A Study of Pralsetinib Versus Standard of Care for First-Line Treatment of Advanced Non-Small Cell Lung Cancer (NSCLC) (AcceleRET-Lung)
A Phase III, Randomized, Open-Label Study of Pralsetinib Versus Standard of Care for First-Line Treatment of RET Fusion-Positive, Metastatic Non-Small Cell Lung Cancer
Study Overview
Status
Status
Conditions
Conditions
- Neoplasms
- Neoplasms by Histologic Type
- Lung Diseases
- Neoplasms by Site
- Adenocarcinoma
- Carcinoma
- Neoplasms, Germ Cell and Embryonal
- Head and Neck Neoplasms
- Carcinoma, Non-Small-Cell Lung
- Bronchial Diseases
- Respiratory Tract Neoplasms
- Thoracic Neoplasms
- Carcinoma, Bronchogenic
- Neoplasms, Nerve Tissue
- Respiratory Tract Disease
- Lung Neoplasm
- RET-fusion Non Small Cell Lung Cancer
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Expanded Access
Expanded Access
Approved
- Available: Expanded access is currently available for this investigational treatment, and patients who are not participants in the clinical study may be able to gain access to the drug, biologic, or medical device being studied.
- No longer available: Expanded access was available for this intervention previously but is not currently available and will not be available in the future.
- Temporarily not available: Expanded access is not currently available for this intervention but is expected to be available in the future.
- Approved for marketing: The intervention has been approved by the U.S. Food and Drug Administration for use by the public.
Contacts and Locations
Study Contact
Study Contact
- Name: Reference Study ID Number: BO42864 https://forpatients.roche.com/
- Phone Number: 888-662-6728 (U.S. and Canada)
- Email: global-roche-genentech-trials@gene.com
Study Locations
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Buenos Aires, Argentina, C1280AEB
- Hospital Britanico
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La Rioja, Argentina, F5300COE
- Centro Oncologico Riojano Integral (CORI)
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New South Wales
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St Leonards, New South Wales, Australia, 2065
- Royal North Shore Hospital
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Edegem, Belgium, 2650
- UZ Antwerpen
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Rio Grande do Sul
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Porto Alegre, Rio Grande do Sul, Brazil, 90610-000
- Hospital Sao Lucas - PUCRS
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São Paulo
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São Paulo, São Paulo, Brazil, 01509-010
- Hospital A. C. Camargo
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San José, Costa Rica, 10103
- Clinica CIMCA
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Bordeaux, France, 33000
- Institut Bergonie CLCC Bordeaux
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Boulogne-Billancourt, France, 92100
- Hôpital Ambroise Paré - Boulogne-Billancourt
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Bron, France, 69677
- Hôpital Louis Pradel, Hospices Civils de Lyon
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Lille, France, 59000
- CHRU Lille Service de Pneumologie et Oncologie Thoracique
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Marseille, France, 13273
- Institut Paoli Calmettes
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Paris, France, 75970
- Hôpital Tenon
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Paris, France, 75018
- Hopital Bichat Claude Bernard
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Rennes, France, 35033
- Hôpital de Pontchaillou
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Saint-Herblain, France, 44805
- Ico Rene Gauducheau
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Strasbourg, France, 67091
- CHU Strasbourg - Nouvel Hôpital Civil
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Toulouse, France, 31100
- CHU de Toulouse - Hopital Larrey
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Villejuif, France, 94805
- Institut Gustave Roussy
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Dresden, Germany, 01307
- Universitätsklinikum Carl Gustav Carus, Medizinische Klinik I, Pneumologie MK1-A13
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Gauting, Germany, 82131
- Asklepios-Fachkliniken Muenchen-Gauting
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Oldenburg, Germany, 26121
- Pius-Hospital
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Schweinfurt, Germany, 97422
- Leopoldina-Krankenhaus Medizinische Klinik II
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Stuttgart, Germany, 70376
- Klinik Schillerhöhe
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Dublin, Ireland, D08 HNY1
- St. James Hospital
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Abruzzo
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Chieti, Abruzzo, Italy, 66100
- Ospedale Clinicizzato SS Annunziata
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Apulia
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Bari, Apulia, Italy, 70124
