CClinicalTrials.gg
TerminatedNCT05267470FORTITUDE-201Updated Mar 25, 2025Results posted

A Study of Bemarituzumab Monotherapy and Combination With Other Anti-cancer Therapy in SqNSCLC With FGFR2b Overexpression (FORTITUDE-201)

A Phase 1 interventional study of Bemarituzumab and Docetaxel in Squamous-Cell Non-Small-Cell Lung Cancer, sponsored by Amgen. Terminated at 39 sites in 8 countries. Open to participants aged 18 Years to 99 Years. Per ClinicalTrials.gov, last updated 2025-03-25.

Sponsored by Amgen · Phase 1, Interventional, and Treatment

Why this study was terminated
Business decision not due to safety concerns
Phase
Phase 1
Study type
Interventional
Enrollment
74
Allocation
Non-randomized
Ages
18 Years to 99 Years
Sex
All
01

Study summary

The primary objectives of this study are to evaluate the safety and tolerability of bemarituzumab monotherapy and combination with other anti-cancer therapies, and to determine the recommended phase 3 dose of bemarituzumab in combination with other anti-cancer therapies.

02

Conditions studied

  • Squamous-Cell Non-Small-Cell Lung Cancer

Keywords

  • Squamous-Cell Non-Small-Cell Lung Cancer
  • FGFR2b-positive Squamous-Cell Non-Small-Cell Lung Cancer
  • SqNSCLC
  • Bemarituzumab
  • Docetaxel
03

In context

Lung Neoplasms

7,243 studies on the registry are indexed under Lung Neoplasms; 1,557 are open to participants now.

This study's enrollment of 74 is above the median of 60 across 5,295 interventional studies indexed under Lung Neoplasms.

Browse Lung Neoplasms studies →

Lead sponsor

Amgen is the lead sponsor of 1,015 studies on the registry; 49 are open to participants now.

Of its 245 completed or terminated interventional studies of FDA-regulated products, 159 (65%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 99 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Participant has provided informed consent/assent prior to initiation of any study specific activities/procedures
  • Age ≥ 18 years old (or legal adult within country, whichever is older) at the time that the Informed Consent Form (ICF) is signed
  • Pathologically confirmed squamous cell lung carcinoma
  • Disease that is unresectable, locally advanced or metastatic (not amenable to curative therapy)
  • Participants must have archived tumor tissue sample (formalin fixed, paraffin embedded [FFPE] sample [FFPE of excisional, or core needle]) taken within last 5 years or be willing to undergo pre-treatment tumor biopsy (excisional, or core needle) for tissue prior to enrollment
  • Participant must have progressed on, or recurred after at least 1 prior systemic therapy (Part 1 and 2 only) or at least 2 prior systemic therapies (Part 3 only) for locally advanced and unresectable or metastatic disease. Prior treatment must include a platinum-based doublet chemotherapy and checkpoint inhibitor for advanced or metastatic disease, either given as one line of therapy or as individual lines of therapy, unless the participant has a medical contraindication to one of the required therapies (which must be documented in the electronic case report form [eCRF]). Additionally, if the participant's tumor was previously identified as having a driver mutation (according to local standard of care or guidelines, e.g., Kirsten rat sarcoma [KRAS] G12C, neurotrophic tyrosine receptor kinase [NTRK]), which has an approved therapy for which the participant is eligible and available, the participant must have received the approved therapy in a prior line of treatment.
  • For Part 4, participants may not have received prior systemic therapy for their locally advanced and unresectable or metastatic disease. For Part 4, participants who received peri-operative systemic therapy are eligible if that adjuvant/neoadjuvant therapy was completed at least 12 months prior to diagnosis of locally advanced and unresectable or metastatic disease.
  • Measurable disease per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1) criteria
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Adequate organ function as determined per protocol
  • Part 2, 3 and 4 only: FGFR2b overexpression as determined by centrally performed immunohistochemistry (IHC) testing

Exclusion criteria

Exclusion Criteria:

  • Mixed small-cell lung cancer or mixed non-small cell lung cancer (NSCLC) histology
  • Untreated or symptomatic central nervous system (CNS) metastases or leptomeningeal disease
  • Uncontrolled pleural effusion, pericardial effusion, or ascites requiring recurrent drainage procedures at a frequency greater than monthly
  • Impaired cardiac function or clinically significant cardiac disease including: unstable angina within 6 months prior to first dose of study treatment, acute myocardial infarction \< 6 months prior to first dose of study treatment, New York Heart Association (NYHA) class II-IV congestive heart failure, uncontrolled hypertension (defined as an average systolic blood pressure >160 mmHg or diastolic >100 mm Hg despite optimal treatment (measured following European Society for Hypertension/European Society of Cardiology [ESH/ESC] 2013 guidelines; Section 11.11), uncontrolled cardiac arrhythmias requiring anti-arrhythmic therapy other than beta blockers or digoxin, active coronary artery disease, Fridericia's correction formula (QTc) ≥ 470
  • Evidence of any ongoing ophthalmologic abnormalities or symptoms that are acute (within 4 weeks) or actively progressing
  • Recent (within 6 months) corneal surgery or ophthalmic laser treatment or recent (within 6 months) history of, or evidence of, corneal defects, corneal ulcerations, keratitis, or keratoconus, or other known abnormalities of the cornea that may pose an increased risk of developing a corneal ulcer
  • Part 1 and Part 2: participants that experienced toxicity or hypersensitivity requiring discontinuation of prior docetaxel treatment
  • Part 1 only: participants that had disease progression on prior therapy with docetaxel
  • Part 2 only: participants have received prior docetaxel in unresectable or metastatic setting (including participants who received prior docetaxel in first line for metastatic disease, but not including participants who received prior docetaxel neoadjuvantly or adjuvantly and did not progress within 6 months of end of therapy)
  • Prior treatment with any selective inhibitor of the fibroblast growth factor-fibroblast growth factor receptor (FGF-FGFR) pathway
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
74 participants (actual)

Study arms

  • Experimental
    Part 1: Combination Dose Exploration

    Participants with SqNSCLC will receive escalating doses of bemarituzumab in combination with docetaxel.

    Drug: Bemarituzumab · Drug: Docetaxel

  • Experimental
    Part 2: Combination Dose Expansion

    Participants with SqNSCLC and FGFR2b overexpression will receive the dose of bemarituzumab in combination with docetaxel identified as safe during Part 1.

    Drug: Bemarituzumab · Drug: Docetaxel

  • Experimental
    Part 3: Bemarituzumab Monotherapy

    Participants with SqNSCLC and FGFR2b overexpression will receive bemarituzumab monotherapy.

    Drug: Bemarituzumab

  • Experimental
    Part 4: Combination Immuno-chemotherapy

    Participants with FGFR2b overexpression will receive the dose of bemarituzumab identified as safe during Part 1 in combination with pembrolizumab, carboplatin and either paclitaxel or nab-paclitaxel.

    Drug: Bemarituzumab · Drug: Pembrolizumab · Drug: Carboplatin · Drug: Paclitaxel · Drug: Nab-paclitaxel

Interventions

  • DrugBemarituzumab

    Intravenous (IV) infusion

    Also known as: AMG 552

  • DrugDocetaxel

    IV infusion

  • DrugPembrolizumab

    IV infusion

  • DrugCarboplatin

    IV infusion

  • DrugPaclitaxel

    IV infusion

  • DrugNab-paclitaxel

    IV infusion

06

What researchers measure

Primary outcomes

  1. Number of Participants Who Experienced a Dose Limiting Toxicity (DLT): Parts 1 and 4

    DLTs were graded using the Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 and included the below if considered by the investigator to be related to study drug, excluding toxicities related to disease progression or intercurrent illness: Grade 3 thrombocytopenia for \> 7 days or with Grade \> 2 bleeding, vomiting/diarrhea for \> 3 days, fatigue; Grade ≥ 3 febrile neutropenia, nausea for \> 3 days; Grade 4 neutropenia, thrombocytopenia, anemia, ophthalmologic AE, laboratory value, vomiting/diarrhea; Grade 5 toxicity (death not due to disease progression). CTCAE Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = life-threatening, and Grade 5 results in death.

    Time frame: Day 1 to Day 21 of Cycle 1 (each cycle was 21 days)

  2. Number of Participants With Treatment-emergent Adverse Events (TEAEs)

    An AE was defined as any untoward medical occurrence in a clinical trial participants. TEAEs were any AE that started on or after receiving the first dose of investigational product and up to 28 days after the last dose of investigational product or the end of study date, whichever is earlier. Treatment-related TEAEs were those considered possibly related to study treatment by the investigator. Any clinically significant changes in electrocardiograms, vital signs, physical examination with a neurological assessment, clinical laboratory tests, and visual acuity were recorded as TEAEs. A serious TEAE resulted in death, was immediately life threatening, required or prolonged in-patient hospitalization, resulted in persistent or significant disability/incapacity, a congenital anomaly/birth defect, or another medically important serious event. AEs of special interest (AESIs) were ocular events of any CTCAE grade or seriousness occurring up to 100 days after the last dose of bemarituzumab.

