Phase 1b Study of ORIC-114 in Combination With Amivantamab in Patients With EGFR Exon20 Insertion Mutant NSCLC
Summary
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.
Detailed description
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.
Arms & interventions
- DrugORIC-114 Dose 1 + amivantamab
ORIC-114 oral daily, amivantamab subcutaneous weekly for 4 weeks followed by every 4 week injection
- DrugORIC-114 Dose 2 + amivantamab
ORIC-114 oral daily, amivantamab subcutaneous weekly for 4 weeks followed by every 4 week injection
- DrugORIC-114 Dose 3 + amivantamab
ORIC-114 oral daily, amivantamab subcutaneous weekly for 4 weeks followed by every 4 week injection
Outcome measures
Primary
Recommended 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
Secondary
Plasma PK parameters
Time frame: 28 Days
Plasma PK parameters
Time frame: 28 Days
Plasma PK parameters
Time frame: 28 Days
Plasma PK parameters
Time frame: 28 Days
BICR-Objective response rate (ORR)
Time frame: 12 months
BICR-Duration of response (DOR)
Time frame: 12 months
BICR-Progression-free survival (PFS)
Time frame: 12 months
Intracranial Objective response rate (ORR)
Time frame: 12 months
Intracranial Progression-free survival (PFS)
Time frame: 12 months
Eligibility criteria
Study locations (2)
NYU Langone Health
New York, New York, 10016
Virginia Cancer Specialists
Fairfax, Virginia, 22031