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
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 1000 (estimated) |
| Sponsor | Janssen Research & Development, LLC Industry-sponsored |
| Drugs / interventions | amivantamab, cetuximab, chemotherapy |
| Locations | 239 sites (Gilbert, Arizona and 238 other locations) |
| Status | Recruiting |
| Started | October 18, 2024 |
| Main results expected | December 15, 2028 |
| Study ends | January 20, 2032 |
| Registry record updated | November 3, 2026 |
| Trial ID | NCT06662786 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
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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
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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
- Study coordinator: Study Contact
- Email: Participate-In-This-Study1@its.jnj.com
- Phone: 844-434-4210
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Comparing Amivantamab with FOLFIRI to Cetuximab/Bevacizumab with FOLFIRI for Colorectal Cancer
This study is testing if a new treatment combining amivantamab with FOLFIRI can help people with certain types of colorectal cancer live longer and feel better compared to the standard treatment with cetuximab or bevacizumab plus FOLFIRI.
-
Cetuximab beta plus fruquintinib, with or without immunotherapy, for first-line treatment of RAS/BRAF wild‑type unresectable metastatic colorectal cancer
This trial tests whether combining cetuximab beta and fruquintinib, with or without immune checkpoint inhibitors, can control cancer as a chemotherapy‑free first‑line option for patients with RAS/BRAF wild‑type unresectable metastatic colorectal cancer.
-
Amivantamab plus hyaluronidase versus cetuximab for advanced cutaneous squamous cell carcinoma in people with weakened immune systems
This phase II trial tests whether amivantamab with hyaluronidase works better than cetuximab for people with recurrent or metastatic cutaneous squamous cell carcinoma who have a weakened immune system.
-
Combination treatment for HER2 positive metastatic colorectal cancer
This study is testing a new combination of tucatinib, trastuzumab, and mFOLFOX6 to see if it helps people with HER2 positive metastatic colorectal cancer more than the usual treatments.
-
Biomarkers in Colorectal Cancer: A Longitudinal Study Using Biobanks and Blood Samples
This study tests whether clinical and molecular biomarkers from tumor tissue and blood can predict treatment response, recurrence, and survival in adults with colorectal cancer undergoing surgery.
-
Toripalimab Plus Cetuximab and Irinotecan for second-line right-sided colon cancer
This phase II study tests whether a combo of toripalimab, cetuximab, and irinotecan helps adults with second-line, right‑sided, RAS/BRAF wild-type advanced colon cancer.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.