RecruitingPhase 1Phase 2NCT05379595

A Study of Amivantamab Monotherapy and in Addition to Standard-of-Care Chemotherapy in Participants With Advanced or Metastatic Colorectal Cancer

A Phase 1b/2, Open-Label Study of Amivantamab Monotherapy and in Addition to Standard-of-Care Chemotherapy in Participants With Advanced or Metastatic Colorectal Cancer


Sponsor

Janssen Research & Development, LLC

Enrollment

225 participants

Start Date

Jul 29, 2022

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of this study is to assess the anti-tumor activity of amivantamab as a monotherapy (Cohorts A, B, and C), to assess the recommended phase 2 combination dose (RP2CD) of amivantamab when added to SoC chemotherapy (Ph1b cohorts) and to characterize the safety of amivantamab when added to standard-of care (SoC) chemotherapy in participants with metastatic colorectal cancer (mCRC) (Ph2 cohorts).


Eligibility

Min Age: 18 Years

Inclusion Criteria9

  • Participant must have been previously diagnosed with histologically or cytologically confirmed unresectable or metastatic adenocarcinoma of the colon or rectum
  • Participant must have tumor previously characterized as having wild-type Kirsten rat sarcoma viral oncogene (KRAS), neuroblastoma RAS viral oncogene homolog (NRAS), v-raf murine sarcoma viral oncogene homolog B (BRAF), and without evidence of Erb-b2 receptor tyrosine kinase 2/human epidermal growth factor receptor 2 (ERBB2/HER2) amplification. Additional cohort-specific requirements:
  • Phase (Ph) 2 (Cohorts A, B, and C) Amivantamab monotherapy: Participant must have received at least 2 but not more than 3 prior lines of systemic therapy in the metastatic setting. Participant must have been diagnosed with left-sided colorectal cancer (CRC) (Cohort A and B) and right-sided (Cohort C)and have received or been intolerant to standard of care (SoC) fluoropyrimidine-, oxaliplatin-, and irinotecan-based chemotherapy and an anti-vascular endothelial growth factor (VEGF) treatment. Participant must be anti-EGFR treatment naive in Cohort A, an anti-epidermal growth factor receptor (EGFR) treatment Cohort B, with or without an anti-EGFR treatment in Cohort C
  • Ph 1b Dose Confirmation Cohorts (Ph1b-D and Ph1b-E), Ph2 (Cohorts D and E) Amivantamab+mFOLFOX6/FOLFIRI: Participant must been diagnosed with CRC and have received no more than 1 prior line of systemic therapy in the metastatic setting. Cohort Ph1b-D/Cohort D: Participant must be anti-EGFR treatment naïve, have not received oxaliplatin-based chemotherapy in the metastatic setting, and be eligible for treatment with mFOLFOX6 according to local regulatory approvals and SoC guidelines. Cohort Ph1b-E/Cohort E: Participant must be anti-EGFR treatment naïve, have not received irinotecan-based chemotherapy in the metastatic setting, and be eligible for treatment with FOLFIRI according to local regulatory approvals and SoC guidelines
  • Ph2 Cohorts F Amivantamab subcutaneous (SC) + mFOLFOX6: Participants must be treatment-naive for right-sided unresectable or metastatic CRC and be eligible for treatment with mFOLFOX6 according to local regulatory approvals and SoC guidelines
  • For Phase 1 dose confirmation cohorts (Cohorts Ph1b-D and Ph1b-E): Participant must have evaluable disease. For Phase 2: Participant must have measurable disease according to Response Criteria in Solid Tumors (RECIST) Version 1.1. If only one measurable lesion exists, it may be used for the screening biopsy as long as baseline tumor assessment scans are performed greater than or equal to (\>=) 7 days after the biopsy
  • Participant must have Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0 or 1
  • Participant must have a tumor lesion amenable for biopsy and agree to mandatory protocol-defined screening biopsy. Biopsies are required if clinically feasible for participants in Ph1b-D, Ph1b-E, and Cohort F. For Cohort F, archival tissue is required if a fresh biopsy is not feasible
  • A female participant of childbearing potential must have a negative serum pregnancy test at screening and within 72 hours of the first dose of study treatment and must agree to further serum or urine pregnancy tests during the study. Note: Participant must not be pregnant, breastfeeding, or planning to become pregnant while enrolled in this study

Exclusion Criteria4

  • Cohorts A, B, C, Ph1b-D, D, Ph1b-E, and E: Participant with identified mutation in Kirsten rat sarcoma viral oncogene (KRAS), neuroblastoma RAS viral oncogene homolog (NRAS), v-raf murine sarcoma viral oncogene homolog B (BRAF), or epidermal growth factor receptor (EGFR) ectodomain, or ERBB2/HER2 amplification by central circulating tumor deoxyribonucleic acid (ctDNA) testing at screening; Cohort F: Participant with identified mutation in KRAS, NRAS, BRAF V600, or PTEN, identified fusions in ALK, ROS-1, RET, and NTRK 1, ERBB2/HER2 amplification, or identified to have MSI-H status by central ctDNA testing at screening
  • Participant with symptomatic or untreated brain metastasis
  • History or known presence of leptomeningeal disease
  • Any condition for which, in the opinion of the investigator, participation would not be in the best interest of the participant (for example, compromise the well-being) or that could prevent, limit, or confound the protocol-specified assessments

Interventions

BIOLOGICALAmivantamab IV

Amivantamab will be administered as intravenous infusion.

