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Colorectal CancerPhase 1/2NCT04421820

BOLD-100 in Combination With FOLFOX With or Without Bevacizumab for the Treatment of Advanced, Solid Tumours

A Phase 1/2 study testing BOLD-100 ± FOLFOX ± Bevacizumab Chemotherapy (Arm VII) and BOLD-100 in combination with FOLFOX Chemotherapy (Arms I-VI) in people with Colorectal Cancer and Pancreatic Cancer, run by Bold Therapeutics, Inc. at 28 sites in 8 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

BOLD-100 is an intravenously administered sterile solution containing the ruthenium-based small molecule. BOLD-100 has been shown to preferentially decrease the expression of GRP78 in tumour cells and ER stressed cells when compared to normal cells. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
BOLD-100 ± FOLFOX ± Bevacizumab Chemotherapy (Arm VII) and BOLD-100 in combination with FOLFOX Chemotherapy (Arms I-VI)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
220 participants
Where
28 sitesin 8 countries
Study dates
28 Aug 2020to 31 Dec 2027
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Be 18 years or older.
  • Be male or non-pregnant females who agree to comply with applicable contraceptive requirements of the protocol.
  • Histologically and/or cytologically confirmed gastrointestinal tumours that are metastatic or unresectable, and are subject to receive FOLFOX ± Bevacizumab. (ARM VII): Patients must have received only 1 prior line of therapy in the metastatic setting.
  • Have measurable disease according to RECIST v1.1.
  • Have an anticipated survival of at least 16 weeks.
  • Be ambulatory, with an ECOG performance score of 0 or 1.
Show all 10Show fewer
  • Have adequate organ function.
  • Be on stable doses of any drugs that may affect hepatic drug metabolism or renal drug excretion.
  • Be fully informed about their illness and the investigational nature of the study protocol, and sign a REB-approved Informed Consent Form (ICF).
  • (ARM VII): BRAF wild-type tumour status.

Who cannot join

  • Neuropathy > grade 2
  • Previous intolerance to or significant reaction secondary to fluorouracil, oxaliplatin, or bevacizumab.
  • Cerebrovascular accident within the past 6 months before the start of treatment.
  • History or presence of central nervous system (CNS) metastasis or leptomeningeal tumours.
  • Any serious medical conditions that might be aggravated by treatment or limit compliance.
  • Any history of serious cardiac illness.
Show all 20Show fewer
  • Hemoptysis, cerebral, or clinically significant gastrointestinal hemorrhage in the past 6 months before the start of treatment.
  • Any other known malignancy within 3 years before the start of treatment.
  • Active gastrointestinal tract disease with malabsorption syndrome.
  • Non-healing wound, fracture, or ulcer, or presence of symptomatic peripheral vascular disease.
  • Treatment with radiation therapy or surgery within 4 weeks prior to starting treatment.
  • Recent history of weight loss > 10% of current body weight in past 3 months before the start of treatment.
  • HIV-positive subjects on combination anti-retroviral therapy due to the potential for PK interactions with the study agent.
  • Concurrent use of another investigational therapy or anti-cancer therapy within 4 weeks before the start of treatment.
  • Currently breastfeeding
  • Dihydropyrimidine Dehydrogenase (DPD) deficiency
  • Current or prior treatment with potent inhibitors of Dihydropyrimidine Dehydrogenase (DPD)
  • (ARM VII): Prior exposure to BOLD-100
  • (ARM VII): Subjects with microsatellite-high (MSI-H) Tumours
  • (ARM VII): Concurrent monoclonal antibody therapy for mCRC (anti-EGFR, anti-VEGF or anti-HER2)

Trial locations and contacts

28 sites in 8 countries. Contact the study team or a site near you to ask about taking part.

