A Study of Onartuzumab (MetMAb) in Combination With Tarceva (Erlotinib) in Participants With Met Diagnostic-Positive Non-Small Cell Lung Cancer Who Have Received Chemotherapy For Advanced or Metastatic Disease (MetLung)
A Randomized, Phase III, Multicenter, Double-Blind, Placebo-Controlled Study Evaluating Efficacy and Safety of Onartuzumab (Metmab) in Combination With Tarceva (Erlotinib) in Patients With Met Diagnostic-Positive Non-Small Cell Lung Cancer Who Have Received Standard Chemotherapy for Advanced/Metastatic Disease
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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La Plata, Argentina, B1900BAJ
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Quilmes, Argentina, 1878
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Santa Fe, Argentina, S3000FFU
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New South Wales
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Camperdown, New South Wales, Australia, 2050
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Waratah, New South Wales, Australia, 2298
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Queensland
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Chermside, Queensland, Australia, 4032
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South Australia
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Adelaide, South Australia, Australia, 5041
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Victoria
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Parkville, Victoria, Australia, 3050
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Bruxelles, Belgium, 1200
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Gent, Belgium, 9000
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Gilly (Charleroi), Belgium, 6000
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Liège, Belgium, 4000
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Namur, Belgium, 5000
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BA
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Salvador/BA, BA, Brazil, 41820-021
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RS
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Lajeado, RS, Brazil, 95900-000
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Novo Hamburgo, RS, Brazil, 93510-250
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SP
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Jau, SP, Brazil, 17210-080
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Sao Paulo, SP, Brazil, 08270-070
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Sorocaba, SP, Brazil, 18030-005
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New Brunswick
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Saint John, New Brunswick, Canada, E2L 4L2
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Ontario
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Sault Ste Marie, Ontario, Canada, P6A 2C4
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Toronto, Ontario, Canada, M5G 2M9
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Toronto, Ontario, Canada, M4N 3M5
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Quebec
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Montreal, Quebec, Canada, H3A 1A1
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Montreal, Quebec, Canada, J4B 5Z7
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Santiago, Chile
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Santiago, Chile, Providencia
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Temuco, Chile, 4810469
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Cakovec, Croatia, 40000
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Dubrovnik, Croatia, 20000
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Pula, Croatia, 52100
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Zagreb, Croatia, 10000
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Besancon, France, 25030
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Caen, France, 14076
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Grenoble, France, 38 043
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Limoges, France, 87042
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Marseille, France, 13915
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Montpellier, France, 34295
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Paris, France, 75970
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Poitiers, France, 86021
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Saint Herblain, France, 44805
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Suresnes, France, 92151
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Vandoeuvre-les-nancy, France, 54511
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Bad Berka, Germany, 99437
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Berlin, Germany, 14165
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Grosshansdorf, Germany, 22927
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Hamburg, Germany, 21075
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Heidelberg, Germany, 69126
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Karlsruhe, Germany, 76137
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Mainz, Germany, 55131
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München, Germany, 80336
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Oldenburg, Germany, 26121
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Regensburg, Germany, 93053
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Ulm, Germany, 89081
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Villingen-Schwenningen, Germany, 78052
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Pokfulam, Hong Kong
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Shatin, Hong Kong
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Edeleny, Hungary, 3780
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Miskolc, Hungary, 3529
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Szombathely, Hungary, 9700
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Cork, Ireland
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Dublin, Ireland, 8
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Beer Sheva, Israel, 8410101
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Haifa, Israel, 4959381
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Jerusalem, Israel, 91120-01
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Jerusalem, Israel, 9372212
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Kfar-Saba, Israel, 4428164
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Petach Tikva, Israel, 49100
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Ramat Gan, Israel, 5262100
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Rehovot, Israel, 76100
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Friuli-Venezia Giulia
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Aviano, Friuli-Venezia Giulia, Italy, 33081
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Liguria
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Genova, Liguria, Italy, 16132
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Lombardia
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Milan, Lombardia, Italy, 20141
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Monza, Lombardia, Italy, 20900
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Rozzano, Lombardia, Italy, 20089
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Marche
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Ancona, Marche, Italy, 60121
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Piemonte
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Orbassano, Piemonte, Italy, 10043
