A Study of Amivantamab in Combination With Lazertinib, or Amivantamab in Combination With Platinum-Based Chemotherapy, for Common Epidermal Growth Factor Receptor (EGFR)-Mutated Locally Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC)

Phase
Recruitment status
Participants
Lead sponsor
Janssen Research & Development, LLC
Start date
Number of sites

Summary
The primary purpose of the study is to assess how well amivantamab in combination with lazertinib or in combination with chemotherapy works (antitumor activity) in participants with epidermal growth factor receptor mutated (EGFRm) non-small cell lung cancer (NSCLC; that is one of the major types of lung cancer).
Acronym
Short title
A Study of Amivantamab in Combination With Lazertinib, or Amivantamab in Combination With Platinum-Based Chemotherapy, for Common Epidermal Growth Factor Receptor (EGFR)-Mutated Locally Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC)
Official title
A Phase 2b, Open-Label, Two-cohort Study of Subcutaneous Amivantamab in Combination With Lazertinib as First-Line Treatment, or Subcutaneous Amivantamab in Combination With Platinum-Based Chemotherapy as Second-line Treatment, for Common EGFR-Mutated Locally Advanced or Metastatic Non-Small Cell Lung Cancer

Control arm
Registry reports results
Listing at source
Recruitment status
Phase
Study type
Interventional

Completion date
First posted
Registry last updated
Primary completion date
Start date

Participants
Participant count basis
Planned participants
Protocol amendments
Number of sites

Data monitoring committee
Registry sponsor category
Lead sponsor
Janssen Research & Development, LLC
Source registry
ClinicalTrials.gov

Registry ID
ClinicalTrials.gov ID
Registry record
Open registry record

Allocation
Not randomised
Model
Parallel groups
Purpose
Treatment
Masking
No masking
Sources for study design

  1. Progression Free Survival (PFS)

    Timeframe: Up to 4 Years and 6 months

    PFS is defined as the time from the date of first dose of any study treatment until the date of objective disease progression or death, whichever occurs first according to response evaluation criteria in solid tumors (RECIST) version (v) 1.1 as assessed by the investigator.

  1. Number of Participants Reporting Dose Reductions, Interruptions, and Discontinuations

    Timeframe: Up to 4 Years and 6 months

    Participants with dose reductions, interruptions, and discontinuations will be reported.

  2. Number of Participants With Venous Thromboembolic Events (VTEs)

    Timeframe: Up to 4 Years and 6 months

    Participants with signs and symptoms (dyspnea, tachypnea, upper- or lower-extremity swelling and discoloration) of VTE events, specifically pulmonary embolism, and deep vein thrombosis will be reported as monitored by the investigators.

  3. Number of Participants With Dermatologic Adverse Events (AEs)

    Timeframe: Up to 4 Years and 6 months

    Participants with dermatologic AEs will be reported.

  4. Number of Participants with AEs by Severity

    Timeframe: Up to 4 Years and 6 months

    Severity of AEs will be graded according to the national cancer institute common terminology criteria for adverse event (NCI-CTCAE) version 5.0. Severity scale ranges from Grade 1 (Mild) to Grade 5 (Death). Grade 1: mild, Grade 2: moderate, Grade 3: severe, Grade 4: life-threatening and Grade 5: death related to adverse event.

  5. Overall Survival (OS)

    Timeframe: Up to 4 Years and 6 months

    OS is defined as the time from the date of first dose of any study treatment until the date of death due to any cause.

  6. Overall Response Rate (ORR)

    Timeframe: Up to 4 Years and 6 months

    ORR is defined as the percentage of participants who achieve either a partial response (PR) or complete response (CR) as their best response both confirmed and unconfirmed, as defined using RECIST v1.1.

  7. Clinical Benefit Rate (CBR)

    Timeframe: Up to 4 Years and 6 months

    CBR is defined as the percentage of participants achieving CR or PR, both confirmed and unconfirmed, or durable stable disease (SD) of a duration of at least 11 weeks as defined using RECIST v1.1.

  8. Duration of Response (DOR)

    Timeframe: Up to 4 Years and 6 months

    DOR is defined as the time from the date of first documented response (PR or CR) until the date of documented progression or death, whichever occurs first, for participants who have PR or CR.

  9. Time to Treatment Discontinuation (TTTD)

    Timeframe: Up to 4 Years and 6 months

    TTTD is defined as the date from the date of first dose of any study treatment until discontinuation of study treatment for any reason, including disease progression, treatment toxicity or death, based on RECIST v 1.1.

  10. Time to Subsequent Therapy (TTST)

    Timeframe: Up to 4 Years and 6 months

    TTST is defined as the time from the date of first dose of any study treatment until the start date of the subsequent anticancer therapy following study treatment discontinuation or death, whichever occurs first.

