Metastatic Non Small Cell Lung Cancer Clinical Trial
Official title:
A Randomized Phase 3 Study of Datopotamab Deruxtecan (Dato-DXd) and Pembrolizumab With or Without Platinum Chemotherapy in Subjects With No Prior Therapy for Advanced or Metastatic PD-L1 TPS <50% Non-squamous Non-small Cell Lung Cancer Without Actionable Genomic Alterations (TROPION-Lung07)
This study is designed to assess the efficacy and safety of datopotamab deruxtecan (Dato-DXd) in combination with pembrolizumab versus pembrolizumab in combination with pemetrexed and platinum chemotherapy in participants with no prior therapy for advanced or metastatic non-squamous non-small cell lung cancer (NSCLC).
Status | Recruiting |
Enrollment | 975 |
Est. completion date | August 2027 |
Est. primary completion date | August 2027 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Sign and date the Main Informed Consent Form (ICF), prior to the start of any study- specific qualification procedures. - Adults =18 at the time the Main ICF is signed. - Has tumor with PD-L1 TPS <50% as determined by PD-L1 IHC 22C3 pharmDx assay by central testing. - Has provided a formalin-fixed tumor tissue sample for the measurement of TROP2 protein expression and for the assessment of other exploratory biomarkers. - Has not been treated with systemic anticancer therapy for advanced or metastatic non-squamous NSCLC. - Has measurable disease based on local imaging assessment using RECIST v1.1. - Histologically documented NSCLC that meets all of the following criteria: - Stage IIIB or IIIC disease and not candidates for surgical resection or definitive chemoradiation, or Stage IV NSCLC disease at the time of randomization (based on the American Joint Committee on Cancer, Eighth Edition). - Documented negative test results for epidermal growth factor receptor (EGFR), lymphoma kinase (ALK), and proto-oncogene1 (ROS1) actionable genomic alterations based on analysis of tumor tissue. - No known actionable genomic alterations in neurotrophic tyrosine receptor kinase (NTRK), proto-oncogene B-raf (BRAF), rearranged during transfection (RET), mesenchymal-epithelial transition factor (MET), or other actionable driver kinases with locally approved therapies. - Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1 at screening. - Has an adequate treatment washout period before Cycle 1 Day 1. - Is willing and able to participate in the collection of patient-reported outcomes (PRO) data. Exclusion Criteria: - Has received prior systemic treatment for advanced/metastatic NSCLC. - Has received prior treatment with any of the following, including in the adjuvant/neoadjuvant (for NSCLC) setting: - Any agent, including an antibody-drug conjugate, containing a chemotherapeutic agent targeting topoisomerase I. - TROP2-targeted therapy. - Any anti-programmed death receptor-1 (PD-1), anti-PD-L1, or anti-PD-ligand 2 (L2) agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor (eg, CTLA-4, OX40, CD137). - Any other immune checkpoint inhibitors. - Has received a live vaccine or live-attenuated vaccine within 30 days prior to the first dose of study drug. For any participant receiving an approved severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) vaccine, please follow the vaccine label and/or local guidance. - Has spinal cord compression or clinically active untreated central nervous system (CNS) metastases and/or carcinomatous meningitis. - Uncontrolled or significant cardiovascular disease, including: - Mean QT interval corrected for heart rate using Fridericia's formula (QTcF) interval >470 msec regardless of sex. - Myocardial infarction within 6 months prior to randomization. - Uncontrolled angina pectoris within 6 months prior to randomization. - LVEF <50% by ECHO or MUGA scan within 28 days before randomization. - New York Heart Association Class 2 to 4 congestive heart failure (CHF) at screening. - Uncontrolled hypertension within 28 days before randomization. - Clinically severe pulmonary compromise resulting from intercurrent pulmonary illnesses. - Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy. - History of another primary malignancy (beyond NSCLC) except for: - Malignancy treated with curative intent and with no known active disease =3 years before the first dose of