Metastatic Colorectal CancerPhase 3NCT07549412
A Study of Precemtabart Tocentecan With or Without Bevacizumab Compared to Trifluridine/Tipiracil Plus Bevacizumab in Participants With Previously Treated Metastatic Colorectal Cancer (PROCEADE-CRC-03)
A Phase 3 study testing Precemtabart tocentecan, Bevacizumab and Trifluridine/Tipiracil (FTD-TPI) in people with Metastatic Colorectal Cancer, run by EMD Serono Research & Development Institute, Inc. at 116 sites in 19 countries.
Trial summary
This study aims to address the unmet medical need of participants with metastatic colorectal cancer (mCRC) who have previously been treated with irinotecan, oxaliplatin, a fluoropyrimidine, and bevacizumab, by demonstrating an overall survival prolongation with precemtabart tocentecan (Precem-TcT) as single agent or… 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?
- Precemtabart tocentecan, Bevacizumab and Trifluridine/Tipiracil (FTD-TPI)
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,020 participants
- Where
- 116 sitesin 19 countries
- Study dates
- 6 May 2026to 16 Oct 2029
- Phase
- Phase 3
- 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
- Participants with documented histopathological diagnosis of metastatic colorectal cancer, who were intolerant to, or whose disease was refractory to, or progressed after standard systemic therapies and no more than 2 previous systemic treatment regimens in the metastatic setting.
- Participants must have received and progressed on no more than 2 previous systemic treatment regimens in the metastatic setting
- Eastern Cooperative Oncology Group (ECOG) performance status less than equal to 1
- Participants must be able to swallow oral tablets, and to comply with the study requirements for all scheduled evaluations
- Other protocol defined inclusion criteria may apply
Who cannot join
- If Adverse Events related to previous therapies have not recovered to less than Grade 1 by National Cancer Institute - Common Terminology Criteria for Adverse Events version 6.0
- Participant has a history of additional malignancy within 3 years before randomization
- Participants with known brain metastases
- Abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within the past 6 months prior to randomization
- Participants with ileus of more than Grade 1, or chronic inflammatory bowel disease (example ulcerative colitis, Crohn's disease) and/or bowel obstruction, or participants with chronic gastrointestinal disorders that, in the Investigator's opinion, might significantly interfere with proper absorption of the study treatments
- Other protocol defined exclusion criteria may apply
Trial locations and contacts
116 sites in 19 countries. Contact the study team or a site near you to ask about taking part.
116 sites in 19 countries
United States22 sites, 22 recruiting
- Recruiting
Texas Oncology, P.A. - Abilene - 300210366
Abilene, Texas, 79606
- Recruiting
Illinois Cancer Specialists
Arlington Heights, Illinois, 60005
- Recruiting
Texas Oncology-South Austin
Austin, Texas, 78745
- Recruiting
Texas Oncology DFW
Bedford, Texas, 75246
- Recruiting
Missouri Cancer Associates - 150518964
Columbia, Missouri, 65201
- Recruiting
Florida Cancer Specialists-Broadway
Fort Myers, Florida, 33901
- Recruiting
Prisma Health Cancer Institute, ITOR, CRU
Greenville, South Carolina, 29605
- Recruiting
Rocky Mountain Cancer Centers, LLP- Aurora
Lone Tree, Colorado, 80124
- Recruiting
SCRI Oncology Partners
Nashville, Tennessee, 37203
- Recruiting
Virginia Oncology Associates
Newport News, Virginia, 23606
- Recruiting
Illinois CancerCare PC
Peoria, Illinois, 61615-7822
- Recruiting
Blue Ridge Cancer Care - 300202915
Roanoke, Virginia, 24014-2419
- Recruiting
Minnesota Oncology Hematology, P.A.
