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Trial · NCT03555149

A Study Evaluating the Efficacy and Safety of Multiple Immunotherapy-Based Treatment Combinations in Patients With Metastatic Colorectal Cancer (Morpheus-CRC)

NCT03555149, Phase 1, Phase 2, Terminated, Hoffmann-La Roche; results first posted 2023-11-07

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study Evaluating the Efficacy and Safety of Multiple Immunotherapy-Based Treatment Combinations in Patients With Metastatic Colorectal Cancer (Morpheus-CRC). Trials, record NCT03555149. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03555149

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study Evaluating the Efficacy and Safety of Multiple Immunotherapy-Based Treatment Combinations in Patients With Metastatic Colorectal Cancer (Morpheus-CRC)
NCT number
NCT03555149
Status
Terminated
Phases
Phase 1, Phase 2
Enrollment
96 participants, actual
Lead sponsor
Hoffmann-La Roche
Conditions
Colorectal Cancer
Interventions
Regorafenib, Atezolizumab, Imprime PGG, Bevacizumab, Isatuximab, Selicrelumab, Idasanutlin, AB928, LOAd703
First posted
2018-06-13
Last updated
2023-11-07
Other registries' IDs
eudract:2017-004566-99
Results first posted
2023-11-07
Limitations and caveats
This study is not designed to make explicit power and Type I error considerations for a hypothesis test. Instead, this study is designed to obtain preliminary efficacy, safety, and PK data. No formal statistical hypothesis testing was performed in this study. Due to the limited sample size, the results need to be interpreted with caution. For the Atezo+Idasa and Atezo+LOAd703 groups, no meaningful conclusion could be drawn because these experimental arms have been terminated prematurely.

Source ClinicalTrials.gov

Registered outcomes7

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryBest Confirmed Overall Response Rate (ORR) as Determined by the Investigator According to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1From randomization until disease progression or loss of clinical benefit (up to 4 years)
The best confirmed overall response rate (ORR) is defined as the percentage of participants with a complete response or partial response on two consecutive occasions ≥4 weeks apart, as determined by the investigator according to RECIST v1.1. Participants could be classified as "Stable Disease" if the assessment was at least 6 weeks from randomization. Participants were classified as Missing if no post-baseline response assessments were available. Participants were classified as Not Evaluable if all post-baseline response assessments were unevaluable. The differences in ORR between the experimental arms and the corresponding control arm were calculated, along with 95% confidence intervals (CIs), using normal approximation of the binomial distribution. The 95% CIs for ORRs were constructed using the Clopper-Pearson method. The 95% CIs for the difference in rates were constructed using the Wald method with continuity correction.
SecondaryProgression-Free Survival (PFS) as Determined by Investigator According to RECIST v1.1From randomization up to the first occurrence of disease or death from any cause (up to 4 years)
Progression-free survival (PFS) after randomization, defined as the time from randomization to the first occurrence of disease progression or death from any cause (whichever occurs first), was determined by the investigator according to RECIST v1.1. For participants who did not have documented disease progression or death, PFS was censored at the day of the last tumor assessment. The Kaplan-Meier method was used to estimate the median for PFS with 95% confidence intervals (CIs) constructed through use of the Brookmeyer and Crowley method.
SecondaryOverall Survival (OS)From randomization up to death from any cause (up to 4 years)
Overall survival (OS) is defined as the time from randomization to death from any cause. Participants who were still alive at the time of OS analysis were censored at the last date they were known to be alive. The Kaplan-Meier method was used to estimate the median for OS with 95% confidence intervals (CIs) constructed through use of the Brookmeyer and Crowley method.
SecondaryPercentage of Participants Who Were Alive at Landmark Timepoints for Overall Survival (OS)3, 6, 12, and 18 months
Overall survival (OS) is defined as the time from randomization to death from any cause. Participants who were still alive at the time of OS analysis were censored at the last date they were known to be alive. OS is shown as the percentage of participants who were event-free at the landmark timepoints of 3, 6, 12, and 18 months.
SecondaryDuration of Response (DOR) as Determined by the Investigator According to RECIST v1.1From the date of first occurrence of a documented objective response to disease progression or death from any cause, whichever occurs first (up to 4 years)Duration of response is defined as the time from the first occurrence of a documented objective response to disease progression or death from any cause.
SecondaryDisease Control Rate (DCR), as Determined by the Investigator Per RECIST v1.1From randomization until disease progression or loss of clinical benefit (up to 4 years)Disease control rate is defined as the percentage of participants with stable disease for ≥12 weeks or a complete or partial response, as determined by the investigator according to RECIST v1.1.
SecondaryPercentage of Participants With at Least One Adverse Event (AE)
Adverse event data were collected from baseline up to 6 months after the last dose of study treatment (up to 640 days); deaths (all-cause) were reported from baseline through survival follow-up (up to 4 years)
The incidence, nature, and severity of adverse events (AEs) are reported, with severity determined according to NCI CTCAE v4.0. All AEs were reported until 30 days after the last study dose or until start of new systemic anti-cancer therapy. Serious AEs and AEs of special interest were reported until 135 days (or 180 days for the Atezolizumab + LOAd703 arm only) after the last dose of study treatment.

