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临床试验/NCT06252649
NCT06252649招募中3 期

Phase 3 Multicenter, Randomized, Open-label, Active-controlled Study of Sotorasib, Panitumumab and FOLFIRI Versus FOLFIRI With or Without Bevacizumab-awwb for Treatment-naïve Subjects With Metastatic Colorectal Cancer With KRAS p.G12C Mutation (CodeBreaK 301)

Amgen562 个研究点 分布在 6 个国家目标入组 450 人开始时间: 2024年7月17日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
3 期
状态
招募中
发起方
Amgen
入组人数
450
试验地点
562
主要终点
PFS per Response Evaluation Criteria in Solid Tumors (RECIST v1.1)

研究概览

简要总结

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.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Pathologically documented metastatic colorectal adenocarcinoma with KRAS p.G12C mutation by a locally validated assay.
  • Central laboratory detection of KRAS p.G12C mutation.
  • Measurable metastatic disease per RECIST v1.1 criteria.
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of ≤
  • Adequate organ function.

排除标准

  • 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

研究组 & 干预措施

Arm B: FOLFIRI with or Without Bevacizumab-awwb

Active Comparator

Participants will receive FOLFIRI Q2W with or without bevacizumab-awwb.

干预措施: FOLFIRI Regimen (Drug)

Arm A: Sotorasib + Panitumumab + FOLFIRI

Experimental

Sotorasib will be taken daily (QD) as an oral tablet. Panitumumab and FOLFIRI will be received every 2 weeks (Q2W) via intravenous (IV) infusion.

干预措施: Sotorasib (Drug)

Arm A: Sotorasib + Panitumumab + FOLFIRI

Experimental

Sotorasib will be taken daily (QD) as an oral tablet. Panitumumab and FOLFIRI will be received every 2 weeks (Q2W) via intravenous (IV) infusion.

干预措施: FOLFIRI Regimen (Drug)

Arm A: Sotorasib + Panitumumab + FOLFIRI

Experimental

Sotorasib will be taken daily (QD) as an oral tablet. Panitumumab and FOLFIRI will be received every 2 weeks (Q2W) via intravenous (IV) infusion.

干预措施: Panitumumab (Drug)

Arm B: FOLFIRI with or Without Bevacizumab-awwb

Active Comparator

Participants will receive FOLFIRI Q2W with or without bevacizumab-awwb.

干预措施: Bevacizumab-awwb (Drug)

结局指标

主要结局

PFS per Response Evaluation Criteria in Solid Tumors (RECIST v1.1)

时间窗: Up to Approximately 3 Years

次要结局

  • Disease Control Rate (DCR) per RECIST v1.1(Up to Approximately 5 Years)
  • Time to Response (TTR) per RECIST v1.1(Up to Approximately 5 Years)
  • Depth of Response per RECIST v1.1(Up to Approximately 5 Years)
  • Time to Early Tumor Shrinkage (ETS) per RECIST v1.1(Up to Approximately 5 Years)
  • PFS Based on Investigator's Assessment per RECIST v1.1(Up to Approximately 5 Years)
  • DOR Based on Investigator's Assessment per RECIST v1.1(Up to Approximately 5 Years)
  • Depth of Response Based on Investigator's Assessment per RECIST v1.1(Up to Approximately 5 Years)
  • Time to ETS Based on Investigator's Assessment per RECIST v1.1(Up to Approximately 5 Years)
  • Number of Participants Experiencing Adverse Events (AEs)(Up to Approximately 5 Years)
  • Pre-dose (Ctrough) Concentrations of Sotorasib(Day 1 (pre-dose) to week 4 (post dose) on cycle 2 (one cycle = 28 days))
  • Maximum Plasma Concentration (Cmax) of Sotorasib(Day 1 (pre-dose) to week 4 (post dose) on cycle 2 (one cycle = 28 days))
  • Overall Survival (OS)(Up to Approximately 5 Years)
  • Objective Response Rate (ORR) per RECIST v1.1(Up to Approximately 5 Years)
  • Objective Response (OR) per RECIST v1.1(Up to Approximately 5 Years)
  • Duration of Response (DOR) per RECIST v1.1(Up to Approximately 5 Years)
  • Disease Control Rate (DCR) per RECIST v1.1(Up to Approximately 5 Years)
  • Time to Response (TTR) per RECIST v1.1(Up to Approximately 5 Years)
  • Depth of Response per RECIST v1.1(Up to Approximately 5 Years)
  • Time to Early Tumor Shrinkage (ETS) per RECIST v1.1(Up to Approximately 5 Years)
  • PFS Based on Investigator's Assessment per RECIST v1.1(Up to Approximately 5 Years)
  • ORR Based on Investigator's Assessment per RECIST v1.1(Up to Approximately 5 Years)
  • DOR Based on Investigator's Assessment per RECIST v1.1(Up to Approximately 5 Years)
  • DCR Based on Investigator's Assessment per RECIST v1.1(Up to Approximately 5 Years)
  • TTR Based on Investigator's Assessment per RECIST v1.1(Up to Approximately 5 Years)
  • Depth of Response Based on Investigator's Assessment per RECIST v1.1(Up to Approximately 5 Years)
  • Time to ETS Based on Investigator's Assessment per RECIST v1.1(Up to Approximately 5 Years)
  • Number of Participants Experiencing Adverse Events (AEs)(Up to Approximately 5 Years)
  • Pre-dose (Ctrough) Concentrations of Sotorasib(Day 1 (pre-dose) to week 4 (post dose) on cycle 2 (one cycle = 28 days))
  • Maximum Plasma Concentration (Cmax) of Sotorasib(Day 1 (pre-dose) to week 4 (post dose) on cycle 2 (one cycle = 28 days))

研究者

发起方
Amgen
申办方类型
Industry
责任方
Sponsor

研究点 (562)

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