A Phase 2 interventional study of Amivantamab in Stomach Neoplasms and Esophageal Neoplasms, sponsored by Janssen Pharmaceutical K.K.. Terminated at 10 sites in Japan. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2024-09-19.
Sponsored by Janssen Pharmaceutical K.K. (part of Johnson & Johnson) · Phase 2, Interventional, and Treatment
The purpose of this study is to investigate the activity of amivantamab in gastric cancer (GC) and esophageal cancer (EC) participants (Phase 2a), and to characterize the preliminary antitumor activity of amivantamab in selected GC and EC population (Phase 2b).
2,914 studies on the registry are indexed under Stomach Neoplasms; 881 are open to participants now.
This study's enrollment of 62 is close to the median of 66 across 2,143 interventional studies indexed under Stomach Neoplasms.
Browse Stomach Neoplasms studies →Janssen Pharmaceutical K.K. is the lead sponsor of 126 studies on the registry; none are open to participants now.
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Gastric or GEJ Cancer Only - Must be refractory or ineligible to at least 2 prior lines of standard of care systemic therapy. Prior therapies must include fluoropyrimidine- and platinum-based chemotherapy. Participants with known human epidermal growth factor receptor (HER) 2 expression must have had HER2 targeting therapy as part of the prior therapy
Esophageal Cancer Only
- Must be refractory or intolerant to at least 1 prior line of systemic therapy. Prior therapies must include fluoropyrimidine-, and platinum-based chemotherapy (including chemoradiation therapy given as stage intravenous [IV] setting)
Exclusion Criteria:
Participants in Phase 2a GC cohorts will receive intravenous (IV) infusion of weight-based dose of amivantamab in 28-day cycles. Participants with body weight less than (\<) 80 kilograms (kg) will receive IV infusion of amivantamab 1,050 milligrams (mg) and participants with body weight greater than or equal to (\>=) 80 kg will receive IV infusion of amivantamab 1,400 mg once weekly in Cycle 1 and then every 2 weeks in subsequent cycles (on Days 1 and 15 of each cycle), followed by additional dosing based on body weight if recommended by clinical trial management team (CTMT) (amivantamab 1750 mg for body weight \<80 kg and 2100 mg for body weight \>=80 kg as IV infusion) every 2 weeks on Days 1 and 15 of 28 day cycle. Phase 2b GC expansion cohorts will be initiated if activity is observed within Phase 2a cohorts.
Drug: Amivantamab
Participants in Phase 2a EC cohorts will receive IV infusion of weight-based dose of amivantamab in 28-day cycles. Participants with body weight \<80 kg will receive IV infusion of amivantamab 1,050 mg and participants with body weight \>=80 kg will receive IV infusion of amivantamab 1,400 mg once weekly in Cycle 1 and then every 2 weeks in subsequent cycles (on Days 1 and 15 of each cycle) followed by additional dosing based on body weight if recommended by CTMT (amivantamab 1750 mg for body weight \<80 kg and 2100 mg for body weight \>=80 kg as IV infusion) every 2 weeks on Days 1 and 15 of 28 day cycle. Phase 2b EC expansion cohorts will be initiated if activity is observed within Phase 2a cohorts.
Drug: Amivantamab
Amivantamab will be administered intravenously.
Also known as: JNJ-61186372
Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors (RECIST) Version (v) 1.1
ORR was defined as the percentage of participants who achieved a confirmed complete response (CR) or partial response (PR) as determined by investigator per RECIST version 1.1. As per RECIST version 1.1, CR was defined as disappearance of target and non-target lesions and normalization of tumor markers. Pathological lymph nodes must have short axis measures less than (\<)10 millimeter (mm). PR was defined as at least a 30 percent (%) decrease in the sum of measures (longest diameter for tumor lesions and short axis measure for nodes) of target lesions, taking as reference baseline sum of diameters. Non-target lesions must be non-progressive disease (PD). For non-target lesions, PD: unequivocal progression of existing non-target lesions. The appearance of one or more new lesions was also considered progression.
Time frame: From start of the treatment (Day 1) up to 30 days after the last dose of study drug (up to 9 months)
Disease Control Rate (DCR) Per RECIST Version 1.1
DCR was defined as the percentage of participants achieving CR or PR or stable disease (SD) for at least 6 weeks as defined by RECIST version 1.1. As per RECIST version 1.1 CR was defined as disappearance of target and non-target lesions and normalization of tumor markers. Pathological lymph nodes must have short axis measures \<10 mm. PR was defined as \>=30% decrease in sum of measures (longest diameter for tumor lesions and short axis measure for nodes) of target lesions, taking as reference baseline sum of diameters. Non-target lesions must be non-PD. For non-target lesions, PD: unequivocal progression of existing non-target lesions. The appearance of one or more new lesions was also considered progression. SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, and no appearance of new lesion(s).
