|---|---|---|
| Inavolisib + Cetuximab | Experimental | Participants will receive 9 milligrams (mg) of inavolisib by mouth once daily (QD) on Days 8-28 of Cycle 1, then QD on Days 1-28 from Cycle 2 onwards (1 cycle=28 days).
Participants will also receive cetuximab intravenous (IV) infusion 400 mg/m2 body surface area on Day 1 of Cycle 1. All subsequent weekly (QW) doses will be 250 mg/m2 each. This arm is closed. Receives: Drug: Inavolisib; Drug: Cetuximab; Diagnostic Test: FoundationOne®Liquid CDx |
| Inavolisib + Bevacizumab | Experimental | Participants will receive 9 mg of inavolisib by mouth QD combined with bevacizumab 15 milligram/kilogram (mg/kg) IV once every three weeks (Q3W) on Day 1 of each cycle (1 cycle=21 days). This arm is closed. Receives: Drug: Inavolisib; Drug: Bevacizumab; Diagnostic Test: FoundationOne®Liquid CDx |
| Atezolizumab + Tiragolumab + Bevacizumab | Experimental | Participants in this randomized cohort will receive 1200 mg of atezolizumab by IV infusion on Day 1 of each cycle, combined with tiragolumab at a dose of 600 mg IV infusion on Day 1 of each cycle and bevacizumab IV infusion at a dose of 15 mg/kg on Day 1 of each cycle. (Cycle length=21 days) This arm is active, and not recruiting participants. Receives: Drug: Bevacizumab; Drug: Atezolizumab; Drug: Tiragolumab; Diagnostic Test: FoundationOne®Liquid CDx |
| Atezolizumab + Tiragolumab | Experimental | Participants in this randomized cohort will receive 1200 mg of atezolizumab by IV infusion on Day 1 of each cycle combined with tiragolumab 600 mg IV infusion on Day 1 of each cycle. (Cycle length=21 days) This arm is active, and not recruiting participants. Receives: Drug: Atezolizumab; Drug: Tiragolumab; Diagnostic Test: FoundationOne®Liquid CDx |
| Atezolizumab + SY-5609 | Experimental | Participants will receive 1680 mg of atezolizumab by IV infusion on Day 1 of each cycle Q4W in repeated 28-day cycles combined with SY-5609 at a dose of 3, 4, 5, 6, 7 or 10 mg by mouth for 7 days, followed by 7 days off. (Cycle length=28 days) This arm is closed. Receives: Drug: Atezolizumab; Drug: SY-5609; Diagnostic Test: FoundationOne®Liquid CDx |
| Divarasib + Cetuximab + FOLFOX | Experimental | Participants will receive cetuximab IV 500 mg/m2 body surface area on Days 1 and 15 and FOLFOX on Days 1 and 15 with divarasib PO QD on Days 1-28. (Cycle length=28 days) This arm is recruiting participants. Receives: Drug: Cetuximab; Drug: Divarasib; Drug: FOLFOX; Diagnostic Test: FoundationOne®Liquid CDx |
| Divarasib + Cetuximab | Experimental | Participants will receive cetuximab IV 500 mg/m2 body surface area on Days 1 and 15 with divarasib PO QD on Days 1-28. (Cycle length=28 days) This arm is active, and not recruiting participants. Receives: Drug: Cetuximab; Drug: Divarasib; Diagnostic Test: FoundationOne®Liquid CDx |
| Divarasib + Cetuximab + FOLFIRI | Experimental | Participants will receive cetuximab IV 500 mg/m2 body surface area on Days 1 and 15 and FOLFIRI on Days 1 and 15 with divarasib PO QD on Days 1-28. (Cycle length=28 days) This arm is active, and not recruiting participants. Receives: Drug: Cetuximab; Drug: Divarasib; Drug: FOLFIRI; Diagnostic Test: FoundationOne®Liquid CDx |
| Divarasib + Bevacizumab + FOLFOX | Experimental | Participants will receive Bevacizumab 5 mg/kg by IV infusion on Days 1 and 15 and FOLFOX on Days 1 and 15 with Divarasib PO QD on Days 1-28. (Cycle length=28 days) This arm is recruiting participants. Receives: Drug: Bevacizumab; Drug: Divarasib; Drug: FOLFOX; Diagnostic Test: FoundationOne®Liquid CDx |
| Divarasib + Bevacizumab + FOLFIRI | Experimental | Participants will receive Bevacizumab 5 mg/kg by IV infusion on Days 1 and 15 and FOLFIRI on Days 1 and 15 with Divarasib PO QD on Days 1-28. (Cycle length=28 days) This arm is recruiting participants. Receives: Drug: Bevacizumab; Drug: Divarasib; Drug: FOLFIRI; Diagnostic Test: FoundationOne®Liquid CDx |
What is being measured
The primary outcome is the main question the study is designed to answer.
