RecruitingPhase 2Phase 3NCT07221357

A Study to Evaluate the Safety and Efficacy of Pumitamig in Combination With Chemotherapy Versus Bevacizumab in Combination With Chemotherapy in Participants With Previously Untreated, Unresectable, or Metastatic Colorectal Cancer

ROSETTA CRC-203: A Blinded, Randomized Phase 2/3 Study of Pumitamig in Combination With Chemotherapy Versus Bevacizumab in Combination With Chemotherapy in Participants With Previously Untreated, Unresectable, or Metastatic Colorectal Cancer


Sponsor

Bristol-Myers Squibb

Enrollment

990 participants

Start Date

Dec 31, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of this study is to evaluate the safety and efficacy of pumitamig in combination with chemotherapy versus bevacizumab in combination with chemotherapy in participants with previously untreated, unresectable, or metastatic colorectal cancer


Eligibility

Min Age: 18 Years

Inclusion Criteria4

  • Participant must previously untreated, histologically confirmed recurrent or metastatic colorectal adenocarcinoma, not amenable to curative surgery.
  • Participant must have no known presence of mismatch repair deficient (dMMR) or microsatellite instability-high (MSI-H) colorectal cancer (CRC) per historical results (a validated test should be used).
  • Participant must have no known presence of the gene that encodes the protein B-Raf (BRAF) V600E mutation per local testing.
  • Participant must have measurable disease as defined by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.

Exclusion Criteria4

  • Participant must not have any untreated known central nervous system (CNS) metastases including brain, leptomeningeal and/or spinal cord compression.
  • Participant must not have any prior malignancy active within the previous 2 years, except for locally curable cancers that have been apparently cured and considered to be of low risk of recurrence.
  • Participant must not have significant cardiovascular disease, such as myocardial infarction, unstable angina, arterial thrombosis or cerebrovascular accident within 6 months prior to randomization, uncontrolled hypertension (≥ 160 systolic, ≥ 100 diastolic mm Hg) despite optimal medical management, or congenital long QT syndrome.
  • Participant must not have prior systemic treatment with an anti-PD-1, anti-programmed death (ligand)-1 (PD-L1), anti-PD-L2, CD137 agonists, or anti-cytotoxic T-lymphocyte associated protein 4 (CTLA-4) antibody, or any other antibody or drug specifically targeting T cell co-stimulation or checkpoint pathways or chemotherapy.

Interventions

DRUGPumitamig

Specified dose on specified days

DRUGFOLFOX

Specified dose on specified days

DRUGFOLFIRI

Specified dose on specified days

DRUGBevacizumab

Specified dose on specified days

DRUGCAPOX

Specified dose on specified days


Locations(237)