Time frame: From start of the treatment (Day 1) up to 30 days after the last dose of study drug (up to 9 months)
Duration of Response (DOR) as Per RECIST Version 1.1
DOR was defined as time between date of first documented response (CR/PR) and date of first documented progression or death, whichever occurred first. CR was defined as disappearance of target and non-target lesions and normalization of tumor markers. Pathological lymph nodes short axis measures \<10 mm. PR was defined as \>=30% decrease in sum of measures (tumor lesions-longest diameter and nodes-short axis) of target lesions, taking as reference baseline sum of diameters. Non-target lesions must be non-PD. For non-target lesions, PD: unequivocal progression of existing non-target lesions. The appearance of one or more new lesions was also considered progression. There was no participant who had event (CR/PR) in Phase 2a EC higher dose cohort, hence data could not be collected and analyzed for this cohort.
Time frame: From the date of first documented response up to date of first documented PD or death (up to 9 months)
Time to Response (TTR) as Per RECIST Version 1.1
TTR was defined as time from date of first amivantamab administration to date of achieving objective response (CR/PR) as assessed by investigator per RECIST v1.1 among participants who achieved objective response. Per RECIST v1.1, CR: disappearance of target and non-target lesions and normalization of tumor markers. Pathological lymph nodes must have short axis measures \<10 mm. PR: \>=30% decrease in sum of measures (longest diameter for tumor lesions and short axis measure for nodes) of target lesions, taking as reference baseline sum of diameters. Non-target lesions must be non-PD. For non-target lesions, PD: unequivocal progression of existing non-target lesions. The appearance of one or more new lesions was also considered progression. There was no participant who had event (CR/PR) in Phase 2a EC higher dose cohort, hence data could not be collected and analyzed for this cohort.
Time frame: From first dose of study treatment until first documentation of CR or PR (up to 9 months)
Progression Free Survival (PFS) as Per RECIST Version 1.1
PFS was defined as the time from the date of first dose of study drug until the date of objective disease progression or death (by any cause in the absence of progression), whichever comes first, based on investigator assessment using RECIST Version 1.1.
Time frame: From day of first dose (Day 1) until PD or death (up to 9 months)
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) Based on National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 5.0
An adverse event (AE) was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. TEAEs was defined as AEs occurring at or after first dose of study drug up to 30 days after last dose or until the start of new anticancer therapy, whichever occurred first. TEAEs were graded according to NCI-CTCAE v5.0. Grade 1- Mild; Grade 2- Moderate; Grade 3- Severe or medically significant but not immediately life-threatening; Grade 4- Life-threatening consequences; Grade 5- Death related to AE. All TEAEs including serious and non-serious events are reported in this outcome measure.
Time frame: From start of the treatment (Day 1) up to 30 days after last dose or start of new anticancer therapy, whichever occurred first (up to 9 months)
Maximum Observed Serum Concentration (Cmax) for Amivantamab
Cmax was defined as the maximum observed serum concentration of amivantamab. The concentrations of amivantamab were measured using a validated, specific, and sensitive enzyme-linked immunosorbent assay (ELISA) method. Data for this outcome measure was planned to be collected and analyzed for each cancer type (GC and EC) and overall participants (GC and EC combined cohorts: Amivantamab \[1050/1400 mg\]). As planned, data for Cmax was not collected and analyzed for Phase 2a EC higher dose cohort.
Time frame: Pre-dose, 0, 24, 26, 48, 72, 96 and 168 hours post-dose on Day 1 of Cycle 1; pre-dose, 0, 2, 24, 48, 72, 168 and 336 hours post-dose on Day 1 of Cycle 2 (each cycle was of 28 days)
Time to Reach Maximum Observed Serum Concentration (Tmax) for Amivantamab
Tmax was defined as the time to reach maximum observed serum concentration of amivantamab. The concentrations of amivantamab were measured using a validated, specific, and sensitive ELISA method. Data for this outcome measure was planned to be collected and analyzed for each cancer type (GC and EC) and overall participants (GC and EC combined cohorts: Amivantamab \[1050/1400 mg\]). As planned, data for Tmax was not collected and analyzed for Phase 2a EC higher dose cohort.
Time frame: Pre-dose, 0, 24, 26, 48, 72, 96 and 168 hours post-dose on Day 1 of Cycle 1; pre-dose, 0, 2, 24, 48, 72, 168 and 336 hours post-dose on Day 1 of Cycle 2 (each cycle was of 28 days)
Area Under the Curve From Time (0) to Time (168h) (AUC [0-168h]) for Amivantamab
AUC (0-168h) was defined as area under the serum concentration time-curve from time zero to the time point 168 hours. The concentrations of amivantamab were measured using a validated, specific, and sensitive ELISA method. Data for this outcome measure was planned to be collected and analyzed for each cancer type (GC and EC) and overall participants (GC and EC combined cohorts: Amivantamab \[1050/1400 mg\]). As planned, data for AUC (0-168h) was not collected and analyzed for Phase 2a EC higher dose cohort.
