The purpose of this study is to establish the recommended phase 2 dose (RP2D), safety, pharmacokinetics (PK), pharmacodynamics (PD), and preliminary antitumor activity of ORIC-114 in combination with subcutaneous (SC) amivantamab in patients with advanced or metastatic NSCLC harboring an EGFR exon 20 insertion mutation.
ORIC-114, is a brain penetrant, selective, orally bioavailable, irreversible small molecule inhibitor designed to target EGFR exon 20 insertion mutations, making it a promising therapeutic candidate for development in patients whose tumors harbor these alterations, including those with CNS metastases. Amivantamab is a bispecific EGFR-directed and MET receptor-directed antibody indicated in combination with carboplatin and pemetrexed for the first line treatment of patients with locally advanced or metastatic NSCLC with EGFR exon 20 insertion mutations and also as a single agent in patients with locally advanced or metastatic NSCLC with EGFR exon 20 insertion mutations whose disease has progressed on or after platinum-based chemotherapy. This is an open-label, single arm, multicenter, dose escalation followed by dose expansion study to assess the safety and preliminary antitumor activity of ORIC-114 in combination with SC amivantamab, in patients with locally advanced or metastatic NSCLC harboring an EGFR exon 20 insertion mutations.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
76
ORIC-114 oral daily, amivantamab subcutaneous weekly for 4 weeks followed by every 4 week injection
ORIC-114 oral daily, amivantamab subcutaneous weekly for 4 weeks followed by every 4 week injection
ORIC-114 oral daily, amivantamab subcutaneous weekly for 4 weeks followed by every 4 week injection
NYU Langone Health
New York, New York, United States
RECRUITINGVirginia Cancer Specialists
Fairfax, Virginia, United States
RECRUITINGPeter MacCallum Cancer Centre
Melbourne, Victoria, Australia
NOT_YET_RECRUITINGThe Princess Margaret Hospital
Toronto, Ontario, Canada
NOT_YET_RECRUITINGRecommended Phase 2 Dose (RP2D)
RP2D of ORIC-114 in combination with amivantamab by interval 3+3 dose escalation design
Time frame: 12 months
Objective response rate (ORR)
Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
Time frame: 12 months
Duration of response (DOR)
Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
Time frame: 12 months
Progression-free survival (PFS)
Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
Time frame: 12 months
Plasma PK parameters
Peak Plasma Concentration (Cmax)
Time frame: 28 Days
Plasma PK parameters
Time of maximal plasma concentration (Tmax)
Time frame: 28 Days
Plasma PK parameters
Area under the plasma concentration vs time curve (AUC)
Time frame: 28 Days
Plasma PK parameters
Apparent plasma terminal elimination half-life (t1/2)
Time frame: 28 Days
BICR-Objective response rate (ORR)
Blinded independent central review (BICR) according to RECIST 1.1 and RANO-BM
Time frame: 12 months
BICR-Duration of response (DOR)
Blinded independent central review (BICR) according to RECIST 1.1 and RANO-BM
Time frame: 12 months
BICR-Progression-free survival (PFS)
Blinded independent central review (BICR) according to RECIST 1.1 and RANO-BM
Time frame: 12 months
Intracranial Objective response rate (ORR)
Blinded independent central review (BICR) according to RECIST 1.1 and RANO-BM
Time frame: 12 months
Intracranial Progression-free survival (PFS)
Blinded independent central review (BICR) according to RECIST 1.1 and RANO-BM
Time frame: 12 months
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