Clinical trial Recruiting at 8 sites Phase 2 Interventional Ages 18 and up

Evaluating RBS2418 for advanced colorectal cancer

Official title: A Randomized, Double-Blind, Placebo-Controlled, Phase 2a Study of RBS2418 Plus Best Supportive Care (BSC) in Subjects With Advanced, Metastatic, and Progressive Colorectal Cancer

Run by Riboscience, LLC. · NCT06824064 · Data updated 2026-11-12

This study is testing a new immune treatment called RBS2418 to see if it can help people with advanced colorectal cancer who haven't had success with other treatments.

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment150 (estimated)
SponsorRiboscience, LLC.
Industry-sponsored
Drugs / interventionschemotherapy, immunotherapy, radiation
Locations8 sites (Newark, Delaware and 7 other locations)
StatusRecruiting
StartedJanuary 17, 2025
Main results expectedDecember 2027
Study endsDecember 2027
Registry record updatedNovember 5, 2026
Trial IDNCT06824064 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older with advanced, metastatic colorectal cancer who have failed or are intolerant to standard therapies.

Probably not a fit

Patients who have not yet received standard-of-care therapies or those with other active malignancies may not benefit from this study.

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

What this trial studies

This Phase 2a clinical trial investigates the efficacy and safety of RBS2418, an immune modulator, in patients with advanced, metastatic, and progressive colorectal cancer who have not responded to standard treatments. Participants will receive either RBS2418 or a placebo alongside best supportive care, with treatment cycles lasting up to two years or until disease progression. The study aims to assess the immunogenicity of RBS2418 and its potential to activate anti-tumor responses in the immune system. Adverse events will be closely monitored throughout the trial to ensure participant safety.

Why it matters

Potential benefit: If successful, this treatment could provide a new therapeutic option for patients with advanced colorectal cancer who have exhausted standard care options.

How similar studies have gone: While this approach is novel, similar immune modulation strategies have shown promise in other cancer types, suggesting potential for success.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. At least 18 years of age on the day of signing informed consent.
2. Male and female subjects with advanced, metastatic, progressive CRC who have received, been ineligible for, intolerant to, or declined all approved standard of care (SOC) therapies for metastatic CRC, as per local SOC treatment regimens. Additionally, subjects must have documented PD based on two scans performed within 2 to 4 months of study initiation.
3. Have histologically or cytologically confirmed CRC diagnosis based on pathology report.
4. Willing to submit a pre-treatment tissue sample (archival, or fresh tissue if archival is not available).

Exclusion Criteria:

1. Any approved anti-cancer therapy including chemotherapy, targeted small molecule therapy, systemic immunotherapy, or radiation therapy within 2 weeks prior to the first dose of study treatment; or if subject has not recovered (i.e., ≤ to Grade 1 or returned to baseline level) from AEs due to a previously administered agent; the following exceptions are allowed:

   * Palliative radiotherapy for bone metastases or soft tissue lesions should be completed \>7 days prior to the first dose of study treatment.
   * Hormone-replacement therapy or oral contraceptives.
   * Subjects with Grade 2 neuropathy or Grade 2 alopecia.
2. Subjects with evidence of rapid progression on prior therapy resulting in rapid clinical deterioration.
3. Malignancies other than indications open for enrollment within 3 years prior to Day 1, except for those with negligible risk of metastasis or death treated with expected curative outcome, undergoing active surveillance, or treatment-naïve for indolent tumors.

Where it's running

  • Christiana Care
    Newark, Delaware, United States
    Recruiting
  • Comprehensive Cancer Centers of Nevada
    Las Vegas, Nevada, United States
    Recruiting
  • SCRI Oncology LLC
    Nashville, Tennessee, United States
    Recruiting
  • Community Clinical Trials
    Kingwood, Texas, United States
    Recruiting
  • Pan Oncology
    San Juan, Puerto Rico
    Recruiting
  • Tam Anh, Ha Noi General Hospital
    Hanoi, Hanoi, Vietnam
    Recruiting
Show 2 more locations
  • Tam Anh TP. Ho Chi Minh General Hospital
    Ho Chi Minh City, Ho Chi Minh City, Vietnam
    Recruiting
  • Oncology Hospital
    Ho Chi Minh City, Vietnam
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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.