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Colorectal Cancer MetastaticPhase 2NCT05243862

Safety and Activity of PolyPEPI1018 Plus Atezolizumab in Colorectal Cancer.

A Phase 2 study testing PolyPEPI1018 and Atezolizumab in people with Colorectal Cancer Metastatic, run by Treos Bio Limited at 3 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a multicenter, open label, phase II trial to determine the safety, tolerability, and immunogenicity and initial clinical activity of the combination treatment of PolyPEPI1018 vaccine and atezolizumab in participants with MSS CRC who have progressed on 2 or 3 prior regimens. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Colorectal Cancer Metastatic
What is being tested?
PolyPEPI1018 and Atezolizumab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
18 participants
Where
3 sitesUnited States
Study dates
2 Jun 2022to 14 Jan 2025
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

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

  • Provide written informed consent for the trial.
  • Adults 18 years or older on the day of signing informed consent.
  • Histologically or cytologically confirmed CRC that is metastatic.
  • Primary and/or metastatic tumor(s) that is known to be MSS as determined locally
  • Must have had 2-3 prior lines of therapy for CRC in the advanced or metastatic setting, including all of the following in the absence of contraindications: a) fluoropyrimidine, b) oxaliplatin, c) irinotecan, d) one or more biologics depending on the clinical scenario. Prior regorafenib and/or TAS-102 are allowed but not required. Note: a line of therapy is generally considered >2 weeks of exposure to the same regimen followed by radiographically documented progression. Agents that are mechanistically similar (e.g. 5-fluorouracil and capecitabine) and are used interchangeably due to tolerability but not progression may be considered as components of the same regimen upon discussion with the medical monitor.
  • Willingness to undergo biopsy prior to study therapy and after approximately 6 weeks of study therapy. If biopsy on study is not feasible, then archival tissue must be available from within 90 days of signing consent.
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  • Willingness to undergo buccal swab prior to study therapy for the determination of HLA profile.
  • Documented radiographic progression after the last regimen prior to entry on this study.
  • Measurable disease, as defined by RECIST v1.1. Previously irradiated lesions can only be considered as measurable disease if disease progression has been unequivocally documented at that site since radiation.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1.
  • Adequate organ functions as defined by the following laboratory parameters at baseline (laboratory parameters outside of these ranges that are deemed clinically insignificant should be discussed with the medical monitor):
  • Absolute neutrophil count ≥1.5 x 109/L;
  • Hemoglobin ≥9 g/dL: transfusion to achieve this cutoff is not allowed within 14 days of first dose of study therapy;
  • Platelet count ≥100,000/mm3;
  • Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤2.5 x upper limit of normal (ULN) - ASL and/or ALT may be ≤5 x ULN in the setting of liver metastases;
  • Total bilirubin ≤ 1.5 x institutional ULN;
  • Serum creatinine within normal limits or calculated creatinine clearance >60 mL/min/1.73 m2 using the Cockroft-Gault method (Appendix 2) for participants with serum creatinine levels above or below the institutional normal range;
  • Albumin ≥3.0 g/dL;
  • Acceptable coagulation parameters including international normalized ratio (INR) <1.5 and partial thromboplastin time (PTT) ≤ institutional ULN in the absence of anticoagulation (participant on anticoagulants must be discussed with the medical monitor).
  • Has no major existing comorbidities or medical conditions that will preclude therapy in the view of the investigator.
  • Resolution to Grade ≤1 by the National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI-CTCAE v 5.0) of all clinically significant toxic effects of prior therapies (with exception of peripheral neuropathy).
  • Female participants are eligible to participate if at the time of screening are not pregnant, not breastfeeding, and at least one of the following conditions applies: (a) Not a woman of childbearing potential (WOCBP); or (b) WOCBP who (i) agrees to use highly effective contraception starting with the screening visit through 90 days after the last dose of study treatment; and (ii) must have a negative urine or serum pregnancy test within 72 hours prior to receiving any dose of study medication. If the urine test is positive or cannot be confirmed as negative, a serum pregnancy test will be required.
  • Childbearing potential is defined by at least one of the following: (a) ≥50 years of age and has not had menses for greater than 1 year; (b) amenorrheic for ≥2 years without a hysterectomy and bilateral oophorectomy and a follicle-stimulating hormone value in the postmenopausal range upon pre-study (screening) evaluation; (c) has had hysterectomy, bilateral oophorectomy or tubal ligation.
  • Highly effective contraception is defined in Appendix 3 or per national or local guidelines.
  • Abstinence is acceptable if this is the established and preferred method of contraception/lifestyle of the participant.
  • Male participants with a female partner(s) of childbearing potential must agree to use highly effective contraception throughout the study starting with the screening visit through 90 days after the last dose of study treatment is received by the male participant. Male participants with pregnant partners must agree to use a condom; no additional method of contraception is required for the pregnant partner.
  • Abstinence is acceptable if this is the established and preferred method of contraception of the participant.

