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JOURNAL ONKOLOGIE – STUDIE
OrigAMI-1

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

Rekrutierend

NCT-Nummer:
NCT05379595

Studienbeginn:
Juli 2022

Letztes Update:
24.04.2024

Wirkstoff:
Amivantamab, Fluorouracil, Leucovorin, Oxaliplatin, Irinotecan

Indikation (Clinical Trials):
Colorectal Neoplasms

Geschlecht:
Alle

Altersgruppe:
Erwachsene (18+)

Phase:
-

Sponsor:
Janssen Research & Development, LLC

Collaborator:
-

Studienleiter

Janssen Research & Development, LLC Clinical Trial
Study Director
Janssen Research & Development, LLC

Kontakt

Studienlocations
(3 von 53)

Asklepios Klinik Altona
22763 Hamburg
(Hamburg)
GermanyRekrutierend» Google-Maps
Ludwig-Maximilians-Universitaet Muenchen
81377 Munich
(Bayern)
GermanyRekrutierend» Google-Maps
O Neal Comprehensive Cancer Center at UAB
35233 Birmingham
United StatesRekrutierend» Google-Maps
University of Southern California
90033 Los Angeles
United StatesRekrutierend» Google-Maps
University of California, Los Angeles UCLA
90404 Los Angeles
United StatesRekrutierend» Google-Maps
Georgetown University Hospital
20007 Washington
United StatesRekrutierend» Google-Maps
H. Lee Moffitt Cancer Center
33612 Tampa
United StatesRekrutierend» Google-Maps
University of Maryland School of Medicine
21201 Baltimore
United StatesRekrutierend» Google-Maps
University of Michigan Health System
48103 Ann Arbor
United StatesRekrutierend» Google-Maps
Hattiesburg Clinic
39401 Hattiesburg
United StatesRekrutierend» Google-Maps
NYU Langone Long Island Clinical Research Associates
10016 New York
United StatesRekrutierend» Google-Maps
Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center
10032 New York
United StatesRekrutierend» Google-Maps
Stephenson Cancer Center
73104 Oklahoma City
United StatesRekrutierend» Google-Maps
Vanderbilt - Ingram Cancer Center
37232 Nashville
United StatesRekrutierend» Google-Maps
MD Anderson Cancer Center
77030 Houston
United StatesRekrutierend» Google-Maps
Cliniques Universitaires Saint Luc
1200 Bruxelles
BelgiumRekrutierend» Google-Maps
Universitair Ziekenhuis Gasthuisberg
3000 Leuven
BelgiumRekrutierend» Google-Maps
BC Cancer Agency - Vancouver BC
V5Z 4E6 Vancouver
CanadaRekrutierend» Google-Maps
The Ottawa Hospital Cancer Centre
K1H 8L6 Ottawa
CanadaRekrutierend» Google-Maps
Princess Margaret Cancer Centre University Health Network
M5G 1X6 Toronto
CanadaRekrutierend» Google-Maps
The Second Hospital To Dalian Medical University
116023 Da Lian Shi
ChinaRekrutierend» Google-Maps
Sun Yat-sen University - The Sixth Affiliated Hospital Guangdong Gastrointestinal Hospital
510655 Guangzhou
ChinaRekrutierend» Google-Maps
The Second Affiliated Hospital of Zhejiang University College of Medicine
310003 Hangzhou
ChinaRekrutierend» Google-Maps
Hubei province tumor hospital
430079 Wu Han Shi
ChinaRekrutierend» Google-Maps
Fondazione IRCCS Istituto Nazionale dei Tumori
20133 Milano
ItalyRekrutierend» Google-Maps
A O Ospedale Niguarda Ca Granda
20162 Milano
ItalyRekrutierend» Google-Maps
Azienda Ospedaliero Universitaria Pisana
56126 Pisa
ItalyRekrutierend» Google-Maps
Seoul National University Hospital
03080 Seoul
Korea, Republic ofRekrutierend» Google-Maps
Severance Hospital Yonsei University Health System
03722 Seoul
Korea, Republic ofRekrutierend» Google-Maps
Asan Medical Center
05505 Seoul
Korea, Republic ofRekrutierend» Google-Maps
Samsung Medical Center
06351 Seoul
Korea, Republic ofRekrutierend» Google-Maps
The Catholic University of Korea Seoul St. Mary's Hospital
06591 Seoul
Korea, Republic ofRekrutierend» Google-Maps
University Malaya Medical Centre
59100 Kuala Lumpur
MalaysiaRekrutierend» Google-Maps
Beacon Hospital Sdn Bhd
46050 Petaling Jaya
MalaysiaRekrutierend» Google-Maps
Pan American Center for Oncology Trials LLC
00935 Rio Piedras
Puerto RicoRekrutierend» Google-Maps
Hosp. Gral. Univ. Gregorio Maranon
28007 Madrid
SpainRekrutierend» Google-Maps
Hosp. Univ. Marques de Valdecilla
39008 Santander
SpainRekrutierend» Google-Maps
Hosp. Clinico Univ. de Valencia
46010 Valencia
SpainRekrutierend» Google-Maps
Kaohsiung Chang Gung Memorial Hospital
83301 Kaohsiung
TaiwanRekrutierend» Google-Maps
Chi Mei Medical Center - Liu Ying
736 Liou Ying Township
TaiwanRekrutierend» Google-Maps
National Cheng Kung University Hospital
704 Tainan
TaiwanRekrutierend» Google-Maps
National Taiwan University Hospital
10002 Taipei
TaiwanRekrutierend» Google-Maps
Linkou Chang Gung Memorial Hospital
33305 Taoyuan
TaiwanRekrutierend» Google-Maps
Alle anzeigen

