Phase 3 Multicenter, Randomized, Open-label, Active-controlled Study of Sotorasib, Panitumumab and FOLFIRI Versus FOLFIRI With or Without Bevacizumab-awwb for Treatment-naïve Subjects With Metastatic Colorectal Cancer With KRAS p.G12C Mutation (CodeBreaK 301)
Summary
The aim of this study is to compare progression free survival (PFS) in treatment-naïve participants with KRAS p.G12C mutated metastatic colorectal cancer (mCRC) receiving sotorasib, panitumumab and FOLFIRI vs FOLFIRI with or without bevacizumab-awwb.
Arms & interventions
- DrugFOLFIRI Regimen
Combination of irinotecan, leucovorin, and 5-fluorouracil given via IV infusion Q2W.
- DrugSotorasib
Immediate-release solid dosage form administered orally.
- DrugPanitumumab
Administered via IV infusion Q2W.
- DrugBevacizumab-awwb
Administered via IV infusion Q2W.
Outcome measures
Primary
PFS per Response Evaluation Criteria in Solid Tumors (RECIST v1.1)
Time frame: Up to Approximately 3 Years
Secondary
Overall Survival (OS)
Time frame: Up to Approximately 5 Years
Objective Response Rate (ORR) per RECIST v1.1
Time frame: Up to Approximately 5 Years
Objective Response (OR) per RECIST v1.1
Time frame: Up to Approximately 5 Years
Duration of Response (DOR) per RECIST v1.1
Time frame: Up to Approximately 5 Years
Disease Control Rate (DCR) per RECIST v1.1
Time frame: Up to Approximately 5 Years
Time to Response (TTR) per RECIST v1.1
Time frame: Up to Approximately 5 Years
Depth of Response per RECIST v1.1
Time frame: Up to Approximately 5 Years
Time to Early Tumor Shrinkage (ETS) per RECIST v1.1
Time frame: Up to Approximately 5 Years
PFS Based on Investigator's Assessment per RECIST v1.1
Time frame: Up to Approximately 5 Years
ORR Based on Investigator's Assessment per RECIST v1.1
Time frame: Up to Approximately 5 Years
DOR Based on Investigator's Assessment per RECIST v1.1
Time frame: Up to Approximately 5 Years
DCR Based on Investigator's Assessment per RECIST v1.1
Time frame: Up to Approximately 5 Years
TTR Based on Investigator's Assessment per RECIST v1.1
Time frame: Up to Approximately 5 Years
Depth of Response Based on Investigator's Assessment per RECIST v1.1
Time frame: Up to Approximately 5 Years
Time to ETS Based on Investigator's Assessment per RECIST v1.1
Time frame: Up to Approximately 5 Years
Number of Participants Experiencing Adverse Events (AEs)
Time frame: Up to Approximately 5 Years
Pre-dose (Ctrough) Concentrations of Sotorasib
Time frame: Day 1 (pre-dose) to week 4 (post dose) on cycle 2 (one cycle = 28 days)
Maximum Plasma Concentration (Cmax) of Sotorasib
Time frame: Day 1 (pre-dose) to week 4 (post dose) on cycle 2 (one cycle = 28 days)
Eligibility criteria
Study locations (26)
Ironwood Cancer and Research Centers Scottsdale
Chandler, Arizona, 85224
Providence Saint Jude Medical Center
Fullerton, California, 92835
City of Hope National Medical Center
Long Beach, California, 90813
Cancer and Blood Research Center, LLC
Los Alamitos, California, 90720
California Research Institute
Los Angeles, California, 90027
Norwalk Hospital
Norwalk, Connecticut, 06856
Cancer Specialists of North Florida - Southpoint
Jacksonville, Florida, 32256
D and H Cancer Research Center
Margate, Florida, 33063
Mid Florida Hematology and Oncology Centers PA
Orange City, Florida, 32763
Boca Raton Clinical Research Medical Center Inc
Plantation, Florida, 33322
Georgia Cancer Specialists
Atlanta, Georgia, 30342
Insight Research Institute
Chicago, Illinois, 60616
Hope and Healing Cancer Services
Hinsdale, Illinois, 60521
Orchard Healthcare Research Inc
Skokie, Illinois, 60076
Pikeville Medical Center
Pikeville, Kentucky, 41501
Henry Ford Health System
Detroit, Michigan, 48202
Cancer and Hematology Centers of Western Michigan
Grand Rapids, Michigan, 49503
Saint Louis Cancer Care West County
Bridgeton, Missouri, 63044
Minniti Center for Medical Oncology and Hematology
Mickleton, New Jersey, 08056
Duke Cancer Center
Durham, North Carolina, 27710
FirstHealth Cancer Center
Pinehurst, North Carolina, 28374
Thomas Jefferson University
Philadelphia, Pennsylvania, 19107
Carolina Blood and Cancer Care
Rock Hill, South Carolina, 29732
Tennessee Oncology PLLC - Chattanooga
Nashville, Tennessee, 37203
Tennessee Oncology, PLLC
Nashville, Tennessee, 37203
Vanderbilt University Medical Center
Nashville, Tennessee, 37232
References
- Deming DA. Development of KRAS Inhibitors and Their Role for Metastatic Colorectal Cancer. J Natl Compr Canc Netw. 2025 Jan 3;23(1):e247067. doi: 10.6004/jnccn.2024.7067.(PubMed)