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Eine Studie zu JNJ-89402638 für metastasierten Darmkrebs

2. November 2026 aktualisiert von: Janssen Research & Development, LLC

Eine Phase-I-Studie zu JNJ-89402638 bei inoperablem metastasiertem Darmkrebs

The purpose of this study is to determine the putative recommended phase 2 dose(s) (RP2Ds) and best way to take (optimal route of administration) JNJ-89402638 and to determine the safety of JNJ-89402638 at the RP2D(s) in participants with metastatic colorectal cancer (mCRC) and metastatic gastric cancer (mGAC) and to determine the safety and tolerability of JNJ-89402638 in combination with bevacizumab or biosimilar with or without chemotherapy in participants with mCRC.

Studienübersicht

Status

Rekrutierung

Bedingungen

Intervention / Behandlung

Studientyp

Interventionell

Einschreibung (Geschätzt)

260

Phase

  • Phase 1

Kontakte und Standorte

Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.

Studienkontakt

Studienorte

      • Barcelona, Spanien, 08035
        • Rekrutierung
        • Hosp Univ Vall D Hebron
      • Madrid, Spanien, 28041
        • Rekrutierung
        • Hosp. Univ. 12 de Octubre
      • Madrid, Spanien, 28040
        • Rekrutierung
        • Hosp Univ Fund Jimenez Diaz
      • Madrid, Spanien, 28050
        • Rekrutierung
        • Hosp Univ Hm Sanchinarro
      • Seoul, Südkorea, 05505
        • Rekrutierung
        • Asan Medical Center
      • Seoul, Südkorea, 03722
        • Rekrutierung
        • Severance Hospital Yonsei University Health System
    • Arizona
      • Tucson, Arizona, Vereinigte Staaten, 85719
        • Rekrutierung
        • University of Arizona Cancer Center
    • Colorado
      • Aurora, Colorado, Vereinigte Staaten, 80045
        • Rekrutierung
        • University of Colorado Denver Anschultz Medical Campus
    • Florida
      • Sarasota, Florida, Vereinigte Staaten, 34232
        • Rekrutierung
        • Florida Cancer Specialists
    • Indiana
      • Indianapolis, Indiana, Vereinigte Staaten, 46256
        • Rekrutierung
        • Community Health Network
    • Michigan
      • Grand Rapids, Michigan, Vereinigte Staaten, 49546
        • Rekrutierung
        • Start Midwest
    • Washington
      • Seattle, Washington, Vereinigte Staaten, 98104
        • Rekrutierung
        • Swedish Cancer Institute

Teilnahmekriterien

Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.

Zulassungskriterien

Studienberechtigtes Alter

18 Jahre und älter (Erwachsene, Älterer Erwachsener)

Akzeptiert gesunde Freiwillige

Nein

Studienberechtigte Geschlechter

Alle

Beschreibung

Inclusion Criteria:

  • For Part 1 (dose escalation), Part 2 (Arm A [JNJ-89402638 monotherapy]): Have histologically or cytologically confirmed diagnosis of colorectal adenocarcinoma (CRC) progressing after 2 or more prior lines of standard therapy in the metastatic/unresectable setting; For Part 2 Arm B (JNJ-89402638 + bevacizumab or biosimilar): Have histologically or cytologically confirmed diagnosis of CRC progressing after 2 or more prior lines of standard therapy in the metastatic/unresectable setting; For Part 2 Arm C (JNJ-89402638 + FOLFOX/bevacizumab or biosimilar): Have histologically or cytologically confirmed diagnosis of microsatellite stable (MSS) or proficient mismatch repair (pMMR) CRC progressing after 1 or more prior lines of standard therapy in the metastatic/unresectable setting. Participants must have previously received a fluoropyrimidine and irinotecan doublet (such as FOLFIRI); For Part 2 Arm D (JNJ-89402638 + FOLFIRI/bevacizumab or biosimilar): Have histologically or cytologically confirmed diagnosis of MSS or pMMR CRC progressing after 1 prior line of standard therapy in the metastatic/unresectable setting. Must not have received irinotecan previously for metastatic disease; For Part 2 Arm E (JNJ-89402638 monotherapy in mGAC): Have histologically or cytologically confirmed diagnosis of gastric adenocarcinoma or gastroesophageal junction adenocarcinoma progressing after 1 or more prior lines of standard therapy in the metastatic/unresectable setting