Time frame: Pre-dose, 0, 24, 26, 48, 72, 96 and 168 hours post-dose on Day 1 of Cycle 1 (each cycle was of 28 days)
Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau) for Amivantamab
Area under the serum concentration curve from time 0 to end of dosing interval (AUCtau), where dosing interval was 336 hours was reported. The concentrations of amivantamab were measured using a validated, specific, and sensitive ELISA method. Data for this outcome measure was planned to be collected and analyzed for each cancer type (GC and EC) and overall participants (GC and EC combined cohorts: Amivantamab \[1050/1400 mg\]). As planned, data for AUCtau was not collected and analyzed for Phase 2a EC higher dose cohort.
Time frame: Pre-dose, 0, 2, 24, 48, 72, 168 and 336 hours post-dose on Day 1 of Cycle 2 (each cycle was of 28 days)
Phase 2a Gastric Cancer and Esophageal Cancer Cohorts: Serum Trough Concentrations (Ctrough) of Amivantamab
Ctrough of amivantamab in GC and EC cohorts were reported. Ctrough was defined as pre-dose serum drug concentration. The concentrations of amivantamab were measured using a validated, specific, and sensitive ELISA method. Data for this outcome measure was planned to be collected and analyzed for each cancer type (GC and EC) and overall participants (GC and EC combined cohorts: Amivantamab \[1050/1400 mg\]).
Time frame: Pre-dose at 0 hour: Days 8 and 15 of Cycle 1; Days 1 and 15 of Cycles 2, 3 and 4; Day 1 of Cycles 6 and 8 (each cycle was of 28 days)
Phase 2a Esophageal Cancer Higher Dose Cohort: Serum Trough Concentrations (Ctrough) of Amivantamab
Ctrough of amivantamab in phase 2a EC higher dose cohort was reported. Ctrough was defined as pre-dose serum drug concentration. The concentrations of amivantamab were measured using a validated, specific, and sensitive ELISA method.
Time frame: Pre-dose at 0 hour: Day 15 of Cycle 1; Days 1 and 15 of Cycles 2 and 3; Day 1 of Cycles 6 and 8 (each cycle was of 28 days)
Phase 2a Gastric Cancer Cohort: Terminal Elimination Half-Life (t1/2) for Amivantamab
Terminal elimination half-life (t1/2) was the time measured for the serum concentration of a drug to decrease by half of its initial concentration. The concentrations of amivantamab were measured using a validated, specific, and sensitive ELISA method.
Time frame: Pre-dose, 0, 2, 24, 48, 72, 168 and 336 hours post-dose on Day 1 of Cycle 2 (each cycle was of 28 days)
Phase 2a Esophageal Cancer and Overall Combined Cohorts: Terminal Elimination Half-Life (t1/2) for Amivantamab
Terminal elimination half-life (t1/2) was the time measured for the serum concentration of a drug to decrease by half of its initial concentration. The concentrations of amivantamab were measured using a validated, specific, and sensitive ELISA method. Data for this outcome measure was planned to be collected and analyzed for EC cohort and overall participants (GC and EC combined cohorts: Amivantamab \[1050/1400 mg\]). As planned, data for t1/2 was not collected and analyzed for Phase 2a EC higher dose cohort.
Time frame: Pre-dose, 0, 2, 24, 48, 72, 168 and 336 hours post-dose on Day 1 of Cycle 2 (each cycle was of 28 days)
Apparent Clearance at Steady State (CLss) of Amivantamab
Clearance was a measure of the rate at which a drug was metabolized or eliminated by normal biological processes. The concentrations of amivantamab were measured using a validated, specific, and sensitive ELISA method. Data for this outcome measure was planned to be collected and analyzed for each cancer type (GC and EC) and overall participants (GC and EC combined cohorts: Amivantamab \[1050/1400 mg\]). As planned, data for CLss was not collected and analyzed for Phase 2a EC higher dose cohort.
Time frame: Pre-dose, 0, 2, 24, 48, 72, 168 and 336 hours post-dose on Day 1 of Cycle 2 (each cycle was of 28 days)
Apparent Volume of Distribution at Steady State (Vss) of Amivantamab
Volume of distribution was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired serum concentration of a drug. The concentrations of amivantamab were measured using a validated, specific, and sensitive ELISA method. Data for this outcome measure was planned to be collected and analyzed for each cancer type (GC and EC) and overall participants (GC and EC combined cohorts: Amivantamab \[1050/1400 mg\]). As planned, data for Vss was not collected and analyzed for Phase 2a EC higher dose cohort.
