Clinical trial Recruiting at 47 sites Phase 2 Interventional Ages 18 and up

Comparing IV telisotuzumab adizutecan versus standard care for colorectal cancer patients who are ctDNA-positive with no visible disease

Official title: A Phase 2, Randomized, Open-Label Study Comparing Telisotuzumab Adizutecan (ABBV-400) Monotherapy to the Current Standard of Care in Subjects With Post Adjuvant ctDNA Positive Colorectal Cancer and No Radiographic Evidence of Disease (NED)

Run by AbbVie · NCT07023289 · Data updated 2026-11-12

This tests whether an IV drug, telisotuzumab adizutecan, or standard care can help adults with colorectal cancer who are ctDNA-positive after adjuvant therapy but have no visible disease on scans.

More Colorectal Cancer trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment140 (estimated)
SponsorAbbVie
Industry-sponsored
Drugs / interventionschemotherapy, radiation, telisotuzumab
Locations48 sites (Huntsville, Alabama and 47 other locations)
StatusRecruiting
StartedSeptember 2, 2025
Main results expectedNovember 2029
Study endsNovember 2029
Registry record updatedOctober 9, 2026
Trial IDNCT07023289 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with histologically confirmed colon or rectal adenocarcinoma who completed at least three months of platinum-based doublet adjuvant chemotherapy, have no radiographic evidence of disease, are ctDNA-positive after adjuvant therapy, and can provide surgical tumor material for testing are ideal candidates.

Probably not a fit

Patients with visible radiographic disease, who are ctDNA-negative after adjuvant therapy, who did not receive the required adjuvant chemotherapy regimen, or who cannot provide tumor tissue are unlikely to benefit from this protocol.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This randomized Phase 2 interventional trial enrolls about 140 adults with resected colorectal adenocarcinoma who are ctDNA-positive after finishing adjuvant platinum-based chemotherapy and have no radiographic evidence of disease. Participants are assigned to one of two arms: intravenous telisotuzumab adizutecan alone or standard of care alone, with tumor tissue submitted for biomarker (c-Met) testing and personalized ctDNA panel confirmation. The study monitors safety (adverse events) and change in disease activity over a planned duration of roughly 51 months, with regular on-site visits for infusions and follow-up imaging and blood tests. The protocol includes requirements for available surgical tumor material and timely start of treatment after ctDNA confirmation.

Why it matters

Potential benefit: If successful, this approach could reduce cancer recurrence in patients with molecular evidence of residual disease and provide a targeted adjuvant option for ctDNA-positive colorectal cancer.

How similar studies have gone: ctDNA-directed adjuvant strategies are an active and promising area of research with early signals of benefit, but telisotuzumab adizutecan itself is investigational in this setting and not yet proven effective.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Has histologically or cytologically confirmed adenocarcinoma of the colon or rectum.
* Surgical tumor material should be available for Signatera ctDNA personalized panel design.
* Must have received at least 3 months of platinum-based doublet adjuvant and/or neoadjuvant chemotherapy but may not have been treated with topoisomerase inhibitors as part of adjuvant therapy.
* Has no radiographic evidence of disease (NED) confirmed by chest, abdominal, and pelvic computed tomography (CT) scans within 6 weeks prior to Cycle 1 Day 1 (C1D1) dosing.
* Circulating tumor deoxyribonucleic acid (ctDNA) positive within 1 year either after the end of adjuvant therapy or after tumor resection in subjects who are receiving neoadjuvant therapy and begin treatment within 6 weeks after ctDNA positivity is confirmed (reported).
* For participants with rectal cancer a total of at least 3 months of perioperative and/or adjuvant platinum-based doublet must have been administered. Please note that short course radiation or long-course chemoradiation does not count towards this 3-month minimum of platinum-doublet perioperative and/or adjuvant therapy.

Exclusion Criteria:

* No availability of surgical tissue sample.
* History of interstitial lung disease (ILD) or pneumonitis that required treatment with systemic steroids, or any evidence of active ILD or pneumonitis on screening chest computed tomography (CT) scan.

