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RecruitingLast updated: 7 August 2026

Evaluating denikitug, alone or in combination with other treatments, for people with advanced microsatellite stable (MSS) bowel cancer.A Phase 2, Open Label, Multicenter, Randomized Study, to Evaluate the Efficacy and Safety of Denikitug Monotherapy and Denikitug-based Combinations in Participants With Advanced Microsatellite Stable (MSS) Colorectal Cancer (CRC)

Trial purpose

Medical clipboardCancer treatment

Tumor type

Bowel Cancers Lower gastrointestinal tract

Age

People18+

Clinical summary

Summary

This study is testing a treatment called denikitug (DEN, GS-1811) in people with advanced bowel (colorectal) cancer that is microsatellite stable (MSS).

Researchers want to find out how well denikitug works and how safe it is. The study will look at whether the treatments can shrink tumours or slow the growth of cancer, as well as the side effects they may cause.

The main goal is to measure how many participants experience a reduction in the size of their cancer after receiving the study treatment.

Who can take part?
You may be eligible for this study if:

  • you have bowel (colorectal) cancer
  • your cancer is unresectable, recurrent, or locally advanced or metastatic 
  • your cancer is microsatellite stable (MSS) or proficient mismatch repair (pMMR)
  • you have received up to two prior lines of drug (systemic) treatment for yor advanced cancer
  • your cancer has progressed after your most recent treatment

Study details
Eligible participants will be randomly assigned (by chance) to one of four treatment groups:

  • Arm A: Denikitug alone
  • Arm B: Denikitug with nivolumab (immunotherapy)
  • Arm C: Denikitug plus standard treatment with trifluridine-tipiracil (chemotherapy) and bevacizumab (targeted therapy)
  • Arm D: Standard of care treatment with trifluridine-tipiracil and bevacizumab

Conditions

This trial is treating people with advanced bowel cancer that is microsatellite stable

Eligibility

Inclusion

Medical History/Physical Characteristics

  • Histologically or cytologically confirmed unresectable, recurrent, or locally advanced or metastatic microsatellite stable colorectal cancer (MSS CRC) (adenocarcinoma, excluding appendix cancer).
  • Documented MSS or proficient mismatch repair (pMMR) disease by local assessment using a validated polymerase chain reaction (PCR) (microsatellite status) and/or immunohistochemistry (IHC) mismatch repair (MMR) assay is required.
  • Has received up to 2 prior lines of systemic therapy for advanced or metastatic CRC, which must have included at least fluoropyrimidine-, oxaliplatin-, irinotecan-based chemotherapies if indicated; and if applicable: anti-vascular endothelial growth factor (VEGF) therapy, anti epidermal growth factor receptor (EGFR) therapy, encorafenib or adagrasib/sotorasib.
  • Documented progressive disease (PD) by computed tomography (CT) or magnetic resonance imaging (MRI) during or after the most recent therapy per RECIST Version 1.1 criteria by investigator assessment.
  • Eastern Cooperative Oncology Group (ECOG) performance status score of 0-1.

Laboratory Assessments

  • Have adequate organ function.

Exclusion

Medical Conditions/History:

  • Significant cardiovascular disease.
  • History of autoimmune disease or active autoimmune disease that has required systemic treatment within 2 years.
  • History of (noninfectious) pneumonitis/interstitial lung disease or current pneumonitis/ interstitial lung disease.
  • History of gastrointestinal (GI) perforation, permanent ileostomy, abdominal abscess or fistula within 6 months, active or uncontrolled GI bleeding within 4 weeks, or any condition associated with significant risk of bleeding or perforation (eg, untreated varices, tumor erosion, recent GI surgery).

Prior/Concurrent Therapy or Clinical Study Experience

Prior treatment with:

  • Trifluridine-tipiracil, regorafenib, or fruquitinib.
  • Any immuno-oncology therapy.
  • Anticancer biologic agent within 4 weeks prior to randomization or have had prior chemotherapy, targeted small molecule therapy, or radiation therapy within 2 weeks prior to randomization and have not recovered (ie, Grade 2 or less) from AEs from prior anticancer therapy at the time of randomization. Individuals in observational studies are eligible.
  • Allogeneic tissue/solid organ transplantation, including allogeneic stem cell transplantation. Exception: prior corneal transplant without requirement for systemic immunosuppressive agents is allowed.

Note: Other protocol defined Inclusion/Exclusion criteria may 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).
  • You have had treatment but your cancer has gotten worse or has not responded to the treatment you have been given.
  • You have had a certain type of treatment or surgical procedure.

Exclusion

  • 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.

Participating hospitals

Recruiting hospitals

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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:

Trial sponsor

Gilead Sciences

Scientific Title

A Phase 2, Open Label, Multicenter, Randomized Study, to Evaluate the Efficacy and Safety of Denikitug Monotherapy and Denikitug-based Combinations in Participants With Advanced Microsatellite Stable (MSS) Colorectal Cancer (CRC)

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