Objective Response Rate
Defined as the proportion of participants with a complete response or partial response, as determined by the investigator according to RECIST v1.1
Measured: Approximately 84 months
Secondary outcomes (6)
Duration of Response
Defined as the time from the first occurrence of a documented objective response to disease progression or death from any cause (whichever occurs first), as determined by the investigator according to RECIST v1.1
Measured: Approximately 84 months
Disease Control Rate
Defined as the proportion of participants with stable disease, or a complete or partial response, as determined by the investigator according to RECIST v1.1
Measured: Approximately 84 months
Percentage of Participants with Adverse Events (AEs)
Percentage of participants with adverse events.
Measured: Approximately 84 months
Plasma Concentrations of Divarasib
Plasma concentration of divarasib for divarasib + cetuximab + FOLFOX, divarasib + cetuximab, and divarasib + cetuximab+ FOLFIRI, Divarasib + Bevacizumab + FOLFOX, Divarasib + Bevacizumab + FOLFIRI treatment arms.
Measured: At pre-defined intervals from first administration of study drug up to approximately 84 months
Recommended Dose of Divarasib in Combination with Bevacizumab and FOLFOX
Recommended dose of divarasib in combination with bevacizumab and FOLFOX based on the totality of safety, efficacy and PK data.
Measured: Approximately 84 months
Recommended Dose of Divarasib in Combination with Bevacizumab and FOLFIRI
Recommended dose of divarasib in combination with bevacizumab and FOLFIRI based on the totality of safety, efficacy and PK data.
Measured: Approximately 84 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Jun 2021
- Study start22 Oct 2021
- Primary completion31 Aug 2030 (estimated)
- Study completion31 Aug 2030 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Metastatic Colorectal CancerStudies of the same condition, open and under way.
- More trials run by Hoffmann-La RocheThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 542 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04929223
- Sponsor's protocol ID
- WO42758
- Other IDs
- 2021-001207-33, 2023-505163-37-00, 2023
- Status last verified
- Nov 2026
- First submitted
- 11 Jun 2021
- Last updated
- 6 Nov 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 6 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase I/Ib Global, Multicenter, Open-label Umbrella Study Evaluating the Safety and Efficacy of Targeted Therapies in Subpopulations of Patients With Metastatic Colorectal Cancer (INTRINSIC)
- ClinicalTrials.gov ID
- NCT04929223
- Acronym / sponsor ID
- WO42758
- Conditions
- Metastatic Colorectal Cancer
- Keywords
- KRAS G12C
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 542 participants (estimated)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- 22 Oct 2021 (actual)
- Primary completion
- 31 Aug 2030 (estimated)
- Study completion
- 31 Aug 2030 (estimated)
- First posted
- 18 Jun 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This open-label, exploratory study is designed to evaluate the safety and efficacy of targeted therapies or immunotherapy as single agents or combinations, in participants with metastatic colorectal cancer (mCRC) whose tumors are biomarker positive as per treatment arm-specific definition. Eligible participants with mCRC will be enrolled into specific treatment arms based on their biomarker assay results.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 10
| Arm | Type | Receives |
|---|---|---|
| Inavolisib + Cetuximab | Experimental | Drug: Inavolisib, Drug: Cetuximab, Diagnostic Test: FoundationOne®Liquid CDxParticipants will receive 9 milligrams (mg) of inavolisib by mouth once daily (QD) on Days 8-28 of Cycle 1, then QD on Days 1-28 from Cycle 2 onwards (1 cycle=28 days). Participants will also receive cetuximab intravenous (IV) infusion 400 mg/m2 body surface area on Day 1 of Cycle 1. All subsequent weekly (QW) doses will be 250 mg/m2 each. This arm is closed. |
