New drug duo targets Hard-to-Treat colorectal cancer
NCT ID NCT05198934
First seen Jun 27, 2026 · Last updated Jul 23, 2026 · Updated 2 times
Summary
This phase 3 trial tested whether combining sotorasib (a pill) and panitumumab (an infusion) can slow tumor growth better than standard chemotherapy in 160 adults with metastatic colorectal cancer that has a specific KRAS G12C mutation. Participants were randomly assigned to receive the combo or one of two standard drugs. The main goal was to see how long the cancer stayed under control.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- sotorasib and panitumumab
- What this could lead to
- If successful, this combination could offer a new targeted treatment option for people with a specific genetic mutation in advanced colorectal cancer.
- What could go wrong
- This is a completed phase 3 trial, but results are not yet widely available. The treatment may not improve survival or could cause side effects like skin reactions or infusion reactions.
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 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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160 people
The number who actually took part.
- Started
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Apr 2022
- Finished
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Apr 2026
- 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 to 100 years
- 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: * Participant has provided informed consent/assent prior to initiation of any study specific activities/procedures. * Age ≥18 years. * Pathologically documented metastatic colorectal adenocarcinoma with Kirsten rat sarcoma (KRAS) p.G12C mutation as determined by prospective central testing, using the analytically validated Qiagen Therascreen KRAS RGQ polymerase chain reaction Kit in CRC as an investigational device demonstrating a KRAS p.G12C mutation is present. Local testing and documentation of KRAS p.G12C mutation should have been previously performed as part of standard of care. * Participants will have received at least 1 prior line of therapy for metastatic disease. Participants must have received and progressed or experienced disease recurrence on or after fluoropyrimidine, irinotecan, and oxaliplatin given for metastatic disease unless the participant, in the opinion of the investigator, is not a candidate for fluoropyrimidine, irinotecan, or oxaliplatin, in which case, the participant may be eligible after investigator discussion with Amgen medical monitor provided participant has received at least one prior line of therapy for metastatic disease and provided trifluridine and tipiracil or regorafenib is deemed the appropriate next line of therapy for the participant. * Measurable disease per Response Evaluation Criteria In Solid Tumors (RECIST) 1.1 criteria. Lesions previously radiated are not considered measurable unless they have progressed after radiation. * Eastern Cooperative Oncology Group (ECOG) Performance Status of ≤2. * Life expectancy of \>3 months, in the opinion of the investigator. * Adequate hematologic and end-organ function, defined as the following within 2 weeks prior to cycle 1 day 1: * Absolute neutrophil count (ANC) ≥1.5 x 10\^9/L (without granulocyte colony stimulating factor support within 2 weeks of laboratory test used to determine eligibility). * Hemoglobin ≥9.0 g/dL (without transfusion within 2 weeks of laboratory test used to determine eligibility). * Platelet count ≥100 x 10\^9/L (without transfusion within 2 weeks of laboratory test used to determine eligibility). * Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤2.5 times the upper limit of normal (ULN). * Serum bilirubin ≤1.0 x ULN. For participants with Gilbert's disease, total bilirubin or direct bilirubin needs to be ≤1.0 x ULN. * International normalized ratio (INR) and activated partial thromboplastin time (or partial thromboplastin time) ≤1.5 x ULN. Prothrombin time (PT) ≤1.5 x ULN may be used instead of INR for sites whose labs do not report INR. * Estimated glomerular filtration rate based on Modification of Diet in Renal Disease (MDRD) calculation ≥30 mL/min/1.73 m\^2. * Fridericia's Correction Formula (QTcF) ≤470 msec. Exclusion Criteria: * Active brain metastases. Participants who have had brain metastases resected or have received radiation therapy ending at least 4 weeks prior to study day 1 are eligible if they meet all of the following criteria: a) residual neurological symptoms grade ≤2; b) on stable doses of dexamethasone or equivalent for at least 2 weeks, if applicable; and c) follow-up magnetic resonance imaging (MRI) performed within 28 days of day 1 shows no progression or new lesions appearing. * History or presence of hematological malignancies unless curatively treated with no evidence of disease ≥2 years. * History of other malignancy within the past 3 years, with the following exceptions: * Malignancy treated with curative intent and with no known active disease present for ≥3 years before enrollment and felt to be at low risk for recurrence by the treating physician. * Adequately treated non-melanoma skin cancer or lentigo maligna without evidence of disease. * Adequately treated cervical carcinoma in situ without evidence of disease. * Adequately treated breast ductal carcinoma in situ without evidence of disease. * Prostatic intraepithelial neoplasia without evidence of prostate cancer. * Adequately treated urothelial papillary non-invasive carcinoma or carcinoma in situ. * Leptomeningeal disease. * Significant gastrointestinal (GI) disorder that results in significant malabsorption, requirement for intravenous (IV) alimentation, or inability to take oral medication. * History of interstitial pneumonitis or pulmonary fibrosis or evidence of interstitial pneumonitis or pulmonary fibrosis. * Significant cardiovascular disease, such as New York Heart Association cardiac disease (Class II or greater), myocardial infarction within 6 months prior to randomization, unstable arrhythmias or unstable angina. * Previous treatment with a KRAS G12C inhibitor.
