A Phase II Clinical Trial Comparing the Efficacy of RO7198457 Versus Watchful Waiting in Patients With ctDNA-positive, Resected Stage II (High Risk) and Stage III Colorectal Cancer
Colorectal Cancer Stage II, Colorectal Cancer Stage III
About this trial
This is an interventional treatment trial for Colorectal Cancer Stage II focused on measuring Cancer, Colorectal Cancer
Eligibility Criteria
Inclusion Criteria:
- Patients must be a man or woman of at least 18 years of age.
Patients must have Stage II/Stage III rectal cancer or Stage II (high risk)/Stage III colon cancer per AJCC 2017 that has been surgically totally resected (R0 confirmed by pathology report). Stage II (high risk) colon cancer is defined as Stage II disease with any of the following risk factors for recurrence:
- T4
- Grade ≥ 3.
- Clinical presentation with bowel obstruction or perforation.
- Histological signs of vascular, lymphatic or perineural invasion.
- < 12 nodes examined.
Patients must have detectable ctDNA prior to start of adjuvant chemotherapy (AdCTx) (except for the Biomarker Cohort).
• ctDNA assay must be performed through this trial or study BNT000-001 ctDNA screening protocol.
- Patients must have an Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-1.
- Patients must have adequate hematologic and organ function.
- Adequate tumor material in formalin-fixed paraffin embedded (FFPE) blocks or as sectioned tissue (only upon approval by sponsor) must be available (as described in the laboratory manual).
- The patient has started a standard of care AdCTx within 8 weeks post-surgery and has completed at least 3 months of treatment of a 3 or a 6 month course of chemotherapy (including rest days).
Exclusion Criteria:
- Patients with uncontrolled intercurrent illness.
- Diagnosed microsatellite instability (MSI) high tumors.
Prior therapy with any of the following:
- Neo-adjuvant (radio)chemotherapy prior to surgery.
- Treatment with systemic immunosuppressive medication within 2 weeks prior to initiation of trial treatment or anticipation of need for systemic immunosuppressive medication during trial treatment, with the exception of low dose steroids defined as 10 mg oral prednisone (or equivalent).
- Current or recent (within the 28 days prior to randomization) treatment with another investigational drug.
- Toxicities from previous anti-cancer therapies that have not resolved to baseline levels or to Grade 1 or less except for alopecia and peripheral neuropathy.
- Patients who developed metastatic disease during screening/receiving standard of care treatment (not applicable for Exploratory Cohort).
Patients with known past or current malignancy other than inclusion diagnosis, except for:
- Cervical carcinoma of Stage 1B or less.
- Non-invasive basal cell or squamous cell skin carcinoma.
- Non-invasive, superficial bladder cancer.
- Prostate cancer with a current PSA level < 0.1 ng/mL.
- Any curable cancer with a complete response (CR) of > 2 years duration.
- Patients with known allergies, hypersensitivity, or intolerance to RO7198457 or its excipients.
- Patients who had major surgery (e.g., surgery requiring general anesthesia) within 4 weeks before screening, or will not have fully recovered from surgery, or have surgery planned during the time the patient are expected to participate in the trial.
- Patients with active hepatitis B or C.
- Patients who have a history of human immunodeficiency virus (HIV) antibody positivity, or tests positive for HIV at screening.
- Patients who have had prior splenectomy.
Sites / Locations
- Mayo Clinic - ScottsdaleRecruiting
- John Muir Clinical Research CenterRecruiting
- The Oncology Institute of Hope and InnovationRecruiting
- Marin Cancer CareRecruiting
- St Joseph Hospital of OrangeRecruiting
- Sansum ClinicRecruiting
- Florida Cancer Specialist SouthRecruiting
- Mayo Clinic FloridaRecruiting
- Florida Cancer SpecialistsRecruiting
- Cancer Care Center of Decatur, Cancer Care Specialists of ILRecruiting
- Indiana University Melvin and Bren Simon Comprehensive CancerRecruiting
- University of Kansas Cancer CenterRecruiting
- University of Louisville - James Graham Brown Cancer CenterRecruiting
- Josephine Ford Cancer Center-Henry Ford Cancer CenterRecruiting
- New York Oncology Hematology, P.C.Recruiting
- New York - Presbyterian Hospital - Columbia University Medical centerRecruiting
- Mayo Clinic RochesterRecruiting
- Oncology Hematology Care Clinical TrialsRecruiting
- Willamette Valley Cancer Institute and Research CenterRecruiting
- Sarah Cannon (Tennessee Oncology - NashvilleRecruiting
- Texas Oncology, P.A. - AustinRecruiting
- Texas Oncology-Baylor Charles A. Sammons Cancer CenterRecruiting