study treatment and of low potential risk for recurrence. - Adequately treated non-melanoma skin cancer or lentigo maligna without evidence of disease. - Adequately treated carcinoma in situ without evidence of disease. - Participants with a history of prostate cancer (tumor/node/metastasis stage) of Stage =T2cN0M0 without biochemical recurrence or progression. - Has a history of severe hypersensitivity reactions to either the drugs or inactive ingredients of Dato-DXd, pembrolizumab, carboplatin, cisplatin or pemetrexed. - Has a history of severe hypersensitivity reactions to other monoclonal antibodies. - Has known human immunodeficiency virus (HIV) infection that is not well controlled. - Has active or uncontrolled hepatitis B or C infection. - Female who is pregnant or breastfeeding or intends to become pregnant. - Any other medical conditions, including cardiac disease or psychological disorders, and/or substance abuse. - Has a history of (non-infectious) interstitial lung disease (ILD)/pneumonitis that required steroids, has current ILD/pneumonitis, or where suspected ILD/pneumonitis cannot be ruled out by imaging at screening. - Has active, known, or suspected autoimmune disease. - Has clinically significant corneal disease. - Has had an allogeneic tissue/solid organ transplantation. - Has received prior radiotherapy =4 weeks of start of study intervention or more than 30 Gy to the lung within 6 months of Cycle 1 Day 1. |
Country | Name | City | State |
---|---|---|---|
Argentina | Fundacion CENIT para la investigacion en Neurociencias | Ciudad Autonoma de Buenos Aire | |
Argentina | Centro de Investigacion Pergamino Sa | Pergamino | |
Argentina | Sanatorio Parque | Rosario | |
Australia | CRSA/ St Andrews Hospital | Adelaide | |
Australia | Flinders Medical Centre (Fmc) | Bedford Park | |
Australia | PSEHOG (Peninsula and South Eastern Haematology and Oncology Group) | Frankston | |
Australia | Southern Medical Day Care Centre | Wollongong | |
Australia | Princess Alexandra Hospital | Woolloongabba | |
Austria | Klinikum Klagenfurt Pulmologie | Klagenfurt | |
Belgium | Az Maria Middelares - Campus Maria Middelares | Gent | |
Belgium | Az Nikolaas | Sint-Niklaas | |
Brazil | Personal Oncologia de Precisao - Cenantron | Belo Horizonte | |
Brazil | Oncosite - Centro de Pesquisa Clinica Em Oncologia Ltda | Ijui | |
Brazil | Clínica de Neoplasias Litoral Ltda | ItajaA- | |
Brazil | Santa Casa de Misericordia de Porto Alegre | Porto Alegre | |
Brazil | Centro de Estudos E Pesquisa de Hematologia E Oncologia - Cepho | Santo Andre | |
Brazil | Instituto de Ensino E Pesquisa Sao Lucas | Sao Paulo | |
Canada | CHU de Quebec -Universite Laval Hopital de L'Enfant-Jesus | Quebec City | |
Chile | Centro de Estudios Clinicos Saga Spa | Santiago de Chile | |
Chile | Centro de Investigaciones Clinicas Vina Del Mar | ViAaa Del Mar | |
China | Peking University Peoples Hospital | Beijing | |
China | Peking University Cancer Hospital Beijing Cancer Hospital Beijing Institute For Cancer Research | Beijing Sheng | |
China | Cangzhou Peoples Hospital | Cangzhou | |
China | First Affiliated Hospital of Medical College of Jilin University | Changchun | |
China | Jilin Cancer Hospital | Changchun | |
China | Hunan Cancer Hospital | Changsha | |
China | University of Electronic Science Technology of China UESTC - Sichuan Cancer Hospital Institute SIC | Chengdu | |
China | Chongqing University Cancer Hospital | Chongqing | |
China | Fujian Medical University - Union Hospital Foochow Christian Union Hospital | Fuzhou | |
China | Affiliated Cancer Hospital and Insititute of Guangzhou Medical University | Guangzhou | |
China | The First Affiliated Hospital of Guangzhou Medical University | Guangzhou | |
China | Run Run Shaw Hospital, Zhejiang University School of Medicine | Hangzhou | |
China | The First Affiliated Hospital of College of Medicine Zhejiang University | Hangzhou | |
China | Harbin Medical University Cancer Hospital | Harbin | |
China | An Hui Cancer Hospital | Hefei | |
China | Inner Mongolia Medical University- the Affiliated Hospital | Hohhot | |
China | Jiamusi Cancer Hospital | Jiamusi | |
China | Linyi Cancer Hospital | Linyi | |
China | The First Affiliated Hospital of Nanchang University | Nanchang | |
