Study of Sotorasib, Panitumumab and FOLFIRI Versus FOLFIRI With or Without Bevacizumab-awwb in Treatment-naïve Participants With Metastatic Colorectal Cancer With KRAS p.G12C Mutation

Registration Number
NCT06252649
Lead Sponsor
Amgen
Brief Summary

The aim of this study is to compare progression free survival (PFS) in treatment-naïve Participants with KRAS p.G12C mutated metastatic colorectal cancer (mCRC) receiving sotorasib, panitumumab and FOLFIRI vs FOLFIRI with or without bevacizumab-awwb.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
450
Inclusion Criteria
  • Pathologically documented metastatic colorectal adenocarcinoma with KRAS p.G12C mutation by a locally validated assay.
  • Central confirmation of KRAS p.G12C mutation
  • Measurable metastatic disease per RECIST v1.1 criteria.
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of ≤ 1.
  • Adequate organ function.
Read More
Exclusion Criteria
  • Active, untreated brain metastases.
  • Leptomeningeal disease
  • Previous treatment with a KRAS p.G12C inhibitor
  • History of interstitial pneumonitis or pulmonary fibrosis or evidence of interstitial pneumonitis or pulmonary fibrosis on baseline CT scan
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm A: Sotorasib + Panitumumab + FOLFIRIFOLFIRI RegimenSotorasib was taken daily (QD) as an oral tablet. Panitumumab and FOLFIRI were received every 2 weeks (Q2W) via intravenous infusion (IV).
Arm B: FOLFIRI with or Without Bevacizumab-awwbFOLFIRI RegimenParticipants received FOLFIRI Q2W with or without bevacizumab-awwb.
Arm A: Sotorasib + Panitumumab + FOLFIRISotorasibSotorasib was taken daily (QD) as an oral tablet. Panitumumab and FOLFIRI were received every 2 weeks (Q2W) via intravenous infusion (IV).
Arm A: Sotorasib + Panitumumab + FOLFIRIPanitumumabSotorasib was taken daily (QD) as an oral tablet. Panitumumab and FOLFIRI were received every 2 weeks (Q2W) via intravenous infusion (IV).
Arm B: FOLFIRI with or Without Bevacizumab-awwbBevacizumab-awwbParticipants received FOLFIRI Q2W with or without bevacizumab-awwb.
Primary Outcome Measures
NameTimeMethod
PFS per Response Evaluation Criteria in Solid Tumors (RECIST v1.1)Up to Approximately 3 Years
Secondary Outcome Measures
NameTimeMethod
Overall Survival (OS)Up to Approximately 5 Years
Objective Response (OR) per RECIST v1.1Up to Approximately 3 Years
Duration of Response (DOR) per RECIST v1.1Up to Approximately 3 Years
Disease Control Rate (DCR) per RECIST v1.1up to Approximately 3 Years
Time to Response (TTR) per RECIST v1.1Up to approximately 3 Years
Depth of Response per RECIST v1.1Up to Approximately 3 Years

Depth of response is measured as the percentage of tumor shrinkage calculated as the best percentage change from baseline in lesion sum diameters.

Maximum Plasma Concentration (Cmax) of SotorasibDay 1 (pre-dose) to week 4 (post dose) on cycle 2 (one cycle = 28 days)
Time to Early Tumor Shrinkage (ETS) per RECIST v1.1Up to Approximately 3 Years
PFS Based on Investigator's Assessment per RECIST v1.1Up to Approximately 3 Years
Objective Response Rate (ORR) Based on Investigator's Assessment per RECIST v1.1Up to Approximately 3 years
DOR Based on Investigator's Assessment per RECIST v1.1up to Approximately 3 Years
DCR Based on Investigator's Assessment per RECIST v1.1Up to Approximately 3 Years
TTR Based on Investigator's Assessment per RECIST v1.1Up to Approximately 3 Years
Depth of Response Based on Investigator's Assessment per RECIST v1.1Up to Approximately 3 Years
Time to ETS Based on Investigator's Assessment per RECIST v1.1Up to Approximately 3 Years
Number of Participants Experiencing Adverse Events (AEs)Up to Approximately 3 Years

An AE is defined as any untoward medical occurrence in participant or clinical investigation subject administered a pharmaceutical product, which does not necessarily have to have a causal relationship with this treatment. A serious AE is defined as any AE that results in death, is life threatening, requires inpatient hospitalization or prolongation of exist...