Outcomes7

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYBest Confirmed Overall Response Rate (ORR) as Determined by the Investigator According to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1From randomization until disease progression or loss of clinical benefit (up to 4 years)The efficacy evaluable population included all patients who received at least one dose of each drug for their assigned treatment regimen.Percentage of ParticipantsNUMBER
SECONDARYProgression-Free Survival (PFS) as Determined by Investigator According to RECIST v1.1From randomization up to the first occurrence of disease or death from any cause (up to 4 years)The efficacy evaluable population included all patients who received at least one dose of each drug for their assigned treatment regimen.MonthsMEDIAN
SECONDARYOverall Survival (OS)From randomization up to death from any cause (up to 4 years)The efficacy evaluable population included all participants who received at least one dose of each study drug for their assigned treatment regimen.MonthsMEDIAN
SECONDARYPercentage of Participants Who Were Alive at Landmark Timepoints for Overall Survival (OS)3, 6, 12, and 18 months
The efficacy evaluable population included all participants who received at least one dose of each study drug for their assigned treatment regimen. The number analyzed at each landmark timepoint indicates the number of participants who were remaining at risk for an event. The event-free rate was not estimable (NE) for landmark timepoints at which 0 participants were remaining at risk for an an event.
Percentage of ParticipantsNUMBER
SECONDARYDuration of Response (DOR) as Determined by the Investigator According to RECIST v1.1From the date of first occurrence of a documented objective response to disease progression or death from any cause, whichever occurs first (up to 4 years)
The duration of response analysis included all participants from the efficacy evaluable population who had a confirmed overall response; only 1 participant in each of the atezolizumab + regorafenib arm and the atezolizumab + regorafenib + AB928 arm had a confirmed response.
MonthsMEDIAN
SECONDARYDisease Control Rate (DCR), as Determined by the Investigator Per RECIST v1.1From randomization until disease progression or loss of clinical benefit (up to 4 years)The efficacy evaluable population included all patients who received at least one dose of each drug for their assigned treatment regimen.Percentage of ParticipantsNUMBER
SECONDARYPercentage of Participants With at Least One Adverse Event (AE)
Adverse event data were collected from baseline up to 6 months after the last dose of study treatment (up to 640 days); deaths (all-cause) were reported from baseline through survival follow-up (up to 4 years)
The safety-evaluable population included all patients who received any amount of dose of any component of study treatment.Percentage of ParticipantsNUMBER