China | Zhongda Hospital, Southeast University | Nanjing | |
China | Fudan University Shanghai Cancer Center | Shanghai | |
China | Shanghai Chest Hospital | Shanghai | |
China | Liaoning Cancer Hospital & Institute | Shenyang | |
China | The First Affiliated Hosptial of Xinjiang Medical University | Ürümqi | |
China | Union Hospital of Tongji Medical College Huazhong University of Science and Technology | Wuhan | |
China | The First Affiliate Hospital of Xi'An Jiaotong University | Xi'an | |
China | Xiangyang Central Hospital | Xianyang | |
China | Henan Cancer Hospital | Zhengzhou | |
France | Chu de Bordeaux - Hopital Saint Andre | Bordeaux | |
France | Centre Hospitalier Universitaire, CHU, de Poitiers | France | |
France | Centre Leon Berard | Lyon | |
France | Aphm - Hopital Nord | Marseille Cedex 20 | |
France | Hopital Prive Du Confluent | Nantes | |
France | Tenon Hospital | Paris | |
France | Hôpital Foch | Suresnes | |
Germany | Klinikum Esslingen Gmbh | Esslingen | |
Greece | Bioclinic Thessaloniki (Galinos Clinic) | Thessalonki | |
Hong Kong | Prince of Wales Hospital / The Chinese University of Hong Kong | Hong Kong | |
Hong Kong | Queen Mary Hospital | Pok Fu Lam | |
Hungary | Bkmk Hospital | KecskemAĊ t | |
Hungary | Fejer Megyei Szent Gyorgy Korhaz Pulmonologiai Osztaly | Szekesfehervar | |
Italy | Ospedale S. Maria Della Misericordia | Udine | |
Italy | Asst Sette Laghi | Varese | |
Japan | Kurume University Hospital | Azuma | |
Japan | Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital | Bunkyo-Ku | |
Japan | Kyushu University Hospital | Fukuoka | |
Japan | Matsusaka Municipal Hospital | Hataji | |
Japan | Kansai Medical University Hospital | Hirakata | |
Japan | Iwakuni Clinical Center | Iwakuni | |
Japan | Kanazawa University Hospital | Kanazawa-shi | |
Japan | Juntendo University Hospital | Kanemaru | |
Japan | The Cancer Institute Hospital of JFCR | Koto | |
Japan | NHO Shikoku Cancer Center | Kozuki | |
Japan | Social Welfare Organization Saiseikai Imperial Gift Foundation, Inc. Saiseikai Kumamoto Hospital | Kumamoto | |
Japan | University Hospital Kyoto Prefectual University of Medicine | Kyoto | |
Japan | Matsusaka City Hospital | Matsusaka | |
Japan | Niigata Cancer Center Hospital | Niigata | |
Japan | Kyushu Cancer Center | Okamato | |
Japan | Teine Keijinkai Hospital | Sapporo-shi | |
Japan | Sendai Kousei Hospital | Sendai | |
Japan | Dokkyo Medical University Hospital | Shimotsuga-gun | |
Japan | Osaka Toneyama Medical Center | Toyonaka-shi | |
Japan | Yamaguchi-Ube Medical Center | Ube-shi | |
Japan | Kanagawa Cancer Center | Yokohama | |
Korea, Republic of | Chungbuk National University Hospital | Cheongjusi | |
Korea, Republic of | Kyungpook National University Chilgok Hospital | Daegu | |
Korea, Republic of | Samsung Medical Center | Gangnam-Gu | |
Korea, Republic of | National Cancer Center | Goyang-si | |
Korea, Republic of | Gyeongsang National University Hospital | Jinju-si Gyeongsangnam-do | |
Korea, Republic of | Seoul National University Bundang Hospital | Seongnam-si | |
Korea, Republic of | Asan Medical Center | Seoul | |
Korea, Republic of | Yonsei University Health System - Severance Hospital | Seoul | |
Netherlands | Jeroen Bosch Ziekenhuis Jbz | s-Hertogenbosch | |
Poland | Instytut Centrum Zdrowia Matki Polki (Iczmp) | Lodz | |
Romania | Onco Clinic Consult Sa | Craiova | |
Romania | Oncocenter Oncologie Clinica S.R.L | Timisoara | |
Spain | Hospital Clinic I Provincial de Barcelona | Barcelona | |
Spain | Hospital Universitario Arnau de Vilanova | Lleida | |
Spain | Hospital Clinico San Carlos | Madrid | |
Spain | Hospital Universitario Fundacion Jimenez Diaz | Madrid | |
Spain | Hospital Regional Universitario Malaga | Malaga | |
Spain | CHUO | Ourense | |
Spain | Hosp Univ Virgen Macarena | Sevilla | |
Spain | Hospital Universitario Miguel Servet | Zaragoza | |
Taiwan | China Medical University Hospital | Hsia | |
Taiwan | National Taiwan University Hospital | Taipei | |
Thailand | Ramathibodi Hospital | Bangkok | |
Thailand | Siriraj Hospital | Bangkok | |
Thailand | Chiang Mai University CMU - Maharaj Nakhon Chiang Mai Hospital Nakorn Chiang Mai Hospital | Chiang Mai | |
Thailand | Prince of Songkla University PSU - Faculty of Medicine | Hat Yai | |