Studien-Informationen

Detailed Description:

Colorectal cancer (CRC) is a major global health concern and the third most common cancer

worldwide. Amivantamab (also known as RYBREVANT or JNJ-61186372) is a fully human

immunoglobulin (Ig) G1-based bispecific antibody (Ab) directed against the epidermal growth

factor (EGF) and mesenchymal epithelial transition (MET) receptors, with evidence of

preclinical activity against non-small cell lung cancer (NSCLC) tumors with activating EGF

receptor (EGFR) mutations, the T790M and C797S second-site resistance EGFR mutations,

overexpressed wild-type EGFR, as well as with activation of the MET pathway. Amivantamab has

demonstrated activity in both EGFR- and MET-driven NSCLC, with preclinical evidence

demonstrating its ability to recruit immune effector cells. While two anti-EGFR antibodies

are incorporated as part of the SoC for CRC patients, MET is highly expressed or amplified in

subsets of CRC and additionally plays a role in mediating resistance to anti-EGFR treatments.

The study consists of up to 28 days screening period, treatment period will begin on Cycle 1

Day 1 (C1D1) (for Cohorts A, B, and C) or C1D -2 (for Ph1b-D, Ph1b-E, Cohorts D and E) with

the administration of the study treatment and continue as 28-day cycles until the end of

treatment visit, up to 30 days after discontinuation of study treatment. The safety of

amivantamab as a monotherapy or in addition to SoC chemotherapy will be assessed by physical

examinations, Eastern Cooperative Oncology Group (ECOG) criteria for performance status (PS),

laboratory tests, vital signs, monitoring of adverse events, and concomitant medication

usage. The total duration of this study will be up to 4 years 3 months.

Ein-/Ausschlusskriterien

Inclusion Criteria:

- Participant must have been previously diagnosed with histologically or cytologically

confirmed unresectable or metastatic adenocarcinoma of the colon or rectum

- For Phase 1 dose confirmation cohorts (Cohorts Ph1b-D and Ph1b-E): Participant must

have evaluable disease. For Phase 2 dose expansion cohorts (Cohorts D and E):

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

- 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 Criteria:

- 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

- 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

Studien-Rationale

Primary outcome:

1. Cohorts A, B, and C: Objective Response Rate (ORR) (Time Frame - Up to 4 years 3 months):
ORR is defined as the percentage of participants who achieve either a partial response (PR) or complete response (CR), as defined by investigator assessment using Response Criteria in Solid Tumors (RECIST) version 1.1.

2. Cohorts Ph1b-D and Ph1b-E: Number of Participants with Dose-limiting Toxicity (DLT) (Time Frame - Up to 4 years 3 months):
Number of participants with DLT will be assessed. The DLTs are specific adverse events and are defined as any of the following: high grade non-hematologic toxicity, or hematologic toxicity.