Saint Louis Park, Minnesota, 55416
- Recruiting
Texas Oncology- San Antonio
San Antonio, Texas, 78240
- Recruiting
UCSF Mount Zion Medical Ctr
San Francisco, California, 94158
- Recruiting
Avera Cancer Institute - 300127370
Sioux Falls, South Dakota, 57105
- Recruiting
Springfield Clinic
Springfield, Illinois, 62702
- Recruiting
Florida Cancer Specialists - St. Petersburg Bayfront
St. Petersburg, Florida, 33701-4553
- Recruiting
Profound Research LLC at Cancer and Leukemia Center
Sterling Heights, Michigan, 48098
- Recruiting
Texas Oncology, P.A. - Tyler
Tyler, Texas, 75702
- Recruiting
Florida Cancer Specialists East - FCS EAST - West Palm Beach
West Palm Beach, Florida, 33401
- Recruiting
White Plains Hospital Medical and Wellness PRIME
White Plains, New York, 10601
China15 sites, 15 recruiting
- Recruiting
Beijing Cancer Hospital
Beijing, Beijing Municipality, 100142
- Recruiting
Peking Union Medical College Hospital
Beijing, Beijing Municipality, 100142
- Recruiting
Sichuan Cancer Hospital
Chengdu, Sichuan, 610041
- Recruiting
West China Hospital, Sichuan University
Chengdu, Sichuan, 610041
- Recruiting
Sun Yat-sen University Cancer Center
Guangzhou, Guangdong, 510060
- Recruiting
The Sixth Affiliated Hospital of Sun Yat-sen University
Guangzhou, Guangdong, 510655
- Recruiting
The Second Affiliated Hospital of Zhejiang University School of Medicine - 300173725
Hangzhou, Zhejiang, 310000
- Recruiting
The First Affiliated Hospital, College of Medicine, Zhejiang University
Hangzhou, Zhejiang, 310003
- Recruiting
The University of Hong Kong - 1
Hong Kong, Hong Kong, 00000
- Recruiting
Meizhou Peoples Hospital - 300164707
Meizhou, Guangdong, 514031
- Recruiting
The First Affiliated Hospital of Nanchang University - Endocrine Secretion Department
Nanchang, Jiangxi, 330006
- Recruiting
Jiangsu Province Hospital
Nanjing, Jiangsu, 210029
- Recruiting
Guangxi Medical University Cancer Hospital
Nanning, Guangxi Zhuang, 530021
- Recruiting
Fudan University Shanghai Cancer Center
Shanghai, Shanghai Municipality, 201321
- Recruiting
Union Hospital Tongji Medical College Huazhong University of Science and Technology
Wuhan, Hubei, 430060
France9 sites, 9 recruiting
- Recruiting
Institut Bergonié - Service d'Oncologie Médicale
Bordeaux, Gironde, 33076
- Recruiting
Centre Francois Baclesse - Service d'Oncologie Medicale
Caen, Calvados, 14033
- Recruiting
Hopital Claude Huriez - CHU Lille - service d'oncologie medicale
Lille, Nord, 59037
- Recruiting
Centre Leon Berard - Service d'Oncologie Medicale
Lyon, Rhone, 69008
- Recruiting
Institut Paoli Calmettes - service d'oncologie medicale
Marseille, Bouches-du-Rhône, 13009
- Recruiting
Groupe Hospitalier Pitie-Salpetriere - Service Hépato-Gastro-Entérologie
Paris, 75013
- Recruiting
Hôpital Européen Georges Pompidou - Hématologie Oncologie
Paris, 75015
- Recruiting
CHU Saint Etienne - Hôpital Nord - Service de Gastro-Entérologie et Hépatologie
Saint Priest En Jarez, Pays de la Loire Region, 42270
- Recruiting
Institut Gustave Roussy - Pathologies Digestives
Villejuif, Val De Marne, 94805
Japan9 sites, 9 recruiting
- Recruiting
National Cancer Center Hospital
Chūōku, Tokyo-To, 104-0045
- Recruiting
NHO Kyushu Cancer Center - 300175822
Fukuoka, Fukuoka, 811-1395
- Recruiting
Saitama Cancer Center - 300175812
Kitaadachi-gun, Saitama, 362-0806
- Recruiting