Time frame: Pre-dose, 0, 2, 24, 48, 72, 168 and 336 hours post-dose on Day 1 of Cycle 2 (each cycle was of 28 days)
Accumulation Ratio (AR) of AUCtau for Amivantamab
Accumulation ratio for AUC was calculated as AUC (0-336h) for Cycle 2 Day 1 divided by AUC (0-168h) for Cycle 1 Day 1. The concentrations of amivantamab were measured using a validated, specific, and sensitive ELISA method. Data for this outcome measure was planned to be collected and analyzed for each cancer type (GC and EC) and overall participants (GC and EC combined cohorts: Amivantamab \[1050/1400 mg\]). As planned, data for AR of AUCtau was not collected and analyzed for Phase 2a EC higher dose cohort.
Time frame: Pre-dose, 0, 24, 26, 48, 72, 96 and 168 hours post-dose on Day 1 of Cycle 1; pre-dose, 0, 2, 24, 48, 72, 168 and 336 hours post-dose on Day 1 of Cycle 2 (each cycle was of 28 days)
Number of Participants With Anti-Amivantamab Antibodies
Number of participants with anti-amivantamab antibodies were reported. Serum samples were assessed for anti-drug antibodies.
Time frame: From start of the treatment (Day 1) up to 30 days after the last dose of study drug (up to 9 months)
| Milestone | Phase 2a Gastric Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Higher Dose Cohort: Amivantamab (1750/2100 mg) |
|---|---|---|---|
| Started | 29 | 30 | 3 |
| Completed | 25 | 24 | 3 |
| Not completed | 4 | 6 | 0 |
| Withdrew: Physician decision | 1 | 3 | 0 |
| Withdrew: Withdrawal by subject | 3 | 3 | 0 |
ORR was defined as the percentage of participants who achieved a confirmed complete response (CR) or partial response (PR) as determined by investigator per RECIST version 1.1. As per RECIST version 1.1, CR was defined as disappearance of target and non-target lesions and normalization of tumor markers. Pathological lymph nodes must have short axis measures less than (\<)10 millimeter (mm). PR was defined as at least a 30 percent (%) decrease in the sum of measures (longest diameter for tumor lesions and short axis measure for nodes) of target lesions, taking as reference baseline sum of diameters. Non-target lesions must be non-progressive disease (PD). For non-target lesions, PD: unequivocal progression of existing non-target lesions. The appearance of one or more new lesions was also considered progression.
| Percentage of Participants | Phase 2a Gastric Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Higher Dose Cohort: Amivantamab (1750/2100 mg) |
|---|---|---|---|
| Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors (RECIST) Version (v) 1.1 | 4.3 (0.1 to 21.9) | 10.7 (2.3 to 28.2) | 0 (0.0 to 84.2) |
DCR was defined as the percentage of participants achieving CR or PR or stable disease (SD) for at least 6 weeks as defined by RECIST version 1.1. As per RECIST version 1.1 CR was defined as disappearance of target and non-target lesions and normalization of tumor markers. Pathological lymph nodes must have short axis measures \<10 mm. PR was defined as \>=30% decrease in sum of measures (longest diameter for tumor lesions and short axis measure for nodes) of target lesions, taking as reference baseline sum of diameters. Non-target lesions must be non-PD. For non-target lesions, PD: unequivocal progression of existing non-target lesions. The appearance of one or more new lesions was also considered progression. SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, and no appearance of new lesion(s).
| Percentage of Participants | Phase 2a Gastric Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Higher Dose Cohort: Amivantamab (1750/2100 mg) |
|---|---|---|---|
| Disease Control Rate (DCR) Per RECIST Version 1.1 | 26.1 (10.2 to 48.4) | 67.9 (47.6 to 84.1) | 100 (15.8 to 100) |
DOR was defined as time between date of first documented response (CR/PR) and date of first documented progression or death, whichever occurred first. CR was defined as disappearance of target and non-target lesions and normalization of tumor markers. Pathological lymph nodes short axis measures \<10 mm. PR was defined as \>=30% decrease in sum of measures (tumor lesions-longest diameter and nodes-short axis) of target lesions, taking as reference baseline sum of diameters. Non-target lesions must be non-PD. For non-target lesions, PD: unequivocal progression of existing non-target lesions. The appearance of one or more new lesions was also considered progression. There was no participant who had event (CR/PR) in Phase 2a EC higher dose cohort, hence data could not be collected and analyzed for this cohort.
