A Study of Lazertinib and Amivantamab in Participants With Epidermal Growth Factor Receptor (EGFR)-Mutated Advanced or Metastatic Non-small Cell Lung Cancer
Study Details
Study Description
Brief Summary
The purpose of the study is to simplify amivantamab intravenous administration and to reduce dose times, by assessing a new formulation of amivantamab, amivantamab subcutaneous and co-formulated with recombinant human hyaluronidase (SC-CF), for subcutaneous administration. This formulation has the potential to enhance both the patient and physician experience with amivantamab by providing easier and accelerated administration.
Condition or Disease | Intervention/Treatment | Phase |
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|
Phase 3 |
Detailed Description
Lung cancer is one of the most common types of cancer and is the most common cause of death from cancer. Amivantamab is a low-fucose, fully human immunoglobulin (IgG)1-based bispecific antibody directed against EGFR and mesenchymal-epithelial transition (MET) tyrosine kinase receptors. Lazertinib is an oral, highly potent, third-generation epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor (TKI). The study will include screening phase (up to 28 days), a treatment phase (from randomization until the end of treatment visit), and a follow-up phase for both parts (from end of treatment visit until the end of study, death, lost to follow-up, or withdrawal of consent, whichever comes first). Safety will be assessed by physical examinations, vital signs, electrocardiograms, echocardiograms, ophthalmologic assessments, laboratory tests, adverse event (AE) frequency and severity (by Common Terminology Criteria for Adverse Events [CTCAE] version 5.0) monitoring, and concomitant medication use. The total duration of the study will be up to 1 year and 11 months.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Part 1: Arm A1: Lazertinib with Amivantamab SC-CF Lazertinib 240 mg will be administered orally once daily. Participants will receive Amivantamab subcutaneous and co-formulated with recombinant human hyaluronidase (SC-CF), 1600 milligrams (mg)/ 2240 mg depending on the body weight by manual injection. |
Drug: Lazertinib
Lazertinib tablets will be administered orally.
Other Names:
Drug: Amivantamab Subcutaneous and Co-Formulated with Recombinant Human Hyaluronidase (SC CF)
Amivantamab injection will be administered subcutaneously by manual injection
Other Names:
|
Experimental: Part 1: Arm B1: Lazertinib with Amivantamab Intravenous (IV) Infusion Lazertinib 240 mg will be administered orally once. Participants will receive amivantamab, 1050 mg or 1400 mg depending on the body weight as an IV infusion. |
Drug: Lazertinib
Lazertinib tablets will be administered orally.
Other Names:
Drug: Amivantamab Intravenous
Amivantamab will be administered by IV infusion
Other Names:
|
Experimental: Part 2: Arm A2: Lazertinib with Amivantamab SC-CF Lazertinib 240 mg will be administered orally once daily. Participants will receive amivantamab SC-CF, 1600 mg or 2240 depending on the body weight mg by manual injection. |
Drug: Lazertinib
Lazertinib tablets will be administered orally.
Other Names:
Drug: Amivantamab Subcutaneous and Co-Formulated with Recombinant Human Hyaluronidase (SC CF)
Amivantamab injection will be administered subcutaneously by manual injection
Other Names:
|
Experimental: Part B2: Arm B2: Lazertinib with Amivantamab SC-CF OBDS Lazertinib 240 mg will be administered orally once daily. Participants will receive amivantamab SC-CF On-Body Delivery System (OBDS), 1600 mg or 2240 mg depending on the body weight by manual injection. |
Drug: Lazertinib
Lazertinib tablets will be administered orally.
Other Names:
Device: Amivantamab SC-CF On-Body Delivery System (OBDS)
Amivantamab will be administered by subcutaneously by OBDS
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Part 1: Observed Serum Concentration (Ctrough) of Amivantamab at Steady State on Cycle 4 Day 1 [Cycle 4 Day 1 (28 days cycle)]
Ctrough is the observed serum concentration of Amivantamab at steady state on Cycle 4 Day 1 immediately prior to the next drug administration.
