CClinicalTrials.gg
RecruitingNCT07094113Updated Jul 30, 2026

AMG 410 Alone and in Combination With Other Agents in Participants With KRAS Altered Advanced or Metastatic Solid Tumors

A Phase 1 interventional study of AMG 410 and Pembrolizumab in KRAS Altered Advanced or Metastatic Solid Tumors, sponsored by Amgen. Recruiting at 39 sites in 14 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-30.

Sponsored by Amgen · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2025; still recruiting 1 year 2 months later.
Phase
Phase 1
Study type
Interventional
Enrollment
434
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this first-in-human study is to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and preliminary efficacy of AMG 410 when administered alone or in combination with other agents in participants with advanced or metastatic solid tumors harboring KRAS alterations.

This is a dose-escalation study in which participants will be assigned to multiple dose levels (DLs) of AMG 410, either as monotherapy or in combination with other agents, followed by expansion cohorts. The goal is to determine the Maximum Tolerated Dose (MTD)-the highest dose with acceptable safety and manageable side effects-or the Recommended Phase 2 Dose (RP2D) of AMG 410 in adult participants with KRAS-altered advanced or metastatic solid tumors.

Read the detailed description

This is a multicenter, multinational, open-label Phase 1/1b study designed to evaluate the safety, tolerability, PK, PD, and preliminary antitumor activity of AMG 410 in adult participants with advanced or metastatic solid tumors characterized by KRAS alterations.

The study will begin with a dose-escalation phase, during which AMG 410 will be administered orally, either as monotherapy or in combination with other agents. Dose escalation will follow a model-based approach to identify the MTD or RP2D.

Following dose escalation, additional expansion cohorts may be enrolled at selected dose levels to further characterize the safety profile, PK/PD relationships, and preliminary efficacy in specific tumor types or molecular subgroups.

Participants will continue treatment until disease progression, unacceptable toxicity, withdrawal of consent, or other protocol-defined discontinuation criteria. The maximum duration of AMG 410 administration in this study is 3 years.

02

Conditions studied

  • KRAS Altered Advanced or Metastatic Solid Tumors

Keywords

  • Non-small cell lung cancer
  • NSCLC
  • Colorectal cancer
  • CRC
  • Pancreatic ductal adenocarcinoma
  • PDAC
  • AMG 410
03

In context

Carcinoma, Non-Small-Cell Lung

6,488 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,632 are open to participants now.

This study's planned enrollment of 434 is above the median of 62 across 5,213 interventional studies indexed under Carcinoma, Non-Small-Cell Lung.

Browse Carcinoma, Non-Small-Cell Lung 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 and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Age ≥ 18 years (or > legal age within the country if it is older than 18 years).
  2. Pathologically documented, locally-advanced or metastatic malignancy with any missense mutation in the KRAS gene or evidence of KRAS amplification using an analytically validated KRASWT amplification assay.
  3. Participants must have no standard of care treatment options or have actively refused such therapy.
  4. Able to swallow and retain per oral administered study treatment.
  5. Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1.
  6. Disease measurable as defined by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1), as determined by the site investigator.
  7. Adequate organ function.
  8. Archival (formalin-fixed, paraffin-embedded [FFPE]) tumor tissue or block collected within 5 years before screening must be available. Participants without archived tumor tissue may undergo tumor biopsy before AMG 410 dosing (Day1).

Exclusion criteria

Exclusion Criteria:

  1. Untreated symptomatic central nervous system or leptomeningeal metastases.
  2. Uncontrolled pleural effusion and/or ascites.
  3. History of other malignancy within the past 5 years.
  4. Active systemic infection or symptoms that indicate an acute and/or uncontrolled infection requiring IV antibiotics within 7days prior to the first dose of study treatment.
  5. History of arterial or venous thrombosis (eg, stroke, transient ischemic attack, pulmonary embolism, or deep vein thrombosis).
  6. Live and live-attenuated vaccines are prohibited within 28 days prior to the first dose of study treatment.
  7. History of solid organ transplant.
  8. Anti-tumor therapy (chemotherapy, antibody therapy, molecular targeted therapy, hormonal therapy, or investigational agent) within 28 days of first dose of study treatment.
  9. Presence or history of any of the following viral infections: HIV, Hepatitis C, Hepatitis B, and active severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).
  10. Toxicities from prior anti-tumor therapy (including radiotherapy) not having improved to at least Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 grade 1.
  11. Therapeutic or palliative radiation therapy within 2 weeks of first dose of study treatment.
  12. Major surgery within 28 days of first dose of study treatment.
  13. History or evidence of any other clinically significant disorder, condition, or disease that, in the opinion of the investigator, would pose a risk to participant safety.
05

Study design

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

Study arms

  • Experimental
    Part 1: Monotherapy Dose Exploration

    Participants will receive escalating doses of AMG 410.

