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CompletedNCT04660812ARC-9Updated Oct 20, 2025

An Open Label Study Evaluating the Efficacy and Safety of Etrumadenant (AB928) Based Treatment Combinations in Participants With Metastatic Colorectal Cancer.

A Phase 1/2 interventional study of AB680 and Etrumadenant in Metastatic Colorectal Cancer, sponsored by Arcus Biosciences, Inc.. Completed at 44 sites in 6 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-10-20.

Sponsored by Arcus Biosciences, Inc. · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Sep 2025, 1 year 1 month ago, and no results have been posted to the registry.
Phase
Phase 1/2
Study type
Interventional
Enrollment
227
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

This randomized phase 1b/2 open-label study will evaluate the antitumour activity and safety of etrumadenant (AB928) treatment combinations in participants with metastatic colorectal cancer.

Read the detailed description

This is a multicenter, open-label Phase 1b/2 study in participants with metastatic colorectal cancer that will assess the antitumour activity and safety of etrumadenant.

Approximately 250 participants will be enrolled to 1 of 3 cohorts:

Cohort A) etrumadenant + zimberelimab +mFOLFOX-6 +/-bevacizumab vs mFOLFOX-6 +/-bevacizumab

Cohort B) etrumadenant + zimberelimab +mFOLFOX-6 +/-bevacizumab vs regorafenib

Cohort C) chemotherapy-free combinations of etrumadenant + zimberelimab + other agents

The primary objective of this clinical study is to evaluate the safety of etrumadenant-based combination therapy in participants with metastatic colorectal cancer.

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Conditions studied

  • Metastatic Colorectal Cancer

Keywords

  • mCRC
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In context

Colorectal Neoplasms

5,599 studies on the registry are indexed under Colorectal Neoplasms; 1,459 are open to participants now.

This study's enrollment of 227 is above the median of 77 across 4,123 interventional studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

Arcus Biosciences, Inc. is the lead sponsor of 32 studies on the registry; 4 are open to participants now.

Of its 20 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria:

  • Male and female participants ≥ 18 years of age
  • Histologically confirmed metastatic colorectal adenocarcinoma
  • Must have at least 1 measurable lesion per RECIST v1.1
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Life expectancy at least 3 months
  • Adequate hematologic and end-organ function
  • Negative HIV, Hep B and Hep C antibody testing
  • Agreement to remain abstinent or use contraceptive measures with female partners of reproductive potential, and agreement to refrain from donating sperm, for 30 days after the last dose of etrumadenant, 90 days after the last dose of zim, 180 days after mFOLFOX-6 and 180 days after bev, whichever is longer.

    • Inclusion Criteria for Cohort A:
  • Disease progression following not more than one prior line of treatment for mCRC that consisted of oxaliplatin or irinotecan containing chemotherapy in combination with a biologic agent

    • Inclusion Criteria for Cohort B:
  • Disease progression during or following not more than two separate lines of treatment for mCRC that consisted of oxaliplatin, and irinotecan containing chemotherapy in combination with a biologic agent

Exclusion Criteria:

  • Previous anticancer treatment within 4 weeks prior to initiation of study treatment
  • Prior allogeneic stem cell or solid organ transplant
  • Treatment with systemic immunostimulatory agents within 4 weeks prior to initiation of study treatment
  • Use of any live vaccines against infectious diseases within 28 days of first dose.
  • Symptomatic, untreated, or actively progressing central nervous system (CNS) metastases
  • Current treatment with anti-viral therapy for HBV
  • Structurally unstable bone lesions suggesting impending fracture
  • History or leptomeningeal disease
  • History of idiopathic pulmonary fibrosis, organizing pneumonia, drug induced pneumonitis, or idiopathic pneumonitis, or evidence of active pneumonitis on screening chest CT scan
  • History of malignancy other than colorectal cancer within 2 years prior to screening, except for malignancies such as non-melanoma skin carcinoma or ductal carcinoma in situ
  • Active tuberculosis
  • Treatment with therapeutic oral or intravenous (IV) antibiotics within 2 weeks prior to initiating study treatment
  • Severe infection within 4 weeks (28 days) prior to initiation of study treatment
  • Significant cardiovascular disease, unstable or new onset of angina within 3 months prior to initiation of treatment, or myocardial infarction within 6 months prior to study treatment or unstable arrhythmia
  • Major surgical procedures, other than for diagnosis, within 4 weeks prior to initiation of study treatment, or anticipation of need for major surgical procedure during the study
  • Known allergy or hypersensitivity to any of the study drugs or their excipients
  • Inability to swallow medications
  • Malabsorption condition that would alter the absorption of orally administered medications
  • Evidence of inherited bleeding diathesis or significant coagulopathy at risk of bleeding (i.e., in the absence of therapeutic anticoagulation)
  • Prior treatment with an agent targeting the adenosine pathway
  • Active or history of autoimmune disease or immune deficiency, including, but not limited to, myasthenia gravis, myositis, autoimmune hepatitis, systemic lupus erythematosus, rheumatoid arthritis, inflammatory bowel disease, antiphospholipid antibody syndrome, Wegener granulomatosis, Sjögren syndrome, Guillain Barré syndrome, or multiple sclerosis

