Can a Two-Drug immunotherapy combo outperform standard care in Late-Stage colorectal cancer?

NCT ID NCT05328908

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early This study
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Aug 26, 2026 · Last updated Aug 27, 2026 · Updated 1 time

Summary

This clinical trial is testing whether a combination of two immunotherapy drugs, relatlimab and nivolumab, can help people with advanced colorectal cancer that has not responded to previous treatments. The study compares this combination to two standard chemotherapy options (regorafenib or TAS-102). Participants are adults with metastatic colorectal cancer that has progressed after at least one but no more than four prior lines of therapy. The main goal is to see if the immunotherapy combo improves overall survival compared to the standard treatments.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
A fixed-dose combination of two immunotherapy drugs, relatlimab and nivolumab, given as an infusion.
What this could lead to
If effective, this combination could offer a new treatment option for people with advanced colorectal cancer who have run out of standard options, potentially extending survival.
What could go wrong
This is a phase 3 trial, but the outcome is uncertain. The combination may not improve survival compared to existing treatments, and immunotherapy can cause immune-related side effects.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Phase 3

Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.

Participants

769 people

The number who actually took part.

Started

Apr 2022

Finished

Jul 2025

Lead sponsor

A company

The lead sponsor is a pharmaceutical, biotech, or medical-device company.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

18 years and older

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria * Histological confirmed previously treated colorectal cancer with adenocarcinoma histology with metastatic or recurrent unresectable disease at study entry. * Participants must have:. i) progressed during or within approximately 3 months following the last administration of approved standard therapies (at least 1, but not more than 4 prior lines of therapies in the metastatic setting), which must include a fluoropyrimidine, oxaliplatin, irinotecan, an anti-VEGF therapy, and anti-EGFR therapy (if RAS wild-type), if available in the respective country, or;. ii) been intolerant to prior systemic chemotherapy regimens if there is documented evidence of clinically significant intolerance despite adequate supportive measures. * Must have sufficient tumor tissue \& evaluable PD-L1 expression to meet the study requirements. * Must have measurable disease per RECIST v1.1. Participants with lesions in a previously irradiated field as the sole site of measurable disease will be permitted to enroll provided the lesion(s) have demonstrated clear progression and can be measured accurately. Exclusion Criteria * Prior treatment with either an immunotherapy or with regorafenib or with TAS-102. * Untreated central nervous system (CNS) metastases, participants are eligible if CNS metastases have been treated and participants have neurologically returned to baseline (except for residual signs or symptoms related to the CNS treatment). * History of refractory hypertension not controlled with anti-hypertensive therapy, myocarditis (regardless of etiology), uncontrolled arrhythmias, acute coronary syndrome within 6 months prior to dosing, Class II congestive heart failure (as per the New York Heart Association Functional Classification), interstitial lung disease/pneumonitis or an active, known or suspected autoimmune disease. * Confirmed tumor microsatellite instable high/deficient mismatch repair (MSI-H/dMMR) status as per local standard testing; MSI/MMR test results from initial diagnosis are acceptable. * Other protocol-defined Inclusion/Exclusion criteria apply.

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Conditions

The condition(s) this trial relates to.

