A Study of Neoadjuvant Amivantamab With Either Lazertinib or Chemotherapy in Participants With Resectable EGFR-Mutated NSCLC (AmiNA)
A Phase 2 Study Evaluating the Safety and Efficacy of Neoadjuvant Amivantamab in Combination With Lazertinib or Chemotherapy in Resectable EGFR-Mutated Non-Small Cell Lung Cancer
Studie Overzicht
Toestand
Toestand
Conditie
Conditie
Interventie / Behandeling
Interventie / Behandeling
Studietype
Studietype
Inschrijving (Geschat)
Inschrijving
Fase
Fase
- Fase 2
Contacten en locaties
Studiecontact
Studiecontact
- Naam: Study Contact
- Telefoonnummer: 844-434-4210
- E-mail: Participate-In-This-Study1@its.jnj.com
Studie Locaties
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Ontario
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Toronto, Ontario, Canada, M5G 2C1
- Werving
- Princess Margaret Hospital
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Cheng Du Shi, China, 610044
- Werving
- Sichuan Cancer Hospital
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Chengdu, China, 610041
- Werving
- West China Hospital Sichuan University
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Guangzhou, China, 510060
- Werving
- Guangdong Provincial People's Hospital
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Jinan, China, 250117
- Werving
- Shandong Cancer Hospital
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Tianjin, China, 300222
- Werving
- Tianjin Chest Hospital
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Alicante, Spanje, 03010
- Werving
- Hosp. Gral. Univ. Dr. Balmis
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Madrid, Spanje, 28007
- Werving
- Hosp. Gral. Univ. Gregorio Maranon
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Taichung, Taiwan, 40705
- Werving
- Taichung Veterans General Hospital
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Tainan, Taiwan, 736
- Werving
- Chi Mei Medical Center Liouying Branch
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Taipei, Taiwan, 110
- Werving
- Taipei Medical University Hospital
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Zhubei, Taiwan, 302
- Werving
- NTU Biomedical Park Hospital
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California
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Duarte, California, Verenigde Staten, 91010
- Werving
- City of Hope
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Irvine, California, Verenigde Staten, 92618
- Werving
- City of Hope 1
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Oregon
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Portland, Oregon, Verenigde Staten, 97213
- Werving
- Providence Cancer Center
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Portland, Oregon, Verenigde Staten, 97225
- Werving
- Providence Oncology and Hematology Care Clinic Westside
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Buk Gu, Zuid -Korea, 41404
- Werving
- Kyungpook National University Chilgok Hospital
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Busan, Zuid -Korea, 49241
- Werving
- Pusan National University Hospital
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Seoul, Zuid -Korea, 06351
- Werving
- Samsung Medical Center
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Seoul, Zuid -Korea, 152-703
- Werving
- Korea University Guro Hospital
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Deelname Criteria
Geschiktheidscriteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Beschrijving
Inclusion Criteria:
- Participant must have histologically or cytologically confirmed non-squamous non-small cell lung cancer (NSCLC) with completely resectable Stage II-IIIB N2 disease
- Complete surgical resection of the primary NSCLC must be deemed achievable, as assessed by a multidisciplinary team evaluation
- Participant must consent to a screening biopsy, if clinically feasible, if no adequate tumor tissue is available for a baseline sample
- Participant may have a prior or concurrent second malignancy (other than the disease under study) which natural history or treatment is unlikely to interfere with any study endpoints of safety or the efficacy of the study treatment(s). Prior or concurrent second malignancies must be reviewed and agreed to with the medical monitor
- Have an eastern cooperative oncology group (ECOG) performance status of 0 or 1
Exclusion Criteria:
- History of uncontrolled illness
- Medical history of (non-infectious) interstitial lung disease (ILD)/pneumonitis, or has current interstitial lung disease (ILD)/pneumonitis, or where suspected ILD/pneumonitis cannot be ruled out by imaging at screening
- Suspected or known allergies, hypersensitivity, or intolerance to excipients of: the combination of amivantamab and lazertinib or carboplatin and pemetrexed
- Presence of primary driver mutations (anaplastic lymphoma kinase [ALK], mesenchymal-epithelial transition [MET], human epidermal growth factor receptor 2 [HER2], proto-oncogene tyrosine-protein kinase ROS [ROS1], neurotrophic tyrosine receptor kinase [NTRK], B-Raf proto-oncogene [BRAF], REarranged during transfection [RET], or kirsten rat sarcoma viral oncogene homolog [KRAS]) , besides EGFR Exon 19del or Exon 21 L858R mutations, as determined by local genomic testing
- Prior treatment with any systemic anti-cancer therapy for NSCLC including EGFR-tyrosine kinase inhibitor (TKI) therapy, chemotherapy, biologic therapy, immunotherapy, or any investigational drug
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Niet-gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Geen (open label)
Aantal wapens
Wapens en interventies
Deelnemersgroep / ArmDeelnemersgroep / Arm |
Interventie / BehandelingInterventie / Behandeling |
|---|---|
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Experimenteel: Cohort 1: Amivantamab plus Lazertinib
Participants will receive amivantamab in combination with lazertinib.