Cancer Institute Hospital of JFCR
Kōtoku, Tokyo-To, 135-8550
- Recruiting
Aichi Cancer Center Hospital
Nagoya, Aichi-ken, 464-8681
- Recruiting
Osaka International Cancer Institute
Osaka, 541-8567
- Recruiting
Kindai University Hospital
Sakai-shi, Osaka, 590-0197
- Recruiting
Shizuoka Cancer Center
Sunto, Shizuoka, 411-8777
- Recruiting
Kanagawa Cancer Center - Dept of Gastroenterology
Yokohama, Kanagawa, 241-8515
South Korea9 sites, 9 recruiting
- Recruiting
Kyungpook National University Chilgok Hospital
Daegu, Gyeongsangnam-do, 700-721
- Recruiting
National Cancer Center
Goyang-si, Gyeonggi-do, 10408
- Recruiting
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, 13620
- Recruiting
Seoul National University Hospital
Seoul, 03080
- Recruiting
Severance Hospital, Yonsei University Health System - Division of Infectious Diseases
Seoul, 03722
- Recruiting
Samsung Medical Center
Seoul, 06351
- Recruiting
The Catholic University of Korea, Seoul St. Maryâ
Seoul, 06591
- Recruiting
Korea University Guro Hospital
Seoul, 08308
- Recruiting
Asan Medical Center
Seoul, 138-736
Italy8 sites, 8 recruiting
- Recruiting
Azienda Ospedaliera Saverio De Bellis - 300205674
Castellana Grotte, Bari, 70013
- Recruiting
Azienda Socio Sanitaria Territoriale Niguarda (Grande Ospedale Metropolitano Niguarda) - Struttura Complessa di Oncologia Falck
Milan, 20162
- Recruiting
Azienda Ospedaliera Universitaria- Università degli Studi della Campania "Luigi Vanvitelli" - Dipartimento di Oncologia
Naples, 80131
- Recruiting
Istituto Nazionale Tumori Fondazione G. Pascale - Dipartimento Oncoematologia
Naples, 80131
- Recruiting
IOV - Istituto Oncologico Veneto IRCCS - S.Semplice Dip.Oncologia dei Melanomi
Padova, 35128
- Recruiting
Azienda Ospedaliero Universitaria Pisana - U.O. Oncologia II
Pisa, 56126
- Recruiting
Fondazione Policlinico Universitario Agostino Gemelli IRCCS - UOC Oncologia Medica
Rome, 00168
- Recruiting
IEO Istituto Europeo di Oncologia - Divisione Oncologia Medica
San Giovanni Rotondo, Foggia, 71013
Spain7 sites, 7 recruiting
- Recruiting
Hospital Universitari Vall d'Hebron - Oncology Dept.
Barcelona, 08035
- Recruiting
Hospital Clinic de Barcelona - Servicio de Oncologia
Barcelona, 08036
- Recruiting
Hospital Universitario Reina Sofia - Dept of Oncology
Córdoba, Córdoba, 14004
- Recruiting
ICO l'Hospitalet - Hospital Duran i Reynals - Servicio de Oncologia
L'Hospitalet de Llobregat, Barcelona, 08906
- Recruiting
Hospital Universitario Ramon y Cajal - Servicio de Oncologia
Madrid, 28034
- Recruiting
Hospital Universitario 12 de Octubre - Servicio de Oncologia
Madrid, 28041
- Recruiting
Hospital Universitario Nuestra Señora de Valme
Seville, 41014
Taiwan7 sites, 7 recruiting
- Recruiting
Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, 807
- Recruiting
Kaohsiung Chang Gung Memorial Hospital
Kaohsiung City, 833
- Recruiting
China Medical University Hospital
Taichung, 40447
- Recruiting
National Cheng Kung University Hospital - Internal Medicine
Tainan, 70403
- Recruiting
Chi Mei Hospital, Liouying
Tainan, 736
- Recruiting
National Taiwan University Hospital
Taipei, 100225
- Recruiting
Taipei Veterans General Hospital
Taipei, 11217
Argentina4 sites, 4 recruiting
- Recruiting
Investigaciones Clinicas Moleculares ICM
Ciudad Autonoma Buenos Aires, C1417DTB
- Recruiting
Instituto de Oncologia de Rosario
