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Et studie af kliniske resultater hos deltagere med EGFR-muteret fremskreden ikke-småcellet lungekræft (NSCLC) i en virkelighedsnær setting (LEPIDOPTERA)

2. november 2026 opdateret af: Janssen Research & Development, LLC

Prospektiv, Multicenter, Observationsstudie af Kliniske Resultater hos EGFR-muterede, Avancerede Patienter med Ikke-Småcellet Lungekraeft (NSCLC) Behandlet med Godkendte Amivantamab-indeholdende Regimer under Standard Klinisk Praksis

The purpose of this study is to describe the clinical and health-related outcomes of amivantamab-containing regimens for the treatment of common epidermal growth factor receptor (EGFR) mutated non-small cell lung cancer (NSCLC; most common type of lung cancer) in a real-world setting. Metastatic NSCLC is when this disease spreads to other parts of body. NSCLC may occur due to mutations (changes) in many genes including epidermal growth factor receptor (EGFR).

Studieoversigt

Status

Rekruttering

Betingelser

Undersøgelsestype

Observationel

Tilmelding (Anslået)

380

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Studiesteder

      • Brussels, Belgien, 1090
        • Rekruttering
        • UZ Brussel
      • Edegem, Belgien, 2650
        • Rekruttering
        • UZ Antwerpen
      • Hasselt, Belgien, 3500
        • Rekruttering
        • Jessa Ziekenhuis
      • Kortrijk, Belgien, 8500
        • Rekruttering
        • Az Groeninge
      • La Louvière, Belgien, 7100
        • Rekruttering
        • Chu Helora Hospital La Louviere Site Jolimont
      • Liège, Belgien, 4000
        • Rekruttering
        • CHU de Liege
      • Sint-Niklaas, Belgien, 9100
        • Rekruttering
        • Vitaz
      • Bath, Det Forenede Kongerige, BA1 3NG
        • Rekruttering
        • Royal United Hospital
      • Cardiff, Det Forenede Kongerige, CF14 2TL
        • Rekruttering
        • Velindre Hospital
      • Eastbourne, Det Forenede Kongerige, BN21 2UD
        • Rekruttering
        • Eastbourne District General Hospital
      • Guildford, Det Forenede Kongerige, GU2 7XX
        • Rekruttering
        • Royal Surrey County Hospital NHS Trust
      • Heath Town, Det Forenede Kongerige, WV10 0QP
        • Rekruttering
        • New Cross Hospital
      • London, Det Forenede Kongerige, SW3 6JJ
        • Rekruttering
        • Royal Marsden Hospital
      • Manchester, Det Forenede Kongerige, M20 4BX
        • Rekruttering
        • The Christie NHS Foundation Trust Christie Hospital
      • Sutton, Det Forenede Kongerige, SM2 5PT
        • Rekruttering
        • Royal Marsden Hospital (Sutton)
      • Petah Tikva, Israel, 4941492
        • Rekruttering
        • Rabin Medical Center
      • Ramat Gan, Israel, 5262000
        • Rekruttering
        • Sheba Medical Center
      • Tel Aviv, Israel, 6971028
        • Rekruttering
        • Assuta MC
      • Avellino, Italien, 83100
        • Rekruttering
        • Ospedale San Giuseppe Moscati di Avellino
      • Aviano, Italien, 33081
        • Rekruttering
        • CRO IRCCS Istituto Nazionale Tumori
      • Bari, Italien, 70124
        • Rekruttering
        • Oncologia Medica - Irccs - Istituto Tumori Giovanni Paolo II
      • Bergamo, Italien, 24127
        • Rekruttering
        • ASST Papa Giovanni XXIII Bergamo
      • Brescia, Italien, 25123
        • Rekruttering
