A Study of Amivantamab and Capmatinib Combination Therapy in Unresectable Metastatic Non-small Cell Lung Cancer (METalmark)
A Phase 1/2 Study Evaluating the Safety and Efficacy of Amivantamab and Capmatinib Combination Therapy in Unresectable Metastatic Non-small Cell Lung Cancer
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Study Contact
- Phone Number: 844-434-4210
- Email: Participate-In-This-Study@its.jnj.com
Study Locations
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Belo Horizonte, Brazil, 30130-090
- PERSONAL Oncologia de Precisao e Personalizada
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Curitiba, Brazil, 80810 050
- CIONC Centro Integrado de Oncologia de Curitiba
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Pelotas, Brazil, 96020 080
- UPCO Unidade de Pesquisa Clinica em Oncologia
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Porto Alegre, Brazil, 90610-000
- Uniao Brasileira de Educacao e Assistencia Hospital Sao Lucas da PUCRS
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Rio de Janeiro, Brazil, 22 250 905
- Oncoclinicas Rio de Janeiro S A
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Rio de Janeiro, Brazil, 22281 100
- Instituto D Or de Pesquisa e Ensino IDOR
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Salvador, Brazil, 40170 110
- Nucleo de Oncologia da Bahia
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São Paulo, Brazil, 01308 901
- Sociedade Beneficente de Senhoras Hospital Sirio Libanes
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São Paulo, Brazil, 01509 900
- Fundacao Antonio Prudente A C Camargo Cancer Center
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Ontario
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Ottawa, Ontario, Canada, K1Y 4E9
- The Ottawa Hospital Research Institute
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Toronto, Ontario, Canada, M5G 1Z5
- Princess Margaret Cancer Centre University Health Network
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Beijing, China, 100142
- Beijing Cancer Hospital
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Chengdu, China, 610041
- Sichuan Cancer Hospital
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Chengdu, China, 610041
- West China Hospital Sichuan University
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Chongqing, China, 400030
- Chongqing University Cancer Hospital
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Guangzhou, China, 510060
- The First Affiliated Hospital Sun Yat sen University
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Hangzhou, China, 310009
- Second Affiliated Hospital, School of Medicine, Zhejiang University
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Hangzhou, China, 310016
- Sir Run Run Shaw Hospital Zhejiang University School of Medicine
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Huizhou, China, 516001
- Huizhou Municipal Central Hospital
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Shanghai, China, 200032
- Fudan University Shanghai Cancer Center
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Shanghai, China, 200433
- Shanghai Pulmonary Hospital
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Shenyang, China, 110055
- Shengjing Hospital of China Medical University
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Xi'an, China, 710061
- The First Affiliated Hospital of Xian Jiaotong University
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Yantai, China, 264000
- Yantai Yuhuangding Hospital
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Zhengzhou, China, 450008
- Henan Cancer Hospital
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Lille, France, 59000
- Institute Coeur Poumon
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Marseille, France, 13005
- CHU de la Timone
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Saint-Herblain, France, 44805
- Institut de Cancérologie de l'Ouest
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Strasbourg, France, 67091
- Nouvel Hopital Civil - CHU Strasbourg
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Berlin, Germany, 12203
- Charite Universitaetsmedizin Berlin
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Chemnitz, Germany, 09116
- Klinikum Chemnitz gGmbH
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Cologne, Germany, 50937
- Universitaetsklinikum Koeln
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Dresden, Germany, 01307
- Universitaetsklinikum Carl Gustav Carus TU Dresden
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Essen, Germany, 45147
- Universitaetsklinikum Essen
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Münster, Germany, 48149
- Universitaetsklinikum Muenster
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Milan, Italy, 20133
- Fondazione IRCCS Istituto Nazionale dei Tumori
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Milan, Italy, 20162
- ASST Grande Ospedale Metropolitano Niguarda
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Naples, Italy, 80131
- Fondazione G Pascale Istituto Nazionale Tumori IRCCS
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Padova, Italy, 35128
- Istituto Oncologico Veneto - IRCCS
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Ravenna, Italy, 48121
- Ospedale S. Maria delle Croci
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Rome, Italy, 00128
- Istituto Nazionale Tumori Regina Elena
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Nagoya, Japan, 460-0001
- National Hospital Organization Nagoya Medical Center
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Sunto Gun, Japan, 411 8777
- Shizuoka Cancer Center
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Tokyo, Japan, 135 8550
- The Cancer Institute Hospital of JFCR
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Gdansk, Poland, 80 214
- Uniwersyteckie Centrum Kliniczne
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Lublin, Poland, 20 609
- INSTYTUT GENETYKI I IMMUNOLOGII GENIM Sp z o o
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Warsaw, Poland, 02 781
- Narodowy Instytut Onkologii im Marii Sklodowskiej Curie Panstwowy Instytut Badawczy
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Cheongju-si, South Korea, 28644
- Chungbuk National University Hospital
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Goyang-si, South Korea, 10408
- National Cancer Center
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Incheon, South Korea, 21565