- IRCCS Giovanni Paolo II Istituto Oncologico
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Campania
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Napoli, Campania, Italy, 80131
- Istituto Nazionale per lo Studio e la Cura dei Tumori Fondazione G. Pascale
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Emilia-Romagna
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Ravenna, Emilia-Romagna, Italy, 48100
- Ospedale Provinciale Santa Maria Delle Croci
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Lazio
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Rome, Lazio, Italy, 00184
- AZ. Ospedaliera San Giovanni - Addolorata
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Rome, Lazio, Italy, 00144
- Istituto Nazionale Tumori Regina Elena
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Lombardy
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Milan, Lombardy, Italy, 20133
- Fondazione IRCCS Istituto Nazionale dei Tumori
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Milan, Lombardy, Italy, 20132
- IRCCS Ospedale San Raffaele
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Milan, Lombardy, Italy, 20141
- Istituto Europeo di Oncologia
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Tuscany
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Pisa, Tuscany, Italy, 56124
- Azienda Ospedaliera Universitaria Pisana - Ospedale Cisanello
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Veneto
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Padua, Veneto, Italy, 35128
- IOV - Istituto Oncologico Veneto - IRCCS
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Verona, Veneto, Italy, 37126
- A.O.U. INTEGRATA DI VERONA-Ospedale Civile Maggiore Borgo Trento
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Fukuoka, Japan, 812-8582
- Kyushu University Hospital
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Hyōgo, Japan, 670-8520
- National Hospital Organization Himeji Medical Center
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Osaka, Japan, 541-8567
- Osaka International Cancer Institute
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Osaka, Japan, 573-1191
- Kansai Medical University Hospital
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Tokyo, Japan, 135-8550
- The Cancer Institute Hospital of JFCR
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Tokyo, Japan, 113-8431
- Juntendo University Hospital
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Yamaguchi, Japan, 755-0241
- National Hospital Organization Yamaguchi - Ube Medical Center
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Mexico CITY (federal District)
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Mexico City, Mexico CITY (federal District), Mexico, 03100
- Health Pharma Professional Research
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Amsterdam, Netherlands, 1066 CX
- NKI/AvL
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Maastricht, Netherlands, 6229 HX
- Maastricht University Medical Center
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Oslo, Norway, 0450
- Oslo universitetssykehus HF, Ullevål, Kreftsenteret
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Panama City, Panama, 0801
- Hemato Oncología de Panamá Especializada
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Warsaw, Poland, 02-781
- Narod.Inst.Onkol. im. M.Sklodowskiej - Curie-Panst.Inst.Bad
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Porto, Portugal, 4200-072
- IPO do Porto
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Goyang-si, South Korea, 10408
- National Cancer Center
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Seoul, South Korea, 03080
- Seoul National University Hospital
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Seoul, South Korea, 05505
- Asan Medical Center
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Seoul, South Korea, 03722
- Severance Hospital, Yonsei University Health System
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Barcelona, Spain, 08035
- Hospital Universitari Vall d'Hebron
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Madrid, Spain, 28034
- Hospital Ramon y Cajal
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Madrid, Spain, 28007
- Hospital General Universitario Gregorio Maranon
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Madrid, Spain, 28050
- Hospital de Madrid Norte Sanchinarro- Centro Integral Oncologico Clara Campal
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Málaga, Spain, 29010
- Hospital Regional Universitario de Malaga
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Zaragoza, Spain, 50009
- Hosp Clinico Univ Lozano Blesa
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Barcelona
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L'Hospitalet de Llobregat, Barcelona, Spain, 08908
- Insititut Catala D'Oncologia
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Cantabria
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Santander, Cantabria, Spain, 39008
- Hospital Universitario Marques de Valdecilla
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LA Coruna