| Inavolisib + Bevacizumab | Experimental | Drug: Inavolisib, Drug: Bevacizumab, Diagnostic Test: FoundationOne®Liquid CDxParticipants will receive 9 mg of inavolisib by mouth QD combined with bevacizumab 15 milligram/kilogram (mg/kg) IV once every three weeks (Q3W) on Day 1 of each cycle (1 cycle=21 days). This arm is closed. |
| Atezolizumab + Tiragolumab + Bevacizumab | Experimental | Drug: Bevacizumab, Drug: Atezolizumab, Drug: Tiragolumab, Diagnostic Test: FoundationOne®Liquid CDxParticipants in this randomized cohort will receive 1200 mg of atezolizumab by IV infusion on Day 1 of each cycle, combined with tiragolumab at a dose of 600 mg IV infusion on Day 1 of each cycle and bevacizumab IV infusion at a dose of 15 mg/kg on Day 1 of each cycle. (Cycle length=21 days) This arm is active, and not recruiting participants. |
| Atezolizumab + Tiragolumab | Experimental | Drug: Atezolizumab, Drug: Tiragolumab, Diagnostic Test: FoundationOne®Liquid CDxParticipants in this randomized cohort will receive 1200 mg of atezolizumab by IV infusion on Day 1 of each cycle combined with tiragolumab 600 mg IV infusion on Day 1 of each cycle. (Cycle length=21 days) This arm is active, and not recruiting participants. |
| Atezolizumab + SY-5609 | Experimental | Drug: Atezolizumab, Drug: SY-5609, Diagnostic Test: FoundationOne®Liquid CDxParticipants will receive 1680 mg of atezolizumab by IV infusion on Day 1 of each cycle Q4W in repeated 28-day cycles combined with SY-5609 at a dose of 3, 4, 5, 6, 7 or 10 mg by mouth for 7 days, followed by 7 days off. (Cycle length=28 days) This arm is closed. |
| Divarasib + Cetuximab + FOLFOX | Experimental | Drug: Cetuximab, Drug: Divarasib, Drug: FOLFOX, Diagnostic Test: FoundationOne®Liquid CDxParticipants will receive cetuximab IV 500 mg/m2 body surface area on Days 1 and 15 and FOLFOX on Days 1 and 15 with divarasib PO QD on Days 1-28. (Cycle length=28 days) This arm is recruiting participants. |
| Divarasib + Cetuximab | Experimental | Drug: Cetuximab, Drug: Divarasib, Diagnostic Test: FoundationOne®Liquid CDxParticipants will receive cetuximab IV 500 mg/m2 body surface area on Days 1 and 15 with divarasib PO QD on Days 1-28. (Cycle length=28 days) This arm is active, and not recruiting participants. |
| Divarasib + Cetuximab + FOLFIRI | Experimental | Drug: Cetuximab, Drug: Divarasib, Drug: FOLFIRI, Diagnostic Test: FoundationOne®Liquid CDxParticipants will receive cetuximab IV 500 mg/m2 body surface area on Days 1 and 15 and FOLFIRI on Days 1 and 15 with divarasib PO QD on Days 1-28. (Cycle length=28 days) This arm is active, and not recruiting participants. |
| Divarasib + Bevacizumab + FOLFOX | Experimental | Drug: Bevacizumab, Drug: Divarasib, Drug: FOLFOX, Diagnostic Test: FoundationOne®Liquid CDxParticipants will receive Bevacizumab 5 mg/kg by IV infusion on Days 1 and 15 and FOLFOX on Days 1 and 15 with Divarasib PO QD on Days 1-28. (Cycle length=28 days) This arm is recruiting participants. |
| Divarasib + Bevacizumab + FOLFIRI | Experimental | Drug: Bevacizumab, Drug: Divarasib, Drug: FOLFIRI, Diagnostic Test: FoundationOne®Liquid CDxParticipants will receive Bevacizumab 5 mg/kg by IV infusion on Days 1 and 15 and FOLFIRI on Days 1 and 15 with Divarasib PO QD on Days 1-28. (Cycle length=28 days) This arm is recruiting participants. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (18 listed)
- Signed cohort-specific Informed Consent Form
- Age >= 18 years at time of signing Informed Consent Form
- Biomarker eligibility as determined by:
- Eastern Cooperative Oncology Group (ECOG) Performance Status of <= 1
- Life expectancy >= 3 months, as determined by the investigator
Key exclusion criteria (17 listed)
- Current participation or enrollment in another interventional clinical trial. Participants who are participating in the follow-up period of an interventional clinical trial are eligible for the study.