- Gachon University Gil Medical Center
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Jeollanam-do, South Korea, 58128
- Chonnam National University Hwasun Hospital
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Seongnam, South Korea, 13620
- Seoul National University Bundang Hospital
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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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A Coruña, Spain, 15006
- Hosp Univ A Coruna
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Alicante, Spain, 03010
- Hosp. Gral. Univ. de Alicante
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Barcelona, Spain, 08028
- Hosp. Univ. Quiron Dexeus
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Barcelona, Spain, 08003
- Hosp. Del Mar
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Barcelona, Spain, 08036
- Hosp Clinic de Barcelona
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Barcelona, Spain, 08035
- Hosp Univ Vall D Hebron
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Madrid, Spain, 28041
- Hosp. Univ. 12 de Octubre
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Madrid, Spain, 28046
- Hosp. Univ. La Paz
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Madrid, Spain, 28040
- Hosp Univ Fund Jimenez Diaz
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Seville, Spain, 41009
- Hosp. Virgen Macarena
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Valencia, Spain, 46010
- Hosp. Clinico Univ. de Valencia
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Ankara, Turkey (Türkiye), 06800
- Ankara Bilkent City Hospital
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Ankara, Turkey (Türkiye), 06560
- Gazi University Hospital
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Çankaya, Turkey (Türkiye), 06800
- Ankara Bilkent Şehir Hastanesi
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London, United Kingdom, NW1 2PG
- University College London Hospitals NHS Foundation Trust
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London, United Kingdom, W2 1NY
- Imperial College London and Imperial College Healthcare NHS Trust
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Newcastle upon Tyne, United Kingdom, NE7 7DN
- Sir Bobby Robson Cancer Trials Research Centre
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Sutton, United Kingdom, SM2 5PT
- Royal Marsden Hospital
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Alabama
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Birmingham, Alabama, United States, 35233
- University of Alabama at Birmingham, Comprehensive Cancer Center
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California
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Cerritos, California, United States, 90703
- The Oncology Institute of Hope and Innovation
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Los Angeles, California, United States, 90095
- UCLA
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New York
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The Bronx, New York, United States, 10467
- Montefiore Einstein Center for Cancer Care
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Virginia
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Fairfax, Virginia, United States, 22031
- Virginia Cancer Specialists
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Previously diagnosed with histologically or cytologically confirmed unresectable Stage IV (metastatic) non-small cell lung cancer (NSCLC) (any histology)
- May have: definitively, locally treated brain metastases that are clinically stable and asymptomatic for greater than (>) 2 weeks and who are off or receiving low-dose corticosteroid treatment (less than or equal to [<=]10 milligrams (mg) prednisone or equivalent) for at least 2 weeks prior to start of study treatment
- May have a prior malignancy (other than the disease under study) the natural history or treatment of which is unlikely to interfere with any study endpoints of safety or the efficacy of the study treatment(s)
- Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- A participant of childbearing potential must have a negative serum pregnancy test at screening and within 72 hours of the first dose of study treatment and must agree to further serum or urine pregnancy tests during the study
Exclusion Criteria:
- Medical history of (non-infectious) interstitial lung disease (ILD)/pneumonitis, or has current ILD/pneumonitis, or where suspected ILD/pneumonitis cannot be ruled out by imaging at screening
- Participant has impairment of the gastrointestinal function that could affect absorption of capmatinib or is unable or unwilling to swallow tablets
- Participant has symptomatic central nervous system (CNS) metastases which are neurologically unstable or have required increasing doses of steroids >10 mg prednisone or equivalent within the 2 weeks prior to study entry to manage CNS symptoms
- Participant has uncontrolled tumor-related pain: Symptomatic lesions amenable to palliative radiotherapy (example, bone metastases, or metastases causing nerve impingement) should be treated more than 7 days prior to the administration of the first study treatment
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: Phase 1 (Combination Dose Selection)
Participants will receive capmatinib 400 milligrams (mg) orally twice daily from Cycle 1 Day 1, in combination with amivantamab 700 mg intravenous (IV) infusion (for body weight less than 80 kilograms [kg]) or 1050 mg IV infusion (for body weight greater than or equal to 80 kg) once weekly from Cycle 1 Day 1 for 4 weeks and then every 2 weeks from Week 5 (Cycle 2; each cycle of 28 days).
Doses will be escalated or de-escalated based on the dose limiting toxicities (DLTs) and the recommended Phase 2 combination dose (RP2CD) will be determined by the study evaluation team (SET).
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Capmatinib will be administered orally.
Amivantamab will be administered as IV infusion.
Other Names:
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Experimental: Phase 2 (Dose Expansion)
Participants with mesenchymal-epithelial transition (MET) exon 14 skipping mutation who are treatment naïve (Cohort 1A), who have received prior therapy (Cohort 1B), or participants with MET amplification who have received prior therapy (Cohort 1C) will receive capmatinib in combination with amivantamab at the RP2CD determined by the SET in Phase 1.
