Evidence map›Paper›PMID 41870279›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2026

The Randomized Phase II ARC-9 Study of Etrumadenant-Based Therapy versus Regorafenib in Patients with Previously Treated Metastatic Colorectal Cancer.

Michael Cecchini, Sae-Won Han, Soohyeon Lee, Keun-Wook Lee, Scott Kopetz, Jonathan Mizrahi, Yong Sang Hong, Francois Ghiringhelli, Antoine Italiano, David Tougeron and 5 more

Registry-linked trialAbstract readClinical Trial, Phase IIRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04660812 (A Phase 1b/2, Open-Label, Randomized Platform Study Evaluating The Efficacy and Safety of AB928 Based Treatment Combinations in Patients With Metastatic Colorectal Cancer), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04660812 phase1 / phase2completednot on this map

A Phase 1b/2, Open-Label, Randomized Platform Study Evaluating The Efficacy and Safety of AB928 Based Treatment Combinations in Patients With Metastatic Colorectal Cancer

TypeinterventionalSponsorArcus Biosciences, Inc.Ran2021 to 2025Enrolled227ConditionsMetastatic Colorectal CancerArmsAB680, Etrumadenant, Zimberelimab, Bevacizumab, m-FOLFOX-6 regimen
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Michael Cecchini *Department of Internal Medicine, Medical Oncology, Yale University School of Medicine, New Haven, Connecticut.ORCID 0000-0003-3504-0128
Sae-Won Han *Department of Internal Medicine, Seoul National University Hospital and Seoul National University Cancer Research Institute, Seoul, South Korea.ORCID 0000-0003-3275-431X
Soohyeon LeeDepartment of Internal Medicine, Korea University College of Medicine, Korea University Anam Hospital, Seoul, South Korea.ORCID 0000-0001-9665-062X
Keun-Wook LeeDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea.ORCID 0000-0002-8491-703X
Scott KopetzDivision of Cancer Medicine, Department of Gastrointestinal Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0001-9647-3416
Jonathan MizrahiDepartment of Medical Oncology, Ochsner Medical Center, New Orleans, Louisiana.ORCID 0000-0002-3710-9742
Yong Sang HongDepartment of Oncology, Asan Medical Center, Seoul, South Korea.ORCID 0000-0001-5672-0072
Francois GhiringhelliDepartment of Medical Oncology, Centre Georges Francois Leclerc, Dijon, France.ORCID 0000-0002-5465-8305
Antoine ItalianoDepartment of Medicine, Institut Bergonie, Bordeaux, France.ORCID 0000-0002-8540-5351
David TougeronDepartment of Gastroenterology, Centre Hospitalier Universitaire de Poitiers, Poitiers, France.ORCID 0000-0002-8065-9635
Brandon BeagleArcus Biosciences, Inc., Hayward, California.ORCID 0009-0003-6397-7548
Mathew BoakyeArcus Biosciences, Inc., Hayward, California.ORCID 0009-0008-8500-6060
Tingting ZhaoArcus Biosciences, Inc., Hayward, California.ORCID 0009-0002-7725-5696
Vivek KhemkaArcus Biosciences, Inc., Hayward, California.ORCID 0009-0005-1052-8444
Zev A WainbergDepartment of Gastrointestinal Medical Oncology, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California.ORCID 0000-0002-7142-1246

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTargeting the adenosine pathway may enhance the efficacy of chemo/immunotherapy regimens in patients with heavily pretreated advanced metastatic colorectal cancer (mCRC), for whom treatment options are limited. PATIENTS AND

methodsThe phase II ARC-9 study, Cohort B (NCT04660812), evaluated the efficacy and safety of etrumadenant (A2a and A2b receptor antagonist), zimberelimab (anti-PD-1 mAb), FOLFOX, and bevacizumab (EZFB) versus regorafenib in patients with third-line mCRC who previously progressed on oxaliplatin- and irinotecan-containing regimens.

resultsFrom September 21, 2021, to September 12, 2022, 112 patients were randomized 2:1 to EZFB (n = 75) or regorafenib (n = 37). As of November 13, 2023, the median survival follow-up was 20.4 months. The primary endpoint of progression-free survival (PFS) was improved with EZFB (6.2 months) versus regorafenib [2.1 months; hazard ratio (HR), 0.27; 95% confidence interval (CI), 0.17-0.43; nominal P < 0.0001], as was the secondary endpoint of overall survival (OS; EZFB, 19.7 months; regorafenib, 9.5 months; HR, 0.37; 95% CI, 0.22-0.63; nominal P = 0.0003). The confirmed overall response rate was 17% (90% CI, 10.6%-26.1%) with EZFB and 3% (90% CI, 0.1%-12.2%) with regorafenib. Treatment-emergent adverse events (TEAE), grade ≥3 TEAEs, and TEAEs leading to discontinuation of all study treatments were reported in 99%, 82%, and 5% of the EZFB arm and in 87%, 49%, and 17% of the regorafenib arm, respectively.

conclusionsEZFB significantly improved survival outcomes compared with regorafenib in patients with mCRC as a third-line treatment, with a manageable safety profile. Further investigation is warranted, given the clinically meaningful improvements in PFS and OS.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsColorectal NeoplasmsPhenylurea CompoundsPyridinesAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedNeoplasm MetastasisProgression-Free SurvivalPhenylurea CompoundsPyridinesregorafenib

Identifiers

PMID41870279
PMCPMC13320197

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.