28 sites in 8 countries

Canada6 sites, 6 recruiting
  • Cross Cancer Institue

    Edmonton, Alberta

    Carly Mack, 780-432-8823, Carly.Mack@ahs.ca

    Lindzie Sinclair, Lindzie.Sinclair@ahs.ca

    Recruiting
  • Juravinski Cancer Centre

    Hamilton, Ontario

    Carrie Ferguson, 905-521-2100 ext. 64416, Fergusonca@hhsc.ca

    Stephanie Skeldon, Skeldon@hhsc.ca

    Recruiting
  • Jewish General Hospital

    Montreal, Quebec

    Yacine Tchemmoun, Yacine.Tchemmoun.ccomtl@ssss.gouv.qc.ca

    Ewa Forczek, 514-340-8222, Ewa.Forczek.ccomtl@ssss.gouv.qc.ca

    Recruiting
  • McGill University Health Centre Glen Site

    Montreal, Quebec

    Wafaa Chebaro, Wafaa.Chebaro@muhc.mcgill.ca

    Zak Dembele, Aboudrazako.Dembele@muhc.mcgill.ca

    Recruiting
  • The Ottawa Hospital Cancer Centre

    Ottawa, Ontario

    Saara Ali, 613-737-7700 ext. 70211, saali@ohri.ca

    Rose Leclerc, 613-737-7700 ext. 70303, roleclerc@ohri.ca

    Recruiting
  • Princess Margaret Cancer Centre

    Toronto, Ontario

    Mopina Shrikumar, Mopina.Shrikumar@uhn.ca

    Cynthia Bocaya, 416-946-4501 ext. 4713, Cynthia.Bocaya@uhn.ca

    Recruiting

Other trials in Canada

South Korea5 sites, 5 recruiting
  • National Cancer Center

    Goyang

    Min Ji Kim, 12991@ncc.re.kr

    Yeon Hee Lee, 010-7109-6752, Yunsoo86@ncc.re.kr

    Recruiting
  • Kangbuk Samsung Hospital

    Seoul

    Min Ju Cho, +82 2 2001 1526, m0360.Cho@samsung.com

    Ji Won Lee, +82 2 2001 1578, Jiwon.Lee@samsung.com

    Recruiting
  • Samsung Medical Center

    Seoul

    Yeong Seo, +82 2 2148 9848, yeonog.seo@sbri.co.kr

    Recruiting
  • Seoul National University Hospital

    Seoul

    Hyang mi Kang, (+)82 2 6072 5172, 49001@snuh.org

    Recruiting
  • Severance Hospital - Yonsei University

    Seoul

    Anna Yeun, annay@yuhs.ac

    Recruiting

Other trials in South Korea

United Kingdom4 sites, 4 recruiting
  • Velindre Cancer Centre Clinical Trials

    Cardiff

    Sam Morgan, +44 29 2061 5888, Sam.Morgan@wales.nhs.uk

    Richard Adams

    Recruiting
  • Ulster Hospital

    Dundonald, BT16 1RH

    Rachel Boyd, 02890 550427 ext. 10206, Rachael.Boyd2@setrust.hscni.net

    Sandra Van Schaeybroeck, Dr

    Recruiting
  • Royal Marsden Hospital

    London, SW3 6JJ

    Niamh Wood, +44 20 3186 5177, Niamh.Wood@rmh.nhs.uk

    Hazel Lote, Dr

    Recruiting
  • Royal Marsden Hospital

    Sutton, SM2 5PT

    Niamh Wood, +44 20 3186 5177, Niamh.Wood@rmh.nhs.uk

    Hazel Lote, Dr

    Recruiting

Other trials in United Kingdom

Ireland3 sites, 3 recruiting
  • Mater Miserecordiae University Hospital

    Dublin

    Austin Duffy, austin.duffy@startdublin.com

    Niamh Ni Obain, Niamh.obain@startdublin.com

    Recruiting
  • St. James Hospital

    Dublin

    Emily Harrold, Dr, +353 1 410 3000, eharrold@stjames.ie

    Trisha Lima, TLima@stjames.ie

    Recruiting
  • St. Vincent's University Hospital

    Dublin

    Fergus Keane, ferguskeane@svhg.ie

    Fausta Barizaite, fausta.barizaite@ccrt.ie

    Recruiting

Other trials in Ireland

Italy3 sites, 3 recruiting
  • Fondazione IRCCS "Istituto Nazionale dei Tumori

    Milan

    Federica Morano, 390223903807, Federica.Morano@istitutotumori.mi.it

    Federica Morano

    Recruiting
  • AOU L. Vanvitelli

    Naples

    Stefania Napolitano, 393287269612, stefania.napolitano@unicampania.it

    Stefania Napolitano

    Recruiting
  • Azienda Ospedaliero Universitaria Pisana

    Pisa

    Chiara Cremolini, 39050993173, chiaracremolini@gmail.com

    Chiara Cremolini

    Recruiting

Other trials in Italy

Spain3 sites, 3 recruiting
  • Vall Hebron Institute of Oncology (VHIO)

    Barcelona

    Elena Elez, 34 932746000, meelez@vhio.net

    Elena Elez

    Recruiting
  • Early Phase Unit FJD START Madrid

    Madrid

    Manuel Pedregal Trujillo, 34 660559027, manuel.pedregal@startmadrid.com

    Manuel Pedregal Trujillo

    Recruiting
  • Hospital 12 de Octubre

    Madrid

    Jorge Barriuso, 34 913908926, jorge.barriuso.imas12@h12o.es

    Jorge Barriuso

    Recruiting

Other trials in Spain

United States2 sites
  • University of California, Los Angeles

    Santa Monica, California, 90095

    Completed
  • Moffitt Cancer Center

    Tampa, Florida, 33612

    Completed

Other trials in United States

Germany2 sites, 2 recruiting
  • Universitatsklinikum Bonn

    Bonn

    Maria Gonzalez-Carmona, +49 228 287 17014, Maria.Gonzalez-Carmona@ukbonn.de

    Maria Gonzalez-Carmona

    Recruiting
  • University Hospital of Ulm

    Ulm

    Thomas Seufferlein, +49 731 500 44501, thomas.seufferlein@uniklinik-ulm.de

    Thomas Seufferlein

    Recruiting

Other trials in Germany

About this study

Official title: A Phase 1b/2a Dose Escalation Study of BOLD-100 in Combination With FOLFOX Chemotherapy With or Without Bevacizumab in Patients With Advanced Solid Tumours