colorectal cancer colorectal neoplasm Spinocerebellar Degenerations

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Local Institution - 0001

    Greenslopes, Queensland, 4120, Australia

  • Local Institution - 0003

    Edmonton, Alberta, T6G 1Z2, Canada

  • Local Institution - 0004

    Sherbrooke, Quebec, J1H 5N4, Canada

  • Local Institution - 0005

    Madison, Wisconsin, 53705-2275, United States

  • Local Institution - 0007

    Toronto, Ontario, M5G 2M9, Canada

  • Local Institution - 0008

    Charleston, South Carolina, 29414, United States

  • Local Institution - 0009

    Durham, North Carolina, 27710, United States

  • Local Institution - 0010

    Clayton, Victoria, 3168, Australia

  • Local Institution - 0012

    Los Angeles, California, 90089-0112, United States

  • Local Institution - 0014

    Ottawa, Ontario, K1H 8L6, Canada

  • Local Institution - 0015

    Santiago, RM, 7560908, Chile

  • Local Institution - 0016

    Hradec Králové, 500 05, Czechia

  • Local Institution - 0017

    Caen, Caen, 14000, France

  • Local Institution - 0018

    Krakow, 30-727, Poland

  • Local Institution - 0019

    Montreal, Quebec, H2X 3E4, Canada

  • Local Institution - 0020

    Levallois-Perret, 92300, France

  • Local Institution - 0021

    Melbourne, Victoria, 3084, Australia

  • Local Institution - 0022

    Ciudad Autónoma Buenos Aires, Buenos Aires, 1425, Argentina

  • Local Institution - 0023

    Rio Grande, 8500, Argentina

  • Local Institution - 0024

    Ciudad Autónoma Buenos Aires, 1834, Argentina

  • Local Institution - 0025

    Miami, Florida, 33176, United States

  • Local Institution - 0026

    Ciudad Autónoma Buenos Aires, B, C1181ACH, Argentina

  • Local Institution - 0027

    Murdoch, Western Australia, 6150, Australia

  • Local Institution - 0029

    Badalona, B, 08916, Spain

  • Local Institution - 0030

    Graz, 6800, Austria

  • Local Institution - 0031

    Atlanta, Georgia, 30342, United States

  • Local Institution - 0033

    Santiago, RM, 8380456, Chile

  • Local Institution - 0034

    München, 81377, Germany

  • Local Institution - 0035

    Seville, 41013, Spain

  • Local Institution - 0036

    Lyon, 69008, France

  • Local Institution - 0037

    Warsaw, Pl-mz, 05-400, Poland

  • Local Institution - 0038

    Stockholm, AB, 112 81, Sweden

  • Local Institution - 0039

    Suresnes, 92151, France

  • Local Institution - 0040

    Hamburg, 20249, Germany

  • Local Institution - 0041

    Frankfurt A. Main, Hesse, 60488, Germany

  • Local Institution - 0042

    Ann Arbor, Michigan, 48109-1382, United States

  • Local Institution - 0043

    East Brunswick, New Jersey, 08816-3340, United States

  • Local Institution - 0044

    Springdale, Arkansas, 72762-5328, United States

  • Local Institution - 0045

    Milan, 20133, Italy

  • Local Institution - 0046

    Milan, MI, 20162, Italy

  • Local Institution - 0050

    Amsterdam, 1066 CX, Netherlands

  • Local Institution - 0051

    Warsaw, Masovian Voivodeship, 02-507, Poland

  • Local Institution - 0052

    Warsaw, 02-781, Poland

  • Local Institution - 0053

    Würzburg, Bavaria, 97080, Germany

  • Local Institution - 0054

    Mannheim, Baden-Wurttemberg, 68167, Germany

  • Local Institution - 0055

    Berlin, State of Berlin, 13353, Germany

  • Local Institution - 0056

    Reutlingen, Baden-Wurttemberg, 72764, Germany

  • Local Institution - 0057

    Aarau, Canton of Aargau, 5000, Switzerland

  • Local Institution - 0058

    Uppsala, C, 751 85, Sweden

  • Local Institution - 0059

    Reggio Emilia, RE, 42123, Italy

  • Local Institution - 0060

    Catania, 95122, Italy

  • Local Institution - 0061

    Naples, 80138, Italy

  • Local Institution - 0062

    Woluwé-Saint-Lambert, BRU, 1200, Belgium

  • Local Institution - 0064

    Prague, 150 06, Czechia

  • Local Institution - 0066

    Bordeaux, 33000, France

  • Local Institution - 0067

    Gothenburg, 413 45, Sweden

  • Local Institution - 0068

    Ghent, VOV, 9000, Belgium

  • Local Institution - 0069

    Bern, 3010, Switzerland

  • Local Institution - 0070

    Edegem, 2650, Belgium

  • Local Institution - 0071

    Boise, Idaho, 83712-6267, United States

  • Local Institution - 0072

    Seoul, Seoul-teukbyeolsi, 03722, South Korea

  • Local Institution - 0073

    Goyang-si, Gyeonggi-do, 10408, South Korea

  • Local Institution - 0074

    Seoul, 110-744, South Korea

  • Local Institution - 0075

    Seoul, 06351, South Korea

  • Local Institution - 0076

    Tainan, TNN, 704, Taiwan

  • Local Institution - 0077

    Tainan, 70403, Taiwan

  • Local Institution - 0078

    Klagenfurt, 9020, Austria

  • Local Institution - 0080

