KRAS p.G12C Mutant Advanced Solid TumorsPhase 1/2NCT03600883
A Phase 1/2, Study Evaluating the Safety, Tolerability, PK, and Efficacy of Sotorasib (AMG 510) in Subjects With Solid Tumors With a Specific KRAS Mutation (CodeBreaK 100)
A Phase 1/2 study testing sotorasib, Anti PD-1/L1 and Midazolam in people with KRAS p.G12C Mutant Advanced Solid Tumors, run by Amgen at 133 sites in 16 countries.
Trial summary
Evaluate the safety and tolerability of sotorasib in adult subjects with KRAS p.G12C mutant advanced solid tumors. Estimate the maximum tolerated dose (MTD) and/or a recommended phase 2 dose (RP2D) in adult subjects with KRAS p.G12C mutant advanced solid tumors. Read more about this study
- Who is it for?
- Ages 18 to 100 years
- Conditions the study is for
- KRAS p.G12C Mutant Advanced Solid Tumors
- What is being tested?
- sotorasib, Anti PD-1/L1 and Midazolam
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 713 participants
- Where
- 133 sitesin 16 countries
- Study dates
- 27 Aug 2018to 29 May 2026
- Phase
- Phase 1/2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 100 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Men or women greater than or equal to 18 years old.
- Pathologically documented, locally-advanced or metastatic malignancy with, KRAS p.G12C mutation identified through molecular testing.
Who cannot join
- Active brain metastases from non-brain tumors.
- Myocardial infarction within 6 months of study day 1.
- Gastrointestinal (GI) tract disease causing the inability to take oral medication.
Trial locations and contacts
133 sites in 16 countries.
133 sites in 16 countries
United States39 sites
University of Michigan
Ann Arbor, Michigan, 48109
Winship Cancer Institute
Atlanta, Georgia, 30322
Texas Oncology - Austin Central
Austin, Texas, 78731
American Oncology Partners of Maryland, PA
Bethesda, Maryland, 20817
Massachusetts General Hospital
Boston, Massachusetts, 02114
Dana Farber Cancer Institute
Boston, Massachusetts, 02215
Roswell Park Cancer Institute
Buffalo, New York, 14263
University Hospitals Cleveland Medical Center
Cleveland, Ohio, 44106
Cleveland Clinic
Cleveland, Ohio, 44195
Texas Oncology - Baylor
Dallas, Texas, 75246
University of Texas Southwestern Medical Center
Dallas, Texas, 75390
Rocky Mountain Cancer Centers
Denver, Colorado, 80218
Sarah Cannon Research Institute at HealthONE
Denver, Colorado, 80218
Henry Ford Health System
Detroit, Michigan, 48202
City of Hope National Medical Center
Duarte, California, 91010
Duke University Medical Center, Morris Cancer Clinic
Durham, North Carolina, 27710
US Oncology Research Investigational Products Center
Fairfax, Virginia, 22031
Virginia Cancer Specialists PC
Fairfax, Virginia, 22031
University of Florida Health
Gainesville, Florida, 32610
University of Texas MD Anderson Cancer Center
Houston, Texas, 77030
Indiana University
Indianapolis, Indiana, 46202
University of California Los Angeles
Los Angeles, California, 90095
Vanderbilt University Ingram Cancer Center
Nashville, Tennessee, 37232
Smilow Cancer Hospital at Yale New Haven
New Haven, Connecticut, 06510
Laura and Isaac Perlmutter Cancer Center at New York University Langone
New York, New York, 10016
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
Medical Oncology Hematology Consultants Helen F Graham Cancer Center
Newark, Delaware, 19713
AdventHealth Orlando Infusion Center
Orlando, Florida, 32804
University of Pennsylvania
Philadelphia, Pennsylvania, 19104
Fox Chase Cancer Center
Philadelphia, Pennsylvania, 19111
University of Pittsburgh Medical Center Cancer Pavillion
Pittsburgh, Pennsylvania, 15232
Blue Ridge Cancer Care
Salem, Virginia, 24153
Huntsman Cancer Institute
Salt Lake City, Utah, 84112
University of California at SF
San Francisco, California, 94115
Sarcoma Oncology Research Center LLC
Santa Monica, California, 90403
Seattle Cancer Care Alliance
Seattle, Washington, 98109
Gibbs Cancer Center and Research Institute - Spartanburg
Spartanburg, South Carolina, 29303
Washington University
St Louis, Missouri, 63110-1093
Moffitt Cancer Center
Tampa, Florida, 33612
Japan15 sites
National Hospital Organization Kyushu Cancer Center
Fukuoka, Fukuoka, 811-1395
Kansai Medical University Hospital
Hirakata-shi, Osaka, 573-1191
National Cancer Center Hospital East
Kashiwa-shi, Chiba, 277-8577
St Marianna University Hospital
Kawasaki-shi, Kanagawa, 216-8511
The Cancer Institute Hospital of Japanese Foundation for Cancer Research
Koto-ku, Tokyo, 135-8550
National Hospital Organization Shikoku Cancer Center
Matsuyama, Ehime, 791-0280
Aichi Cancer Center
Nagoya, Aichi-ken, 464-8681
Niigata Cancer Center Hospital
Niigata, Niigata, 951-8566
Okayama University Hospital
Okayama, Okayama-ken, 700-8558
Osaka International Cancer Institute
Osaka, Osaka, 541-8567
National Hospital Organization Hokkaido Cancer Center
Sapporo, Hokkaido, 003-0804
Sendai Kousei Hospital
Sendai, Miyagi, 980-0873
Shizuoka Cancer Center
Sunto-gun, Shizuoka, 411-8777
Wakayama Medical University Hospital
Wakayama, Wakayama, 641-8510
Kanagawa Prefectural Hospital Organization Kanagawa Cancer Center
Yokohama, Kanagawa, 241-8515
Belgium9 sites
Institut Jules Bordet
Brussels, B-1070
Grand Hopital de Charleroi
Charleroi, 6000
Universitair Ziekenhuis Antwerpen
Edegem, 2650
Ziekenhuis Oost-Limburg
Genk, 3600
Universitair Ziekenhuis Gent
Ghent, 9000
Jessa Ziekenhuis - Campus Virga Jesse
Hasselt, 3500
Universitair Ziekenhuis Leuven - Campus Gasthuisberg
Leuven, 3000
Centre Hospitalier Universitaire de Liege
Liège, 4000
AZ Delta Campus Rumbeke
Roeselare, 8800
Romania8 sites
Institutul Oncologic, Prof Dr Alexandru Trestioreanu
Bucharest, 022328
Institutul Oncologic Prof Dr Ion Chiricuta Cluj-Napoca
Cluj-Napoca, 400015
SC Medisprof SRL
Cluj-Napoca, 400641
Centrul de Radioterapie Amethyst Cluj
Cluj-Napoca, 407280
Centrul de Oncologie Sf Nectarie SRL
Craiova, 200347
Institutul Regional de Oncologie Iasi
Iași, 700483
Spitalul Municipal Ploiesti
Ploieşti, 100337
SC Oncomed SRL
Timișoara, 300239
South Korea7 sites
National Cancer Center
Goyang-si Gyeonggi-do, 10408
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, 13620
Seoul National University Hospital
Seoul, 03080
Severance Hospital Yonsei University Health System
Seoul, 03722
Asan Medical Center
Seoul, 05505
Samsung Medical Center
Seoul, 06351
The Catholic University of Korea Seoul St Marys Hospital
Seoul, 06591
Brazil6 sites
Irmandade da Santa Casa de Misericordia de Porto Alegre, Nucleo de Novos Tratamentos em Cancer
Porto Alegre, Rio Grande do Sul, 90050-170
Hospital Sao Lucas da Pontificia Universidade Catolica do Rio Grande do Sul
Porto Alegre, Rio Grande do Sul, 90610-000
Instituto Coi
Rio de Janeiro, 20231-050
Hospital de Base de Sao Jose do Rio Preto
São José do Rio Preto, São Paulo, 15090-000
Sociedade Beneficente de Senhoras Hospital Sirio Libanes
São Paulo, São Paulo, 01308-050
Oncologia Rede D´Or
São Paulo, São Paulo, 04501-000
Canada6 sites
