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A Phase 2 Open-label Randomized Study of MORAb-202 (Farletuzumab Ecteribulin), a Folate Receptor Alpha-targeting Antibody-Drug Conjugate, in Participants with Metastatic Non-Small Cell Lung Cancer (NSCLC) Adenocarcinoma (AC) After Progression on Prior Therapies - Phase 2 Study of MORAb-202 in Previously Treated Metastatic NSCLC AC

Status
Active, not recruiting
Phases
Phase 2
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2022-000131-23-FR
Enrollment
60
Registered
2022-09-16
Start date
2023-01-12
Completion date
Unknown
Last updated
2024-10-07

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

Conditions

Metastatic Non-Small Cell Lung Cancer MedDRA version: 21.1 Level: PT Classification code 10061873 Term: Non-small cell lung cancer System Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)

Interventions

Sponsors

Bristol-Myers Squibb International Corporation
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1) Participants or legally acceptable representatives who signed Written Informed Consent 2) Participants (male or female) must be 18 years or older at the time of signing the informed consent 3) Participants with histologically or cytologically documented metastatic NSCLC adenocarcinoma (AC) 4) Participants without genetic alterations or unknown genetic alterations in the metastatic setting after receiving: a) 1 prior line of therapy if platinum-doublet chemotherapy and anti-PD-1/PD-L1 were given concurrently or b) 2 prior lines of therapy if platinum-doublet chemotherapy and anti-PD-1/PD-L1 were given sequentially 5) Participants with known targetable genetic alterations in the metastatic setting after receiving: a) at least 1 approved targeted therapy and b) no more than 3 prior lines of systemic therapy (including no more than 1 line of chemotherapy) 6) Investigator-assessed radiologically documented disease progression during or after last treatment 7) Measurable target disease assessed by the investigator according to RECIST 1.1. 8) Lesions that have had external beam radiotherapy (EBRT) or loco-regional therapies such as radiofrequency (RF) ablation must show evidence of disease progression based on RECIST 1.1 to be deemed a target lesion. 9) ECOG PS of 0 or 1 10) Participants with available FFPE tissue block, newly cut unstained slides, or newly obtained biopsies that are evaluable for IHC analysis Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 25 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 35

Exclusion criteria

Exclusion criteria: Medical Conditions -NSCLC histologies other than adenocarcinoma (AC) -Pulmonary Function Test (PFT) abnormalities -Prior pneumonectomy. Prior lobectomy and segmentectomy are allowed >12 months before treatment -Recent chest radiotherapy. Participants with chest or chest wall radiation may be permitted if chest radiation is documented >6 months before starting study treatment -Current infectious pneumonia (including COVID-19-related infection), history of viral pneumonia with evidence of persistent radiologic abnormalities -Investigator assessed current ILD/pneumonitis or ILD/pneumonitis is suspected at Screening or history of ILD/pneumonitis of any severity including ILD/pneumonitis from prior anticancer therapy -Participants with an active, known or suspected autoimmune disease, connective tissue, or inflammatory disorders with documented pulmonary involvement Prior/Concomitant Therapy -Participants who have received prior investigational treatment with FRa-targeting agent, or FRa-targeting ADCs including MORAb-202. -Any condition requiring folate supplementation (eg, folate deficiency). -Any major surgery within 4 weeks of the first dose of study treatment Physical and Laboratory Test Findings -Evidence of organ dysfunction or any clinically significant deviation from normal in physical examination, vital signs, ECG, or clinical laboratory determinations beyond what is consistent with the target population.

Design outcomes

Primary

MeasureTime frame
Main Objective: 1. To assess safety and tolerability of MORAb-202 in participants with previously treated, metastatic non-small cell lung cancer (NSCLC) adenocarcinoma (AC) 2. To assess tumor response of MORAb-202 in participants with previously treated, metastatic NSCLC AC;Secondary Objective: 1. To evaluate progression-free survival (PFS) of MORAb-202 in participants with previously treated, metastatic NSCLC AC 2. To evaluate disease control rate (DCR) of MORAb-202 in participants with previously treated, metastatic NSCLC AC 3. To evaluate duration of response (DoR) of MORAb-202 in participants with previously treated, metastatic NSCLC AC who achieved a complete response (CR) or partial response (PR);Primary end point(s): Incidence and severity of adverse events (AEs)/serious AEs (SAEs), treatment related AEs/SAEs, AEs leading to discontinuation, AEs of special interest (AESI), deaths and laboratory abnormalities. Incidence of treatment-related adverse events (TRAEs) leading to study treatment discontinuation ;Timepoint(s) of evaluation of this end point: 30 days after last patient completed a maximum of 2 year study treatment or the date of discontinuation, whichever occurred first.

Secondary

MeasureTime frame
Secondary end point(s): -Incidence and severity of adverse events (AEs)/serious AEs (SAEs), treatment related AEs/SAEs, AEs of special interest (AESI), deaths and laboratory abnormalities. -PFS by RECIST 1.1 per investigator assessment ;Timepoint(s) of evaluation of this end point: -30 days after last patient completed a maximum of 2 year study treatment or the date of discontinuation, whichever occurred first. -All participants in each arm have been followed up for a minimum of 6 months.

Countries

Australia, Belgium, Chile, France, Spain, United States

Contacts

Public ContactHead of the GSM-CT

Bristol -Myers Squibb International Corporation

clinical.trials@bms.com

Outcome results

None listed

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