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Een onderzoek naar amivantamab en FOLFIRI versus Cetuximab/Bevacizumab en FOLFIRI bij deelnemers met KRAS/NRAS en BRAF wildtype colorectale kanker die eerder chemotherapie hebben gekregen (OrigAMI-3)

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

Een gerandomiseerde, open-label fase 3-studie van Amivantamab + FOLFIRI versus Cetuximab/Bevacizumab + FOLFIRI bij deelnemers met KRAS/NRAS en BRAF wildtype recidiverende, inoperabele of gemetastaseerde colorectale kanker die eerder chemotherapie hebben gekregen

The purpose of this study is to compare how long the participants are disease-free (progression-free survival) and and the length of time until a participant dies (overall survival), when treated with amivantamab and chemotherapy with 5-fluorouracil, leucovorin calcium (folinic acid) or levoleucovorin, and irinotecan hydrochloride (FOLFIRI) versus either cetuximab or bevacizumab and FOLFIRI given to participants with Kirsten rat sarcoma viral oncogene/ neuroblastoma RAS viral oncogene homolog (KRAS/ NRAS) and v-raf murine sarcoma viral oncogene homolog B (BRAF) wild-type recurrent, unresectable or metastatic colorectal cancer who have previously received chemotherapy.

Studie Overzicht

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Inschrijving (Geschat)

700

Fase

  • Fase 3

Uitgebreide toegang

Goedgekeurd te koop aan het publiek. Zie uitgebreid toegangsrecord.

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Studie Locaties

      • Concord, Australië, 2139
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      • Liège, België, 4000
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      • Biała Podlaska, Polen, 21 500
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      • Opole, Polen, 45 061
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      • Craiova, Roemenië, 200542
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        • Werving
        • UT Southwestern Medical Center
      • Dallas, Texas, Verenigde Staten, 75235
        • Werving
        • Parkland Health and Hospital System
      • Dallas, Texas, Verenigde Staten, 75246
        • Werving
        • Texas Oncology DFW
      • Houston, Texas, Verenigde Staten, 77030
        • Werving
        • MD Anderson Cancer Center
      • Round Rock, Texas, Verenigde Staten, 77845
        • Werving
        • Baylor Scott & White Medical Center
      • San Antonio, Texas, Verenigde Staten, 78240
        • Werving
        • Texas Oncology - San Antonio
      • Temple, Texas, Verenigde Staten, 76508
        • Werving
        • Scott And White Memorial Hospital
      • Tyler, Texas, Verenigde Staten, 75701
        • Werving
        • UT Health East Texas HOPE Cancer Center
    • Virginia
      • Arlington, Virginia, Verenigde Staten, 22201
        • Werving
        • Virginia Cancer Specialists
      • Richmond, Virginia, Verenigde Staten, 23249
        • Werving
        • Richmond VA Medical Center
      • Richmond, Virginia, Verenigde Staten, 23298
        • Werving
        • VCU Massey Comprehensive Cancer Center
    • Washington
      • Lacey, Washington, Verenigde Staten, 98503
        • Werving
        • Providence Regional Cancer System
      • Seattle, Washington, Verenigde Staten, 98109
        • Werving
        • Fred Hutchinson Cancer Research Center
    • Wisconsin
      • Milwaukee, Wisconsin, Verenigde Staten, 53226
        • Werving
        • Medical College Of Wisconsin
      • 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, 02841
        • Werving
        • Korea University Anam Hospital
      • Seoul, Zuid -Korea, 03722
        • Werving
        • Severance Hospital Yonsei University Health System
      • Seoul, Zuid -Korea, 06591
        • Werving
        • The Catholic University of Korea Seoul St Mary s Hospital
      • Gothenburg, Zweden, 413 45
        • Voltooid
        • Sahlgrenska Universitetssjukhuset
      • 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 colon or rectum. Participants must have recurrent, unresectable or metastatic disease
  • Determined to have kirsten rat sarcoma viral oncogene/neuroblastoma RAS viral oncogene homolog (KRAS/NRAS), G12, G13 and v-raf murine sarcoma viral oncogene homolog B (BRAF) V600X (X represents any single amino acid change from the original amino acid) wild type status by local and/or central next-generation sequencing (NGS) testing
  • Must agree to the submission of fresh or archival tumor tissue post progression from the most recent therapy, if clinically feasible
  • Have measurable disease according to response evaluation criteria in solid tumors (RECIST) version (v) 1.1
  • Have an eastern cooperative oncology group (ECOG) performance status (PS) of 0 or 1
  • Participant must have received 1 line of systemic therapy (fluoropyrimidine-based and oxaliplatin-based) for metastatic colorectal cancer (mCRC), with documented radiographic disease progression on or after this line of therapy. Participants can receive anti-VEGF as prior line of therapy

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: amivantamab, cetuximab or bevacizumab or 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 who has not received immunotherapy treatments
  • Participant with known human epidermal growth factor receptor 2 (HER2)- positive/amplified tumor
  • Has prior exposure to irinotecan, any agents that target epidermal growth factor receptor (EGFR) or mesenchymal epithelial transition (MET)

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 + FOLFIRI

Participants will receive amivantamab along with FOLFIRI (consisting of 5-fluorouracil, leucovorin calcium [folinic acid] or levoleucovorin, and irinotecan) as a chemotherapy regimen 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.