Tom Baker Cancer Centre
Calgary, Alberta, T2N 4N2
Cross Cancer Institute
Edmonton, Alberta, T6G 1Z2
London Regional Cancer Program, London Health Sciences Centre
London, Ontario, N6A 5W9
McGill University Health Centre Glen Site
Montreal, Quebec, H4A 3J1
The Ottawa Hospital Cancer Centre
Ottawa, Ontario, K1H 8L6
Princess Margaret Cancer Centre
Toronto, Ontario, M5G 2M9
France6 sites
Institut Bergonie
Bordeaux, 33076
Centre Hospitalier Intercommunal de Créteil
Créteil, 94010
Hopital de la Timone
Marseille, 13385
Institut Curie
Paris, 75005
Institut Claudius Regaud
Toulouse, 31059
Gustave Roussy
Villejuif, 94805
Hungary6 sites
Semmelweis Egyetem
Budapest, 1083
Orszagos Koranyi Pulmonologiai Intezet
Budapest, 1121
Somogy Megyei Kaposi Mor Oktato Korhaz
Kaposvár, 7400
Fejer Megyei Szent Gyorgy Egyetemi Oktato Korhaz
Székesfehérvár, 8000
Szent Borbala Korhaz
Tatabánya, 2800
Tudogyogyintezet Torokbalint
Törökbálint, 2045
Spain6 sites
Hospital Universitari Germans Trias i Pujol
Badalona, Catalonia, 08916
Hospital General Universitario Gregorio Marañon
Madrid, 28009
Clinica Universidad de Navarra
Madrid, 28027
Fundacion Jimenez Diaz
Madrid, 28040
Hospital Universitario Madrid Sanchinarro
Madrid, 28050
Hospital General Universitario de Valencia
Valencia, Valencia, 46014
Austria5 sites
Medizinische Universitaet Graz
Graz, 8036
Medizinische Universitaet Innsbruck
Innsbruck, 6020
Universitaetsklinikum Krems
Krems, 3500
Universitaetsklinikum Allgemeines Krankenhaus Wien
Vienna, 1090
Krankenhaus Nord - Klinik Floridsdorf
Vienna, 1210
Greece5 sites
Henry Dunant Hospital Center
Athens, 11526
Metropolitan Hospital
Athens, 18547
University Hospital of Heraklion
Heraklion - Crete, 71500
Theagenion Cancer Hospital
Thessaloniki, 54007
Agios Loukas Clinic
Thessaloniki, 55236
Portugal5 sites
Fundacao Champalimaud
Lisbon, 1400-038
Centro Hospitalar Universitario de Lisboa Norte EPE - Hospital Pulido Valente
Lisbon, 1769-001
Unidade Local de Saude de Matosinhos, EPE - Hospital Pedro Hispano
Matosinhos Municipality, 4464-513
Centro Hospitalar Universitario do Porto EPE - Hospital de Santo Antonio
Porto, 4099-001
Hospital Cuf porto
Porto, 4100-180
Australia4 sites
Peter MacCallum Cancer Centre
Parkville, Victoria, 3050
Scientia Clinical Research Ltd
Randwick, New South Wales, 2031
The Queen Elizabeth Hospital
Woodville South, South Australia, 5011
Princess Alexandra Hospital
Woolloongabba, Queensland, 4102
Germany3 sites
Universitatsklinikum Koln
Cologne, 50937
Universitätsklinikum Essen
Essen, 45147
Klinikum der Universität München Campus Grosshadern
München, 81377
Switzerland3 sites
Universitaetsspital Basel
Basel, 4031
Hopitaux Universitaires de Geneve
Geneva, 1211
Universitaetsspital Zuerich
Zurich, 8091
About this study
Official title: A Phase 1/2, Open-label Study Evaluating the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Efficacy of Sotorasib (AMG 510) Monotherapy in Subjects With Advanced Solid Tumors With KRAS p.G12C Mutation and Sotorasib (AMG 510) Combination Therapy in Subjects With Advanced NSCLC With KRAS p.G12C Mutation (CodeBreaK 100)
Evaluate the safety and tolerability of sotorasib in adult subjects with KRAS p.G12C mutant advanced solid tumors.
Estimate the maximum tolerated dose (MTD) and/or a recommended phase 2 dose (RP2D) in adult subjects with KRAS p.G12C mutant advanced solid tumors.
- Conditions
- KRAS p.G12C Mutant Advanced Solid Tumors
- Being tested
- sotorasib, Anti PD-1/L1, Midazolam
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
sotorasibDrug
Characterize the pharmacokinetics (PK) of sotorasib following administration as an oral Tablet formulation
Anti PD-1/L1Drug
Administered as an intravenous (IV) infusion
MidazolamDrug
Administered as an oral hydrochloride (HCI) syrup
| Study group | Role | What they receive |
|---|---|---|
| Phase 1 Dose Exploration Part 1 monotherapy | Experimental | Cohorts with food effect and alternative dosing regimens
Enrollment into the dose exploration cohorts may be from any eligible solid tumor type. Dose escalation will begin with 2-4 subjects treated at the lowest planned dose level of 180 mg. If no DLT is observed, dose escalation will continue to the next planned dose cohort Receives: Drug: sotorasib |
| Phase 1 Dose Expansion Part 2 monotherapy | Experimental | Upon completing the dose exploration part of the study, dose expansion may proceed with 3 groups consisting of subjects with KRAS p.G12C mutant advanced solid tumors. Dose expansion in these 3 groups may be done concurrently Receives: Drug: sotorasib |
| Phase 1 combination arm with sotorasib and anti PD-1/L1 | Experimental | Additional subjects will be enrolled into the combination arm with sotorasib in combination with an anti (PD-1/L1) Receives: Drug: sotorasib; Drug: Anti PD-1/L1 |
| Phase 1 monotherapy treatment naive advanced NSCLC | Experimental | Separate cohort of part 1 dose expansion subjects to evaluate the safety and clinical activity of sotorasib administered orally once daily in subjects with previously untreated advanced non-small cell lung cancer (NSCLC). Drug-drug interaction will be evaluated in 6 of the subjects enrolled in the treatment naive cohort by adding Midazolam alone on Day -1 and in combination with sotorasib on Day 15 of Cycle 1, where each cycle is 21 days. Receives: Drug: sotorasib; Drug: Midazolam |
| Phase 2 monotherapy dose comparison | Experimental | Subjects with NSCLC will be enrolled in a dose comparison study evaluating safety and efficacy Receives: Drug: sotorasib |
| Phase 1 Does escalation and Expansion monotherapy BID | Experimental | BID 2L+solid tumors (fed state) Receives: Drug: sotorasib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Primary: Number of subjects with treatment-emergent adverse events
Treatment-emergent adverse events will be a primary outcome measure for the following groups:
- Phase 1 Dose Exploration Part 1 monotherapy
- Phase 1 Dose Expansion Part 2 monotherapy
- Phase 1 combination arm with sotorasib and anti PD-1/L1
- Phase 1 monotherapy treatment naïve advanced NSCLC
- Phase 2 monotherapy dose comparison
Measured: 24 Months
Primary: Number of subjects with treatment-related adverse events
Treatment-related adverse events will be a primary outcome measure for the following groups:
- Phase 1 Dose Exploration Part 1 monotherapy
- Phase 1 Dose Expansion Part 2 monotherapy
- Phase 1 combination arm with sotorasib and anti PD-1/L1
- Phase 1 monotherapy treatment naïve advanced NSCLC
Measured: 24 Months
Primary: Number of subjects with grade ≥3 treatment-emergent adverse events
Grade ≥3 treatment-emergent adverse events will be a primary outcome measure in the following group:
- Phase 2 monotherapy dose comparison
Measured: 24 Months
Primary: Number of subjects with serious adverse events
Serious adverse events will be a primary outcome measure in the following group:
- Phase 2 monotherapy dose comparison
Measured: 24 Months