| Months | Phase 2a Gastric Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Higher Dose Cohort: Amivantamab (1750/2100 mg) |
|---|---|---|---|
| Duration of Response (DOR) as Per RECIST Version 1.1 | NA (NA to NA) | 2.86 (2.79 to NA) | — |
TTR was defined as time from date of first amivantamab administration to date of achieving objective response (CR/PR) as assessed by investigator per RECIST v1.1 among participants who achieved objective response. Per RECIST v1.1, CR: disappearance of target and non-target lesions and normalization of tumor markers. Pathological lymph nodes must have short axis measures \<10 mm. PR: \>=30% decrease in sum of measures (longest diameter for tumor lesions and short axis measure for nodes) of target lesions, taking as reference baseline sum of diameters. Non-target lesions must be non-PD. For non-target lesions, PD: unequivocal progression of existing non-target lesions. The appearance of one or more new lesions was also considered progression. There was no participant who had event (CR/PR) in Phase 2a EC higher dose cohort, hence data could not be collected and analyzed for this cohort.
| Months | Phase 2a Gastric Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Higher Dose Cohort: Amivantamab (1750/2100 mg) |
|---|---|---|---|
| Time to Response (TTR) as Per RECIST Version 1.1 | 1.45 (NA to NA) | 1.41 (1.41 to NA) | — |
PFS was defined as the time from the date of first dose of study drug until the date of objective disease progression or death (by any cause in the absence of progression), whichever comes first, based on investigator assessment using RECIST Version 1.1.
| Months | Phase 2a Gastric Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Higher Dose Cohort: Amivantamab (1750/2100 mg) |
|---|---|---|---|
| Progression Free Survival (PFS) as Per RECIST Version 1.1 | 1.45 (1.41 to 1.48) | 4.11 (2.10 to 4.17) | 2.99 (1.41 to NA) |
An adverse event (AE) was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. TEAEs was defined as AEs occurring at or after first dose of study drug up to 30 days after last dose or until the start of new anticancer therapy, whichever occurred first. TEAEs were graded according to NCI-CTCAE v5.0. Grade 1- Mild; Grade 2- Moderate; Grade 3- Severe or medically significant but not immediately life-threatening; Grade 4- Life-threatening consequences; Grade 5- Death related to AE. All TEAEs including serious and non-serious events are reported in this outcome measure.
| Participants | Phase 2a Gastric Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Higher Dose Cohort: Amivantamab (1750/2100 mg) |
|---|---|---|---|
| Grade 1 | 4 | 3 | 1 |
| Grade 2 | 14 | 17 | 1 |
| Grade 3 | 8 | 9 | 1 |
| Grade 4 | 0 | 0 | 0 |
| Grade 5 | 3 | 1 | 0 |
Cmax was defined as the maximum observed serum concentration of amivantamab. The concentrations of amivantamab were measured using a validated, specific, and sensitive enzyme-linked immunosorbent assay (ELISA) method. Data for this outcome measure was planned to be collected and analyzed for each cancer type (GC and EC) and overall participants (GC and EC combined cohorts: Amivantamab \[1050/1400 mg\]). As planned, data for Cmax was not collected and analyzed for Phase 2a EC higher dose cohort.
| Micrograms per milliliter (mcg/mL) | Phase 2a Gastric Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Higher Dose Cohort: Amivantamab (1750/2100 mg) | Overall: Phase 2a GC and EC Combined Cohorts: Amivantamab (1050/1400 mg) |
|---|---|---|---|---|
| Cycle 1 Day 1 | 356 ± 91.6 | 370 ± 78.2 | — | 363 ± 84.0 |
| Cycle 2 Day 1 | 820 ± 221 | 866 ± 196 | — | 845 ± 202 |
Tmax was defined as the time to reach maximum observed serum concentration of amivantamab. The concentrations of amivantamab were measured using a validated, specific, and sensitive ELISA method. Data for this outcome measure was planned to be collected and analyzed for each cancer type (GC and EC) and overall participants (GC and EC combined cohorts: Amivantamab \[1050/1400 mg\]). As planned, data for Tmax was not collected and analyzed for Phase 2a EC higher dose cohort.
| Hours (h) | Phase 2a Gastric Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Higher Dose Cohort: Amivantamab (1750/2100 mg) | Overall: Phase 2a GC and EC Combined Cohorts: Amivantamab (1050/1400 mg) |
|---|---|---|---|---|
| Cycle 1 Day 1 | 28.42 (27.02 to 31.00) | 29.65 (28.80 to 31.62) | — | 29.23 (27.02 to 31.62) |
| Cycle 2 Day 1 | 4.23 (2.42 to 24.63) | 2.53 (2.27 to 4.53) | — | 3.46 (2.27 to 24.63) |
AUC (0-168h) was defined as area under the serum concentration time-curve from time zero to the time point 168 hours. The concentrations of amivantamab were measured using a validated, specific, and sensitive ELISA method. Data for this outcome measure was planned to be collected and analyzed for each cancer type (GC and EC) and overall participants (GC and EC combined cohorts: Amivantamab \[1050/1400 mg\]). As planned, data for AUC (0-168h) was not collected and analyzed for Phase 2a EC higher dose cohort.
