A Study of Amivantamab Monotherapy and in Addition to Standard-of-Care Chemotherapy in Participants With Advanced or Metastatic Colorectal Cancer (OrigAMI-1)
Advanced or Metastatic Colorectal Cancer
About this trial
This is an interventional treatment trial for Advanced or Metastatic Colorectal Cancer
Eligibility Criteria
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
Sites / Locations
- O'Neal Comprehensive Cancer Center at UABRecruiting
- University of Southern CaliforniaRecruiting
- University of California, Los Angeles UCLARecruiting
- Georgetown University HospitalRecruiting
- H. Lee Moffitt Cancer CenterRecruiting
- University of Maryland School of MedicineRecruiting
- University of Michigan Health SystemRecruiting
- Start MidwestRecruiting
- Hattiesburg ClinicRecruiting
- NYU Langone Long Island Clinical Research AssociatesRecruiting
- Herbert Irving Comprehensive Cancer Center, Columbia University Medical CenterRecruiting
- Stephenson Cancer CenterRecruiting
- Vanderbilt - Ingram Cancer CenterRecruiting
- MD Anderson Cancer CenterRecruiting
- Institut Jules BordetRecruiting
- Cliniques Universitaires Saint-LucRecruiting
- UZ AntwerpenRecruiting
- Universitair Ziekenhuis GasthuisbergRecruiting
- BC Cancer Agency - Vancouver BCRecruiting
- The Ottawa Hospital Cancer CentreRecruiting
- Princess Margaret Cancer Centre University Health NetworkRecruiting
- The Second Hospital To Dalian Medical UniversityRecruiting
- Sun Yat-sen University - The Sixth Affiliated Hospital Guangdong Gastrointestinal HospitalRecruiting
- The Second Affiliated Hospital of Zhejiang University College of MedicineRecruiting
- Hubei province tumor hospitalRecruiting
- Asklepios Klinik AltonaRecruiting
- Ludwig-Maximilians-Universitaet MuenchenRecruiting
- Fondazione IRCCS Istituto Nazionale dei TumoriRecruiting
- A.O. Ospedale Niguarda Ca' GrandaRecruiting
- Azienda Ospedaliero Universitaria PisanaRecruiting
- Seoul National University HospitalRecruiting
- Severance Hospital, Yonsei University Health SystemRecruiting
- Asan Medical CenterRecruiting
- Samsung Medical CenterRecruiting
- The Catholic University of Korea, Seoul St. Mary's HospitalRecruiting
- University Malaya Medical CentreRecruiting
- Hospital Umum SarawakRecruiting
- Beacon Hospital Sdn. Bhd.Recruiting
- Ad-Vance Medical ResearchRecruiting
- Pan American Center for Oncology Trials LLCRecruiting
- Hosp. Univ. Vall D HebronRecruiting
- Hosp. Gral. Univ. Gregorio MaranonRecruiting
- Hosp. Univ. Ramon Y CajalRecruiting
- Hosp. Univ. Fund. Jimenez DiazRecruiting
- Hosp. Univ. Hm SanchinarroRecruiting
- Hosp. Univ. Marques de ValdecillaRecruiting
- Hosp. Clinico Univ. de ValenciaRecruiting
- Changhua Christian HospitalRecruiting
- Kaohsiung Chang Gung Memorial HospitalRecruiting
- Chi Mei Medical Center - Liu YingRecruiting
- National Cheng Kung University HospitalRecruiting
- National Taiwan University HospitalRecruiting
- Linkou Chang Gung Memorial HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Active Comparator
Active Comparator
Cohorts A, B, and C: Amivantamab Monotherapy
Cohorts Ph1b-D and D: Amivantamab+5-Fluorouracil, Leucovorin, and Oxaliplatin (mFOLFOX6)
Cohorts Ph1b-E and E: Amivantamab+5-Fluorouracil, Leucovorin, and Irinotecan (FOLFIRI)
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).
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.
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.