Recruiting

advanced/metastatic colorectal adenocarcinoma

Bayer Identifier:

23111-1

ClinicalTrials.gov Identifier:

NCT07535112

EudraCT Number:

Not Available

EU CT Number:

Not Available

A study to learn more about how safe BAY 3771249 is and how well it works in people with advanced or metastatic colorectal cancer that has a KRAS G12D mutation

Trial purpose

Researchers are looking for a better way to treat people who have advanced or metastatic colorectal cancer (CRC) with a specific mutation, the G12D mutation, in a protein called KRAS.
Colorectal cancer (CRC) is a common type of cancer that affects the large bowel (colon) or the rectum (the section at the end of the bowel). When CRC spreads to other parts of the body, it is called advanced or metastatic CRC. Some people with CRC have the G12D mutation in the KRAS protein. This mutation is linked to a poorer outlook and fewer treatment options. Currently, there are no approved treatments that specifically target this mutation.
KRAS is a protein that helps control how cells grow and divide. When it is mutated, it can cause cells to grow uncontrollably, leading to cancer. The study drug, BAY 3771249, is designed to block the activity of KRAS with G12D mutation, which may help slow or stop the growth of cancer cells. BAY 3771249 can be given alone or together with another drug called cetuximab.
The main purpose of this study is to learn how safe BAY 3771249 is, how well people tolerate it, how the body processes the drug, and whether it can help shrink or control tumors in people with advanced or metastatic CRC that has the KRAS G12D mutation. The study will also look at how BAY 3771249 works when given alone or with cetuximab, especially in people who have already tried other treatments for their cancer.
Researchers will measure, among others:
   The number and seriousness of health problems (adverse events) after receiving BAY 3771249.
   The number of participants who experience a dose-limiting side effect (DLT) at each dose level.
   The number of participants whose tumors shrink or disappear (overall response rate, ORR) as measured by standard criteria.
   How much of the drug is in the blood over time (AUC) and the highest amount in the blood (Cmax).
Some participants will receive BAY 3771249 alone (monotherapy), and others will receive BAY 3771249 with cetuximab (combination therapy).
The study will start with lower doses and gradually increase to find the highest safe dose (dosage escalation). After the safe dose is found, more participants may join the study to receive it (dosage expansion). In some parts of the study, participants may be randomly assigned to different groups or doses. The study is open-label, meaning both participants and doctors know which treatment is being given.
An adverse event is any medical problem that a participant has during a study. Doctors keep track of all adverse events, even if they do not think it is related to the study treatment.
The study doctors and their team will contact participants to learn about their health until they complete the study.
If a participant benefits from the treatment, it might be possible to continue receiving BAY 3771249 after the end of the study. The findings from this study may help develop a new treatment option for people with advanced or metastatic CRC with a KRAS G12D mutation.

Key Participants Requirements

Sex

All

Age

Inclusion Criteria

-KRAS G12D mutated solid tumor
-Participant must be ≥18 years old or the legal age of consent in the jurisdiction in which the study is taking place when signing the screening ICF
-At least one measurable lesion as per RECIST v1.1. outside the CNS
-Eastern Cooperative Oncology Group performance status (ECOG PS) of ≤1
-Male or Female: Contraceptive use by participant or participant’s partners should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
-Life expectancy of at least 3 months in the opinion of the Investigator
-Histologically/pathologically documented diagnosis of advanced/metastatic adenocarcinoma of the colon and rectum.
-Adequate hematologic and end-organ function

Exclusion Criteria

- Leptomeningeal disease or carcinomatous meningitis
-Uncontrolled and/or active/symptomatic brain metastases.
-Significant traumatic injury or major surgical procedure within 4 weeks of first dose of study intervention
- Known hypersensitivity to any component of study intervention
-Previous (within 3 years) or concurrent cancer that is distinct in primary site or histology from the cancer being evaluated in the respective substudy.
-Active infection requiring systemic anti-infective therapy within 14 days of first dose of study intervention
-Known HIV infection
-Active Hepatitis B virus (HBV) infection
-Active Hepatitis C virus (HCV) infection;
-Significant cardiac disorder
-History of risk factors for torsade de pointes (TdP) (e.g., heart failure, family history of long QT syndrome)
-Participants with inadequately managed diabetes as assessed by the Investigator
-Toxicities from prior anticancer therapy, defined as not having resolved to Grade ≤1 or as specified in the respective substudy protocol as per NCI CTCAE v.6.0 with the following exceptions: Alopecia of any grade, Peripheral neuropathy Grade ≤2, Autoimmune endocrine disorders Grade ≤2 managed with stable endocrine replacement therapy
-History of (non-infectious) pneumonitis/interstitial lung disease (ILD), drug-induced ILD, radiation pneumonitis (unless it has resolved without sequelae without use of steroids), or any evidence of clinically-active pneumonitis/ILD
-History of the following eye disorders: keratitis, ulcerative keratitis

