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RecruitingLast updated: 13 July 2026

ROSETTA CRC-203: Comparing the combination of chemotherapy with either immunotherapy or targeted therapy for people with previously untreated, unresectable or metastatic bowel cancerA Blinded, Randomized Phase 2/3 Study of Pumitamig in Combination With Chemotherapy Versus Bevacizumab in Combination With Chemotherapy in Participants With Previously Untreated, Unresectable, or Metastatic Colorectal Cancer

Trial purpose

Medical clipboardCancer treatment

Tumor type

Bowel Cancers Lower gastrointestinal tract

Age

People18+

Trial acronym

ROSETTA CRC-203

Clinical summary

Summary

The purpose of this study is to evaluate the safety and effectiveness of two combination treatments:

  • pumitamig immunotherapy + standard chemotherapy
  • bevacizumab targeted therapy + standard chemotherapy.

The study is recruiting people with previously untreated bowel cancer that cannot be removed with surgery (unresectable) or has spread (metastatic).

Eligible participants will be randomly allocated (by chance) to one of the following treatment arms.

  • Arm A1: Pumitamig + FOLFOX/FOLFIRI
  • Arm A2: Pumitamig + FOLFOX/FOLFIRI
  • Arm B: FOLFOX/FOLFIRI + Bevacizumab
  • Arm C: Pumitamig + FOLFOX/FOLFIRI/CAPOX
  • Arm D: FOLFOX/FOLFIRI/CAPOX + Bevacizumab

Conditions

This trial is treating people with previously untreated, recurrent, metastatic or unresectable (unable to be removed with surgery) bowel cancer

Eligibility

Inclusion

  • Participant must previously untreated, histologically confirmed recurrent or metastatic colorectal adenocarcinoma, not amenable to curative surgery.
  • Participant must have no known presence of mismatch repair deficient (dMMR) or microsatellite instability-high (MSI-H) colorectal cancer (CRC) per historical results (a validated test should be used).
  • Participant must have no known presence of the gene that encodes the protein B-Raf (BRAF) V600E mutation per local testing.
  • Participant must have measurable disease as defined by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.

Exclusion

  • Participant must not have any untreated known central nervous system (CNS) metastases including brain, leptomeningeal and/or spinal cord compression.
  • Participant must not have any prior malignancy active within the previous 2 years, except for locally curable cancers that have been apparently cured and considered to be of low risk of recurrence.
  • Participant must not have significant cardiovascular disease, such as myocardial infarction, unstable angina, arterial thrombosis or cerebrovascular accident within 6 months prior to randomization, uncontrolled hypertension (≥ 160 systolic, and/or ≥ 100 diastolic mm Hg) despite optimal medical management, or congenital long QT syndrome.
  • Participant must not have prior systemic treatment with an anti-PD-1, anti-programmed death (ligand)-1 (PD-L1), anti-PD-L2, CD137 agonists, or anti-cytotoxic T-lymphocyte associated protein 4 (CTLA-4) antibody, or any other antibody or drug specifically targeting T cell co-stimulation or checkpoint pathways or chemotherapy.
  • Other protocol-defined Inclusion/Exclusion criteria apply.

Inclusion

  • You have had treatment, but your cancer has come back (relapsed or recurrent).
  • Your cancer has spread to other parts of the body (metastatic) or has grown into nearby parts of the body (locally advanced).
  • Your cancer has not spread to other parts of the body, but it is not possible to perform surgery to remove it (unresectable).

Exclusion

  • You have been diagnosed with a prior or secondary type of cancer.
  • You have certain types of non-cancer medical conditions.
  • You have had certain treatments, surgical procedures or drugs.
Message

Clinical trials have complex eligibility criteria, and other criteria may apply for this trial. Ask your doctor about whether this trial could be right for you.

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More information

Trial Identifiers

Information on this page is partially produced from ClinicalTrials.gov, EU Clinical Trials Register *. View further details about this trial on the registry via the links below:

  • NCT07221357 *
  • 2025-523224-45 *
  • CA266-0003; U1111-1325-6505

Trial sponsor

Bristol-Myers Squibb

Scientific Title

A Blinded, Randomized Phase 2/3 Study of Pumitamig in Combination With Chemotherapy Versus Bevacizumab in Combination With Chemotherapy in Participants With Previously Untreated, Unresectable, or Metastatic Colorectal Cancer

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