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A Study of Neoadjuvant Amivantamab With Either Lazertinib or Chemotherapy in Participants With Resectable EGFR-Mutated NSCLC (AmiNA)

27. august 2026 oppdatert av: Janssen Research & Development, LLC

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

The purpose of this study is to assess the ability to slow down or stop the growth of cancer with amivantamab combined with either lazertinib or chemotherapy (carboplatin and pemetrexed) in participants with resectable, epidermal growth factor receptor (EGFR) mutated, Stage II-IIIB non-small cell lung cancer (NSCLC). NSCLC is the most common type of lung cancer. NSCLC may occur due to mutations (changes) in many genes, including EGFR.

Studieoversikt

Status

Rekruttering

Forhold

Intervensjon / Behandling

Studietype

Intervensjonell

Registrering (Antatt)

68

Fase

  • Fase 2

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiekontakt

Studiesteder

  • Canada
    • Ontario
      • Toronto, Ontario, Canada, M5G 2C1
        • Rekruttering
        • Princess Margaret Hospital
  • Forente stater
    • California
      • Duarte, California, Forente stater, 91010
        • Rekruttering
        • City of Hope
      • Irvine, California, Forente stater, 92618
        • Rekruttering
        • City of Hope 1
    • Oregon
      • Portland, Oregon, Forente stater, 97213
        • Rekruttering
        • Providence Cancer Center
      • Portland, Oregon, Forente stater, 97225
        • Rekruttering
        • Providence Oncology and Hematology Care Clinic Westside
  • Kina
      • Cheng Du Shi, Kina, 610044
        • Rekruttering
        • Sichuan Cancer Hospital
      • Chengdu, Kina, 610041
        • Rekruttering
        • West China Hospital Sichuan University
      • Guangzhou, Kina, 510060
        • Rekruttering
        • Guangdong Provincial People's Hospital
      • Jinan, Kina, 250117
        • Rekruttering
        • Shandong Cancer Hospital
      • Tianjin, Kina, 300222
        • Rekruttering
        • Tianjin Chest Hospital
  • Spania
      • Alicante, Spania, 03010
        • Rekruttering
        • Hosp. Gral. Univ. Dr. Balmis
      • Madrid, Spania, 28007
        • Rekruttering
        • Hosp. Gral. Univ. Gregorio Maranon
  • Sør -Korea
      • Buk Gu, Sør -Korea, 41404
        • Rekruttering
        • Kyungpook National University Chilgok Hospital
      • Busan, Sør -Korea, 49241
        • Rekruttering
        • Pusan National University Hospital
      • Seoul, Sør -Korea, 06351
        • Rekruttering
        • Samsung Medical Center
      • Seoul, Sør -Korea, 152-703
        • Rekruttering
        • Korea University Guro Hospital
  • Taiwan
      • Taichung, Taiwan, 40705
        • Rekruttering
        • Taichung Veterans General Hospital
      • Tainan, Taiwan, 736
        • Rekruttering
        • Chi Mei Medical Center Liouying Branch
      • Taipei, Taiwan, 110
        • Rekruttering
        • Taipei Medical University Hospital
      • Zhubei, Taiwan, 302
        • Rekruttering
        • NTU Biomedical Park Hospital

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

  • Voksen
  • Eldre voksen

Tar imot friske frivillige

Nei

Beskrivelse

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

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Ikke-randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: Cohort 1: Amivantamab plus Lazertinib
Participants will receive amivantamab in combination with lazertinib.
Legemiddel: Amivantamab
Amivantamab vil bli administrert.
Andre navn:
  • JNJ-61186372
Legemiddel: Lazertinib
Lazertinib will be administered.
Andre navn:
  • JNJ-73841937
Eksperimentell: Cohort 2: Amivantamab plus Carboplatin and Pemetrexed
Participants will receive amivantamab in combination with carboplatin and pemetrexed.
Legemiddel: Pemetrexed
Pemetrexed vil bli administrert.
Legemiddel: Karboplatin
Karboplatin vil bli administrert.
Legemiddel: Amivantamab
Amivantamab vil bli administrert.
Andre navn:
  • JNJ-61186372

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Major Pathologic response (MPR)
Tidsramme: Up to 1 year 8 months
MPR is defined as less than or equal to (<= ) 10 percent (%) residual cancer cells in the surgical specimen, per independent centralized pathology review.
Up to 1 year 8 months

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Pathological Complete Response (pCR)
Tidsramme: Up to 1 year 8 months
pCR is defined as absence of any residual cancer cells in the surgical specimen, per independent centralized pathology review.
Up to 1 year 8 months
Number of Participants with Pathologic Nodal Downstaging at the Time of Surgery
Tidsramme: Baseline and up to 1 year 8 months
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.
Baseline and up to 1 year 8 months
Disease Control Rate (DCR)
Tidsramme: Up to 1 year 8 months
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.
Up to 1 year 8 months
Number of Participants with Adverse Events (AEs) by Severity
Tidsramme: Up to 1 year 8 months
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.
Up to 1 year 8 months
Number of Participants with Abnormalities in Clinical Laboratory Parameters
Tidsramme: Up to 1 year 8 months
Number of participants with abnormalities in clinical laboratory parameters (which includes hematology, coagulation, clinical chemistry, routine urinalysis, serology and pregnancy test) will be reported.
Up to 1 year 8 months

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Janssen Research & Development, LLC

Etterforskere

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

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

28. juli 2026

Primær fullføring (Antatt)

2. mars 2028

Studiet fullført (Antatt)

3. april 2028

Datoer for studieregistrering

Først innsendt

8. mai 2026

Først innsendt som oppfylte QC-kriteriene

8. mai 2026

Først lagt ut (Faktiske)

14. mai 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

28. august 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

27. august 2026

Sist bekreftet

1. august 2026

Mer informasjon

Begreper knyttet til denne studien

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • 61186372PANSC2005 (Annen identifikator: Janssen Research & Development, LLC)

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

JA

IPD-planbeskrivelse

The data sharing policy of Johnson & Johnson Innovative Medicine is available at www.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.

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Ja

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

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