| micrograms*hours/milliliter (mcg*hr/mL) | Phase 2a Gastric Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Higher Dose Cohort: Amivantamab (1750/2100 mg) | Overall: Phase 2a GC and EC Combined Cohorts: Amivantamab (1050/1400 mg) |
|---|---|---|---|---|
| Area Under the Curve From Time (0) to Time (168h) (AUC [0-168h]) for Amivantamab | 30990 ± 8346 | 31548 ± 7854 | — | 31269 ± 7930 |
Area under the serum concentration curve from time 0 to end of dosing interval (AUCtau), where dosing interval was 336 hours was reported. The concentrations of amivantamab were measured using a validated, specific, and sensitive ELISA method. Data for this outcome measure was planned to be collected and analyzed for each cancer type (GC and EC) and overall participants (GC and EC combined cohorts: Amivantamab \[1050/1400 mg\]). As planned, data for AUCtau was not collected and analyzed for Phase 2a EC higher dose cohort.
| micrograms*hours/milliliter (mcg*hr/mL) | Phase 2a Gastric Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Higher Dose Cohort: Amivantamab (1750/2100 mg) | Overall: Phase 2a GC and EC Combined Cohorts: Amivantamab (1050/1400 mg) |
|---|---|---|---|---|
| Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau) for Amivantamab | 137806 ± 19006 | 162171 ± 45328 | — | 154049 ± 39369 |
Ctrough of amivantamab in GC and EC cohorts were reported. Ctrough was defined as pre-dose serum drug concentration. The concentrations of amivantamab were measured using a validated, specific, and sensitive ELISA method. Data for this outcome measure was planned to be collected and analyzed for each cancer type (GC and EC) and overall participants (GC and EC combined cohorts: Amivantamab \[1050/1400 mg\]).
| Micrograms per milliliter (mcg/mL) | Phase 2a Gastric Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Cohort: Amivantamab (1050/1400 mg) | Overall: Phase 2a GC and EC Combined Cohorts: Amivantamab (1050/1400 mg) |
|---|---|---|---|
| Pre-dose Cycle 1 Day 8 | 119 ± 34.9 | 136 ± 45.1 | 128 ± 40.5 |
| Pre-dose Cycle 1 Day 15 | 214 ± 73.7 | 222 ± 74.6 | 218 ± 73.5 |
| Pre-dose Cycle 2 Day 1 | 308 ± 99.5 | 342 ± 77.4 | 327 ± 88.5 |
| Pre-dose Cycle 2 Day 15 | 231 ± 85.6 | 259 ± 80.7 | 250 ± 82.0 |
| Pre-dose Cycle 3 Day 1 | 166 ± 86.6 | 234 ± 58.5 | 217 ± 70.3 |
| Pre-dose Cycle 3 Day 15 | 154 ± 83.3 | 210 ± 87.1 | 198 ± 87.1 |
| Pre-dose Cycle 4 Day 1 | 105 ± 73.2 | 236 ± 82.8 | 210 ± 95.4 |
| Pre-dose Cycle 4 Day 15 | 139.0 ± NA | 203 ± 54.1 | 198 ± 54.8 |
| Pre-dose Cycle 6 Day 1 | 122.3 ± NA | 190 ± 35.7 | 173 ± 44.7 |
| Pre-dose Cycle 8 Day 1 | 111.4 ± NA | 100.0 ± NA | NA ± NA |
Ctrough of amivantamab in phase 2a EC higher dose cohort was reported. Ctrough was defined as pre-dose serum drug concentration. The concentrations of amivantamab were measured using a validated, specific, and sensitive ELISA method.
| Micrograms per milliliter (mcg/mL) | Phase 2a Esophageal Cancer Higher Dose Cohort: Amivantamab (1750/2100 mg) |
|---|---|
| Pre-dose Cycle 1 Day 15: Participant 1 | 333 ± NA |
| Pre-dose Cycle 1 Day 15: Participant 2 | 337 ± NA |
| Pre-dose Cycle 2 Day 1: Participant 1 | 657 ± NA |
| Pre-dose Cycle 2 Day 1: Participant 2 | 779 ± NA |
| Pre-dose Cycle 2 Day 15: Participant 1 | 590 ± NA |
| Pre-dose Cycle 2 Day 15: Participant 2 | 604 ± NA |
| Pre-dose Cycle 3 Day 1: Participant 1 | 433 ± NA |
| Pre-dose Cycle 3 Day 1: Participant 2 | 600 ± NA |
| Pre-dose Cycle 3 Day 15: Participant 1 | 460 ± NA |
| Pre-dose Cycle 6 Day 1: Participant 1 | 295 ± NA |
| Pre-dose Cycle 8 Day 1: Participant 1 | 314 ± NA |
Terminal elimination half-life (t1/2) was the time measured for the serum concentration of a drug to decrease by half of its initial concentration. The concentrations of amivantamab were measured using a validated, specific, and sensitive ELISA method.
