A Study of Amivantamab Monotherapy and in Addition to Standard-of-Care Chemotherapy in Participants With Advanced or Metastatic Colorectal Cancer (OrigAMI-1)

Last Updated   April 24, 2024 - 21:00

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OVERVIEW

  • Gender
    all
  • Age
    18+ years
  • Phase
    phase 1
    Researchers test a new drug or treatment in a small group of people for the first time to gather information on its safety, dosing, and side effects.
  • Sites
    53 sites
  • Status
    Recruiting

SUMMARY

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.

CONDITIONS

  • Advanced or Metastatic Colorectal Cancer

ELIGIBILITY

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

DETAILS

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.

LOCATIONS

Locations in:
United States, Taiwan, Spain, South Korea, Puerto Rico, Malaysia, Italy, Germany, China, Canada, Belgium
Country (11) City or Province (53) Status
United States Ann Arbor, MI University of Michigan Health System
RECRUITING
United States Baltimore, MD University of Maryland School of Medicine
RECRUITING
United States Birmingham, AL O Neal Comprehensive Cancer Center at UAB
RECRUITING
United States Grand Rapids, MI Start Midwest
RECRUITING
United States Hattiesburg, MS Hattiesburg Clinic
RECRUITING
United States Houston, TX MD Anderson Cancer Center
RECRUITING
United States Los Angeles, CA University of California, Los Angeles UCLA
RECRUITING
United States Los Angeles, CA University of Southern California
RECRUITING
United States Nashville, TN Vanderbilt - Ingram Cancer Center
RECRUITING
United States New York, NY Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center
RECRUITING
United States New York, NY NYU Langone Long Island Clinical Research Associates
RECRUITING
United States Oklahoma City, OK Stephenson Cancer Center
RECRUITING
United States Tampa, FL H. Lee Moffitt Cancer Center
RECRUITING
United States Washington, DC Georgetown University Hospital
RECRUITING
Taiwan Changhua Changhua Christian Hospital
RECRUITING
Taiwan Kaohsiung Kaohsiung Chang Gung Memorial Hospital
RECRUITING
Taiwan Liou Ying Township Chi Mei Medical Center - Liu Ying
RECRUITING
Taiwan Tainan National Cheng Kung University Hospital
RECRUITING
Taiwan Taipei National Taiwan University Hospital
RECRUITING
Taiwan Taoyuan Linkou Chang Gung Memorial Hospital
RECRUITING
Spain Barcelona, BA Hosp. Univ. Vall D Hebron
RECRUITING
Spain Madrid, MD Hosp. Gral. Univ. Gregorio Maranon
RECRUITING
Spain Madrid, MD Hosp. Univ. Fund. Jimenez Diaz
RECRUITING
Spain Madrid, MD Hosp. Univ. Hm Sanchinarro
RECRUITING
Spain Madrid, MD Hosp. Univ. Ramon Y Cajal
RECRUITING
Spain Santander, CT Hosp. Univ. Marques de Valdecilla
RECRUITING
Spain Valencia, VC Hosp. Clinico Univ. de Valencia
RECRUITING
South Korea Seoul Asan Medical Center
RECRUITING
South Korea Seoul Samsung Medical Center
RECRUITING
South Korea Seoul Seoul National University Hospital
RECRUITING
South Korea Seoul Severance Hospital Yonsei University Health System
RECRUITING
South Korea Seoul The Catholic University of Korea Seoul St. Mary's Hospital
RECRUITING
Puerto Rico Ponce Ad-Vance Medical Research
RECRUITING
Puerto Rico Rio Piedras Pan American Center for Oncology Trials LLC
RECRUITING
Malaysia Kuala Lumpur University Malaya Medical Centre
RECRUITING
Malaysia Kuching, SR Hospital Umum Sarawak
RECRUITING
Malaysia Petaling Jaya, SL Beacon Hospital Sdn Bhd
RECRUITING
Italy Milano A O Ospedale Niguarda Ca Granda
RECRUITING
Italy Milano Fondazione IRCCS Istituto Nazionale dei Tumori
RECRUITING
Italy Pisa Azienda Ospedaliero Universitaria Pisana
RECRUITING
Germany Hamburg, HH Asklepios Klinik Altona
RECRUITING
Germany Munich Ludwig-Maximilians-Universitaet Muenchen
RECRUITING
China Da Lian Shi The Second Hospital To Dalian Medical University
RECRUITING
China Guangzhou Sun Yat-sen University - The Sixth Affiliated Hospital Guangdong Gastrointestinal Hospital
RECRUITING
China Hangzhou The Second Affiliated Hospital of Zhejiang University College of Medicine
RECRUITING
China Wu Han Shi Hubei province tumor hospital
RECRUITING
Canada Ottawa, ON The Ottawa Hospital Cancer Centre
RECRUITING
Canada Toronto, ON Princess Margaret Cancer Centre University Health Network
RECRUITING
Canada Vancouver, BC BC Cancer Agency - Vancouver BC
RECRUITING
Belgium Anderlecht, BRU Institut Jules Bordet
RECRUITING
Belgium Bruxelles, BRU Cliniques Universitaires Saint Luc
RECRUITING
Belgium Edegem UZ Antwerpen
RECRUITING
Belgium Leuven Universitair Ziekenhuis Gasthuisberg
RECRUITING
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5

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