    Time frame: Day 1 of cycle 1 to 100 days after the last dose of study treatment or end of study date, whichever occurred earlier (Parts 1, 2, and 4 cycle length = 21 days; Part 3 cycle length = 14 days). Median treatment duration was 6.2 weeks.

Secondary outcomes

  1. Area Under the Serum Drug Concentration-time Curve From Time 0 to End of Dosing Interval (AUCtau) of Bemarituzumab

    Bemarituzumab serum concentrations with values below the limit of quantification were set to zero for analysis. Pharmacokinetic (PK) parameters were determined from the time concentration profile using noncompartmental analysis.

    Time frame: Parts 1, 2, 3, and 4: Cycles 1 and 2 pre-dose, 0.25, 3, 6, 24, 72, 168, 336, 504 (except Part 3) hours post-dose

  2. Maximum Observed Serum Concentration (Cmax) of Bemarituzumab

    Bemarituzumab serum concentrations with values below the limit of quantification were set to zero for analysis. PK parameters were determined from the time concentration profile using noncompartmental analysis.

    Time frame: Parts 1, 2, 3, and 4: Cycles 1 and 2 pre-dose, 0.25, 3, 6, 24, 72, 168, 336, 504 (except Part 3) hours post-dose

  3. Observed Concentration at the End of a Dose Interval (Ctrough) of Bemarituzumab

    Bemarituzumab serum concentrations with values below the limit of quantification were set to zero for analysis. PK parameters were determined from the time concentration profile using noncompartmental analysis.

    Time frame: Pre-dose Cycle 2 Day 1 and Cycle 3 day 1

  4. Percentage of Participants Who Achieved an Objective Response (OR)

    OR was defined as the best overall response of confirmed complete response (CR) or confirmed partial response (PR) as defined by the Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1). CR: disappearance of all target and non-target lesions. Any pathological lymph nodes (whether target or non-target) must have had a reduction in short axis to \<10 mm. All lymph nodes must have been non-pathological in size (\< 10 mm). PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

    Time frame: Every 6 (+/- 1) weeks from the first dose of bemarituzumab (cycle 1 day 1) up to week 54, then every 12 (+/- 2 weeks), up to the end of the long term follow-up (LTFU) period (median time on study was approximately 21 weeks)

  5. Duration of Response (DOR)

    DOR was defined as the time from the first documentation of OR (determined by the investigator per RECIST v1.1) until first documentation of disease progression or death due to any cause, whichever occurred first. DOR was censored at the last evaluable post-baseline tumor assessment prior to subsequent anticancer therapy; otherwise, at date of first documentation of OR (i.e., assigned a one-day interval).

    Time frame: Every 6 (+/- 1) weeks from the first dose of bemarituzumab (cycle 1 day 1) up to week 54, then every 12 (+/- 2 weeks), up to the end of the LTFU period (median time on study was approximately 21 weeks)

  6. Disease Control Rate (DCR)

    DCR was defined as the percentage of participants documented to have a CR, PR or stable disease (SD) per RECIST v1.1. CR: disappearance of all target and non-target lesions. Any pathological lymph nodes (whether target or non-target) must have had a reduction in short axis to \<10 mm. All lymph nodes must have been non-pathological in size (\< 10 mm). PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD). PD: at least a 20% increase in the sum of diameters of target lesions. The sum must also demonstrate an increase of at least 5 mm. Unequivocal progression of existing non-target lesions.

    Time frame: Every 6 (+/- 1) weeks from the first dose of bemarituzumab (cycle 1 day 1) up to week 54, then every 12 (+/- 2 weeks), up to the end of the LTFU period (median time on study was approximately 21 weeks)

  7. Progression-free Survival (PFS)

    PFS was defined as the time from date of first dose of investigational product until the first documentation of radiologic disease progression or death due to any cause, whichever occurred first, in the absence of subsequent anticancer therapy. PFS was censored at the last evaluable post-baseline tumor assessment prior to subsequent anticancer therapy; otherwise, at first dose of investigational product. Progression was based on RECIST v1.1 criteria. PD: at least a 20% increase in the sum of diameters of target lesions. The sum must also demonstrate an increase of at least 5 mm. Unequivocal progression of existing non-target lesions.

    Time frame: Participants completed the LTFU for survival every 3 months ± 1 month after the safety follow-up visit (at 28 days after the last dose of bemarituzumab), up to the end of the study. Median time on study was approximately 21 weeks

  8. Overall Survival (OS)

    OS was defined as the time from the date of first dose of investigational product until event of death due to any cause through the analysis cutoff date. Participants still alive were censored at the date last known to be alive through the analysis cutoff date.