Primary: Number of subjects with adverse events of interest
Adverse events of interest will be a primary outcome measure in the following group:
- Phase 2 monotherapy dose comparison
Measured: 24 Months
Primary: Number of subjects with clinically significant changes in vital signs
Vital signs will be a primary outcome measure for the following groups:
- Phase 1 Dose Exploration Part 1 monotherapy
- Phase 1 Dose Expansion Part 2 monotherapy
- Phase 1 combination arm with sotorasib and anti PD-1/L1
- Phase 1 monotherapy treatment naïve advanced NSCLC
Measured: Baseline to 24 Months
Primary: Number of subjects with clinically significant changes in physical examination results
Physical examinations will be a primary outcome measure for the following groups:
- Phase 1 Dose Exploration Part 1 monotherapy
- Phase 1 Dose Expansion Part 2 monotherapy
- Phase 1 combination arm with sotorasib and anti PD-1/L1
Measured: Baseline to 24 Months
Primary: Number of subjects with clinically significant changes on electrocardiograms (ECGs)
ECGs will be a primary outcome measure for the following groups:
- Phase 1 Dose Exploration Part 1 monotherapy
- Phase 1 Dose Expansion Part 2 monotherapy
- Phase 1 combination arm with sotorasib and anti PD-1/L1
- Phase 1 monotherapy treatment naïve advanced NSCLC
Measured: Baseline to 24 Months
Primary: Number of subjects with clinically significant changes in clinical laboratory values
Abnormal clinical laboratory values will be a primary outcome measure for the following groups:
- Phase 1 Dose Exploration Part 1 monotherapy
- Phase 1 Dose Expansion Part 2 monotherapy
- Phase 1 combination arm with sotorasib and anti PD-1/L1
- Phase 1 monotherapy treatment naïve advanced NSCLC
Measured: Baseline to 24 Months
Primary: Number of subjects with dose-limiting toxicities (DLTs)
DLTs will be a primary outcome measure for the following groups:
- Phase 1 Dose Exploration Part 1 monotherapy
- Phase 1 Dose Expansion Part 2 monotherapy
- Phase 1 combination arm with sotorasib and anti PD-1/L1
- Phase 1 monotherapy treatment naïve advanced NSCLC
Measured: 21 Days
Primary: Objective response rate (ORR) as assessed by RECIST 1.1 criteria
ORR will be a primary outcome measure in the following group:
- Phase 1 monotherapy treatment naïve advanced NSCLC
- Phase 2 monotherapy
- Phase 2 monotherapy dose comparison
Measured: 24 Months
Primary: Duration of response (DOR) as assessed by RECIST 1.1 criteria
DOR will be a primary outcome measure in the following group:
- Phase 1 monotherapy treatment naïve advanced NSCLC
Measured: 24 Months
Primary: Disease control as assessed by RECIST 1.1 criteria
Disease control will be a primary outcome measure in the following group:
- Phase 1 monotherapy treatment naïve advanced NSCLC
Measured: 24 Months
Primary: Duration of stable disease (SD) as assessed by RECIST 1.1 criteria
Duration of SD will be a primary outcome measure in the following group:
- Phase 1 monotherapy treatment naïve advanced NSCLC
Measured: 24 Months
Primary: Time to response (TTR) as assessed by RECIST 1.1 criteria
TTR will be a primary outcome measure in the following group:
- Phase 1 monotherapy treatment naïve advanced NSCLC
Measured: 24 Months
Secondary outcomes (30)
Secondary: Plasma concentration (Cmax) of sotorasib
Cmax will be a secondary outcome measure for the following groups:
- Phase 1 Dose Exploration Part 1 monotherapy
- Phase 1 Dose Expansion Part 2 monotherapy
- Phase 2 monotherapy
- Phase 1 combination arm with sotorasib and anti PD-1/L1
- Phase 1 monotherapy treatment naïve advanced NSCLC
- Phase 2 monotherapy dose comparison
Measured: 15 Weeks
Secondary: Plasma concentration (Cmax) of midazolam
Cmax of midazolam will be a secondary outcome measure for the subgroup of subjects who were administered midazolam in the following group:
- Phase 1 monotherapy treatment naïve advanced NSCLC
Measured: 16 Days
Secondary: Time to achieve Cmax (Tmax) of sotorasib
Tmax will be a secondary outcome measure for the following groups:
- Phase 1 Dose Exploration Part 1 monotherapy
- Phase 1 Dose Expansion Part 2 monotherapy
- Phase 2 monotherapy
- Phase 1 combination arm with sotorasib and anti PD-1/L1
- Phase 1 monotherapy treatment naïve advanced NSCLC
Measured: 15 Weeks
Secondary: Area under the plasma concentration-time curve (AUC) of sotorasib
AUC will be a secondary outcome measure for the following groups:
- Phase 1 Dose Exploration Part 1 monotherapy
- Phase 1 Dose Expansion Part 2 monotherapy
- Phase 2 monotherapy
- Phase 1 combination arm with sotorasib and anti PD-1/L1
- Phase 1 monotherapy treatment naïve advanced NSCLC
- Phase 2 monotherapy dose comparison
Measured: 15 Weeks
Secondary: Area under the plasma concentration-time curve (AUC) of midazolam
AUC of midazolam will be a secondary outcome measure for the subgroup of subjects who were administered midazolam in the following group:
- Phase 1 monotherapy treatment naïve advanced NSCLC
Measured: 16 Days
Secondary: Clearance of midazolam from the plasma
Clearance of midazolam from the plasma will be a secondary outcome measure for the subgroup of subjects who were administered midazolam in the following group:
- Phase 1 monotherapy treatment naïve advanced NSCLC
Measured: 16 Days
Secondary: Terminal half-life (t1/2) of midazolam
t1/2 of midazolam will be a secondary outcome measure for the subgroup of subjects who were administered midazolam in the following group:
- Phase 1 monotherapy treatment naïve advanced NSCLC
Measured: 16 Days
Secondary: Objective response rate (ORR) as assessed by RECIST 1.1 criteria
ORR will be a secondary outcome measure for the following groups:
- Phase 1 Dose Exploration Part 1 monotherapy
- Phase 1 Dose Expansion Part 2 monotherapy
- Phase 1 combination arm with sotorasib and anti PD-1/L1
Measured: 24 Months
Secondary: Duration of response (DOR) as assessed by RECIST 1.1 criteria
DOR will be a secondary outcome measure for the following groups:
- Phase 1 Dose Exploration Part 1 monotherapy
- Phase 1 Dose Expansion Part 2 monotherapy
- Phase 2 monotherapy
- Phase 1 combination arm with sotorasib and anti PD-1/L1
- Phase 2 monotherapy dose comparison
Measured: 24 Months
Secondary: Disease control as assessed by RECIST 1.1 criteria
DOR will be a secondary outcome measure for the following groups:
- Phase 1 Dose Exploration Part 1 monotherapy
- Phase 1 Dose Expansion Part 2 monotherapy
- Phase 2 monotherapy
- Phase 1 combination arm with sotorasib and anti PD-1/L1
- Phase 2 monotherapy dose comparison
Measured: 24 Months
Secondary: Progression-free survival (PFS) as assessed by RECIST 1.1 criteria
PFS will be a secondary outcome measure for the following groups:
- Phase 1 Dose Exploration Part 1 monotherapy
- Phase 1 Dose Expansion Part 2 monotherapy
- Phase 2 monotherapy
- Phase 1 combination arm with sotorasib and anti PD-1/L1
- Phase 2 monotherapy dose comparison
- Phase 1 monotherapy treatment naïve advanced NSCLC