        • ASST Spedali Civili Brescia
      • Candiolo, Italien, 10060
        • Rekruttering
        • Istituto di Candiolo, IRCCS
      • Catania, Italien, 95123
        • Rekruttering
        • PO G.Rodolico, AOU Policlinico-Vittorio Emanuele Catania
      • Catanzaro, Italien, 88100
        • Rekruttering
        • Azienda Ospedaliera Pugliese Ciaccio Catanzaro
      • Genova, Italien, 16132
        • Rekruttering
        • Ospedale Policlinico San Martino IRCCS
      • Lecce, Italien, 73100
        • Rekruttering
        • Azienda Ospedaliera ''Vito Fazzi''
      • Milan, Italien, 20162
        • Rekruttering
        • ASST Grande Ospedale Metropolitano Niguarda
      • Milan, Italien, 20132
        • Rekruttering
        • San Raffaele Hospital
      • Milan, Italien, 20133
        • Rekruttering
        • Istituto Dei Tumori Di Milano
      • Milan, Italien, 20141
        • Rekruttering
        • European Institute of Oncology
      • Monza, Italien, 20900
        • Rekruttering
        • San Gerardo Hospital
      • Naples, Italien, 80131
        • Rekruttering
        • Fondazione G Pascale Istituto Nazionale Tumori IRCCS
      • Naples, Italien, 80131
        • Rekruttering
        • Universita degli Studi della Campania Luigi Vanvitelli
      • Novara, Italien, 28100
        • Rekruttering
        • Azienda Ospedaliero Universitaria Maggiore della Carita di Novara
      • Olbia, Italien, 07026
        • Rekruttering
        • ASL Gallura - Ospedale Giovanni Paolo II
      • Orbassano, Italien, 10043
        • Rekruttering
        • Aou San Luigi Gonzaga
      • Palermo, Italien, 90127
        • Rekruttering
        • Azienda Ospedaliero Universitaria Policlinico Paolo Giaccone
      • Palermo, Italien, 90146
        • Rekruttering
        • A.O.R Villa Sofia Cervello
      • Parma, Italien, 43126
        • Rekruttering
        • Azienda Ospedaliero-Universitaria Di Parma
      • Pisa, Italien, 56124
        • Rekruttering
        • Azienda Ospedaliero Universitaria Pisana
      • Ravenna, Italien, 48121
        • Rekruttering
        • U.O.C. Ematologia Ospedale S. Maria delle Croci
      • Roma, Italien, 00168
        • Rekruttering
        • Fondazione Policlinico Universitario A Gemelli IRCCS
      • Roma, Italien, 128
        • Rekruttering
        • Campus Bio Medico di Roma
      • Rome, Italien, 00144
        • Rekruttering
        • Istituto Nazionale Tumori Regina Elena
      • Sassari, Italien, 07100
        • Rekruttering
        • Azienda Ospedaliero Universitaria di Sassari
      • Torrette-Ancona, Italien, 60126
        • Rekruttering
        • Ospedali Riuniti Di Ancona
      • Urbino, Italien, 61121
        • Rekruttering
        • Azienda Sanitaria Territoriale Pesaro Urbino
      • A Coruña, Spanien, 15006
        • Rekruttering
        • Hosp Univ A Coruna
      • Burgos, Spanien, 09006
        • Rekruttering
        • Hosp. Univ. de Burgos
      • Córdoba, Spanien, 14004
        • Rekruttering
        • Hosp Reina Sofia
      • Jerez de la Frontera, Spanien, 11407
        • Rekruttering
        • Hosp. de Jerez de La Frontera
      • Lugo, Spanien, 27003
        • Rekruttering
        • Hosp. Univ. Lucus Augusti
      • Málaga, Spanien, 29011
        • Rekruttering
        • Hosp Regional Univ de Malaga
      • Ourense, Spanien, 32005
        • Rekruttering
        • Complexo Hosp. Univ. de Ourense