    • Exclusion Criteria for Cohorts A and B:
  • Prior treatment with immune checkpoint blockade therapies including anti-cytotoxic T lymphocyte-associated protein-4, anti PD-1, and anti-PD-L1 therapeutic antibodies
  • Mutation in the BRAF oncogene. Patients with unknown BRAF status will be required to undergo testing at a local laboratory and provide results at screening
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
227 participants (actual)

Study arms

  • Experimental
    Etrumadenant + Zimberelimab + mFOLFOX-6 +/- Bevacizumab

    Participants will receive oral etrumadenant in combination with zimberelimab +mFOLFOX-6 +/-bevacizumab by IV infusion.

    Drug: Etrumadenant · Drug: Zimberelimab · Drug: Bevacizumab · Drug: m-FOLFOX-6 regimen

  • Active comparator
    mFOLFOX-6 +/- Bevacizumab

    Participants will receive mFOLFOX-6 +/- bevacizumab by IV infusion.

    Drug: Bevacizumab · Drug: m-FOLFOX-6 regimen

  • Active comparator
    Regorafenib

    Participants will receive oral regorafenib

    Drug: Regorafenib

  • Experimental
    AB680 + Etrumadenant + Zimberelimab

    Participants will receive oral etrumadenant in combination with AB680 + zimberelimab by IV infusion.

    Drug: AB680 · Drug: Etrumadenant · Drug: Zimberelimab

Interventions

  • DrugAB680

    AB680 is a cluster of differentiated CD73 Inhibitor

  • DrugEtrumadenant

    Etrumadenant is a dual adenosine receptor (A2aR and A2bR) antagonist

    Also known as: AB928

  • DrugZimberelimab

    Zimberelimab is a fully human anti-PD-1 monoclonal antibody

    Also known as: AB122

  • DrugBevacizumab

    Bevacizumab is administered as part of standard chemotherapy regimen

  • Drugm-FOLFOX-6 regimen

    mFOLFOX-6 regimen is administered as part of standard chemotherapy regimen

  • DrugRegorafenib

    Regorafenib is administered as part of standard chemotherapy regimen

06

What researchers measure

Primary outcomes

  1. Cohort A and B - Progression-free Survival (PFS)

    PFS according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, as assessed by the Investigator

    Time frame: From randomization until death from any cause (up to approximately 3-7 years)

  2. Cohort C - Objective Response Rate (ORR)

    ORR according to RECIST v1.1, as assessed by the Investigator

    Time frame: From randomization until death from any cause (up to approximately 3-7 years)

  3. Number of Participants With Treatment-emergent Adverse Events

    Time frame: Up to approximately 10 Months

Secondary outcomes

  1. Cohorts A and B - Objective Response Rate (ORR)

    ORR according to RECIST v1.1 as assessed by the Investigator

    Time frame: From randomization until death from any cause (up to approximately 3-7 years)

  2. Cohorts A, B, and C- Duration of Disease Response (DoR)

    DoR according to RECIST v1.1, as assessed by the Investigator

    Time frame: From randomization until death from any cause (up to approximately 3-7 years)

  3. Cohorts A, B, and C- Disease Control Rate (DCR)

    DCR according to RECIST v1.1, as assessed by the Investigator

    Time frame: From randomization until death from any cause (up to approximately 3-7 years)

  4. Cohorts A and B - Overall Survival (OS)

    OS according to RECIST v1.1, as assessed by the Investigator

    Time frame: From randomization until death from any cause (up to approximately 3-7 years)

  5. Observed Maximum Concentration (Cmax) of Etrumadenant and its Metabolites

    Cycle 1 Day 1 and Cycle 2 Day 1

    Time frame: From randomization until death from any cause (up to approximately 10 months)

  6. Area Under the Plasma Concentration Versus Time Curve From Time Zero to 24 Hours [AUC(0-24)] of Etrumadenant and its Metabolites

    Time frame: Up to 24 hours following Day 1 Cycle 1 and Cycle 2 (each cycle is 28 days)

  7. Trough Concentrations of Etrumadenant and its Metabolites

    Time frame: Multiple timepoints up to approximately 16 months

  8. Cmax End of Infusion (EOI) of AB680

    Time frame: At the end of infusion on Day 1 Cycle 1 and Cycle 2 (each cycle is 28 days)

  9. Area Under the Plasma Concentration Versus Time Curve From Time Zero to 336 Hours [AUC(0-336)] of AB680

    Time frame: Up to 336 hours following Day 1 Cycle and Cycle 2 (each cycle is 28 days)]

