Lung Cancer Clinical Trial
A Study of Amivantamab and Lazertinib Combination Therapy Versus Osimertinib in Locally Advanced or Metastatic Non-Small Cell Lung Cancer
Summary
The purpose of this study is to assess the efficacy of the amivantamab and lazertinib combination, compared with osimertinib, in participants with epidermal growth factor receptor (EGFR) mutation (Exon 19 deletions [Exon 19del] or Exon 21 L858R substitution) positive, locally advanced or metastatic non-small cell lung cancer (NSCLC).
Full Description
Worldwide, lung cancer is the most commonly diagnosed cancer. In NSCLC the most prevalent actionable driver mutations result in the activation of epidermal growth factor receptor (EGFR). Osimertinib and Lazertinib are EGFR tyrosine kinase inhibitors (TKIs). Amivantamab is a novel bispecific antibody that targets the extracellular domain of both EGFR and MET and can inhibit tumor growth driven by EGFR and mesenchymal-epithelial transition (MET) receptors. Lazertinib inhibits primary activating Exon 19dell and Exon 21 L858R substitution EGFR mutations, and the EGFR T790M+ resistance mutation. The hypothesis is that the amivantamab and lazertinib combination (Arm A) will demonstrate superior PFS compared with single-agent osimertinib (Arm B). The study consists of 3 phases: Screening Phase, Treatment Phase and Follow-up Phase. Participants will undergo response evaluation criteria in solid tumors (RECIST 1.1), pharmacokinetics, and safety evaluations (adverse events, laboratory tests, vital sign measurements, physical examinations).
Eligibility Criteria
Inclusion Criteria:
Participant must have newly diagnosed histologically or cytologically confirmed, locally advanced or metastatic non-small cell lung cancer (NSCLC) that is treatment naive and not amenable to curative therapy including surgical resection or chemoradiation
The tumor harbors exon 19 deletions (Exon 19del) or Exon 21 L858R substitution, as detected by an food and drug administration (FDA)-approved or other validated test in a clinical laboratory improvement amendments (CLIA) certified laboratory (sites in the United states [US]) or an accredited local laboratory (sites outside of the US) in accordance with site standard of care
Mandatory submission of unstained tissue from tumor (in a quantity sufficient to allow for central analysis of EGFR mutation status and blood (for circulating tumor deoxyribonucleic acid [ctDNA], digital droplet polymerase chain reaction [ddPCR], and pharmacogenomic analysis)
Any toxicities from prior anticancer therapy must have resolved to common terminology criteria for adverse events (CTCAE) Grade 1 or baseline level
Participant must have at least 1 measurable lesion, according to response evaluation criteria in solid tumors (RECIST) v1.1 that has not been previously irradiated. Measurable lesions should not have been biopsied during screening, but if only 1 non-irradiated measurable lesion exists, it may undergo a diagnostic biopsy and be acceptable as a target lesion, provided the baseline tumor assessment scans are performed at least 14 days after the biopsy
Exclusion Criteria:
Participant has received any prior systemic treatment at any time for locally advanced Stage III or metastatic Stage IV disease (adjuvant or neoadjuvant therapy for Stage I or II disease is allowed, if administered more than 12 months prior to the development of locally advanced or metastatic disease)
Participant has an active or past medical history of leptomeningeal disease
Participant with untreated spinal cord compression. A participant that has been definitively treated with surgery or radiation and has a stable neurological status for at least 2 weeks prior to randomization is eligible provided they are off corticosteroid treatment or receiving low-dose corticosteroid treatment less than or equal to (<=) 10 milligrams per day (mg/day) prednisone or equivalent