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A Coruña, LA Coruna, Spain, 15006
- Complejo Hospitalario Universitario A Coruna
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Stockholm, Sweden, 171 76
- Karolinska Universitetssjukhuset, Solna
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Zurich, Switzerland, 8091
- Universitatsspital Zurich
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Adana, Turkey (Türkiye), 01060
- Adana City Hospital, Medical Oncology
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Ankara, Turkey (Türkiye), 06490
- Ankara Bilkent City Hospital
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Kar?iyaka, Turkey (Türkiye), 35575
- ?zmir Medical Point
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Cardiff, United Kingdom, CF14 2TL
- Velindre Cancer Centre
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Leicester, United Kingdom, LE1 5WW
- Leicester Royal Infirmary
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London, United Kingdom, SW3 6JJ
- Royal Marsden Hospital
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London, United Kingdom, SE1 9RT
- Guys & St Thomas Hospital
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Manchester, United Kingdom, M2O 4BX
- Christie Hospital Nhs Trust
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion criteria:
- Participant has pathologically confirmed, definitively diagnosed, locally advanced (not able to be treated with surgery or radiotherapy) or metastatic NSCLC and has not been treated with systemic anticancer therapy for metastatic disease.
- Participant must have a documented RET-fusion
- Participant has measurable disease based on RECIST 1.1 as determined by the local site Investigator/radiology assessment.
- Participant has an ECOG Performance Status of 0 or 1.
Participant should not have received any prior anticancer therapy for metastatic disease.
- Participants can have received previous anticancer therapy (except a selective RET inhibitor) in the neoadjuvant or adjuvant setting but must have experienced an interval of at least ≥ 6 months from completion of therapy to recurrence.
- Participants that received previous immune checkpoint inhibitors in the adjuvant or consolidation following chemoradiation are not allowed to receive pembrolizumab if randomized in Arm B
- Participant is an appropriate candidate for and agrees to receive 1 of the Investigator choice platinum-based chemotherapy regimens if randomized to Arm B.
- For women of childbearing potential: participants who agree to remain abstinent (refrain from heterosexual intercourse) or use contraception.
- For men: participants who agree to remain abstinent (refrain from heterosexual intercourse) or use a condom and agree to refrain from donating sperm.
Exclusion criteria:
- Participant's tumor has any additional known primary driver alterations other than RET, such as targetable mutations of EGFR, ALK, ROS1, MET, and BRAF. Investigators should discuss enrollment with Sponsor designee regarding co-mutations.
- Participant previously received treatment with a selective RET inhibitor.
- Participant received radiotherapy or radiosurgery to any site within 14 days before randomization or more than 30 Gy of radiotherapy to the lung in the 6 months before randomization.
- Participant with a history of pneumonitis within the last 12 months.
- Participant has CNS metastases or a primary CNS tumor that is associated with progressive neurological symptoms or requires increasing doses of corticosteroids to control the CNS disease. If a participant requires corticosteroids for management of CNS disease, the dose must have been stable for the 2 weeks before Cycle 1 Day 1.
- Participant has had a history of another primary malignancy that has been diagnosed or required therapy within the past 3 years prior to randomization.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: Pralsetinib
Participants randomized to the Experimental Arm will receive Pralsetinib
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Administered orally
Other Names:
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Active Comparator: Platinum-based chemotherapy with or without pembrolizumab
Participants randomized to the Active Comparator Arm will receive 1 of 6 platinum-based chemotherapy treatment regimens (with or without pembrolizumab) at the study center as chosen by the treating Investigator (based on histology) Nonsquamous histology
Squamous histology
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Administered IV
Administered IV
Administered IV
Administered IV
Administered IV
Administered IV
Administered IV
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Arm A vs Arm B: Treatment Period: Progression-free Survival (PFS)
Time Frame: Up to approximately 50 months
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PFS was defined as the time from randomization to the date of first documented PD as determined by the investigator with the use of Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST v1.1) or death from any cause, whichever occurred first.