    Barcelona, 08035, Spain

  • Local Institution - 0081

    Fort Wayne, Indiana, 46805, United States

  • Local Institution - 0082

    Cincinnati, Ohio, 45220, United States

  • Local Institution - 0083

    Suita-Shi, 565-0871, Japan

  • Local Institution - 0084

    Kashiwa-Shi, 277-8577, Japan

  • Local Institution - 0085

    Sunto-gun, 411-8777, Japan

  • Local Institution - 0086

    Kawasaki-Shi, 216-8511, Japan

  • Local Institution - 0087

    Singapore, 329563, Singapore

  • Local Institution - 0088

    Sapporo, 060-8648, Japan

  • Local Institution - 0089

    Paris, 75012, France

  • Local Institution - 0090

    Dijon, 21000, France

  • Local Institution - 0091

    Genova, 16132, Italy

  • Local Institution - 0092

    Seoul, 05505, South Korea

  • Local Institution - 0093

    Barcelona, B, 08036, Spain

  • Local Institution - 0094

    Malmö, 214 28, Sweden

  • Local Institution - 0095

    Columbus, Ohio, 43210-1240, United States

  • Local Institution - 0096

    Sioux Falls, South Dakota, 57104, United States

  • Local Institution - 0097

    Fort Worth, Texas, 76104-4611, United States

  • Local Institution - 0098

    Wagga Wagga, New South Wales, 2650, Australia

  • Local Institution - 0099

    Hořovice, 26801, Czechia

  • Local Institution - 0100

    Olomouc, 775 20, Czechia

  • Local Institution - 0101

    Essen, North Rhine-Westphalia, 45147, Germany

  • Local Institution - 0102

    Madrid, M, 28041, Spain

  • Local Institution - 0103

    Chūōku, 104-0045, Japan

  • Local Institution - 0104

    Montreal, Quebec, H4A 3J1, Canada

  • Local Institution - 0105

    Hidaka-shi, 350-1298, Japan

  • Local Institution - 0106

    San Juan, PR, 00927, Puerto Rico

  • Local Institution - 0107

    Chiba, 260-8717, Japan

  • Local Institution - 0108

    Kōtoku, 135-8550, Japan

  • Local Institution - 0109

    Singapore, 169610, Singapore

  • Local Institution - 0110

    Osaka, Osaka, 5418567, Japan

  • Local Institution - 0111

    Kaohsiung City, KHH, 83301, Taiwan

  • Local Institution - 0112

    A Coruña, 15006, Spain

  • Local Institution - 0113

    Madrid, Madrid, 28046, Spain

  • Local Institution - 0114

    Westmead, New South Wales, 2145, Australia

  • Local Institution - 0115

    Naples, 80131, Italy

  • Local Institution - 0116

    Zaragoza, Z, 50009, Spain

  • Local Institution - 0117

    Norwich, Connecticut, 06360-2753, United States

  • Local Institution - 0118

    Matsuyama, 791-0280, Japan

  • Local Institution - 0119

    Kitaadachi-gun, 362-0806, Japan

  • Local Institution - 0120

    Leuven, 3000, Belgium

  • Local Institution - 0121

    Zhongzheng, TPE, 100, Taiwan

  • Local Institution - 0122

    Beijing, 100142, China

  • Local Institution - 0123

    Ostrava, 708 52, Czechia

  • Local Institution - 0124

    Yokohama, 241-8515, Japan

  • Local Institution - 0126

    Wuhan, HB, 430071, China

  • Local Institution - 0127

    Nashville, Tennessee, 37203-2173, United States

  • Local Institution - 0128

    Changhua, CHA, 500, Taiwan

  • Local Institution - 0129

    Seongnamsi Bundanggu, 13620, South Korea

  • Local Institution - 0131

    Salzburg, 5020, Austria

  • Local Institution - 0132

    Richmond, Virginia, 23284, United States

  • Local Institution - 0134

    Chongqing, CQ, 400030, China

  • Local Institution - 0135

    Stockholm, AB, 171 76, Sweden

  • Local Institution - 0138

    Changsha, HN, 410013, China

  • Local Institution - 0139

    Hangzhou, 310003, China

  • Local Institution - 0141

    Taiyuan, SX, 030013, China

  • Local Institution - 0142

    Jinan, SD, 250117, China

  • Local Institution - 0143

    Nanjing, JS, 210008, China

  • Local Institution - 0144

    Chengdu, Sichuan, 610041, China

  • Local Institution - 0146

    Huaian, Jiangsu, 223300, China

  • Local Institution - 0147

    Philadelphia, Pennsylvania, 19111-2434, United States

  • Local Institution - 0148

    Padova, PD, 35128, Italy

  • Local Institution - 0149

    Shenyang, 110042, China

  • Local Institution - 0150

    Tianjin, TJ, 300121, China

  • Local Institution - 0151

    Guangzhou, Guangdong, 510655, China

  • Local Institution - 0152

    Xi'an, SHA, 710038, China

  • Local Institution - 0153

    Shanghai, 200032, China

  • Local Institution - 0154

    Kasama-Shi, 309-1793, Japan

  • Local Institution - 0158

    Changsha, Hunan, 410013, China

  • Local Institution - 0160

    Hangzhou, ZJ, 310022, China

  • Local Institution - 0164

    Wuhan, Hubei, 430079, China

  • Massachusetts General Hospital,

    Boston, Massachusetts, 02214, United States

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