Participant has an active or past medical history of interstitial lung disease (ILD)/pneumonitis, including drug-induced or radiation ILD/pneumonitis
Participant has known allergy, hypersensitivity, or intolerance to the excipients used in formulation of amivantamab, lazertinib, or osimertinib, or any contraindication to the use of osimertinib
Participant has symptomatic brain metastases. A participant with asymptomatic or previously treated and stable brain metastases may participate in this study
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There are 262 Locations for this study
Goodyear Arizona, 85395, United States
Yuma Arizona, 85364, United States
Long Beach California, 90813, United States
Orange California, 92868, United States
Lone Tree Colorado, 80124, United States
Jacksonville Florida, 32256, United States
Athens Georgia, 30607, United States
Metairie Louisiana, 70006, United States
Columbia Maryland, 21044, United States
Detroit Michigan, 48202, United States
Edina Minnesota, 55435, United States
Rochester Minnesota, 55905, United States
Saint Louis Missouri, 63110, United States
East Brunswick New Jersey, 08816, United States
Eugene Oregon, 97401, United States
Pittsburgh Pennsylvania, 15232, United States
Nashville Tennessee, 37203, United States
Austin Texas, 78745, United States
Houston Texas, 77030, United States
Fairfax Virginia, 22031, United States
Buenos Aires , C1428, Argentina
Ciudad Autónoma de Buenos Aires , C1426, Argentina
Cordoba , X5016, Argentina
La Rioja , F5300, Argentina
Viedma , R8500, Argentina
Bedford Park , 5042, Australia
Heidelberg , 3084, Australia
Malvern , 3144, Australia
Murdoch , 6150, Australia
Nedlands , 6009, Australia
Westmead , 2145, Australia
Wollongong , 2500, Australia
Woolloongabba , 4102, Australia
Brussel , 1200, Belgium
Charleroi , 6000, Belgium
Leuven , 3000, Belgium
Ottignies , 1340, Belgium
Roeselare , 8800, Belgium
Barretos , 14784, Brazil
Belo Horizonte , 30110, Brazil
Florianopolis , 88020, Brazil
Ijui , 98700, Brazil
Natal , 59062, Brazil
Pelotas , 96020, Brazil
Porto Alegre , 90020, Brazil
Porto Alegre , 90610, Brazil
Rio De Janeiro , 20231, Brazil
Rio de Janeiro , 22250, Brazil
Rio de Janeiro , 22281, Brazil
Sao Paulo , 01246, Brazil
Sao Paulo , 01509, Brazil
Sao Paulo , 04014, Brazil
Sorocaba , 18030, Brazil
Vitoria , 29308, Brazil
Brampton Ontario, L6R 3, Canada
Hamilton Ontario, L8V 5, Canada
Ottawa Ontario, K1H 8, Canada
Montreal Quebec, H4A 3, Canada
Beijing , 10005, China
Beijing , 10014, China
Beijing , 10085, China
Beijing , 10119, China
Changchun , 13000, China
Changsha , 41001, China
Changzhou , 21300, China
Chengdu , 61004, China
Chengdu , 61004, China
ChongQing , 40003, China
Guang Zhou , 51008, China
Guangzhou , 51012, China
Hang Zhou , 31002, China
Hangzhou , 31000, China
Hangzhou , 31000, China
Hangzhou , 31001, China
Harbin , 15008, China
Huizhou , 51600, China
Linhai , 31700, China
Nantong , 22630, China
Shanghai , 20002, China
Shanghai , 20003, China
Shanghai , 20003, China
Shanghai , 20012, China
Shenyang , 11002, China
Tianjin , 30005, China
Urumchi , 83000, China
Wenzhou , 32500, China
Wuhan , 43003, China
Xi'an , 71006, China
Yantai , 26400, China
Zhengzhou , 45000, China
Bordeaux , 33000, France
Bron , 69500, France
La Tronche , 38700, France
Lille , 59000, France
Limoges , 87000, France
Marseille Cedex 20 , 13915, France
Paris , 75005, France
Paris , 75970, France
Pessac , 33604, France
Sain-Herblain , 44800, France
Saint Mande , 94163, France
Tours , 37000, France
Villejuif Cedex , 94805, France
Bad Berka , 99437, Germany
Berlin , 14165, Germany
Essen , 45147, Germany
Gauting , 82131, Germany
Halle (Saale) , 06120, Germany
Heidelberg , 69126, Germany
Heilbronn , 74072, Germany
Koeln , 51109, Germany
Leipzig , 04357, Germany
Oldenburg , 26121, Germany
Stuttgart , 70376, Germany
Budapest , H-152, Hungary
Farkasgyepü , 8582, Hungary
Gyöngyös , 3233, Hungary
Szekesfehervar , 8000, Hungary
Szombathely , 9700, Hungary
Torokbalint , 2045, Hungary
Hyderabad , 50003, India
Kolkata , 70016, India
