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RO7198457

Phase 2

Colorectal Cancer Stage II | Small molecule | Oncology |BioNTech SE|Last Updated: May 14, 2026

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
RandomizedCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment327
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04486378A Phase II Clinical Trial Comparing the Efficacy of RO7198457 Versus Watchful Waiting in Patients With ctDNA-positive, Resected Stage II (High Risk) and Stage III Colorectal CancerPHASE2 ACTIVE NOT_RECRUITING 327Mar 8, 2021Aug 1, 2030May 14, 202690 United States, Belgium +5
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Study Endpoints
Primary Endpoints
Disease-free survival (DFS)
Through study completion, up to 5 years

DFS defined as the time from randomization to occurrence of any of the following events, whichever occurs first: * Locoregional recurrence or distant metastases as determined by an independent central radiology assessment. * Occurrence of second primary (same or other) cancer as determined by an independent central radiology assessment. * Death from any cause. * Loss to follow-up is censored.

Secondary Endpoints
Relapse-free survival (RFS)
Through study completion, up to 5 years
Time to recurrence (TTR)
Through study completion, up to 5 years
Time to treatment failure (TTF)
Through study completion, up to 5 years
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
RO7198457EXPERIMENTALParticipants will receive a recommended dose of RO7198457.
Observational GroupOTHERObservational group will undergo watchful waiting, which is the standard of care in this setting.
Biomarker CohortEXPERIMENTAL -
Exploratory CohortEXPERIMENTAL -
Colorectal Liver Metastasis (CLM) CohortEXPERIMENTAL -
Interventions
NameTypeDescription
RO7198457 intravenous (IV)DRUGRO7198457 administered as an IV injection at protocol-specified intervals over 12 months.
Observational group (no intervention)OTHERwatchful waiting
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites90

Inclusion Criteria: * Patients must be a man or woman of at least 18 years of age. * Patients must have Stage II/Stage III rectal cancer or Stage II (high risk)/Stage III colon cancer per American Joint Committee on Cancer (AJCC) 2017 that has been surgically totally resected (R0 confirmed by patho...

Countries:United StatesBelgiumCanadaGermanySpainSwedenUnited Kingdom
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Recent Changes (Last 90 Days)
MEDIUMMay 26, 2026NCT04486378Status: RECRUITING → ACTIVE_NOT_RECRUITING
LOWMay 24, 2026NCT04486378studyFirstPostDate: changed