      • Palma de Mallorca, Spanien, 07120
        • Rekruttering
        • Hosp. Univ. Son Espases
      • Santiago de Compostela, Spanien, 15706
        • Rekruttering
        • Hosp. Clinico Univ. de Santiago
      • Seville, Spanien, 41013
        • Rekruttering
        • Hospital Universitario Virgen Rocio
      • Valladolid, Spanien, 47003
        • Rekruttering
        • Hosp. Clinico Univ. de Valladolid
      • Vigo, Spanien, 36312
        • Rekruttering
        • Hosp. Alvaro Cunqueiro
      • Brno, Tjekkiet, 625 00
        • Rekruttering
        • Fakultni nemocnice Brno
      • Hradec Králové, Tjekkiet, 500 05
        • Rekruttering
        • Fakultni nemocnice Hradec Kralove
      • Olomouc, Tjekkiet, 77900
        • Rekruttering
        • Fakultni nemocnice Olomouc
      • Prague, Tjekkiet, 140 59
        • Rekruttering
        • Fakultni Thomayerova nemocnice
      • Aschaffenburg, Tyskland, 63739
        • Rekruttering
        • MVZ am Klinikum Aschaffenburg Onkologie
      • Bielefeld, Tyskland, 33611
        • Rekruttering
        • Evangelisches Klinikum Bethel
      • Bochum, Tyskland, 44791
        • Rekruttering
        • Augusta Kliniken Bochum Hattingen
      • Bremen, Tyskland, 28325
        • Rekruttering
        • Gesundheit Nord - Klinikverbund Bremen
      • Chemnitz, Tyskland, 09113
        • Rekruttering
        • Klinikum Chemnitz gGmbH
      • Cologne, Tyskland, 50677
        • Rekruttering
        • Haematologie u Onkologie Koeln MV Zentrum
      • Cologne, Tyskland, 51109
        • Rekruttering
        • Kliniken der Stadt Köln gGmbH, Krankenhaus Köln-Mehrheim
      • Düsseldorf, Tyskland, 40489
        • Rekruttering
        • Florence Nightingale Krankenhaus
      • Essen, Tyskland, 45147
        • Rekruttering
        • Universitaetsklinikum Essen
      • Essen, Tyskland, 45136
        • Rekruttering
        • Kliniken Essen-Mitte; Evangelische Huyssens-Stiftung
      • Hamburg, Tyskland, 20249
        • Rekruttering
        • Facharztzentrum Eppendorf
      • Hanover, Tyskland, 30625
        • Rekruttering
        • Medizinische Hochschule Hannover
      • Hanover, Tyskland, 30161
        • Rekruttering
        • Onkologie am Raschplatz
      • Hanover, Tyskland, 30449
        • Rekruttering
        • Klinikum Region Hannover Klinikum Siloah
      • Hemer, Tyskland, 58675
        • Rekruttering
        • Lungenklinik Hemer
      • Konstanz, Tyskland, 78464
        • Rekruttering
        • Klinikum Konstanz
      • Landshut, Tyskland, 84034
        • Rekruttering
        • LA Regio Kliniken Klinik Landshut Mitte
      • Neuss, Tyskland, 41462
        • Rekruttering
        • MVZ fur Hamatologie und Onkologie Rhein Kreis GmbH
      • Recklinghausen, Tyskland, 45659
        • Rekruttering
        • Knappschaft Kliniken MVZ Nord GmbH
      • Solingen, Tyskland, 42699
        • Rekruttering
        • Hospital Bethanien Solingen
      • Stolberg, Tyskland, 52222
        • Rekruttering
        • MVZ Onkologie Groschek Keller
      • Ulm, Tyskland, 89081
        • Rekruttering
        • Bundeswehrkrankenhaus Ulm
      • Graz, Østrig, 8036
        • Rekruttering
        • University Hospital Graz
      • Klagenfurt, Østrig, 9020
        • Rekruttering
        • Klinikum Klagenfurt am Worthersee
      • Natters, Østrig, 6161
        • Rekruttering
        • Landeskrankenhaus Hochzirl Natters