| Hours | Phase 2a Gastric Cancer Cohort: Amivantamab (1050/1400 mg) |
|---|---|
| Participant 1 | 226.0 ± NA |
| Participant 2 | 264.5 ± NA |
Terminal elimination half-life (t1/2) was the time measured for the serum concentration of a drug to decrease by half of its initial concentration. The concentrations of amivantamab were measured using a validated, specific, and sensitive ELISA method. Data for this outcome measure was planned to be collected and analyzed for EC cohort and overall participants (GC and EC combined cohorts: Amivantamab \[1050/1400 mg\]). As planned, data for t1/2 was not collected and analyzed for Phase 2a EC higher dose cohort.
| Hours | Phase 2a Esophageal Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Higher Dose Cohort: Amivantamab (1750/2100 mg) | Overall: Phase 2a GC and EC Combined Cohorts: Amivantamab (1050/1400 mg) |
|---|---|---|---|
| Phase 2a Esophageal Cancer and Overall Combined Cohorts: Terminal Elimination Half-Life (t1/2) for Amivantamab | 254.7 ± 43.0 | — | 252.6 ± 38.7 |
Clearance was a measure of the rate at which a drug was metabolized or eliminated by normal biological processes. The concentrations of amivantamab were measured using a validated, specific, and sensitive ELISA method. Data for this outcome measure was planned to be collected and analyzed for each cancer type (GC and EC) and overall participants (GC and EC combined cohorts: Amivantamab \[1050/1400 mg\]). As planned, data for CLss was not collected and analyzed for Phase 2a EC higher dose cohort.
| Liters/hour (L/h) | Phase 2a Gastric Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Higher Dose Cohort: Amivantamab (1750/2100 mg) | Overall: Phase 2a GC and EC Combined Cohorts: Amivantamab (1050/1400 mg) |
|---|---|---|---|---|
| Apparent Clearance at Steady State (CLss) of Amivantamab | 0.00775 ± 0.00122 | 0.00695 ± 0.00200 | — | 0.00722 ± 0.00176 |
Volume of distribution was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired serum concentration of a drug. The concentrations of amivantamab were measured using a validated, specific, and sensitive ELISA method. Data for this outcome measure was planned to be collected and analyzed for each cancer type (GC and EC) and overall participants (GC and EC combined cohorts: Amivantamab \[1050/1400 mg\]). As planned, data for Vss was not collected and analyzed for Phase 2a EC higher dose cohort.
| Liters | Phase 2a Gastric Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Higher Dose Cohort: Amivantamab (1750/2100 mg) | Overall: Phase 2a GC and EC Combined Cohorts: Amivantamab (1050/1400 mg) |
|---|---|---|---|---|
| Apparent Volume of Distribution at Steady State (Vss) of Amivantamab | 3.59 ± NA | 2.61 ± 1.04 | — | 2.75 ± 1.02 |
Accumulation ratio for AUC was calculated as AUC (0-336h) for Cycle 2 Day 1 divided by AUC (0-168h) for Cycle 1 Day 1. The concentrations of amivantamab were measured using a validated, specific, and sensitive ELISA method. Data for this outcome measure was planned to be collected and analyzed for each cancer type (GC and EC) and overall participants (GC and EC combined cohorts: Amivantamab \[1050/1400 mg\]). As planned, data for AR of AUCtau was not collected and analyzed for Phase 2a EC higher dose cohort.
| Ratio | Phase 2a Gastric Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Higher Dose Cohort: Amivantamab (1750/2100 mg) | Overall: Phase 2a GC and EC Combined Cohorts: Amivantamab (1050/1400 mg) |
|---|---|---|---|---|
| Accumulation Ratio (AR) of AUCtau for Amivantamab | 4.32 ± 0.51 | 5.12 ± 0.72 | — | 4.85 ± 0.74 |
Number of participants with anti-amivantamab antibodies were reported. Serum samples were assessed for anti-drug antibodies.
