Clinical trial Recruiting at 209 sites Phase2; Phase3 Interventional Ages 18 and up

Pumitamig plus chemotherapy versus bevacizumab plus chemotherapy for untreated metastatic colorectal cancer

Official title: 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

Run by Bristol-Myers Squibb · NCT07221357 · Data updated 2026-11-12

This trial tests whether adding the new drug pumitamig to standard chemotherapy works better than bevacizumab plus chemotherapy for people with previously untreated, unresectable, or metastatic colorectal cancer who do not have MSI‑H/dMMR or BRAF V600E mutations.

More Unresectable Metastatic Colorectal Cancer trials

Quick facts

PhasePhase2; Phase3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment990 (estimated)
SponsorBristol-Myers Squibb
Industry-sponsored
Drugs / interventionschemotherapy, bevacizumab
Locations286 sites (Tucson, Arizona and 285 other locations)
StatusRecruiting
StartedDecember 31, 2025
Main results expectedFebruary 2, 2030
Study endsMarch 11, 2034
Registry record updatedOctober 23, 2026
Trial IDNCT07221357 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults with histologically confirmed, previously untreated unresectable or metastatic colorectal adenocarcinoma that is MSS (non‑MSI‑H), BRAF V600E‑negative, measurable by RECIST v1.1, and without untreated CNS metastases.

Probably not a fit

Patients with MSI‑H/dMMR tumors, BRAF V600E mutations, prior systemic therapy for metastatic disease, untreated brain metastases, or recent other active malignancies are unlikely to qualify or derive benefit from this trial.

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 2/3 trial compares pumitamig combined with one of several standard chemotherapy backbones (FOLFOX, FOLFIRI, or CAPOX) against bevacizumab combined with the same chemotherapy options in adults with previously untreated, unresectable or metastatic colorectal adenocarcinoma. Eligible participants must have measurable disease per RECIST v1.1 and be negative for MSI‑H/dMMR and BRAF V600E. The study follows participants for safety and efficacy outcomes such as response rate, progression‑free survival, and overall survival with routine imaging and clinical assessments. Key exclusions include untreated central nervous system metastases, recent other active malignancies, or prior systemic therapy for metastatic disease.

Why it matters

Potential benefit: If successful, pumitamig plus chemotherapy could provide better tumor control and longer survival than current bevacizumab‑based first‑line regimens.

How similar studies have gone: Bevacizumab plus chemotherapy is an established first‑line standard for metastatic colorectal cancer, while replacing bevacizumab with a novel agent like pumitamig is experimental—earlier‑phase combinations of targeted agents with chemotherapy have shown encouraging signals but few definitive phase 3 successes to date.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria

* 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 Criteria

* 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, and/or ≥ 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.
* Other protocol-defined Inclusion/Exclusion criteria apply.