- Any systemic anti-cancer treatment within 2 weeks or 5 half-lives (whichever is shorter) prior to start of study treatment
- Treatment with investigational therapy within 28 days prior to initiation of study treatment
- Pregnant or breastfeeding, or intending to become pregnant during the study
- History of or concurrent serious medical condition or abnormality in clinical laboratory tests that, in the investigator's judgment, precludes the patient's safe participation in and completion of the study or confounds the ability to interpret data from the study
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| InavolisibInavolisib will be administered orally as per schedule specified in the respective arms. | Drug | Inavolisib + Bevacizumab, Inavolisib + Cetuximab |
| BevacizumabAlso: AvastinBevacizumab IV will be administered as per schedule specified in the respective arm. | Drug | Atezolizumab + Tiragolumab + Bevacizumab, Divarasib + Bevacizumab + FOLFIRI, Divarasib + Bevacizumab + FOLFOX, Inavolisib + Bevacizumab |
| CetuximabCetuximab IV will be administered as per schedule specified in the respective arm. | Drug | Divarasib + Cetuximab, Divarasib + Cetuximab + FOLFIRI, Divarasib + Cetuximab + FOLFOX, Inavolisib + Cetuximab |
| AtezolizumabAlso: TecentriqAtezolizumab IV infusion will be administered as per schedule specified in the respective arm. | Drug | Atezolizumab + SY-5609, Atezolizumab + Tiragolumab, Atezolizumab + Tiragolumab + Bevacizumab |
| TiragolumabTiragolumab IV infusion will be administered as per schedule specified in the respective arm. | Drug | Atezolizumab + Tiragolumab, Atezolizumab + Tiragolumab + Bevacizumab |
| SY-5609SY-5609 will be administered by mouth as per schedule specified in the respective arm. | Drug | Atezolizumab + SY-5609 |
| DivarasibAlso: GDC-6036Divarasib will be administered orally as per schedule specified in the respective arms. | Drug | Divarasib + Bevacizumab + FOLFIRI, Divarasib + Bevacizumab + FOLFOX, Divarasib + Cetuximab, Divarasib + Cetuximab + FOLFIRI, Divarasib + Cetuximab + FOLFOX |
| FOLFOXFOLFOX (5-fluorouracil, leucovorin, oxaliplatin) IV will be administered as per schedule specified in the respective arm. | Drug | Divarasib + Bevacizumab + FOLFOX, Divarasib + Cetuximab + FOLFOX |
| FOLFIRIFOLFIRI (leucovorin, 5-fluorouracil, irinotecan) IV will be administered as per schedule specified in the respective arm. | Drug | Divarasib + Bevacizumab + FOLFIRI, Divarasib + Cetuximab + FOLFIRI |
| FoundationOne®Liquid CDxFoundationOne®Liquid CDx is used to identify presence of genomic alterations for participant cohort assignment. | Diagnostic test | Atezolizumab + SY-5609, Atezolizumab + Tiragolumab, Atezolizumab + Tiragolumab + Bevacizumab, Divarasib + Bevacizumab + FOLFIRI, Divarasib + Bevacizumab + FOLFOX, Divarasib + Cetuximab, Divarasib + Cetuximab + FOLFIRI, Divarasib + Cetuximab + FOLFOX, Inavolisib + Bevacizumab, Inavolisib + Cetuximab |
Primary outcome
Objective Response Rate
Time frame: Approximately 84 months
Defined as the proportion of participants with a complete response or partial response, as determined by the investigator according to RECIST v1.1
6 secondary outcomes
Duration of Response
Time frame: Approximately 84 months
Disease Control Rate
Time frame: Approximately 84 months
Percentage of Participants with Adverse Events (AEs)
Time frame: Approximately 84 months
Plasma Concentrations of Divarasib
Time frame: At pre-defined intervals from first administration of study drug up to approximately 84 months
Recommended Dose of Divarasib in Combination with Bevacizumab and FOLFOX
Time frame: Approximately 84 months
Recommended Dose of Divarasib in Combination with Bevacizumab and FOLFIRI
Time frame: Approximately 84 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Nov 2026.
- Please use this form to submit your questions for a faster response: https://www.gene.com/contact-us/submit-medical-inquiry. Do not include or attach any medical records when emailing or completing the form. A nurse will respond within 24 business hours.Link provided by the sponsor.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Reference Study ID Number: WO42758 https://forpatients.roche.com/ No attachments to email below. contact
Fastest response: use the inquiry form. https://www.gene.com/contact-us/submit-medical-inquiry contact
Clinical Trials study director
Hoffmann-La Roche
84 sites in 11 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing Inavolisib, Bevacizumab and Cetuximab in people with Metastatic Colorectal Cancer, run by Hoffmann-La Roche at 84 sites in 11 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 18 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 6 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 84 sites in United States, Germany, United Kingdom, South Korea, Spain and 6 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Reference Study ID Number: WO42758 https://forpatients.roche.com/ No attachments to email below. (888-662-6728 (U.S. and Canada), global-roche-genentech-trials@gene.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Objective Response Rate (time frame: Approximately 84 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Nov 2026.