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The CRC Blueprint

My scientific approach to my own cancer – shared with you.

Clinical trials

Phase III Study of Ivonescimab or Bevacizumab Combined With FOLFOX in Patients With Metastatic Colorectal Cancer

Recruiting nowPhase 3Randomised

The trial at a glance
Registry number NCT07228832
Recruitment Recruiting now
Phase Phase 3
Design randomised, blinded
Taking part 600 people (planned)
Who can join aged 18 Years and over
Run by Summit Therapeutics
Started
Main results expected
Record last updated

What is being tested

  • Drug Drug: Ivonescimab Injection
  • Drug Drug: Bevacizumab Injection

What it is measuring

PFS by IRRC based on RECIST v1.1

This is the trial's main question — the one it is designed and sized to answer. Anything else it reports is a secondary finding, and secondary findings are far more likely to be chance.

What this trial is trying to do

The trial is testing whether ivonescimab, a bispecific antibody designed to block both the immune checkpoint PD-1 and the blood-vessel growth signal VEGF, works better with FOLFOX as first treatment for metastatic colorectal cancer than bevacizumab, which blocks VEGF, with FOLFOX. The idea is that combining these two effects may slow the cancer while helping the immune system recognise tumour cells.

Patients are randomly assigned to ivonescimab or bevacizumab, both alongside FOLFOX. The main question is whether ivonescimab keeps the cancer from growing for longer, measured as progression-free survival by independent review; the trial is not primarily measuring whether people live longer overall.

Worth knowing: This is a randomised phase III trial, but its stated main outcome is time before progression rather than overall survival.

Written from the trial's own registry entry to explain what the researchers are testing and why. Nothing here is a result — this trial has not reported one — and it is not a view on whether the treatment works or on whether it would suit you.

Phase 3. Compares the treatment against current standard care in a large group. This is the design that changes practice.

How the researchers describe it

A Randomized, Active-Controlled, Double-blind, Multicenter, Phase 3 Clinical Study of Ivonescimab in Combination with mFOLFOX6 (Oxaliplatin, Leucovorin and 5-Fluorouracil) versus Bevacizumab in Combination with FOLFOX for the First-line Treatment of Metastatic Colorectal Cancer(HARMONi-GI3)

Written by the trial’s sponsor, quoted from its ClinicalTrials.gov record.

What this trial is looking for

Genotype

  • Any genotype
Disease

  • Metastatic
Treatment

  • Not yet treated

Read automatically from the criteria below, to make the list searchable. It is a summary of what the text mentions, not a decision about whether you qualify — and where the two disagree, the criteria are right and this is wrong.

Who the trial is looking for

Inclusion Criteria

1. ECOG performance status score of 0 or 1

2. Expected life expectancy ≥ 6 months

3. Patients with histologically or cytologically confirmed metastatic CRC

4. No prior systemic therapy for metastatic CRC

5. At least 1 measurable noncerebral lesion

Exclusion Criteria

1. Microsatellite instability-high (MSI-H) or mismatch repair deficient (dMMR) disease

2. Known BRAF V600E mutant status

3. Current presence of significant radiographic or clinical manifestations of gastrointestinal (GI) obstruction

4. Ascites requiring paracentesis within last 30 days

5. Patients who have received prior immunotherapy or anti-angiogenic therapy for colorectal cancer

6. Active or prior history of inflammatory bowel disease (eg, Crohn's disease, ulcerative colitis, or chronic diarrhea)

7. Resectable disease

This is an extract. Whether you qualify is decided by the trial team against the full criteria, not by reading this page. Read the full eligibility criteria

Where it is running

Running at 166 sites. Listed in: Belgium, Canada, Czechia, France, Germany, Italy, Japan, Poland, Puerto Rico, Spain, United Kingdom, United States.

Individual hospitals, and whether each is currently open, are listed on the registry record. Sites open and close throughout a trial.

Worth asking your oncology team

Being listed here is not a recommendation, and no one page can tell you whether a trial is right for you. These are the questions it raises.

  • Is this trial open at a hospital I could realistically travel to?
  • Given my stage, my previous treatment and my tumour's molecular profile, would I be eligible?
  • What would I be giving up by joining — is the comparison arm the treatment I would otherwise be having?
  • What is already known about the safety of what is being tested?

The source

Registry record NCT07228832, registered by Summit Therapeutics on ClinicalTrials.gov, a public database run by the US National Library of Medicine. The details on this page come from that record and are only ever as current as the sponsor has kept it.

This is a listing of a registered clinical trial, reproduced for information. It is not a recommendation, this site has no connection to the trial or its sponsor, and being listed here says nothing about whether the treatment works. Talk to your own oncology team before pursuing any trial.

This article summarises published research for general information. It is not medical advice, and it is not a substitute for a conversation with your own oncology team, who know your case. Do not start, stop, or change any treatment or supplement on the basis of what you read here.


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