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Trial ยท NCT04491955

Phase II Trial of Combination Immunotherapy in Subjects With Advanced Small Bowel and Colorectal Cancers

NCT04491955, Phase 2, Completed, National Cancer Institute (NCI); results first posted 2023-11-14

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Phase II Trial of Combination Immunotherapy in Subjects With Advanced Small Bowel and Colorectal Cancers. Trials, record NCT04491955. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04491955

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Trial

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

Title
Phase II Trial of Combination Immunotherapy in Subjects With Advanced Small Bowel and Colorectal Cancers
NCT number
NCT04491955
Status
Completed
Phases
Phase 2
Enrollment
32 participants, actual
Lead sponsor
National Cancer Institute (NCI)
Conditions
Small Bowel Cancers, Colorectal Cancers
Interventions
CV301, MSB0011359C, N-803, NHS-IL12
First posted
2020-07-30
Last updated
2025-04-24
Results first posted
2023-11-14

Source ClinicalTrials.gov

Registered outcomes9

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

ListOutcomeTime frameDescription
PrimaryObjective Response Rate (ORR) for Triple Therapyone year
ORR of the combination of (1) Carcinoembryonic antigen (CEA)/Mucin-1 (MUC1) vaccines, (2) N-803 (Anktiva) and (3) M7824 (MSB0011359C) in participants with advanced small bowel and colorectal cancers was evaluated according to the Response Evaluation Criteria in Solid Tumors (RECIST 1.1). Objective response is a complete or partial radiographic response as defined by RECIST 1.1. Complete Response (CR) is disappearance of all target lesions. Partial Response (PR) is at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum of diameters.
PrimaryObjective Response Rate (ORR) for Quadruple Therapyone year
ORR of the combination of (1) Carcinoembryonic antigen (CEA)/Mucin-1 (MUC1) vaccines, (2) N-803 (Anktiva), (3) M7824 (MSB0011359C) and (4) NHS-IL12 (M9241) in participants with advanced small bowel and colorectal cancers was evaluated according to the Response Evaluation Criteria in Solid Tumors (RECIST 1.1). Objective response is a complete or partial radiographic response as defined by RECIST 1.1. Complete Response (CR) is disappearance of all target lesions. Partial Response (PR) is at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum of diameters.
SecondaryNumber of Participants With Grade 3, Grade 4, and/or Grade 5 Adverse Events Related to Triple TherapyDate treatment consent signed to date off study, approximately 29 months and 1 day for Cohort 1, Arm 1.
Safety of the combination of (1) CV301, (2) N-803 (Anktiva) and (3) M7824 (MSB0011359C) in participants with advanced small bowel and colorectal cancers was assessed using the Common Terminology Criteria for Adverse Events (CTCAE v5.0). Grade 3 is severe. Grade 4 is life-threatening. Grade 5 is death related to adverse event.
SecondaryNumber of Participants With Grade 3, Grade 4, and/or Grade 5 Adverse Events Related to Quadruple Therapy
Date treatment consent signed to date off study, approximately 27 months for Cohort 2, Arm 2a Dose Level 1; 18 months and 29 days for cohort 2, Arm 2a Dose Level 2; and 7 months and 20 days for Cohort 2, Arm 2b, Dose Level 2.
Safety of the combination of (1) CV301, (2) N-803 (Anktiva), (3) M7824 (MSB0011359C) and (4) NHS-IL12 (M9241) in participants with advanced small bowel and colorectal cancers was assessed using the Common Terminology Criteria for Adverse Events (CTCAE v5.0). Grade 3 is severe. Grade 4 is life-threatening. Grade 5 is death related to adverse event.
SecondaryProgression Free Survival (PFS)From time to enrollment up to 35 months
PFS per treatment assignment (three or four drug combination was evaluated using Kaplan-Meier methods and is defined as the time from the date of first treatment to the date of disease progression or death (any cause) whichever occurs first. Participants who do not have disease progression or have not died at the end of follow up will be censored at the last known date the participant was progression free. Progression was assessed according to the Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 and is defined as the appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions.
SecondaryOverall Survival (OS)Up to 35 months
OS per treatment assignment (three or four drug combination) evaluated using Kaplan-Meier methods. OS is defined as the time from the date of first treatment to the date of death (any cause). Participants who are alive at the end of follow up will be censored at the last known date alive.
SecondaryDuration of Response (DOR)Up to 34 months
DOR per treatment assignment (three or four drug combination) is measured from the time measurement criteria are met for Complete Response (CR) or Partial Response (PR) (whichever is first recorded) until the first date that recurrent or progressive disease is objectively documented (taking as reference for progressive disease the smallest measurements recorded since the treatment started). Response was measured by the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. CR is disappearance of all target lesions. PR is at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum of diameters.
SecondaryNumber of Participants Hospitalized Due to Serious Adverse Events Attributed to Progressive Disease (PD)time participant is first enrolled to time participant is taken off of study treatment, an average of 2.1 months.
Adverse events were assessed by the Common Terminology Criteria for Adverse Events (CTCAE) v5.0. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned. And progression was measured by the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 and is defined as appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions.
OtherNumber of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0)
Date treatment consent signed to date off study, approximately 29 months and 1 day for Cohort 1, Arm 1; 27 months for Cohort 2, Arm 2a Dose Level (DL) 1; 18 months and 29 days for cohort 2, Arm 2a DL 2; and 7 months and 20 days for Cohort 2, Arm 2b, DL 2.
Here is the number of participants with serious and/or non-serious adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned.

