Evaluation of RBS2418 in Patients With Advanced, Metastatic, and Progressive Colorectal Cancer

Recruiting now · Phase 2 · Has a placebo group

Conditions studied: Metastatic Colorectal Cancer, Advanced Colorectal Cancer

In brief

RBS2418 is a specific immune modulator that works through the inhibition of ectonucleotide pyrophosphatase/phosphodiesterase 1 (ENPP1) and is designed to lead to anti-tumor immunity by protecting endogenous 2'-3'-cyclic guanosine monophosphate-adenosine monophosphate (cGAMP) from hydrolysis and leading to the activation of antigen-presenting cells followed by T cell activation. The hypothesis is that RBS2418 versus placebo will be generally safe, well-tolerated, immunogenic, and will lead to anti-tumor responses in adult subjects for the treatment of advanced, metastatic, and progressive colorectal cancer (CRC).

Key facts

Study ID: NCT06824064
Run by: Riboscience, LLC.
People needed: 150
Starts: 2025-01-17
Expected to finish: 2027-12-01
Last updated by the study team: 2026-05-18

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

At least 18 years of age on the day of signing informed consent.
Male and female subjects with advanced, metastatic, progressive CRC who have received, been ineligible for, intolerant to, or declined all approved standard of care (SOC) therapies for metastatic CRC, as per local SOC treatment regimens. Additionally, subjects must have documented PD based on two scans performed within 2 to 4 months of study initiation.
Have histologically or cytologically confirmed CRC diagnosis based on pathology report.
Willing to submit a pre-treatment tissue sample (archival, or fresh tissue if archival is not available).

You may not qualify if…

Any approved anti-cancer therapy including chemotherapy, targeted small molecule therapy, systemic immunotherapy, or radiation therapy within 2 weeks prior to the first dose of study treatment; or if subject has not recovered (i.e., ≤ to Grade 1 or returned to baseline level) from AEs due to a previously administered agent; the following exceptions are allowed:
Palliative radiotherapy for bone metastases or soft tissue lesions should be completed >7 days prior to the first dose of study treatment.
Hormone-replacement therapy or oral contraceptives.
Subjects with Grade 2 neuropathy or Grade 2 alopecia.
Subjects with evidence of rapid progression on prior therapy resulting in rapid clinical deterioration.
Malignancies other than indications open for enrollment within 3 years prior to Day 1, except for those with negligible risk of metastasis or death treated with expected curative outcome, undergoing active surveillance, or treatment-naïve for indolent tumors.

Where it is running

Christiana Care — Newark, Delaware, United States (enrolling)
Community Clinical Trials — Kingwood, Texas, United States (enrolling)
Pan Oncology — San Juan, Puerto Rico (enrolling)
Tam Anh TP. Ho Chi Minh General Hospital — Ho Chi Minh City, Ho Chi Minh City, Vietnam (enrolling)
Tam Anh, Ha Noi General Hospital — Hà Nội, Vietnam (enrolling)

Full record on ClinicalTrials.gov

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