    Drug: AMG 410

  • Experimental
    Part 1: Food Effect Substudy Cohort

    A food effect substudy will be conducted. During the substudy, participants will receive AMG 410 under fasted and fed conditions.

    Drug: AMG 410

  • Experimental
    Part 1: China-specific Cohort

    Participants identified through regionally approved molecular KRAS testing will receive AMG 410.

    Drug: AMG 410

  • Experimental
    Part 2: Monotherapy Dose Expansion

    Monotherapy dose expansion of AMG 410 may proceed in KRAS altered tumors in non-small cell lung cancer (NSCLC), colorectal cancer (CRC), pancreatic ductal adenocarcinoma (PDAC), and other KRAS altered tumor types.

    Drug: AMG 410

  • Experimental
    Part 3a: Combination Therapy Dose Exploration and Dose Expansion

    Part 3a allows for AMG 410 dose exploration and expansion in combination with pembrolizumab in KRAS altered advanced or metastatic solid tumors.

    Drug: AMG 410 · Drug: Pembrolizumab

  • Experimental
    Part 3b: Combination Therapy Dose Exploration and Dose Expansion

    Part 3b allows for AMG 410 dose exploration and expansion in combination with panitumumab in advanced or metastatic CRC and/or PDAC.

    Drug: AMG 410 · Drug: Panitumumab

Interventions

  • DrugAMG 410

    Administered as an oral tablet.

  • DrugPembrolizumab

    Administered as an intravenous (IV) infusion.

  • DrugPanitumumab

    Administered as an IV infusion.

06

What researchers measure

Primary outcomes

  1. Number of Participants with Dose Limiting Toxicities (DLTs)

    Time frame: Up to 28 days

  2. Number of Participants with Treatment Emergent Adverse Events (TEAEs)

    Clinically significant changes in safety assessments (vital signs, electrocardiograms \[ECGs\], and clinical laboratory tests) are to be reported as adverse events.

    Time frame: Up to approximately 3 years

  3. Number of Participants with Serious Adverse Events (SAEs)

    Clinically significant changes in safety assessments (vital signs, ECGs, and clinical laboratory tests) are to be reported as adverse events.

