Purpose

Researchers are looking for other ways to treat locally advanced or metastatic colorectal cancer (mCRC) that is unresectable and has a gene mutation called KRAS G12C. Standard (or usual) treatments for this type of colorectal cancer may include mFOLFOX6 with or without bevacizumab. Researchers want to learn if adding MK-1084 (the study medicine) and cetuximab to mFOLFOX6 can treat locally advanced or mCRC with the KRAS G12C mutation. MK-1084 and cetuximab are targeted therapies. The goals of this study are to learn: - About the safety of MK-1084 with cetuximab and mFOLFOX6 and if people tolerate the treatments - If people who receive MK-1084 with cetuximab and mFOLFOX6 live longer without mCRC growing or spreading compared to people who receive mFOLFOX6 with or without bevacizumab.

Conditions

Eligibility

Eligible Ages
Over 18 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

The main inclusion criteria include but are not limited to the following: - Has a histologically confirmed diagnosis of locally advanced unresectable or metastatic (unresectable Stage III or Stage IV as defined by American Joint Committee on Cancer [AJCC] eighth edition) colorectal adenocarcinoma - Part 2 only: Has not received systemic anticancer therapy for locally advanced unresectable or metastatic colorectal cancer - Tumor tissue demonstrates presence of a Kirsten rat sarcoma viral oncogene homolog G12C (KRAS G12C) mutation - Human immunodeficiency virus (HIV)-infected participants must have well controlled HIV on antiretroviral therapy (ART) - Participants who are Hepatitis B surface antigen (HBsAg) positive are eligible if they have received hepatitis B virus (HBV) antiviral therapy and have undetectable HBV viral load - Participants with history of hepatitis C virus (HCV) infection are eligible if HCV viral load is undetectable

Exclusion Criteria

The main exclusion criteria include but are not limited to the following: - Has active inflammatory bowel disease requiring immunosuppressive medication or previous clear history of inflammatory bowel disease (eg, Crohn's disease, ulcerative colitis, chronic diarrhea) - Has uncontrolled, significant cardiovascular disease or cerebrovascular disease - Has known dihydropyrimidine dehydrogenase (DPD) deficiency - HIV-infected participants with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease - Has received prior systemic anticancer therapy including investigational agents within 4 weeks before randomization - Has 1 or more conditions that, in the opinion of the investigator, make the participant ineligible for treatment with bevacizumab - Has known additional malignancy that is progressing or has required active treatment within the past 3 years - Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis or leptomeningeal disease - Has active infection requiring systemic therapy - Has not adequately recovered from major surgery or have ongoing surgical complications - Has a history of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease

Study Design

Phase
Phase 3
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Treatment
Masking
Single (Outcomes Assessor)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
MK-1084 + Cetuximab + mFOLFOX6
Participants will receive MK-1084 orally, cetuximab per label every 2 weeks (Q2W), and mFOLFOX6 chemotherapy: oxaliplatin per label every 2 weeks (Q2W), leucovorin or levofolinate calcium per label Q2W, and 5-fluorouracil (5-FU) per label Q2W. Treatment will continue until criteria for discontinuation is met.
  • Drug: MK-1084
    Oral tablet
  • Drug: Oxaliplatin
    Per label
  • Drug: Leucovorin/levofolinate calcium
    Per label
  • Drug: 5-Fluorouracil
    Per label
  • Biological: Cetuximab
    Per label
    Other names:
    • Erbitux
Active Comparator
mFOLFOX6
Participants will receive mFOLFOX6 chemotherapy: oxaliplatin per label Q2W, leucovorin or levofolinate calcium per label Q2W, and 5-fluorouracil (5-FU) per label Q2W. Participants may also receive bevacizumab Q2W at the investigator's discretion. Treatment will continue until criteria for discontinuation is met.
  • Drug: MK-1084
    Oral tablet
  • Drug: Oxaliplatin
    Per label
  • Drug: Leucovorin/levofolinate calcium
    Per label
  • Drug: 5-Fluorouracil
    Per label
  • Biological: Cetuximab
    Per label
    Other names:
    • Erbitux
  • Drug: Bevacizumab
    Per label
    Other names:
    • Avastin

Recruiting Locations

Orlando Health Cancer Institute ( Site 0065)
Orlando 4167147, Florida 4155751 32806
Contact:
Study Coordinator
321-841-6780

Norton Cancer Institute, Audubon Hospital Campus ( Site 0054)
Louisville 4299276, Kentucky 6254925 40217
Contact:
Study Coordinator
502-636-7845

Renown Regional Medical Center ( Site 0056)
Reno 5511077, Nevada 5509151 89502
Contact:
Study Coordinator
775-982-4000

John Theurer Cancer Center at Hackensack University Medical Center ( Site 0060)
Hackensack 5098706, New Jersey 5101760 07601
Contact:
Study Coordinator
551-996-5855

Miami Valley Hospital South ( Site 0075)
Centerville 4508204, Ohio 5165418 45459
Contact:
Study Coordinator
937-438-2400

More Details

Status
Recruiting
Sponsor
Merck Sharp & Dohme LLC

Study Contact

Toll Free Number
1-888-577-8839
Trialsites@msd.com

Detailed Description

This study will have 2 parts.

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.