Trial summary

Enrollment Goal

130

Trial Dates

April 2026 - July 2030

Phase

Phase 1

Could I Receive a placebo

Products

N/A

Accepts Healthy Volunteer

Where to participate

Status	Institution	Location
Not yet recruiting	Icahn School of Medicine at Mount Sinai - Oncology	New York, 10029, United States
Recruiting	NEXT Dallas - Oncology Department	Irving, 75039, United States
Not yet recruiting	Sarah Cannon Research Institute at HCA HealthONE Presbyterian St. Luke's	Denver, 80218, United States
Not yet recruiting	City of Hope - Duarte Cancer Center	Duarte, 91010, United States
Not yet recruiting	UC San Diego Health - Moores Cancer Center	San Diego, 92037, United States
Not yet recruiting	START \| San Antonio	San Antonio, 78229, United States
Not yet recruiting	Fondazione Policlinico Universitario Agostino Gemelli IRCCS - UOC Fase I	Roma, 00128, Italy
Not yet recruiting	Hospital Universitario Hm Sanchinarro \| Oncologia	Madrid, 28050, Spain
Not yet recruiting	Hospital Universitari Vall D Hebron \| Oncologia	Barcelona, 08035, Spain
Not yet recruiting	Ghent University Hospital \| Drug Research Unit Department	Gent, 9000, Belgium
Not yet recruiting	Nederlands Kanker Instituut	Amsterdam, 1066 CX, Netherlands
Not yet recruiting	Karolinska Universitetssjukhuset - Fas I-enheten Solna CKC	Stockholm, 171 76, Sweden
Not yet recruiting	Rigshospitalet - Kræftbehandling	Copenhagen, 2100, Denmark
Not yet recruiting	Odense University Hospital - Oncology Department	Odense, 5000, Denmark
Recruiting	Calvary Mater Hospital Newcastle - Oncology	Waratah, 2298, Australia
Not yet recruiting	HUS-Yhtymä, Helsingin yliopistollinen sairaala (HUS) - Syöpäkeskus	Helsinki, 00029, Finland
Recruiting	National Cancer Center Singapore - Oncology Department	Singapore, 168583, Singapore
Not yet recruiting	National University Hospital Medical Centre	Singapore, 119074, Singapore
Not yet recruiting	Mayo Clinic - Cancer Center - Phoenix	Phoenix, 85054, United States
Not yet recruiting	Border Medical oncology - Albury Wodonga Regional Cancer Centre	Albury, 2640, Australia
Not yet recruiting	Cabrini Health Oncology Research	Malvern, 3144, Australia

Primary Outcome

Number of participants with Treatment-emergent adverse events (TEAEs)
Applicable in Dosage escalation and expansion
Time Frame:
Up to approximately 2 years.
Severity of TEAEs
Applicable in Dosage escalation and expansion
Time Frame:
Up to approximately 2 years.
Change from baseline in vital signs: Pulse rate
Applicable in Dosage escalation and expansion
Time Frame:
Up to approximately 2 years
Change from baseline in vital signs: Oxygen saturation
Applicable in Dosage escalation and expansion
Time Frame:
Up to approximately 2 years
Change from baseline in vital signs: Respiratory rate
Applicable in Dosage escalation and expansion
Time Frame:
Up to approximately 2 years
Change from baseline in vital signs: Blood pressure
Applicable in Dosage escalation and expansion
Time Frame:
Up to approximately 2 years
Change from baseline in vital signs: Body temperature
Applicable in Dosage escalation and expansion
Time Frame:
Up to approximately 2 years
Change from baseline in laboratory test results
Hematology, serum chemistry, urinalysis and coagulation tests. Applicable in Dosage escalation and expansion
Time Frame:
Up to approximately 2 years
Number of participants experiencing a dose-limiting toxicity (DLT) at each dosage
Applicable in Dose escalation part
Time Frame:
Up to approximately 3 weeks
Objective response rate (ORR) as determined by the Investigator according to RECIST v1.1
Applicable in Dosage escalation and expansion
Time Frame:
Up to approximately 2 years

Secondary Outcome

Pharmacokinetics (PK) parameters such as area under the concentration vs time curve (AUC)
Applicable in Dosage escalation
Time Frame:
Up to approximately 2 years
PK parameters such as maximum observed drug concentration (Cmax)
Applicable in Dosage escalation
Time Frame:
Up to approximately 2 years

Trial design

Master Protocol: An Open-label Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Efficacy of BAY 3771249 as Monotherapy or Combination With Other Cancer Treatments in Participants With Solid Tumors Harboring a KRAS G12D Mutation. Substudy Protocol: An Open-label, Multi-cohort Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Preliminary Anti-tumor Activity of BAY 3771249 as Monotherapy and in Combination With Cetuximab in Participants With Advanced/Metastatic Colorectal Adenocarcinoma Harboring a KRAS G12D Mutation

Trial Type

Interventional

Intervention Type

Drug

Trial Purpose

Treatment

Allocation

N/A

Blinding

N/A

Assignment

Sequential Assignment

Trial Arms