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Amivantamab zal worden toegediend.
Andere namen:
Lazertinib will be administered.
Andere namen:
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Experimenteel: Cohort 2: Amivantamab plus Carboplatin and Pemetrexed
Participants will receive amivantamab in combination with carboplatin and pemetrexed.
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Pemetrexed zal worden toegediend.
Carboplatine zal worden toegediend.
Amivantamab zal worden toegediend.
Andere namen:
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Wat meet het onderzoek?
Primaire uitkomstmaten
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Major Pathologic response (MPR)
Tijdsspanne: Up to 1 year 8 months
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MPR is defined as less than or equal to (<= ) 10 percent (%) residual cancer cells in the surgical specimen, per independent centralized pathology review.
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Up to 1 year 8 months
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Secundaire uitkomstmaten
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Pathological Complete Response (pCR)
Tijdsspanne: Up to 1 year 8 months
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pCR is defined as absence of any residual cancer cells in the surgical specimen, per independent centralized pathology review.
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Up to 1 year 8 months
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Number of Participants with Pathologic Nodal Downstaging at the Time of Surgery
Tijdsspanne: Baseline and up to 1 year 8 months
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Pathologic nodal downstaging is defined as baseline N2 participants becoming N1/node negative N0 or baseline N1 patients becoming N0 at the time of surgery.
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Baseline and up to 1 year 8 months
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Disease Control Rate (DCR)
Tijdsspanne: Up to 1 year 8 months
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DCR is defined as the percentage of participants who achieve a radiologic best overall response (BOR) of partial response (PR), complete response (CR), or stable disease (SD) using response evaluation criteria in solid tumors (RECIST) version 1.1.
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Up to 1 year 8 months
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Number of Participants with Adverse Events (AEs) by Severity
Tijdsspanne: Up to 1 year 8 months
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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 AE does not necessarily have a causal relationship with the treatment.
Any new or worsening AE occurring at or after the initial administration of study treatment through the day of last dose plus 30 days or prior to the start of subsequent anticancer therapy, whichever is earlier, or any follow-up AE with onset date and time beyond 30 days after the last dose of study treatment but prior to the start of subsequent therapy or any AE that is considered treatment-related regardless of the start date of the event is considered to be treatment-emergent.
TEAEs 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, Grade 2= moderate, Grade 3= severe, Grade 4= life-threatening, to Grade 5= death related to adverse event.
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Up to 1 year 8 months
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Number of Participants with Abnormalities in Clinical Laboratory Parameters
Tijdsspanne: Up to 1 year 8 months
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Number of participants with abnormalities in clinical laboratory parameters (which includes hematology, coagulation, clinical chemistry, routine urinalysis, serology and pregnancy test) will be reported.
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Up to 1 year 8 months
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Medewerkers en onderzoekers
Sponsor
Sponsor
Onderzoekers
Onderzoekers
- Studie directeur: Janssen Research & Development, LLC Clinical Trial, Janssen Research & Development, LLC
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Studie start
Primaire voltooiing (Geschat)
Primaire voltooiing
Studie voltooiing (Geschat)
Studie voltooiing
Studieregistratiedata
Eerst ingediend
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Eerst geplaatst
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update geplaatst
Laatste update ingediend die voldeed aan QC-criteria
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
- Neoplasmata per site
- Neoplasmata
- Ziekten van de luchtwegen
- Longziekten
- Neoplasmata van de luchtwegen
- Thoracale neoplasmata
- Longneoplasmata
- Carcinoom, bronchogeen
- Bronchiale neoplasmata
- Carcinoom, niet-kleincellige long
- Aminozuren, peptiden en eiwitten
- Organische chemicaliën
- Heterocyclische verbindingen
- Heterocyclische verbindingen, 2-ring
- Heterocyclische verbindingen, gefuseerd ring
- Coördinatiecomplexen
- Guanine
- Hypoxanthines
- Purinones
- Purines
- Glutamaten
- Aminozuren, zuur
- Aminozuren
- Aminozuren, dicarbonylisch
- Pemetrexed
- Carboplatine
- Amivantamab
- lazertinib
Andere studie-ID-nummers
Andere studie-ID-nummers
- 61186372PANSC2005 (Andere identificatie: Janssen Research & Development, LLC)
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Beschrijving IPD-plan
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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