Measured: 24 Months
Secondary: Duration of stable disease (SD) as assessed by RECIST 1.1 criteria
Duration of SD will be a secondary outcome measure for the following groups:
- Phase 1 Dose Exploration Part 1 monotherapy
- Phase 1 Dose Expansion Part 2 monotherapy
- Phase 1 combination arm with sotorasib and anti PD-1/L1
Measured: 24 Months
Secondary: Depth of response (best percentage change from baseline in lesion sum diameters) as assessed by RECIST 1.1 criteria
Depth of response will be a secondary outcome measure for the following group:
- Phase 2 monotherapy dose comparison
Measured: Baseline to 24 Months
Secondary: Time to response (TTR) as assessed by RECIST 1.1 criteria
DOR will be a secondary outcome measure for the following groups:
- Phase 1 Dose Exploration Part 1 monotherapy
- Phase 1 Dose Expansion Part 2 monotherapy
- Phase 2 monotherapy
- Phase 1 combination arm with sotorasib and anti PD-1/L1
- Phase 2 monotherapy dose comparison
Measured: 24 Months
Secondary: Overall survival (OS)
OS will be a secondary outcome measure for the following groups:
- Phase 1 Dose Exploration Part 1 monotherapy
- Phase 1 Dose Expansion Part 2 monotherapy
- Phase 2 monotherapy
- Phase 1 combination arm with sotorasib and anti PD-1/L1
- Phase 2 monotherapy dose comparison
- Phase 1 monotherapy treatment naïve advanced NSCLC
Measured: 24 Months
Secondary: sotorasib exposure and QTc interval relationship
sotorasib exposure and QTc interval relationship will be a secondary outcome measure for the following groups:
- Phase 1 Dose Exploration Part 1 monotherapy
- Phase 1 Dose Expansion Part 2 monotherapy
Measured: 24 Months
Secondary: Progression-free survival (PFS) at 6 months
PFS at 6 months will be a secondary outcome measure for the following group:
- Phase 2 monotherapy
Measured: 6 Months
Secondary: Progression-free survival (PFS) at 12 months
PFS at 12 months will be a secondary outcome measure for the following group:
- Phase 2 monotherapy
Measured: 12 Months
Secondary: Overall survival (OS) at 12 months
OS at 12 months will be a secondary outcome measure for the following group:
- Phase 2 monotherapy
Measured: 12 Months
Secondary: Number of subjects with treatment-emergent adverse events
Treatment-emergent adverse events will be a secondary outcome measure for the following group:
- Phase 2 monotherapy
Measured: 24 Months
Secondary: Number of subjects with grade ≥3 treatment-emergent adverse events
Grade ≥3 treatment-emergent adverse events will be a secondary outcome measure for the following group:
- Phase 2 monotherapy
Measured: 24 Months
Secondary: Impact of treatment on disease-related symptoms and health related quality of life (HRQOL) as assessed by EORTC QLQ-C30
Impact of treatment on disease-related symptoms and HRQOL will be a secondary outcome measure for the following group:
- Phase 2 monotherapy dose comparison
Measured: 24 Months
Secondary: Impact of treatment on disease-related symptoms and HRQOL as assessed by disease-specific modules Quality-of-Life Questionnaire Lung Cancer Module (QLQ LC13)
Impact of treatment on disease-related symptoms and HRQOL will be a secondary outcome measure for the following group:
- Phase 2 monotherapy dose comparison
Measured: 24 Months
Secondary: Impact of treatment on disease-related symptoms and HRQOL as assessed by non-small cell lung cancer symptom assessment questionnaire (NSCLC SAQ) for NSCLC
Impact of treatment on disease-related symptoms and HRQOL will be a secondary outcome measure for the following group:
- Phase 2 monotherapy dose comparison
Measured: 24 Months
Secondary: Impact of treatment on disease-related symptoms and HRQOL as assessed by Patient Global Impression of Severity (PGIS)
Impact of treatment on disease-related symptoms and HRQOL will be a secondary outcome measure for the following group:
- Phase 2 monotherapy dose comparison
Measured: 24 Months
Secondary: Impact of treatment on disease-related symptoms and HRQOL as assessed by Patient Global Impression of Change (PGIC) in cough, dyspnea and chest pain for NSCLC
Impact of treatment on disease-related symptoms and HRQOL will be a secondary outcome measure for the following group:
- Phase 2 monotherapy dose comparison
Measured: 24 Months
Secondary: Treatment-related symptoms and impact on the subject as assessed by EORTC QLQ-C30
Treament related symptoms and impact on the subject will be a secondary outcome measure for the following group:
- Phase 2 monotherapy dose comparison
Measured: 24 Months
Secondary: Treatment-related symptoms and impact on the subject as assessed by selected questions from the Patient-reported Outcome of the Common Terminology Criteria for Adverse Events (PRO-CTCAE library)
Treatment-related symptoms and impact on the subject will be a secondary outcome measure for the following group:
- Phase 2 monotherapy dose comparison
Measured: 24 Months
Secondary: Treatment-related symptoms and impact on the subject as assessed by a single item about symptom bother, item GP5 of the Functional Assessment of Cancer Therapy - General (FACT-G)
Treatment-related symptoms and impact on the subject will be a secondary outcome measure for the following group:
- Phase 2 monotherapy dose comparison
Measured: 24 Months
Secondary: Change from baseline in physical function as assessed by EORTC QLQ-C30
Treatment-related symptoms and impact on the subject will be a secondary outcome measure for the following group:
- Phase 2 monotherapy dose comparison
Measured: Baseline to 24 Months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Jul 2018
- Study start27 Aug 2018
- Primary completion29 May 2026
- Study completion29 May 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (12)Papers the sponsor has linked to this study.
- Other trials for KRAS p.G12C Mutant Advanced Solid TumorsStudies of the same condition, open and under way.
- More trials run by AmgenThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1/2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Enrolment
- 713 participants (actual)
Sponsor and investigators
- Lead sponsor
- Amgen
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- MD, Study director, Amgen
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03600883
- Sponsor's protocol ID
- 20170543
- Status last verified
- Jun 2026
- First submitted
- 26 Jun 2018
- Last updated
- 30 Jun 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request
- Expanded access
- Available
Publications
Canon J, Rex K, Saiki AY, Mohr C, Cooke K, Bagal D, Gaida K, Holt T, Knutson CG, Koppada N, Lanman BA, Werner J, Rapaport AS, San Miguel T, Ortiz R, Osgood T, Sun JR, Zhu X, McCarter JD, Volak LP, Houk BE, Fakih MG, O'Neil BH, Price TJ, Falchook GS, Desai J, Kuo J, Govindan R, Hong DS, Ouyang W, Henary H, Arvedson T, Cee VJ, Lipford JR. The clinical KRAS(G12C) inhibitor AMG 510 drives anti-tumour immunity. Nature. 2019 Nov;575(7781):217-223. doi: 10.1038/s41586-019-1694-1. Epub 2019 Oct 30.