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Capmatinib will be administered orally.
Amivantamab will be administered as IV infusion.
Other Names:
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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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Phase 1: Number of Participants with Adverse events (AEs) by Severity
Time Frame: Up to 2 years 1 month
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An AE is any untoward medical occurrence in a clinical study participant administered a pharmaceutical (investigational or non-investigational) product.
An adverse event does not necessarily have a causal relationship with the intervention.
Severity will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (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.
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Up to 2 years 1 month
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Phase 1: Number of Participants with Dose Limiting Toxicities (DLTs)
Time Frame: Cycle 1 (Day 1 through Day 28)
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The DLTs are specific adverse events and are defined as any of the following: high grade non-hematologic toxicity, hematologic toxicity, pulmonary toxicity, liver enzyme elevation, or treatment delay greater than (>) 28 days due to unresolved toxicity.
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Cycle 1 (Day 1 through Day 28)
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Phase 2: Objective Response Rate
Time Frame: Up to 2 years 1 month
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ORR is defined as the percentage of participants who achieve either a confirmed partial response (PR) or complete response (CR), using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
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Up to 2 years 1 month
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Phase 1: Number of Participants with AEs by Severity
Time Frame: Up to 2 years 1 month
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An AE is any untoward medical occurrence in a clinical study participant administered a pharmaceutical (investigational or non-investigational) product.
An adverse event does not necessarily have a causal relationship with the intervention.
Severity will be graded according to the 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.
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Up to 2 years 1 month
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Phase 1: Number of Participants with Abnormalities in Clinical Laboratory Parameters
Time Frame: Up to 2 years 1 month
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Number of participants with abnormalities in clinical laboratory parameters (serum chemistry, hematology, coagulation, serology, and urinalysis) will be reported.
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Up to 2 years 1 month
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Phase 2: Disease Control Rate (DCR)
Time Frame: Up to 2 years 1 month
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DCR is defined as the percentage of participants who achieve a PR, CR, or stable disease using RECIST version 1.1.
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Up to 2 years 1 month
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Phase 2: Progression Free Survival (PFS)
Time Frame: Up to 2 years 1 month
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PFS is defined as the time from first dose date until the date of disease progression or death, whichever comes first, based on investigator assessment using RECIST version 1.1
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Up to 2 years 1 month
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Phase 2: Overall Survival (OS)
Time Frame: Up to 2 years 1 month
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OS is defined as the time from the date of administration of the first study treatment until the date of death due to any cause.
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Up to 2 years 1 month
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Phase 2: Time to Subsequent Therapy (TTST)
Time Frame: Up to 2 years 1 month
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TTST is defined as the time from the date of administration of the first study treatment to the start date of the subsequent anticancer therapy following study treatment discontinuation, or death, whichever comes first.
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Up to 2 years 1 month
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Phase 2 (Cohort 1A): Change from Baseline in Health-related Quality of Life in (HRQoL) as Assessed by European Organization of Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC-QLQ-C30) Scale Score
Time Frame: Baseline up to 2 years 1 month
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EORTC-QLQ-C30 is a self-administered, 30-item questionnaire developed to assess the HRQoL of cancer participants.
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Baseline up to 2 years 1 month
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Phase 2 (Cohort 1A): HRQoL as Assessed by Non-Small Cell Lung Cancer - Symptom Assessment Questionnaire (NSCLC-SAQ) Scale Score
Time Frame: Up to 2 years 1 month
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NSCLC-SAQ assesses patient-reported symptom severity associated with NSCLC.
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Up to 2 years 1 month
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Phase 2 (Cohort 1A): HRQoL as Assessed by EuroQol 5-Dimension 5-Level (EQ-5D-5L) Scale Score
Time Frame: Up to 2 years 1 month
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EQ-5D-5L is a self-administered, standardized measure of health status.
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Up to 2 years 1 month
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Phase 2 (Cohort 1A): HRQoL as Assessed by Patient-reported Outcomes Measurement Information System Short Form Version 2.0 - Physical Function 8c (PROMIS PF 8c) Scale Score
Time Frame: Up to 2 years 1 month
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PROMIS PF 8c is an 8-item fixed length short form derived from the PROMIS Physical Function item bank.
It assesses activities of daily living, mobility, and global impact of physical functioning.
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Up to 2 years 1 month
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Phase 2: Duration of Response (DoR)
Time Frame: Up to 2 years 1 month
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DoR is defined as the time from the date of first documented response (PR or CR) until the date of documented progression or death from any case, whichever comes first, for participants who have PR or CR.
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Up to 2 years 1 month
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Janssen Research & Development, LLC Clinical Trial, Janssen Research & Development, LLC
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
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
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CR109260
- 2023 (U.S. NIH Grant/Contract: GRAMMY Museum Foundation)
- 61186372PANSC2001 (Other Identifier: Janssen Research & Development, LLC)
- 2022-000485-18 (EudraCT Number)
- 2023-508256-19-00 (Registry Identifier: EUCT 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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