Thailand | Khon Kaen University - Faculty of Medicine-Srinagarind Hospital | Mueang Nonthaburi | |
United States | Comprehensive Blood and Cancer Center | Bakersfield | California |
United States | American Oncology Partners of Maryland | Bethesda | Maryland |
United States | Beth Israel Deaconess Medical Center | Boston | Massachusetts |
United States | Dana Farber Cancer Institute; Inv Drg Svc Pharm | Boston | Massachusetts |
United States | North Shore Hematology Oncology Associates dba NY Cancer and Blood Specialists - Bronx | Bronx | New York |
United States | Ironwood Cancer and Research Centers | Chandler | Arizona |
United States | UCHealth Memorial Hospital | Colorado Springs | Colorado |
United States | Maryland Oncology Heamtology P.A. | Columbia | Maryland |
United States | Texas Oncology, P.A. | Dallas | Texas |
United States | Southern Cancer Center Pc | Daphne | Alabama |
United States | Astera Cancer Care | East Brunswick | New Jersey |
United States | Florida Cancer Specialists - South | Fort Myers | Florida |
United States | Regional Cancer Care Associates LLC | Hackensack | New Jersey |
United States | Cancer Specialist of North Florida | Jacksonville | Florida |
United States | Providence Regional Cancer System | Lacey | Washington |
United States | North Shore Hematology Oncology Associates dba NY Cancer and Blood Specialists- New Hyde Park | New Hyde Park | New York |
United States | Hoag Memorial Hospital Prebyterian | Newport Beach | California |
United States | Illinois Cancer Specialists | Niles | Illinois |
United States | Cancer Care Centers of Brevard, Inc. | Palm Bay | Florida |
United States | North Shore Hematology Oncology Associates | Patchogue | New York |
United States | Woodlands Medical Specialists, Pa | Pensacola | Florida |
United States | North Shore Hematology Oncology Associates DBA NY Cancer and Blood Specialists | Port Jefferson Station | New York |
United States | Arizona Oncology Associates, Pc - Nahoa | Prescott Valley | Arizona |
United States | Compassionate Cancer Care Medical Group | Riverside | California |
United States | Florida Cancer Specialists-North | Saint Petersburg | Florida |
United States | Utah Cancer Specialists IHO Corp | Salt Lake City | Utah |
United States | Ut Health San Antonio | San Antonio | Texas |
United States | Sansum Clinic | Santa Barbara | California |
United States | Texas Oncology-Tyler | Tyler | Texas |
Lead Sponsor | Collaborator |
---|---|
Daiichi Sankyo | AstraZeneca, Merck Sharp & Dohme LLC |
United States, Argentina, Australia, Austria, Belgium, Brazil, Canada, Chile, China, France, Germany, Greece, Hong Kong, Hungary, Italy, Japan, Korea, Republic of, Netherlands, Poland, Romania, Spain, Taiwan, Thailand,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Progression-free Survival Based on Blinded Independent Central Review in Participants With Advanced or Metastatic Non Small Cell Lung Cancer (NSCLC) | Progression-free Survival (PFS) is defined as the time from randomization to the first documented radiographic disease progression or death due to any cause, whichever occurs first, assessed by blinded independent central review (BICR) per Response Evaluation Criteria in Solid Tumors (RECIST), Version 1.1. | From randomization until disease progression or death (whichever occurs first), up to approximately 29 months | |
Primary | Overall Survival in Participants in Participants With Advanced or Metastatic Non Small Cell Lung Cancer (NSCLC) | Overall Survival (OS) is defined as the time from randomization to death due to any cause. | From randomization until disease progression or death (whichever occurs first), up to approximately 57 months | |
Secondary | Objective Response Rate by Blinded Independent Central Review in Participants With Advanced or Metastatic Non Small Cell Lung Cancer (NSCLC) | Objective Response Rate (ORR) is defined as the proportion of participants who achieved a best overall response (BOR) of confirmed complete response (CR) or confirmed partial response (PR), assessed by BICR per RECIST Version 1.1. | From randomization until disease progression or death (whichever occurs first), up to approximately 29 months | |