Who cannot join

  • Prior treatment with an anti-CTLA-4, anti-PD-1, anti-PD-L1, anti-PD-L2 or any other checkpoint inhibitors.
  • Has received prior anticancer therapy (chemotherapy, targeted therapies, radiotherapy, or immunotherapy) within 28 days of the first dose of study therapy or 5 half-lives (whichever is shorter) if at least 10 days have elapsed between the last dose of such agents and the first dose of study therapy. NOTE: Patients who have been given palliative radiotherapy to peripheral sites (e.g., bone metastases) may enroll before 28 days have elapsed if they have recovered from any acute toxicities.
  • Has received a live vaccine within 28 days of the first dose of study therapy.
  • Has had major surgical procedure, open biopsy or significant traumatic injury within 28 days of the first dose of study therapy.
  • Participating in another research study involving receipt of an investigational product 21 days prior to study therapy.
  • History of autoimmune disease, including but not limited to myasthenia gravis, myositis, autoimmune hepatitis, systemic lupus erythematosus, rheumatoid arthritis, inflammatory bowel disease, vascular thrombosis associated with antiphospholipid syndrome, Wegener's granulomatosis, Sjögren's syndrome, Guillain-Barré syndrome, multiple sclerosis, vasculitis, or glomerulonephritis. Note: Patients with a history of autoimmune-related hypothyroidism on a stable dose of thyroid replacement hormone are eligible for this study. Patients with controlled Type I diabetes mellitus on a stable dose of insulin regimen are also eligible for this study.
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  • Receiving systemic corticosteroids within one week prior to the first dose of study therapy. Exceptions: corticosteroid use as a premedication for intravenous (IV) contrast, intermittent corticosteroid use (e.g., daily prednisone at doses of ≤10 mg or equivalent), bronchodilators, inhaled steroids, or local steroid injections (except at the proposed injection site of PolyPEPI1018) are acceptable.
  • History of anaphylaxis in relation to vaccination or the administration of a protein product.
  • Has known allergy to any component of the study treatment formulation(s).
  • Has symptomatic interstitial lung disease (ILD) or ILD which may interfere with detection and management of new immune-related pulmonary toxicity.
  • Prior allogeneic bone marrow transplantation or solid organ transplant.
  • Has known, active central nervous system (CNS) metastases and/or leptomeningeal metastases. Patients with previously treated, stable CNS metastases may participate if (a) there is no evidence of progression by imaging [magnetic resonance imaging (MRI) or computed tomography (CT) as used during the prior imaging] at least 28 days prior to the first dose of study therapy; (b) resolution or return to baseline of neurologic symptoms; and (c) no requirement for steroids to manage symptoms of brain metastases for at least 28 days prior to first dose of study therapy.
  • Active infection requiring systemic therapy.
  • Significant liver cirrhosis defined as Child-Pugh Class B or C (Appendix 4).
  • Active infection with human immunodeficiency virus (HIV) except participants who are currently stable on antiretroviral therapy (ART) for at least 4 weeks and agree to adhere to ART during study therapy, have HIV viral load of <400 copies per milliliter (/mL) at screening (or undetectable per local criteria), and have CD4 T cell counts ≥200/microliter.
  • Active hepatitis B (HBV) or C (HCV) infection. For participants with evidence of HBV infection, the HBV viral load must be undetectable on suppressive therapy, if indicated. For participants with HCV, infection must have been treated and cured or participants are currently on treatment and have an undetectable HCV viral load.
  • History or evidence of cardiovascular disease, chronic respiratory disease, gastrointestinal disease, liver disease, renal disease, endocrine disorder or any other medical or psychiatric condition that in the opinion of the investigator will significantly increase the safety risk for the subject or confound the interpretation of the study data.
  • Pregnant or breast-feeding or expecting to conceive or father children within the projected duration of the trial, starting with the screening visit through 90 days after the last dose of study treatment.
  • History of another active malignancy that has required therapy within 2 years prior to first dose of study therapy, except basal cell carcinoma of the skin, squamous cell carcinoma of the skin, prostate cancer or in situ cervical cancer that has undergone potentially curative therapy or is felt by the investigator to be at low risk for recurrence is allowed.
  • Substance abuse, medical, psychological or social conditions that may interfere with the subject's participation in the study or evaluation of the study results.
  • In the opinion of the investigator, participant has rapidly progressing disease, OR has life expectancy <3 months, OR would be unable to receive at least one study treatment.

