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Een onderzoek naar amivantamab en mFOLFOX6 of FOLFIRI versus Cetuximab en mFOLFOX6 of FOLFIRI als eerstelijnsbehandeling bij deelnemers met KRAS/NRAS en BRAF Wildtype niet-reseceerbare of gemetastaseerde linkszijdige colorectale kanker (OrigAMI-2)

2 november 2026 bijgewerkt door: Janssen Research & Development, LLC

Een gerandomiseerde, open-label fase 3-studie van Amivantamab en mFOLFOX6 of FOLFIRI versus Cetuximab en mFOLFOX6 of FOLFIRI als eerstelijnsbehandeling bij deelnemers met KRAS/NRAS en BRAF Wildtype niet-reseceerbare of gemetastaseerde linkszijdige colorectale kanker

The purpose of this study is to compare how long the participants are disease-free (progression-free survival) when treated with amivantamab and chemotherapy with 5-fluorouracil, leucovorin calcium (folinic acid) or levoleucovorin, oxaliplatin (mFOLFOX6) or 5-fluorouracil, leucovorin calcium (folinic acid) or levoleucovorin, and irinotecan hydrochloride (FOLFIRI) versus cetuximab and mFOLFOX6 or FOLFIRI in adult participants with Kirsten rat sarcoma viral oncogene homolog (KRAS)/ Neuroblastoma RAS viral oncogene homolog (NRAS) and v-Raf murine sarcoma viral oncogene homolog B1 (BRAF) wild type (WT) unresectable or metastatic left-sided colorectal cancer.

Studie Overzicht

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1000

Fase

  • Fase 3

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      • Anderlecht, België, 1070
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        • Institut Jules Bordet
      • Edegem, België, 2650
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        • Werving
        • Texas Oncology - San Antonio
      • Temple, Texas, Verenigde Staten, 76508
        • Werving
        • Baylor Scott and White Health
    • Virginia
      • Arlington, Virginia, Verenigde Staten, 22201
        • Werving
        • Virginia Cancer Specialists
      • Fairfax, Virginia, Verenigde Staten, 22031
        • Werving
        • Inova Schar Cancer Institute Dept of Fairfax Hospital
      • Richmond, Virginia, Verenigde Staten, 23249
        • Werving
        • Richmond VA Medical Center
      • Richmond, Virginia, Verenigde Staten, 23298
        • Werving
        • VCU Massey Comprehensive Cancer Center
    • Washington
      • Edmonds, Washington, Verenigde Staten, 98026
        • Werving
        • Swedish Cancer Institute Edmonds
      • Issaquah, Washington, Verenigde Staten, 98029
        • Werving
        • Swedish Cancer Institute Issaquah
      • Seattle, Washington, Verenigde Staten, 98104
        • Werving
        • Swedish Cancer Institute
      • Seattle, Washington, Verenigde Staten, 98109
        • Werving
        • Fred Hutchinson Cancer Research Center
    • Wisconsin
      • Madison, Wisconsin, Verenigde Staten, 53705
        • Werving
        • William S. Middleton Memorial VA
      • Daegu, Zuid -Korea, 41404
        • Werving
        • Kyungpook National University Chilgok Hospital
      • Seoul, Zuid -Korea, 05505
        • Werving
        • Asan Medical Center
      • Seoul, Zuid -Korea, 03080
        • Werving
        • Seoul National University Hospital
      • Seoul, Zuid -Korea, 06351
        • Werving
        • Samsung Medical Center
      • Seoul, Zuid -Korea, 03722
        • Werving
        • Severance Hospital Yonsei University Health System
      • Seoul, Zuid -Korea, 06591
        • Werving
        • The Catholic University of Korea Seoul St Marys Hospital
      • Gothenburg, Zweden, 413 45
        • Voltooid
        • Sahlgrenska University Hospital
      • Lund, Zweden, 222 42
        • Werving
        • Skanes universitetssjukhus
      • Stockholm, Zweden, 171 76
        • Werving
        • Karolinska Universitetssjukhuset
      • Stockholm, Zweden, 118 83
        • Werving
        • Sodersjukhuset
      • Uppsala, Zweden, SE 751 85
        • Werving
        • Uppsala University

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

18 jaar en ouder (Volwassen, Oudere volwassene)

Accepteert gezonde vrijwilligers

Nee

Geslachten die in aanmerking komen voor studie

Allemaal

Beschrijving

Inclusion Criteria:

  • Have histologically or cytologically confirmed adenocarcinoma of the left-sided colorectal cancer. Participants must have unresectable or metastatic disease
  • Determined to have Kirsten rat sarcoma viral oncogene (KRAS), neuroblastoma RAS viral oncogene homolog (NRAS), and v-raf murine sarcoma viral oncogene homolog B (BRAF) wild-type (WT) tumor by local and/or central testing (if available)
  • Must agree to the submission of fresh tumor tissue
  • Have measurable disease according to RECIST v1.1
  • Has not received any prior systemic therapy for unresectable or metastatic colorectal cancer (CRC). Prior adjuvant/neoadjuvant therapy in the non-metastatic disease is permitted. However, the last course of adjuvant or neoadjuvant chemotherapy must have concluded greater than (>) 12 months prior to CRC recurrence/metastases
  • Have an eastern cooperative oncology group (ECOG) performance status (PS) of 0 or 1

Exclusion Criteria:

  • Has medical history of (noninfectious) interstitial lung disease (ILD) /pneumonitis/pulmonary fibrosis or has current ILD/pneumonitis/pulmonary fibrosis, or where suspected ILD/pneumonitis/pulmonary fibrosis cannot be ruled out by imaging at screening
  • Has known allergies, hypersensitivity, or intolerance to excipients of any of the following: (a) amivantamab or cetuximab, (b) any component of mFOLFOX6 and, (c) any component of FOLFIRI
  • Has a prior or concurrent second malignancy other than the disease under study or one whose natural history or treatment is likely to interfere with any study endpoints of safety or the efficacy of the study treatment(s)
  • Participant with known mismatch repair deficiency (dMMR)/ high microsatellite instability (MSI-H) status and human epidermal growth factor receptor 2 (HER2)-positive/amplified tumor
  • Has prior exposure to any agents that target epidermal growth factor receptor (EGFR), mesenchymal epithelial transition (MET) or vascular endothelial growth factor (VEGF)

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Behandeling
  • Toewijzing: Gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Geen (open label)

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: Arm A: Amivantamab in Combination With Chemotherapy

Participants will receive amivantamab in combination with chemotherapy (mFOLFOX6 [chemotherapy consisting of 5-fluorouracil, leucovorin calcium (folinic acid) or levoleucovorin, and oxaliplatin] or FOLFIRI [chemotherapy consisting of 5-fluorouracil, leucovorin calcium (folinic acid) or levoleucovorin, and irinotecan hydrochloride]) for 28-days treatment cycles and will continue to receive the treatment until radiographic disease progression or other discontinuation criteria are met.

Amivantamab will be administered.

Andere namen:
  • JNJ-61186372

5-fluorouracil will be administered as chemotherapy regimen.

Leucovorin calcium/Levoleucovorin will be administered as chemotherapy regimen.

Oxaliplatin will be administered as chemotherapy regimen.

Irinotecan hydrochloride will be administered as chemotherapy regimen.

Actieve vergelijker: Arm B: Cetuximab in Combination With Chemotherapy

Participants will receive cetuximab in combination with chemotherapy (mFOLFOX6 or FOLFIRI) for 28-days treatment cycles and will continue to receive the treatment until radiographic disease progression or other discontinuation criteria are met.

5-fluorouracil will be administered as chemotherapy regimen.

Leucovorin calcium/Levoleucovorin will be administered as chemotherapy regimen.

Oxaliplatin will be administered as chemotherapy regimen.

Irinotecan hydrochloride will be administered as chemotherapy regimen.

Cetuximab will be administered.

Andere namen:
  • Erbitux

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Progression-Free Survival (PFS) as Assessed by Blinded Independent Central Review (BICR)
Tijdsspanne: Up to 4 years and 2 months

PFS is defined as the time from randomization until the date of objective disease progression or death (due to any cause), whichever comes first, as assessed by BICR using response evaluation criteria in solid tumors (RECIST) version (v) 1.1. Participants who have not progressed or have not died at the time of analysis will be censored at their last evaluable RECIST v1.1 assessment date.

Up to 4 years and 2 months

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Overall Survival (OS)
Tijdsspanne: Up to 7 Years 3 Months

OS is defined as the time from the date of randomization to the date of participant's death due to any cause. Any participant not known to have died at the time of analysis will be censored based on the last recorded date on which the participant was known to be alive.

Up to 7 Years 3 Months
Objective Response Rate (ORR) as Assessed by BICR
Tijdsspanne: Up to 7 Years 3 Months

ORR is defined as the proportion of randomized participants achieving a best overall response (BOR) of partial response (PR) or complete response (CR), as determined by BICR using RECIST v1.1 criteria. BOR is defined as best response recorded between the date of randomization and the date of first objectively documented progression per RECIST v1.1 or the date of subsequent systemic anti cancer therapy or date of curative-intent procedure, whichever occurs first.