- Part 1: Area Under the Concentration Time Curve from Day 1 to Day 15 (AUC[Day 1-15]) of Amivantamab of Cycle 2 [Cycle 2 Day 1 to Cycle 2 Day 15 (28 days cycle)]
AUC(Day 1-15) defined as area under the concentration time curve from Day 1 to Day 15, will be reported will be reported in Cycle 2.
- Part 2: Maximum Serum Concentration (Cmax) of Amivantamab After Cycle 1 Day 1 [After Cycle 1 Day 1 (28 days cycle)]
Cmax is defined as maximum serum concentration of Amivantamab, will be reported after Cycle 1 Day 1.
- Part 2: Area Under the Concentration Time Curve from Day 1 to Day 8 (AUC[Day 1-8]) of Amivantamab of Cycle 1 [From Cycle 1 Day 1 to Cycle 1 Day 8 (28 days cycle)]
AUC(Day 1-8) defined as area under the concentration time curve from Day 1 to Day 8, will be reported in Cycle 1.
Secondary Outcome Measures
- Part 1 and Part 2: Objective Response Rate (ORR) [Up to 1 year 11 months]
ORR is defined as the percentage of participants who achieve either a CR or PR as per Response Evaluation Criteria In Solid Tumors Criteria (RECIST version 1.1).
- Part 1 and Part 2: Progression-Free Survival (PFS) [Up to 1 year 11 months]
PFS is defined as the time from randomization until the date of objective disease progression or death, whichever comes first, based on RECIST version 1.1.
- Part 1 and Part 2: Duration of Response (DOR) [Up to 1 year 11 months]
The DoR is defined as the time from the date of first documented response (PR or CR) until the date of documented progression or death, whichever comes first, for participants who have PR or CR.
- Part 1 and Part 2: Time to Response. [Up to 1 year 11 months]
Time to response (that is time to first response) is defined as the time from the date of randomization to the date of first documentation of a response (PR or CR) prior to any disease progression and subsequent anticancer therapy, as defined by BICR using RECIST version 1.1., for participants who have PR or CR as their best response.
- Part 1 and Part 2: Number of Participants With Adverse Events (AEs) [Up to 1 year 11 months]
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.
- Part 1 and Part 2: Number of Participants with AEs by Severity [Up to 1 year 11 months]
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.
- Part 1 and Part 2: Number of Participants with Clinical Laboratory Abnormalities [Up to 1 year 11 months]
Number of participants with clinical laboratory abnormalities (serum Chemistry, hematology, coagulation and urinalysis) will be reported.
- Part 1 and Part 2: Number of Participants Infusion Related Reactions (IRRs) [Up to 1 year 11 months]
Number of participants with IRRs will be reported.
- Part 1 and Part 2: Number of Participants with Infusion Related Reactions (IRRs) by Severity [Up to 1 year 11 months]
Number of participants with IRRs by severity will be reported.
- Part 1: Observed Serum Concentration (Ctrough) of Amivantamab on Cycle 2 Day 1 [Cycle 2 Day 1 (28 days cycle)]
The Ctrough is the observed serum concentration of Amivantamab on Cycle 2 Day 1 (Part 1 only) immediately prior to the next drug administration.
- Part 1: Model-Predicted Area Under the Concentration Time Curve from Day 1 to Day 15 (AUC[Day 1-15]) of Amivantamab at Steady State of Cycle 4 [From Cycle 4 Day 1 to Cycle 4 Day 15 (28 days cycle)]
Model-predicted AUC(Day 1-15) defined as area under the concentration time curve from Day 1 to Day 15, will be reported in Cycle 4 (Part 1 only).
- Part 2: Observed Serum Concentration (Ctrough) of Amivantamab on Cycle 4 Day 1 [Cycle 4 Day 1 (28 days cycle)]
Ctrough is the observed serum concentration of Amivantamab on Cycle 4 Day 1 (Part 2 only) immediately prior to the next drug administration.
- Part 1 and Part 2: Percentage of Participants with Presence of Anti-amivantamab Antibodies and Anti-rHuPH20 Antibodies [Up to 1 year 11 months]
Percentage of participants with presence of anti-amivantamab antibody anti-rHuPH20 antibodies will be reported.
