- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05379595
A Study of Amivantamab Monotherapy and in Addition to Standard-of-Care Chemotherapy in Participants With Advanced or Metastatic Colorectal Cancer (OrigAMI-1)
A Phase 1b/2, Open-Label Study of Amivantamab Monotherapy and in Addition to Standard-of-Care Chemotherapy in Participants With Advanced or Metastatic Colorectal Cancer
Study Overview
Status
Conditions
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
- Name: Study Contact
- Phone Number: 844-434-4210
- Email: Participate-In-This-Study1@its.jnj.com
Study Locations
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Anderlecht, Belgium, 1070
- Recruiting
- Institut Jules Bordet
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Brussels, Belgium, 1200
- Recruiting
- Cliniques Universitaires Saint Luc
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Edegem, Belgium, 2650
- Recruiting
- UZ Antwerpen
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Leuven, Belgium, 3000
- Recruiting
- Universitair Ziekenhuis Gasthuisberg
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British Columbia
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Vancouver, British Columbia, Canada, V5Z 4E6
- Completed
- BC Cancer Agency - Vancouver BC
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Ontario
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Ottawa, Ontario, Canada, K1H 8L6
- Recruiting
- The Ottawa Hospital Cancer Centre
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Toronto, Ontario, Canada, M5G 1X6
- Recruiting
- Princess Margaret Cancer Centre University Health Network
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Dalian, China, 116023
- Completed
- The Second Hospital To Dalian Medical University
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Guangzhou, China, 510655
- Recruiting
- Sun Yat-sen University - The Sixth Affiliated Hospital Guangdong Gastrointestinal Hospital
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Hangzhou, China, 310003
- Recruiting
- The Second Affiliated Hospital of Zhejiang University College of Medicine
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Wuhan, China, 430079
- Recruiting
- Hubei province tumor hospital
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Hamburg, Germany, 22763
- Recruiting
- Asklepios Klinik Altona
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Munich, Germany, 81377
- Recruiting
- Ludwig-Maximilians-Universitaet Muenchen
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Milan, Italy, 20133
- Recruiting
- Fondazione IRCCS Istituto Nazionale dei Tumori
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Milan, Italy, 20162
- Recruiting
- A O Ospedale Niguarda Ca Granda
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Pisa, Italy, 56126
- Recruiting
- Azienda Ospedaliero Universitaria Pisana
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Kuala Lumpur, Malaysia, 59100
- Recruiting
- University Malaya Medical Centre
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Kuching, Malaysia, 93586
- Recruiting
- Hospital Umum Sarawak
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Petaling Jaya, Malaysia, 46050
- Recruiting
- Beacon Hospital Sdn Bhd
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Ponce, Puerto Rico, 00717
- Recruiting
- Ad Vance Medical Research
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Rio Piedras, Puerto Rico, 00935
- Recruiting
- Pan American Center for Oncology Trials LLC
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Seoul, South Korea, 05505
- Recruiting
- Asan Medical Center
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Seoul, South Korea, 03080
- Recruiting
- Seoul National University Hospital
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Seoul, South Korea, 06351
- Recruiting
- Samsung Medical Center
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Seoul, South Korea, 03722
- Recruiting
- Severance Hospital Yonsei University Health System
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Seoul, South Korea, 06591
- Recruiting
- The Catholic University of Korea Seoul St Mary s Hospital
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Barcelona, Spain, 08035
- Recruiting
- Hosp Univ Vall D Hebron
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Madrid, Spain, 28034
- Recruiting
- Hosp. Univ. Ramon Y Cajal
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Madrid, Spain, 28007
- Recruiting
- Hosp. Gral. Univ. Gregorio Maranon
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Madrid, Spain, 28040
- Recruiting
- Hosp Univ Fund Jimenez Diaz
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Madrid, Spain, 28050
- Recruiting
- Hosp Univ Hm Sanchinarro
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Santander, Spain, 39008
- Recruiting
- Hosp. Univ. Marques de Valdecilla
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Valencia, Spain, 46010
- Recruiting
- Hosp. Clinico Univ. de Valencia
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Changhua, Taiwan, 500
- Recruiting
- Changhua Christian Hospital
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Kaohsiung City, Taiwan, 83301
- Recruiting
- Kaohsiung Chang Gung Memorial Hospital
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Liou Ying Township, Taiwan, 736
- Recruiting
- Chi Mei Medical Center Liu Ying
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Tainan, Taiwan, 704
- Recruiting
- National Cheng Kung University Hospital
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Taipei, Taiwan, 10002
- Recruiting
- National Taiwan University Hospital
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Taoyuan, Taiwan, 33305
- Recruiting
- Linkou Chang Gung Memorial Hospital
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Alabama
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Birmingham, Alabama, United States, 35233
- Recruiting
- O Neal Comprehensive Cancer Center at UAB
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California
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Los Angeles, California, United States, 90404
- Recruiting
- University of California, Los Angeles UCLA
