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KRAS Altered Advanced or Metastatic Solid TumorsPhase 1NCT07094113

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

A Phase 1 study testing AMG 410, Pembrolizumab and Panitumumab in people with KRAS Altered Advanced or Metastatic Solid Tumors, run by Amgen at 39 sites in 14 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial 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. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
AMG 410, Pembrolizumab and Panitumumab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
434 participants
Where
39 sitesin 14 countries
Study dates
31 Jul 2025to 20 Apr 2031
Phase
Phase 1
Are there results?
Not yet: the study is under way

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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age ≥ 18 years (or > legal age within the country if it is older than 18 years).
  • 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.
  • Participants must have no standard of care treatment options or have actively refused such therapy.
  • Able to swallow and retain per oral administered study treatment.
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1.
  • Disease measurable as defined by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1), as determined by the site investigator.
  • Adequate organ function.
  • 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).

Who cannot join

  • Untreated symptomatic central nervous system or leptomeningeal metastases.
  • Uncontrolled pleural effusion and/or ascites.
  • History of other malignancy within the past 5 years.
  • 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.
  • History of arterial or venous thrombosis (eg, stroke, transient ischemic attack, pulmonary embolism, or deep vein thrombosis).
  • Live and live-attenuated vaccines are prohibited within 28 days prior to the first dose of study treatment.
Show all 13Show fewer
  • History of solid organ transplant.
  • Anti-tumor therapy (chemotherapy, antibody therapy, molecular targeted therapy, hormonal therapy, or investigational agent) within 28 days of first dose of study treatment.
  • 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).
  • 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.
  • Therapeutic or palliative radiation therapy within 2 weeks of first dose of study treatment.
  • Major surgery within 28 days of first dose of study treatment.
  • 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.

Trial locations and contacts

39 sites in 14 countries. Contact the study team or a site near you to ask about taking part.

Amgen Call Center contact

866-572-6436

medinfo@amgen.com

39 sites in 14 countries

United States10 sites, 10 recruiting
  • Emory University

    Atlanta, Georgia, 30322

    Recruiting
  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

    Recruiting
  • City of Hope National Medical Center

    Duarte, California, 91010

    Recruiting
  • Duke Cancer Center

    Durham, North Carolina, 27710

    Recruiting
  • Next Virginia

    Fairfax, Virginia, 22031

    Recruiting
  • University of California Los Angeles

    Los Angeles, California, 90095

    Recruiting
  • Sarah Cannon Research Institute Oncology Partners

    Nashville, Tennessee, 37203

    Recruiting
  • Thomas Jefferson University

    Philadelphia, Pennsylvania, 19107

    Recruiting
  • Next Oncology

    San Antonio, Texas, 78229

    Recruiting
  • Siteman Cancer Center - Washington University

    St Louis, Missouri, 63110

    Recruiting

Other trials in United States

Australia3 sites, 3 recruiting
  • Chris OBrien Lifehouse

    Camperdown, New South Wales, 2050

    Recruiting
  • Peter MacCallum Cancer Centre

    Melbourne, Victoria, 3000

    Recruiting
  • The Queen Elizabeth Hospital

    Woodville South, South Australia, 5011

    Recruiting

Other trials in Australia

Canada3 sites, 3 recruiting
  • Cross Cancer Institute

    Edmonton, Alberta, T6G 1Z2

    Recruiting
  • Sir Mortimer B Davis - Jewish General Hospital

    Montreal, Quebec, H3T 1E2

    Recruiting
  • Princess Margaret Cancer Centre

    Toronto, Ontario, M5G 1Z5

    Recruiting

Other trials in Canada

China3 sites, 3 recruiting
  • Beijing Cancer Hospital

    Beijing, Beijing Municipality, 100142

    Recruiting
  • Chongqing University Cancer Hospital

    Chongqing, Chongqing Municipality, 400044

    Recruiting
  • Jinan Central Hospital

    Jinan, Shandong, 250013

    Recruiting

Other trials in China

Italy3 sites, 3 recruiting
  • Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda

    Milan, 20162

    Recruiting
  • Azienda Ospedaliero Universitaria Pisana

    Pisa, 56126

    Recruiting
  • Centro Ricerche Cliniche Di Verona Societa responsabilita limitata