  10. Trough Concentrations of AB680

    Time frame: Multiple timepoints up to approximately 16 months

  11. Cmax EOI of Zimberelimab

    Time frame: Multiple timepoints up to approximately 16 months

  12. AUV(0-336) of Zimberelimab

    Time frame: Cycle 1 Day 1 up to 336 hours

  13. Trough Concentrations of Zimberelimab

    Time frame: Multiple timepoints up to approximately 16 months

  14. Number of Participants With Anti-Drug Antibodies to the Biologic Component(s) of Combination Therapy

    Time frame: Up to approximately 10 months

07

Study locations

44 sites
  • Arizona Clinical Research Center Inc
    Tucson, Arizona 85715, United States
  • City of Hope Comprehensive Cancer Center
    Duarte, California 91010, United States
  • UCLA Hematology Oncology
    Santa Monica, California 90404, United States
  • Yale Cancer Center
    New Haven, Connecticut 06510, United States
  • Sibley Memorial Hospital
    Washington D.C., District of Columbia 20016-2633, United States
  • Winship Cancer Institute at Emory University
    Atlanta, Georgia 30322, United States
  • Ochsner Medical Center (OMC)
    New Orleans, Louisiana 70121, United States
  • American Oncology Partners of Maryland PA
    Bethesda, Maryland 20817, United States
  • Washington University School of Medicine
    St Louis, Missouri 63110, United States
  • Comprehensive Cancer Centers Of Nevada
    Las Vegas, Nevada 89169, United States
  • NYU Langone Medical Center - NYU Medical Oncology Associates
    New York, New York 10016, United States
  • New York-Presbyterian Hospital-Columbia University Medical Center
    New York, New York 10032, United States
  • Prisma Health-Upstate
    Greenville, South Carolina 29605, United States
  • Vanderbilt-Ingram Cancer Center
    Nashville, Tennessee 37203, United States
  • Sarah Cannon Research Institute
    Nashville, Tennessee 37232, United States
  • The University of Texas MD Anderson Cancer Center
    Houston, Texas 77030, United States
  • University of Wisconsin School of Medicine
    Madison, Wisconsin 53792, United States
  • Institut Bergonie - Centre Regional de Lutte Contre Le Cancer de Bordeaux et Sud Ouest
    Bordeaux, 33076, France
  • Centre Georges Francois Leclerc
    Dijon, 21000, France
  • Hopital Hotel Dieu
    Nantes, 44093, France
  • Hopital Saint Antoine
    Paris, 75012, France
  • Groupe Hospitalier Pitie-Salpetriere-Centre De Recherche et de Medecine de l'Obesite
    Paris, 75651, France
  • CHU la Miletrie
    Poitiers, 86000, France
  • IRCCS - Azienda Ospedaliera Specializzata in Gastroenterologia Saverio de Bellis
    Castellana Grotte, 70013, Italy
  • Azienda Ospedaliero Universitaria Careggi-S.O.D. Patologia Medica
    Florence, 50134, Italy
  • Azienda Ospedaliera Niguarda Ca' Granda
    Milan, 20141, Italy
  • Instituto Europeo di Oncologia
    Milan, 20162, Italy
  • Istituto Clinico Humanitas IRCCS
    Rozzano, 20089, Italy
  • Universita di Siena - Azienda Ospedaliera Universitaria Senese-Policlincio Santa Maria Alle Scotte
    Siena, 53100, Italy
  • Chonnam National University Hwasun Hospital
    Hwasun, 58128, South Korea
  • Seoul National University Bundang Hospital
    Seoul, 13620, South Korea
  • Seoul National University Hospital (SNUH)
    Seoul, 3080, South Korea
  • Severance Hospital | Yonsei University Health System
    Seoul, 3722, South Korea
  • Asan Medical Center | University of Ulsan College of Medicine
    Seoul, 5538, South Korea
  • Samsung Medical Center
    Seoul, 6351, South Korea
  • Korea University Anam Hospital
    Seoul, 8241, South Korea
  • Kyungpook National University Chilgok Hospital
    Seoul, South Korea
  • Hospital Universitario La Paz
    Madrid, 28007, Spain
  • Hospital General Universitario Gregorio Maranon
    Madrid, 28046, Spain
  • Complejo Hospitalario de Orense
    Ourense, 32005, Spain
  • Clinica Universidad Navarra-Sede Madrid
    Pamplona, 31008, Spain
  • Corporacio Sanitaria Parc Tauli
    Sabadell, 8208, Spain
  • Belfast City Hospital
    Belfast, Northern Ireland BT9 7AB, United Kingdom
  • Aberdeen Royal Infirmary
    Aberdeen, Scotland AB25 2ZN, United Kingdom
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References and documents

Individual participant data

Plan to share: Yes — Arcus will provide access to individual de-identified participant data and related study documents (e.g., protocol, Statistical Analysis Plan \[SAP\], Clinical Study Report \[CSR\]) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. For more information, please visit our website.

Supporting information: Study protocol, Sap, Csr

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 20, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04660812
Lead sponsor
Arcus Biosciences, Inc.
Collaborators
Gilead Sciences
Responsible party
Sponsor
First posted
Dec 9, 2020
Start date
May 10, 2021
Primary completion
Sep 5, 2025
Completion
Sep 5, 2025
Last update
Oct 20, 2025

Study contacts

Medical Director
study director · Arcus Biosciences

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2025. You cannot join it, but the record below documents what was studied.

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