    Time frame: Participants completed the LTFU for survival every 3 months ± 1 month after the safety follow-up visit (at 28 days after the last dose of bemarituzumab), up to the end of the study. Median time on study was approximately 21 weeks

07

Results

Posted Mar 25, 2025

Participant flow

A total of 74 participants were enrolled across 8 countries from March 2022 and the last participant last visit was in May 2024.

Participant flow — Overall Study
MilestonePart 1: Bemarituzumab Dose 1 With DocetaxelPart 1: Bemarituzumab Dose 2 With DocetaxelPart 2: Bemarituzumab Dose 2 With DocetaxelPart 3: Bemarituzumab Dose 1Part 4: Bemarituzumab Dose 2 First-line Combination Therapy
Started4929284
Completed00000
Not completed4929284
Withdrew: Decision by sponsor031973
Withdrew: Withdrawal by subject11220
Withdrew: Death358181
Withdrew: Lost to follow-up00010

Outcome measures

PrimaryNumber of Participants Who Experienced a Dose Limiting Toxicity (DLT): Parts 1 and 4

DLTs were graded using the Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 and included the below if considered by the investigator to be related to study drug, excluding toxicities related to disease progression or intercurrent illness: Grade 3 thrombocytopenia for \> 7 days or with Grade \> 2 bleeding, vomiting/diarrhea for \> 3 days, fatigue; Grade ≥ 3 febrile neutropenia, nausea for \> 3 days; Grade 4 neutropenia, thrombocytopenia, anemia, ophthalmologic AE, laboratory value, vomiting/diarrhea; Grade 5 toxicity (death not due to disease progression). CTCAE Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = life-threatening, and Grade 5 results in death.

Time frame:
Day 1 to Day 21 of Cycle 1 (each cycle was 21 days)
Reported as:
Count of participants · Participants
Number of Participants Who Experienced a Dose Limiting Toxicity (DLT): Parts 1 and 4
ParticipantsPart 1: Bemarituzumab Dose 1 With DocetaxelPart 1: Bemarituzumab Dose 2 With DocetaxelPart 4: Bemarituzumab Dose 2 First-line Combination Therapy
Number of Participants Who Experienced a Dose Limiting Toxicity (DLT): Parts 1 and 4010
PrimaryNumber of Participants With Treatment-emergent Adverse Events (TEAEs)

An AE was defined as any untoward medical occurrence in a clinical trial participants. TEAEs were any AE that started on or after receiving the first dose of investigational product and up to 28 days after the last dose of investigational product or the end of study date, whichever is earlier. Treatment-related TEAEs were those considered possibly related to study treatment by the investigator. Any clinically significant changes in electrocardiograms, vital signs, physical examination with a neurological assessment, clinical laboratory tests, and visual acuity were recorded as TEAEs. A serious TEAE resulted in death, was immediately life threatening, required or prolonged in-patient hospitalization, resulted in persistent or significant disability/incapacity, a congenital anomaly/birth defect, or another medically important serious event. AEs of special interest (AESIs) were ocular events of any CTCAE grade or seriousness occurring up to 100 days after the last dose of bemarituzumab.

Time frame:
Day 1 of cycle 1 to 100 days after the last dose of study treatment or end of study date, whichever occurred earlier (Parts 1, 2, and 4 cycle length = 21 days; Part 3 cycle length = 14 days). Median treatment duration was 6.2 weeks.
Reported as:
Count of participants · Participants
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
ParticipantsPart 1: Bemarituzumab Dose 1 With DocetaxelPart 1: Bemarituzumab Dose 2 With DocetaxelPart 2: Bemarituzumab Dose 2 With DocetaxelPart 3: Bemarituzumab Dose 1Part 4: Bemarituzumab Dose 2 First-line Combination Therapy
Any TEAE4929254
Any SAE451684
Any treatment-related TEAE3921162
Any treatment-related SAE00202
Any AESI261792
SecondaryArea Under the Serum Drug Concentration-time Curve From Time 0 to End of Dosing Interval (AUCtau) of Bemarituzumab

Bemarituzumab serum concentrations with values below the limit of quantification were set to zero for analysis. Pharmacokinetic (PK) parameters were determined from the time concentration profile using noncompartmental analysis.