PubMed 31666701Skoulidis F, Li BT, Dy GK, Price TJ, Falchook GS, Wolf J, Italiano A, Schuler M, Borghaei H, Barlesi F, Kato T, Curioni-Fontecedro A, Sacher A, Spira A, Ramalingam SS, Takahashi T, Besse B, Anderson A, Ang A, Tran Q, Mather O, Henary H, Ngarmchamnanrith G, Friberg G, Velcheti V, Govindan R. Sotorasib for Lung Cancers with KRAS p.G12C Mutation. N Engl J Med. 2021 Jun 24;384(25):2371-2381. doi: 10.1056/NEJMoa2103695. Epub 2021 Jun 4.
PubMed 34096690Fakih MG, Kopetz S, Kuboki Y, Kim TW, Munster PN, Krauss JC, Falchook GS, Han SW, Heinemann V, Muro K, Strickler JH, Hong DS, Denlinger CS, Girotto G, Lee MA, Henary H, Tran Q, Park JK, Ngarmchamnanrith G, Prenen H, Price TJ. Sotorasib for previously treated colorectal cancers with KRASG12C mutation (CodeBreaK100): a prespecified analysis of a single-arm, phase 2 trial. Lancet Oncol. 2022 Jan;23(1):115-124. doi: 10.1016/S1470-2045(21)00605-7. Epub 2021 Dec 15.
PubMed 34919824Hong DS, Fakih MG, Strickler JH, Desai J, Durm GA, Shapiro GI, Falchook GS, Price TJ, Sacher A, Denlinger CS, Bang YJ, Dy GK, Krauss JC, Kuboki Y, Kuo JC, Coveler AL, Park K, Kim TW, Barlesi F, Munster PN, Ramalingam SS, Burns TF, Meric-Bernstam F, Henary H, Ngang J, Ngarmchamnanrith G, Kim J, Houk BE, Canon J, Lipford JR, Friberg G, Lito P, Govindan R, Li BT. KRASG12C Inhibition with Sotorasib in Advanced Solid Tumors. N Engl J Med. 2020 Sep 24;383(13):1207-1217. doi: 10.1056/NEJMoa1917239. Epub 2020 Sep 20.
PubMed 32955176Zhao Y, Murciano-Goroff YR, Xue JY, Ang A, Lucas J, Mai TT, Da Cruz Paula AF, Saiki AY, Mohn D, Achanta P, Sisk AE, Arora KS, Roy RS, Kim D, Li C, Lim LP, Li M, Bahr A, Loomis BR, de Stanchina E, Reis-Filho JS, Weigelt B, Berger M, Riely G, Arbour KC, Lipford JR, Li BT, Lito P. Diverse alterations associated with resistance to KRAS(G12C) inhibition. Nature. 2021 Nov;599(7886):679-683. doi: 10.1038/s41586-021-04065-2. Epub 2021 Nov 10.
PubMed 34759319Dy GK, Govindan R, Velcheti V, Falchook GS, Italiano A, Wolf J, Sacher AG, Takahashi T, Ramalingam SS, Dooms C, Kim DW, Addeo A, Desai J, Schuler M, Tomasini P, Hong DS, Lito P, Tran Q, Jones S, Anderson A, Hindoyan A, Snyder W, Skoulidis F, Li BT. Long-Term Outcomes and Molecular Correlates of Sotorasib Efficacy in Patients With Pretreated KRAS G12C-Mutated Non-Small-Cell Lung Cancer: 2-Year Analysis of CodeBreaK 100. J Clin Oncol. 2023 Jun 20;41(18):3311-3317. doi: 10.1200/JCO.22.02524. Epub 2023 Apr 25.
PubMed 37098232Dy GK, Govindan R, Velcheti V, Falchook GS, Italiano A, Wolf J, Sacher AG, Takahashi T, Ramalingam SS, Dooms C, Kim DW, Addeo A, Desai J, Schuler M, Tomasini P, Hong DS, Lito P, Tran Q, Jones S, Anderson A, Hindoyan A, Snyder W, Skoulidis F, Li BT. Long-term benefit of sotorasib in patients with KRAS G12C-mutated non-small-cell lung cancer: plain language summary. Future Oncol. 2024 Jan;20(3):113-120. doi: 10.2217/fon-2023-0560. Epub 2023 Nov 27.
PubMed 38010044Dilly J, Hoffman MT, Abbassi L, Li Z, Paradiso F, Parent BD, Hennessey CJ, Jordan AC, Morgado M, Dasgupta S, Uribe GA, Yang A, Kapner KS, Hambitzer FP, Qiang L, Feng H, Geisberg J, Wang J, Evans KE, Lyu H, Schalck A, Feng N, Lopez AM, Bristow CA, Kim MP, Rajapakshe KI, Bahrambeigi V, Roth JA, Garg K, Guerrero PA, Stanger BZ, Cristea S, Lowe SW, Baslan T, Van Allen EM, Mancias JD, Chan E, Anderson A, Katlinskaya YV, Shalek AK, Hong DS, Pant S, Hallin J, Anderes K, Olson P, Heffernan TP, Chugh S, Christensen JG, Maitra A, Wolpin BM, Raghavan S, Nowak JA, Winter PS, Dougan SK, Aguirre AJ. Mechanisms of Resistance to Oncogenic KRAS Inhibition in Pancreatic Cancer. Cancer Discov. 2024 Nov 1;14(11):2135-2161. doi: 10.1158/2159-8290.CD-24-0177.
PubMed 38975874Hochmair MJ, Vermaelen K, Mountzios G, Carcereny E, Dooms C, Lee SH, Morocz E, Kato T, Ciuleanu TE, Dy GK, Parente B, O'Byrne KJ, Chu QS, Castro Junior G, Girard N, Snyder W, Tran Q, Kormany W, Houk B, Mehta B, Curioni-Fontecedro A. Sotorasib (960 mg or 240 mg) once daily in patients with previously treated KRAS G12C-mutated advanced NSCLC. Eur J Cancer. 2024 Sep;208:114204. doi: 10.1016/j.ejca.2024.114204. Epub 2024 Jul 5.
PubMed 39029295Nagase M, Houk B, Vuu I, Cardona P, Dutta S, Lin CW. Population Pharmacokinetics of Sotorasib in Healthy Subjects and Advanced Solid Tumor Patients Harboring a KRASG12C Mutation from Phase 1 and Phase 2 Studies. AAPS J. 2025 Jan 13;27(1):26. doi: 10.1208/s12248-024-01013-6.
PubMed 39806205Strickler JH, Satake H, George TJ, Yaeger R, Hollebecque A, Garrido-Laguna I, Schuler M, Burns TF, Coveler AL, Falchook GS, Vincent M, Sunakawa Y, Dahan L, Bajor D, Rha SY, Lemech C, Juric D, Rehn M, Ngarmchamnanrith G, Jafarinasabian P, Tran Q, Hong DS. Sotorasib in KRAS p.G12C-Mutated Advanced Pancreatic Cancer. N Engl J Med. 2023 Jan 5;388(1):33-43. doi: 10.1056/NEJMoa2208470. Epub 2022 Dec 21.
PubMed 36546651Lanman BA, Allen JR, Allen JG, Amegadzie AK, Ashton KS, Booker SK, Chen JJ, Chen N, Frohn MJ, Goodman G, Kopecky DJ, Liu L, Lopez P, Low JD, Ma V, Minatti AE, Nguyen TT, Nishimura N, Pickrell AJ, Reed AB, Shin Y, Siegmund AC, Tamayo NA, Tegley CM, Walton MC, Wang HL, Wurz RP, Xue M, Yang KC, Achanta P, Bartberger MD, Canon J, Hollis LS, McCarter JD, Mohr C, Rex K, Saiki AY, San Miguel T, Volak LP, Wang KH, Whittington DA, Zech SG, Lipford JR, Cee VJ. Discovery of a Covalent Inhibitor of KRASG12C (AMG 510) for the Treatment of Solid Tumors. J Med Chem. 2020 Jan 9;63(1):52-65. doi: 10.1021/acs.jmedchem.9b01180. Epub 2019 Dec 24.