  • Have evaluable or measurable disease per response evaluation criteria in solid tumors (RECIST) version 1.1

    1. Part 1: Must have either measurable or evaluable disease
    2. Part 2: Must have at least 1 measurable lesion
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0-1

  • Have an estimated or measured glomerular filtration rate (GFR) greater than or equal to (>=) 30 milliliter per minute (mL/min) based on modification of diet in renal disease (MDRD) 4-variable formula

Exclusion Criteria:

  • Active (new or progressive) brain metastases, leptomeningeal disease, or untreated spinal cord compression
  • Toxicity from prior anticancer therapy that has not resolved to Grade less than or equal to (<=)1 (except alopecia, vitiligo, Grade <= 2 peripheral neuropathy, or endocrinopathies that are stable on hormone replacement). For Part 2 Arm C: Grade 2 or higher peripheral neuropathy is considered exclusionary
  • Has a prior or concurrent second malignancy (other than the disease under study) unless natural history or treatment is unlikely to interfere with any study endpoints of safety or the efficacy of the study treatment
  • Received glucocorticoids (doses >10 mg/day prednisone or equivalent) within 7 days prior to the first dose of study drug
  • Received or plans to receive any live, attenuated vaccine within 4 weeks before the first dose of study treatment or within 4 weeks after the last dose of study treatment

Studienplan

Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.

Wie ist die Studie aufgebaut?

Designdetails

  • Hauptzweck: Behandlung
  • Zuteilung: Nicht randomisiert
  • Interventionsmodell: Sequenzielle Zuweisung
  • Maskierung: Keine (Offenes Etikett)

Waffen und Interventionen

Teilnehmergruppe / Arm
Intervention / Behandlung
Experimental: Part 1 (Dose Expansion)

Participants with unresectable metastatic colorectal adenocarcinoma (mCRC) will receive JNJ-89402638 in Part 1 (Dose escalation) of the study and the dose levels will be escalated sequentially until the recommended Phase 2 Dose(s) (RP2D) and optimal route(s) of administration for JNJ-89402638 monotherapy have been identified.

JNJ-89402638 will be administered.

Experimental: Part 2 (Dose Expansion): Arm A

Participants with mCRC will receive JNJ-89402638 at the RP2D(s) and route as determined in Part 1 as a monotherapy.

JNJ-89402638 will be administered.

Experimental: Part 2 (Dose Expansion): Arm B

Participants with mCRC will receive JNJ-89402638 at the RP2D(s) determined in Part 1 along with bevacizumab or biosimilar.

JNJ-89402638 will be administered.

Bevacizumab or biosimilar will be administered.

Experimental: Part 2 (Dose Expansion): Arm C

Participants with mCRC will receive JNJ-89402638 at the RP2D(s) determined in Part 1 along with bevacizumab or biosimilar and FOLFOX.

JNJ-89402638 will be administered.

Bevacizumab or biosimilar will be administered.

Chemotherapy agent FOLFOX will be administered.

Experimental: Part 2 (Dose Expansion): Arm D

Participants with mCRC will receive JNJ-89402638 at the RP2D(s) determined in Part 1 in combination with bevacizumab or biosimilar and FOLFIRI.

JNJ-89402638 will be administered.

Bevacizumab or biosimilar will be administered.

Chemotherapy agent FOLFIRI will be administered.

Experimental: Part 2 (Dose Expansion): Arm E

Participants with metastatic gastric adenocarcinoma (mGAC) will receive JNJ-89402638 at the RP2D(s) and route as determined in Part 1.

JNJ-89402638 will be administered.

Was misst die Studie?

Primäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Part 1 and Part 2: Number of Participants with Adverse Events (AEs) by Severity
Zeitfenster: From Baseline up to approximately 24 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 National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0. Cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome (ICANS) will be graded per American Society for Transplantation and Cellular Therapy (ASTCT) consensus.

From Baseline up to approximately 24 months
Part 1: Number of Participants with Dose-Limiting Toxicity (DLT)
Zeitfenster: From Baseline up to 28 days

The DLTs are specific adverse events including high grade hematologic or non-hematologic toxicities.