    Verona, 37134

    Recruiting

Other trials in Italy

Japan3 sites, 3 recruiting
  • National Cancer Center Hospital

    Chuo-ku, Tokyo, 104-0045

    Recruiting
  • National Cancer Center Hospital East

    Kashiwa-shi, Chiba, 277-8577

    Recruiting
  • Aichi Cancer Center

    Nagoya, Aichi-ken, 464-8681

    Recruiting

Other trials in Japan

Spain3 sites, 3 recruiting
  • Hospital Universitari Vall d Hebron

    Barcelona, Catalonia, 08023

    Recruiting
  • Fundacion Jimenez Diaz

    Madrid, 28040

    Recruiting
  • Hospital Universitario 12 de Octubre

    Madrid, 28041

    Recruiting

Other trials in Spain

Belgium2 sites, 2 recruiting
  • Universitair Ziekenhuis Antwerpen

    Edegem, 2650

    Recruiting
  • Universitair Ziekenhuis Gent

    Ghent, 9000

    Recruiting

Other trials in Belgium

France2 sites, 2 recruiting
  • Centre Leon Berard

    Lyon, 69008

    Recruiting
  • Gustave Roussy

    Villejuif, 94805

    Recruiting

Other trials in France

South Korea2 sites, 2 recruiting
  • Seoul National University Hospital

    Seoul, 03080

    Recruiting
  • Asan Medical Center

    Seoul, 05505

    Recruiting

Other trials in South Korea

United Kingdom2 sites, 2 recruiting
  • Sarah Cannon Research Institute UK

    London, W1G 6AD

    Recruiting
  • Royal Marsden Hospital

    Sutton, SM2 5PT

    Recruiting

Other trials in United Kingdom

Denmark1 site, 1 recruiting
  • Rigshospitalet

    Copenhagen, 2100

    Recruiting

Other trials in Denmark

Germany1 site, 1 recruiting
  • Universitaetsklinikum Essen

    Essen, 45147

    Recruiting

Other trials in Germany

Netherlands1 site, 1 recruiting
  • Universitair Medisch Centrum Utrecht

    Utrecht, 3584 CX

    Recruiting

Other trials in Netherlands

About this study

Official title: A Phase 1/1b Study Evaluating the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Efficacy of AMG 410 Alone and in Combination With Other Agents in Participants With KRAS Altered Advanced or Metastatic Solid Tumors

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.

Being tested
AMG 410, Pembrolizumab, Panitumumab
Keywords
Non-small cell lung cancer, NSCLC, Colorectal cancer, CRC, Pancreatic ductal adenocarcinoma, PDAC, AMG 410
Medical subject headings
Carcinoma, Non-Small-Cell Lung, Colorectal Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AMG 410Drug

    Administered as an oral tablet.

  • PembrolizumabDrug

    Administered as an intravenous (IV) infusion.

  • PanitumumabDrug

    Administered as an IV infusion.

Study groups in NCT07094113
Study groupRoleWhat they receive
Part 1: Monotherapy Dose ExplorationExperimentalParticipants will receive escalating doses of AMG 410.
Receives: Drug: AMG 410
Part 1: Food Effect Substudy CohortExperimentalA food effect substudy will be conducted. During the substudy, participants will receive AMG 410 under fasted and fed conditions.
Receives: Drug: AMG 410
Part 1: China-specific CohortExperimentalParticipants identified through regionally approved molecular KRAS testing will receive AMG 410.
Receives: Drug: AMG 410
Part 2: Monotherapy Dose ExpansionExperimentalMonotherapy 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.
Receives: Drug: AMG 410
Part 3a: Combination Therapy Dose Exploration and Dose ExpansionExperimentalPart 3a allows for AMG 410 dose exploration and expansion in combination with pembrolizumab in KRAS altered advanced or metastatic solid tumors.
Receives: Drug: AMG 410; Drug: Pembrolizumab
Part 3b: Combination Therapy Dose Exploration and Dose ExpansionExperimentalPart 3b allows for AMG 410 dose exploration and expansion in combination with panitumumab in advanced or metastatic CRC and/or PDAC.
Receives: Drug: AMG 410; Drug: Panitumumab

What is being measured

The primary outcome is the main question the study is designed to answer.

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

    Measured: 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.

    Measured: 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.

    Measured: Up to approximately 3 years

Secondary outcomes (13)
  1. Maximum Concentration (Cmax) of AMG 410

    Measured: Up to 85 days

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

    Measured: Up to 85 days

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

    Measured: Up to 85 days

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

    Measured: Up to approximately 3 years

  5. Clinical Benefit per RECIST v1.1

    Measured: Up to approximately 3 years

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

    Measured: Up to approximately 3 years

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

    Measured: Up to approximately 3 years

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

    Measured: Up to approximately 3 years

  9. Overall Survival (OS)

    Measured: Up to approximately 3 years

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

    Measured: Up to 24 days

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

    Measured: Up to 24 days

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

    Measured: Up to 24 days

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

    Measured: Baseline up to approximately 3 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Jul 2025
  2. Study start31 Jul 2025
  3. Primary completion18 Apr 2028 (estimated)
  4. Study completion20 Apr 2031 (estimated)

Resources

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
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
434 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07094113
Sponsor's protocol ID
20240031
Status last verified
Jul 2026
First submitted
23 Jul 2025
Last updated
30 Jul 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.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing AMG 410, Pembrolizumab and Panitumumab in people with KRAS Altered Advanced or Metastatic Solid Tumors, run by Amgen at 39 sites in 14 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 8 inclusion and 13 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: looking for participants now, as of the sponsor's last update on 30 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 39 sites in United States, Australia, Canada, China, Italy and 9 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 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.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Amgen Call Center (866-572-6436, medinfo@amgen.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants with Dose Limiting Toxicities (DLTs) (time frame: Up to 28 days). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 Jul 2026.

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