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Toscana
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Lido Di Camaiore, Toscana, Italy, 55043
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Umbria
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Perugia, Umbria, Italy, 06123
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Aichi, Japan, 464-8681
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Chiba, Japan, 277-8577
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Ehime, Japan, 791-0280
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Fukuoka, Japan, 812-8582
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Fukuoka, Japan, 811-1395
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Hyogo, Japan, 650-0047
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Hyogo, Japan, 673-8553
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Kanagawa, Japan, 236-0051
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Kyoto, Japan, 606-8507
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Miyagi, Japan, 980-8574
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Miyagi, Japan, 981-1293
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Okayama, Japan, 700-8558
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Okayama, Japan, 710-8602
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Osaka, Japan, 534-0021
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Osaka, Japan, 537-8511
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Osaka, Japan, 589-8511
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Osaka, Japan, 591-8555
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Saitama, Japan, 362-0806
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Shizuoka, Japan, 411-8777
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Tokyo, Japan, 113-8677
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Tokyo, Japan, 135-8550
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Tokyo, Japan, 104-0045
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Tokyo, Japan, 160-0023
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Tokyo, Japan, 173-8605
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Yamaguchi, Japan, 755-0241
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Gyeonggi-do, Korea, Republic of, 443-380
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Seoul, Korea, Republic of, 120-752
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Seoul, Korea, Republic of, 05505
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Seoul, Korea, Republic of, 06591
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Amsterdam, Netherlands, 1081 HV
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Groningen, Netherlands, 9700 RB
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Maastricht, Netherlands, 6229 HX
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Lima, Peru, Lima 27
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Lima, Peru, Lima 1
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Lima, Peru, L27
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Gdansk, Poland, 80-952
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Krakow, Poland, 31-531
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Lodz, Poland, 93-509
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Olsztyn, Poland, 10-357
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Poznan, Poland
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Ivanovo, Russian Federation, 153040
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Krasnodar, Russian Federation, 350040
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Omsk, Russian Federation, 644013
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Saint-Petersburg, Russian Federation, 197101
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St. Petersburg, Russian Federation, 197022
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St. Petersburg, Russian Federation, 189646
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Tomsk, Russian Federation, 634050
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Belgrade, Serbia, 11000
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Belgrade, Serbia, 11080
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Kragujevac, Serbia, 34000
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Bloemfontein, South Africa, 9301
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Johannesburg, South Africa, 2193
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Sandton, South Africa, 2196
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Barcelona, Spain, 08036
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Barcelona, Spain, 08035
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Barcelona, Spain, 08041
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Barcelona, Spain, 08916
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Madrid, Spain, 28034
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Madrid, Spain, 28007
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Madrid, Spain, 28222
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Madrid, Spain, 28050
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Sevilla, Spain, 41013
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Valencia, Spain, 41014
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Barcelona
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Sabadell, Barcelona, Spain, 08208
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Changhua, Taiwan, 500
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Kaohsiung, Taiwan, 813
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Taipei, Taiwan, 100
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Cherkassy, Ukraine, 18009
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Chernivtsi, Ukraine, 58013
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Dnipropetrovsk, Ukraine, 49102
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Sumy, Ukraine, 40005
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Zaporizhzhya, Ukraine, 69040
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Belfast, United Kingdom, BT9 7AB
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Grimsby, United Kingdom, DN33 2BA
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Leicester, United Kingdom, LE1 5WW
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London, United Kingdom, SE1 9RT
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London, United Kingdom, SW10 9NH
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Manchester, United Kingdom, M2O 4BX
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Arizona
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Chandler, Arizona, United States, 85224
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California
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Hayward, California, United States, 94545
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Modesto, California, United States, 95355
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Oakland, California, United States, 94611
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Orange, California, United States, 92868
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Roseville, California, United States, 95661
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Sacramento, California, United States, 95817
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Sacramento, California, United States, 95825
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San Diego, California, United States, 92108
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San Francisco, California, United States, 94115
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San Jose, California, United States, 95119
