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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

Phase 3
Recruiting
Conditions
Metastatic Colorectal Cancer
Interventions
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.
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

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.

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 existing hospitalization, results in persistent or significant disability/incapacity, is a congenital abnormality/birth defect or important medical events that do not meet the preceding criteria but based on appropriate medical judgment may jeopardize the patient or may require medical or surgical intervention to prevent any of the outcomes listed above.

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

Trial Locations

Locations (254)

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

California Research Institute

🇺🇸

Los Angeles, 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

Georgia Cancer Specialists

🇺🇸

Atlanta, Georgia, United States

Scroll for more (244 remaining)
Ironwood Cancer and Research Centers Scottsdale
🇺🇸Chandler, Arizona, United States

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