Andere namen:
  • Folinezuur

Irinotecan will be administered as chemotherapy regimen.

Actieve vergelijker: Arm B: Cetuximab or Bevacizumab + FOLFIRI

Participants will receive either cetuximab or bevacizumab along with FOLFIRI as a chemotherapy regimen 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.

Andere namen:
  • Folinezuur

Cetuximab will be administered.

Andere namen:
  • Erbitux

Irinotecan will be administered as chemotherapy regimen.

Bevacizumab will be administered.

Andere namen:
  • Avastin

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 2 years 1 month

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 2 years 1 month
Overall Survival (OS)
Tijdsspanne: Up to 4 years 4 months

OS is defined as the time from the date of randomization to the date of participant's death due to any cause.

Up to 4 years 4 months

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Objective Response Rate (ORR) as Assessed by BICR
Tijdsspanne: Up to 4 years 4 months

ORR is defined as the percentage of randomized participants achieving partial response (PR) or complete response (CR), as determined by BICR using RECIST v1.1 criteria.

Up to 4 years 4 months
ORR as Assessed by Investigator
Tijdsspanne: Up to 4 years 4 months

ORR is defined as the percentage of randomized participants achieving partial response (PR) or complete response (CR), as determined by investigator using RECIST v1.1 criteria.

Up to 4 years 4 months
Progression Free Survival as Assessed by Investigator
Tijdsspanne: Up to 4 years 4 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 investigator.

Up to 4 years 4 months
Duration of Response (DoR) as Assessed by BICR
Tijdsspanne: Up to 4 years 4 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.

Up to 4 years 4 months
Duration of Response as Assessed by Investigator
Tijdsspanne: Up to 4 years 4 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 investigator.

Up to 4 years 4 months
Time to Response (TTR) as Assessed by BICR
Tijdsspanne: Up to 4 years 4 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 4 years 4 months
TTR as Assessed by Investigator
Tijdsspanne: Up to 4 years 4 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 4 years 4 months
Progression Free Survival After Subsequent Therapy (PFS2)
Tijdsspanne: Up to 4 years 4 months

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

Up to 4 years 4 months
Disease Control Rate (DCR) as Assessed by BICR
Tijdsspanne: Up to 4 years 4 months

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

Up to 4 years 4 months
Disease Control Rate as Assessed by Investigator
Tijdsspanne: Up to 4 years 4 months

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

Up to 4 years 4 months
Time to Treatment Failure
Tijdsspanne: Up to 4 years 4 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 4 years 4 months
Curative Resection (R0) Rate
Tijdsspanne: Up to 4 years 4 months

Curative resection (R0) rate is defined as the percentage of randomized participants who underwent curative-intent surgery where the residual tumor classification was R0.

Up to 4 years 4 months
Number of Participants with Adverse Events (AEs) by Severity
Tijdsspanne: Up to 4 years 4 months

An AE is any untoward medical occurrence in a participant administered a pharmaceutical (investigational or non investigational) product. An AE does not necessarily have a causal relationship with the treatment. Severity of AEs will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) v5.0. by using standard grades as follows: Grade 1: Mild; asymptomatic or mild symptoms; Grade 2: Moderate; minimal, local or noninvasive intervention indicated; Grade 3: Severe 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 4 years 4 months
Number of Participants with Abnormalities in Laboratory Values
Tijdsspanne: Up to 4 years 4 months

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

Up to 4 years 4 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 4 years 4 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 4 years 4 months
Time to Worsening in Symptoms and Functioning as Measured by EORTC QLQ-C30
Tijdsspanne: Up to 4 years 4 months

Time to worsening in symptoms and functioning as measured by EORTC QLQ-C30 score will be reported. 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.

Up to 4 years 4 months
Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-CR29) Score
Tijdsspanne: From baseline up to 4 years 4 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 4 years 4 months
Time to Worsening in Symptoms and Functioning as Measured by EORTC QLQ-CR29 Score
Tijdsspanne: Up to 4 years 4 months

Time to worsening in symptoms and functioning as measured by EORTC QLQ-CR29 will be reported. 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. Change from baseline in the EORTC QLQ-CR29 score will be reported.

Up to 4 years 4 months
Overall Side Effect Burden as Measured by European Organisation for Research and Treatment of Cancer (EORTC) Item 168 Scale Score
Tijdsspanne: Up to 4 years 4 months

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 indicates severe symptoms.

Up to 4 years 4 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)

12 december 2024

Primaire voltooiing (Geschat)

15 december 2027

Studie voltooiing (Geschat)

13 april 2029

Studieregistratiedata

Eerst ingediend

20 december 2024

Eerst ingediend dat voldeed aan de QC-criteria

20 december 2024

Eerst geplaatst (Werkelijk)

27 december 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 .

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