Local Institution - 0432

Springdale, Arkansas, United States

Local Institution - 0263

Los Angeles, California, United States

Local Institution - 0345

Orange, California, United States

Local Institution - 0317

San Francisco, California, United States

Local Institution - 0330

Santa Monica, California, United States

Local Institution - 0293

Stanford, California, United States

Florida Cancer Specialists - East

Cape Coral, Florida, United States

Florida Cancer Specialists - North

St. Petersburg, Florida, United States

Local Institution - 0269

Tampa, Florida, United States

Local Institution - 0276

Duluth, Georgia, United States

Northwest Georgia Oncology Centers, a Service of Wellstar Cobb Hospital

Marietta, Georgia, United States

Local Institution - 0030

Chicago, Illinois, United States

Local Institution - 0433

Chicago, Illinois, United States

Local Institution - 0335

Iowa City, Iowa, United States

Local Institution - 0262

Baltimore, Maryland, United States

Maryland Oncology Hematology - Silver Spring

Silver Spring, Maryland, United States

Local Institution - 0471

Boston, Massachusetts, United States

Local Institution - 0430

Ann Arbor, Michigan, United States

Local Institution - 0254

Grand Rapids, Michigan, United States

Minnesota Oncology

Maple Grove, Minnesota, United States

Local Institution - 0318

Kansas City, Missouri, United States

Local Institution - 0336

St Louis, Missouri, United States

Local Institution - 0334

Omaha, Nebraska, United States

Northwell Health/ RJ Zuckerberg Cancer Center

Lake Success, New York, United States

Local Institution - 0270

Mineola, New York, United States

Local Institution - 0273

New Hyde Park, New York, United States

Local Institution - 0290

Charlotte, North Carolina, United States

Local Institution - 0526

Fargo, North Dakota, United States

Local Institution - 0339

Columbus, Ohio, United States

Local Institution - 0605

Oklahoma City, Oklahoma, United States

Local Institution - 0348

Allentown, Pennsylvania, United States

Local Institution - 0604

Pittsburgh, Pennsylvania, United States

Local Institution - 0312

Sioux Falls, South Dakota, United States

Local Institution - 0333

Nashville, Tennessee, United States

Sarah Cannon Institute

Nashville, Tennessee, United States

Texas Oncology Dallas Fort Worth West (DFWW) - Arlington Cancer Center North

Arlington, Texas, United States

Texas Oncology, PA

Austin, Texas, United States

Local Institution - 0252

Houston, Texas, United States

Texas Oncology - San Antonio

San Antonio, Texas, United States

Local Institution - 0426

Salt Lake City, Utah, United States

Local Institution - 0278

Fairfax, Virginia, United States

Virginia Oncology Associates

Norfolk, Virginia, United States

Local Institution - 0491

Edmonds, Washington, United States

Local Institution - 0253

Seattle, Washington, United States

Northwest Cancer Specialists, P.C.

