Recruiting
Phase 1

ORIC-114 & Amivantamab

Sponsor:

ORIC Pharmaceuticals

Code:

NCT06816992

Conditions

Solid Tumors

EGFR Exon 20 Insertion Mutations

NSCLC

EGFR-mutated NSCLC

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

ORIC-114 Dose 1 + amivantamab

ORIC-114 Dose 2 + amivantamab

ORIC-114 Dose 3 + amivantamab

Study Details

Brief summary:

The purpose of this study is to establish the recommended phase 2 dose (RP2D), safety, pharmacokinetics (PK), pharmacodynamics (PD), and preliminary antitumor activity of ORIC-114 in combination with subcutaneous (SC) amivantamab in patients with advanced or metastatic NSCLC harboring an EGFR exon 20 insertion mutation.

Conditions

Solid Tumors

EGFR Exon 20 Insertion Mutations

NSCLC

EGFR-mutated NSCLC

Study ID

NCT06816992

Start date

Feb 27, 2025

Status verified date

Apr, 2026

Completion date

Dec, 2027

Anticipated

Primary completion date

Dec, 2026

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Inclusion Criteria:

  • Histologically or cytologically confirmed metastatic NSCLC with a documented EGFR exon 20 insertion mutation as determined locally by any nucleic acid-based diagnostic testing method; all tests should be performed in a CLIA certified or equivalently accredited laboratory
  • Prior Therapies:

1. Dose Escalation: Patients may have previously received and progressed on or after platinum-based chemotherapy or may be treatment naïve
2. Dose Expansion: Patients must not have received any prior therapy; at time of enrollment, patients must decline, or be ineligible for all available standard of care therapies with proven benefit
  • Agreement and ability to undergo a pretreatment biopsy, provided the procedure is clinically feasible and not deemed unsafe by the investigator
  • Measurable disease according to RECIST 1.1
  • Patients with asymptomatic CNS metastases are eligible
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Adequate organ function

Exclusion Criteria:

  • Known small cell lung cancer transformation
  • Leptomeningeal disease
  • Spinal cord compression not definitively treated with surgery or radiation
  • Prior immunotherapy
  • Past medical history of interstitial lung disease (ILD), drug induced ILD, radiation pneumonitis which required steroid treatment, or any evidence of clinically active ILD
  • Active gastrointestinal disease (eg, Crohn's disease, ulcerative colitis, or short gut syndrome) or other malabsorption syndromes that would reasonably impact absorption of ORIC-114

Study Design

Enrollment

76 participants

Anticipated

Allocation

Non randomized

Intervention Model

Sequential

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Part 1 Dose Escalation level 1

ORIC-114 + amivantamab

experimental: Part 1 Dose Escalation level 2

ORIC-114 + amivantamab

experimental: Part 1 Dose Escalation level 3

ORIC-114 + amivantamab

experimental: Part 2 Dose Expansion

Two potential ORIC-114 dose levels + amivantamab

Interventions

ORIC-114 Dose 1 + amivantamab

ORIC-114 oral daily, amivantamab subcutaneous weekly for 4 weeks followed by every 4 week injection

ORIC-114 Dose 2 + amivantamab

ORIC-114 oral daily, amivantamab subcutaneous weekly for 4 weeks followed by every 4 week injection

ORIC-114 Dose 3 + amivantamab

ORIC-114 oral daily, amivantamab subcutaneous weekly for 4 weeks followed by every 4 week injection

Primary outcome measure

  • Recommended Phase 2 Dose (RP2D) [ Time Frame: 12 months ]
  • Objective response rate (ORR) [ Time Frame: 12 months ]
  • Duration of response (DOR) [ Time Frame: 12 months ]
  • Progression-free survival (PFS) [ Time Frame: 12 months ]

Central Contacts and Locations

Central contacts

Locations

NYU Langone Health

Recruiting

New York, New York, United States, 10016

Virginia Cancer Specialists

Recruiting

Fairfax, Virginia, United States, 22031

More Information

Sponsor

ORIC Pharmaceuticals

Last update posted

Apr 24, 2026

Last verified

Apr, 2026

Keywords

  • NSCLC
  • EGFR mutations
  • EGFR exon20
  • EGFR exon 20 insertion mutations
  • ORIC-114
  • Amivantamab

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by ORIC Pharmaceuticals on 2026-04-24.