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Los Angeles, California, United States, 90033
- Completed
- University of Southern California
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District of Columbia
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Washington D.C., District of Columbia, United States, 20007
- Recruiting
- Georgetown University Hospital
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Florida
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Tampa, Florida, United States, 33612
- Completed
- H Lee Moffitt Cancer Center
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Maryland
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Baltimore, Maryland, United States, 21201
- Completed
- University of Maryland School of Medicine
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Michigan
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Ann Arbor, Michigan, United States, 48103
- Recruiting
- University of Michigan Health System
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Grand Rapids, Michigan, United States, 49546
- Recruiting
- START Midwest
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Mississippi
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Hattiesburg, Mississippi, United States, 39401
- Recruiting
- Hattiesburg Clinic
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New York
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New York, New York, United States, 10016
- Recruiting
- NYU Langone Long Island Clinical Research Associates
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New York, New York, United States, 10032
- Recruiting
- Herbert Irving Comprehensive Cancer Center Columbia University Medical Center
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Oklahoma
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Oklahoma City, Oklahoma, United States, 73104
- Recruiting
- Stephenson Cancer Center
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Tennessee
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Nashville, Tennessee, United States, 37232
- Recruiting
- Vanderbilt Ingram Cancer Center
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Texas
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Houston, Texas, United States, 77030
- Recruiting
- MD Anderson Cancer Center
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
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:
- Phase (Ph) 2 (Cohorts A, B, and C) Amivantamab monotherapy: Participant must have received at least 2 but not more than 3 prior lines of systemic therapy in the metastatic setting. Participant must have been diagnosed with left-sided colorectal cancer (CRC) (Cohort A and B) and right-sided (Cohort C)and have received or been intolerant to standard of care (SoC) fluoropyrimidine-, oxaliplatin-, and irinotecan-based chemotherapy and an anti-vascular endothelial growth factor (VEGF) treatment. Participant must be anti-EGFR treatment naive in Cohort A, an anti-epidermal growth factor receptor (EGFR) treatment Cohort B, with or without an anti-EGFR treatment in Cohort C
- Ph 1b Dose Confirmation Cohorts (Ph1b-D and Ph1b-E), Ph2 (Cohorts D and E) Amivantamab+mFOLFOX6/FOLFIRI: Participant must been diagnosed with CRC and have received no more than 1 prior line of systemic therapy in the metastatic setting. Cohort Ph1b-D/Cohort D: Participant must be anti-EGFR treatment naïve, have not received oxaliplatin-based chemotherapy in the metastatic setting, and be eligible for treatment with mFOLFOX6 according to local regulatory approvals and SoC guidelines. Cohort Ph1b-E/Cohort E: Participant must be anti-EGFR treatment naïve, have not received irinotecan-based chemotherapy in the metastatic setting, and be eligible for treatment with FOLFIRI according to local regulatory approvals and SoC guidelines
- Ph2 Cohorts F Amivantamab subcutaneous (SC) + mFOLFOX6: Participants must be treatment-naive for right-sided unresectable or metastatic CRC and be eligible for treatment with mFOLFOX6 according to local regulatory approvals and SoC guidelines
- 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:
- Cohorts A, B, C, Ph1b-D, D, Ph1b-E, and E: 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; Cohort F: Participant with identified mutation in KRAS, NRAS, BRAF V600, or PTEN, identified fusions in ALK, ROS-1, RET, and NTRK 1, ERBB2/HER2 amplification, or identified to have MSI-H status by central 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
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
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Experimental: Cohorts A, B, and C: Amivantamab Monotherapy
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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Amivantamab will be administered as intravenous infusion.
Other Names:
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Active Comparator: Cohorts Ph1b-D and D: Amivantamab+5-Fluorouracil, Leucovorin, and Oxaliplatin (mFOLFOX6)
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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Fluorouracil will be administered as intravenous infusion.
Leucovorin will be administered as intravenous infusion.
Oxaliplatin will be administered as intravenous infusion.
Amivantamab will be administered as intravenous infusion.
Other Names:
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Active Comparator: Cohorts Ph1b-E and E: Amivantamab+5-Fluorouracil, Leucovorin, and Irinotecan (FOLFIRI)
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.
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Fluorouracil will be administered as intravenous infusion.
Leucovorin will be administered as intravenous infusion.
Irinotecan will be administered as intravenous infusion.
Amivantamab will be administered as intravenous infusion.
Other Names:
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Active Comparator: Cohort F: Amivantamab + mFOLFOX6
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 will be administered as intravenous infusion.
Leucovorin will be administered as intravenous infusion.
Oxaliplatin will be administered as intravenous infusion.