Up to 7 Years 3 Months
Objective Response Rate (ORR) as Assessed by Investigator
Tijdsspanne: Up to 7 Years 3 Months

ORR is defined as the percentage of randomized participants achieving complete CR or PR, as assessed by the investigator.

Up to 7 Years 3 Months
Progression Free Survival (PFS) as Assessed by Investigator
Tijdsspanne: Up to 7 Years 3 Months

PFS is defined as the time from randomization until the date of objective disease progression or death (due to any cause), whichever comes first, as assessed by the investigator. Participants who have not progressed or have not died at the time of analysis will be censored at their last evaluable disease assessment date.

Up to 7 Years 3 Months
Duration of Response (DOR) as Assessed by BICR
Tijdsspanne: Up to 7 Years 3 Months

DOR is defined as time from the date of first documented response (CR or PR) until the date of documented progression or death, whichever comes first, for participants who have PR or CR, as assessed by BICR using RECIST v1.1 criteria.

Up to 7 Years 3 Months
Duration of Response (DOR) as Assessed Investigator
Tijdsspanne: Up to 7 Years 3 Months

DOR is defined as time from the date of first documented response (CR or PR) until the date of documented progression or death, whichever comes first, for participants who have PR or CR, as assessed by the investigator.

Up to 7 Years 3 Months
Time to Response (TTR) as Assessed by BICR
Tijdsspanne: Up to 7 Years 3 Months

TTR is defined as the time from the date of randomization to the date of first documentation of a response (PR or CR) prior to any disease progression or subsequent systemic anti-cancer therapy or curative-intent procedure, for participants who have PR or CR as BOR, as assessed by BICR.

Up to 7 Years 3 Months
Time to Response as Assessed by Investigator
Tijdsspanne: Up to 7 Years 3 Months

TTR is defined as the time from the date of randomization to the date of first documentation of a response (PR or CR) prior to any disease progression or subsequent systemic anti-cancer therapy or curative-intent procedure, for participants who have PR or CR as BOR, as assessed by investigator.

Up to 7 Years 3 Months
Progression-free Survival After Subsequent Therapy (PFS2)
Tijdsspanne: Up to 7 Years 3 Months

PFS2 is defined as the time from randomization until the date of second objective disease progression, after initiation of subsequent anticancer therapy, based on investigator assessment (after that used for PFS) or death, whichever comes first.

Up to 7 Years 3 Months
Disease Control Rate (DCR) as Assessed by BICR
Tijdsspanne: Up to 7 Years 3 Months

DCR is defined as the percentage of randomized participants achieving CR, PR, or stable disease (with minimum duration of 7 weeks) as assessed by BICR using RECIST v1.1 criteria.

Up to 7 Years 3 Months
Disease Control Rate (DCR) as Assessed by Investigator
Tijdsspanne: Up to 7 Years 3 Months

DCR is defined as the percentage of randomized participants achieving CR, PR, or stable disease (with minimum duration of 7 weeks) as assessed by the investigator.

Up to 7 Years 3 Months
Time to Treatment Failure
Tijdsspanne: Up to 7 Years 3 Months

Time to treatment failure is defined as time from randomization to discontinuation of therapy for any reason including death, progression, toxicity, or initiation of new anticancer therapy.

Up to 7 Years 3 Months
Curative Resection (R0) Rate
Tijdsspanne: Up to 7 Years 3 Months

Curative resection (R0) rate is defined as the proportion of participants from the analysis set who underwent curative-intent surgery, where the residual tumor classification was R0.

Up to 7 Years 3 Months
Number of Participants with Adverse Events (AEs) by Severity
Tijdsspanne: Up to 7 Years 3 Months

An AE can be any unfavorable and unintended sign (including an abnormal finding), symptom, or disease temporally associated with the use of a medicinal (investigational or non-investigational) product, whether or not related to that medicinal (investigational or non-investigational) product. AE severity will be graded according to the national cancer institute common terminology criteria for adverse events (NCI-CTCAE) v5.0. by using the standard grades as follows: Grade 1: Mild; asymptomatic or mild symptoms; Grade 2: Moderate; minimal, local or noninvasive intervention indicated; Grade 3: Severe or medically significant but not immediately life threatening; hospitalization or prolongation of hospitalization indicated; Grade 4: Life-threatening consequences; and Grade 5: Death related to AE.

