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The purpose of this study is to compare the efficacy, as demonstrated by progression-free survival, in participants treated with amivantamab in combination with chemotherapy vs chemotherapy alone in participants with locally advanced or metastatic NSCLC characterized by EGFR Exon 20ins mutations.

A Randomized, Open-label Phase 3 Study of Combination Amivantamab and Carboplatin-Pemetrexed Therapy, Compared with Carboplatin-Pemetrexed, in Patients with EGFR Exon 20ins Mutated Locally Advanced or Metastatic Non-Small Cell Lung Cancer

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2020/11/029081
Enrollment
300
Registered
2020-11-12
Start date
Unknown
Completion date
Unknown
Last updated
2024-04-01

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: C349- Malignant neoplasm of unspecifiedpart of bronchus or lung

Interventions

Intervention1: Amivantamab: Amivantamab will be administered as an IV infusion once weekly up to Cycle 2 Day 1 and then 1 on Day 1 of each 21-day cycle starting with Cycle 3 Control Intervention1: Pem

Sponsors

Johnson and Johnson Private Limited
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: - Participant must have histologically or cytologically confirmed, locally advanced or metastatic, nonsquamous non-small cell lung cancer (NSCLC) with documented primary epidermal growth factor receptor (EGFR) Exon 20ins activating mutation - Participant must have measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. - Participant must have Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1 - Participant must agree to genetic characterization of tumor status through the required pretreatment tumor biopsy (or submission of equivalent archival material), as well as baseline and periodic blood samples for analysis of tumor mutations in the bloodstream - A female participant of childbearing potential must have a negative serum or urine 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

Exclusion criteria: - Participant has evidence of synchronous NSCLC with an EGFR mutation other than EGFR Exon 20ins - Participant has untreated brain metastases (a participant with definitively, locally treated metastases who is clinically stable, asymptomatic, and off corticosteroid treatment for at least 2 weeks prior to randomization is eligible) - Participant has history of spinal cord compression that has not been treated definitively with surgery or radiation - Participant has a medical history of interstitial lung disease (ILD), including drug-induced ILD, or radiation pneumonitis - Participant has a contraindication to the use of carboplatin or pemetrexed (refer to local prescribing information for each agent). Participant has a history of hypersensitivity to, or cannot take, vitamin B12 or folic acid

Design outcomes

Primary

MeasureTime frame
Progression-Free Survival (PFS) According to RECIST v1.1 as Assessed by Blinded Independent Central ReviewTimepoint: Up to 18 months

Secondary

MeasureTime frame
Progression-Free Survival After First Subsequent TherapyTimepoint: Up to 48 months;Serum Concentration of AmivantamabTimepoint: Up to 48 months;Time to Subsequent TherapyTimepoint: Up to 48 months;Time to Symptomatic ProgressionTimepoint: Up to 48 months;Duration of ResponseTimepoint: Up to 48 months;European Organization of Research and Treatment of Cancer Quality of Life Questionnaire Core 30Timepoint: Up to 48 months;Incidence and Severity of Adverse EventsTimepoint: Up to 48 months;Number of Participants with Anti-Amivantamab AntibodiesTimepoint: Up to 48 months;Number of Participants with Clinical Laboratory AbnormalitiesTimepoint: Up to 48 months;Number of Participants with Physical Examination AbnormalitiesTimepoint: Up to 48 months;Number of Participants with Vital Signs AbnormalitiesTimepoint: Up to 48 months;Objective Response RateTimepoint: Up to 48 months;Overall SurvivalTimepoint: Up to 48 months;Patient Reported Outcomes Measurement Information System-Physical FunctionTimepoint: Up to 48 months

Countries

Australia, Belgium, Brazil, Canada, China, France, Germany, Hong Kong, Hungary, India, Israel, Italy, Japan, Malaysia, Mexico, Poland, Portugal, Republic of Korea, Russian Federation, Spain, Taiwan, Thailand, Turkey, Ukraine, United Kingdom, United States of America

Contacts

Public ContactDr Sanish Davis

Janssen Pharmaceutical Companies of Johnson & Johnson

SDavis20@ITS.JNJ.com

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026