A Study of Amivantamab and Lazertinib Combination Therapy Versus Osimertinib in Locally Advanced or Metastatic Non-Small Cell Lung Cancer
Фаза 3 – широко изпитване преди одобрение
Заболявания:
Carcinoma, Non-Small-Cell Lung
Спонсор: Janssen Research & Development, LLC
Налично на:
БГ
Обобщение
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).
Кой може да участва
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
Интервенции
Amivantamab
DRUG
Osimertinib
DRUG
Lazertinib
DRUG
Placebo
DRUG
Места на провеждане
269
Argentina (5)
Centro Oncológico Korben
Buenos Aires
Instituto Alexander Fleming
Buenos Aires
Hospital Privado Centro Medico de Cordoba
Córdoba
Centro Oncologico Riojano Integral (Cori)
La Rioja
Clínica Viedma
Viedma
Австралия (8)
Flinders Medical Centre
Bedford Park
Austin Hospital
Heidelberg
Cabrini Medical Centre
Malvern
St John of God Hospital Murdoch
Murdoch
Sir Charles Gairdner Hospital
Nedlands
Westmead Hospital
Westmead
Southern Medical Day Care Centre
Wollongong
Princess Alexandra Hospital
Woolloongabba
Белгия (5)
Cliniques Universitaires Saint Luc
Brussels
Grand Hopital De Charleroi Site Les Viviers
Charleroi
UZ Leuven
Leuven
Clinique Saint Pierre
Ottignies
Algemeen Ziekenhuis Delta
Roeselare
Бразилия (16)
Fundacao Pio XII
Barretos
Cetus Oncologia
Belo Horizonte
Ynova Pesquisa Clinica
Florianópolis
Oncosite - Centro de Pesquisa Clínica em Oncologia Ltda
Ijuí
Liga Norte Riograndense Contra O Cancer
Natal
UPCO Unidade de Pesquisa Clinica em Oncologia
Pelotas
Irmandade Santa Casa de Misericordia de Porto Alegre
Porto Alegre
Uniao Brasileira de Educacao e Assistencia Hospital Sao Lucas da PUCRS
Porto Alegre
Ministerio da Saude Instituto Nacional do Cancer
Rio de Janeiro
Oncoclinicas Rio de Janeiro S A
Rio de Janeiro
Instituto D Or de Pesquisa e Ensino IDOR
Rio de Janeiro
Fundacao Faculdade de Medicina Instituto do Cancer do Estado de Sao Paulo
São Paulo
Fundacao Antonio Prudente A C Camargo Cancer Center
São Paulo
Núcleo de Pesquisa São Camilo
São Paulo
IOS - Instituto de Oncologia de Sorocaba Dr. Gilson Delgado
Sorocaba
Hospital Evangélico de Cachoeiro de Itapemirim
Vitória
Канада (4)
William Osler Health System
Brampton , Ontario
Juravinski Cancer Centre
Hamilton , Ontario
McGill University Health Centre
Montreal , Quebec
The Ottawa Hospital Cancer Centre
Ottawa , Ontario
Китай (34)
Beijing Friendship Hospital Capital Medical University
Beijing
Beijing Cancer Hospital Respiratory Medicine Department II
Beijing
Beijing Cancer Hospital Respiratory Medicine Department I
Beijing
Chinese PLA General Hospital
Beijing
Beijing Chest hospital, Capital medical university
Beijing
Jilin cancer hospital
Changchun
Hunan Cancer hospital Thoracic Medicine Department II
Changsha
Hunan Cancer hospital Thoracic Medicine Department I
Changsha
The First People's Hospital Of Changzhou
Changzhou
Sichuan Cancer Hospital
Chengdu
West China Hospital Sichuan University
Chengdu
Southwest Hospital
Chongqing
The First Affiliated Hospital Sun Yat sen University
Guangzhou
Sun Yat-Sen Memorial Hospital Sun Yat-sen University
Guangzhou
Second Affiliated Hospital, School of Medicine, Zhejiang University
Hangzhou
The Second Affiliated Hospital of Zhejiang University College of Medicine
Hangzhou
Sir Run Run Shaw Hospital Zhejiang University School of Medicine
Hangzhou
Zhejiang Cancer Hospital
Hangzhou
Harbin medical university cancer hospital
Harbin
Huizhou Municipal Central Hospital
Huizhou
Taizhou Hospital of Zhejiang Province
Linhai
Nantong Tumor Hospital
Nantong
Ruijin Hospital Shanghai Jiao Tong University
Shanghai
Shanghai Chest Hospital
Shanghai
Fudan University Shanghai Cancer Center
Shanghai
Shanghai East Hospital
Shanghai
Shengjing Hospital Of China Medical University
Shenyang
Tianjin Medical University General Hospital
Tianjin
Cancer Hospital of Xinjiang Medical University
Ürümqi
The First Affiliated Hospital of Wenzhou Medical University
Wenzhou
TongJi Hospital of TongJi Medical College of Huazhong University of Science & Technology
Wuhan
The First Affiliated Hospital of Xian Jiaotong University