- Part 1 and Part 2: Percentage of Participants with Cancer Therapy Satisfaction as Assessed by Therapy Administration Satisfaction Questionnaire (TASQ) [Up to 1 year 11 months]
Percentage of participants with cancer therapy satisfaction in will be assessed using the modified TASQ. The modified TASQ is an 11-item questionnaire measuring the impact of each mode of treatment administration on five domains: Physical Impact, Psychological Impact, Impact on Activities of Daily Living, Convenience, and Satisfaction.
- Part 1 and Part 2: Change from Baseline in TASQ as Assessed Over Time [Up to 1 year 11 months]
Change from baseline in TASQ as assessed Over time will be reported. The modified TASQ is an 11-item questionnaire measuring the impact of each mode of treatment administration on five domains: Physical Impact, Psychological Impact, Impact on Activities of Daily Living, Convenience, and Satisfaction.
- Part 1 and Part 2: Participant Chair Time [Up to 1 year 11 months]
Participant chair time will be assessed by time and motion analysis.
- Part 1 and Part 2: Duration of Treatment Administration [Up to 1 year 11 months]
Duration of treatment administration will be assessed by time and motion analysis.
- Part 1 and Part 2: Active HCP Time For Drug Preparation, Treatment Administration and Posttreatment Monitoring. [Up to 1 year 11 months]
Active health care professional time for drug preparation, treatment administration, and posttreatment monitoring will be assessed by time and motion analysis.
- Part 1 and Part 2: Participant Time in Treatment Room [Up to 1 year 11 months]
Participant time in treatment room will be assessed by time and motion analysis.
- Part 1 and Part 2: Rate of Successful Injections with Amivantamab SC-CF OBDS [Up to 1 year 11 months]
Rate of successful injections with amivantamab SC-CF OBDS at each amivantamab SC-CF administration will be reported.
- Part 2: Ease of use and Satisfaction with Amivantamab SC-CF OBDS as Assessed by Ease of use and Satisfaction Questionnaire [Cycle 2 Day 1 (28 days cycle)]
Ease of use and Satisfaction is 8-items questionnaire to access the satisfaction and ease of use of OBDS. The questionnaire is constructed as five-point Likert rating scales. HCPs that cared for participants are asked to rate agreement with the statements, ranging from 1=strongly disagree to 5=strongly agree on Cycle 2 Day 1 (Part 2 only).
Eligibility Criteria
Criteria
Inclusion Criteria:
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Have histologically or cytologically confirmed, advanced or metastatic non-small cell lung cancer (NSCLC), characterized by either epidermal growth factor receptor (EGFR) Exon 19 deletion (Exon 19del) or Exon 21 leucine 858 to arginine substitution (Exon 21 L858R) mutation by an Food and Drug Administration (FDA) approved or other validated test of either circulating tumor deoxyribonucleic acid (ctDNA) or tumor tissue in a clinical laboratory improvement amendments (CLIA) certified laboratory (sites in the United Started [US]) or an accredited local laboratory (sites outside of the US)
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Have progressed on or after osimertinib and platinum-based chemotherapy (irrespective of order). a) Osimertinib must have been administered as the first epidermal growth factor receptor tyrosine kinase inhibitor (EGFR TKI) for metastatic disease or as the second TKI after prior treatment with first- or second-generation EGFR TKI in participants with metastatic EGFR T790M mutation positive NSCLC. b) Participants who decline or are otherwise ineligible for chemotherapy may be enrolled after discussion with the medical monitor. c) Any adjuvant or neoadjuvant treatment, whether with osimertinib or platinum based chemotherapy, would count towards the prior treatment requirement if the participant experienced disease