Time frame:
Parts 1, 2, 3, and 4: Cycles 1 and 2 pre-dose, 0.25, 3, 6, 24, 72, 168, 336, 504 (except Part 3) hours post-dose
Reported as:
Median · day*mcg/mL
Area Under the Serum Drug Concentration-time Curve From Time 0 to End of Dosing Interval (AUCtau) of Bemarituzumab
day*mcg/mLPart 1: Bemarituzumab Dose 1 With DocetaxelPart 1: Bemarituzumab Dose 2 With DocetaxelPart 2: Bemarituzumab Dose 2 With DocetaxelPart 3: Bemarituzumab Dose 1Part 4: Bemarituzumab Dose 2 First-line Combination Therapy
Cycle 13370 (2400 to 4880)5300 (3830 to 6870)3920 (2290 to 6470)2800 (1360 to 4820)3020 (2000 to 3270)
Cycle 22610 (2160 to 4810)4850 (1190 to 7290)4000 (1200 to 10300)3580 (1880 to 5970)2340 (1470 to 3200)
SecondaryMaximum Observed Serum Concentration (Cmax) of Bemarituzumab

Bemarituzumab serum concentrations with values below the limit of quantification were set to zero for analysis. PK parameters were determined from the time concentration profile using noncompartmental analysis.

Time frame:
Parts 1, 2, 3, and 4: Cycles 1 and 2 pre-dose, 0.25, 3, 6, 24, 72, 168, 336, 504 (except Part 3) hours post-dose
Reported as:
Median · mcg/mL
Maximum Observed Serum Concentration (Cmax) of Bemarituzumab
mcg/mLPart 1: Bemarituzumab Dose 1 With DocetaxelPart 1: Bemarituzumab Dose 2 With DocetaxelPart 2: Bemarituzumab Dose 2 With DocetaxelPart 3: Bemarituzumab Dose 1Part 4: Bemarituzumab Dose 2 First-line Combination Therapy
Cycle 1599 (457 to 751)746 (627 to 896)646 (338 to 956)398 (238 to 1430)561 (463 to 564)
Cycle 2379 (358 to 599)715 (595 to 910)601 (314 to 845)532 (314 to 811)322 (235 to 409)
SecondaryObserved Concentration at the End of a Dose Interval (Ctrough) of Bemarituzumab

Bemarituzumab serum concentrations with values below the limit of quantification were set to zero for analysis. PK parameters were determined from the time concentration profile using noncompartmental analysis.

Time frame:
Pre-dose Cycle 2 Day 1 and Cycle 3 day 1
Reported as:
Median · mcg/mL
Observed Concentration at the End of a Dose Interval (Ctrough) of Bemarituzumab
mcg/mLPart 1: Bemarituzumab Dose 1 With DocetaxelPart 1: Bemarituzumab Dose 2 With DocetaxelPart 2: Bemarituzumab Dose 2 With DocetaxelPart 3: Bemarituzumab Dose 1Part 4: Bemarituzumab Dose 2 First-line Combination Therapy
Pre-dose Cycle 2 Day 151.5 (25.8 to 96.6)93.7 (40.2 to 175)88.9 (50.5 to 154)147 (10.1 to 554)29.9 (25.3 to 32.5)
Pre-dose Cycle 3 Day 179.1 (33.9 to 112)149 (45.0 to 201)111 (30.6 to 169)140 (29.3 to 271)69.2 (69.2 to 69.2)
SecondaryPercentage of Participants Who Achieved an Objective Response (OR)

OR was defined as the best overall response of confirmed complete response (CR) or confirmed partial response (PR) as defined by the Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1). CR: disappearance of all target and non-target lesions. Any pathological lymph nodes (whether target or non-target) must have had a reduction in short axis to \<10 mm. All lymph nodes must have been non-pathological in size (\< 10 mm). PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

Time frame:
Every 6 (+/- 1) weeks from the first dose of bemarituzumab (cycle 1 day 1) up to week 54, then every 12 (+/- 2 weeks), up to the end of the long term follow-up (LTFU) period (median time on study was approximately 21 weeks)
Reported as:
Number · percentage of participants
Percentage of Participants Who Achieved an Objective Response (OR)
percentage of participantsPart 1: Bemarituzumab Dose 1 With DocetaxelPart 1: Bemarituzumab Dose 2 With DocetaxelPart 2: Bemarituzumab Dose 2 With DocetaxelPart 3: Bemarituzumab Dose 1Part 4: Bemarituzumab Dose 2 First-line Combination Therapy
Percentage of Participants Who Achieved an Objective Response (OR)0.0 (0.0 to 60.2)22.2 (2.8 to 60.0)10.3 (2.2 to 27.4)0.0 (0.0 to 12.3)25.0 (0.6 to 80.6)
SecondaryDuration of Response (DOR)

DOR was defined as the time from the first documentation of OR (determined by the investigator per RECIST v1.1) until first documentation of disease progression or death due to any cause, whichever occurred first. DOR was censored at the last evaluable post-baseline tumor assessment prior to subsequent anticancer therapy; otherwise, at date of first documentation of OR (i.e., assigned a one-day interval).