Rosario, Santa Fe Province, S2000KZE
- Recruiting
Centro Oncologico de Excelencia
San Juan, 5400
- Recruiting
Centro de Investigaciones Medicas Tucuman
San Miguel de Tucumán, T4000AXL
Australia4 sites, 4 recruiting
- Recruiting
Flinders Medical Centre
Bedford Park, South Australia, 5042
- Recruiting
Icon Cancer Centre Chermside
Chermside, Queensland, 4032
- Recruiting
Mater Misericordiae Ltd - PARENT
South Brisbane, Queensland, 4101
- Recruiting
GenesisCare North Shore (Oncology)
St Leonards, New South Wales, 2065
Belgium4 sites, 4 recruiting
- Recruiting
Cliniques Universitaires Saint-Luc - STL
Brussels, 1200
- Recruiting
Grand Hospital de Charleroi - PARENT
Charleroi, 6000
- Recruiting
UZA - Account 3
Edegem, 2650
- Recruiting
UZ Leuven
Leuven, 03000
Germany4 sites, 4 recruiting
- Recruiting
Charité - Campus Charité Mitte - Medizinische Klinik II (Onkologie u. Haematologie)
Berlin, 13353
- Recruiting
Krankenhaus Nordwest GmbH - Neurologische Klinik
Frankfurt am Main, Hesse, 60488
- Recruiting
Haematologisch-Onkologische Praxis Eppendorf (HOPE)
Hamburg, 20249
- Recruiting
Universitaetsklinikum Leipzig AoeR - Universitaeres Krebszentrum Leipzig (UCCL)
Leipzig, Saxony, 04103
Canada3 sites, 3 recruiting
- Recruiting
The Ottawa Hospital Cancer Centre
Ottawa, Ontario, K1H 8L6
- Recruiting
University Health Network - Princess Margaret Cancer Centre
Toronto, Ontario, M5G 2M9
- Recruiting
BC Cancer - Vancouver - BC Cancer Agency
Vancouver, British Columbia, V5Z 4E6
United Kingdom3 sites, 3 recruiting
- Recruiting
Aberdeen Royal Infirmary - Dept of Oncology
Aberdeen, Grampian Region, AB25 2ZN
- Recruiting
Sarah Cannon Research Institute UK
London, Greater London, W1G 6AD
- Recruiting
The Christie Hospital - Dept of Oncology
Manchester, Great Manchester, M20 4BX
Austria2 sites, 2 recruiting
- Recruiting
LKH - Universitätsklinikum der PMU Salzburg - Innere Med III/Hämatologie und Onkologie
Salzburg, 5020
- Recruiting
AKH - Medizinische Universität Wien - Klinik für Innere Medizin 1
Vienna, 1090
Netherlands2 sites, 2 recruiting
- Recruiting
Universitair Medisch Centrum Groningen - Cancer Center
Groningen, 9713GZ
- Recruiting
Amphia Ziekenhuis, Molengracht - Parent
Utrecht, 3584 CX
Poland2 sites, 2 recruiting
- Recruiting
Wojewodzkie Centrum Onkologii
Gdansk, 80-219
- Recruiting
SP ZOZ Szpital Uniwersytecki w Krakowie - Dept of Clinical Oncology and Oncology Clinic
Krakow, 31-501
Denmark1 site, 1 recruiting
- Recruiting
Ålborg Universitets Hospital - PARENT
Herning, 7400
Hong Kong1 site, 1 recruiting
- Recruiting
The Chinese University of Hong Kong (CUHK) - Prince of Wales Hospital (PWH)
Hong Kong, 00000
About this study
Official title: A Randomized, Open Label, 3-arm Phase 3 Study of Precemtabart Tocentecan With or Without Bevacizumab Compared to Trifluridine/Tipiracil Plus Bevacizumab in Participants With Previously Treated Metastatic Colorectal Cancer (PROCEADE-CRC-03)
This study aims to address the unmet medical need of participants with metastatic colorectal cancer (mCRC) who have previously been treated with irinotecan, oxaliplatin, a fluoropyrimidine, and bevacizumab, by demonstrating an overall survival prolongation with precemtabart tocentecan (Precem-TcT) as single agent or Precem-TcT in combination with bevacizumab compared to trifluridine/tipiracil (FTD-TPI) plus bevacizumab.