Up to 7 Years 3 Months
Number of Participants with Abnormalities in Laboratory Values
Tijdsspanne: Up to 7 Years 3 Months

Participants with abnormalities in laboratory values (such as serum chemistry, hematology) will be reported.

Up to 7 Years 3 Months
Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) Score
Tijdsspanne: From Baseline up to 7 Years 3 Months

The EORTC QLQ-C30, is a self-administered, 30-item questionnaire measuring the health-related quality of life (HRQoL) of participants with cancer. EORTC QLQ-C30 includes 5 functional scales, 3 symptom scales, a global health status / quality of life scale, and 6 single items. Responses to items 1-28 are rated on a 4-point Likert response scale ranging from 1 "Not at all" to 4 "Very much." Two global health status items are rated on a 7-point numeric rating scale from 1 "Very Poor" to 7 "Excellent." Higher scores indicate greater functioning, better global health status, and more severe symptoms.

From Baseline up to 7 Years 3 Months
Time to Worsening in Symptoms and Functioning as Measured by EORTC QLQ-C30
Tijdsspanne: Up to 7 Years 3 Months

The EORTC QLQ-C30, is a self-administered, 30-item questionnaire measuring the HRQoL of participants with cancer. EORTC QLQ-C30 includes 5 functional scales, 3 symptom scales, a global health status / quality of life scale, and 6 single items. Responses to items 1-28 are rated on a 4-point Likert response scale ranging from 1 "Not at all" to 4 "Very much." Two global health status items are rated on a 7-point numeric rating scale from 1 "Very Poor" to 7 "Excellent." Higher scores indicate greater functioning, better global health status, and more severe symptom.

Up to 7 Years 3 Months
Change from Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Colorectal Cancer Module 29 (EORTC-QLQ-C29) Score
Tijdsspanne: From Baseline up to 7 Years 3 Months

The EORTC QLQ-CR29, is a self-administered, 29-item questionnaire measuring the HRQoL of participants with colorectal cancer. The QLQ CR29 includes items that evaluate symptoms (gastrointestinal, urinary, pain, and others) and functional areas (sexual, body image, weight, and anxiety) that are associated with colorectal cancer and its treatments. Responses are rated on a 4-point Likert response scale ranging from 1 "Not at all" to 4 "Very much". All scores are linearly converted into a scale from 0 to 100. Higher scores indicate greater functioning and more severe symptoms.

From Baseline up to 7 Years 3 Months
Time to Worsening in Symptoms and Functioning as Measured by EORTC QLQ-CR29
Tijdsspanne: Up to 7 Years 3 Months

The EORTC QLQ-CR29, is a self-administered, 29-item questionnaire measuring the HRQoL of participants with colorectal cancer. The QLQ CR29 includes items that evaluate symptoms (gastrointestinal, urinary, pain, and others) and functional areas (sexual, body image, weight, and anxiety) that are associated with colorectal cancer and its treatments. Responses are rated on a 4-point Likert response scale ranging from 1 "Not at all" to 4 "Very much". All scores are linearly converted into a scale from 0 to 100. Higher scores indicate greater functioning and more severe symptoms.

Up to 7 Years 3 Months
Overall Side Effect Burden as Measured by European Organisation for Research and Treatment of Cancer (EORTC) Item 168 Scale Score
Tijdsspanne: Up to 7 Years 3 Months

The EORTC item 168 is a single item used to measure the overall impact of treatment side effects. Responses are rated on a 4-point Likert response scale ranging from 1 "not at all" to 4 "very much." Higher scores indicate severe side effects.

Up to 7 Years 3 Months

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Onderzoekers

  • Studie directeur: Janssen Research & Development, LLC Clinical Trial, Janssen Research & Development, LLC

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

18 oktober 2024

Primaire voltooiing (Geschat)

15 december 2028

Studie voltooiing (Geschat)

20 januari 2032

Studieregistratiedata

Eerst ingediend

28 oktober 2024

Eerst ingediend dat voldeed aan de QC-criteria

28 oktober 2024

Eerst geplaatst (Werkelijk)

29 oktober 2024

Updates van studierecords

Laatste update geplaatst (Werkelijk)

3 november 2026

Laatste update ingediend die voldeed aan QC-criteria

2 november 2026

Laatst geverifieerd

1 november 2026

Meer informatie

Termen gerelateerd aan deze studie

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

JA

Beschrijving IPD-plan

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

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Ja

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .

Abonneren