Drugs / Botensilimab
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Botensilimab

also known as AGEN-1181

Monoclonal antibody targets CTLA4 via inhibition

Developed for
colorectal cancer · rectum adenocarcinoma · colon adenocarcinoma · colorectal adenocarcinoma · pancreatic ductal adenocarcinoma · cancer of unknown primary site · metastasis from malignant tumor of colon · non-small cell lung carcinoma
+24 more · angiosarcoma · cervical cancer · clear cell renal carcinoma · colorectal carcinoma · colorectal neoplasm · endometrial cancer · esophageal adenocarcinoma · fibrolamellar hepatocellular carcinoma · gastric adenocarcinoma · gastric cancer · gastroesophageal junction adenocarcinoma · gliosarcoma · IDH-wildtype glioblastoma · malignant pancreatic neoplasm · melanoma · metastatic malignant neoplasm · neoplasm · ovarian cancer · pancreatic adenocarcinoma · pancreatic neoplasm · prostate cancer · rectal carcinoma · renal cell carcinoma · soft tissue sarcoma
Investigated by
Agenus Inc. · National Cancer Institute (NCI) · City of Hope Medical Center · Memorial Sloan Kettering Cancer Center · Weill Medical College of Cornell University · Academic Medical Center - University of Amsterdam
+32 more · Apices Soluciones S.L. · Australasian Gastro-Intestinal Trials Group · Benjamin Spieler · Bruno Bockorny · Canadian Cancer Trials Group · CarThera · Centre Leon Berard · Dana-Farber Cancer Institute · Dutch Cancer Society · Gateway for Cancer Research · Georgetown University · Gruppo Oncologico del Nord-Ovest · HonorHealth Research Institute · Immune Oncology Research Institute · Massachusetts General Hospital · Michael B. Atkins, MD · Nelum Corp · Nicholas DeVito, MD · Northwell Health · Northwestern University · PH Research, S.L. · Private Philanthropic Funds · Scripps Health · Scripps Health · Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins · Stingray Therapeutics · The Netherlands Cancer Institute · UNICANCER · United States Department of Defense · University of Arizona · University of Colorado, Denver · University of Southern California