BIOLOGICALFluorouracil

Fluorouracil will be administered as intravenous infusion.

BIOLOGICALLeucovorin

Leucovorin will be administered as intravenous infusion.

BIOLOGICALOxaliplatin

Oxaliplatin will be administered as intravenous infusion.

BIOLOGICALIrinotecan

Irinotecan will be administered as intravenous infusion.

BIOLOGICALAmivantamab

Amivantamab will be administered.


Locations(53)

O Neal Comprehensive Cancer Center at UAB

Birmingham, Alabama, United States

University of Southern California

Los Angeles, California, United States

University of California, Los Angeles UCLA

Los Angeles, California, United States

Georgetown University Hospital

Washington D.C., District of Columbia, United States

H Lee Moffitt Cancer Center

Tampa, Florida, United States

University of Maryland School of Medicine

Baltimore, Maryland, United States

University of Michigan Health System

Ann Arbor, Michigan, United States

Start Midwest

Grand Rapids, Michigan, United States

Hattiesburg Clinic

Hattiesburg, Mississippi, United States

NYU Langone Long Island Clinical Research Associates

New York, New York, United States

Herbert Irving Comprehensive Cancer Center Columbia University Medical Center

New York, New York, United States

Stephenson Cancer Center

Oklahoma City, Oklahoma, United States

Vanderbilt Ingram Cancer Center

Nashville, Tennessee, United States

MD Anderson Cancer Center

Houston, Texas, United States

Institut Jules Bordet

Anderlecht, Belgium

Cliniques Universitaires Saint Luc

Brussels, Belgium

UZ Antwerpen

Edegem, Belgium

Universitair Ziekenhuis Gasthuisberg

Leuven, Belgium

BC Cancer Agency - Vancouver BC

Vancouver, British Columbia, Canada

The Ottawa Hospital Cancer Centre

Ottawa, Ontario, Canada

Princess Margaret Cancer Centre University Health Network

Toronto, Ontario, Canada

The Second Hospital To Dalian Medical University

Dalian, China

Sun Yat-sen University - The Sixth Affiliated Hospital Guangdong Gastrointestinal Hospital

Guangzhou, China

The Second Affiliated Hospital of Zhejiang University College of Medicine

Hangzhou, China

Hubei province tumor hospital

Wuhan, China

Asklepios Klinik Altona

Hamburg, Germany

Ludwig-Maximilians-Universitaet Muenchen

Munich, Germany

Fondazione IRCCS Istituto Nazionale dei Tumori

Milan, Italy

A O Ospedale Niguarda Ca Granda

Milan, Italy

Azienda Ospedaliero Universitaria Pisana

Pisa, Italy

University Malaya Medical Centre

Kuala Lumpur, Malaysia

Hospital Umum Sarawak

Kuching, Malaysia

Beacon Hospital Sdn Bhd

Petaling Jaya, Malaysia

Ad Vance Medical Research

Ponce, Puerto Rico

Pan American Center for Oncology Trials LLC

Rio Piedras, Puerto Rico

Seoul National University Hospital

Seoul, South Korea

Severance Hospital Yonsei University Health System

Seoul, South Korea

Asan Medical Center

Seoul, South Korea

Samsung Medical Center

Seoul, South Korea

The Catholic University of Korea Seoul St Mary s Hospital

Seoul, South Korea

Hosp Univ Vall D Hebron

Barcelona, Spain

Hosp. Gral. Univ. Gregorio Maranon

Madrid, Spain

Hosp. Univ. Ramon Y Cajal

Madrid, Spain

Hosp Univ Fund Jimenez Diaz

Madrid, Spain

Hosp Univ Hm Sanchinarro

Madrid, Spain

Hosp. Univ. Marques de Valdecilla

Santander, Spain

Hosp. Clinico Univ. de Valencia

Valencia, Spain

Changhua Christian Hospital

Changhua, Taiwan

Kaohsiung Chang Gung Memorial Hospital

Kaohsiung City, Taiwan

Chi Mei Medical Center Liu Ying

Liou Ying Township, Taiwan

National Cheng Kung University Hospital

Tainan, Taiwan

National Taiwan University Hospital

Taipei, Taiwan

Linkou Chang Gung Memorial Hospital

Taoyuan District, Taiwan

View Full Details on ClinicalTrials.gov

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NCT05379595