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Nadunolimab

Phase 1

Metastatic Microsatellite Stable Colorectal Carcinoma | Small molecule | Oncology |Coherus Oncology, Inc.|Last Updated: Feb 19, 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
UNCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment24
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07281716Combination Immunotherapy for the Treatment of Chemotherapy-refractory Metastatic MSS CRCPHASE1 RECRUITING 24Dec 1, 2025Dec 15, 2028Feb 19, 20261 United States
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Study Endpoints
Primary Endpoints
Dose-Limiting Toxicities (DLTs)
The first cycle (day1 - day21) constitutes the DLT window.

For the Phase 1b portion, Dose-Limiting Toxicities (DLTs) will be assessed based on the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 5.0. Adverse events are graded on a scale from 1 (mild) to 5 (death related to AE). Permanent discontinuation of study treatment will occur for any severe (Grade 3) drug-related adverse event that recurs or for any life-threatening (Grade 4) event.

Objective Response Rate (ORR)
Treatment initiation through 12 months, or until documented disease progression or initiation of new anti-cancer therapy, whichever occurs first

For the phase 2 portion, ORR will be assessed based on the definition, as the combined percent of the subjects experiencing a partial response (PR) or a complete response (CR) at anytime within the first year from the initiation of therapy, or until the documented progression of disease or start of a new anti-cancer therapy. Radiographic response will be determined by the RECIST v1.1

Secondary Endpoints
Progression-free Survival (PFS)
From first dose through disease progression, death, or up to 12 months, whichever occurs first.
Overall survival (OS)
From first administration of nadunolimab until documented death from any cause, or up to 12 months, whichever occurs first.
Disease control rate (DCR)
From first administration of nadunolimab until best objective response, or up to 12 months, whichever occurs first.
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Nadunolimab and ToripalimabEXPERIMENTALParticipants will receive the investigational combination of nadunolimab and toripalimab. Treatment will continue for up to 1 year or until disease progression, whichever occurs first.
Interventions
NameTypeDescription
NadunolimabDRUG5 mg/kg intravenously (IV) every 3 weeks (Q3W)
ToripalimabDRUG240 mg IV every 3 weeks (Q3W)
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Patients must have a pathologically confirmed diagnosis of non-MSI-H/pMMR CRC. * Patients must have progressed (clinically or radiographically) on or after standard chemotherapy, including fluoropyrimidines, oxaliplatin, and irinotecan, or are intolerant to standard chemothera...

Countries:United States
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT07281716primaryCompletionDate: changed
LOWMay 24, 2026NCT07281716studyFirstPostDate: changed