Can a Two-Drug immunotherapy combo outperform standard care in Late-Stage colorectal cancer?
NCT ID NCT05328908
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
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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769 people
The number who actually took part.
- Started
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Apr 2022
- Finished
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Jul 2025
- Lead sponsor
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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
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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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 Hide 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.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Local Institution - 0001
Greenslopes, Queensland, 4120, Australia
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Local Institution - 0003
Edmonton, Alberta, T6G 1Z2, Canada
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Local Institution - 0004
Sherbrooke, Quebec, J1H 5N4, Canada
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Local Institution - 0005
Madison, Wisconsin, 53705-2275, United States
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Local Institution - 0007
Toronto, Ontario, M5G 2M9, Canada
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Local Institution - 0008
Charleston, South Carolina, 29414, United States
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Local Institution - 0009
Durham, North Carolina, 27710, United States
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Local Institution - 0010
Clayton, Victoria, 3168, Australia
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Local Institution - 0012
Los Angeles, California, 90089-0112, United States
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Local Institution - 0014
Ottawa, Ontario, K1H 8L6, Canada
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Local Institution - 0015
Santiago, RM, 7560908, Chile
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Local Institution - 0016
Hradec Králové, 500 05, Czechia
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Local Institution - 0017
Caen, Caen, 14000, France
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Local Institution - 0018
Krakow, 30-727, Poland
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Local Institution - 0019
Montreal, Quebec, H2X 3E4, Canada
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Local Institution - 0020
Levallois-Perret, 92300, France
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Local Institution - 0021
Melbourne, Victoria, 3084, Australia
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Local Institution - 0022
Ciudad Autónoma Buenos Aires, Buenos Aires, 1425, Argentina
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Local Institution - 0023
Rio Grande, 8500, Argentina
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Local Institution - 0024
Ciudad Autónoma Buenos Aires, 1834, Argentina
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Local Institution - 0025
Miami, Florida, 33176, United States
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Local Institution - 0026
Ciudad Autónoma Buenos Aires, B, C1181ACH, Argentina
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Local Institution - 0027
Murdoch, Western Australia, 6150, Australia
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Local Institution - 0029
Badalona, B, 08916, Spain
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Local Institution - 0030
Graz, 6800, Austria
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Local Institution - 0031
Atlanta, Georgia, 30342, United States
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Local Institution - 0033
Santiago, RM, 8380456, Chile
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Local Institution - 0034
München, 81377, Germany
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Local Institution - 0035
Seville, 41013, Spain
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Local Institution - 0036
Lyon, 69008, France
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Local Institution - 0037
Warsaw, Pl-mz, 05-400, Poland
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Local Institution - 0038
Stockholm, AB, 112 81, Sweden
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Local Institution - 0039
Suresnes, 92151, France
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Local Institution - 0040
Hamburg, 20249, Germany
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Local Institution - 0041
Frankfurt A. Main, Hesse, 60488, Germany
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Local Institution - 0042
Ann Arbor, Michigan, 48109-1382, United States
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Local Institution - 0043
East Brunswick, New Jersey, 08816-3340, United States
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Local Institution - 0044
Springdale, Arkansas, 72762-5328, United States
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Local Institution - 0045
Milan, 20133, Italy
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Local Institution - 0046
Milan, MI, 20162, Italy
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Local Institution - 0050
Amsterdam, 1066 CX, Netherlands
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Local Institution - 0051
Warsaw, Masovian Voivodeship, 02-507, Poland
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Local Institution - 0052
Warsaw, 02-781, Poland
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Local Institution - 0053
Würzburg, Bavaria, 97080, Germany
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Local Institution - 0054
Mannheim, Baden-Wurttemberg, 68167, Germany
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Local Institution - 0055
Berlin, State of Berlin, 13353, Germany
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Local Institution - 0056
Reutlingen, Baden-Wurttemberg, 72764, Germany
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Local Institution - 0057
Aarau, Canton of Aargau, 5000, Switzerland
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Local Institution - 0058
Uppsala, C, 751 85, Sweden
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Local Institution - 0059
Reggio Emilia, RE, 42123, Italy
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Local Institution - 0060
Catania, 95122, Italy
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Local Institution - 0061
Naples, 80138, Italy
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Local Institution - 0062
Woluwé-Saint-Lambert, BRU, 1200, Belgium
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Local Institution - 0064
Prague, 150 06, Czechia
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Local Institution - 0066
Bordeaux, 33000, France
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Local Institution - 0067
Gothenburg, 413 45, Sweden
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Local Institution - 0068
Ghent, VOV, 9000, Belgium
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Local Institution - 0069
Bern, 3010, Switzerland
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Local Institution - 0070
Edegem, 2650, Belgium
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Local Institution - 0071
Boise, Idaho, 83712-6267, United States
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Local Institution - 0072
Seoul, Seoul-teukbyeolsi, 03722, South Korea
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Local Institution - 0073
Goyang-si, Gyeonggi-do, 10408, South Korea
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Local Institution - 0074
Seoul, 110-744, South Korea
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Local Institution - 0075
Seoul, 06351, South Korea
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Local Institution - 0076
Tainan, TNN, 704, Taiwan
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Local Institution - 0077
Tainan, 70403, Taiwan
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Local Institution - 0078