PD was defined as at least a 20% increase in the sum of diameters (SOD) of target lesions, taking as reference the smallest SOD at prior timepoints, including baseline.
In addition to the relative increase of 20%, the SOD must also demonstrate an absolute increase of at least 5 millimeters (mm).
Kaplan-Meier (K-M) method was used to estimate median PFS.
95% CI for median was computed using the method of Brookmeyer and Crowley.
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Up to approximately 50 months
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Arm A vs Arm B: Objective Response Rate (ORR)
Time Frame: Up to approximately 50 months
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ORR was defined as the percentage of participants with a complete response (CR) or a partial response (PR) on two consecutive occasions ≥4 weeks apart, as determined by the investigator with the use of RECIST v1.1.
CR was defined as disappearance of all target lesions or any pathological lymph nodes must have reduction in short axis to < 10 mm.
PR was defined as at least a 30% decrease in the SOD of all target lesions, taking as reference the baseline SOD, in the absence of CR. 95% CI for rates were constructed using the Clopper-Pearson method.
Percentages have been rounded off.
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Up to approximately 50 months
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Arm A vs Arm B: Overall Survival (OS)
Time Frame: From randomization to death (up to approximately 50 months)
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OS was defined as the time from randomization to death from any cause.
K-M method was used to estimate median OS. 95% CI for median was computed using the method of Brookmeyer and Crowley.
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From randomization to death (up to approximately 50 months)
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Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time Frame: Up to approximately 50 months
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An AE is any untoward medical occurrence in a subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment.
An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product.
SAE is any significant hazard, contraindication, side effect that is fatal or life-threatening, requires hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, is medically significant or requires intervention to prevent one or other of the outcomes listed above.
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Up to approximately 50 months
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Number of Participants With Change From Baseline in Eastern Cooperative Oncology Group Performance Status (ECOG PS) Score
Time Frame: Baseline up to 50 months
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ECOG is a 6-point scale (0-5) used to assess participants functional status, where, 0= Fully active, able to carry on all pre-disease performance without restriction; 1= restricted in physically strenuous activity but ambulatory & able to carry out work of a light or sedentary nature, e.g., light housework, office work; 2= ambulatory & capable of all self-care but unable to carry out any work activities.
Up & about more than 50% of waking hours; 3= capable of only limited self-care, confined to bed or chair more than 50% of waking hours; 4= completely disabled, cannot carry on any self-care, totally confined to bed or chair; 5= dead.
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Baseline up to 50 months
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Arm A vs Arm B: Duration of Response (DOR)
Time Frame: Up to approximately 50 months
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DOR was defined as the time from the first occurrence of a documented objective response (OR) to PD or death from any cause, whichever occurred first, as determined by the investigator with the use of RECIST v1.1.
CR was defined as disappearance of all target lesions or any pathological lymph nodes must have reduction in short axis to < 10 mm.
PR was defined as at least a 30% decrease in the SOD of all target lesions, taking as reference the baseline SOD, in the absence of CR.
PD was defined as at least a 20% increase in the SOD of target lesions, taking as reference the smallest SOD at prior timepoints, including baseline.
In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.
K-M method was used to estimate median DOR.
95% CI for median was computed using the method of Brookmeyer and Crowley.
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Up to approximately 50 months
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Arm A vs Arm B: Clinical Benefit Rate (CBR)
Time Frame: Up to approximately 50 months
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CBR was defined as the percentage of participants who experienced the best response of stable disease (SD) with a minimum duration of 6 months, a CR, or a PR, as assessed by investigator with use of RECIST v1.1.
SD was defined as neither sufficient shrinkage to qualify for CR or PR nor sufficient increase to qualify for PD.
CR was defined as the disappearance of all target lesions or any pathological lymph nodes must have reduction in short axis to < 10 mm.
PR was defined as at least a 30% decrease in the SOD of all target lesions, taking as reference the baseline SOD, in the absence of CR.