Vancouver, Washington, United States

Local Institution - 0071

ABB, Buenos Aires F.D., Argentina

Local Institution - 0174

Buenos Aires, Argentina

Local Institution - 0073

Buenos Aires, Argentina

Local Institution - 0069

Buenos Aires, Argentina

Local Institution - 0172

Buenos Aires, Argentina

Local Institution - 0277

Liverpool, New South Wales, Australia

Local Institution - 0157

St Leonards, New South Wales, Australia

Local Institution - 0274

Birtinya, Queensland, Australia

Local Institution - 0215

Herston, Queensland, Australia

Local Institution - 0191

Woolloongabba, Queensland, Australia

Local Institution - 0156

Adelaide, South Australia, Australia

Lyell McEwin Hospital

Elizabeth Vale, South Australia, Australia

Local Institution - 0196

Ballarat, Victoria, Australia

Local Institution - 0190

Epping, Victoria, Australia

Local Institution - 0194

Shepparton, Victoria, Australia

Local Institution - 0519

St Albans, Victoria, Australia

St. John of God Murdoch Hospital

Murdoch, Western Australia, Australia

Local Institution - 0160

Malvern, Australia

Local Institution - 0159

Wentworthville, Australia

Local Institution - 0078

Linz, Austria

Local Institution - 0178

Salzburg, Austria

Local Institution - 0082

Vienna, Austria

Local Institution - 0103

Edegem, Antwerpen, Belgium

Local Institution - 0179

Brussels, MO, Belgium

Local Institution - 0122

Roeselare, West-Vlaanderen, Belgium

Local Institution - 0118

Brussels, Belgium

Local Institution - 0115

Leuven, Belgium

Local Institution - 0267

Curitiba, Paraná, Brazil

Local Institution - 0331

Natal/RN, Rio Grande do Norte, Brazil

Local Institution - 0342

Porto Alegre, Rio Grande do Sul, Brazil

Local Institution - 0373

Santa Cruz do Sul, Rio Grande do Sul, Brazil

Local Institution - 0266

Barretos, São Paulo, Brazil

Local Institution - 0268

São Paulo, Brazil

Local Institution - 0341

São Paulo, Brazil

Local Institution - 0550

Calgary, Alberta, Canada

Local Institution - 0260

Halifax, Nova Scotia, Canada

Local Institution - 0255

Ottawa, Ontario, Canada

Local Institution - 0421

Toronto, Ontario, Canada

Local Institution - 0258

Montreal, Quebec, Canada

Local Institution - 0423

Montreal, Quebec, Canada

Local Institution - 0261

Sherbrooke, Quebec, Canada

Local Institution - 0171

Recoleta, Santiago Metropolitan, Chile

Local Institution - 0463

Santiago, Santiago Metropolitan, Chile

Local Institution - 0175

Santiago, Santiago Metropolitan, Chile

Local Institution - 0595

Hefei, Anhui, China

Local Institution - 0499

Chongqing, Chongqing Municipality, China

Local Institution - 0354

Fuzhou, Fujian, China

Local Institution - 0388

Fuzhou Fujian, Fujian, China

Local Institution - 0414

Guangzhou, Guangdong, China

Local Institution - 0130

Guangzhou, Guangdong, China

Local Institution - 0390

Tianjin, Hebei, China

Local Institution - 0353

Harbin, Heilongjiang, China

Local Institution - 0384

Nanyang, Henan, China

Local Institution - 0391

Wuhan, Hubei, China

Local Institution - 0376

Changsha, Hunan, China

Local Institution - 0411

Changsha, Hunan, China

Local Institution - 0398

Yangzhou, Jiangsu, China

Local Institution - 0381

Nanchang, Jiangxi, China

Local Institution - 0352

Shenyang, Liaoning, China

Local Institution - 0355

Shenyang, Liaoning, China

Local Institution - 0382

Jinan, Shandong, China

Local Institution - 0378

Shanghai, Shanghai Municipality, China

Local Institution - 0498

Chengdu, Sichuan, China

Local Institution - 0360

Hangzhou, Zhejiang, China

Local Institution - 0383

Hangzhou, Zhejiang, China

Local Institution - 0409

Beijing, China

Local Institution - 0457

Hangzhou, China

Local Institution - 0416

Nanjing, Jiangsu, China

Local Institution - 0356

Shanghai, China

Local Institution - 0412

Wuhan, China

Local Institution - 0248

Prague, Praha 5, Czechia

Local Institution - 0461

Prague, Praha, Hlavní Mesto, Czechia

Local Institution - 0180

Brno, Czechia

Local Institution - 0188

Hradec Králové, Czechia

Local Institution - 0467

Olomouc, Czechia

Local Institution - 0489

Prague, Czechia

Local Institution - 0202

Marseille, Bouches-du-Rhône, France

Local Institution - 0590

Besançon, Doubs, France

Local Institution - 0182

Saint-Herblain, Loire-Atlantique, France

Local Institution - 0618

Lorient, Morbihan, France

Local Institution - 0125

Nantes, Pays de la Loire Region, France

Local Institution - 0121

Marseille, Provence-Alpes-Côte d'Azur Region, France

Local Institution - 0138

Dijon, France

Local Institution - 0616

Limoges, France

Local Institution - 0183

Paris, France

Local Institution - 0181

Pessac, France

Local Institution - 0127

Rouen, France

Local Institution - 0097

Toulose, France

Local Institution - 0098

Villejuif, France

Local Institution - 0591

Erlangen, Bavaria, Germany

Local Institution - 0607

Hanover, Lower Saxony, Germany

Local Institution - 0033

Dresden, Saxony, Germany

Local Institution - 0035

Berlin, Germany

Local Institution - 0061

Bochum, Germany

Local Institution - 0588