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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.
Contacts and locations
Locations
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Agios Loukas Clinic
Thessaloniki, 55236, Greece
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Aichi Medical University Hospital
Nagakute-shi, Aichi-ken, 480-1195, Japan
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Asan Medical Center
Seoul, 05505, South Korea
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Azienda Ospedaliera Cardinale Giovanni Panico
Tricase, 73039, Italy
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Azienda Ospedaliera Rilievo Nazionale e Alta Specializzazione Garibaldi Nesima
Catania, 95122, Italy
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Azienda Ospedaliera San Carlo
Potenza, 85100, Italy
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Azienda Ospedaliera San Giovanni Addolorata
Roma, 00184, Italy
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Azienda Ospedaliera Santa Croce e Carle
Confreria (CN), 12100, Italy
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Azienda Ospedaliera Universitaria Careggi
Florence, 50134, Italy
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Azienda Ospedaliera Universitaria Pisana Ospedale Santa Chiara
Pisa, 56126, Italy
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Azienda Ospedaliero Universitaria Luigi Vanvitelli
Naples, 80131, Italy
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Azienda Ospedaliero Universitaria Maggiore della Carita
Novara, 28100, Italy
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Azienda Ospedaliero Universitaria di Cagliari Policlinico Duilio Casula
Monserrato CA, 09042, Italy
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Azienda Sanitaria Locale 5 Spezzino Ospedale S Andrea
La Spezia, 19100, Italy
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Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda
Milan, 20162, Italy
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Azienda Unita Locale Socio Sanitaria Berica 8
Vicenza, 36100, Italy
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Azienda Unita Sanitaria Locale LE Presidio Ospedaliero Vito Fazzi Polo Oncologico Giovanni Paolo II
Lecce, 73100, Italy
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Azienda Unita Sanitaria Locale di Reggio Emilia Arcispedale Santa Maria Nuova
Reggio Emilia, 42100, Italy
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Beatson West of Scotland Cancer Centre
Glasgow, G12 0YN, United Kingdom
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Best Cancer Care & Hematology
Houston, Texas, 77089, United States
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Cancer Specialists of North Florida
Jacksonville, Florida, 32256, United States
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Central Alabama Research
Birmingham, Alabama, 35209, United States
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Centre Hospitalier Universitaire de Lyon - Hopital Edouard Herriot
Lyon Cédex 3, 69437, France
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Charite Universitaetsmedizin Berlin, Charité Campus Virchow-Klinikum
Berlin, 13353, Germany
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Chiba Cancer Center
Chiba, Chiba, 260-8717, Japan
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Chris OBrien Lifehouse
Camperdown, New South Wales, 2050, Australia
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City of Hope National Medical Center
Duarte, California, 91010, United States
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Complexo Hospitalario Universitario de Ourense
Ourense, Galicia, 32005, Spain
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Evgenidio Hospital I Agia Trias
Athens, 11528, Greece
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Fondazione IRCCS Istituto Nazionale dei Tumori
Milan, 20133, Italy
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Fondazione Policlinico Tor Vergata
Roma (RM), 00133, Italy
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General Hospital of Athens Laiko
Athens, 11527, Greece
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GenesisCare -North Shore (Oncology)
St Leonards, New South Wales, 2065, Australia
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Health Pharma Professional Research SA de CV
Mexico City, Mexico City, 03100, Mexico
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Hokkaido University Hospital
Sapporo, Hokkaido, 060-8648, Japan
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Hospital General Universitario de Elche
Elche, Valencia, 03203, Spain
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Hospital General Universitario de Valencia
Valencia, Valencia, 46014, Spain
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Hospital Universitari Vall d Hebron
Barcelona, Catalonia, 08035, Spain
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Hospital Universitario La Paz
Madrid, 28046, Spain
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Hospital Universitario Marques de Valdecilla
Santander, Cantabria, 39008, Spain
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Hospital Universitario Reina Sofia
Córdoba, Andalusia, 14004, Spain
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Hospital Universitario Virgen de las Nieves
Granada, Andalusia, 18014, Spain
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Hospital Universitario de Navarra
Pamplona, Navarre, 31008, Spain
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Hospital de la Santa Creu i Sant Pau
Barcelona, Catalonia, 08041, Spain
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Hygeia Hospital
Athens, 15123, Greece
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Hyogo Cancer Center
Akashi-shi, Hyōgo, 673-8558, Japan
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Hôpital Européen Georges Pompidou
Paris, 75015, France
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Hôpital Haut -lévêque
Pessac, 33604, France
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Institut regional du Cancer Montpellier
Montpellier, 34298, France
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Istituto Nazionale per lo Studio e la Cura dei Tumori Fondazione Giovanni Pascale
Naples, 80131, Italy
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Istituto Oncologico Veneto IRCCS
Padova, 35128, Italy
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Istituto Ospedaliero Fondazione Poliambulanza
Brescia, 25124, Italy
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Johns Hopkins University School of Medicine
Washington D.C., District of Columbia, 20016, United States
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Kanagawa Prefectural Hospital Organization Kanagawa Cancer Center