Outcomes9

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYObjective Response Rate (ORR) for Triple Therapyone yearProportion of participantsNUMBER
PRIMARYObjective Response Rate (ORR) for Quadruple Therapyone yearPercentage of participantsNUMBER
SECONDARYNumber of Participants With Grade 3, Grade 4, and/or Grade 5 Adverse Events Related to Triple TherapyDate treatment consent signed to date off study, approximately 29 months and 1 day for Cohort 1, Arm 1.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Grade 3, Grade 4, and/or Grade 5 Adverse Events Related to Quadruple Therapy
Date treatment consent signed to date off study, approximately 27 months for Cohort 2, Arm 2a Dose Level 1; 18 months and 29 days for cohort 2, Arm 2a Dose Level 2; and 7 months and 20 days for Cohort 2, Arm 2b, Dose Level 2.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYProgression Free Survival (PFS)From time to enrollment up to 35 monthsMonthsMEDIAN
SECONDARYOverall Survival (OS)Up to 35 monthsMonthsMEDIAN
SECONDARYDuration of Response (DOR)Up to 34 months1/32 participants were evaluable for this outcome measure.MonthsMEDIAN
SECONDARYNumber of Participants Hospitalized Due to Serious Adverse Events Attributed to Progressive Disease (PD)time participant is first enrolled to time participant is taken off of study treatment, an average of 2.1 months.ParticipantsCOUNT_OF_PARTICIPANTS
OTHER_PRE_SPECIFIEDNumber of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0)
Date treatment consent signed to date off study, approximately 29 months and 1 day for Cohort 1, Arm 1; 27 months for Cohort 2, Arm 2a Dose Level (DL) 1; 18 months and 29 days for cohort 2, Arm 2a DL 2; and 7 months and 20 days for Cohort 2, Arm 2b, DL 2.
ParticipantsCOUNT_OF_PARTICIPANTS

Results by group49

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

OutcomeGroupCategoryValueSpreadUnits
Objective Response Rate (ORR) for Triple TherapyCohort 1, Arm 1 Triple Therapy Without NHS-IL12 (M9241)Complete Response0Proportion of participants
Objective Response Rate (ORR) for Triple TherapyCohort 1, Arm 1 Triple Therapy Without NHS-IL12 (M9241)Partial Response0Proportion of participants
Objective Response Rate (ORR) for Quadruple TherapyCohort 2, Arm 2a Dose Level (DL) 1, Quad Therapy Dose EscalationComplete Response12.5Percentage of participants
Objective Response Rate (ORR) for Quadruple TherapyCohort 2, Arm 2a, Dose Level (DL) DL2, Quad Therapy Dose EscalationComplete Response0Percentage of participants
Objective Response Rate (ORR) for Quadruple TherapyCohort 2, Arm 2b Dose Level (DL)2, Quad Therapy Fixed DoseComplete Response0Percentage of participants
Objective Response Rate (ORR) for Quadruple TherapyCohort 2, Arm 2a Dose Level (DL) 1, Quad Therapy Dose EscalationPartial Response0Percentage of participants
Objective Response Rate (ORR) for Quadruple TherapyCohort 2, Arm 2a, Dose Level (DL) DL2, Quad Therapy Dose EscalationPartial Response0Percentage of participants
Objective Response Rate (ORR) for Quadruple TherapyCohort 2, Arm 2b Dose Level (DL)2, Quad Therapy Fixed DosePartial Response0Percentage of participants
Number of Participants With Grade 3, Grade 4, and/or Grade 5 Adverse Events Related to Triple TherapyCohort 1, Arm 1 Triple Therapy Without NHS-IL12 (M9241)Grade 3 Alkaline phosphatase increased1Participants
Number of Participants With Grade 3, Grade 4, and/or Grade 5 Adverse Events Related to Triple TherapyCohort 1, Arm 1 Triple Therapy Without NHS-IL12 (M9241)Grade 3 Anemia1Participants