Chemnitz, Germany

Local Institution - 0057

Düsseldorf, Germany

Local Institution - 0040

Frankfurt, Germany

Local Institution - 0058

Göttingen, Germany

Local Institution - 0039

Hamburg, Germany

Local Institution - 0594

Hamburg, Germany

Local Institution - 0041

Leipzig, Germany

Local Institution - 0060

Mainz, Germany

Local Institution - 0059

Mannheim, Germany

Local Institution - 0034

München, Germany

Local Institution - 0037

Ulm, Germany

Local Institution - 0203

Veszprém, Hungary

Local Institution - 0010

Nashik, Dādra and Nagar Haveli and Damān and Diu, India

Local Institution - 0036

Mumbai, Maharashtra, India

Local Institution - 0552

Mumbai, Maharashtra, India

Local Institution - 0006

Delhi, India

Local Institution - 0554

Delhi, India

Local Institution - 0557

Puducherry, India

Local Institution - 0038

Pune, India

Local Institution - 0584

San Giovanni Rotondo, Foggia, Italy

Local Institution - 0231

Milan, Milano, Italy

Local Institution - 0227

Catania, Italy

Local Institution - 0111

Milan, Italy

Local Institution - 0236

Napoli, Italy

Local Institution - 0221

Padua, Italy

Local Institution - 0226

Pisa, Italy

Local Institution - 0233

Reggio Emilia, Italy

Local Institution - 0053

Chiba, Chiba, Japan

Local Institution - 0045

Matsuyama, Ehime, Japan

Local Institution - 0051

Sapporo, Hokkaido, Japan

Local Institution - 0047

Kobe, Hyōgo, Japan

Local Institution - 0056

Yokohama, Kanagawa, Japan

Local Institution - 0476

Kurashiki, Okayama-ken, Japan

The University of Osaka Hospital

Suita, Osaka, Japan

Local Institution - 0521

Takatsuki, Osaka, Japan

Local Institution - 0046

Hidaka, Saitama, Japan

Local Institution - 0475

Chuo-ku, Tokyo, Japan

The Cancer Institute Hospital of JFCR

Koto-ku, Tokyo, Japan

Local Institution - 0473

Chikusa-ku, Japan

Local Institution - 0052

Fukuoka, Japan

Local Institution - 0493

Kashiwa, Japan

Local Institution - 0597

Kitaadachi-gun, Japan

Local Institution - 0506

Osaka, Japan

Local Institution - 0067

Sendai, Japan

Local Institution - 0054

Sunto-gun, Japan

Local Institution - 0112

Amsterdam, North Holland, Netherlands

Local Institution - 0170

Groningen, Netherlands

Local Institution - 0216

Tilburg, Netherlands

Local Institution - 0167

Utrecht, Netherlands

Local Institution - 0364

Krakow, Lesser Poland Voivodeship, Poland

Local Institution - 0452

Jelenia Góra, Lower Silesian Voivodeship, Poland

Local Institution - 0363

Warsaw, Masovian Voivodeship, Poland

Local Institution - 0525

Warsaw, Masovian Voivodeship, Poland

Local Institution - 0359

Warsaw, Masovian Voivodeship, Poland

Local Institution - 0451

Gliwice, Silesian Voivodeship, Poland

Local Institution - 0362

Opole, Poland

Local Institution - 0282

Cluj-Napoca, Cluj, Romania

Local Institution - 0100

Bucharest, Romania

Local Institution - 0142

Cluj-Napoca, Romania

Local Institution - 0189

Craiova, Romania

Local Institution - 0370

Iași, Romania

Local Institution - 0143

Iași, Romania

Local Institution - 0145

Singapore, Central Singapore, Singapore

Local Institution - 0147

Singapore, Singapore

Local Institution - 0285

Singapore, Singapore

Local Institution - 0511

Singapore, Singapore

Local Institution - 0406

Seongnam, Gyeonggido, South Korea

Local Institution - 0404

Seoul, Seoul-teukbyeolsi [Seoul], South Korea

Local Institution - 0394

Seoul, Seoul-teukbyeolsi [Seoul], South Korea

Local Institution - 0395

Seoul, Seoul-teukbyeolsi [Seoul], South Korea

Local Institution - 0492

Seoul, South Korea

Local Institution - 0405

Seoul, South Korea

Local Institution - 0163

Badalona, Barcelona [Barcelona], Spain

Local Institution - 0240

Barcelona, Barcelona [Barcelona], Spain

Local Institution - 0229

Madrid, Madrid, Comunidad de, Spain

Local Institution - 0225

Pamplona, Navarre, Spain

Local Institution - 0228

Madrid, Spain

Local Institution - 0232

Málaga, Spain

Local Institution - 0593

Santiago de Compostela, Spain

Local Institution - 0234

Seville, Spain

Local Institution - 0074

Stockholm, Stockholm County, Sweden

Local Institution - 0185

Gothenburg, Västra Götaland County, Sweden

Local Institution - 0400

Lund, Sweden

Local Institution - 0301

Kaohsiung Niao Sung Dist, Kaohsiung, Taiwan

Local Institution - 0289

Kaohsiung City, Taiwan

Local Institution - 0291

Tainan, Taiana, Taiwan

Local Institution - 0297

Taipei, Taiwan

Local Institution - 0300

Taipei, Taiwan

Local Institution - 0449

Taoyuan District, Taiwan

Local Institution - 0020

Adana, Turkey (Türkiye)

Local Institution - 0065

Ankara, Turkey (Türkiye)

Local Institution - 0018

Erzurum, Turkey (Türkiye)

Local Institution - 0296

Istanbul, Turkey (Türkiye)

Local Institution - 0295

Kadiköy/Istanbul, Turkey (Türkiye)

The Christie NHS Foundation Trust

Manchester, Lancashire, United Kingdom

Local Institution - 0596

London, United Kingdom

Royal Marsden Hospital

London, United Kingdom

Maidstone and Tunbridge Wells NHS Trust

Maidstone, United Kingdom

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NCT07221357