Results by group247

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Best Confirmed Overall Response Rate (ORR) as Determined by the Investigator According to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1Regorafenib (Control)Responders (CR + PR)095% Confidence Interval 0 to 17.65Percentage of Participants
Best Confirmed Overall Response Rate (ORR) as Determined by the Investigator According to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1Atezolizumab + Imprime PGG + BevacizumabResponders (CR + PR)095% Confidence Interval 0 to 21.80Percentage of Participants
Best Confirmed Overall Response Rate (ORR) as Determined by the Investigator According to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1Atezolizumab + IsatuximabResponders (CR + PR)095% Confidence Interval 0 to 21.80Percentage of Participants
Best Confirmed Overall Response Rate (ORR) as Determined by the Investigator According to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1Atezolizumab + Selicrelumab + BevacizumabResponders (CR + PR)095% Confidence Interval 0 to 45.93Percentage of Participants
Best Confirmed Overall Response Rate (ORR) as Determined by the Investigator According to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1Atezolizumab + IdasanutlinResponders (CR + PR)095% Confidence Interval 0 to 60.24Percentage of Participants
Best Confirmed Overall Response Rate (ORR) as Determined by the Investigator According to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1Atezolizumab + RegorafenibResponders (CR + PR)6.795% Confidence Interval 0.17 to 31.95Percentage of Participants
Best Confirmed Overall Response Rate (ORR) as Determined by the Investigator According to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1Atezolizumab + Regorafenib + AB928Responders (CR + PR)6.795% Confidence Interval 0.17 to 31.95Percentage of Participants
Best Confirmed Overall Response Rate (ORR) as Determined by the Investigator According to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1Atezolizumab + LOAd703Responders (CR + PR)095% Confidence Interval 0 to 84.19Percentage of Participants
Best Confirmed Overall Response Rate (ORR) as Determined by the Investigator According to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1Regorafenib (Control)Complete Response (CR)095% Confidence Interval 0 to 17.65Percentage of Participants
Best Confirmed Overall Response Rate (ORR) as Determined by the Investigator According to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1Atezolizumab + Imprime PGG + BevacizumabComplete Response (CR)095% Confidence Interval 0 to 21.80Percentage of Participants

Participant flow32

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDRegorafenib (Control)24
Overall StudySTARTEDAtezolizumab + Imprime PGG + Bevacizumab15
Overall StudySTARTEDAtezolizumab + Isatuximab15
Overall StudySTARTEDAtezolizumab + Selicrelumab + Bevacizumab6
Overall StudySTARTEDAtezolizumab + Idasanutlin4
Overall StudySTARTEDAtezolizumab + Regorafenib15
Overall StudySTARTEDAtezolizumab + Regorafenib + AB92815
Overall StudySTARTEDAtezolizumab + LOAd7032
Overall StudyReceived at Least One Dose of Study TreatmentRegorafenib (Control)19
Overall StudyReceived at Least One Dose of Study TreatmentAtezolizumab + Imprime PGG + Bevacizumab15

Adverse events1,888

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersRegorafenib (Control)2192
otherAnaemiaBlood and lymphatic system disordersAtezolizumab + Imprime PGG + Bevacizumab1151
otherAnaemiaBlood and lymphatic system disordersAtezolizumab + Isatuximab3153
otherAnaemiaBlood and lymphatic system disordersAtezolizumab + Selicrelumab + Bevacizumab161
otherAnaemiaBlood and lymphatic system disordersAtezolizumab + Idasanutlin141
otherAnaemiaBlood and lymphatic system disordersAtezolizumab + Regorafenib3153
otherAnaemiaBlood and lymphatic system disordersAtezolizumab + Regorafenib + AB9283154
otherAnaemiaBlood and lymphatic system disordersAtezolizumab + LOAd703020
otherLymphopeniaBlood and lymphatic system disordersRegorafenib (Control)0190
otherLymphopeniaBlood and lymphatic system disordersAtezolizumab + Imprime PGG + Bevacizumab0150

Adverse event totals24

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityRegorafenib (Control)1824
Total, all-cause mortalityAtezolizumab + Imprime PGG + Bevacizumab1515
Total, all-cause mortalityAtezolizumab + Isatuximab1515
Total, all-cause mortalityAtezolizumab + Selicrelumab + Bevacizumab46
Total, all-cause mortalityAtezolizumab + Idasanutlin44
Total, all-cause mortalityAtezolizumab + Regorafenib1115
Total, all-cause mortalityAtezolizumab + Regorafenib + AB9281215
Total, all-cause mortalityAtezolizumab + LOAd70312
Total, other adverse eventsRegorafenib (Control)1919
Total, other adverse eventsAtezolizumab + Imprime PGG + Bevacizumab1515

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03555149

GET https://conductscience.org/api/trials/v1/NCT03555149/results?page=2