Trial locations and contacts

3 sites in 1 country.

United States3 sites
  • Mayo Clinic

    Jacksonville, Florida, 32224

  • Mayo Clinic

    Phoenix, Arizona, 85054

  • Mayo Clinic

    Rochester, Minnesota, 55905

Other trials in United States

About this study

Official title: Phase II Study of PolyPEPI1018 Vaccine in Combination With Atezolizumab in Participants With Relapsed or Refractory Microsatellite-stable Metastatic Colorectal Cancer.

This is a multicenter, open label, phase II trial to determine the safety, tolerability, and immunogenicity and initial clinical activity of the combination treatment of PolyPEPI1018 vaccine and atezolizumab in participants with MSS CRC who have progressed on 2 or 3 prior regimens.

Read the detailed description

This is a multicenter, open label, phase II trial to determine the safety, tolerability, and immunogenicity and initial clinical activity of the combination treatment of PolyPEPI1018 vaccine and atezolizumab in participants with MSS CRC who have progressed on 2 or 3 prior regimens. Both agents will be administered on an every-3-week schedule until documented progression. A Simon's 2-stage design will be used for the initial assessment of efficacy.

Being tested
PolyPEPI1018, Atezolizumab
Keywords
MSS, Peptide Vaccine, Cancer vaccine, PolyPEPI1018, Checkpoint inhibitor, PD-L1 inhibitor, Atezolizumab

What participants receive

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

  • PolyPEPI1018Drug

    Also called PolyPEPI1018 CRC vaccine

    PolyPEPI1018 vaccine contains 6 synthetic peptides emulsified with the adjuvant Montanide™. The peptides were selected to induce T cell responses against 12 dominant epitopes from 7 tumor-specific antigens, which are the most frequently expressed antigens in colorectal cancer.

  • AtezolizumabDrug

    Also called Tecentriq

    Atezolizumab is a fully humanized, engineered monoclonal antibody of IgG1 isotype against the protein programmed cell death-ligand 1.

Study groups in NCT05243862
Study groupRoleWhat they receive
PolyPEPI1018 plus AtezolizumabExperimentalParticipants receive every 3 weeks PolyPEPI1018 CRC Vaccine (Emulsified solution, 0.2 mg/peptide, 6 peptides total, and Montanide™ ISA51VG adjuvant), by SC injection in combination with Atezolizumab (Injectable solution,1200mg/20mL) by IV injection.
Receives: Drug: PolyPEPI1018; Drug: Atezolizumab

What is being measured

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

  1. The Incidence and Severity Treatment Related Adverse Events

    The incidence and severity [according to the National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0 (v5.0)] of all Treatment-Emergent Adverse Events (TEAEs), related TEAEs, all SAEs, and related SAEs

    Measured: From 1st dose until 90-Days after last dose, up to 7.5 months.