    Time frame: Up to approximately 3 years

Secondary outcomes

  1. Maximum Concentration (Cmax) of AMG 410

    Time frame: Up to 85 days

  2. Time to Reach Cmax (Tmax) of AMG 410

    Time frame: Up to 85 days

  3. Area Under the Concentration-time Curve (AUC) Over the Dosing Interval of AMG 410

    Time frame: Up to 85 days

  4. Confirmed Objective Response (OR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1

    Time frame: Up to approximately 3 years

  5. Clinical Benefit per RECIST v1.1

    Time frame: Up to approximately 3 years

  6. Duration of Response (DoR) per RECIST v1.1

    Time frame: Up to approximately 3 years

  7. Time to Response (TTR) per RECIST v1.1

    Time frame: Up to approximately 3 years

  8. Progression-free Survival (PFS) per RECIST v1.1

    Time frame: Up to approximately 3 years

  9. Overall Survival (OS)

    Time frame: Up to approximately 3 years

  10. Food Effect Substudy Cohort: Cmax of AMG 410 in the Fed and/or Fasted State

    Time frame: Up to 24 days

  11. Food Effect Substudy Cohort: Tmax of AMG 410 in the Fed and/or Fasted State

    Time frame: Up to 24 days

  12. Food Effect Substudy Cohort: AUC Over the Dosing Interval of AMG 410 in the Fed and/or Fasted State

    Time frame: Up to 24 days

  13. Change From Baseline in Tumor Phosphorylated Extracellular Signal Regulated Kinase (pERK)

    Time frame: Baseline up to approximately 3 years

07

Study locations

39 of 39 sites recruiting
  • City of Hope National Medical Center
    Duarte, California 91010, United States
    Recruiting
  • University of California Los Angeles
    Los Angeles, California 90095, United States
    Recruiting
  • Emory University
    Atlanta, Georgia 30322, United States
    Recruiting
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
    Recruiting
  • Siteman Cancer Center - Washington University
    St Louis, Missouri 63110, United States
    Recruiting
  • Duke Cancer Center
    Durham, North Carolina 27710, United States
    Recruiting
  • Thomas Jefferson University
    Philadelphia, Pennsylvania 19107, United States
    Recruiting
  • Sarah Cannon Research Institute Oncology Partners
    Nashville, Tennessee 37203, United States
    Recruiting
  • Next Oncology
    San Antonio, Texas 78229, United States
    Recruiting
  • Next Virginia
    Fairfax, Virginia 22031, United States
    Recruiting
  • Chris OBrien Lifehouse
    Camperdown, New South Wales 2050, Australia
    Recruiting
  • The Queen Elizabeth Hospital
    Woodville South, South Australia 5011, Australia
    Recruiting
  • Peter MacCallum Cancer Centre
    Melbourne, Victoria 3000, Australia
    Recruiting
  • Universitair Ziekenhuis Antwerpen
    Edegem, 2650, Belgium
    Recruiting
  • Universitair Ziekenhuis Gent
    Ghent, 9000, Belgium
    Recruiting
  • Cross Cancer Institute
    Edmonton, Alberta T6G 1Z2, Canada
    Recruiting
  • Princess Margaret Cancer Centre
    Toronto, Ontario M5G 1Z5, Canada
    Recruiting
  • Sir Mortimer B Davis - Jewish General Hospital
    Montreal, Quebec H3T 1E2, Canada
    Recruiting
  • Beijing Cancer Hospital
    Beijing, Beijing Municipality 100142, China
    Recruiting
  • Chongqing University Cancer Hospital
    Chongqing, Chongqing Municipality 400044, China
    Recruiting
  • Jinan Central Hospital
    Jinan, Shandong 250013, China
    Recruiting
  • Rigshospitalet
    Copenhagen, 2100, Denmark
    Recruiting
  • Centre Leon Berard
    Lyon, 69008, France
    Recruiting
  • Gustave Roussy
    Villejuif, 94805, France
    Recruiting
  • Universitaetsklinikum Essen
    Essen, 45147, Germany
    Recruiting
  • Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda
    Milan, 20162, Italy
    Recruiting
  • Azienda Ospedaliero Universitaria Pisana
    Pisa, 56126, Italy
    Recruiting
  • Centro Ricerche Cliniche Di Verona Societa responsabilita limitata
    Verona, 37134, Italy
    Recruiting
  • Aichi Cancer Center
    Nagoya, Aichi-ken 464-8681, Japan
    Recruiting
  • National Cancer Center Hospital East
    Kashiwa-shi, Chiba 277-8577, Japan
    Recruiting
  • National Cancer Center Hospital
    Chuo-ku, Tokyo 104-0045, Japan
    Recruiting
  • Universitair Medisch Centrum Utrecht
    Utrecht, 3584 CX, Netherlands
    Recruiting
  • Seoul National University Hospital
    Seoul, 03080, South Korea
    Recruiting
  • Asan Medical Center
    Seoul, 05505, South Korea
    Recruiting
  • Hospital Universitari Vall d Hebron
    Barcelona, Catalonia 08023, Spain
    Recruiting
  • Fundacion Jimenez Diaz
    Madrid, 28040, Spain
    Recruiting
  • Hospital Universitario 12 de Octubre
    Madrid, 28041, Spain
    Recruiting
  • Sarah Cannon Research Institute UK
    London, W1G 6AD, United Kingdom
    Recruiting
  • Royal Marsden Hospital
    Sutton, SM2 5PT, United Kingdom
    Recruiting
08

References and documents

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

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 30, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07094113
Lead sponsor
Amgen
Responsible party
Sponsor
First posted
Jul 30, 2025
Start date
Jul 31, 2025
Primary completion
Apr 18, 2028 (estimated)
Completion
Apr 20, 2031 (estimated)
Last update
Jul 30, 2026

Study contacts

Amgen Call Center
Contact
medinfo@amgen.com
866-572-6436
MD
study director · Amgen

Oversight

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

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