Participant flow12

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDCohort 1, Arm 1 Triple Therapy Without NHS-IL12 (M9241)12
Overall StudySTARTEDCohort 2, Arm 2a Dose Level (DL) 1, Quad Therapy Dose Escalation8
Overall StudySTARTEDCohort 2, Arm 2a, Dose Level (DL) DL2, Quad Therapy Dose Escalation6
Overall StudySTARTEDCohort 2, Arm 2b Dose Level (DL)2, Quad Therapy Fixed Dose6
Overall StudyCOMPLETEDCohort 1, Arm 1 Triple Therapy Without NHS-IL12 (M9241)12
Overall StudyCOMPLETEDCohort 2, Arm 2a Dose Level (DL) 1, Quad Therapy Dose Escalation8
Overall StudyCOMPLETEDCohort 2, Arm 2a, Dose Level (DL) DL2, Quad Therapy Dose Escalation6
Overall StudyCOMPLETEDCohort 2, Arm 2b Dose Level (DL)2, Quad Therapy Fixed Dose6
Overall StudyNOT COMPLETEDCohort 1, Arm 1 Triple Therapy Without NHS-IL12 (M9241)0
Overall StudyNOT COMPLETEDCohort 2, Arm 2a Dose Level (DL) 1, Quad Therapy Dose Escalation0

Adverse events448

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAbdominal painGastrointestinal disordersCohort 1, Arm 1 Triple Therapy Without NHS-IL12 (M9241)5126
otherAbdominal painGastrointestinal disordersCohort 2, Arm 2a Dose Level (DL) 1, Quad Therapy Dose Escalation181
otherAbdominal painGastrointestinal disordersCohort 2, Arm 2a, Dose Level (DL) DL2, Quad Therapy Dose Escalation364
otherAbdominal painGastrointestinal disordersCohort 2, Arm 2b Dose Level (DL)2, Quad Therapy Fixed Dose161
otherAdrenal insufficiencyEndocrine disordersCohort 1, Arm 1 Triple Therapy Without NHS-IL12 (M9241)1121
otherAdrenal insufficiencyEndocrine disordersCohort 2, Arm 2a Dose Level (DL) 1, Quad Therapy Dose Escalation080
otherAdrenal insufficiencyEndocrine disordersCohort 2, Arm 2a, Dose Level (DL) DL2, Quad Therapy Dose Escalation060
otherAdrenal insufficiencyEndocrine disordersCohort 2, Arm 2b Dose Level (DL)2, Quad Therapy Fixed Dose060
otherAlanine aminotransferase increasedInvestigationsCohort 1, Arm 1 Triple Therapy Without NHS-IL12 (M9241)4125
otherAlanine aminotransferase increasedInvestigationsCohort 2, Arm 2a Dose Level (DL) 1, Quad Therapy Dose Escalation283

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityCohort 1, Arm 1 Triple Therapy Without NHS-IL12 (M9241)912
Total, all-cause mortalityCohort 2, Arm 2a Dose Level (DL) 1, Quad Therapy Dose Escalation58
Total, all-cause mortalityCohort 2, Arm 2a, Dose Level (DL) DL2, Quad Therapy Dose Escalation46
Total, all-cause mortalityCohort 2, Arm 2b Dose Level (DL)2, Quad Therapy Fixed Dose36
Total, other adverse eventsCohort 1, Arm 1 Triple Therapy Without NHS-IL12 (M9241)1212
Total, other adverse eventsCohort 2, Arm 2a Dose Level (DL) 1, Quad Therapy Dose Escalation88
Total, other adverse eventsCohort 2, Arm 2a, Dose Level (DL) DL2, Quad Therapy Dose Escalation66
Total, other adverse eventsCohort 2, Arm 2b Dose Level (DL)2, Quad Therapy Fixed Dose66
Total, serious adverse eventsCohort 1, Arm 1 Triple Therapy Without NHS-IL12 (M9241)212
Total, serious adverse eventsCohort 2, Arm 2a Dose Level (DL) 1, Quad Therapy Dose Escalation48

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
41520164DERIVED

Source PubMed

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/NCT04491955

GET https://conductscience.org/api/trials/v1/NCT04491955/results?page=2