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OncoMatch/Clinical Trials/NCT06948448

A Study to Evaluate the Safety and Efficacy of Two Dose Levels of ONO-4578 With Opdivo®, in Combination With mFOLFOX6 and Bevacizumab Versus Standard of Care in Participants With Non-MSI-H/dMMR, PD-L1 Positive Advanced Colorectal Cancer

Is NCT06948448 recruiting? Yes, currently enrolling (Jun 2026). This Phase 2 trial studies multiple treatments for colorectal cancer.

Phase 2RecruitingOno Pharmaceutical Co. LtdNCT06948448Data as of Jun 2026Location: International · 6 countries

Treatment: ONO-4578 · Opdivo® · Oxaliplatin · 5-Fluorouracil · Bevacizumab · LeucovorinThe purpose of this study is to evaluate the safety and efficacy of two dose levels of ONO-4578 with Opdivo® when added to mFOLFOX6 and bevacizumab versus SOC as first-line treatment for advanced CRC.

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Extracted eligibility criteria

Treatments studied

Immunotherapy

Opdivo®

Targeted therapy

Bevacizumab

Chemotherapy

Oxaliplatin5-Fluorouracil

Other

ONO-4578Leucovorin

Cancer type

Colorectal Cancer

Biomarker criteria

Required: PD-L1 (CD274) positive expression (positive)

Participants whose tumor is positive for PD-L1 expression as determined at a central laboratory

Excluded: BRAF V600E

Participants with BRAF V600E mutation

Excluded: MSH2 deficient mismatch repair

mismatch repair deficient (dMMR) tumor

Excluded: MSH6 deficient mismatch repair

mismatch repair deficient (dMMR) tumor

Excluded: MLH1 deficient mismatch repair

mismatch repair deficient (dMMR) tumor

Excluded: PMS2 deficient mismatch repair

mismatch repair deficient (dMMR) tumor

Excluded: MSI high microsatellite instability

Participants with high microsatellite instability (MSI-High)

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

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

Cannot have received: anti-PD-1 therapy

Prior treatment with an anti-PD-1, anti-PD-L1, anti-PD-L2, or anti-CTLA-4 antibody, or any other antibody or drug specifically targeting T-cell co-stimulation or immune checkpoint pathways.

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

US trial sites

  • Mayo Clinic Arizona · Phoenix, Arizona
  • USC Norris Comprehensive Cancer Center · Los Angeles, California
  • Rocky Mountain Cancer Centers, LLP · Lone Tree, Colorado
  • Mayo Clinic Florida · Jacksonville, Florida
  • The Ohio State University Comprehensive Cancer Center · Columbus, Ohio

Showing up to 5 US sites.

See all sites on ClinicalTrials.gov →

Frequently asked questions

Is NCT06948448 currently recruiting?

Yes, this trial is currently recruiting patients.

Can patients have received prior systemic therapy?

No. This trial requires treatment-naive patients — prior systemic therapy is an exclusion criterion.

Does this trial require CD274?

Yes, CD274 positive expression is a required biomarker for enrollment.

Are patients with BRAF alterations eligible?

No. BRAF V600E is an exclusion criterion.

Are patients with MSH2 alterations eligible?

No. MSH2 deficient mismatch repair is an exclusion criterion.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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