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Santa Clara, California, United States, 95051
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South San Francisco, California, United States, 94080
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Vallejo, California, United States, 94589
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Walnut Creek, California, United States, 94596
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Florida
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Boca Raton, Florida, United States, 33486
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Clearwater, Florida, United States, 33761
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Fort Myers, Florida, United States, 33901
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Jacksonville, Florida, United States, 32256
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Jacksonville, Florida, United States, 32207
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Illinois
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Chicago, Illinois, United States, 60637
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Urbana, Illinois, United States, 61801
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Iowa
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Bettendorf, Iowa, United States, 52722
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Sioux City, Iowa, United States, 51101
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Kentucky
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Louisville, Kentucky, United States, 40207
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Maryland
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Annapolis, Maryland, United States, 21401
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Baltimore, Maryland, United States, 21201
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Baltimore, Maryland, United States, 21237
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Baltimore, Maryland, United States, 21231
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Massachusetts
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Boston, Massachusetts, United States, 02114
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Boston, Massachusetts, United States, 02115
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Springfield, Massachusetts, United States, 01107
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Michigan
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Ann Arbor, Michigan, United States, 48106
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Minnesota
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Duluth, Minnesota, United States, 55805
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Missouri
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St. Louis, Missouri, United States, 63110
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Nebraska
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Omaha, Nebraska, United States, 68114
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Nevada
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Reno, Nevada, United States, 89502
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New Mexico
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Farmington, New Mexico, United States, 87401
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New York
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Syracuse, New York, United States, 13210
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North Carolina
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Chapel Hill, North Carolina, United States, 27514
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Ohio
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Canton, Ohio, United States, 44718
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Cleveland, Ohio, United States, 44106
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Columbus, Ohio, United States, 43210
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Columbus, Ohio, United States, 43219
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19104
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Pittsburgh, Pennsylvania, United States, 15232
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South Carolina
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Charleston, South Carolina, United States, 29403
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Columbia, South Carolina, United States, 29210
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Tennessee
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Chattanooga, Tennessee, United States, 37404
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Knoxville, Tennessee, United States, 37909
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Nashville, Tennessee, United States, 37203
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Texas
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Dallas, Texas, United States, 75390
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Fort Worth, Texas, United States, 76104
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Houston, Texas, United States, 77030
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Virginia
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Bristol, Virginia, United States, 24201
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Roanoke, Virginia, United States, 24014
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Adult participants, greater than or equal to (>/=) 18 years of age
- Eastern Cooperative Oncology Group (ECOG) performance status 0-1
- Histologically or cytologically confirmed incurable Stage IIIb/IV NSCLC tumor
- Met diagnostic-positive status tested by immunohistochemistry (IHC)
- Results of endothelial growth factor receptor (EGFR)-activating mutation testing
- Radiographic evidence of disease
- Prior treatment with at least one platinum-based line of treatment (for stage IIIb/IV) and no more than one additional line of chemotherapy treatment; the last dose of chemotherapy must have been administered >/= 21 days prior to Day 1
- availability of tissue sample for diagnostic testing is required
Exclusion Criteria:
- More than 30 days of exposure to an investigational or marketed agent that can act by EGFR inhibition, or a known EGFR-related toxicity resulting in dose modifications (EGFR inhibitors including but not limited to gefitinib, erlotinib and cetuximab)
- Brain metastases or spinal cord compression not definitively treated with surgery and/or radiation, or previously treated central nervous system (CNS) metastases or spinal cord compression without evidence of stable disease for >/= 14 days
- History of another malignancy in the previous 3 years, unless cured by surgery alone and continuously disease free for at least 3 years; participants with prior history of non-invasive cancers are eligible
- Inadequate hematological, biochemical or organ function
- Significant history of cardiac disease
- Serious active infection at time of randomization or other serious underlying medical conditions that would impair the ability of the participant to receive protocol treatment
- Any inflammatory changes of the surface of the eye
- Clinically significant gastro-intestinal disease, including uncontrolled inflammatory gastro-intestinal diseases
- Pregnant or lactating women
- Positive for human immunodefinciency (HIV) infection
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Onartuzumab+Erlotinib
Participants will receive onartuzumab 15 milligrams per kilogram (mg/kg) intravenous (IV) infusion on Day 1 of every cycle of 3 weeks along with erlotinib 150 mg tablet orally once daily (QD) from Day 1, Cycle 1 until there is evidence of disease progression, death, or unacceptable toxicity, whichever occurred first.