  11. Time to Symptomatic Progression (TTSP)

    Timeframe: Up to 4 Years and 6 months

    TTSP is defined as the time from date of first dose of any study treatment to documentation in the electronic case report form (eCRF) of any of the following (whichever occurs earlier): onset of new symptoms or symptom worsening that is considered by the investigator to be related to lung cancer and requires either a change in systemic anticancer treatment and/or clinical intervention to manage symptoms or death.

Sources for outcomes

Sex
All
Age groups
Adults, Older adults
Minimum age
18 Years
Healthy volunteers
No

  • Have histologically or cytologically confirmed advanced or metastatic non-small cell lung cancer (NSCLC) that is not amenable to curative intent therapy
  • Epidermal growth factor resistance-mutation (EGFRm) must be an Ex19del or Ex21 L858R substitution, as detected by food and drug administration (FDA)-approved or other validated test in a clinical laboratory improvement amendments (CLIA)-certified laboratory (sites in the US), or an accredited local laboratory (sites outside of the US) in accordance with site standard of care. In the European union (EU), the local test must be ConformitĂ© EuropĂ©enne (CE)-marked or an in-house laboratory-developed test from health institutions in the EU in accordance with Article 5(5) of the in vitro diagnostic regulations (IVDR ) 2071/746, as amended
  • Have at least 1 measurable lesion, according to RECIST version (v)1.1, that has not been previously irradiated
  • Any toxicities from prior systemic anticancer therapy must have resolved to national cancer institute common terminology criteria for adverse events (NCI-CTCAE) version 5.0 grade 1 or baseline level (except for alopecia [any grade], grade <=2 peripheral neuropathy, or grade <=2 hypothyroidism stable on hormone replacement)
  • Have an eastern cooperative oncology group (ECOG) performance status of 0 to 1

  • Medical history of active interstitial lung disease (ILD), including drug-induced ILD or radiation pneumonitis. Participants with medical history of radiation pneumonitis, including radiation pneumonitis which required steroid treatment, should consult with the medical monitor and eligibility be assessed on a case-by-case basis
  • Had major surgery excluding placement of vascular access or tumor biopsy or had significant traumatic injury within 4 weeks before the first dose of anticancer treatments or will not have fully recovered from surgery, or has surgery planned during the time the participant is expected to participate in the study
  • Participant has uncontrolled tumor-related pain (symptomatic lesions amenable to palliative radiotherapy should be treated prior to first dosing)
  • Received an investigational treatment that has not been cleared (based on at least 5 half lives of any pharmaceutical treatment) before the planned first dose of study treatment or is currently enrolled in an investigational study
  • Has a prior or concurrent second malignancy (other than the disease under study) which natural history or treatment could likely interfere with any study endpoints of safety or the efficacy of the study treatment(s)
Sources for eligibility

  • Southern Cancer Center, PCDaphne, United StatesRecruiting
  • Clearview Cancer InstituteHuntsville, United StatesRecruiting
  • City of Hope PhoenixGoodyear, United StatesRecruiting
  • The Oncology Institute of Hope and InnovationCerritos, United StatesRecruiting
  • City of Hope CoronaCorona, United StatesRecruiting
  • City of HopeDuarte, United StatesRecruiting
  • Providence Medical FoundationFullerton, United StatesRecruiting
  • Oncology Physicians Network HealthcareGlendale, United StatesCompleted
  • Los Angeles Cancer NetworkGlendale, United StatesRecruiting
  • Glendale Adventist Medical CenterGlendale, United StatesRecruiting
  • Marin Cancer CenterGreenbrae, United StatesRecruiting
  • City of Hope SeacliffHuntington Beach, United StatesRecruiting
  • City of Hope Orange County Lennar Foundation Cancer CenterIrvine, United StatesRecruiting
  • University of California San Diego HealthLa Jolla, United StatesRecruiting
  • City of Hope Antelope ValleyLancaster, United StatesRecruiting
  • City of Hope Long Beach ElmLong Beach, United StatesRecruiting
  • Cancer and Blood Specialty ClinicLos Alamitos, United StatesRecruiting
  • USC Norris Comprehensive Cancer CenterLos Angeles, United StatesRecruiting
  • Cedars Sinai Medical CenterLos Angeles, United StatesRecruiting
  • Valkyrie Clinical TrialsLos Angeles, United StatesRecruiting
  • Valkyrie Clinical Trials MurrietaMurrieta, United StatesRecruiting
  • Kaiser Permanente Oakland Medical CenterOakland, United StatesCompleted
  • St. Joseph Hospital Center for Cancer Prevention and TreatmentOrange, United StatesRecruiting
  • University of California IrvineOrange, United StatesRecruiting
  • Sutter Health Palo Alto Medical FoundationPalo Alto, United StatesRecruiting

And 178 more, listed on the interactive page.

Sources for sites

  • 2025
  • 2025-520730-28-00
  • 61186372NSC2012
Sources for references

Related records

Drugs (4)

Lead sponsors (1)

Conditions (1)

Targets (5)