PD was defined as at least a 20% increase in the SOD of target lesions, taking as reference the smallest SOD at prior timepoints, including baseline.
In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.
95% CI for rates were constructed using the Clopper-Pearson method.
Percentages are rounded off.
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Up to approximately 50 months
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Arm A vs Arm B: Disease Control Rate (DCR)
Time Frame: Up to approximately 50 months
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DCR was defined as the percentage of participants who experienced the best response of CR, or PR, or SD, as assessed by investigator according to RECIST v1.1.
SD was defined as neither sufficient shrinkage to qualify for CR or PR nor sufficient increase to qualify for PD.
CR was defined as the disappearance of all target lesions or any pathological lymph nodes must have reduction in short axis to <10 mm.
PR was defined as at least a 30% decrease in the SOD of all target lesions, taking as reference the baseline SOD, in the absence of CR.
PD was defined as at least a 20% increase in the SOD of target lesions, taking as reference the smallest SOD at prior timepoints, including baseline.
In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.
95% CI for rates were constructed using the Clopper-Pearson method.
Percentages are rounded off.
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Up to approximately 50 months
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Clinical Trials, Hoffmann-La Roche
Study record dates
Study Major Dates
Study Start (Actual)
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 (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
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
Keywords
- Advanced Lung Cancer
- Advanced Non-Small Cell Lung Cancer
- RET Lung
- RET Mutation
- RET Alteration
- RET Positive
- RET Inhibitor
- RET Altered
- RET Rearrangement
- RET NSCLC
- RET-Rearranged NSCLC
- RET Fusion
- RET Fusion Lung Cancer
- M918T
- TRIM33-RET
- Lung Cancer Mutation
- BLU 667
- Pralsetinib
- RET Tyrosine Kinase
- RET Gene Mutation
- RET Kinase
- Metastatic Lung Cancer
- KIF5B-RET
- CCDC6-RET
Additional Relevant MeSH Terms
- Neoplasms, Glandular and Epithelial
- Bronchial Neoplasms
- Neoplasms
- Lung Diseases
- Carcinoma
- Lung Neoplasms
- Carcinoma, Non-Small-Cell Lung
- Adenocarcinoma
- Head and Neck Neoplasms
- Neoplasms, Germ Cell and Embryonal
- Neoplasms by Histologic Type
- Respiratory Tract Diseases
- Thoracic Neoplasms
- Respiratory Tract Neoplasms
- Neoplasms by Site
- Neoplasms, Nerve Tissue
- Bronchial Diseases
- Carcinoma, Bronchogenic
- Amino Acids, Peptides, and Proteins
- Organic Chemicals
- Heterocyclic Compounds, 1-Ring
- Heterocyclic Compounds
- Heterocyclic Compounds, 2-Ring
- Heterocyclic Compounds, Fused-Ring
- Hydrocarbons
- Cycloparaffins
- Hydrocarbons, Alicyclic
- Hydrocarbons, Cyclic
- Terpenes
- Inorganic Chemicals
- Chlorine Compounds
- Nitrogen Compounds
- Coordination Complexes
- Guanine
- Hypoxanthines
- Purinones
- Purines
- Glutamates
- Amino Acids, Acidic
- Amino Acids
- Amino Acids, Dicarboxylic
- Taxoids
- Cyclodecanes
- Diterpenes
- Deoxycytidine
- Cytidine
- Pyrimidine Nucleosides
- Pyrimidines
- Platinum Compounds
- Pemetrexed
- Gemcitabine
- Carboplatin
- Paclitaxel
- Cisplatin
- pembrolizumab
- 130-nm albumin-bound paclitaxel
- pralsetinib
Other Study ID Numbers
Other Study ID Numbers
- BO42864
- 2019-002463-10 (EudraCT Number)
- BLU-667-2303 (Registry Identifier: CT.Gov)
- 2023-505035-12-00 (Other Identifier: EU CT number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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