PubMed 31820981
Study at a glance
From the registry record, last updated by the sponsor on 30 Jun 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1/2, Open-label Study Evaluating the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Efficacy of Sotorasib (AMG 510) Monotherapy in Subjects With Advanced Solid Tumors With KRAS p.G12C Mutation and Sotorasib (AMG 510) Combination Therapy in Subjects With Advanced NSCLC With KRAS p.G12C Mutation (CodeBreaK 100)
- ClinicalTrials.gov ID
- NCT03600883
- Acronym / sponsor ID
- 20170543
- Conditions
- KRAS p.G12C Mutant Advanced Solid Tumors
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 713 participants (actual)
- Lead sponsor
- AmgenIndustry (pharma, biotech, devices)
- Study start
- 27 Aug 2018 (actual)
- Primary completion
- 29 May 2026 (actual)
- Study completion
- 29 May 2026 (actual)
- First posted
- 26 Jul 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Evaluate the safety and tolerability of sotorasib in adult subjects with KRAS p.G12C mutant advanced solid tumors.
Estimate the maximum tolerated dose (MTD) and/or a recommended phase 2 dose (RP2D) in adult subjects with KRAS p.G12C mutant advanced solid tumors.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| Phase 1 Dose Exploration Part 1 monotherapy | Experimental | Drug: sotorasibCohorts with food effect and alternative dosing regimens Enrollment into the dose exploration cohorts may be from any eligible solid tumor type. Dose escalation will begin with 2-4 subjects treated at the lowest planned dose level of 180 mg. If no DLT is observed, dose escalation will continue to the next planned dose cohort |
| Phase 1 Dose Expansion Part 2 monotherapy | Experimental | Drug: sotorasibUpon completing the dose exploration part of the study, dose expansion may proceed with 3 groups consisting of subjects with KRAS p.G12C mutant advanced solid tumors. Dose expansion in these 3 groups may be done concurrently |
| Phase 1 combination arm with sotorasib and anti PD-1/L1 | Experimental | Drug: sotorasib, Drug: Anti PD-1/L1Additional subjects will be enrolled into the combination arm with sotorasib in combination with an anti (PD-1/L1) |
| Phase 1 monotherapy treatment naive advanced NSCLC | Experimental | Drug: sotorasib, Drug: MidazolamSeparate cohort of part 1 dose expansion subjects to evaluate the safety and clinical activity of sotorasib administered orally once daily in subjects with previously untreated advanced non-small cell lung cancer (NSCLC). Drug-drug interaction will be evaluated in 6 of the subjects enrolled in the treatment naive cohort by adding Midazolam alone on Day -1 and in combination with sotorasib on Day 15 of Cycle 1, where each cycle is 21 days. |
| Phase 2 monotherapy dose comparison | Experimental | Drug: sotorasibSubjects with NSCLC will be enrolled in a dose comparison study evaluating safety and efficacy |
| Phase 1 Does escalation and Expansion monotherapy BID | Experimental | Drug: sotorasibBID 2L+solid tumors (fed state) |
Who may qualify
- Ages
- 18 to 100 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Men or women greater than or equal to 18 years old.
- Pathologically documented, locally-advanced or metastatic malignancy with, KRAS p.G12C mutation identified through molecular testing.
Key exclusion criteria (3 listed)
- Active brain metastases from non-brain tumors.
- Myocardial infarction within 6 months of study day 1.
- Gastrointestinal (GI) tract disease causing the inability to take oral medication.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| sotorasibCharacterize the pharmacokinetics (PK) of sotorasib following administration as an oral Tablet formulation | Drug | Phase 1 Does escalation and Expansion monotherapy BID, Phase 1 Dose Expansion Part 2 monotherapy, Phase 1 Dose Exploration Part 1 monotherapy, Phase 1 combination arm with sotorasib and anti PD-1/L1, Phase 1 monotherapy treatment naive advanced NSCLC, Phase 2 monotherapy dose comparison |
| Anti PD-1/L1Administered as an intravenous (IV) infusion | Drug | Phase 1 combination arm with sotorasib and anti PD-1/L1 |
| MidazolamAdministered as an oral hydrochloride (HCI) syrup | Drug | Phase 1 monotherapy treatment naive advanced NSCLC |
Primary outcome
Primary: Number of subjects with treatment-emergent adverse events
Time frame: 24 Months
Treatment-emergent adverse events will be a primary outcome measure for the following groups: * Phase 1 Dose Exploration Part 1 monotherapy * Phase 1 Dose Expansion Part 2 monotherapy * Phase 1 combination arm with sotorasib and anti PD-1/L1 * Phase 1 monotherapy treatment naïve advanced NSCLC * Phase 2 monotherapy dose comparison
Primary: Number of subjects with treatment-related adverse events
Time frame: 24 Months
Treatment-related adverse events will be a primary outcome measure for the following groups: * Phase 1 Dose Exploration Part 1 monotherapy * Phase 1 Dose Expansion Part 2 monotherapy * Phase 1 combination arm with sotorasib and anti PD-1/L1 * Phase 1 monotherapy treatment naïve advanced NSCLC
Primary: Number of subjects with grade ≥3 treatment-emergent adverse events
Time frame: 24 Months
Grade ≥3 treatment-emergent adverse events will be a primary outcome measure in the following group: - Phase 2 monotherapy dose comparison
Primary: Number of subjects with serious adverse events
Time frame: 24 Months
Serious adverse events will be a primary outcome measure in the following group: - Phase 2 monotherapy dose comparison
Primary: Number of subjects with adverse events of interest
Time frame: 24 Months
Adverse events of interest will be a primary outcome measure in the following group: - Phase 2 monotherapy dose comparison
Primary: Number of subjects with clinically significant changes in vital signs
Time frame: Baseline to 24 Months
Vital signs will be a primary outcome measure for the following groups: * Phase 1 Dose Exploration Part 1 monotherapy * Phase 1 Dose Expansion Part 2 monotherapy * Phase 1 combination arm with sotorasib and anti PD-1/L1 * Phase 1 monotherapy treatment naïve advanced NSCLC
Primary: Number of subjects with clinically significant changes in physical examination results
Time frame: Baseline to 24 Months
Physical examinations will be a primary outcome measure for the following groups: * Phase 1 Dose Exploration Part 1 monotherapy * Phase 1 Dose Expansion Part 2 monotherapy * Phase 1 combination arm with sotorasib and anti PD-1/L1
Primary: Number of subjects with clinically significant changes on electrocardiograms (ECGs)
Time frame: Baseline to 24 Months
ECGs will be a primary outcome measure for the following groups: * Phase 1 Dose Exploration Part 1 monotherapy * Phase 1 Dose Expansion Part 2 monotherapy * Phase 1 combination arm with sotorasib and anti PD-1/L1 * Phase 1 monotherapy treatment naïve advanced NSCLC
Primary: Number of subjects with clinically significant changes in clinical laboratory values
Time frame: Baseline to 24 Months