Klagenfurt, 9020, Austria
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Local Institution - 0080
Barcelona, 08035, Spain
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Local Institution - 0081
Fort Wayne, Indiana, 46805, United States
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Local Institution - 0082
Cincinnati, Ohio, 45220, United States
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Local Institution - 0083
Suita-Shi, 565-0871, Japan
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Local Institution - 0084
Kashiwa-Shi, 277-8577, Japan
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Local Institution - 0085
Sunto-gun, 411-8777, Japan
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Local Institution - 0086
Kawasaki-Shi, 216-8511, Japan
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Local Institution - 0087
Singapore, 329563, Singapore
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Local Institution - 0088
Sapporo, 060-8648, Japan
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Local Institution - 0089
Paris, 75012, France
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Local Institution - 0090
Dijon, 21000, France
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Local Institution - 0091
Genova, 16132, Italy
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Local Institution - 0092
Seoul, 05505, South Korea
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Local Institution - 0093
Barcelona, B, 08036, Spain
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Local Institution - 0094
Malmö, 214 28, Sweden
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Local Institution - 0095
Columbus, Ohio, 43210-1240, United States
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Local Institution - 0096
Sioux Falls, South Dakota, 57104, United States
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Local Institution - 0097
Fort Worth, Texas, 76104-4611, United States
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Local Institution - 0098
Wagga Wagga, New South Wales, 2650, Australia
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Local Institution - 0099
Hořovice, 26801, Czechia
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Local Institution - 0100
Olomouc, 775 20, Czechia
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Local Institution - 0101
Essen, North Rhine-Westphalia, 45147, Germany
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Local Institution - 0102
Madrid, M, 28041, Spain
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Local Institution - 0103
Chūōku, 104-0045, Japan
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Local Institution - 0104
Montreal, Quebec, H4A 3J1, Canada
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Local Institution - 0105
Hidaka-shi, 350-1298, Japan
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Local Institution - 0106
San Juan, PR, 00927, Puerto Rico
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Local Institution - 0107
Chiba, 260-8717, Japan
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Local Institution - 0108
Kōtoku, 135-8550, Japan
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Local Institution - 0109
Singapore, 169610, Singapore
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Local Institution - 0110
Osaka, Osaka, 5418567, Japan
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Local Institution - 0111
Kaohsiung City, KHH, 83301, Taiwan
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Local Institution - 0112
A Coruña, 15006, Spain
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Local Institution - 0113
Madrid, Madrid, 28046, Spain
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Local Institution - 0114
Westmead, New South Wales, 2145, Australia
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Local Institution - 0115
Naples, 80131, Italy
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Local Institution - 0116
Zaragoza, Z, 50009, Spain
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Local Institution - 0117
Norwich, Connecticut, 06360-2753, United States
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Local Institution - 0118
Matsuyama, 791-0280, Japan
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Local Institution - 0119
Kitaadachi-gun, 362-0806, Japan
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Local Institution - 0120
Leuven, 3000, Belgium
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Local Institution - 0121
Zhongzheng, TPE, 100, Taiwan
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Local Institution - 0122
Beijing, 100142, China
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Local Institution - 0123
Ostrava, 708 52, Czechia
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Local Institution - 0124
Yokohama, 241-8515, Japan
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Local Institution - 0126
Wuhan, HB, 430071, China
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Local Institution - 0127
Nashville, Tennessee, 37203-2173, United States
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Local Institution - 0128
Changhua, CHA, 500, Taiwan
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Local Institution - 0129
Seongnamsi Bundanggu, 13620, South Korea
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Local Institution - 0131
Salzburg, 5020, Austria
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Local Institution - 0132
Richmond, Virginia, 23284, United States
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Local Institution - 0134
Chongqing, CQ, 400030, China
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Local Institution - 0135
Stockholm, AB, 171 76, Sweden
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Local Institution - 0138
Changsha, HN, 410013, China
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Local Institution - 0139
Hangzhou, 310003, China
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Local Institution - 0141
Taiyuan, SX, 030013, China
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Local Institution - 0142
Jinan, SD, 250117, China
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Local Institution - 0143
Nanjing, JS, 210008, China
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Local Institution - 0144
Chengdu, Sichuan, 610041, China
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Local Institution - 0146
Huaian, Jiangsu, 223300, China
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Local Institution - 0147
Philadelphia, Pennsylvania, 19111-2434, United States
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Local Institution - 0148
Padova, PD, 35128, Italy
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Local Institution - 0149
Shenyang, 110042, China
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Local Institution - 0150
Tianjin, TJ, 300121, China
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Local Institution - 0151
Guangzhou, Guangdong, 510655, China
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Local Institution - 0152
Xi'an, SHA, 710038, China
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Local Institution - 0153
Shanghai, 200032, China
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Local Institution - 0154
Kasama-Shi, 309-1793, Japan
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Local Institution - 0158
Changsha, Hunan, 410013, China
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Local Institution - 0160
Hangzhou, ZJ, 310022, China
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Local Institution - 0164
Wuhan, Hubei, 430079, China
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Massachusetts General Hospital,
Boston, Massachusetts, 02214, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a targeted drug conjugate outsmart advanced colorectal cancer?
- Can an antimalarial drug boost immunotherapy against colorectal cancer?
- Can a platform trial match the right drug combo to each tumor?
- Can radiation turn tumors into targets for immunotherapy?
- Can a Two-Drug combo stall advanced colorectal cancer?
- New camera modes could sharpen Colonoscopy's eye for precancerous polyps