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

The study population will include participants with advanced NSCLC.

Beskrivelse

Inclusion Criteria:

  • Participant has a confirmed diagnosis of common epidermal growth factor receptor (EGFR)-mutated non-small cell lung cancer (NSCLC) (EGFR exon 19 deletions or exon 21 L858R substitution) and is eligible for an amivantamab-containing regimen per the judgment of the treating physician and in alignment with the approved amivantamab indications and recommended prophylactic and reactive medication as described in the local specific summary of product characteristics (SmPC) for amivantamab
  • Participants or their legally acceptable representative, where applicable, must sign a participation agreement/Informed consent form (ICF) allowing source data verification in accordance with local requirements
  • Participant is being planned to be initiated with an amivantamab-containing regimen for the first time within 4 weeks following the visit for start of data collection
  • Decision to administer an amivantamab-containing regimen has been made prior to participant's enrollment in the study and is separate from the physician's decision to include the participant in the current study

Exclusion criteria:

  • At the time of the initiation of the amivantamab-containing regimen, the participant is receiving an active systemic anticancer treatment for advanced NSCLC that is not included in the locally approved combination regimen with amivantamab (regardless of whether it is part of an interventional study). One cycle of platinum-based chemotherapy (for example, carboplatin-pemetrexed) is permitted prior to the first dose of amivantamab in a 1L while awaiting biopsy results
  • Participant has received prior treatment with amivantamab in a clinical trial or for compassionate use
  • Participants who are not receiving amivantamab but are being treated with a biosimilar or a non-original biologic agent
  • Participants with conditions listed in the contraindications of the SmPC for amivantamab or other agents essential for the applicable amivantamab-containing treatment regimen (lazertinib/ platinum/ pemetrexed)

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Observationsmodeller: COHORT
  • Tidsperspektiver: PROSPECTIVE

Kohorter og interventioner

Gruppe / kohorte
Cohort B: Amivantamab with carboplatin and pemetrexed

Participants with confirmed diagnosis of advanced NSCLC with EGFR exon 19 deletions or exon 21 L858R substitution mutations after failure of prior therapy including an EGFR TKI, who received at least 1 dose of amivantamab in combination with carboplatin and pemetrexed, as per standard clinical practice will be enrolled. No drug will be provided as part of this study. Only data available within routine clinical practice will be collected in this study.

Cohort C: Amivantamab and lazertinib

Participants with confirmed diagnosis of advanced NSCLC with EGFR exon 19 deletions or exon 21 L858R substitution mutations (first-line therapy) who received at least 1 dose of amivantamab in combination with lazertinib as per standard clinical practice will be enrolled. No drug will be provided as part of this study. Only data available within routine clinical practice will be collected in this study.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Real-World Time to Treatment Discontinuation (rwTTD)
Tidsramme: Up to approximately 60 Months

rwTTD is defined as the time from the date of initiation of the amivantamab-containing regimen to discontinuation of the full amivantamab containing regimen for any reason, including disease progression, treatment toxicity or death.

Up to approximately 60 Months

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Real-World Progression-Free Survival (rwPFS)
Tidsramme: Up to approximately 60 Months

rwPFS is defined as the time from the date of initiation of the amivantamab-containing regimen to the date of investigator-determined disease progression (radiological or clinical) or death due to any cause, whichever occurs first.

Up to approximately 60 Months
Real-World Time to Next Treatment (rwTTNT)
Tidsramme: Up to approximately 60 Months

rwTTNT is defined as the time from initiation of the amivantamab-containing regimen to start of a subsequent systemic treatment following discontinuation of the full amivantamab-containing regimen or death, whichever occurs first.

Up to approximately 60 Months
Real-World Overall Survival (rwOS)
Tidsramme: Up to approximately 60 Months

rwOS is defined as the time from the date of initiation of the amivantamab-containing regimen to the date of death from any cause or reason.