Pre-dose (Ctrough) Concentrations of SotorasibDay 1 (pre-dose) to week 4 (post dose) on cycle 2 (one cycle = 28 days)

Trial Locations

Locations (85)

Orchard Healthcare Research Inc

🇺🇸

Skokie, Illinois, United States

Pikeville Medical Center

🇺🇸

Pikeville, Kentucky, United States

Cancer and Hematology Centers of Western Michigan

🇺🇸

Grand Rapids, Michigan, United States

Saint Louis Cancer Care West County

🇺🇸

Bridgeton, Missouri, United States

Minniti Center for Medical Oncology and Hematology

🇺🇸

Mickleton, New Jersey, United States

Duke Cancer Center

🇺🇸

Durham, North Carolina, United States

FirstHealth Cancer Center

🇺🇸

Pinehurst, North Carolina, United States

Thomas Jefferson University

🇺🇸

Philadelphia, Pennsylvania, United States

Carolina Blood and Cancer Care

🇺🇸

Rock Hill, South Carolina, United States

Hospital Universitario Fundacion Favaloro

🇦🇷

Caba, Buenos Aires, Argentina

Instituto Argentino de Diagnóstico y Tratamiento

🇦🇷

Caba, Buenos Aires, Argentina

Cemic

🇦🇷

Ciudad Autonoma de Buenos Aires, Buenos Aires, Argentina

Sanatorio Británico de Rosario

🇦🇷

La Plata, Buenos Aires, Argentina

Liga Norte-Riograndense Contra O Cancer

🇧🇷

Natal, Rio Grande Do Norte, Brazil

Fundacao Antonio Prudente AC Camargo Cancer Center

🇧🇷

Sao Paulo, São Paulo, Brazil

Oncologia Rede D Or

🇧🇷

Sao Paulo, São Paulo, Brazil

Hospital de Base de Sao Jose do Rio Preto

🇧🇷

São José do Rio Preto, São Paulo, Brazil

Gazi Universitesi Saglik Arastirma ve Uygulama Merkezi Gazi Hastanesi

🇹🇷

Ankara, Turkey

Bezmialem Vakif Universitesi Hastanesi

🇹🇷

Istanbul, Turkey

Ironwood Cancer and Research Centers Scottsdale

🇺🇸

Chandler, Arizona, United States

Providence Saint Jude Medical Center

🇺🇸

Fullerton, California, United States

Cancer and Blood Specialty Clinic

🇺🇸

Los Alamitos, California, United States

Norwalk Hospital

🇺🇸

Norwalk, Connecticut, United States

Cancer Specialists of North Florida

🇺🇸

Jacksonville, Florida, United States

D and H Cancer Research Center

🇺🇸

Margate, Florida, United States

Mid Florida Hematology and Oncology Centers PA

🇺🇸

Orange City, Florida, United States

Boca Raton Clinical Research Medical Center Inc

🇺🇸

Plantation, Florida, United States

Hope and Healing Cancer Services

🇺🇸

Hinsdale, Illinois, United States

Universitaetsspital Zuerich

🇨🇭

Zuerich, Switzerland

China Medical University Hospital

🇨🇳

Taichung, Taiwan

Taichung Veterans General Hospital

🇨🇳

Taichung, Taiwan

Taipei Veterans General Hospital

🇨🇳

Taipei, Taiwan

Linkou Chang Gung Memorial Hospital of Chang Gung Medical Foundation

🇨🇳

Taoyuan, Taiwan

Hacettepe Universitesi Tip Fakultesi Hastanesi

🇹🇷

Ankara, Turkey

Ankara Bilkent Sehir Hastanesi

🇹🇷

Ankara, Turkey

Trakya Universitesi Saglik Arastirma ve Uygulama Merkezi

🇹🇷

Edirne, Turkey

Bagcilar Medipol Mega Universite Hastanesi

🇹🇷

Istanbul, Turkey

Necmettin Erbakan Universitesi Tip Fakultesi Hastanesi

🇹🇷

Konya, Turkey

Inonu Universitesi Turgut Ozal Tip Merkezi

🇹🇷

Malatya, Turkey

Instituto de Investigaciones clinicas de Mar del Plata

🇦🇷

Mar Del Plata, Buenos Aires, Argentina

Sanatorio Allende

🇦🇷

Cordoba, Córdoba, Argentina