- Conditions
- Metastatic Colorectal Cancer
- Being tested
- Precemtabart tocentecan, Bevacizumab, Trifluridine/Tipiracil (FTD-TPI)
- Keywords
- CEACAM5, Antibody-drug conjugate, Exatecan, M9140, Precem-TcT
- Medical subject headings
- Colorectal Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Precemtabart tocentecanDrug
Also called Precem-TcT
Precem-TcT, administered, once every 3 weeks intravenously, on Day 1 of each 21-day cycle.
BevacizumabDrug
Bevacizumab, administered intravenously every 3 weeks on Day 1 of each 21-day cycle or every 2 weeks on Day 1 and Day 15 of each 28-day cycle.
Trifluridine/Tipiracil (FTD-TPI)Drug
FTD-TPI, tablet, administered orally twice daily, on Days 1 to 5 and Days 8 to 12 of each 28-day cycle.
| Study group | Role | What they receive |
|---|---|---|
| Arm 1: Precemtabart tocentecan (Precem-TcT) Monotherapy | Experimental | Not described Receives: Drug: Precemtabart tocentecan |
| Arm 2: Precem-TcT plus Bevacizumab | Experimental | Not described Receives: Drug: Precemtabart tocentecan; Drug: Bevacizumab |
| Arm 3: Trifluridine/Tipiracil (FTD-TPI) plus Bevacizumab | Active comparator | Not described Receives: Drug: Bevacizumab; Drug: Trifluridine/Tipiracil (FTD-TPI) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Arm 1, 2 and 3: Overall Survival
Measured: Time from date of randomization to death, assessed approximately up to average of 19 months
Secondary outcomes (9)
Arm 1 and Arm 2: Overall Survival
Measured: Time from date of randomization to death, assessed approximately up to average of 19 months
Progression Free Survival (PFS)
Measured: Time from randomization to the first occurrence of disease progression or death, whichever occurs first (assessed up to average of 19 months)
Objective Response (OR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Investigator
Measured: Up to average of 19 months
Duration of Response as Assessed by Investigator
Measured: Time from first documentation of objective response to PD or death (assessed up to average of 19 months)
Number of Participants with Adverse Events (AEs) and Treatment Related Adverse Events
Measured: Up to average of 19 months
Observed Concentration at End of Infusion (CEOI) Period
Measured: At end of infusion on Cycle 1 Day 1 and Cycle 3 Day 1 (Arm 1 and Arm 2 only; each cycle is for 21 days)
Concentration Observed at the end of a Dosing Interval Immediately Before next Dosing (Ctrough)
Measured: At end of dosing interval on Cycle1Day1,Cycle2Day1,Cycle3Day1,Cycle4Day1, Cycle5Day1,Cycle6Day1,Cycle7Day1 until treatment discontinuation(assessed up to average of 19months (Arm 1 and Arm 2 only; each cycle is for 21 days)
Number of Participants with Anti-Drug Antibody as measured by ADA assay
Measured: Predose(-4to0 hours)on Cycle1Day1,Cycle2 Day1,Cycle 3Day1,Cycle4Day1, Cycle8Day1;thereafter every 4cycles until treatment discontinuation(assessed up to average of 19 months) (Arm 1 and Arm 2 only; each cycle is for 21 days)
Change from Baseline in Global Health Status, Physical, and Role Functioning Subscale Scores of European Organization for research and Treatment of Cancer Quality of Life Core Questionnaire (EORTC QLQ-C30)
EORTC QLQ-C30 is a 30-question tool used to assess the overall quality of life (QoL) in cancer participants. It consists of 15 domains: 1 global health status (GHS) scale, 5 functional scales (Physical, role, cognitive, emotional, social), and 9 symptom scales/items (Fatigue, nausea and vomiting, pain, dyspnea, sleep disturbance, appetite loss, constipation, diarrhea, financial impact. The EORTC QLQ-C30 GHS/QoL score ranges from 0 to 100; High score indicates better GHS/QoL. Score 0 represents: very poor physical condition and QoL. Score 100 represents: excellent overall physical condition and QoL.
