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OncoMatch/Clinical Trials/NCT06733038

FOLFOXIRI Plus Bevacizumab With or Without Atezolizumab as 1st Line Treatment of pMMR and IS IC-High Metastatic Colorectal Cancer Patients.

Is NCT06733038 recruiting? Yes, currently enrolling (May 2026). This Phase 3 trial studies multiple treatments for colorectal cancer.

Phase 3RecruitingGruppo Oncologico del Nord-OvestNCT06733038Data as of May 2026

Treatment: Atezolizumab · Bevacizumab · Irinotecan (CPT-11) · Oxaliplatin · Leucovorin · Fluorouracil (5-FU)The aim of this study is to evaluate the efficacy of the addition of Atezolizumab to FOLFOXIRI plus bevacizumab as first line treatment of patients with pMMR and Immunoscore IC-high metastatic colorectal cancer in terms of Progression Free Survival (PFS).

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Extracted eligibility criteria

Cancer type

Colorectal Cancer

Biomarker criteria

Required: MMR proficient mismatch repair (pMMR)

Proficient mismatch repair (pMMR) status in tumour tissue (primary or metastatic), as determined by a local laboratory assay in a CLIA- or similarly certified

Required: NONE Immunoscore IC-high

Immunoscore IC-high status in tumour tissue (primary or metastatic), as determined by a sponsor-defined central laboratory (HEGP, AP-HP, INSERM, France)

Excluded: DPYD complete deficiency (homozygous c1679GG, c1905+1AA, c2846TT)

Complete dihydropyrimidine dehydrogenase (DPYD) deficiency (homozygous of the following DPYD polymorphisms: c1679GG, c1905+1AA, c2846TT)

Disease stage

Required: Stage IV

Metastatic disease required

Initially unresectable metastatic colorectal cancer not previously treated with chemotherapy for metastatic disease; At least one measurable lesion according to RECIST criteria (version 1.1)

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: radiation therapy

Radiotherapy to any site within 4 weeks before the study

Cannot have received: oxaliplatin-containing chemotherapy

Exception: adjuvant setting

Previous adjuvant oxaliplatin-containing chemotherapy

Cannot have received: bevacizumab (bevacizumab)

Previous treatment with bevacizumab

Cannot have received: CD137 agonist

Prior treatment with CD137 agonists

Cannot have received: anti-CTLA-4 therapy

anti-CTLA4

Cannot have received: anti-PD-1 therapy

anti-PD-1

Cannot have received: anti-PD-L1 therapy

anti-PD-L1 therapeutic antibody or pathway-targeting agents

Cannot have received: investigational drug

Treatment with any investigational drug within 30 days prior to enrollment or 2 investigational agent half-lives (whichever is longer)

Lab requirements

Blood counts

Neutrophils >1.5 x 10^9/L, Platelets >100 x 10^9/L, Hb >9 g/dl

Kidney function

Creatinine clearance ≥50 mL/min or serum creatinine ≤1.5 x UNL

Liver function

Total bilirubin ≤1.5 x UNL; AST (SGOT) and/or ALT (SGPT) <2.5 x UNL (or <5 x UNL in case of liver metastases); alkaline phosphatase <2.5 x UNL (or <5 x UNL in case of liver metastases)

Neutrophils >1.5 x 10^9/L, Platelets >100 x 10^9/L, Hb >9 g/dl; Total bilirubin ≤1.5 x UNL; AST (SGOT) and/or ALT (SGPT) <2.5 x UNL (or <5 x UNL in case of liver metastases); alkaline phosphatase <2.5 x UNL (or <5 x UNL in case of liver metastases); Creatinine clearance ≥50 mL/min or serum creatinine ≤1.5 x UNL

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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