Amivantamab will be administered.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Cohorts A, B, and C: Objective Response Rate (ORR)
Time Frame: Up to 4 years 3 months
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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.
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Up to 4 years 3 months
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Cohorts Ph1b-D and Ph1b-E: Number of Participants with Dose-limiting Toxicity (DLT)
Time Frame: Up to 4 years 3 months
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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.
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Up to 4 years 3 months
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Cohorts Ph1b-D and Ph1b-E: Number of Participants with DLT by Severity
Time Frame: Up to 4 years 3 months
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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.
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Up to 4 years 3 months
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Cohorts D and E: Number of Participants with Adverse Events (AE)
Time Frame: Up to 4 years 3 months
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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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Up to 4 years 3 months
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Cohorts D and E: Number of Participants with Laboratory Values Abnormalities
Time Frame: Up to 4 years 3 months
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Number of participants with laboratory values abnormalities, which includes serum chemistry, hematology, coagulation, and urinalysis, will be reported.
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Up to 4 years 3 months
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Cohorts D and E: Number of Participants with Vital Signs Abnormalities
Time Frame: Up to 4 years 3 months
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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.
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Up to 4 years 3 months
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Cohorts F: Number of Participants with Adverse Events (AE)
Time Frame: Up to 4 years 3 months
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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.
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Up to 4 years 3 months
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Cohorts F: Number of Participants with Laboratory Values Abnormalities
Time Frame: Up to 4 years 3 months
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Number of participants with laboratory values abnormalities, which includes serum chemistry, hematology, coagulation, and urinalysis, will be reported.
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Up to 4 years 3 months
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Cohorts F: Number of Participants with Vital Signs Abnormalities
Time Frame: Up to 4 years 3 months
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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.
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Up to 4 years 3 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Cohorts A, B, C, Ph1b-D, and Ph1b-E: Number of Participants with AEs
Time Frame: Up to 4 years 3 months
|
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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Up to 4 years 3 months
|
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Cohorts A, B, C, Ph1b-D, and Ph1b-E: Number of Participants with Laboratory Values Abnormalities
Time Frame: Up to 4 years 3 months
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Number of participants with laboratory values abnormalities, which includes serum chemistry, hematology, coagulation, and urinalysis, will be reported.
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Up to 4 years 3 months
|
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Cohorts A, B, C, Ph1b-D, and Ph1b-E: Number of Participants with Vital Signs Abnormalities
Time Frame: Up to 4 years 3 months
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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.
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Up to 4 years 3 months
|
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Cohorts Ph1b-D, Ph1b-E, D, E and F: ORR
Time Frame: Up to 4 years 3 months
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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.
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Up to 4 years 3 months
|
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Cohorts Ph1b-D, Ph1b-E, D, E and F: Duration of Response (DoR)
Time Frame: Up to 4 years 3 months
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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.
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Up to 4 years 3 months
|
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Cohorts Ph1b-D, Ph1b-E, D, E and F: Disease Control Rate (DCR)
Time Frame: Up to 4 years 3 months
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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.
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Up to 4 years 3 months
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Cohorts Ph1b-D, Ph1b-E, D, E and F: Clinical Benefit Rate (CBR)
Time Frame: Up to 4 years 3 months
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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.
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Up to 4 years 3 months
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Cohorts D, E and F: Progression Free Survival (PFS)
Time Frame: Up to 4 years 3 months
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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.
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Up to 4 years 3 months
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Collaborators and Investigators
Investigators
- Study Director: Janssen Research & Development, LLC Clinical Trial, Janssen Research & Development, LLC
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Neoplasms by Site
- Neoplasms
- Intestinal Diseases
- Gastrointestinal Neoplasms
- Digestive System Neoplasms
- Digestive System Diseases
- Gastrointestinal Diseases
- Intestinal Neoplasms
- Rectal Diseases
- Colonic Diseases
- Colorectal Neoplasms
- Organic Chemicals
- Heterocyclic Compounds, 1-Ring
- Heterocyclic Compounds
- Heterocyclic Compounds, 2-Ring
- Heterocyclic Compounds, Fused-Ring
- Camptothecin
- Alkaloids
- Enzymes and Coenzymes
- Coordination Complexes
- Pyrimidines
- Formyltetrahydrofolates
- Tetrahydrofolates
- Folic Acid
- Pterins
- Pteridines
- Uracil
- Pyrimidinones
- Coenzymes
- Oxaliplatin
- Irinotecan
- Fluorouracil
- Leucovorin
- amivantamab
Other Study ID Numbers
- CR109215
- 2021-006629-23 (EudraCT Number)
- 61186372GIC2002 (Other Identifier: Janssen Research & Development, LLC)
- 2023-506517-22-00 (Registry Identifier: EUCT number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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