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| ID | Type | Description | Link |
|---|---|---|---|
| 61186372GIC2002 | Other Identifier | Janssen Research & Development, LLC | |
| 2021-006629-23 | EudraCT Number | ||
| 2023-506517-22-00 | Registry Identifier | EUCT number |
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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).
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, E and F) 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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohorts A, B, and C: Amivantamab Monotherapy | Experimental | 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). |
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| Cohorts Ph1b-D and D: Amivantamab+5-Fluorouracil, Leucovorin, and Oxaliplatin (mFOLFOX6) | Active Comparator | 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. |
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| Cohorts Ph1b-E and E: Amivantamab+5-Fluorouracil, Leucovorin, and Irinotecan (FOLFIRI) | Active Comparator | 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. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Amivantamab IV | Biological | Amivantamab will be administered as intravenous infusion. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Cohorts A, B, and C: Objective Response Rate (ORR) | 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. | Up to 4 years 3 months |
| Cohorts Ph1b-D and Ph1b-E: Number of Participants with Dose-limiting Toxicity (DLT) | 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. | Up to 4 years 3 months |
| Cohorts Ph1b-D and Ph1b-E: Number of Participants with DLT by Severity | 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. | Up to 4 years 3 months |
| Cohorts D and E: Number of Participants with Adverse Events (AE) | 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. | Up to 4 years 3 months |
| Cohorts D and E: Number of Participants with Laboratory Values Abnormalities |
| Measure | Description | Time Frame |
|---|---|---|
| Cohorts A, B, C, Ph1b-D, and Ph1b-E: Number of Participants with AEs | 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. |
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Inclusion Criteria:
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:
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 Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Study Contact | Contact | 844-434-4210 | Participate-In-This-Study1@its.jnj.com |
| Name | Affiliation | Role |
|---|---|---|
| Janssen Research & Development, LLC Clinical Trial | Janssen Research & Development, LLC | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| O Neal Comprehensive Cancer Center at UAB | Completed | Birmingham | Alabama | 35233 | United States | |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 42013403 | Derived | Oberstein PE, Hecht JR, Raghav K, Pietrantonio F, Arnold D, Moreno V, Van Cutsem E, Malik RA, Hong YS, Lee MA, Yu-Li Su H, Lee J, Chandana S, Cruz-Correa M, Yuan Y, Ahmad A, Lai KM, Hsu HC, Chen EX, Elez E, Lin CC, Lopez C, Prenen H, Rosello-Keranen S, Velez H, Yeh YM, Heinemann V, Eng C, Beom SH, Tejpar S, Chowdhury S, Lyu X, Kamat M, Curtin JC, Patel B, Xie J, Bhattacharya R, Schnepp RW, Yilmaz E, Iwasawa R, Daksh M, Lorenzini P, Thayu M, Baig M, Kim HS, Han SW. Amivantamab Monotherapy in Chemorefractory RAS/BRAF Wild-Type Metastatic Colorectal Cancer: Results From OrigAMI-1, an Open-Label, Phase Ib/II Study. J Clin Oncol. 2026 Jun 10;44(17):1624-1634. doi: 10.1200/JCO-25-02187. Epub 2026 Apr 21. |
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The data sharing policy of Johnson & Johnson Innovative Medicine is available at innovativemedicine.jnj.com/our-innovation/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu
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| Cohort F: Amivantamab + mFOLFOX6 | Active Comparator | Participant who are treatment-naïve for right-sided unresectable or metastatic CRC. Participants will receive Amivantamab along with mFOLFOX6 SoC chemotherapy. |
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| Fluorouracil | Biological | Fluorouracil will be administered as intravenous infusion. |