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Have at least 1 measurable lesion, according to response evaluation criteria in solid tumors (RECIST) version 1.1
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Have an eastern cooperative oncology group (ECOG) performance status of 0 to 1
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Any toxicities from prior anticancer therapy must have resolved to common terminology criteria for adverse events (CTCAE) Version 5.0 Grade 1 or baseline level (except for alopecia [any grade], Grade less than or equal to (<=) 2 peripheral neuropathy, and Grade <=2 hypothyroidism stable on hormone replacement)
Exclusion Criteria:
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Participant has received cytotoxic, investigational, or targeted therapies beyond one regimen of platinum-based chemotherapy and EGFR inhibitors
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Participant has received radiotherapy for palliative purposes less than 7 days prior to randomization
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Participant has symptomatic or progressive brain metastases
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Participant has leptomeningeal disease, or participant has spinal cord compression not definitively treated with surgery or radiation
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Participant has uncontrolled tumor-related pain
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Participant has a medical history of interstitial lung disease (ILD), including drug-induced ILD or radiation pneumonitis
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Massachusetts General Hospital | Boston | Massachusetts | United States | 02114 |
2 | University of Mississippi Medical Center | Jackson | Mississippi | United States | 39213 |
3 | Cleveland Clinic | Cleveland | Ohio | United States | 44195 |
4 | Providence Portland Medical Center | Portland | Oregon | United States | 97213 |
5 | Medical University of South Carolina | Charleston | South Carolina | United States | 29425 |
6 | Huntsman Cancer Institute | Salt Lake City | Utah | United States | 84112 |
7 | Swedish Cancer Institute | Seattle | Washington | United States | 98104 |
8 | Centro Oncológico Korben | Ciudad Autonoma de Buenos Aires | Argentina | C1426AGE | |
9 | Fundacao Pio Xii - Hospital De Cancer De Barretos | Barretos | Brazil | 147844 | |
10 | Cetus Oncologia | Belo Horizonte | Brazil | 30110-017 | |
11 | CIONC - Centro Integrado de Oncologia de Curitiba | Curitiba | Brazil | 80810-050 | |
12 | Ynova Pesquisa Clinica | Florianopolis | Brazil | 88020-210 | |
13 | Fundação São Francisco Xavier | Ipatinga | Brazil | 35162 189 | |
14 | UPCO Unidade de Pesquisa Clinica em Oncologia | Pelotas | Brazil | 96020 080 | |
15 | Hospital de Clínicas de Porto Alegre | Porto Alegre | Brazil | 90035-903 | |
16 | Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul | Porto Alegre | Brazil | 90610-000 | |
17 | Hospital sao lucas | Rio de Janeiro | Brazil | 22061-080 | |
18 | Oncoclínicas | Rio De Janeiro | Brazil | 22250-905 | |
19 | Núcleo de Oncologia da Bahia | Salvador | Brazil | 40170-110 | |
20 | CEPHO - Faculdade de Medicina do ABC | Santo André | Brazil | 09060-650 | |
21 | Hospital Nove de Julho | São Paulo | Brazil | 01409-002 | |
22 | Núcleo de Pesquisa São Camilo | São Paulo | Brazil | 04014-002 | |
