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

Status: Recruiting
Location: See all (53) locations...
Intervention Type: Biological
Study Type: Interventional
Study Phase: Phase 1/Phase 2
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
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• 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

Locations
United States
Alabama
O Neal Comprehensive Cancer Center at UAB
RECRUITING
Birmingham
California
University of California, Los Angeles UCLA
RECRUITING
Los Angeles
University of Southern California
COMPLETED
Los Angeles
Washington, D.c.
Georgetown University Hospital
RECRUITING
Washington D.c.
Florida
H Lee Moffitt Cancer Center
COMPLETED
Tampa
Maryland
University of Maryland School of Medicine
COMPLETED
Baltimore
Michigan
University of Michigan Health System
RECRUITING
Ann Arbor
Start Midwest
RECRUITING
Grand Rapids
Mississippi
Hattiesburg Clinic
RECRUITING
Hattiesburg
New York
Herbert Irving Comprehensive Cancer Center Columbia University Medical Center
RECRUITING
New York
NYU Langone Long Island Clinical Research Associates
RECRUITING
New York
Oklahoma
Stephenson Cancer Center
RECRUITING
Oklahoma City
Tennessee
Vanderbilt Ingram Cancer Center
RECRUITING
Nashville
Texas
MD Anderson Cancer Center
RECRUITING
Houston
Other Locations
Belgium
Institut Jules Bordet
RECRUITING
Anderlecht
Cliniques Universitaires Saint Luc
RECRUITING
Brussels
UZ Antwerpen
RECRUITING
Edegem
Universitair Ziekenhuis Gasthuisberg
RECRUITING
Leuven
Canada
The Ottawa Hospital Cancer Centre
RECRUITING
Ottawa
Princess Margaret Cancer Centre University Health Network
RECRUITING
Toronto
BC Cancer Agency - Vancouver BC
RECRUITING
Vancouver
China
The Second Hospital To Dalian Medical University
COMPLETED
Dalian
Sun Yat-sen University - The Sixth Affiliated Hospital Guangdong Gastrointestinal Hospital
RECRUITING
Guangzhou
The Second Affiliated Hospital of Zhejiang University College of Medicine
RECRUITING
Hangzhou
Hubei province tumor hospital
RECRUITING
Wuhan
Germany
Asklepios Klinik Altona
RECRUITING
Hamburg
Ludwig-Maximilians-Universitaet Muenchen
RECRUITING
Munich
Italy
A O Ospedale Niguarda Ca Granda
RECRUITING
Milan
Fondazione IRCCS Istituto Nazionale dei Tumori
RECRUITING
Milan
Azienda Ospedaliero Universitaria Pisana
RECRUITING
Pisa
Malaysia
University Malaya Medical Centre
RECRUITING
Kuala Lumpur
Hospital Umum Sarawak
RECRUITING
Kuching
Beacon Hospital Sdn Bhd
RECRUITING
Petaling Jaya
Puerto Rico
Ad Vance Medical Research
RECRUITING
Ponce
Pan American Center for Oncology Trials LLC
RECRUITING
Rio Piedras
Republic of Korea
Asan Medical Center
RECRUITING
Seoul
Samsung Medical Center
RECRUITING
Seoul
Seoul National University Hospital
RECRUITING
Seoul
Severance Hospital Yonsei University Health System
RECRUITING
Seoul
The Catholic University of Korea Seoul St Mary s Hospital
RECRUITING
Seoul
Spain
Hosp Univ Vall D Hebron
RECRUITING
Barcelona
Hosp Univ Fund Jimenez Diaz
RECRUITING
Madrid
Hosp Univ Hm Sanchinarro
RECRUITING
Madrid
Hosp. Gral. Univ. Gregorio Maranon
RECRUITING
Madrid
Hosp. Univ. Ramon Y Cajal
RECRUITING
Madrid
Hosp. Univ. Marques de Valdecilla
RECRUITING
Santander
Hosp. Clinico Univ. de Valencia
RECRUITING
Valencia
Taiwan
Changhua Christian Hospital
RECRUITING
Changhua
Kaohsiung Chang Gung Memorial Hospital
RECRUITING
Kaohsiung City
Chi Mei Medical Center Liu Ying
RECRUITING
Liou Ying Township
National Cheng Kung University Hospital
RECRUITING
Tainan
National Taiwan University Hospital
RECRUITING
Taipei
Linkou Chang Gung Memorial Hospital
RECRUITING
Taoyuan District
Contact Information
Primary
Study Contact
Participate-In-This-Study1@its.jnj.com
844-434-4210
Time Frame
Start Date: 2022-07-29
Estimated Completion Date: 2031-10-31
Participants
Target number of participants: 225
Treatments
Experimental: Cohorts A, B, and C: Amivantamab Monotherapy
Participants with left-sided colorectal cancer (CRC) in Cohort A (no prior anti-epidermal growth factor receptor \[EGFR\] therapy) and in Cohort B (post anti-EGFR therapy), and right-sided CRC in Cohort C (with or without anti-EGFR therapy), will be administered intravenous (IV) infusion of amivantamab 1050 milligrams (mg) if body weight (BW) is less than (\<) 80 kilograms (kg) or 1400 mg if BW is greater than or equal to (\>=) 80 kg, as monotherapy on Days 1 and 15 of Cycle 2 (28-days cycle).
Active_comparator: Cohorts Ph1b-D and D: Amivantamab+5-Fluorouracil, Leucovorin, and Oxaliplatin (mFOLFOX6)
Participants who are anti-EGFR treatment naïve, have not received oxaliplatin-based chemotherapy in the metastatic setting, will be administered IV infusion of amivantamab 1050 or 700 mg (dose level 0 \[DL0\]) if BW is \<80 kg, or 1400 or 1050 mg (dose de-escalation \[DL-1\]) if BW is \>= 80 kg, on Days -1, -2, 8 and 22 of Cycle 1 and along with mFOLFOX6 SOC chemotherapy on Days 1 and 15 of Cycle 1 and Days 1 and 15 of Cycle 2 (each cycle of 28 days) in Phase 1b dose confirmation Cohort (Cohort Ph1b-D). Participant in Phase 2 Cohort (Cohort D) will receive recommended Phase 2 combination dose (RP2CD) of amivantamab along with mFOLFOX6 SOC chemotherapy determined in Cohort Ph1b-D.
Active_comparator: Cohorts Ph1b-E and E: Amivantamab+5-Fluorouracil, Leucovorin, and Irinotecan (FOLFIRI)
Participants who are anti-EGFR treatment naïve, have not received irinotecan-based chemotherapy in the metastatic setting, will be administered IV infusion of Amivantamab along with FOLFIRI SOC chemotherapy on Days -1, -2, and 8 of Cycle 1 and Days 1 and 15 of Cycle 2 in Ph1b-E. For Cohort E, RP2CD determined in Ph1b-E will be administered.
Active_comparator: Cohort F: Amivantamab + mFOLFOX6
Participant who are treatment-naïve for right-sided unresectable or metastatic CRC. Participants will receive Amivantamab along with mFOLFOX6 SoC chemotherapy.
Related Therapeutic Areas
Sponsors
Leads: Janssen Research & Development, LLC

This content was sourced from clinicaltrials.gov

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