BOLD-100 is an intravenously administered sterile solution containing the ruthenium-based small molecule. BOLD-100 has been shown to preferentially decrease the expression of GRP78 in tumour cells and ER stressed cells when compared to normal cells. BOLD-100 will be combined with cytotoxic FOLFOX ± Bevacizumab chemotherapy in this study, with a dose escalation cohort to ensure tolerability and safety, followed by a cohort expansion phase. This study now includes as a treatment intervention the SOC combination FOLFOX ± Bevacizumab, if indicated.

Read the detailed description

BOLD-100 is a novel, targeted anti-cancer therapy which is an intravenously administered small molecule drug. In a previous Phase 1 study (NCT01415297) BOLD-100 showed low toxicity with minimal hematological issues as well as some potential anti-tumour activity. The lack of observed hematological toxicity and neurotoxicity position BOLD-100 well for use in combination with a broad range of standard-of-care (SOC) chemotherapy regimens.

This is a prospective, multicenter non-randomized Phase 1b/2a dose escalation \& expanded cohort study of BOLD-100 in patients with advanced gastrointestinal malignancies (colorectal, pancreatic, gastric cancers, and cholangiocarcinoma) receiving standard-of-care FOLFOX chemotherapy. Enrollment in Arms I - VI is closed to enrollment.

Colorectal cancer (ARM VII) for patients who are oxaliplatin naïve and have received only 1 prior line of therapy in the metastatic setting. Within this arm, participants will be randomized to one of two dose levels of BOLD-100 - either 500 mg/m2 or 625 mg/m2 in combination with FOLFOX ± Bevacizumab or FOLFOX alone, in a 1:1:1 ratio. Participants enrolled into Arm VII will complete quality of life questionnaires examining general quality of life and neuropathy associated quality of life parameters. Participants will be eligible to receive the monoclonal antibody Bevacizumab as part of the standard of care treatment regimen (FOLFOX) if indicated.

Being tested
BOLD-100 ± FOLFOX ± Bevacizumab Chemotherapy (Arm VII), BOLD-100 in combination with FOLFOX Chemotherapy (Arms I-VI)
Medical subject headings
Colorectal Neoplasms, Pancreatic Neoplasms, Stomach Neoplasms, Cholangiocarcinoma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BOLD-100 ± FOLFOX ± Bevacizumab Chemotherapy (Arm VII)Drug

    Arm VIIA: 500 mg/m2 BOLD-100 combined with FOLFOX ± Bevacizumab; Arm VIIB: 625 mg/m2 BOLD-100 combined with FOLFOX ± Bevacizumab; Arm VIIC: FOLFOX ± Bevacizumab alone

  • BOLD-100 in combination with FOLFOX Chemotherapy (Arms I-VI)Drug

    BOLD-100 at 625 mg/m2 combined with FOLFOX Chemotherapy

Study groups in NCT04421820
Study groupRoleWhat they receive
Part B - Dose Expansion - 1L Gastric Cancer (ARM I)ExperimentalArm closed to enrollment.
Receives: Drug: BOLD-100 in combination with FOLFOX Chemotherapy (Arms I-VI)
Part B - Dose Expansion - 2L Gastric Cancer (ARM II)ExperimentalArm closed to enrollment.
Receives: Drug: BOLD-100 in combination with FOLFOX Chemotherapy (Arms I-VI)
Part B - Dose Expansion - 2L Pancreatic Cancer (ARM III)ExperimentalArm closed to enrollment.
Receives: Drug: BOLD-100 in combination with FOLFOX Chemotherapy (Arms I-VI)
Part B - Dose Expansion - 2L Colorectal Cancer (ARM IV)ExperimentalArm closed to enrollment.
Receives: Drug: BOLD-100 in combination with FOLFOX Chemotherapy (Arms I-VI)
Part B - Dose Expansion - 2L Cholangiocarcinoma (ARM V)ExperimentalArm closed to enrollment.
Receives: Drug: BOLD-100 in combination with FOLFOX Chemotherapy (Arms I-VI)
Part B - Dose Expansion - 3L Colorectal Cancer (ARM VI)ExperimentalArm closed to enrollment.
Receives: Drug: BOLD-100 in combination with FOLFOX Chemotherapy (Arms I-VI)
Part B - Dose Expansion - 2L Colorectal Cancer (ARM VIIA)Active comparatorArm open to enrollment. 500 mg/m2 BOLD-100 + SOC (FOLFOX ± Bevacizumab)
Receives: Drug: BOLD-100 ± FOLFOX ± Bevacizumab Chemotherapy (Arm VII)
Part B - Dose Expansion - 2L Colorectal Cancer (ARM VIIB)Active comparatorArm open to enrollment. 625 mg/m2 BOLD-100 + SOC (FOLFOX ± Bevacizumab)
Receives: Drug: BOLD-100 ± FOLFOX ± Bevacizumab Chemotherapy (Arm VII)
Part B - Dose Expansion - 2L Colorectal Cancer (ARM VIIC)Active comparatorArm open to enrollment. FOLFOX ± Bevacizumab alone.
Receives: Drug: BOLD-100 ± FOLFOX ± Bevacizumab Chemotherapy (Arm VII)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Incidence and severity of adverse events ([S]AEs)