Measured: Baseline, Cycle 1 Day 1 and Day 1 of every new cycle until treatment discontinuation (assessed up to average of 19 months).
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Apr 2026
- Study start6 May 2026
- Primary completion16 Oct 2029 (estimated)
- Study completion16 Oct 2029 (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 EMD Serono Research & Development Institute, Inc.The 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 1,020 participants (estimated)
Sponsor and investigators
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Merck KGaA, Darmstadt, Germany
- Responsible party
- Sponsor
- Investigators
- Medical Responsible, Study director, EMD Serono Research & Development Institute, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07549412
- Sponsor's protocol ID
- MS914001_0002
- Other IDs
- 2025-524648-37-00, CTR20262356, jRCT2031260267, 2025
- Status last verified
- Nov 2026
- First submitted
- 16 Apr 2026
- Last updated
- 5 Nov 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: IPD supporting publicly available results will be evaluated for sharing.
Study at a glance
From the registry record, last updated by the sponsor on 5 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Open Label, 3-arm Phase 3 Study of Precemtabart Tocentecan With or Without Bevacizumab Compared to Trifluridine/Tipiracil Plus Bevacizumab in Participants With Previously Treated Metastatic Colorectal Cancer (PROCEADE-CRC-03)
- ClinicalTrials.gov ID
- NCT07549412
- Acronym / sponsor ID
- MS914001_0002
- Conditions
- Metastatic Colorectal Cancer
- Keywords
- CEACAM5, Antibody-drug conjugate, Exatecan, M9140, Precem-TcT
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 1,020 participants (estimated)
- Lead sponsor
- EMD Serono Research & Development Institute, Inc.Industry (pharma, biotech, devices)
- Collaborators
- Merck KGaA, Darmstadt, Germany
- Study start
- 6 May 2026 (actual)
- Primary completion
- 16 Oct 2029 (estimated)
- Study completion
- 16 Oct 2029 (estimated)
- First posted
- 24 Apr 2026 (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 study aims to address the unmet medical need of participants with metastatic colorectal cancer (mCRC) who have previously been treated with irinotecan, oxaliplatin, a fluoropyrimidine, and bevacizumab, by demonstrating an overall survival prolongation with precemtabart tocentecan (Precem-TcT) as single agent or Precem-TcT in combination with bevacizumab compared to trifluridine/tipiracil (FTD-TPI) plus bevacizumab.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Arm 1: Precemtabart tocentecan (Precem-TcT) Monotherapy | Experimental | Drug: Precemtabart tocentecan |
| Arm 2: Precem-TcT plus Bevacizumab | Experimental | Drug: Precemtabart tocentecan, Drug: Bevacizumab |
| Arm 3: Trifluridine/Tipiracil (FTD-TPI) plus Bevacizumab | Active comparator | Drug: Bevacizumab, Drug: Trifluridine/Tipiracil (FTD-TPI) |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Participants with documented histopathological diagnosis of metastatic colorectal cancer, who were intolerant to, or whose disease was refractory to, or progressed after standard systemic therapies and no more than 2 previous systemic treatment regimens in the metastatic setting.