Trials 38

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 02 trials
Phase 0 NCT07128355 May 2026 → Jan 2027 expected metastasis from malignant tumor of colon Massachusetts General Hospital Recruiting No outcome recorded
Phase 0 NCT07193862 Dec 2025 → Apr 2028 expected colorectal cancer Northwell Health Recruiting No outcome recorded
Phase 17 trials
Phase 1 NCT06411691 Jun 2025 → Mar 2028 expected colorectal cancer, malignant pancreatic neoplasm Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins Recruiting No outcome recorded
Phase 1 NCT06336902 Jan 2025 → Jan 2027 expected colorectal adenocarcinoma University of Southern California Recruiting No outcome recorded
Phase 1 NCT06076837 Jan → Dec 2025 pancreatic adenocarcinoma HonorHealth Research Institute Terminated No outcome recorded
Phase 1 NCT06095674 Jan 2024 → Jan 2026 cervical cancer Academic Medical Center - University of Amsterdam Unknown No outcome recorded
Phase 1 NCT05377528 Jul 2022 → Dec 2024 neoplasm Agenus Inc. Completed No outcome recorded
Phase 1 NCT04121676 Sep 2019 → Feb 2024 cancer of unknown primary site Agenus Inc. Completed No outcome recorded
Phase 1 NCT03860272 Mar 2019 → Jan 2025 overdue angiosarcoma, cancer of unknown primary site, colorectal cancer, endometrial cancer +4 Agenus Inc. Active not recruiting No outcome recorded
Phase 1/22 trials
Phase 1/2 NCT05672316 May 2023 → Apr 2026 overdue colorectal adenocarcinoma City of Hope Medical Center Active not recruiting No outcome recorded
Phase 1/2 NCT05627635 May 2023 → Jun 2027 expected colon adenocarcinoma, rectum adenocarcinoma City of Hope Medical Center Active not recruiting No outcome recorded
Phase 224 trials
Phase 2 NCT07551596 May 2027 → Aug 2029 expected colorectal adenocarcinoma National Cancer Institute (NCI) Recruiting No outcome recorded
Phase 2 NCT07516366 May 2027 → Dec 2028 expected clear cell renal carcinoma National Cancer Institute (NCI) Recruiting No outcome recorded
Phase 2 NCT07595874 Dec 2026 → May 2027 expected colon adenocarcinoma, rectum adenocarcinoma City of Hope Medical Center Recruiting No outcome recorded
Phase 2 NCT07578337 Jul 2026 → Feb 2029 expected pancreatic neoplasm Nelum Corp Not yet recruiting No outcome recorded
Phase 2 NCT07550088 Jun 2026 → Sep 2028 expected colorectal cancer Scripps Health Not yet recruiting No outcome recorded
Phase 2 NCT07227636 Nov 2025 → Nov 2030 expected rectal carcinoma Memorial Sloan Kettering Cancer Center Recruiting No outcome recorded
Phase 2 NCT06843551 Jun 2025 → Aug 2030 expected pancreatic ductal adenocarcinoma Benjamin Spieler Recruiting No outcome recorded
Phase 2 NCT06780787 May 2025 → Nov 2027 expected rectum adenocarcinoma City of Hope Medical Center Recruiting No outcome recorded
Phase 2 NCT06843434 Feb 2025 → Feb 2028 expected rectum adenocarcinoma Memorial Sloan Kettering Cancer Center Recruiting No outcome recorded
Phase 2 NCT06589440 Nov 2024 → Sep 2027 expected colorectal cancer Stingray Therapeutics Recruiting No outcome recorded
Phase 2/31 trial
Phase 2/3 NCT06279130 Jan 2024 → Jan 2029 expected — The Netherlands Cancer Institute Recruiting No outcome recorded
Phase 32 trials
Phase 3 NCT07152821 Mar → Jul 2026 colorectal cancer Canadian Cancer Trials Group Terminated No outcome recorded Stop: Business
Phase 3 NCT06346197 Dec 2025 → May 2028 expected gastric cancer, metastatic malignant neoplasm Centre Leon Berard Recruiting No outcome recorded
Comparator or background therapy1 trial
— NCT06751524 Background — colorectal cancer, hepatocellular carcinoma, malignant pancreatic neoplasm, melanoma +4 Agenus Inc. Available No outcome recorded

