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A Study to Access Intravenous (IV) Telisotuzumab Adizutecan in Combination With IV Bevacizumab Compared to Standard of Care IV Bevacizumabin Combination With Oral Trifluridine and Tipiracil in Adult Participants With Refractory Metastatic Colorectal Cancer

RecruitingPhase 3

An Open-Label, Randomized, Controlled, Global Phase 3 Study Comparing Telisotuzumab Adizutecan (ABBV-400) Plus Bevacizumab to LONSURF (Trifluridine and Tipiracil) Plus Bevacizumab in Subjects With Refractory Metastatic Colorectal Cancer

Who can join

Ages 18 and older · All sexes

Full eligibility criteria
Inclusion Criteria:

* Must voluntarily sign and date an informed consent, approved by an Ethics Committee (IEC)/ Institutional Review Board (IRB), prior to the initiation of any screening or study-specific procedures. Participants must have the capacity to consent in the opinion of the investigator.
* Life expectancy \>= 12 weeks per investigator assessment

Exclusion Criteria:

* Prior systemic regimen containing c-Met targeting agent (e.g., antibody, antibody drug conjugate, bispecific) or any Top-1 inhibitor ADC.
* History of intolerance, allergic reactions or hypersensitivity to bevacizumab or any of its excipients, or to compounds similar to trifluridine/tipiracil. This also includes patients with known rare hereditary problems of galactose intolerance, total lactase deficiency, or glucose-galactose malabsorption.
* History of hypersensitivity to Chinese Hamster Ovary cell products or other recombinant human or humanized antibodies.
* History of clinically significant (per investigator's judgment) drug or alcohol abuse within the last 6 months.

About the study

Colorectal cancer (CRC) is the third most common type of cancer diagnosed worldwide. The purpose of this study is to assess the adverse events and change in disease activity of telisotuzumab adizutecan plus bevacizumab compared to standard of care (SOC) of LONSURF (trifluridine and tipiracil) plus bevacizumab in adult participants with refractory metastatic colorectal cancer (mCRC).

Telisotuzumab adizutecan is an investigational drug being developed for the treatment of CRC. Participants will then be randomized into 2 groups called treatment arms. One group will receive telisotuzumab adizutecan with bevacizumab in different doses. Another group will receive standard of care (SOC), trifluridine and tipiracil (LONSURF), with Bevacizumab. Up to approximately 990 adult participants with refractory mCRC, will be enrolled in the study in approximately 125 sites globally.

In this Phase 3, one of two groups will receive doses of Intravenous (IV) telisotuzumab adizutecan + bevacizumab and other group will receive oral SOC of trifluridine/tipiracil (LONSURF)+ Intravenous (IV) bevacizumab. The study will run for a duration of approximately of 36 months.

There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at an approved institution (hospital or clinic). The effect of the treatment will be frequently checked by medical assessments, blood tests, questionnaires and side effects.

What is being tested

Sponsor: AbbVie · Participants: 990 · Started: May 22, 2026

Contact the study team

Official record on ClinicalTrials.gov — NCT07525206

Locations in the U.S.

ArizonaCity Of Hope - Phoenix /ID# 279450, Goodyear
ArkansasHighlands Oncology Group - Springdale /ID# 279444, Springdale
CaliforniaCity of Hope National Medical Center /ID# 279449, Duarte
ColoradoRocky Mountain Cancer Centers - Aurora /ID# 280112, Aurora
ConnecticutYale University School of Medicine /ID# 279373, New Haven
FloridaMoffitt Cancer Center /ID# 279325, Tampa
GeorgiaCity Of Hope - Atlanta /ID# 280017, Newnan
IllinoisUniversity of Chicago Medical Center /ID# 279365, Chicago
MissouriSaint Lukes Hospital of Kansas City /ID# 279513, Kansas City
New JerseyAstera Cancer Care /ID# 279532, East Brunswick
New YorkNorthwell Health Center for Advanced Medicine. /ID# 279590, Lake Success
North CarolinaDuke University Medical Center /ID# 279322, Durham
OhioOncology Hematology Care - Blue Ash /ID# 280143, Cincinnati
OregonCompass Oncology - Rose Quarter /ID# 280127, Portland
TexasTexas Oncology - Abilene - Antilley Road /ID# 280120, Abilene
The University of Texas MD Anderson Cancer Center /ID# 279865, Houston
VirginiaBlue Ridge Cancer Care - Blacksburg /ID# 280115, Blacksburg
WashingtonUniversity Of Washington-Fred Hutchinson Cancer Center - Seattle /ID# 281451, Seattle

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.