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RO7198457

Phase 2

Colorectal Cancer Stage II | Small molecule | Oncology |BioNTech SE|Last Updated: Aug 28, 2026

Target and mechanism

ModalitySmall molecule

Also known as RO7198457 intravenous (IV)

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLEDDMC
Total Trials1
Total Enrollment327

FDA Designations

No designations recorded

Clinical trial landscape

RO7198457 · 1 trial · 2 indications

Phase 2 1
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 CancerColorectal Cancer Stage II
ACTIVE NOT_RECRUITING327 Analytics
PHASE2ACTIVE NOT_RECRUITING
A 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 Cancer
Colorectal Cancer Stage IIUnlock trial analytics

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 to N/A
SexALL
Healthy VolunteersNo
Study Sites85

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)

LOWAug 28, 2026NCT04486378lastUpdatePostDate: changed
LOWAug 28, 2026NCT04486378lastUpdatePostDate: changed
LOWJul 15, 2026NCT04486378lastUpdatePostDate: changed
LOWJul 15, 2026NCT04486378lastUpdatePostDate: changed
LOWJul 2, 2026NCT04486378lastUpdatePostDate: changed
LOWJul 2, 2026NCT04486378lastUpdatePostDate: changed
LOWJul 2, 2026NCT04486378lastUpdatePostDate: changed
LOWJul 2, 2026NCT04486378lastUpdatePostDate: changed

Frequently asked questions about RO7198457

What is RO7198457 used for?

RO7198457 is an investigational drug being studied for the treatment of colorectal cancer. It is currently in a Phase 2 clinical trial for patients with ctDNA-positive, resected Stage II (high risk) and Stage III colorectal cancer. The drug is being evaluated as a potential treatment option for these patient populations.

Who makes RO7198457?

RO7198457 is being developed by BioNTech SE, a biotechnology company. BioNTech SE is publicly traded under the ticker symbol BNTX. The company is conducting clinical research to evaluate the safety and efficacy of this investigational drug in patients with colorectal cancer.

What phase is RO7198457 in?

RO7198457 is currently in Phase 2 of clinical development. It is being studied in an active, not recruiting clinical trial for patients with ctDNA-positive, resected Stage II (high risk) and Stage III colorectal cancer. The drug is investigational and has not yet been approved by regulatory authorities.

What clinical trials is RO7198457 in?

RO7198457 is being evaluated in a Phase 2 clinical trial with the identifier NCT04486378. This trial is comparing the efficacy of RO7198457 versus watchful waiting in patients with ctDNA-positive, resected Stage II (high risk) and Stage III colorectal cancer. The trial is active but not recruiting, with an enrollment of 327 participants.

Is RO7198457 the same as RO7198457 intravenous (IV)?

Yes, RO7198457 is also known as RO7198457 intravenous (IV). The intravenous formulation is the form being studied in the Phase 2 clinical trial for colorectal cancer. Both names refer to the same investigational drug being developed by BioNTech SE.