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Botensilimab

Phase 2

Metastatic Colorectal Cancer | Small molecule | Oncology |Agenus Inc.|Last Updated: Sep 4, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLEDBiomarker
Total Trials1
Total Enrollment234
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05608044A Study of Botensilimab and Balstilimab for the Treatment of Colorectal CancerPHASE2 ACTIVE NOT_RECRUITING 234Nov 30, 2022Sep 1, 2029Sep 4, 202565 United States, Belgium +6
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Study Endpoints
Primary Endpoints
Objective Response Rate
First dose through up to 2 years

Objective response rate is defined as the proportion of participants with complete response or partial response, as assessed using Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1).

Secondary Endpoints
Duration of Response
First dose through up to 2 years
Progression-free Survival
First dose through up to 3 years
Overall Survival
First dose through up to 3 years
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Combination Botensilimab Dose 1 plus BalstilimabEXPERIMENTALParticipants will receive botensilimab at dose 1 given IV and balstilimab given IV.
Combination Botensilimab Dose 2 plus BalstilimabEXPERIMENTALParticipants will receive botensilimab at dose 2 given IV and balstilimab given IV.
Monotherapy Botensilimab Dose 1EXPERIMENTALParticipants will receive botensilimab dose 1 given IV.
Monotherapy Botensilimab Dose 2EXPERIMENTALParticipants will receive botensilimab dose 2 given IV.
Standard of CareACTIVE_COMPARATORParticipants will receive select standard of care as determined by the investigator.
Interventions
NameTypeDescription
BotensilimabDRUGAn anti-cytotoxic T-lymphocyte antigen 4 (CTLA-4) monoclonal antibody.
BalstilimabDRUGAn anti-programmed death (ligand) 1 \[PD-(L)1\] monoclonal antibody.
Standard of CareDRUGRegorafenib or trifluridine and tipiracil.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites65

Inclusion Criteria: 1. Histologically confirmed diagnosis of unresectable and metastatic CRC adenocarcinoma. 2. The tumor must have been assessed for microsatellite instability high (MSI-H) or deficient mismatch repair (dMMR) status per a standard local testing method. 3. Voluntarily agree to parti...

Countries:United StatesBelgiumBrazilFranceGeorgiaItalyRussiaSpain
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Competitive Landscape -Colorectal Cancer 263 trials
CompanyTickerTrialsLead PhaseDrugs
AbbVie, Inc.ABBV8PHASE3Telisotuzumab Adizutecan, Telisotuzumab adizutecan, Bevacizumab, Trifluridine/Tipiracil, ABBV-400
Bristol-Myers Squibb CompanyBMY7PHASE3Ipilimumab, Oxaliplatin, Leucovorin, Fluorouracil, Irinotecan
Merck & Co., Inc.MRK6PHASE3Pembrolizumab, Oxaliplatin, Leucovorin, 5-fluorouracil, Irinotecan
Johnson & JohnsonJNJ5PHASE3Amivantamab, Cetuximab, 5-fluorouracil, Leucovorin calcium/Levoleucovorin, Oxaliplatin
Pfizer Inc.PFE12PHASE3PF-08634404, Bevacizumab, Chemotherapy, tucatinib, trastuzumab
GSK plc Sponsored ADRGSK6PHASE3Dostarlimab, CAPEOX, FOLFOX, GSK4418959, PD-1 inhibitor
Exelixis, Inc.EXEL5PHASE3XL092, Atezolizumab, Regorafenib, cabozantinib, atezolizumab
Summit Therapeutics IncSMMT3PHASE3Drug: Ivonescimab, Drug: Bevacizumab, AK112, AK117, Oxaliplatin
Natera, Inc.NTRA4PHASE3Capecitabine, Oxaliplatin, Folfirinox, FOLFOX regimen
Agenus Inc.AGEN4PHASE3Balstilimab, Botensilimab, CR6086, AGEN2034
Incyte CorporationINCY2PHASE3INCA33890, Bevacizumab, FOLFOX, Ruxolitinib, Capecitabine
Amgen Inc.AMGN1PHASE3FOLFIRI Regimen, Sotorasib, Panitumumab, Bevacizumab-awwb
Eli Lilly and CompanyLLY8PHASE2LY2157299, Capecitabine, Fluorouracil, LY4066434., Cetuximab
AstraZeneca PLCAZN8PHASE2Datopotamab deruxtecan, Capecitabine, 5-Fluorouracil, Volrustomig, Carboplatin
Takeda Pharmaceutical Co. Ltd. Sponsored ADRTAK5PHASE2fruquintinib, FOLFIRI, oxaliplatin , levofolinate calcium , 5-FU, panitumumab, mFOLFOX6 + panitumumab combination therapy
Novartis AG Sponsored ADRNVS7PHASE2Dabrafenib, Trametinib, JDQ443, TNO155, tislelizumab
BioNTech SE Sponsored ADRBNTX3PHASE2RO7198457, PM8002, Chemotherapy Regimen 1, BNT314, BNT327
Regeneron Pharmaceuticals, Inc.REGN2PHASE2Cemiplimab + Fianlimab, VV1, Cemiplimab
Revolution Medicines, Inc.RVMD7PHASE1RMC-6291, Elironrasib, Daraxonrasib, RMC-9805, RMC-6236
Veracyte, Inc.VCYT1PHASE3Tislelizumab
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT05608044primaryCompletionDate: changed
LOWMay 24, 2026NCT05608044studyFirstPostDate: changed