- The University of Texas MD Anderson Cancer CenterRecruiting
- Texas Oncology-San Antonio Medical CenterRecruiting
- Texas Oncology - Northeast TexasRecruiting
- Virginia Cancer SpecialistsRecruiting
- Benaroya Research Institute at Virginia MasonRecruiting
- University of WashingtonRecruiting
- MultiCare Institute for Research & InnovationRecruiting
- Northwest Cancer Specialists P.C.Recruiting
- University of Wisconsin Carbone Cancer CenterRecruiting
- Imeldaziekenhuis General HospitalRecruiting
- VZW Algemeen Ziekenhuis AZ KlinaRecruiting
- Institut Jules BordetRecruiting
- GHDC (Grand Hopital de Charleroi)Recruiting
- AZ GroeningeRecruiting
- Centres Hospitaliers JolimontRecruiting
- Universitaire Ziekenhuizen LeuvenRecruiting
- AZ Delta RoeselareRecruiting
- GasthuisZusters Antwerpen - Sint-AugustinusRecruiting
- Universite Catholique de Louvain (UCL) - Cliniques Universitaires Saint-LucRecruiting
- Charité - Universitätsmedizin BerlinRecruiting
- Universitaetsklinikum St. Josef-Hospital BochumRecruiting
- Universitätsklinikum Bonn, Med. Klinik u. Poliklinik IRecruiting
- Klinikum Esslingen GmbHRecruiting
- Krankenhaus Nordwest GmbH - Institut Fuer Klinisch-Onkologische Forschung (IKF)Recruiting
- Klinikum der Johann Wolfgang Goethe-Universitaet FrankfurtRecruiting
- Studiengesellschaft BSFRecruiting
- Universitätsklinikum Hamburg-EppendorfRecruiting
- Hämatologisch-Onkologische Praxis EppendorfRecruiting
- Asklepios Klinik AltonaRecruiting
- Medizinische Hochschule HannoverRecruiting
- National Center for Tumor Diseases (NCT) HeidelbergRecruiting
- SLK-Kliniken Heilbronn GmbHRecruiting
- Staedtisches Krankenhaus Kiel gGmbHRecruiting
- Universitaetsklinikum Leipzig AoeRRecruiting
- Universitaetsmedizin der Johannes Gutenberg Universitaet Mainz KoeRRecruiting
- Klinikum der Philipps-Universität MarburgRecruiting
- LMU Klinikum (Campus Großhadern) Medizinische Klinik Universität MünchenRecruiting
- Städtisches Klinikum München GmbH, Klinikum NeuperlachRecruiting
- OhO Ostholstein OnkologieRecruiting
- Prosper HospitalRecruiting
- Robert-Bosch-Krankenhaus - Centrum fuer TumorerkrankungenRecruiting
- Universitätsklinikum UlmRecruiting
- Universitätsklinikum WürzburgRecruiting
- Complejo Hospitalario Universitario A CorunaRecruiting
- Hospital Nuestra Senora de SonsolesRecruiting
- Hospital Universitari Germans Trias - ICO BadalonaRecruiting
- Hospital Universitari Vall d'HebronRecruiting
- Institut Clinic Hematolo/Oncologia- ICMHO, Hospital Clinic i Provincial de BarcelonaRecruiting
- Hospital de la Santa Creu i Sant PauRecruiting
- Hospital Universitario Reina SofiaRecruiting
- Hospital General Universitario Gregorio MaranonRecruiting
- Clinica Universidad NavarraRecruiting
- Hospital Universitario Ramón y CajalRecruiting
- Hospital Clinico San CarlosRecruiting
- Hospital Universitario Fundacion Jimenez DiazRecruiting
- Hospital Universitario La PazRecruiting
- Hospital Universitario HMN Sanchinarro, Centro Integral Oncologico Clara Campal (CIOCC)Recruiting
- Hospital Universitario Puerta de Hierro de MajadahondaRecruiting
- Hospital Regional Universitario Carlos Haya Malaga - Instituto de Investigacion Biomedica de MalagaRecruiting
- Complejo Hospitalario de OrenseRecruiting
- Clinica Universitaria de NavarraRecruiting
- Complejo Hospitalario de Navarra (CHN)Recruiting
- Hospital Universitario Marques De ValdecillaRecruiting
- Complejo Hospitalario Universitario De Santiago De CompostelaRecruiting
- Hospital Universitario Virgen del Rocio - Hospital de la MujerRecruiting
- Consorcio Hospital General ValenciaRecruiting
- Complexo Hospitalario Universitario de Vigo (CHUVI)Recruiting
- Hospital Universitario Miguel ServetRecruiting
- Lunds Universitet - Medicinska Fakulteten (Lund University Faculty of Medicine)Recruiting
- Sodersjukhuset, Onkologiska KlinikenRecruiting
- Karolinska Universitetssjukhuset SolnaRecruiting
- The Clatterbridge Cancer Centre NHS Foundation TrustRecruiting
- Queen Elizabeth Hospital Birmingham-University Hospitals Birmingham NHS Foundation TrustRecruiting
- Velindre NHS Trust, Velindre Cancer CentreRecruiting
- St Bartholomew's Hospital-Barts Health NHS TrustRecruiting
- University College London Hospitals NHS Foundation TrustRecruiting
- The Royal Marsden NHS Foundation Trust- ChelseaRecruiting
- The Christie NHS Foundation TrustRecruiting
- The Royal Marsden NHS Foundation TrustRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Other
Experimental
Experimental
RO7198457
Observational Group
Biomarker Cohort
Exploratory Cohort
Participants will receive a recommended dose of RO7198457.
Observational group will undergo watchful waiting, which is the standard of care in this setting.
15 patients
20 patients