| Participants | Phase 2a Gastric Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Higher Dose Cohort: Amivantamab (1750/2100 mg) |
|---|---|---|---|
| Number of Participants With Anti-Amivantamab Antibodies | 0 | 0 | 0 |
Collected over All-cause mortality: From screening up to 30 days after last dose of study drug (up to 10 months); Serious AEs and Other AEs: From start of the treatment (Day 1) up to 30 days after last dose of study drug (up to 9 months). Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Phase 2a Gastric Cancer Cohort: Amivantamab (1050/1400 mg) | 5/29 (17.2%) | 9/29 (31%) | 28/29 (96.6%) |
| Phase 2a Esophageal Cancer Cohort: Amivantamab (1050/1400 mg) | 2/30 (6.7%) | 7/30 (23.3%) | 30/30 (100%) |
| Phase 2a Esophageal Cancer Higher Dose Cohort: Amivantamab (1750/2100 mg) | 0/3 (0%) | 0/3 (0%) | 3/3 (100%) |
| Event | Phase 2a Gastric Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Higher Dose Cohort: Amivantamab (1750/2100 mg) |
|---|---|---|---|
| Disease ProgressionGeneral disorders | 2/29 | 0/30 | 0/3 |
| EmbolismVascular disorders | 2/29 | 0/30 | 0/3 |
| Gastrointestinal PerforationGastrointestinal disorders | 1/29 | 0/30 | 0/3 |
| Bile Duct StenosisHepatobiliary disorders | 1/29 | 0/30 | 0/3 |
| Retroperitoneal AbscessInfections and infestations | 1/29 | 0/30 | 0/3 |
| Kidney RuptureInjury, poisoning and procedural complications | 1/29 | 0/30 | 0/3 |
| Decreased AppetiteMetabolism and nutrition disorders | 1/29 | 0/30 | 0/3 |
| PneumothoraxRespiratory, thoracic and mediastinal disorders | 1/29 | 0/30 | 0/3 |
| BradycardiaCardiac disorders | 0/29 | 1/30 | 0/3 |
| Adrenal InsufficiencyEndocrine disorders | 0/29 | 1/30 | 0/3 |
| Event | Phase 2a Gastric Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Higher Dose Cohort: Amivantamab (1750/2100 mg) |
|---|---|---|---|
| Covid-19Infections and infestations | 1/29 | 4/30 | 3/3 |
| HypoalbuminaemiaMetabolism and nutrition disorders | 12/29 | 10/30 | 2/3 |
| HaematuriaRenal and urinary disorders | 0/29 | 0/30 | 2/3 |
| Dermatitis AcneiformSkin and subcutaneous tissue disorders | 10/29 | 17/30 | 2/3 |
| Infusion Related ReactionInjury, poisoning and procedural complications | 12/29 | 13/30 | 1/3 |
| RashSkin and subcutaneous tissue disorders | 11/29 | 9/30 | 0/3 |
| KeratitisEye disorders | 0/29 | 0/30 | 1/3 |
| NauseaGastrointestinal disorders | 7/29 | 5/30 | 1/3 |
| MalaiseGeneral disorders | 5/29 | 5/30 | 1/3 |
| Oedema PeripheralGeneral disorders | 7/29 | 5/30 | 1/3 |
| Age, Categorical(Participants) | Phase 2a Gastric Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Higher Dose Cohort: Amivantamab (1750/2100 mg) | Total |
|---|---|---|---|---|
| <=18 years | 0 | 0 | 0 | 0 |
| Between 18 and 65 years | 13 | 18 | 2 | 33 |
| >=65 years | 16 | 12 | 1 | 29 |
| Age, Continuous(years) | Phase 2a Gastric Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Higher Dose Cohort: Amivantamab (1750/2100 mg) | Total |
|---|---|---|---|---|
| Mean | 64 ± 11.97 | 62.7 ± 10.35 | 60 ± 9 | 63.2 ± 10.97 |
| Sex: Female, Male(Participants) | Phase 2a Gastric Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Higher Dose Cohort: Amivantamab (1750/2100 mg) | Total |
|---|---|---|---|---|
| Female | 5 | 6 | 0 | 11 |
| Male | 24 | 24 | 3 | 51 |
| Ethnicity (NIH/OMB)(Participants) | Phase 2a Gastric Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Higher Dose Cohort: Amivantamab (1750/2100 mg) | Total |
|---|---|---|---|---|
| Hispanic or Latino | 0 | 0 | 0 | 0 |
| Not Hispanic or Latino | 29 | 30 | 3 | 62 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Phase 2a Gastric Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Higher Dose Cohort: Amivantamab (1750/2100 mg) | Total |
|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 |
| Asian | 29 | 30 | 3 | 62 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 |
| Black or African American | 0 | 0 | 0 | 0 |
| White | 0 | 0 | 0 | 0 |
| More than one race | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 |
| Region of Enrollment(Participants) | Phase 2a Gastric Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Cohort: Amivantamab (1050/1400 mg) | Phase 2a Esophageal Cancer Higher Dose Cohort: Amivantamab (1750/2100 mg) | Total |
|---|---|---|---|---|
| JAPAN | 29 | 30 | 3 | 62 |
Documents are hosted by the registry — open the source record to download them.
Plan to share: Yes — The data sharing policy of the Janssen Pharmaceutical Companies of Johnson \& Johnson is available at www.janssen.com/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu
Data sharing details ↗ · www.janssen.com
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Studies of the drug tested here: Amivantamab