Evidence map›Paper›PMID 42022129›Full record

ArticleESMO gastrointestinal oncology2026

Phase II randomised study of magrolimab combined with bevacizumab-FOLFIRI in patients with previously treated advanced inoperable metastatic colorectal cancer.

M Fakih, S Gill, K Sampat, D L Chan, G Fisher, M Cruz-Correa, H-J Lenz, P Garcia-Alfonso, F Forget, S Lonardi and 10 more

Abstract read
In one paragraph

Article in ESMO gastrointestinal oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Immunotherapy for precision medicine in colorectal cancer.Expert review of precision medicine and drug development · 2025
    Article
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

20 authors.

M FakihCity of Hope Comprehensive Cancer Center, Duarte, Australia.
S GillAlfred Health, Melbourne, Australia.
K SampatVirginia Cancer Specialists PC, Arlington, USA.
D L ChanUniversity of Sydney, Camperdown, Australia.
G FisherStanford Cancer Center, Palo Alto, USA.
M Cruz-CorreaPanOncology Trials (Pan American Center for Oncology Trials, LLC), San Juan, USA.
H-J LenzUSC Norris Comprehensive Cancer Center, Los Angeles, USA.
P Garcia-AlfonsoHospital General Universitario Gregorio Maranon, Madrid, Spain.
F ForgetCentre Hospitalizer De L'Ardenne, Libramont-Chevigny, Belgium.
S LonardiIstituto Oncologico Veneto IRCCS, Padova, Italy.
J KraussUniversity of Michigan, Ann Arbor, USA.
E ChenPrincess Margaret Cancer Centre, Toronto, Canada.
A Cubillo GracianHospital HM Sanchinarro, Madrid, Spain.
Y LiuGilead Sciences, Inc., Foster City, USA.
N van BuurenGilead Sciences, Inc., Foster City, USA.
J ShaoGilead Sciences, Inc., Foster City, USA.
M DongGilead Sciences, Inc., Foster City, USA.
A ChenGilead Sciences, Inc., Foster City, USA.
M TejaniAdventHealth, Orlando, USA.
J R HechtUniversity of California Los Angeles (UCLA), Santa Monica, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Effective treatment for metastatic colorectal cancer (mCRC) remains an unmet need. CD47 overexpression on mCRC cells is associated with a poor prognosis. The ELEVATE CRC study evaluated magrolimab (CD47 inhibitor) plus bevacizumab-5-fluorouracil, irinotecan and leucovorin (FOLFIRI) in mCRC. Patients and methods: This open-label, phase II study enrolled eligible patients with previously treated advanced inoperable mCRC. The safety run-in (SRI) cohort's primary objective was to evaluate the safety, tolerability and recommended phase II dose of magrolimab plus bevacizumab-FOLFIRI. After SRI, patients were randomly assigned (2:1) to receive magrolimab plus bevacizumab-FOLFIRI (magrolimab) or bevacizumab-FOLFIRI (control). The randomised cohort's primary endpoint was progression-free survival (PFS). Results: No dose-limiting toxicities occurred in the SRI cohort (10 patients). In the randomised cohort (67 patients), median PFS was 6.2 versus 6.7 months in the magrolimab (44 patients) versus control (23 patients) arm (hazard ratio 0.956, 95% confidence interval 0.339-2.691). However, early study closure limits PFS interpretation. Grade ≥3 adverse event (AE) rates were 72.7% versus 52.4% in magrolimab versus control arms. Across cohorts, two AE-related deaths occurred in patients treated with magrolimab; neither was considered treatment-related. Conclusions: Adding magrolimab to bevacizumab-FOLFIRI increased grade ≥3 AE incidence and did not improve efficacy outcomes, highlighting a continuing unmet therapeutic need in mCRC.

Indexed as

bevacizumabFOLFIRImagrolimabmetastatic colorectal cancer

Identifiers

PMID42022129
PMCPMC13098452

What OpenQuestion holds

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Registered trials

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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.