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| Leucovorin | Biological | Leucovorin will be administered as intravenous infusion. |
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| Oxaliplatin | Biological | Oxaliplatin will be administered as intravenous infusion. |
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| Irinotecan | Biological | Irinotecan will be administered as intravenous infusion. |
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| Amivantamab | Biological | Amivantamab will be administered. |
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Number of participants with laboratory values abnormalities, which includes serum chemistry, hematology, coagulation, and urinalysis, will be reported. |
| Up to 4 years 3 months |
| Cohorts D and E: Number of Participants with Vital Signs Abnormalities | 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. | Up to 4 years 3 months |
| Cohorts F: Number of Participants with Adverse Events (AE) | An AE is any untoward medical occurrence in a participant taking part in a 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. | Up to 4 years 3 months |
| Cohorts F: Number of Participants with Laboratory Values Abnormalities | Number of participants with laboratory values abnormalities, which includes serum chemistry, hematology, coagulation, and urinalysis, will be reported. | Up to 4 years 3 months |
| Cohorts F: Number of Participants with Vital Signs Abnormalities | 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. | Up to 4 years 3 months |
| Up to 4 years 3 months |
| Cohorts A, B, C, Ph1b-D, and Ph1b-E: Number of Participants with Laboratory Values Abnormalities | Number of participants with laboratory values abnormalities, which includes serum chemistry, hematology, coagulation, and urinalysis, will be reported. | Up to 4 years 3 months |
| Cohorts A, B, C, Ph1b-D, and Ph1b-E: Number of Participants with Vital Signs Abnormalities | 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. | Up to 4 years 3 months |
| Cohorts Ph1b-D, Ph1b-E, D, E and F: ORR | 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. | Up to 4 years 3 months |
| Cohorts Ph1b-D, Ph1b-E, D, E and F: Duration of Response (DoR) | 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. | Up to 4 years 3 months |
| Cohorts Ph1b-D, Ph1b-E, D, E and F: Disease Control Rate (DCR) | DCR is defined as the percentage of participants achieving a best overall response (BOR) of CR, PR or stable disease (with minimum duration of 7 weeks) as defined by RECIST v1.1. | Up to 4 years 3 months |
| Cohorts Ph1b-D, Ph1b-E, D, E and F: Clinical Benefit Rate (CBR) | 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. | Up to 4 years 3 months |
| Cohorts D, E and F: Progression Free Survival (PFS) | 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. | Up to 4 years 3 months |
| University of Southern California |
| Completed |
| Los Angeles |
| California |
| 90033 |
| United States |
| University of California, Los Angeles UCLA | Recruiting | Los Angeles | California | 90404 | United States |
| Georgetown University Hospital | Completed | Washington D.C. | District of Columbia | 20007 | United States |
| H Lee Moffitt Cancer Center | Completed | Tampa | Florida | 33612 | United States |
| University of Maryland School of Medicine | Completed | Baltimore | Maryland | 21201 | United States |
| University of Michigan Health System | Recruiting | Ann Arbor | Michigan | 48103 | United States |
| Start Midwest | Completed | Grand Rapids | Michigan | 49546 | United States |
| Hattiesburg Clinic | Recruiting | Hattiesburg | Mississippi | 39401 | United States |
| NYU Langone Long Island Clinical Research Associates | Recruiting | New York | New York | 10016 | United States |
| Herbert Irving Comprehensive Cancer Center Columbia University Medical Center | Recruiting | New York | New York | 10032 | United States |
| Stephenson Cancer Center | Completed | Oklahoma City | Oklahoma | 73104 | United States |
| Vanderbilt Ingram Cancer Center | Recruiting | Nashville | Tennessee | 37232 | United States |