Clinica Universitaria Privada Reina Fabiola

🇦🇷

Cordoba, Córdoba, Argentina

Clinica Viedma

🇦🇷

Viedma, Río Negro, Argentina

Exelsus Oncologia Clinica

🇦🇷

San Miguel de Tucuman, Tucuman, Argentina

Hospital Britanico de Buenos Aires

🇦🇷

Buenos Aires, Argentina

Chris OBrien Lifehouse

🇦🇺

Camperdown, New South Wales, Australia

Toowoomba Hospital

🇦🇺

Toowoomba, Queensland, Australia

Flinders Medical Centre

🇦🇺

Bedford Park, South Australia, Australia

The Queen Elizabeth Hospital

🇦🇺

Woodville South, South Australia, Australia

Austin Health, Austin Hospital

🇦🇺

Heidelberg, Victoria, Australia

Hospital Sirio Libanes

🇧🇷

Brasilia, Distrito Federal, Brazil

Hospital Evangelico de Cachoeiro de Itapemirim

🇧🇷

Cachoeiro de Itapemirim, Espírito Santo, Brazil

Vencer e Oncoclinica

🇧🇷

Teresina, Piauí, Brazil

Oncosite Centro de Pesquisa Clinica Em Oncologia Ltda

🇧🇷

Ijui, Rio Grande Do Sul, Brazil

Irmandade da Santa Casa de Misericordia de Porto Alegre

🇧🇷

Porto Alegre, Rio Grande Do Sul, Brazil

Clinica de Neoplasias Litoral

🇧🇷

Itajai, Santa Catarina, Brazil

Institucion Prestadora de Servicios de Salud Sociedad Médica Rionegro SA Somer SA

🇨🇴

Rionegro, Antioquia, Colombia

Queen Mary Hospital / HKU

🇭🇰

Hong Kong, Hong Kong

Princess Margaret Hospital

🇭🇰

Kowloon, Hong Kong

Aichi Cancer Center

🇯🇵

Nagoya-shi, Aichi, Japan

Chiba Cancer Center

🇯🇵

Chiba-shi, Chiba, Japan

National Cancer Center Hospital East

🇯🇵

Kashiwa-shi, Chiba, Japan

National Hospital Organization Shikoku Cancer Center

🇯🇵

Matsuyama-shi, Ehime, Japan

National Hospital Organization Kyushu Cancer Center

🇯🇵

Fukuoka-shi, Fukuoka, Japan

Hokkaido University Hospital

🇯🇵

Sapporo, Hokkaido, Japan

Hyogo Cancer Center

🇯🇵

Akashi-shi, Hyogo, Japan

St Marianna University Hospital

🇯🇵

Kawasaki-shi, Kanagawa, Japan

Yokohama City University Medical Center

🇯🇵

Yokohama-shi, Kanagawa, Japan

Kanagawa Prefectural Hospital Organization Kanagawa Cancer Center

🇯🇵

Yokohama-shi, Kanagawa, Japan

Niigata Cancer Center Hospital

🇯🇵

Niigata-shi, Niigata, Japan

Kansai Medical University Hospital

🇯🇵

Hirakata-shi, Osaka, Japan

National Hospital Organization Osaka National Hospital

🇯🇵

Osaka-shi, Osaka, Japan

Osaka University Hospital

🇯🇵

Suita-shi, Osaka, Japan

Saitama Cancer Center

🇯🇵

Kitaadachi-gun, Saitama, Japan

Shizuoka Cancer Center

🇯🇵

Sunto-gun, Shizuoka, Japan

National Cancer Center Hospital

🇯🇵

Chuo-ku, Tokyo, Japan

The Cancer Institute Hospital of Japanese Foundation for Cancer Research

🇯🇵

Koto-ku, Tokyo, Japan

National Cancer Center

🇰🇷

Goyang-si Gyeonggi-do, Korea, Republic of

Korea University Anam Hospital

🇰🇷

Seoul, Korea, Republic of

Seoul National University Hospital

🇰🇷

Seoul, Korea, Republic of

Severance Hospital Yonsei University Health System

🇰🇷

Seoul, Korea, Republic of

Samsung Medical Center

🇰🇷

Seoul, Korea, Republic of

The Catholic University of Korea Seoul St Marys Hospital

🇰🇷

Seoul, Korea, Republic of

Korea University Guro Hospital

🇰🇷

Seoul, Korea, Republic of

Asan Medical Center

🇰🇷

Seoul, Korea, Republic of

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