Where it's running

  • Providence Medical Foundation - Fullerton /ID# 274207
    Fullerton, California, United States
    Recruiting
  • USC Norris Comprehensive Cancer Center /ID# 274550
    Los Angeles, California, United States
    Recruiting
  • Mayo Clinic Hospital Jacksonville /ID# 274472
    Jacksonville, Florida, United States
    Recruiting
  • Moffitt Cancer Center /ID# 274372
    Tampa, Florida, United States
    Recruiting
  • University of Chicago Medical Center /ID# 274742
    Chicago, Illinois, United States
    Recruiting
  • Johns Hopkins Hospital /ID# 275645
    Baltimore, Maryland, United States
    Recruiting
Show 42 more locations
  • Massachusetts General Hospital /ID# 273608
    Boston, Massachusetts, United States
    Recruiting
  • University of Michigan Health System - Ann Arbor /ID# 273511
    Ann Arbor, Michigan, United States
    Recruiting
  • Scri Minnesota Oncology Hematology, P.A. /ID# 275149
    Minneapolis, Minnesota, United States
    Recruiting
  • Mayo Clinic-Rochester /ID# 273508
    Rochester, Minnesota, United States
    Recruiting
  • Northwell Health Center for Advanced Medicine. /ID# 275331
    Lake Success, New York, United States
    Recruiting
  • Duke University Medical Center /ID# 279457
    Durham, North Carolina, United States
    Recruiting
  • Northwest Cancer Specialists /ID# 275151
    Portland, Oregon, United States
    Recruiting
  • University of Pennsylvania - Perelman Center for Advanced Medicine /ID# 275407
    Philadelphia, Pennsylvania, United States
    Recruiting
  • SCRI Oncology Partners /ID# 274522
    Nashville, Tennessee, United States
    Recruiting
  • Texas Oncology - Central/South Texas /ID# 275154
    Austin, Texas, United States
    Recruiting
  • The Center For Cancer And Blood Disorders /ID# 278512
    Fort Worth, Texas, United States
    Recruiting
  • Texas Oncology-Grapevine /ID# 275155
    Grapevine, Texas, United States
    Recruiting
  • The University of Texas MD Anderson Cancer Center /ID# 273539
    Houston, Texas, United States
    Recruiting
  • Inova Schar Cancer Institute - Fairfax - Innovation Park Drive /ID# 274586
    Fairfax, Virginia, United States
    Recruiting
  • Virginia Cancer Specialists - Fairfax /ID# 274339
    Fairfax, Virginia, United States
    Recruiting
  • Cliniques Universitaires UCL Saint-Luc /ID# 278669
    Brussels, Brussels Capital, Belgium
    Recruiting
  • Universitair Ziekenhuis Leuven /ID# 278668
    Leuven, Vlaams-Brabant, Belgium
    Recruiting
  • CHU de Liege /ID# 278857
    Liège, Belgium
    Recruiting
  • Aarhus Universitetshospital - Skejby /ID# 274498
    Aarhus, Central Jutland, Denmark
    Recruiting
  • Odense University Hospital /ID# 274970
    Odense C, Region Syddanmark, Denmark
    Recruiting
  • Vejle Sygehus /ID# 274368
    Vejle, Region Syddanmark, Denmark
    Recruiting
  • Azienda Ospedaliero Universitaria Careggi /ID# 273604
    Florence, Firenze, Italy
    Recruiting
  • IRCCS Istituto Clinico Humanitas /ID# 273566
    Rozzano, Lombardy, Italy
    Recruiting
  • Azienda Ospedaliera Universitaria Luigi Vanvitelli /ID# 273540
    Naples, Napoli, Italy
    Recruiting
  • Aichi Cancer Center /ID# 275479
    Nagoya, Aichi-ken, Japan
    Recruiting
  • National Cancer Center Hospital East /ID# 273614
    Kashiwa-shi, Chiba, Japan
    Recruiting
  • Kyushu University Hospital /ID# 273710
    Fukuoka, Fukuoka, Japan
    Recruiting
  • Gifu University Hospital /ID# 274179
    Gifu, Gifu, Japan
    Recruiting
  • Yokohama City University Medical Center /ID# 273657
    Yokohama, Kanagawa, Japan
    Recruiting
  • Tohoku University Hospital /ID# 275481
    Sendai, Miyagi, Japan
    Recruiting
  • National Hospital Organization Osaka National Hospital /ID# 274306
    Osaka, Osaka, Japan
    Recruiting
  • Shizuoka Cancer Center /ID# 275480
    Sunto-gun, Shizuoka, Japan
    Recruiting
  • Seoul National University Hospital /ID# 274451
    Seoul, Seoul Teugbyeolsi, South Korea
    Recruiting
  • Asan Medical Center /ID# 274454
    Seoul, Seoul Teugbyeolsi, South Korea
    Recruiting
  • Samsung Medical Center /ID# 274452
    Seoul, Seoul Teugbyeolsi, South Korea
    Recruiting
  • Hospital Universitario Virgen del Rocio /ID# 273720
    Seville, Sevilla, Spain
    Recruiting
  • Hospital Universitario La Paz /ID# 273718
    Madrid, Spain
    Recruiting
  • Hospital Universitario de Salamanca /ID# 273719
    Salamanca, Spain
    Recruiting
  • Kaohsiung Medical University Chung-Ho Memorial Hospital /ID# 273745
    Kaohsiung City, Taiwan
    Recruiting
  • China Medical University Hospital /ID# 274644
    Taichung, Taiwan
    Recruiting
  • National Taiwan University Hospital /ID# 273580
    Taipei, Taiwan
    Recruiting
  • Clearview Cancer Institute - Huntsville - Cci Drive /ID# 278621
    Huntsville, Alabama, United States
    Completed

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.