  2. Clinical Laboratory Safety

    Number of patients with clinically meaningful differences observed with respect to group mean laboratory values over time

    Measured: From baseline to end of study, up to 12 months.

  3. Administration Safety

    Number and proportion of participants with any clinically significant change in vital signs (i.e., blood pressure, pulse rate, respiratory rate, body temperature) during the vaccine administration or within 60 minutes following administration

    Measured: From the start of each vaccine administration through 60 minutes after completion of each administration.

Secondary outcomes (7)
  1. Objective Response Rate Assessment

    By computed tomography (CT) scan or other appropriate radiographic imaging at Screening Visit and at specified intervals on study therapy by the investigator and per RECIST 1.1

    Measured: From study entry up to 2 years

  2. Duration of Response Assessment

    DoR from the first demonstration of response per RECIST 1.1 to the first demonstration of radiographic progression per RECIST 1.1

    Measured: From study entry up to 3 years

  3. Progression Free Survival Assessment

    PFS time from the first dose of study therapy to radiographic progression or death from any cause

    Measured: From date of first dose of study therapy until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 24 months

  4. Overall Survival Assesment

    OS time from the first dose of study therapy to death from any cause

    Measured: From first dose of study therapy to death from any cause assessed up to 24 months

  5. PEPI Listing

    List number of PEPIs identified by PEPI Test, where PEPIs are personal epitopes based on human leukocyte antigen (HLA)-genotype likely capable of inducing T-cell responses.

    Measured: 1 year

  6. Measured Effector T Cell Immune Response

    Effector T cell response against vaccine antigens as measured by ex vivo interferon (IFN)-gamma Enzyme-Linked ImmunoSpot (ex vivo ELISPOT) assay at baseline and at specified intervals on study therapy. The Baseline was the most recent non-missing value obtained immediately prior to administration of the first dose, and Post-treatment (on-treatment) was the maximum of the non-missing results obtained after admininstration of the first dose.

    Measured: From study entry to last administration, assessed up to 2 years

  7. Measured Memory T Cell Immune Response

    Memory T cell response against vaccine antigens of PolyPEPI1018 as measured by in vitro stimulated interferon (IFN)-gamma Enzyme-Linked ImmunoSpot (IVS ELISPOT) assay at baseline and at specified intervals on study therapy. The Baseline is the most recent non-missing value obtained immediately prior to administration of the first dose, and Post-treatment (on-treatment) is the maximum of the non-missing results obtained after admininstration of the first dose.

    Measured: From study entry to last administration, assessed up to 2 years

Timeline

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

  1. First posted17 Feb 2022
  2. Study start2 Jun 2022
  3. Primary completion8 Jul 2024
  4. Study completion14 Jan 2025

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 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
Following the Simon's 2-stage design, 18 participants will be enrolled in the first stage. If no participant with a response is observed, the study will be terminated for futility. If ≥ 1 participants achieve a response, then the study can proceed to the second stage, and additional 10 participants will be enrolled to the second stage.
Masking
None (open label)
Enrolment
18 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05243862
Sponsor's protocol ID
OBERTO-301
Status last verified
Jul 2026
First submitted
26 Jan 2022
Last updated
7 Aug 2026
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 2 study testing PolyPEPI1018 and Atezolizumab in people with Colorectal Cancer Metastatic, run by Treos Bio Limited at 3 sites in United States.

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 27 inclusion and 21 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: finished, as of the sponsor's last update on 7 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in United States. 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 phase mean?

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?

Yes. Results are posted in the registry (first posted 7 Aug 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The Incidence and Severity Treatment Related Adverse Events (time frame: From 1st dose until 90-Days after last dose, up to 7.5 months.). The study lists 3 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 7 Aug 2026.

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