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Petosemtamab

Phase 3

Colorectal Cancer | Monoclonal antibody | Oncology |Genmab A/S|Trials Updated: Aug 20, 2026

Petosemtamab development status

Highest phase Phase 3
Registered trials 5 across 2 sponsors since May 2018

Petosemtamab target and mechanism

Target class-Mab (Antibody)
ModalityMonoclonal antibody

Also known as MCLA-158, GEN1158

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment1,560

FDA Designations

No designations recorded

Petosemtamab clinical trials

Petosemtamab · 2 trials · 2 indications

Phase 3 2
NCT07775287Study of Petosemtamab Plus Chemotherapy Versus Cetuximab or Bevacizumab Plus Chemotherapy in RAS and BRAF Wild Type, Recurrent, Unresectable or Metastatic Colorectal Cancer (LiGeR-CRC2)Colorectal Cancer
NOT YET_RECRUITING600 Analytics
NCT07702032Study of Petosemtamab Plus Chemotherapy Versus Cetuximab Plus Chemotherapy in RAS and BRAF Wild-type, Unresectable or Metastatic, Left-sided Colorectal CancerLeft-sided Colorectal Cancer
NOT YET_RECRUITING960 Analytics
PHASE3NOT YET_RECRUITING
Study of Petosemtamab Plus Chemotherapy Versus Cetuximab or Bevacizumab Plus Chemotherapy in RAS and BRAF Wild Type, Recurrent, Unresectable or Metastatic Colorectal Cancer (LiGeR-CRC2)
Colorectal CancerUnlock trial analytics
PHASE3NOT YET_RECRUITING
Study of Petosemtamab Plus Chemotherapy Versus Cetuximab Plus Chemotherapy in RAS and BRAF Wild-type, Unresectable or Metastatic, Left-sided Colorectal Cancer
Left-sided Colorectal CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression-free Survival (PFS) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 as Assessed by Blinded Independent Central Review (BICR)
Up to approximately 2.5 years
Objective Response Rate (ORR) per RECIST v1.1 as Assessed by BICR
Up to approximately 2.5 years

Secondary Endpoints

Overall Survival (OS)
Up to approximately 3.5 years
Duration of Response (DOR) per RECIST v1.1 as Assessed by BICR
Up to approximately 3.5 years
Disease Control Rate (DCR) per RECIST v1.1 as Assessed by BICR
Up to approximately 3.5 years
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Arm A: Petosemtamab + IC Chemotherapy (FOLFIRI or mFOLFOX6)EXPERIMENTALParticipants will receive petosemtamab 1500 milligrams (mg) once every 2 weeks (Q2W) + IC chemotherapy (FOLFIRI or mFOLFOX6) Q2W.
Arm B: IC Cetuximab or Bevacizumab + IC Chemotherapy (FOLFIRI or mFOLFOX6)ACTIVE_COMPARATORParticipants will receive IC cetuximab 500 milligrams per meter squared (mg/m\^2) or bevacizumab 5 milligrams per kilogram (mg/kg) Q2W + IC chemotherapy (FOLFIRI or mFOLFOX6) Q2W.
Petosemtamab + IC ChemotherapyEXPERIMENTALParticipants will receive petosemtamab and IC chemotherapy (mFOLFOX6 or FOLFIRI).
Cetuximab + IC ChemotherapyACTIVE_COMPARATORParticipants will receive cetuximab + IC chemotherapy (mFOLFOX6 or FOLFIRI).

Interventions

NameTypeDescription
PetosemtamabDRUGIntravenous (IV) infusion.
CetuximabDRUGIV infusion.
BevacizumabDRUGIV infusion.
5-FUDRUGIV infusion.
Leucovorin (Calcium Folinate)DRUGIV infusion.
OxaliplatinDRUGIV infusion.
IrinotecanDRUGIV infusion.
FOLFIRIDRUGFluorouracil + leucovorin (calcium folinate) + irinotecan via intravenous infusion.
mFOLFOX6DRUGFluorouracil + leucovorin (calcium folinate) + oxaliplatin via intravenous infusion.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo

Key Inclusion Criteria: * Histologically or cytologically confirmed colorectal adenocarcinoma that is recurrent, unresectable or metastatic. * Must have documented KRAS and NRAS wt CRC, as determined by medical record of results from local testing or as assessed by central testing. Next-generation ...

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Competitive Landscape -Colorectal Cancer 361 trials

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Frequently asked questions about Petosemtamab

What is Petosemtamab used for?

Petosemtamab is an investigational monoclonal antibody being studied for colorectal cancer, including left-sided colorectal cancer. Development focuses on RAS and BRAF wild-type, recurrent, unresectable or metastatic disease. It is not yet approved for any indication and remains in clinical development.

Who is developing Petosemtamab?

Petosemtamab is being developed by Genmab A/S, which trades under the ticker GMAB. Genmab is the sponsor of the clinical program evaluating the antibody in colorectal cancer.

What phase is Petosemtamab in?

Petosemtamab is in Phase 3 clinical development. Two Phase 3 trials are registered, both currently listed as not yet recruiting. The drug is investigational and has not been approved by the FDA for any indication.

What clinical trials is Petosemtamab in?

Petosemtamab is being evaluated in two Phase 3 trials. NCT07775287, known as LiGeR-CRC2, tests Petosemtamab plus chemotherapy versus cetuximab or bevacizumab plus chemotherapy in RAS and BRAF wild-type, recurrent, unresectable or metastatic colorectal cancer. NCT07702032 compares Petosemtamab plus chemotherapy with cetuximab plus chemotherapy in RAS and BRAF wild-type, unresectable or metastatic, left-sided colorectal cancer.

How many patients are enrolled in Petosemtamab trials?

The Petosemtamab Phase 3 program plans to enroll 960 patients in NCT07702032 and 600 patients in NCT07775287. Both studies are randomized, active-controlled trials in adults aged 18 years and older, and both are currently not yet recruiting.

Is Petosemtamab biomarker selected?

Yes. The Petosemtamab Phase 3 trials enroll patients with RAS and BRAF wild-type colorectal cancer, meaning eligibility is defined by tumor biomarker status. Both studies are randomized and active-controlled, comparing Petosemtamab plus chemotherapy against established antibody plus chemotherapy regimens.