ClinicalTrials.gg
Not yet recruitingNCT07900165Updated Oct 28, 2026

Study of Varsetatug Masetecan in Combination With Anti-Cancer Therapies in Colorectal Cancer

A Phase 1/2 interventional study of varsetatug masetecan and bevacizumab + 5-FU + leucovorin in Colo-rectal Cancer, sponsored by CytomX Therapeutics. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-28.

Sponsored by CytomX Therapeutics · Phase 1/2, Interventional, and Treatment

Updated Oct 28, 2026Newly registeredGo to Updates ↓
Phase
Phase 1/2
Study type
Interventional
Enrollment
368
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a non-registrational Phase 1/2, multicenter, open-label trial to evaluate the efficacy and safety of varsetatug masetecan combined with anti-cancer therapies in participants with unresectable metastatic colorectal cancer in the second line treatment setting.

Read the detailed description

The study is comprised of 2 parts. Part 1 (Phase 1) involves varsetatug masetecan dose finding to identify the recommended Phase 2 dose (RP2D) of varsetatug masetecan in combination with bevacizumab + 5-FU + leucovorin in the second line treatment setting. Part 2 (Phase 2) will further assess safety, tolerability and antitumor activity doses and schedules of varsetatug masetecan in combination with bevacizumab + 5-FU + leucovorin in this second line patient population, based on the dose finding results from Part 1 of this trial. In addition, Part 2 will also further evaluate dose and schedules of varsetatug masetecan in combination with bevacizumab (without 5-FU and leucovorin) in the second line treatment setting based on the dose finding results in the ongoing Phase 1 Study CTMX-2051-101 assessing the varsetatug masetecan combination with bevacizumab (NCT06265688).

02

Conditions studied

  • Colo-rectal Cancer

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03

In context

Colonic Neoplasms

2,457 studies on the registry are indexed under Colonic Neoplasms; 458 are open to participants now.

This study's planned enrollment of 368 is above the median of 75 across 1,711 interventional studies indexed under Colonic Neoplasms.

Browse Colonic Neoplasms studies →

Lead sponsor

CytomX Therapeutics is the lead sponsor of 10 studies on the registry; 3 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 3 (50%) 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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • or cytologically documented unresectable CRC
  • Documented progression during or following exactly one prior regimen of systemic therapy with or without targeted therapy for metastatic CRC
  • per v1.1
  • performance status of 0-1
  • Adequate organ and marrow function
  • Additional inclusion criteria may apply

Exclusion criteria

Exclusion Criteria:

  • Recent history (within last 2 years) of localized cancers that are not related to the current cancer being treated
  • Participants with prior CNS involvement with must have completed effective treatment of their CNS disease at least 4 weeks prior to first dose of trial intervention
  • Serious concurrent illness
  • proteinuria
  • Prior treatment with ADCs with Topo-I inhibitor payload
  • Prior treatment with irinotecan or Topo-I inhibitors
  • Receipt of systemic anti-cancer treatment, radiotherapy, or agent(s) within 14days prior to trial intervention initiation
  • Pregnant or breastfeeding
  • Surgery within 4 weeks prior to first dose of trial intervention
  • Additional exclusion criteria may apply
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
368 participants (estimated)

Study arms

  • Experimental
    varsetatug masetecan + bevacizumab + 5-FU + leucovorin

    Drug: varsetatug masetecan · Drug: bevacizumab + 5-FU + leucovorin

  • Experimental
    varsetatug masetecan + bevacizumab

    Drug: varsetatug masetecan · Drug: bevacizumab

Interventions

06

What researchers measure

Primary outcomes

  1. Part 1 - Safety and tolerability of varsetatug masetecan in combination with bevacizumab + 5-FU + leucovorin

    The number of participants experiencing a dose-limiting toxicity (DLT) as defined in the protocol, AEs (adverse events), and treatment-emergent adverse events (TEAEs) at any dose level

    Time frame: 27 months

  2. Part 2 - Progression-free survival (PFS) based on blinded independent central review (BICR)

    PFS defined as the time from participant allocation to a trial intervention to the first documentation of objective disease progression, as determined by BICR according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, or death due to any cause, whichever occurs first

    Time frame: 27 months

Secondary outcomes

  1. Objective Response Rate (ORR)

    ORR defined as the proportion of participants with a complete response (CR) or partial response (PR), as determined by BICR and Investigator assessment according to RECIST v1.

    Time frame: 27 months

  2. Disease Control Rate (DCR)

    DCR defined as the proportion of participants with confirmed CR, PR, or stable disease (SD), as determined by BICR and Investigator assessment according to RECIST v1.1

    Time frame: 27 months

  3. PFS based on Investigator assessment

    PFS defined as the time from participant allocation to a trial intervention to the first documentation of objective disease progression, as determined by Investigator assessment according to RECIST v1.1, or death due to any cause, whichever occurs first

    Time frame: 27 months

  4. Overall Survival (OS)

    OS defined as the time from participant allocation to a trial intervention to death due to any cause

    Time frame: 27 months

  5. Duration of Response (DOR)

    DOR for participants with a confirmed CR or PR, is defined as the time from the first occurrence of a documented objective response to disease progression or death due to any cause (whichever occurs first), as determined by BICR and Investigator assessment according to RECIST v1.1

    Time frame: 27 months

  6. Duration of Disease Control (DODC)

    DODC for participants with a confirmed CR, PR, or SD, is defined as the time from the first occurrence of a documented CR, PR, or SD to disease progression or death due to any cause (whichever occurs first), as determined by BICR and Investigator assessment according to RECIST v1.1

    Time frame: 27 months

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Dec 2026; primary completion for Feb 2029, 26 months later.

Of 60 phase 1/2 interventional studies under Colonic Neoplasms, half reached primary completion within 65 months of starting (the median), counting those still running; a quarter within 41 and three quarters within 93. This study's planned 26 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 21, 2026
First posted
Oct 28, 2026
StartEst.
Dec 2026
Primary completionEst.
Feb 2029
CompletionEst.
Feb 2029
Last update
Oct 28, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Oct 28, 2026
Show all 1 update
  1. Oct 28, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07900165
Lead sponsor
CytomX Therapeutics
Responsible party
Sponsor
First posted
Oct 28, 2026
Start date
Dec 2026 (estimated)
Primary completion
Feb 2029 (estimated)
Completion
Feb 2029 (estimated)
Last update
Oct 28, 2026

Study contacts

Karen Deane
Contact
ClinicalTrials@cytomx.com
650-515-3185
Monika Vainorius, MD
study director · CytomX Therapeutics

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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