23 | Onco Star SP Oncologia Ltda | São Paulo | Brazil | 04543-000 | |
24 | Hospital Israelita Albert Einstein | São Paulo | Brazil | 05651-901 | |
25 | The Ottawa Hospital Cancer Centre | Ottawa | Ontario | Canada | K1H 8L6 |
26 | Princess Margaret Hospital | Toronto | Ontario | Canada | M5G 1Z5 |
27 | Beijing Shijitan Hospital, Capital Medical University | Beijing | China | 100038 | |
28 | Beijing Friendship Hospital, Capital Medical University | Beijing | China | 100050 | |
29 | Beijing Cancer Hospital | Beijing | China | 100142 | |
30 | Peking University Third Hospital | Beijing | China | 100191 | |
31 | Beijing Chest hospital, Capital medical university | Beijing | China | 101149 | |
32 | Cancer Hospital Chinese Academy of Medical Sciences | Beijing | China | 200240 | |
33 | Jilin cancer hospital | Changchun | China | 130012 | |
34 | The First People's Hospital Of Changzhou | Changzhou | China | 213004 | |
35 | Sichuan Cancer Hospital | Chengdu | China | 610041 | |
36 | West China Hospital, Sichuan University | Chengdu | China | 610047 | |
37 | Chongqing University Cancer Hospital | Chongqing | China | 400030 | |
38 | Southwest Hospital | ChongQing | China | 400038 | |
39 | First Affiliated Hospital of Gannan Medical University | Ganzhou | China | 341000 | |
40 | The First Affiliated Hospital, Sun Yat-sen University | Guang Zhou | China | 510080 | |
41 | Sun Yat-Sen Memorial Hospital Sun Yat-sen University | Guangzhou | China | 510120 | |
42 | Zhejiang Cancer Hospital | Hang Zhou | China | 310022 | |
43 | The Second Affiliated Hospital of Zhejiang University College of Medicine | Hangzhou | China | 310009 | |
44 | Sir Run Run Shaw Hospital, Zhejiang University School of Medicine | Hangzhou | China | 310016 | |
45 | Harbin medical university cancer hospital | Harbin | China | 150081 | |
46 | Huizhou Municipal Central Hospital | Huizhou | China | 516001 | |
47 | Liuzhou people's Hospital | Liuzhou | China | 545026 | |
48 | Fudan University Shanghai Cancer Center | Shanghai | China | 200032 | |
49 | Shengjing Hospital of China Medical University | Shenyang | China | 110004 | |
50 | Shenzhen university General Hospital | Shenzhen | China | 518020 | |
51 | Shenzhen university General Hospital | Shenzhen | China | 518055 | |
52 | Tianjin Medical University Cancer Institute and Hospital | Tianjin | China | 300060 | |
53 | Union Hospital Tongji Medical College of Huazhong University of Science and Technology | Wuhan | China | 430022 | |
54 | The First Affiliated Hospital of Xi'an Jiaotong University | Xi'an | China | 710061 | |
55 | Yantai Yuhuangding Hospital | Yantai | China | 264000 | |
56 | Henan Cancer Hospital | Zhengzhou | China | 450008 | |
57 | CHU Grenoble | La Tronche | France | 38700 | |
58 | Institute Coeur Poumon | Lille | France | 59000 | |
59 | CHU de Limoges, Hopital Dupuytren | Limoges | France | 87000 | |
60 | Hopital Nord | Marseille Cedex 20 | France | 13915 | |
61 | Institut Regional du Cancer de Montpellier Val d'Aurelle | Montpellier | France | 34090 | |
62 | CHU Bordeaux | Pessac | France | 33604 | |
63 | Samson Assuta Ashdod University Hospital | Ashdod | Israel | 7747629 | |
64 | Rambam Medical Center | Haifa | Israel | 3109601 | |
65 | Meir Medical Center | Kfar Saba | Israel | 44281 | |
66 | Rabin Medical Center | Petah-Tikva | Israel | 49100 | |
67 | Assuta MC | Tel Aviv-Yafo | Israel | 6971028 | |
68 | Assaf Harofeh Medical Center | Zerifin | Israel | 73100 | |
69 | Oncologia Medica - Irccs - Istituto Tumori Giovanni Paolo II | Bari | Italy | 70124 | |
70 | A.O.U Sant'Orsola-Malpighi | Bologna | Italy | 40138 | |