- Participants must have received and progressed on no more than 2 previous systemic treatment regimens in the metastatic setting
- Eastern Cooperative Oncology Group (ECOG) performance status less than equal to 1
- Participants must be able to swallow oral tablets, and to comply with the study requirements for all scheduled evaluations
- Other protocol defined inclusion criteria may apply
Key exclusion criteria (6 listed)
- If Adverse Events related to previous therapies have not recovered to less than Grade 1 by National Cancer Institute - Common Terminology Criteria for Adverse Events version 6.0
- Participant has a history of additional malignancy within 3 years before randomization
- Participants with known brain metastases
- Abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within the past 6 months prior to randomization
- Participants with ileus of more than Grade 1, or chronic inflammatory bowel disease (example ulcerative colitis, Crohn's disease) and/or bowel obstruction, or participants with chronic gastrointestinal disorders that, in the Investigator's opinion, might significantly interfere with proper absorption of the study treatments
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 |
|---|---|---|
| Precemtabart tocentecanAlso: Precem-TcTPrecem-TcT, administered, once every 3 weeks intravenously, on Day 1 of each 21-day cycle. | Drug | Arm 1: Precemtabart tocentecan (Precem-TcT) Monotherapy, Arm 2: Precem-TcT plus Bevacizumab |
| BevacizumabBevacizumab, administered intravenously every 3 weeks on Day 1 of each 21-day cycle or every 2 weeks on Day 1 and Day 15 of each 28-day cycle. | Drug | Arm 2: Precem-TcT plus Bevacizumab, Arm 3: Trifluridine/Tipiracil (FTD-TPI) plus Bevacizumab |
| Trifluridine/Tipiracil (FTD-TPI)FTD-TPI, tablet, administered orally twice daily, on Days 1 to 5 and Days 8 to 12 of each 28-day cycle. | Drug | Arm 3: Trifluridine/Tipiracil (FTD-TPI) plus Bevacizumab |
Primary outcome
Arm 1, 2 and 3: Overall Survival
Time frame: Time from date of randomization to death, assessed approximately up to average of 19 months
9 secondary outcomes
Arm 1 and Arm 2: Overall Survival
Time frame: Time from date of randomization to death, assessed approximately up to average of 19 months
Progression Free Survival (PFS)
Time frame: Time from randomization to the first occurrence of disease progression or death, whichever occurs first (assessed up to average of 19 months)
Objective Response (OR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Investigator
Time frame: Up to average of 19 months
Duration of Response as Assessed by Investigator
Time frame: Time from first documentation of objective response to PD or death (assessed up to average of 19 months)
Number of Participants with Adverse Events (AEs) and Treatment Related Adverse Events
Time frame: Up to average of 19 months
Observed Concentration at End of Infusion (CEOI) Period
Time frame: At end of infusion on Cycle 1 Day 1 and Cycle 3 Day 1 (Arm 1 and Arm 2 only; each cycle is for 21 days)
Concentration Observed at the end of a Dosing Interval Immediately Before next Dosing (Ctrough)
Time frame: At end of dosing interval on Cycle1Day1,Cycle2Day1,Cycle3Day1,Cycle4Day1, Cycle5Day1,Cycle6Day1,Cycle7Day1 until treatment discontinuation(assessed up to average of 19months (Arm 1 and Arm 2 only; each cycle is for 21 days)
Number of Participants with Anti-Drug Antibody as measured by ADA assay
Time frame: Predose(-4to0 hours)on Cycle1Day1,Cycle2 Day1,Cycle 3Day1,Cycle4Day1, Cycle8Day1;thereafter every 4cycles until treatment discontinuation(assessed up to average of 19 months) (Arm 1 and Arm 2 only; each cycle is for 21 days)
Change from Baseline in Global Health Status, Physical, and Role Functioning Subscale Scores of European Organization for research and Treatment of Cancer Quality of Life Core Questionnaire (EORTC QLQ-C30)
Time frame: Baseline, Cycle 1 Day 1 and Day 1 of every new cycle until treatment discontinuation (assessed up to average of 19 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 5 Nov 2026.
- Trial Awareness and Transparency websiteLink provided by the sponsor.
- US Medical Information website, Medical ResourcesLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. IPD supporting publicly available results will be evaluated for sharing.
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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.
Medical Responsible study director
EMD Serono Research & Development Institute, Inc.
116 sites in 19 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Precemtabart tocentecan, Bevacizumab and Trifluridine/Tipiracil (FTD-TPI) in people with Metastatic Colorectal Cancer, run by EMD Serono Research & Development Institute, Inc. at 116 sites in 19 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 5 inclusion and 6 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 5 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 116 sites in United States, China, France, Japan, South Korea and 14 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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 US Medical Information (888-275-7376, eMediUSA@emdserono.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Arm 1, 2 and 3: Overall Survival (time frame: Time from date of randomization to death, assessed approximately up to average of 19 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 5 Nov 2026.