From Baseline up to 28 days

Sekundäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Part 1 and Part 2: Serum Concentration for JNJ-89402638
Zeitfenster: Up to approximately 24 months

Serum Concentration for JNJ-89402638 will be reported.

Up to approximately 24 months
Part 1 and Part 2: Maximum Serum Concentration (Cmax) of JNJ-89402638
Zeitfenster: Up to approximately 24 months

Cmax of JNJ-89402638 will be reported.

Up to approximately 24 months
Part 1 and Part 2: Minimum Serum Concentration (Cmin) of JNJ-89402638
Zeitfenster: Up to approximately 24 months

Cmin of JNJ-89402638 will be reported.

Up to approximately 24 months
Part 1 and Part 2: Time to Reach Maximum Observed Serum Concentration (Tmax) of JNJ-89402638
Zeitfenster: Up to approximately 24 months

Tmax of JNJ-89402638 will be reported.

Up to approximately 24 months
Part 1 and Part 2: Area Under the Serum Concentration-time Curve (AUC) of JNJ-89402638
Zeitfenster: Up to approximately 24 months

AUC of JNJ-89402638 will be reported.

Up to approximately 24 months
Part 1 and Part 2: Number of Participants with Presence of Anti-JNJ-89402638 Antibodies
Zeitfenster: Up to approximately 24 months

Participants with anti-JNJ-89402638 antibodies will be reported.

Up to approximately 24 months
Part 1 and Part 2: Overall Response (OR)
Zeitfenster: Up to approximately 24 months

Overall response is best response of complete response (CR) or partial response (PR), assessed according to response evaluation criteria in solid tumors (RECIST) version 1.1.

Up to approximately 24 months
Part 1 and Part 2: Complete Response (CR)
Zeitfenster: Up to approximately 24 months

Complete response is defined as a best response of CR assessed according to RECIST version 1.1.

Up to approximately 24 months
Part 1 and Part 2: Time to Response (TTR)
Zeitfenster: Up to approximately 24 months

TTR is defined for participants who achieved an OR from the time of the first dose of study treatment to the first response of PR or better as assessed according to RECIST version 1.1.

Up to approximately 24 months
Part 1 and Part 2: Duration of Response (DOR)
Zeitfenster: Up to approximately 24 months

DOR is defined for participants who achieved an OR in the time between the date of initial documentation of first response of PR or better to the date of first documented evidence of progressive disease or death due to any cause, whichever occurs first, as assessed according to RECIST version 1.1

Up to approximately 24 months

Mitarbeiter und Ermittler

Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.

Sponsor

Ermittler

  • Studienleiter: Janssen Research & Development, LLC Clinical Trial, Janssen Research & Development, LLC

Studienaufzeichnungsdaten

Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.

Haupttermine studieren

Studienbeginn (Tatsächlich)

15. Oktober 2024

Primärer Abschluss (Geschätzt)

25. Februar 2028

Studienabschluss (Geschätzt)

19. Juli 2028

Studienanmeldedaten

Zuerst eingereicht

28. Oktober 2024

Zuerst eingereicht, das die QC-Kriterien erfüllt hat

28. Oktober 2024

Zuerst gepostet (Tatsächlich)

29. Oktober 2024

Studienaufzeichnungsaktualisierungen

Letztes Update gepostet (Tatsächlich)

3. November 2026

Letztes eingereichtes Update, das die QC-Kriterien erfüllt

2. November 2026

Zuletzt verifiziert

1. November 2026

Mehr Informationen

Begriffe im Zusammenhang mit dieser Studie

Andere Studien-ID-Nummern

  • 89402638GIC1001
  • 2024-516526-66-00 (Registrierungskennung: EUCT number)

Plan für individuelle Teilnehmerdaten (IPD)

Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?

JA

Beschreibung des IPD-Plans

The data sharing policy of Johnson & Johnson Innovative Medicine is available at www.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.

Arzneimittel- und Geräteinformationen, Studienunterlagen

Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt

Ja

Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt

Nein

Diese Informationen wurden ohne Änderungen direkt von der Website clinicaltrials.gov abgerufen. Wenn Sie Ihre Studiendaten ändern, entfernen oder aktualisieren möchten, wenden Sie sich bitte an register@clinicaltrials.gov. Sobald eine Änderung auf clinicaltrials.gov implementiert wird, wird diese automatisch auch auf unserer Website aktualisiert .