Secondary | Progression-free Survival by Investigator in Participants With Advanced or Metastatic Non Small Cell Lung Cancer (NSCLC) | Progression-free Survival (PFS) is defined as the time from randomization to the first documented radiographic disease progression or death due to any cause, whichever occurs first, assessed by the Investigator per RECIST Version 1.1. | From randomization until disease progression or death (whichever occurs first), up to approximately 29 months | |
Secondary | Objective Response Rate by Investigator in Participants With Advanced or Metastatic Non Small Cell Lung Cancer (NSCLC) | Objective Response Rate (ORR) is defined as the proportion of participants who achieved a best overall response (BOR) of confirmed complete response (CR) or confirmed partial response (PR), assessed by the Investigator per RECIST Version 1.1. | From randomization until disease progression or death (whichever occurs first), up to approximately 29 months | |
Secondary | Duration of Response by BICR and Investigator in Participants With Advanced or Metastatic Non Small Cell Lung Cancer (NSCLC) | Duration of Response (DoR) is defined as the time from the date of the first documentation of objective response (confirmed CR or confirmed PR) to the date of the first radiographic disease progression or death due to any cause, whichever occurs first, assessed by BICR and by the Investigator per RECIST Version 1.1. | From date of first objective response (CR or PR) to date of first radiographic disease progression or death due to any cause (whichever occurs first), up to approximately 29 months | |
Secondary | Time to Response by BICR and Investigator in Participants With Advanced or Metastatic Non Small Cell Lung Cancer (NSCLC) | Time to Response (TTR) is defined as the time from randomization to the date of the first documentation of objective response (confirmed CR or confirmed PR) in responding participants, assessed by BICR and by the Investigator per RECIST Version 1.1. | From randomization to date of first objective response (CR or PR), up to approximately 29 months | |
Secondary | Disease Control Rate by BICR and Investigator in Participants With Advanced or Metastatic Non Small Cell Lung Cancer (NSCLC) | Disease Control Rate (DCR) is defined as the proportion of participants who achieved a BOR of confirmed CR, confirmed PR, or stable disease (SD), assessed by BICR and by the Investigator per RECIST Version 1.1. | From randomization until disease progression or death (whichever occurs first), up to approximately 29 months | |
Secondary | Progression-free Survival 2 in Participants With Advanced or Metastatic Non Small Cell Lung Cancer (NSCLC) | Progression-free Survival 2 (PFS2) is defined as the time from randomization to the first documented radiographic disease progression or death due to any cause, whichever occurs first, assessed by local standard clinical practice | From randomization until disease progression or death (whichever occurs first), up to approximately 57 months | |
Secondary | Time to Deterioration in Participants With Advanced or Metastatic Non Small Cell Lung Cancer (NSCLC) | Time to Deterioration (TTD) is defined as the time from randomization to first onset of a =10-point increase in cough, chest pain, or dyspnea, confirmed by a second adjacent =10-point increase from randomization in the same symptom, or confirmed by death within 21 days of a =10-point increase from randomization, assessed the European Organization for Research and Treatment of Cancer Lung cancer module (EORTC-QLQ-LC13). | From randomization until disease progression or death (whichever occurs first), up to approximately 57 months | |
Secondary | Number of Participants With Treatment-emergent Adverse Events (TEAE) in Participants With Advanced or Metastatic Non Small Cell Lung Cancer (NSCLC) | A TEAE is defined as an AE with a start or worsening date on or after the start date of study treatment until 37 days after the end date of study treatment. | Up to 57 months | |
Secondary | Proportion of Participants Who Are Anti-Drug Antibody (ADA)-Positive (Baseline and Post-Baseline) and Proportion of Participants Who Have Treatment-emergent ADA | The immunogenicity of Dato-DXd in combination with pembrolizumab will be assessed. | Baseline and up to 57 months |
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