A Phase 3, Randomized, Open-label, Multicenter Clinical Study to Evaluate the Safety and Efficacy of MK-1084, Cetuximab, and mFOLFOX6 Versus mFOLFOX6 With or Without Bevacizumab as First-line Treatment of Participants With KRAS G12C-mutant, Locally Advanced Unresectable or Metastatic Colorectal Cancer (KANDLELIT-012)
Merck Sharp & Dohme LLC
Summary
Researchers are looking for other ways to treat locally advanced or metastatic colorectal cancer (mCRC) that is unresectable and has a gene mutation called KRAS G12C. Standard (or usual) treatments for this type of colorectal cancer may include mFOLFOX6 with or without bevacizumab. Researchers want to learn if adding calderasib (the study medicine) and cetuximab to mFOLFOX6 can treat locally advanced or mCRC with the KRAS G12C mutation. Calderasib and cetuximab are targeted therapies. The goals of this study are to learn: * About the safety of calderasib with cetuximab and mFOLFOX6 and if people tolerate the treatments * If people who receive calderasib with cetuximab and mFOLFOX6 live longer without mCRC growing or spreading compared to people who receive mFOLFOX6 with or without bevacizumab.
Description
This study will have 2 parts.
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: The main inclusion criteria include but are not limited to the following: * Has a histologically confirmed diagnosis of locally advanced unresectable or metastatic (unresectable Stage III or Stage IV as defined by American Joint Committee on Cancer \[AJCC\] eighth edition) colorectal adenocarcinoma * Part 2 only: Has not received systemic anticancer therapy for locally advanced unresectable or metastatic colorectal cancer * Tumor tissue demonstrates presence of a Kirsten rat sarcoma viral oncogene homolog G12C (KRAS G12C) mutation * Human immunodeficiency virus (HIV)-infe…
Interventions
- DrugCalderasib
Oral tablet
- DrugOxaliplatin
Per label
- DrugLeucovorin/levofolinate calcium
Per label
- Drug5-Fluorouracil
Per label
- BiologicalCetuximab
Per label
- DrugBevacizumab
Per label
- DrugBevacizumab biosimilar
Per label
Locations (161)
- Los Angeles Hematology Oncology Medical Group ( Site 0084)Los Angeles, California
- Florida Cancer Specialists - South ( Site 7002)Fort Myers, Florida
- Orlando Health Cancer Institute ( Site 0065)Orlando, Florida
- Florida Cancer Specialists - North ( Site 7001)St. Petersburg, Florida
- Florida Cancer Specialists - East ( Site 7000)West Palm Beach, Florida
- University of Iowa ( Site 0074)Iowa City, Iowa