ORIC-114 in Combination with Subcutaneous Amivantamab in Patients with EGFR Exon20 Insertion Mutant NSCLC

Last updated: March 17, 2025
Sponsor: ORIC Pharmaceuticals
Overall Status: Active - Recruiting

Phase

1

Condition

Solid Tumors

Non-small Cell Lung Cancer

Treatment

ORIC-114 Dose 3 + amivantamab

ORIC-114 Dose 2 + amivantamab

ORIC-114 Dose 3 + amivanatamab

Clinical Study ID

NCT06816992
ORIC-114-05
  • Ages > 18
  • All Genders

Study 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.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Histologically or cytologically confirmed metastatic NSCLC with a documented EGFRexon 20 insertion mutation as determined locally by any nucleic acid-baseddiagnostic testing method; all tests should be performed in a CLIA certified orequivalently accredited laboratory

  • Prior Therapies:

  1. Dose Escalation: Patients may have previously received and progressed on orafter platinum-based chemotherapy or may be treatment naïve

  2. Dose Expansion: Patients must not have received any prior therapy; at time ofenrollment, patients must decline, or be ineligible for all available standardof care therapies with proven benefit

  • Agreement and ability to undergo a pretreatment biopsy, provided the procedure isclinically feasible and not deemed unsafe by the investigator

  • Measurable disease according to RECIST 1.1

  • Patients with asymptomatic CNS metastases are eligible

  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1

  • Adequate organ function

Exclusion

Exclusion Criteria:

  • Known small cell lung cancer transformation

  • Leptomeningeal disease

  • Spinal cord compression not definitively treated with surgery or radiation

  • Prior immunotherapy

  • Past medical history of interstitial lung disease (ILD), drug induced ILD, radiationpneumonitis which required steroid treatment, or any evidence of clinically activeILD

  • Active gastrointestinal disease (eg, Crohn's disease, ulcerative colitis, or shortgut syndrome) or other malabsorption syndromes that would reasonably impactabsorption of ORIC-114

Study Design

Total Participants: 76
Treatment Group(s): 4
Primary Treatment: ORIC-114 Dose 3 + amivantamab
Phase: 1
Study Start date:
February 27, 2025
Estimated Completion Date:
May 31, 2027

Study 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.

Connect with a study center

  • Peter MacCallum Cancer Centre

    Melbourne, Victoria 03000
    Australia

    Site Not Available

  • The Princess Margaret Hospital

    Toronto, Ontario M5G 1Z5
    Canada

    Site Not Available

  • City of Hope

    Duarte, California 91010
    United States

    Site Not Available

  • NYU Langone Health

    New York, New York 10016
    United States

    Active - Recruiting

  • Virginia Cancer Specialists

    Fairfax, Virginia 22031
    United States

    Active - Recruiting

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