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Participants will receive erlotinib 150 mg tablet orally once daily from Day 1, Cycle 1.
Other Names:
Participants will receive onartuzumab 15 mg/kg IV infusion on Day 1 of every 3-week cycle.
Other Names:
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Placebo Comparator: Placebo+Erlotinib
Participants will receive onartuzumab matching placebo on Day 1 of every cycle of 3 weeks along with erlotinib 150 mg tablet orally QD from Day 1, Cycle 1 until there is evidence of disease progression, death, or unacceptable toxicity, whichever occurred first.
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Participants will receive erlotinib 150 mg tablet orally once daily from Day 1, Cycle 1.
Other Names:
Participants will receive onartuzumab matching placebo on Day 1 of every 3-week cycle.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Overall Survival
Time Frame: Randomization until death (up to approximately 18 months) (assessed at the treating physician's discretion using the local standard-of-care practice)
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Randomization until death (up to approximately 18 months) (assessed at the treating physician's discretion using the local standard-of-care practice)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Lung Cancer Module (EORTC QLQ-LC13) Scores
Time Frame: Screening, Day 1 of Cycles 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22 (cycle length = 21 days), study drug discontinuation visit (up to approximately 18 months)
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Screening, Day 1 of Cycles 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22 (cycle length = 21 days), study drug discontinuation visit (up to approximately 18 months)
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Onartuzumab Serum Concentrations
Time Frame: 1 hour pre-onartuzumab (Pr-O) infusion on Day 1 of Cycles 1, 2, and 4, 1 hour post-onartuzumab (Po-O) infusion on Day 1 of Cycle 1 (cycle length = 21 days and duration of infusion = 60 minutes), End of treatment (up to approximately 18 months)
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1 hour pre-onartuzumab (Pr-O) infusion on Day 1 of Cycles 1, 2, and 4, 1 hour post-onartuzumab (Po-O) infusion on Day 1 of Cycle 1 (cycle length = 21 days and duration of infusion = 60 minutes), End of treatment (up to approximately 18 months)
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Percentage of Participants With Disease Progression or Death
Time Frame: Randomization until disease progression or death, whichever occurred first (up to approximately 18 months) (assessed at the treating physician's discretion using the local standard-of-care practice)
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Randomization until disease progression or death, whichever occurred first (up to approximately 18 months) (assessed at the treating physician's discretion using the local standard-of-care practice)
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Progression Free Survival (PFS)
Time Frame: Randomization until disease progression or death, whichever occurred first (up to approximately 18 months) (assessed at the treating physician's discretion using the local standard-of-care practice)
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Randomization until disease progression or death, whichever occurred first (up to approximately 18 months) (assessed at the treating physician's discretion using the local standard-of-care practice)
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Percentage of Participants with an Objective Response Assessed Using RECIST V 1.1
Time Frame: Randomization until disease progression or death, whichever occurred first (up to approximately 18 months) (assessed at the treating physician's discretion using the local standard-of-care practice)
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Randomization until disease progression or death, whichever occurred first (up to approximately 18 months) (assessed at the treating physician's discretion using the local standard-of-care practice)
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Respiratory Tract Diseases
- Neoplasms
- Lung Diseases
- Neoplasms by Site
- Respiratory Tract Neoplasms
- Thoracic Neoplasms
- Carcinoma, Bronchogenic
- Bronchial Neoplasms
- Neoplastic Processes
- Lung Neoplasms
- Carcinoma, Non-Small-Cell Lung
- Neoplasm Metastasis
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antineoplastic Agents
- Protein Kinase Inhibitors
- Erlotinib Hydrochloride
Other Study ID Numbers
Other Study ID Numbers
- OAM4971g
- GO27761 (Other Identifier: Hoffmann-La Roche)
- 2011-002224-40 (EudraCT Number)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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