Abnormal clinical laboratory values will be a primary outcome measure for the following groups: * Phase 1 Dose Exploration Part 1 monotherapy * Phase 1 Dose Expansion Part 2 monotherapy * Phase 1 combination arm with sotorasib and anti PD-1/L1 * Phase 1 monotherapy treatment naïve advanced NSCLC
Primary: Number of subjects with dose-limiting toxicities (DLTs)
Time frame: 21 Days
DLTs will be a primary outcome measure for the following groups: * Phase 1 Dose Exploration Part 1 monotherapy * Phase 1 Dose Expansion Part 2 monotherapy * Phase 1 combination arm with sotorasib and anti PD-1/L1 * Phase 1 monotherapy treatment naïve advanced NSCLC
Primary: Objective response rate (ORR) as assessed by RECIST 1.1 criteria
Time frame: 24 Months
ORR will be a primary outcome measure in the following group: * Phase 1 monotherapy treatment naïve advanced NSCLC * Phase 2 monotherapy * Phase 2 monotherapy dose comparison
Primary: Duration of response (DOR) as assessed by RECIST 1.1 criteria
Time frame: 24 Months
DOR will be a primary outcome measure in the following group: - Phase 1 monotherapy treatment naïve advanced NSCLC
Primary: Disease control as assessed by RECIST 1.1 criteria
Time frame: 24 Months
Disease control will be a primary outcome measure in the following group: - Phase 1 monotherapy treatment naïve advanced NSCLC
Primary: Duration of stable disease (SD) as assessed by RECIST 1.1 criteria
Time frame: 24 Months
Duration of SD will be a primary outcome measure in the following group: - Phase 1 monotherapy treatment naïve advanced NSCLC
Primary: Time to response (TTR) as assessed by RECIST 1.1 criteria
Time frame: 24 Months
TTR will be a primary outcome measure in the following group: - Phase 1 monotherapy treatment naïve advanced NSCLC
30 secondary outcomes
Secondary: Plasma concentration (Cmax) of sotorasib
Time frame: 15 Weeks
Secondary: Plasma concentration (Cmax) of midazolam
Time frame: 16 Days
Secondary: Time to achieve Cmax (Tmax) of sotorasib
Time frame: 15 Weeks
Secondary: Area under the plasma concentration-time curve (AUC) of sotorasib
Time frame: 15 Weeks
Secondary: Area under the plasma concentration-time curve (AUC) of midazolam
Time frame: 16 Days
Secondary: Clearance of midazolam from the plasma
Time frame: 16 Days
Secondary: Terminal half-life (t1/2) of midazolam
Time frame: 16 Days
Secondary: Objective response rate (ORR) as assessed by RECIST 1.1 criteria
Time frame: 24 Months
Secondary: Duration of response (DOR) as assessed by RECIST 1.1 criteria
Time frame: 24 Months
Secondary: Disease control as assessed by RECIST 1.1 criteria
Time frame: 24 Months
Secondary: Progression-free survival (PFS) as assessed by RECIST 1.1 criteria
Time frame: 24 Months
Secondary: Duration of stable disease (SD) as assessed by RECIST 1.1 criteria
Time frame: 24 Months
Secondary: Depth of response (best percentage change from baseline in lesion sum diameters) as assessed by RECIST 1.1 criteria
Time frame: Baseline to 24 Months
Secondary: Time to response (TTR) as assessed by RECIST 1.1 criteria
Time frame: 24 Months
Secondary: Overall survival (OS)
Time frame: 24 Months
Secondary: sotorasib exposure and QTc interval relationship
Time frame: 24 Months
Secondary: Progression-free survival (PFS) at 6 months
Time frame: 6 Months
Secondary: Progression-free survival (PFS) at 12 months
Time frame: 12 Months
Secondary: Overall survival (OS) at 12 months
Time frame: 12 Months
Secondary: Number of subjects with treatment-emergent adverse events
Time frame: 24 Months
Secondary: Number of subjects with grade ≥3 treatment-emergent adverse events
Time frame: 24 Months
Secondary: Impact of treatment on disease-related symptoms and health related quality of life (HRQOL) as assessed by EORTC QLQ-C30
Time frame: 24 Months
Secondary: Impact of treatment on disease-related symptoms and HRQOL as assessed by disease-specific modules Quality-of-Life Questionnaire Lung Cancer Module (QLQ LC13)
Time frame: 24 Months
Secondary: Impact of treatment on disease-related symptoms and HRQOL as assessed by non-small cell lung cancer symptom assessment questionnaire (NSCLC SAQ) for NSCLC
Time frame: 24 Months
Secondary: Impact of treatment on disease-related symptoms and HRQOL as assessed by Patient Global Impression of Severity (PGIS)
Time frame: 24 Months
Secondary: Impact of treatment on disease-related symptoms and HRQOL as assessed by Patient Global Impression of Change (PGIC) in cough, dyspnea and chest pain for NSCLC
Time frame: 24 Months
Secondary: Treatment-related symptoms and impact on the subject as assessed by EORTC QLQ-C30
Time frame: 24 Months
Secondary: Treatment-related symptoms and impact on the subject as assessed by selected questions from the Patient-reported Outcome of the Common Terminology Criteria for Adverse Events (PRO-CTCAE library)
Time frame: 24 Months
Secondary: Treatment-related symptoms and impact on the subject as assessed by a single item about symptom bother, item GP5 of the Functional Assessment of Cancer Therapy - General (FACT-G)
Time frame: 24 Months
Secondary: Change from baseline in physical function as assessed by EORTC QLQ-C30
Time frame: Baseline to 24 Months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Jun 2026.
- Background: PubMed 31666701Canon J, Rex K, Saiki AY, Mohr C, Cooke K, Bagal D, Gaida K, Holt T, Knutson CG, Koppada N, Lanman BA, Werner J, Rapaport AS, San Miguel T, Ortiz R, Osgood T, Sun JR, Zhu X, McCarter JD, Volak LP, Houk BE, Fakih MG, O'Neil BH, Price TJ, Falchook GS, Desai J, Kuo J, Govindan R, Hong DS, Ouyang W, Henary H, Arvedson T, Cee VJ, Lipford JR. The clinical KRAS(G12C) inhibitor AMG 510 drives anti-tumour immunity. Nature. 2019 Nov;575(7781):217-223. doi: 10.1038/s41586-019-1694-1. Epub 2019 Oct 30.
- Background: PubMed 34096690Skoulidis F, Li BT, Dy GK, Price TJ, Falchook GS, Wolf J, Italiano A, Schuler M, Borghaei H, Barlesi F, Kato T, Curioni-Fontecedro A, Sacher A, Spira A, Ramalingam SS, Takahashi T, Besse B, Anderson A, Ang A, Tran Q, Mather O, Henary H, Ngarmchamnanrith G, Friberg G, Velcheti V, Govindan R. Sotorasib for Lung Cancers with KRAS p.G12C Mutation. N Engl J Med. 2021 Jun 24;384(25):2371-2381. doi: 10.1056/NEJMoa2103695. Epub 2021 Jun 4.
- Background: PubMed 34919824Fakih MG, Kopetz S, Kuboki Y, Kim TW, Munster PN, Krauss JC, Falchook GS, Han SW, Heinemann V, Muro K, Strickler JH, Hong DS, Denlinger CS, Girotto G, Lee MA, Henary H, Tran Q, Park JK, Ngarmchamnanrith G, Prenen H, Price TJ. Sotorasib for previously treated colorectal cancers with KRASG12C mutation (CodeBreaK100): a prespecified analysis of a single-arm, phase 2 trial. Lancet Oncol. 2022 Jan;23(1):115-124. doi: 10.1016/S1470-2045(21)00605-7. Epub 2021 Dec 15.
- Background: PubMed 32955176Hong DS, Fakih MG, Strickler JH, Desai J, Durm GA, Shapiro GI, Falchook GS, Price TJ, Sacher A, Denlinger CS, Bang YJ, Dy GK, Krauss JC, Kuboki Y, Kuo JC, Coveler AL, Park K, Kim TW, Barlesi F, Munster PN, Ramalingam SS, Burns TF, Meric-Bernstam F, Henary H, Ngang J, Ngarmchamnanrith G, Kim J, Houk BE, Canon J, Lipford JR, Friberg G, Lito P, Govindan R, Li BT. KRASG12C Inhibition with Sotorasib in Advanced Solid Tumors. N Engl J Med. 2020 Sep 24;383(13):1207-1217. doi: 10.1056/NEJMoa1917239. Epub 2020 Sep 20.