Where it's running

  • Highlands Oncology Group
    Springdale, Arkansas, United States
    Recruiting
  • USC/Norris Comprehensive Cancer Center
    Los Angeles, California, United States
    Recruiting
  • University of California, Irvine (UCI) Health - UC Irvine Medical Center
    Orange, California, United States
    Recruiting
  • California Pacific Medical Center - Pacific Campus
    San Francisco, California, United States
    Recruiting
  • Florida Cancer Specialists - East
    Cape Coral, Florida, United States
    Recruiting
  • Florida Cancer Specialists - North
    St. Petersburg, Florida, United States
    Recruiting
Show 44 more locations
  • Moffitt Cancer Center
    Tampa, Florida, United States
    Recruiting
  • Northside Hospital
    Atlanta, Georgia, United States
    Recruiting
  • Northwest Georgia Oncology Centers, a Service of Wellstar Cobb Hospital
    Marietta, Georgia, United States
    Recruiting
  • University of Chicago Medical Center
    Chicago, Illinois, United States
    Recruiting
  • University of Iowa
    Iowa City, Iowa, United States
    Recruiting
  • Maryland Oncology Hematology - Silver Spring
    Silver Spring, Maryland, United States
    Recruiting
  • Minnesota Oncology
    Maple Grove, Minnesota, United States
    Recruiting
  • Washington University School OF Medicine-Siteman Cancer Center
    St Louis, Missouri, United States
    Recruiting
  • University Of Nebraska Medical Center
    Omaha, Nebraska, United States
    Recruiting
  • Northwell Health/ RJ Zuckerberg Cancer Center
    Lake Success, New York, United States
    Recruiting
  • Laura and Isaac Perlmutter Cancer Center at NYU Langone
    Mineola, New York, United States
    Recruiting
  • New York Cancer and Blood Specialists
    Shirley, New York, United States
    Recruiting
  • Sanford Fargo Medical Center
    Fargo, North Dakota, United States
    Recruiting
  • The James Cancer Hospital and Solove Research Institute at The Ohio State University Comprehensive Cancer Center
    Columbus, Ohio, United States
    Recruiting
  • Lehigh Valley Health Network
    Allentown, Pennsylvania, United States
    Recruiting
  • Sanford Cancer Center
    Sioux Falls, South Dakota, United States
    Recruiting
  • SCRI Oncology Partners
    Nashville, Tennessee, United States
    Recruiting
  • Texas Oncology Dallas Fort Worth West (DFWW) - Arlington Cancer Center North
    Arlington, Texas, United States
    Recruiting
  • Texas Oncology, PA
    Austin, Texas, United States
    Recruiting
  • Baylor College of Medicine Medical Center
    Houston, Texas, United States
    Recruiting
  • Texas Oncology - San Antonio
    San Antonio, Texas, United States
    Recruiting
  • Virginia Oncology Associates
    Norfolk, Virginia, United States
    Recruiting
  • Northwest Cancer Specialists, P.C.
    Vancouver, Washington, United States
    Recruiting
  • Hospital Británico de Buenos Aires
    Caba, Buenos Aires, Argentina
    Recruiting
  • Centro Médico Fleischer
    Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina
    Recruiting
  • Instituto Alexander Fleming
    Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina
    Recruiting
  • Hospital Italiano de Buenos Aires
    Abb, Buenos Aires F.D., Argentina
    Recruiting
  • Clínica Mayo de Urgencias Médicas Cruz Blanca S.R.L
    San Miguel de Tucumán, Tucumán Province, Argentina
    Recruiting
  • Centro de Educación Médica e Investigaciones clínicas "Dr. Norberto Quirno" (CEMIC)
    Buenos Aires, Argentina
    Recruiting
  • Sanatorio Allende - Nueva Córdoba
    Córdoba, Argentina
    Recruiting
  • Chris O'Brien Lifehouse
    Camperdown, New South Wales, Australia
    Recruiting
  • Liverpool Hospital
    Liverpool, New South Wales, Australia
    Recruiting
  • GenesisCare St Leonards
    St Leonards, New South Wales, Australia
    Recruiting
  • Westmead Hospital
    Westmead, New South Wales, Australia
    Recruiting
  • Sunshine Coast University Hospital
    Birtinya, Queensland, Australia
    Recruiting
  • Royal Brisbane and Women's Hospital
    Brisbane, Queensland, Australia
    Recruiting
  • Gallipoli Medical Research Ltd
    Brisbane, Queensland, Australia
    Recruiting
  • Flinders Medical Centre
    Adelaide, South Australia, Australia
    Recruiting
  • Lyell McEwin Hospital
    Elizabeth Vale, South Australia, Australia
    Recruiting
  • Grampians Health
    Ballarat Central, Victoria, Australia
    Recruiting
  • Northern Hospital
    Epping, Victoria, Australia
    Recruiting
  • Cabrini Hospital - Malvern
    Malvern, Victoria, Australia
    Recruiting
  • Goulburn Valley Health
    Shepparton, Victoria, Australia
    Recruiting
  • Western Health-Sunshine & Footscray Hospitals
    St Albans, Victoria, Australia
    Recruiting

+236 more sites. See ClinicalTrials.gov for the full list.

Study contacts

Similar studies

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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.