71 | European Institute of Oncology | Milano | Italy | 20141 | |
72 | Istituto Oncologico Veneto - IRCCS | Padova | Italy | 35128 | |
73 | Ospedale S. Maria Delle Croci | Ravenna | Italy | 48121 | |
74 | A.O. San Camillo Forlanini | Roma | Italy | 00152 | |
75 | Istituto Nazionale Tumori Regina Elena | Rome | Italy | 00144 | |
76 | Istituto Clinico Humanitas | Rozzano | Italy | 20089 | |
77 | Prince Court Medical Centre | Kuala Lumpur | Malaysia | 50450 | |
78 | Pantai Hospital Kuala Lumpur | Kuala Lumpur | Malaysia | 59100 | |
79 | University Malaya Medical Centre | Kuala Lumpur | Malaysia | 59100 | |
80 | Hospital Umum Sarawak | Kuching | Malaysia | 93586 | |
81 | Beacon Hospital Sdn. Bhd. | Petaling Jaya | Malaysia | 46050 | |
82 | Sunway Medical Centre | Petaling Jaya | Malaysia | 47500 | |
83 | Centrum Onkologii im. Prof. F. Lukaszczyka w Bydgoszczy | Bydgoszcz | Poland | 85-796 | |
84 | Krakowski Szpital Specjalityczny im. Jana Pawla II | Krakow | Poland | 31-202 | |
85 | Mazowieckie Centrum Leczenia Chorob Pluc | Otwock | Poland | 05-400 | |
86 | Private Specialist Hospitals - MedPolonia | Poznan | Poland | 60-693 | |
87 | Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy | Warszawa | Poland | 02-781 | |
88 | Hosp. Univ. A Coruña | A Coruña | Spain | 15006 | |
89 | Hosp. Gral. Univ. de Alicante | Alicante | Spain | 03010 | |
90 | Hosp. Univ. Vall D Hebron | Barcelona | Spain | 08035 | |
91 | Hosp. Clinic I Provincial de Barcelona | Barcelona | Spain | 08036 | |
92 | Hosp. Univ. Quiron Dexeus | Barcelona | Spain | 8028 | |
93 | Hosp. Reina Sofia | Córdoba | Spain | 14004 | |
94 | Hosp. Univ. Insular de Gran Canaria | Las Palmas de Gran Canaria | Spain | 35016 | |
95 | Hosp. Univ. Lucus Augusti | Lugo | Spain | 27003 | |
96 | Hosp. Gral. Univ. Gregorio Marañon | Madrid | Spain | 28009 | |
97 | Hosp. Univ. La Paz | Madrid | Spain | 28046 | |
98 | Hosp. Univ. Pta. de Hierro Majadahonda | Majadahonda | Spain | 28222 | |
99 | Hosp. Regional Univ. de Malaga | Malaga | Spain | 29010 | |
100 | Hosp. Univ. Central de Asturias | Oviedo | Spain | 33006 | |
101 | Hosp. Univ. Son Espases | Palma de Mallorca | Spain | 07120 | |
102 | Hosp. Virgen Del Rocio | Sevilla | Spain | 41013 | |
103 | Hosp. Univ. I Politecni La Fe | Valencia | Spain | 46026 | |
104 | Chang Kung Memorial Hospital | Kaohsiung City | Taiwan | 833 | |
105 | Kaohsiung Medical University Chung-Ho Memorial Hospital | Kaohsiung | Taiwan | 80756 | |
106 | Chung Shan Medical University Hospital | Taichung | Taiwan | 403 | |
107 | National Cheng Kung University Hospital | Tainan | Taiwan | 70403 | |
108 | Linkou Chang Gung Memorial Hospital | Taoyuan City | Taiwan | 33382 | |
109 | Adana City Hospital | Adana | Turkey | 01060 | |
110 | Adana Baskent Yuregir Hospital | Adana | Turkey | 01120 | |
111 | Memorial Ankara Hastanesi | Ankara | Turkey | 06520 | |
112 | Ankara Bilkent City Hospital | Ankara | Turkey | 06590 | |
113 | Trakya University Medical Faculty | Edirne | Turkey | 22030 | |
114 | Istanbul University Cerrahpasa Medical Faculty | Istanbul | Turkey | 34098 | |
115 | Acıbadem Maslak Hospital | Istanbul | Turkey | 34457 | |
116 | Dokuz Eylul University Medical Faculty | İzmir | Turkey | 35330 | |
117 | Izmir Medical Park Hospital | Izmir | Turkey | 35575 | |
118 | Medical Park Samsun Hastanesi | Samsun | Turkey | 55200 |
Sponsors and Collaborators
- Janssen Research & Development, LLC
Investigators
- Study Director: Janssen Research & Development, LLC Clinical Trial, Janssen Research & Development, LLC
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CR109211
- 2022-000525-25
- 61186372NSC3004