Up to approximately 60 Months
Real-World Time to Subsequent Treatment Discontinuation (rwTTD2)
Tidsramme: Up to approximately 60 Months

rwTTD2 is defined as the time from initiation of the amivantamab-containing regimen to the discontinuation of the first subsequent therapy for any reason, including disease progression, treatment toxicity or death.

Up to approximately 60 Months
Number of Participants with Adverse Events (AEs) by Severity
Tidsramme: Up to approximately 60 Months

An AE is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product.

Up to approximately 60 Months
Number of Participants with Dose Modifications and Discontinuations of Amivantamab, Lazertinib and Chemotherapy
Tidsramme: Up to approximately 60 Months

Participants with Dose Modifications and Discontinuations of Amivantamab, Lazertinib and Chemotherapy will be reported.

Up to approximately 60 Months
Number of Participants Using Concomitant Medications
Tidsramme: Up to approximately 60 Months

Participants using concomitant medications including those to manage specific AEs related to the amivantamab-containing regimen, namely infusion related reactions (IRRs), venous thromboembolism (VTEs), and dermatologic AEs including paronychia, will be reported.

Up to approximately 60 Months
Health-Related Quality of Life (HRQoL) Assessed by SKINDEX Scale Score
Tidsramme: Up to approximately 60 Months

The SKINDEX-16 measures how a participant's skin condition impacts their health-related quality of life. There are 16 questions on a 7-point scale, ranging from 0 (never bothered) to 6 (always bothered). The questionnaire is divided into 3 domains: symptoms (items 1 to 4), emotions (items 5 to 11), and functionality (items 12 to 16). An overall score is the average of the 3 domain scores. All domain scores will be linearly transformed to be in the range from 0 to 100. A score of 0 indicates that the skin condition has no impact on QoL, while a score of 100 indicates the worst possible impact.

Up to approximately 60 Months
Quality of Life Assessed by European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Core Questionnaire (EORTC QLQ-C30) Items-30 Scale Score
Tidsramme: Up to approximately 60 Months

The EORTC QLQ-C30 is a self-administered, 30-item questionnaire measuring the HRQoL of participants with cancer. EORTC QLQ-C30 includes 5 functional scales (physical, role, cognitive, emotional, and social), 3 symptom scales (fatigue, pain, and nausea and vomiting), a global health status / quality of life scale, and 6 single items (dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties). Responses to items 1-28 are rated on a 4-point Likert response scale ranging from 1 "Not at all" to 4 "Very much." Two global health status items are rated on a 7-point numeric rating scale from 1 "Very Poor" to 7 "Excellent." Higher scores indicate greater functioning, better global health status, and more severe symptoms.

Up to approximately 60 Months
Quality of Life Impact on Questions Regarding Reactive and Prophylactic Management of AEs Related to the Amivantamab-Containing Regimen
Tidsramme: Up to approximately 60 Months

Three questions regarding reactive and prophylactic management of AEs related to the amivantamab-containing regimen will be reported. These questions cover the type of prophylactic/reactive concomitant medication recommended by the treating physician, frequency of use, and the degree of impact on daily life due to use of the respective medication.

Up to approximately 60 Months

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Efterforskere

  • Studieleder: Janssen Research & Development, LLC Clinical Trial, Janssen Research & Development, LLC

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

3. december 2025

Primær færdiggørelse (Anslået)

19. november 2030

Studieafslutning (Anslået)

17. december 2030

Datoer for studieregistrering

Først indsendt

14. november 2025

Først indsendt, der opfyldte QC-kriterier

14. november 2025

Først opslået (Faktiske)

17. november 2025

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

3. november 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

2. november 2026

Sidst verificeret

1. november 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • 61186372NSC4014
  • 61186372NSC4014 (Anden identifikator: Janssen Research & Development, LLC)

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

JA

IPD-planbeskrivelse

The data sharing policy of Johnson & Johnson Innovative Medicine is available at innovativemedicine.jnj.com/our-innovation/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ingen

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .