Testing BMS-986490 with or without Bevacizumab for advanced solid tumors

A Phase 1/2a, Multicenter, Open-label, First in Human Study of BMS-986490 With or Without Bevacizumab in Advanced Solid Tumors

Phase1; Phase2 Interventional Bristol-Myers Squibb · NCT06730750

This study is testing a new treatment called BMS-986490, with and without another drug called bevacizumab, to see if it helps people with advanced solid tumors like colorectal, non-small cell lung, and gastric cancer who haven't had success with other treatments.

Quick facts

PhasePhase1; Phase2
Study typeInterventional
Enrollment360 (estimated)
Ages18 Years and up
SexAll
SponsorBristol-Myers Squibb Industry-sponsored
Drugs / interventionsbevacizumab
Locations6 sites (Los Angeles, California and 5 other locations)
Trial IDNCT06730750 on ClinicalTrials.gov

What this trial studies

This study evaluates the effectiveness of BMS-986490, both alone and in combination with bevacizumab, in patients with advanced solid tumors that express CEACAM5. Participants include those with colorectal cancer, non-small cell lung cancer, and gastric cancer who have not responded to previous treatments. The study aims to determine the safety and efficacy of these treatments in this specific patient population. It is conducted in multiple phases to assess both initial responses and longer-term outcomes.

Who should consider this trial

Good fit: Ideal candidates are adults with advanced, unresectable solid tumors, specifically colorectal cancer, non-small cell lung cancer, or gastric cancer, who have progressed after standard therapies.

Not a fit: Patients with early-stage tumors or those who have not yet undergone standard treatment regimens may not benefit from this study.

Why it matters

Potential benefit: If successful, this treatment could provide a new therapeutic option for patients with advanced solid tumors that have limited treatment alternatives.

How similar studies have performed: Other studies have shown promise with similar therapeutic approaches, but this specific combination is being evaluated for the first time.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Documented histologically or cytologically confirmed, advanced, unresectable/metastatic solid tumor measurable by RECIST v1.1.
* CRC: Part 1A, Part 2A-CRC, Part 1B, and Part 2B:

  i) Locally advanced/metastatic, recurrent, or unresectable CRC with adenocarcinoma histology and whose disease has progressed after systemic cancer therapy in the metastatic or adjuvant setting including 5-FU, irinotecan, and/or oxaliplatin (if available and not contraindicated).
* NSCLC: Part 2A-NSCLC/GC, 2L+ NSCLC:

  i) Histologically confirmed NSCLC meeting stage criteria for Stage IIIB, Stage IV, or recurrent disease.

ii) Participants must have received and progressed on or after anti-PD-(L)1 therapy, if available.

\- GC: Part 2A-NSCLC/GC, 2L+ GC: i) Participants must have received and then progressed or been intolerant to at least 1 standard treatment regimen in the advanced or metastatic setting (or have progressed within 6 months of adjuvant therapy).

ii) ECOG performance status of 0 or 1.

Exclusion Criteria:

* History of anaphylactic reactions to irinotecan and/or bevacizumab.
* Previously received therapy targeting CEACAM5.
* Grade ≥3 ILD/pneumonitis.
* Other protocol-defined Inclusion/Exclusion criteria apply.

Where this trial is running

Los Angeles, California and 5 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Advanced Solid TumorsColorectal CancerNon-small Cell Lung cancerGastric Cancer
Last reviewed 2026-06-13 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.