Time frame:
Every 6 (+/- 1) weeks from the first dose of bemarituzumab (cycle 1 day 1) up to week 54, then every 12 (+/- 2 weeks), up to the end of the LTFU period (median time on study was approximately 21 weeks)
Reported as:
Median · months
Duration of Response (DOR)
monthsPart 1: Bemarituzumab Dose 1 With DocetaxelPart 1: Bemarituzumab Dose 2 With DocetaxelPart 2: Bemarituzumab Dose 2 With DocetaxelPart 3: Bemarituzumab Dose 1Part 4: Bemarituzumab Dose 2 First-line Combination Therapy
Duration of Response (DOR)—5.5 (2.8 to NA)2.8 (2.8 to NA)—4.5 (NA to NA)
SecondaryDisease Control Rate (DCR)

DCR was defined as the percentage of participants documented to have a CR, PR or stable disease (SD) per RECIST v1.1. CR: disappearance of all target and non-target lesions. Any pathological lymph nodes (whether target or non-target) must have had a reduction in short axis to \<10 mm. All lymph nodes must have been non-pathological in size (\< 10 mm). PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD). PD: at least a 20% increase in the sum of diameters of target lesions. The sum must also demonstrate an increase of at least 5 mm. Unequivocal progression of existing non-target lesions.

Time frame:
Every 6 (+/- 1) weeks from the first dose of bemarituzumab (cycle 1 day 1) up to week 54, then every 12 (+/- 2 weeks), up to the end of the LTFU period (median time on study was approximately 21 weeks)
Reported as:
Number · percentage of participants
Disease Control Rate (DCR)
percentage of participantsPart 1: Bemarituzumab Dose 1 With DocetaxelPart 1: Bemarituzumab Dose 2 With DocetaxelPart 2: Bemarituzumab Dose 2 With DocetaxelPart 3: Bemarituzumab Dose 1Part 4: Bemarituzumab Dose 2 First-line Combination Therapy
Disease Control Rate (DCR)75.0 (19.4 to 99.4)66.7 (29.9 to 92.5)65.5 (45.7 to 82.1)53.6 (33.9 to 72.5)75.0 (19.4 to 99.4)
SecondaryProgression-free Survival (PFS)

PFS was defined as the time from date of first dose of investigational product until the first documentation of radiologic disease progression or death due to any cause, whichever occurred first, in the absence of subsequent anticancer therapy. PFS was censored at the last evaluable post-baseline tumor assessment prior to subsequent anticancer therapy; otherwise, at first dose of investigational product. Progression was based on RECIST v1.1 criteria. PD: at least a 20% increase in the sum of diameters of target lesions. The sum must also demonstrate an increase of at least 5 mm. Unequivocal progression of existing non-target lesions.

Time frame:
Participants completed the LTFU for survival every 3 months ± 1 month after the safety follow-up visit (at 28 days after the last dose of bemarituzumab), up to the end of the study. Median time on study was approximately 21 weeks
Reported as:
Median · months
Progression-free Survival (PFS)
monthsPart 1: Bemarituzumab Dose 1 With DocetaxelPart 1: Bemarituzumab Dose 2 With DocetaxelPart 2: Bemarituzumab Dose 2 With DocetaxelPart 3: Bemarituzumab Dose 1Part 4: Bemarituzumab Dose 2 First-line Combination Therapy
Progression-free Survival (PFS)4.2 (1.2 to NA)4.2 (1.4 to 10.8)4.0 (1.4 to 4.4)1.8 (1.3 to 2.6)5.6 (1.3 to NA)
SecondaryOverall Survival (OS)

OS was defined as the time from the date of first dose of investigational product until event of death due to any cause through the analysis cutoff date. Participants still alive were censored at the date last known to be alive through the analysis cutoff date.

Time frame:
Participants completed the LTFU for survival every 3 months ± 1 month after the safety follow-up visit (at 28 days after the last dose of bemarituzumab), up to the end of the study. Median time on study was approximately 21 weeks
Reported as:
Median · months
Overall Survival (OS)
monthsPart 1: Bemarituzumab Dose 1 With DocetaxelPart 1: Bemarituzumab Dose 2 With DocetaxelPart 2: Bemarituzumab Dose 2 With DocetaxelPart 3: Bemarituzumab Dose 1Part 4: Bemarituzumab Dose 2 First-line Combination Therapy
Overall Survival (OS)6.0 (5.6 to NA)12.8 (3.3 to NA)NA (9.1 to NA)5.4 (2.8 to 8.0)NA (3.5 to NA)