- Background: PubMed 34759319Zhao Y, Murciano-Goroff YR, Xue JY, Ang A, Lucas J, Mai TT, Da Cruz Paula AF, Saiki AY, Mohn D, Achanta P, Sisk AE, Arora KS, Roy RS, Kim D, Li C, Lim LP, Li M, Bahr A, Loomis BR, de Stanchina E, Reis-Filho JS, Weigelt B, Berger M, Riely G, Arbour KC, Lipford JR, Li BT, Lito P. Diverse alterations associated with resistance to KRAS(G12C) inhibition. Nature. 2021 Nov;599(7886):679-683. doi: 10.1038/s41586-021-04065-2. Epub 2021 Nov 10.
- Background: PubMed 37098232Dy GK, Govindan R, Velcheti V, Falchook GS, Italiano A, Wolf J, Sacher AG, Takahashi T, Ramalingam SS, Dooms C, Kim DW, Addeo A, Desai J, Schuler M, Tomasini P, Hong DS, Lito P, Tran Q, Jones S, Anderson A, Hindoyan A, Snyder W, Skoulidis F, Li BT. Long-Term Outcomes and Molecular Correlates of Sotorasib Efficacy in Patients With Pretreated KRAS G12C-Mutated Non-Small-Cell Lung Cancer: 2-Year Analysis of CodeBreaK 100. J Clin Oncol. 2023 Jun 20;41(18):3311-3317. doi: 10.1200/JCO.22.02524. Epub 2023 Apr 25.
- Background: PubMed 38010044Dy GK, Govindan R, Velcheti V, Falchook GS, Italiano A, Wolf J, Sacher AG, Takahashi T, Ramalingam SS, Dooms C, Kim DW, Addeo A, Desai J, Schuler M, Tomasini P, Hong DS, Lito P, Tran Q, Jones S, Anderson A, Hindoyan A, Snyder W, Skoulidis F, Li BT. Long-term benefit of sotorasib in patients with KRAS G12C-mutated non-small-cell lung cancer: plain language summary. Future Oncol. 2024 Jan;20(3):113-120. doi: 10.2217/fon-2023-0560. Epub 2023 Nov 27.
- Background: PubMed 38975874Dilly J, Hoffman MT, Abbassi L, Li Z, Paradiso F, Parent BD, Hennessey CJ, Jordan AC, Morgado M, Dasgupta S, Uribe GA, Yang A, Kapner KS, Hambitzer FP, Qiang L, Feng H, Geisberg J, Wang J, Evans KE, Lyu H, Schalck A, Feng N, Lopez AM, Bristow CA, Kim MP, Rajapakshe KI, Bahrambeigi V, Roth JA, Garg K, Guerrero PA, Stanger BZ, Cristea S, Lowe SW, Baslan T, Van Allen EM, Mancias JD, Chan E, Anderson A, Katlinskaya YV, Shalek AK, Hong DS, Pant S, Hallin J, Anderes K, Olson P, Heffernan TP, Chugh S, Christensen JG, Maitra A, Wolpin BM, Raghavan S, Nowak JA, Winter PS, Dougan SK, Aguirre AJ. Mechanisms of Resistance to Oncogenic KRAS Inhibition in Pancreatic Cancer. Cancer Discov. 2024 Nov 1;14(11):2135-2161. doi: 10.1158/2159-8290.CD-24-0177.
- Background: PubMed 39029295Hochmair MJ, Vermaelen K, Mountzios G, Carcereny E, Dooms C, Lee SH, Morocz E, Kato T, Ciuleanu TE, Dy GK, Parente B, O'Byrne KJ, Chu QS, Castro Junior G, Girard N, Snyder W, Tran Q, Kormany W, Houk B, Mehta B, Curioni-Fontecedro A. Sotorasib (960 mg or 240 mg) once daily in patients with previously treated KRAS G12C-mutated advanced NSCLC. Eur J Cancer. 2024 Sep;208:114204. doi: 10.1016/j.ejca.2024.114204. Epub 2024 Jul 5.
- Background: PubMed 39806205Nagase M, Houk B, Vuu I, Cardona P, Dutta S, Lin CW. Population Pharmacokinetics of Sotorasib in Healthy Subjects and Advanced Solid Tumor Patients Harboring a KRASG12C Mutation from Phase 1 and Phase 2 Studies. AAPS J. 2025 Jan 13;27(1):26. doi: 10.1208/s12248-024-01013-6.
- Derived from this study: PubMed 36546651Strickler JH, Satake H, George TJ, Yaeger R, Hollebecque A, Garrido-Laguna I, Schuler M, Burns TF, Coveler AL, Falchook GS, Vincent M, Sunakawa Y, Dahan L, Bajor D, Rha SY, Lemech C, Juric D, Rehn M, Ngarmchamnanrith G, Jafarinasabian P, Tran Q, Hong DS. Sotorasib in KRAS p.G12C-Mutated Advanced Pancreatic Cancer. N Engl J Med. 2023 Jan 5;388(1):33-43. doi: 10.1056/NEJMoa2208470. Epub 2022 Dec 21.
- Derived from this study: PubMed 31820981Lanman BA, Allen JR, Allen JG, Amegadzie AK, Ashton KS, Booker SK, Chen JJ, Chen N, Frohn MJ, Goodman G, Kopecky DJ, Liu L, Lopez P, Low JD, Ma V, Minatti AE, Nguyen TT, Nishimura N, Pickrell AJ, Reed AB, Shin Y, Siegmund AC, Tamayo NA, Tegley CM, Walton MC, Wang HL, Wurz RP, Xue M, Yang KC, Achanta P, Bartberger MD, Canon J, Hollis LS, McCarter JD, Mohr C, Rex K, Saiki AY, San Miguel T, Volak LP, Wang KH, Whittington DA, Zech SG, Lipford JR, Cee VJ. Discovery of a Covalent Inhibitor of KRASG12C (AMG 510) for the Treatment of Solid Tumors. J Med Chem. 2020 Jan 9;63(1):52-65. doi: 10.1021/acs.jmedchem.9b01180. Epub 2019 Dec 24.
- AmgenTrials clinical trials websiteLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request
Related trials for KRAS p.G12C Mutant Advanced Solid Tumors
RecruitingPhase 1/2
JAB-23E73 in Adult Participants With Advanced Solid Tumors With KRAS Alteration
Advanced Solid Tumors
Active, not recruitingPhase 2
Testing the Use of AMG 510 (Sotorasib) and Panitumumab as a Targeted Treatment for KRAS G12C Mutant Solid Tumor Cancers (A ComboMATCH Treatment Trial)
Advanced Malignant Solid Neoplasm, Metastatic Malignant Solid Neoplasm
Active, not recruitingPhase 1/2
Study of JDQ443 in Patients With Advanced Solid Tumors Harboring the KRAS G12C Mutation
KRAS G12C Mutant Solid Tumors, Carcinoma, Non-Small-Cell Lung
RecruitingPhase 1
A Study of Calderasib (MK-1084) in KRAS Mutant Advanced Solid Tumors (MK-1084-001)
Advanced Solid Tumors
RecruitingPhase 2
A Clinical Study of Calderasib (MK-1084) in People With Advanced Solid Tumors (MK-1084-014)
Neoplasm Malignant
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
MD study director
Amgen
133 sites in 16 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing sotorasib, Anti PD-1/L1 and Midazolam in people with KRAS p.G12C Mutant Advanced Solid Tumors, run by Amgen at 133 sites in 16 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 30 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 133 sites in United States, Japan, Belgium, Romania, South Korea and 11 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Primary: Number of subjects with treatment-emergent adverse events (time frame: 24 Months). The study lists 15 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03600883, which also lists 12 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Jun 2026.