Mumbai , 40001, India
Nasik , 42200, India
Pune , 41101, India
Haifa , 31096, Israel
Jerusalem , 91120, Israel
Kfar Saba , 44281, Israel
Petah Tikva , 49100, Israel
Ramat Gan , 52621, Israel
Tel-Aviv , 64239, Israel
Avellino , 83100, Italy
Catania , 95123, Italy
Meldola , 47014, Italy
Milano , 20122, Italy
Milano , 20132, Italy
Milano , 20133, Italy
Milano , 20141, Italy
Monza , 20052, Italy
Napoli , 80100, Italy
Orbassano , 10043, Italy
Ravenna , 48121, Italy
Roma , 00168, Italy
Rozzano , 20089, Italy
Bunkyo-Ku , 113-8, Japan
Chuo-Ku , 104-0, Japan
Fukuoka , 810-8, Japan
Himeji , 670-8, Japan
Hirakata , 573-1, Japan
Kanazawa , 920-8, Japan
Kashiwa , 277-8, Japan
Kurume , 830-0, Japan
Matsusaka , 515-8, Japan
Niigata , 951-8, Japan
Okayama , 700-8, Japan
Osaka-Sayama-shi , 589-8, Japan
Shibukawa , 377-0, Japan
Tokyo , 135-8, Japan
Tokyo , 152-8, Japan
Toon-shi , 791-0, Japan
Toyonaka-shi , 560-8, Japan
Wakayama , 641-8, Japan
Yamaguchi , 740-8, Japan
Yamaguchi , 755-0, Japan
Busan , 48108, Korea, Republic of
Cheongju-si , 28644, Korea, Republic of
Gyeonggi-do , 13620, Korea, Republic of
Seoul , 03181, Korea, Republic of
Seoul , 03722, Korea, Republic of
Seoul , 05505, Korea, Republic of
Seoul , 06351, Korea, Republic of
Seoul , 06591, Korea, Republic of
Seoul , 8308, Korea, Republic of
George Town , 10990, Malaysia
Johor Bahru , 81100, Malaysia
Kuala Lumpur , 50586, Malaysia
Kuala Lumpur , 59100, Malaysia
Kuantan , 25100, Malaysia
Petaling Jaya , 46050, Malaysia
Ciudad de Mexico , 03100, Mexico
Ciudad de Mexico , 14050, Mexico
Guadalajara , 44280, Mexico
Leon , 37000, Mexico
Mexico , 03100, Mexico
Mexico , 14080, Mexico
Monterrey , 64710, Mexico
Naucalpan , 53100, Mexico
Arnhem , 6815 , Netherlands
Harderwijk , 3844 , Netherlands
Nijmegen , 6525A, Netherlands
s-Hertogenbosch , 5223 , Netherlands
Bydgoszcz , 85-79, Poland
Gdańsk , 80-21, Poland
Gdynia , 81-51, Poland
Olsztyn , 10-35, Poland
Poznan , 60-69, Poland
Warszawa , 02-78, Poland
Lisboa , 1769-, Portugal
Porto , 4099-, Portugal
Porto , 4100-, Portugal
Porto , 4200-, Portugal
Rio Piedras , 00935, Puerto Rico
Irkutsk , 66403, Russian Federation
Krasnogorsk , 14342, Russian Federation
Krasnoyarsk , 66013, Russian Federation
Kuzmolovsky , 18866, Russian Federation
Moscow , 11553, Russian Federation
Nalchik , 36000, Russian Federation
Nizhniy Novgorod , 60300, Russian Federation
Omsk , 66401, Russian Federation
Saint Petersburg , 19012, Russian Federation
Saint Petersburg , 19775, Russian Federation
St-Petersburg , 19600, Russian Federation
Tambov , 39201, Russian Federation
Tomsk , 63405, Russian Federation
Ufa , 45008, Russian Federation
Yaroslavl , 15005, Russian Federation
A Coruña , 15006, Spain
Badalona , 08916, Spain
Barcelona , 08025, Spain
Barcelona , 08028, Spain
Barcelona , 08035, Spain
Burgos , 09006, Spain
Girona , 17007, Spain
Madrid , 28007, Spain
Madrid , 28041, Spain
Madrid , 28046, Spain
Majadahonda , 28222, Spain
Málaga , 29010, Spain
Pamplona , 31008, Spain
Seville , 41013, Spain
Valencia , 46014, Spain
Zaragoza , 50009, Spain
Kaohsiung , 807, Taiwan
Kaohsiung , 824, Taiwan
Kaohsiung , 833, Taiwan
New Taipei , 23561, Taiwan
Taichung , 402, Taiwan
Taichung , 40447, Taiwan
Tainan , 704, Taiwan
Taipei City , 10002, Taiwan
Bangkok , 10400, Thailand
Bangkok , 10700, Thailand
Chiangmai , 50200, Thailand
Songkla , 90110, Thailand
Adana , 01060, Turkey
Adana , 01250, Turkey
Ankara , 6560, Turkey
Ankara , 6800, Turkey
Edirne , 22030, Turkey
Istanbul , 34098, Turkey
Istanbul , 34214, Turkey
Istanbul , 34722, Turkey
Izmir , 35575, Turkey
Konya , 42080, Turkey
Dnipro , 49102, Ukraine
Kharkiv , 61070, Ukraine
Kyiv , 02091, Ukraine
Kyiv , 03022, Ukraine
Uzhgorod , 88000, Ukraine
Edinburgh , EH4 2, United Kingdom
London , NW1 2, United Kingdom
London , SW10 , United Kingdom
London , SW3 6, United Kingdom
Manchester , M20 4, United Kingdom
Nottingham , NG5 1, United Kingdom
Sutton , SM2 5, United Kingdom
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