Yokohama, Kanagawa, 241-8515, Japan
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Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, 80756, Taiwan
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Kelsey Research Foundation
Houston, Texas, 77025, United States
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Klinikum der Universitaet Muenchen Campus Grosshadern
München, 81377, Germany
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Lakes Research LLC
Miami Lakes, Florida, 33014, United States
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Lancaster General Hospital Ann B Barshinger Cancer Institute
Lancaster, Pennsylvania, 17601, United States
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Linkou Chang Gung Memorial Hospital of Chang Gung Medical Foundation
Taoyuan, 33305, Taiwan
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Lumi Research
Kingwood, Texas, 77339, United States
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Maidstone Hospital
Maidstone, ME16 9QQ, United Kingdom
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Moses H Cone Memorial Hospital
Greensboro, North Carolina, 27403, United States
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Mount Vernon Cancer Centre
Northwood, HA6 2RN, United Kingdom
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National Cancer Center Hospital
Chuo-ku, Tokyo, 104-0045, Japan
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National Cancer Center Hospital East
Kashiwa-shi, Chiba, 277-8577, Japan
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National Cheng Kung University Hospital
Tainan, 70403, Taiwan
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National Hospital Organization Kyushu Cancer Center
Fukuoka, Fukuoka, 811-1395, Japan
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National Hospital Organization Osaka National Hospital
Osaka, Osaka, 540-0006, Japan
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National Hospital Organization Shikoku Cancer Center
Matsuyama, Ehime, 791-0280, Japan
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National Taiwan University Hospital
Taipei, 10002, Taiwan
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Northwest Georgia Oncology Centers PC
Marietta, Georgia, 30060, United States
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Osaka University Hospital
Suita-shi, Osaka, 565-0871, Japan
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Ospedale Policlinico San Martino IRCCS
Genova, 16132, Italy
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Policlinico Universitario Agostino Gemelli
Roma, 00168, Italy
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Revive Research Institute
Farmington Hills, Michigan, 48334, United States
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Revive Research Institute
Sterling Heights, Michigan, 48314, United States
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Royal Free Hospital
London, NW3 2QG, United Kingdom
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Royal Marsden Hospital
London, SW3 6JJ, United Kingdom
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Royal Marsden Hospital
Sutton, SM2 5PT, United Kingdom
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Saitama Cancer Center
Kitaadachi-gun, Saitama, 362-0806, Japan
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Samsung Medical Center
Seoul, 06351, South Korea
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Sarah Cannon Research Institute
Nashville, Tennessee, 37203, United States
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Seoul National University Hospital
Seoul, 03080, South Korea
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Severance Hospital Yonsei University Health System
Seoul, 03722, South Korea
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Shizuoka Cancer Center
Sunto-gun, Shizuoka, 411-8777, Japan
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Sparrow Clinical Research Institute
Lansing, Michigan, 48912, United States
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St Marianna University Hospital
Kawasaki-shi, Kanagawa, 216-8511, Japan
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Superare Centro de Infusion SA de CV
Mexico City, Mexico City, 06760, Mexico
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Taipei Veterans General Hospital
Taipei, 11217, Taiwan
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The Cancer Institute Hospital of Japanese Foundation for Cancer Research
Koto-ku, Tokyo, 135-8550, Japan
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The Mark H Zangmeister Center
Columbus, Ohio, 43210, United States
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The Queen Elizabeth Hospital
Woodville South, South Australia, 5011, Australia
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Theagenion Anticancer Hospital
Thessaloniki, 54007, Greece
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Trials In Medicine SC
Mexico City, 06700, Mexico
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Universitaetsklinikum Carl Gustav Carus an der Technischen Universitaet Dresden
Dresden, 01307, Germany
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Universitaetsklinikum der Eberhard Karls Universitaet Tuebingen
Tübingen, 72076, Germany
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Universitaetsmedizin Goettingen - Georg-August-Universitaet
Göttingen, 37075, Germany
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University Hospital of Heraklion
Heraklion - Crete, 71500, Greece
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University Hospital of Patras
Pátrai, 26504, Greece
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University of California Irvine
Orange, California, 92868, United States
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University of Michigan
Ann Arbor, Michigan, 48106-0995, United States
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Upstate University Hospital
Syracuse, New York, 13210, United States
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Westmead Hospital
Westmead, New South Wales, 2145, Australia
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White Plains Hospital Center for Cancer Care
White Plains, New York, 10601, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Alpha radiation targets tumors in new cancer trial
- Can Self-Compassion training break the isolation of life with a stoma?
- Why are more younger adults getting colorectal cancer? a national study digs into the data
- New drug combo aims to boost response in Hard-to-Treat colorectal cancer
- First-in-Class cancer drug targets Hard-to-Treat tumors
- New pill targets Hard-to-Treat cancers with a specific gene mutation