Clinical trial Recruiting at 233 sites Phase 3 Interventional Ages 18 and up

Comparing two treatments for advanced left-sided colorectal cancer

Official title: A Randomized, Open-label Phase 3 Study of Amivantamab and mFOLFOX6 or FOLFIRI Versus Cetuximab and mFOLFOX6 or FOLFIRI as First-line Treatment in Participants With KRAS/NRAS and BRAF Wild-type Unresectable or Metastatic Left-sided Colorectal Cancer

Run by Janssen Research & Development, LLC · NCT06662786 · Data updated 2026-11-12

This study is testing whether a new drug called amivantamab combined with standard chemotherapy works better than cetuximab with the same chemotherapy for people with advanced left-sided colorectal cancer that can't be surgically removed.

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment1000 (estimated)
SponsorJanssen Research & Development, LLC
Industry-sponsored
Drugs / interventionsamivantamab, cetuximab, chemotherapy
Locations239 sites (Gilbert, Arizona and 238 other locations)
StatusRecruiting
StartedOctober 18, 2024
Main results expectedDecember 15, 2028
Study endsJanuary 20, 2032
Registry record updatedNovember 3, 2026
Trial IDNCT06662786 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults with unresectable or metastatic left-sided colorectal cancer who have wild-type KRAS, NRAS, and BRAF tumors.

Probably not a fit

Patients with a history of interstitial lung disease or those who are allergic to the study medications may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study aims to evaluate the effectiveness of amivantamab combined with standard chemotherapy (mFOLFOX6 or FOLFIRI) against cetuximab combined with the same chemotherapy in patients with unresectable or metastatic left-sided colorectal cancer. Participants must have tumors that are wild-type for KRAS, NRAS, and BRAF. The primary outcome is to measure progression-free survival, which indicates how long patients remain free from disease progression after treatment. The study is interventional and is in Phase 3, indicating it is testing the efficacy of these treatments in a larger patient population.

Why it matters

Potential benefit: If successful, this study could provide a more effective first-line treatment option for patients with advanced left-sided colorectal cancer.

How similar studies have gone: Other studies have shown promising results with similar treatment approaches, but this specific combination is being evaluated for the first time in this context.

Who can join: the full rules

Show full inclusion / exclusion criteria
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)

Where it's running

  • Banner MD Anderson Cancer Center
    Gilbert, Arizona, United States
    Recruiting
  • St. Bernard's Medical Center
    Jonesboro, Arkansas, United States
    Recruiting
  • Highlands Oncology Group
    Springdale, Arkansas, United States
    Recruiting
  • CBCC Global Research
    Bakersfield, California, United States
    Recruiting
  • Los Angeles Cancer Network
    Glendale, California, United States
    Recruiting
  • Cancer and Blood Specialty Clinic
    Los Alamitos, California, United States
    Recruiting
Show 44 more locations
  • USC Norris Comprehensive Cancer Center
    Los Angeles, California, United States
    Recruiting
  • UCLA
    Santa Monica, California, United States
    Recruiting
  • Providence Medical Foundation
    Santa Rosa, California, United States
    Recruiting
  • Torrance Memorial Physicians Network
    Torrance, California, United States
    Recruiting
  • Rocky Mountain Cancer Centers
    Denver, Colorado, United States
    Recruiting
  • Yale University School Of Medicine
    New Haven, Connecticut, United States
    Recruiting
  • Georgetown Univ Medical Center Lombardi Cancer Center
    Washington D.C., District of Columbia, United States
    Recruiting
  • Florida Cancer Specialists South
    Fort Myers, Florida, United States
    Recruiting
  • AdventHealth Medical Group Oncology and Hematology at Orlando
    Orlando, Florida, United States
    Recruiting
  • Florida Cancer Specialists North Region
    St. Petersburg, Florida, United States
    Recruiting
  • Florida Cancer Specialists East
    West Palm Beach, Florida, United States
    Recruiting
  • Grady Memorial Hospital
    Atlanta, Georgia, United States
    Recruiting
  • Winship Cancer Institute Emory University
    Atlanta, Georgia, United States
    Recruiting
  • Illinois Cancer Specialists
    Arlington Heights, Illinois, United States
    Recruiting
  • Illinois CancerCare
    Peoria, Illinois, United States
    Recruiting
  • Fort Wayne Medical Oncology & Hematology
    Fort Wayne, Indiana, United States
    Recruiting
  • University of Iowa Hospital
    Iowa City, Iowa, United States
    Recruiting
  • Mission Cancer Blood
    Waukee, Iowa, United States
    Recruiting
  • Cancer Center of Kansas
    Wichita, Kansas, United States
    Recruiting
  • Ochsner Clinic Foundation
    New Orleans, Louisiana, United States
    Recruiting
  • MedStar Franklin Square Medical Center
    Baltimore, Maryland, United States
    Recruiting
  • Frederick Health Hospital - James M Stockman Cancer Institute
    Frederick, Maryland, United States
    Recruiting
  • VA Ann Arbor Healthcare System
    Ann Arbor, Michigan, United States
    Recruiting
  • University of Michigan
    Ann Arbor, Michigan, United States
    Recruiting
  • Henry Ford Hospital
    Detroit, Michigan, United States
    Recruiting
  • Cancer And Hematology Centers of Western Michigan PC
    Grand Rapids, Michigan, United States
    Recruiting
  • Hattiesburg Clinic
    Hattiesburg, Mississippi, United States
    Recruiting
  • Washington University School Of Medicine
    St Louis, Missouri, United States
    Recruiting
  • Nebraska Cancer Specialists Midwest Cancer Center
    Omaha, Nebraska, United States
    Recruiting
  • Comprehensive Cancer Centers of Nevada
    Las Vegas, Nevada, United States
    Recruiting
  • Astera Cancer Care
    East Brunswick, New Jersey, United States
    Recruiting
  • Rutgers Cancer Institute
    New Brunswick, New Jersey, United States
    Recruiting
  • University of New Mexico Cancer Center
    Albuquerque, New Mexico, United States
    Recruiting
  • Perlmutter Cancer Center at NYU Long Island
    Mineola, New York, United States
    Recruiting
  • Mount Sinai
    New York, New York, United States
    Recruiting
  • Mount Sinai West
    New York, New York, United States
    Recruiting
  • NYU Langone Medical Center NYU Hematology Associates
    New York, New York, United States
    Recruiting
  • Herbert Irving Comprehensive Cancer Center Columbia University Medical Center
    New York, New York, United States
    Recruiting
  • New York Cancer and Blood Specialists
    Shirley, New York, United States
    Recruiting
  • Montefiore Einstein Comprehensive Cancer Center
    The Bronx, New York, United States
    Recruiting
  • University of Buffalo Kaleida Health Cancer Care
    Williamsville, New York, United States
    Recruiting
  • University of North Carolina at Chapel Hill
    Chapel Hill, North Carolina, United States
    Recruiting
  • Gabrail Cancer Center
    Canton, Ohio, United States
    Recruiting
  • University Hospitals Cleveland Medical Center
    Cleveland, Ohio, United States
    Recruiting

+189 more sites. See ClinicalTrials.gov for the full list.

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.