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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
Sponsor: Bayer
Summary
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.
Official title: 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
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
130
Start Date
2026-04-15
Completion Date
2030-07-09
Last Updated
2026-04-21
Healthy Volunteers
No
Interventions
BAY 3771249
Oral
Cetuximab
Intravenous (IV) infusion
Locations (18)
City of Hope - Duarte Cancer Center
Duarte, California, United States
UC San Diego Health - Moores Cancer Center
San Diego, California, United States
Sarah Cannon Research Institute at HCA HealthONE Presbyterian St. Luke's
Denver, Colorado, United States
Icahn School of Medicine at Mount Sinai - Oncology
New York, New York, United States
NEXT Dallas - Oncology Department
Irving, Texas, United States
START | San Antonio
San Antonio, Texas, United States
Calvary Mater Hospital Newcastle - Oncology
Waratah, New South Wales, Australia
Ghent University Hospital | Drug Research Unit Department
Ghent, Belgium
Rigshospitalet - Kræftbehandling
Copenhagen, Capital Region, Denmark
Odense University Hospital - Oncology Department
Odense, Region Syddanmark, Denmark
HUS-Yhtymä, Helsingin yliopistollinen sairaala (HUS) - Syöpäkeskus
Helsinki, Uusimaa, Finland
Fondazione Policlinico Universitario Agostino Gemelli IRCCS - UOC Fase I
Roma, Italy
Nederlands Kanker Instituut
Amsterdam, Netherlands
National University Hospital Medical Centre
Singapore, Singapore
National Cancer Center Singapore - Oncology Department
Singapore, Singapore
Hospital Universitari Vall D Hebron | Oncologia
Barcelona, Barcelona, Spain
Hospital Universitario Hm Sanchinarro | Oncologia
Madrid, Madrid, Spain
Karolinska Universitetssjukhuset - Fas I-enheten Solna CKC
Stockholm, Stockholm County, Sweden