    Arms I-VI: Primary outcome measure; Arm VII: Secondary outcome measure

    Measured: Through study completion, approximately 2 weeks after last treatment

  2. Incidence of dose-limiting toxicities (DLT)

    Dose escalation only.

    Measured: Screening to 4 weeks after first treatment

  3. Incidence of clinically significant changes or abnormalities from Physical Examinations, ECGs, Vital Signs, Laboratory Results, ECOG performance status

    Arms I-VI: Primary outcome measure; Arm VII: Secondary outcome measure

    Measured: Through study completion, approximately 2 weeks after last treatment

  4. Progression Free Survival (PFS): Arm VII

    Arm VII: Primary outcome measure

    Measured: Through study completion, approximately 2 weeks after last treatment for last patient

  5. Overall Response Rate (ORR): Arm VII

    Arm VII: Primary outcome measure

    Measured: Through study completion, approximately 2 weeks after last treatment for last patient

  6. Overall Survival (OS): Arm VII

    Arm VII: Primary outcome measure

    Measured: Through study completion, approximately 2 weeks after last treatment for last patient

Secondary outcomes (7)
  1. Progression Free Survival (PFS): Arms I-VI

    Arms I-VI: Secondary outcome measure

    Measured: Through study completion, approximately 2 weeks after last treatment for last patient

  2. Overall Response Rate (ORR): Arms I-VI

    Arms I-VI: Secondary outcome measure

    Measured: Through study completion, approximately 2 weeks after last treatment for last patient

  3. Overall Survival (OS): Arms I-VI

    Arms I-VI: Secondary outcome measure

    Measured: Through study completion, approximately 2 weeks after last treatment for last patient

  4. Baseline and changes in biomarker levels during treatment

    Serum GRP78

    Measured: Arms I-VII; Through study completion, approximately 2 weeks after last treatment

  5. Peak Plasma Concentrations (Cmax)

    Arms I-VII

    Measured: Arms I-VII; Through study completion, approximately 2 weeks after last treatment

  6. Area under the plasma concentration versus time (AUC)

    Arms I-VII

    Measured: Arms I-VII; Through study completion, approximately 2 weeks after last treatment

  7. Elimination half life (T1/2)

    Arms I-VII

    Measured: Arms I-VII; Through study completion, approximately 2 weeks after last treatment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Jun 2020
  2. Study start28 Aug 2020
  3. Primary completion1 Jul 2027 (estimated)
  4. Study completion31 Dec 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Model description
Randomized - Arm VII only: Second line mCRC 500 mg/m2 or 625 mg/m2 in combination with FOLFOX ± Bevacizumab or FOLFOX alone, in a 1:1:1 ratio. Participants will be eligible to receive the monoclonal antibody Bevacizumab as part of the standard of care treatment regimen (FOLFOX) if indicated.
Masking
None (open label)
Enrolment
220 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04421820
Sponsor's protocol ID
BOLD-100-001
Status last verified
Oct 2026
First submitted
26 May 2020
Last updated
28 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing BOLD-100 ± FOLFOX ± Bevacizumab Chemotherapy (Arm VII) and BOLD-100 in combination with FOLFOX Chemotherapy (Arms I-VI) in people with Colorectal Cancer and Pancreatic Cancer, run by Bold Therapeutics, Inc. at 28 sites in 8 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 20 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 28 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 28 sites in Canada, South Korea, United Kingdom, Ireland, Italy and 3 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Michelle Jones (604-262-9899, clinical@bold-therapeutics.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Incidence and severity of adverse events ([S]AEs) (time frame: Through study completion, approximately 2 weeks after last treatment). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Oct 2026.

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