Adverse events

Collected over For all cause mortality, from first dose of bemarituzumab until end of study; median (min, max) time on study was 20.79 [1.9, 83.7] weeks. For serious AEs and other AEs, Day 1 of cycle 1 to 100 days after the last dose of study treatment or end of study date, whichever occurred earlier (Parts 1, 2, and 4 cycle length = 21 days; Part 3 cycle length = 14 days). Median treatment duration was 6.2 weeks.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Part 1: Bemarituzumab Dose 1 With Docetaxel3/4 (75%)4/4 (100%)4/4 (100%)
Part 1: Bemarituzumab Dose 2 With Docetaxel5/9 (55.6%)5/9 (55.6%)9/9 (100%)
Part 2: Bemarituzumab Dose 2 With Docetaxel8/29 (27.6%)16/29 (55.2%)26/29 (89.7%)
Part 3: Bemarituzumab Dose 118/28 (64.3%)8/28 (28.6%)23/28 (82.1%)
Part 4: Bemarituzumab Dose 2 First-line Combination Therapy1/4 (25%)4/4 (100%)4/4 (100%)
Most frequent serious events
Showing 10 of 37
Most frequent serious events
EventPart 1: Bemarituzumab Dose 1 With DocetaxelPart 1: Bemarituzumab Dose 2 With DocetaxelPart 2: Bemarituzumab Dose 2 With DocetaxelPart 3: Bemarituzumab Dose 1Part 4: Bemarituzumab Dose 2 First-line Combination Therapy
Febrile neutropeniaBlood and lymphatic system disorders1/41/94/290/280/4
Cardiac tamponadeCardiac disorders1/40/90/291/280/4
Pericarditis malignantCardiac disorders1/40/90/290/280/4
Inappropriate antidiuretic hormone secretionEndocrine disorders0/40/90/290/281/4
Corneal epithelium defectEye disorders0/40/90/290/281/4
AstheniaGeneral disorders0/40/90/290/281/4
General physical health deteriorationGeneral disorders1/40/90/290/280/4
CholecystitisHepatobiliary disorders1/40/90/290/280/4
COVID-19Infections and infestations1/40/91/290/280/4
SepsisInfections and infestations1/40/90/290/280/4
Most frequent other events
Showing 10 of 100
Most frequent other events
EventPart 1: Bemarituzumab Dose 1 With DocetaxelPart 1: Bemarituzumab Dose 2 With DocetaxelPart 2: Bemarituzumab Dose 2 With DocetaxelPart 3: Bemarituzumab Dose 1Part 4: Bemarituzumab Dose 2 First-line Combination Therapy
Visual acuity reducedEye disorders3/46/915/299/282/4
AnaemiaBlood and lymphatic system disorders2/41/96/291/280/4
NeutropeniaBlood and lymphatic system disorders2/41/95/290/281/4
DiarrhoeaGastrointestinal disorders2/42/98/290/280/4
DysgeusiaNervous system disorders2/40/91/291/281/4
KeratopathyEye disorders1/42/910/294/280/4
AstheniaGeneral disorders1/41/910/292/281/4
Corneal disorderEye disorders1/43/92/292/281/4
CoughRespiratory, thoracic and mediastinal disorders0/43/93/293/281/4
Decreased appetiteMetabolism and nutrition disorders1/42/98/294/280/4

Baseline characteristics

Age, Continuous
Age, Continuous(years)Part 1: Bemarituzumab Dose 1 With DocetaxelPart 1: Bemarituzumab Dose 2 With DocetaxelPart 2: Bemarituzumab Dose 2 With DocetaxelPart 3: Bemarituzumab Dose 1Part 4: Bemarituzumab Dose 2 First-line Combination TherapyTotal
Mean64.0 ± 4.565.9 ± 8.565.3 ± 6.263.0 ± 8.263.0 ± 7.964.3 ± 7.2
Sex: Female, Male
Sex: Female, Male(Participants)Part 1: Bemarituzumab Dose 1 With DocetaxelPart 1: Bemarituzumab Dose 2 With DocetaxelPart 2: Bemarituzumab Dose 2 With DocetaxelPart 3: Bemarituzumab Dose 1Part 4: Bemarituzumab Dose 2 First-line Combination TherapyTotal
Female0228012
Male472720462
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Part 1: Bemarituzumab Dose 1 With DocetaxelPart 1: Bemarituzumab Dose 2 With DocetaxelPart 2: Bemarituzumab Dose 2 With DocetaxelPart 3: Bemarituzumab Dose 1Part 4: Bemarituzumab Dose 2 First-line Combination TherapyTotal
Hispanic or Latino002002
Not Hispanic or Latino492727471
Unknown or Not Reported000101
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Part 1: Bemarituzumab Dose 1 With DocetaxelPart 1: Bemarituzumab Dose 2 With DocetaxelPart 2: Bemarituzumab Dose 2 With DocetaxelPart 3: Bemarituzumab Dose 1Part 4: Bemarituzumab Dose 2 First-line Combination TherapyTotal
Asian241212333
Black or African American001001
White241411132
Other001001
Missing011507
08

