New drug combo targets tough lung cancer mutation
NCT ID NCT06816992
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This early-stage trial tests a new oral drug called ORIC-114 combined with an injectable drug, amivantamab, in people with advanced lung cancer that has a specific genetic change (EGFR exon20 insertion). The study aims to find the safest dose and see if the combination shrinks tumors. About 76 participants will be enrolled.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ORIC-114 (oral drug) plus amivantamab (injectable drug)
- What this could lead to
- If this combination works, it could offer a new treatment option for people with a hard-to-treat form of lung cancer that has specific genetic changes.
- What could go wrong
- This is an early Phase 1b trial with only 76 participants, so the main goal is safety and dosing, not proof of effectiveness. The combination may cause side effects or not work better than existing treatments.
Why investors are watching
ORIC Pharmaceuticals is testing its drug ORIC-114 with amivantamab in patients with a specific type of lung cancer, EGFR exon 20 insertion mutant NSCLC. For a small company, this early-stage trial is a key test of whether its drug can work safely and show signs of controlling the disease, which could shape its future value.
If it works: If the combination shows a good safety profile and clear tumor control, ORIC could advance the drug to later-stage testing. That would validate its science and potentially attract partnership interest.
If it fails: The trial could fail to show enough benefit or produce safety problems, which would set the program back. Early-stage trials often fail, so a disappointing result would be a serious blow for a company of this size.
AI-written from the trial record. Speculative, and not investment advice.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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About 76 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2025
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Histologically or cytologically confirmed metastatic NSCLC with a documented EGFR exon 20 insertion mutation as determined locally by any nucleic acid-based diagnostic testing method; all tests should be performed in a CLIA certified or equivalently accredited laboratory * Prior Therapies: 1. Dose Escalation: Patients may have previously received and progressed on or after platinum-based chemotherapy or may be treatment naïve 2. Dose Expansion: Patients must not have received any prior therapy; at time of enrollment, patients must decline, or be ineligible for all available standard of care therapies with proven benefit * Agreement and ability to undergo a pretreatment biopsy, provided the procedure is clinically 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 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, radiation pneumonitis which required steroid treatment, or any evidence of clinically active ILD * Active gastrointestinal disease (eg, Crohn's disease, ulcerative colitis, or short gut syndrome) or other malabsorption syndromes that would reasonably impact absorption of ORIC-114
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Get notified about this study
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
4 sites in 3 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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NYU Langone Health
RECRUITINGNew York, New York, 10016, United States
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Peter MacCallum Cancer Centre
NOT_YET_RECRUITINGMelbourne, Victoria, 03000, Australia
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The Princess Margaret Hospital
NOT_YET_RECRUITINGToronto, Ontario, M5G 1Z5, Canada
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Virginia Cancer Specialists
RECRUITINGFairfax, Virginia, 22031, United States
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Other studies related to the condition(s) this trial covers.
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- Can a pill target tumors with the PIK3CA-H1047R mutation?
- Can a Two-Drug combo outsmart Treatment-Resistant breast cancer?
- Radioactive antibody aims to light up hidden solid tumors
- Experimental biological therapy VRT106 put to the test in advanced solid tumors