Actively Recruiting

Early Phase 1
Age: 18Years +
All Genders
NCT07128355

Botensilimab, Balstilimab, and SBRT in Colorectal Cancer

Led by Massachusetts General Hospital · Updated on 2026-05-13

15

Participants Needed

1

Research Sites

68 weeks

Total Duration

On this page

Sponsors

M

Massachusetts General Hospital

Lead Sponsor

A

Agenus Inc.

Collaborating Sponsor

AI-Summary

What this Trial Is About

This is a single-arm pilot feasibility study evaluating the combination of Botensilimab and Balstilimab with Radiation Therapy (RT) in Non-Microsatellite Instability High (MSI-H) or Proficient Mismatch Repair (pMMR) chemorefractory colorectal cancer (CRC) with liver metastasis.

CONDITIONS

Official Title

Botensilimab, Balstilimab, and SBRT in Colorectal Cancer

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Histologically or cytologically confirmed colorectal adenocarcinoma
  • MSS or pMMR status confirmed by IHC or PCR
  • At least 1 measurable (≥ 1 cm) previously unirradiated liver lesion suitable for ablative radiation
  • Up to 5 liver lesions allowed if all can be treated with ablative radiation
  • At least 1 measurable extrahepatic lesion outside radiation field
  • Prior treatment with or intolerance to 5-FU, Oxaliplatin, and Irinotecan
  • Age 18 years or older
  • ECOG performance status 0 or 1
  • Life expectancy greater than 3 months
  • Adequate organ and marrow function including specified blood counts and liver/kidney tests
  • Women of childbearing potential and men with such partners must agree to use effective contraception
  • Negative pregnancy test for women of childbearing potential
  • Ability to understand and sign informed consent
Not Eligible

You will not qualify if you...

  • Chemotherapy, targeted therapy, or study treatment within 14 days prior to starting study treatment unless recovered from related side effects
  • Known or suspected active autoimmune disease
  • Need for systemic corticosteroids (>10 mg prednisone daily) or immunosuppressives within 14 days prior to study drug
  • Positive tuberculosis screening by IGRA test
  • Recent or current bowel obstruction or refractory ascites
  • Active or chronic hepatitis B or C infection
  • Positive HIV or AIDS unless CD4 >200 cells/mm3 and/or undetectable viral load
  • Uncontrolled illness or infection
  • Psychiatric or substance abuse disorder interfering with study compliance
  • Pregnancy, breastfeeding, or planning pregnancy during study period
  • History or evidence of active non-infectious pneumonitis
  • Active infection requiring systemic therapy
  • Live vaccine within 30 days before study treatment
  • Allergic reactions to similar compounds or severe hypersensitivity to monoclonal antibodies
  • Uncontrolled brain metastases
  • Significant active diarrhea

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Massachusetts General Hospital

Boston, Massachusetts, United States, 02114

Actively Recruiting

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Research Team

A

Aparna R. Parikh, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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