News releases announcing trial results or a regulatory action · 40

DateIssuerRelease
2026-10-08 Agenus Inc. Regulatory Armenia Grants First Marketing Authorizations for Agenus’ BOT+BAL in Previously Treated MSS Metastatic Colorectal Cancer agenusbio.com ↗
These are the first marketing authorizations for either medicine anywhere in the world.
2026-10-03 Agenus Inc. Results Agenus Reports 48% Estimated Three-Year Survival With BOT+BAL in Recurrent Ovarian Cancer at IGCS 2026 agenusbio.com ↗
Among patients evaluable for efficacy, three-year overall survival was 48% (n=35), unchanged from the two-year estimate, suggesting durable clinical benefit in this population.
2026-08-28 Agenus Inc. Results Agenus Announces Peer-Reviewed Publication Linking BOT+BAL’s Durable Survival in MSS Metastatic Colorectal Cancer to Its Distinct Immune-Priming Mechanism agenusbio.com ↗
Mature 123 patient analysis reports 21.2-month median overall survival and 33% three-year overall survival in heavily pretreated MSS mCRC without active liver metastases
2026-08-26 Agenus Inc. Results Agenus Announces Updated NEST Phase 2 Publication Reporting Deep Pathologic Responses and No Observed Recurrences with Neoadjuvant BOT+BAL in Resectable Colon Cancer agenusbio.com ↗
At the March 31, 2026 data cutoff, no colorectal cancer recurrences had been observed, with median follow-up of 32.2 months in NEST-1 and 23.5 months in NEST-2.
2026-07-06 Agenus Inc. Results Agenus Reports Landmark BOT+BAL Data Showing 33% Three-Year Overall Survival in Refractory MSS Metastatic Colorectal Cancer Without Active Liver Metastases at ESMO GI 2026 agenusbio.com ↗
With extended follow-up, median overall survival was 21.2 months and the three-year overall survival rate was 33%, with the Kaplan-Meier curve showing a plateau beyond two years.
2026-05-21 Agenus Inc. Results Agenus and Noetik Present ASCO 2026 Data Linking AI Analysis of Routine Pretreatment Tumor Pathology Images to Response and Survival with BOT+BAL in MSS Metastatic CRC agenusbio.com ↗
In a retrospective analysis of refractory MSS metastatic colorectal cancer without active liver metastases, the AI-identified subgroup had a 64% response rate to BOT+BAL, compared with 9% in the remaining cohort
2026-05-21 Agenus Inc. Results Agenus Presents Phase 2 BOT+BAL Melanoma Data Showing Durable Responses and Meaningful Survival in Advanced Checkpoint-Refractory Melanoma at ASCO 2026 agenusbio.com ↗
In the overall BOT+BAL population, median overall survival was 16.6 months, 42% of patients were alive at two years, and median duration of response was not reached.
2026-05-15 Agenus Inc. Results Agenus Announces Publication of Phase 1b Botensilimab and Balstilimab Data in Post-Immunotherapy Hepatocellular Carcinoma in Liver Cancer agenusbio.com ↗
Among 18 efficacy-evaluable patients, BOT+BAL demonstrated an objective response rate (ORR) of 17%, including one complete response and two partial responses.
2026-04-17 Agenus Inc. Results Agenus Reports Phase II Data Demonstrating Immune Reprogramming and Durable Survival with Botensilimab, Balstilimab and agenT-797 in PD-1 Refractory Gastroesophageal Cancer agenusbio.com ↗
2026-02-19 Agenus Inc. Results Agenus Presents Biomarker Data Demonstrating Survival Stratification in MSS mCRC and Other Immunologically Cold Tumors Treated with BOT+BAL agenusbio.com ↗
Integrating blood-based inflammatory markers with tumor immune features improved overall survival stratification in microsatellite-stable metastatic colorectal cancer (MSS mCRC), a population historically resistant to conventional checkpoint inhibitors.
2026-01-12 Agenus Inc. Regulatory France Expands National AAC Access for Agenus' Botensilimab + Balstilimab for Ovarian Cancer and Soft-Tissue Sarcomas agenusbio.com ↗
Agenus Inc . ( Nasdaq: AGEN ), a leader in immuno-oncology innovation, today announced that France’s National Agency for Medicines and Health Products Safety (ANSM) has approved an updated national treatment protocol for botensilimab (BOT) plus balst
2025-12-23 Agenus Inc. Results Agenus Reports Deep, Durable Responses with Botensilimab + Balstilimab in Highly Refractory Ovarian Cancer, Published in JITC agenusbio.com ↗
In this heavily pretreated population, BOT+BAL demonstrated clinically meaningful activity and durable benefit in women with treatment-refractory ovarian cancer, a population with few remaining options.

All press releases naming this drug 59 releases

DateIssuerRelease

Evidence & citations 6 cited values

Every value below carries the sentence it was read from. 41 sources stand behind the page.

FieldValueCited text
Known as Botensilimab “Botensilimab, an Fc-enhanced anti-CTLA-4 antibody (FcE-aCTLA-4), has shown durable activity in "cold" and immunotherapy-refractory cancers.” PMID 39028616 ↗ Nov 2024
38

“SR-8541A administered orally in combination with intravenous botensilimab and balstilimab” NCT06589440 ↗

“Anti-CTLA-4 antibody botensilimab” NCT06095674 ↗

NCT05608044 ↗

NCT07128355 ↗

NCT05630183 ↗

NCT06322108 ↗

NCT07227636 ↗

NCT04121676 ↗

NCT05632328 ↗

NCT05627635 ↗

Show 28 more sources

Known as AGEN-1181 ChEMBL registry synonym — accepted as the source's own label CHEMBL4650435 ↗
Action Inhibit “Botensilimab (BOT) is an Fc-enhanced multifunctional anti-cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) antibody designed to expand therapy to cold/poorly immunogenic...” PMID 38871975 ↗ Jun 2024
Modality Monoclonal antibody “An Fc-engineered anti-CTLA-4 monoclonal antibody” NCT03860272 ↗
Route Intravenous “AGEN2373 and botensilimab administered by IV.” NCT04121676 ↗
Target CTLA4 “Botensilimab (AGEN1181) is a novel, human, fragment-crystallizable (Fc)-engineered immunoglobulin G1 (IgG1) anti-CTLA-4 antibody” NCT04028063 ↗