| MD Anderson Cancer Center | Recruiting | Houston | Texas | 77030 | United States |
| Institut Jules Bordet | Recruiting | Anderlecht | 1070 | Belgium |
| Cliniques Universitaires Saint Luc | Recruiting | Brussels | 1200 | Belgium |
| UZ Antwerpen | Recruiting | Edegem | 2650 | Belgium |
| Universitair Ziekenhuis Gasthuisberg | Recruiting | Leuven | 3000 | Belgium |
| BC Cancer Agency - Vancouver BC | Completed | Vancouver | British Columbia | V5Z 4E6 | Canada |
| The Ottawa Hospital Cancer Centre | Recruiting | Ottawa | Ontario | K1H 8L6 | Canada |
| Princess Margaret Cancer Centre University Health Network | Recruiting | Toronto | Ontario | M5G 1X6 | Canada |
| The Second Hospital To Dalian Medical University | Completed | Dalian | 116023 | China |
| Sun Yat-sen University - The Sixth Affiliated Hospital Guangdong Gastrointestinal Hospital | Recruiting | Guangzhou | 510655 | China |
| The Second Affiliated Hospital of Zhejiang University College of Medicine | Recruiting | Hangzhou | 310003 | China |
| Hubei province tumor hospital | Recruiting | Wuhan | 430079 | China |
| Asklepios Klinik Altona | Recruiting | Hamburg | 22763 | Germany |
| Ludwig-Maximilians-Universitaet Muenchen | Recruiting | Munich | 81377 | Germany |
| Fondazione IRCCS Istituto Nazionale dei Tumori | Recruiting | Milan | 20133 | Italy |
| A O Ospedale Niguarda Ca Granda | Recruiting | Milan | 20162 | Italy |
| Azienda Ospedaliero Universitaria Pisana | Recruiting | Pisa | 56126 | Italy |
| University Malaya Medical Centre | Recruiting | Kuala Lumpur | 59100 | Malaysia |
| Hospital Umum Sarawak | Recruiting | Kuching | 93586 | Malaysia |
| Beacon Hospital Sdn Bhd | Recruiting | Petaling Jaya | 46050 | Malaysia |
| Ad Vance Medical Research | Recruiting | Ponce | 00717 | Puerto Rico |
| Pan American Center for Oncology Trials LLC | Recruiting | Rio Piedras | 00935 | Puerto Rico |
| Seoul National University Hospital | Recruiting | Seoul | 03080 | South Korea |
| Severance Hospital Yonsei University Health System | Recruiting | Seoul | 03722 | South Korea |
| Asan Medical Center | Recruiting | Seoul | 05505 | South Korea |
| Samsung Medical Center | Recruiting | Seoul | 06351 | South Korea |
| The Catholic University of Korea Seoul St Mary s Hospital | Recruiting | Seoul | 06591 | South Korea |
| Hosp Univ Vall D Hebron | Recruiting | Barcelona | 08035 | Spain |
| Hosp. Gral. Univ. Gregorio Maranon | Recruiting | Madrid | 28007 | Spain |
| Hosp. Univ. Ramon Y Cajal | Recruiting | Madrid | 28034 | Spain |
| Hosp Univ Fund Jimenez Diaz | Recruiting | Madrid | 28040 | Spain |
| Hosp Univ Hm Sanchinarro | Recruiting | Madrid | 28050 | Spain |
| Hosp. Univ. Marques de Valdecilla | Recruiting | Santander | 39008 | Spain |
| Hosp. Clinico Univ. de Valencia | Recruiting | Valencia | 46010 | Spain |
| Changhua Christian Hospital | Recruiting | Changhua | 500 | Taiwan |
| Kaohsiung Chang Gung Memorial Hospital | Recruiting | Kaohsiung City | 83301 | Taiwan |
| Chi Mei Medical Center Liu Ying | Recruiting | Liou Ying Township | 736 | Taiwan |
| National Cheng Kung University Hospital | Recruiting | Tainan | 704 | Taiwan |
| National Taiwan University Hospital | Recruiting | Taipei | 10002 | Taiwan |
| Linkou Chang Gung Memorial Hospital | Recruiting | Taoyuan | 33305 | Taiwan |
| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| ID | Term |
|---|---|
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |
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| ID | Term |
|---|---|
| C000718215 | amivantamab |
| D005472 | Fluorouracil |
| D002955 | Leucovorin |
| D000077150 | Oxaliplatin |
| D000077146 | Irinotecan |
| ID | Term |
|---|---|
| D014498 | Uracil |
| D011744 | Pyrimidinones |
| D011743 | Pyrimidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D005575 | Formyltetrahydrofolates |
| D013763 | Tetrahydrofolates |
| D005492 | Folic Acid |
| D011622 | Pterins |
| D011621 | Pteridines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D003067 | Coenzymes |
| D045762 | Enzymes and Coenzymes |
| D056831 | Coordination Complexes |
| D009930 | Organic Chemicals |
| D002166 | Camptothecin |
| D000470 | Alkaloids |
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