3. Cohorts Ph1b-D and Ph1b-E: Number of Participants with DLT by Severity (Time Frame - Up to 4 years 3 months):
Number of participants with DLT by severity will be assessed. The DLTs are specific adverse events and are defined as any of the following: high grade non-hematologic toxicity, or hematologic toxicity. Toxicities will be graded for severity according to the National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 5.0, graded as Grade 1: mild, Grade 2: moderate, Grade 3: severe, Grade 4: life-threatening, and Grade 5: death related to adverse event.

4. Cohorts D and E: Number of Participants with Adverse Events (AE) (Time Frame - Up to 4 years 3 months):
An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/ biological agent under study. Severity of AEs will be graded according to the NCI CTCAE version 5.0. Severity scale ranges from Grade 1 (Mild) to Grade 5 (Death). Grade 1: mild, Grade 2: moderate, Grade 3: severe, Grade 4: life-threatening and Grade 5: death related to adverse event.

5. Cohorts D and E: Number of Participants with Laboratory Values Abnormalities (Time Frame - Up to 4 years 3 months):
Number of participants with laboratory values abnormalities, which includes serum chemistry, hematology, coagulation, and urinalysis, will be reported.

6. Cohorts D and E: Number of Participants with Vital Signs Abnormalities (Time Frame - Up to 4 years 3 months):
Number of participants with vital signs including temperature, heart rate, respiratory rate, and blood pressure (systolic and diastolic) and oxygen saturation, abnormalities will be reported.

Secondary outcome:

1. Cohorts A, B, C, Ph1b-D, and Ph1b-E: Number of Participants with AEs (Time Frame - Up to 4 years 3 months):
An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/ biological agent under study. Severity of AEs will be graded according to the NCI CTCAE version 5.0. Severity scale ranges from Grade 1 (Mild) to Grade 5 (Death). Grade 1: mild, Grade 2: moderate, Grade 3: severe, Grade 4: life-threatening and Grade 5: death related to adverse event.

2. Cohorts A, B, C, Ph1b-D, and Ph1b-E: Number of Participants with Laboratory Values Abnormalities (Time Frame - Up to 4 years 3 months):
Number of participants with laboratory values abnormalities, which includes serum chemistry, hematology, coagulation, and urinalysis, will be reported.

3. Cohorts A, B, C, Ph1b-D, and Ph1b-E: Number of Participants with Vital Signs Abnormalities (Time Frame - Up to 4 years 3 months):
Number of participants with vital signs including temperature, heart rate, respiratory rate, and blood pressure (systolic and diastolic) and oxygen saturation, abnormalities will be reported.

4. Cohorts Ph1b-D, Ph1b-E, D, and E: ORR (Time Frame - Up to 4 years 3 months):
ORR is defined as the percentage of participants who achieve either a PR or CR, as defined by investigator assessment using RECIST version 1.1.

5. Cohorts Ph1b-D, Ph1b-E, D, and E: Duration of Response (DoR) (Time Frame - Up to 4 years 3 months):
DoR is defined as the time from the date of first documented response (PR or CR) until the date of documented progression or death, whichever comes first, for participants who have PR or CR, as defined by investigator assessment using RECIST version 1.1.

6. Cohorts Ph1b-D, Ph1b-E, D, and E: Clinical Benefit Rate (CBR) (Time Frame - Up to 4 years 3 months):
CBR is defined as the percentage of participants achieving complete or partial response, as well as durable stable disease (defined as a duration of at least 11 weeks) as defined by RECIST version 1.1.

7. Cohorts D and E: Progression Free Survival (PFS) (Time Frame - Up to 4 years 3 months):
PFS is defined as the time from the first administration of study treatment until the date of objective disease progression or death, whichever comes first, based on investigator assessment using RECIST version 1.1.

Studien-Arme

  • 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.

Geprüfte Regime

  • Amivantamab (RYBREVANT / JNJ-61186372 / ):
    Amivantamab will be administered as intravenous infusion.
  • Fluorouracil:
    Fluorouracil will be administered as intravenous infusion.
  • Leucovorin:
    Leucovorin will be administered as intravenous infusion.
  • Oxaliplatin:
    Oxaliplatin will be administered as intravenous infusion.
  • Irinotecan:
    Irinotecan will be administered as intravenous infusion.

Quelle: ClinicalTrials.gov


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