Study locations

39 sites
  • University of California Irvine
    Orange, California 92868, United States
  • Morristown Medical Center
    Morristown, New Jersey 07960, United States
  • Montefiore Einstein Center for Cancer Care
    Bronx, New York 10461, United States
  • University of Pittsburgh, Cancer Institute
    Pittsburgh, Pennsylvania 15211, United States
  • Cliniques Universitaires Saint Luc
    Bruxelles, 1200, Belgium
  • Universitair Ziekenhuis Antwerpen
    Edegem, 2650, Belgium
  • Universitair Ziekenhuis Gent
    Gent, 9000, Belgium
  • Jessa Ziekenhuis - Campus Virga Jesse
    Hasselt, 3500, Belgium
  • Institut Bergonie
    Bordeaux, 33076, France
  • CHU de Lyon - Hopital Louis Pradel
    Bron Cedex, 69677, France
  • Hôpital Tenon
    Paris Cedex 20, 75020, France
  • Centre Hospitalier Universitaire de Poitiers - Hopital la Miletrie
    Poitiers, 86021, France
  • Centre Hospitalier Universitaire de Rennes - Hopital Pontchaillou
    Rennes, 35033, France
  • Institut Gustave Roussy
    Villejuif, 94805, France
  • National Cancer Center Hospital East
    Kashiwa-shi, Chiba 277-8577, Japan
  • Shizuoka Cancer Center
    Sunto-gun, Shizuoka 411-8777, Japan
  • Wakayama Medical University Hospital
    Wakayama-shi, Wakayama 641-8510, Japan
  • Seoul National University Bundang Hospital
    Seongnam-si, Gyeonggi-do, 13620, Korea, Republic of
  • Severance Hospital Yonsei University Health System
    Seoul, 03722, Korea, Republic of
  • Asan Medical Center
    Seoul, 05505, Korea, Republic of
  • Przychodnia Lekarska Komed Roman Karaszewski
    Konin, 62-500, Poland
  • Pratia Mcm Krakow
    Krakow, 30-727, Poland
  • Krakowskie Centrum Medyczne Sp zoo
    Krakow, 31-501, Poland
  • Instytut Centrum Zdrowia Matki Polki
    Lodz, 93-338, Poland
  • Instytut Genetyki i Immunologii GENIM Spzoo
    Lublin, 20-609, Poland
  • Centrum Medyczne Hope Clinic Sebastian Szklener
    Lublin, 20-701, Poland
  • Mazowieckie centrum leczenia
    Otwock, 05-400, Poland
  • Hospital Regional Universitario de Malaga
    Malaga, Andalucía 29011, Spain
  • Hospital Universitario Virgen del Rocio
    Sevilla, Andalucía 41013, Spain
  • Hospital Universitari Vall d Hebron
    Barcelona, Cataluña 08035, Spain
  • Hospital Clinic i Provincial de Barcelona
    Barcelona, Cataluña 08036, Spain
  • Institut Catala d Oncologia Hospitalet. Hospital Duran i Reynals
    Hospitalet de Llobregat, Cataluña 08908, Spain
  • Complexo Hospitalario Universitario A Coruña Hospital Teresa Herrera
    A Coruña, Galicia 15006, Spain
  • Hospital Universitario Puerta de Hierro Majadahonda
    Majadahonda, Madrid 28222, Spain
  • Hospital Universitario Ramon y Cajal
    Madrid, 28034, Spain
  • Hospital Universitario 12 de Octubre
    Madrid, 28041, Spain
  • National Cheng Kung University Hospital
    Tainan, 70403, Taiwan
  • Taipei Veterans General Hospital
    Taipei, 11217, Taiwan
  • Linkou Chang Gung Memorial Hospital of Chang Gung Medical Foundation
    Taoyuan, 33305, Taiwan
09

References and documents

Study documents

  • Study protocol · Apr 27, 2023
  • Statistical analysis plan · Jun 25, 2024

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request.

Supporting information: Study protocol, Sap, Icf, Csr

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 25, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05267470
Lead sponsor
Amgen
Responsible party
Sponsor
First posted
Mar 4, 2022
Start date
Mar 29, 2022
Primary completion
May 28, 2024
Completion
May 28, 2024
Results posted
Mar 25, 2025
Last update
Mar 25, 2025

Study contacts

MD
study director · Amgen

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Feb 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion