Clinical trial • Phase I/II • Oncology

AMIVANTAMAB for Metastatic non-small cell lung cancer

Phase I/II trial of AMIVANTAMAB for Metastatic non-small cell lung cancer. adaptive. 34 participants.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Metastatic non-small cell lung cancer
Trial Stage
Phase I/II
Drug Modality
Bispecific antibody|Monoclonal antibody

Key dates

Initial CTIS Submission Date
26-03-2024
First CTIS Authorization Date
22-07-2024

Trial design

adaptive Phase I/II trial in Poland, Italy, Spain.

Adaptive
True, Phase 1 is dose-finding/combination dose selection to identify the RP2CD; specific escalation rules or stopping rules are not provided in the supplied documents.
Biomarker Stratified
True, biomarkers: EGFR mutation status (EGFR exon 19 deletion or L858R) and PD-L1 expression (>=50%)
Single Multiple Or Escalation Dose Combined
Yes
Target Sample Size
34

Eligibility

Recruits 34 Vulnerable population flag is selected (isVulnerablePopulationSelected = true). No detailed description of consent/assent handling for vulnerable populations is provided in the supplied CTIS JSON or documents..

Vulnerable Population
Vulnerable population flag is selected (isVulnerablePopulationSelected = true). No detailed description of consent/assent handling for vulnerable populations is provided in the supplied CTIS JSON or documents.

Inclusion criteria

  • {"criterion_text":"- 1. Participant must have histologically or cytologically confirmed non-small cell lung cancer (NSCLC) (any histology), and must have metastatic NSCLC at the time of enrollment: Phase 1 (Combination Dose Selection) Cohort; Metastatic NSCLC progressed on or after standard of care systemic anti-cancer therapy and participant is declining other systemic treatment options, if any; A. Participants without known mutations must have had disease progression on, or have intolerance to, prior platinum-based chemotherapy and PD-(L)1-targeted immunotherapy given concurrently or sequentially, OR B. Participants with NSCLC characterized by known driver mutations must have had disease progression on, or have intolerance to, appropriate targeted therapies as per local standard of care. Participants may have received prior therapy with amivantamab as long as discontinuation was not due to toxicity. Participants with EGFR mutation must not have had an anti-PD-1/PD-L1 therapy, Phase 2 Expansion Cohorts; Cohort A: Participant's tumor must have an EGFR exon19del or L858R mutation, as determined by local molecular testing, Cohort B: Participants must have tumors lacking known primary driver mutations and must have PD-L1 expression of greater than or equal to (>=)50 percentage (%), per local testing, and are treatment-naïve in the metastatic setting\n- 2. Participant must have at least 1 measurable lesion, according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, that has not been previously irradiated\n- 3. Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1"}

Exclusion criteria

  • {"criterion_text":"- 1. Participant has an uncontrolled illness, including but not limited to: a. Uncontrolled diabetes, b. Ongoing or active infection (includes infection requiring treatment with antimicrobial therapy [participants will be required to complete antibiotics 1 week prior to starting study treatment] or diagnosed or suspected viral infection), c. Active bleeding diathesis, d. Impaired oxygenation requiring continuous oxygen supplementation, e. Psychiatric illness or any other circumstances (including social circumstances) that would limit compliance with study requirements\n- 2. Medical history of (non-infectious) interstitial lung disease (ILD)/pneumonitis, or has current ILD/pneumonitis, or where suspected ILD/pneumonitis cannot be ruled out by imaging at screening\n- 3. Has an active autoimmune disease or a documented history of autoimmune disease that requires systemic steroids or immunosuppressive agents\n- 4. Participant has received radiotherapy for palliative purposes less than 14 days prior to the first dose of study treatment\n- 5. Participant has a. (or has a history of) leptomeningeal disease (carcinomatous meningitis), b. spinal cord compression not definitively treated with surgery or radiation"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- 1. Incidence and severity of AEs, including dose limiting toxicities (DLTs)","definition_or_measurement_approach":"Incidence and severity of adverse events (AEs) including assessment of dose limiting toxicities (DLTs) as reported during the study (safety/tolerability measures)."}
  • {"endpoint_text":"- 2. Objective response rate (ORR) according to RECIST v1.1 by investigator review; confirmatory analysis may be performed using blinded independent central review (BICR)","definition_or_measurement_approach":"Objective response rate measured per RECIST v1.1 by investigator review; confirmatory analysis may be performed using blinded independent central review (BICR)."}

Recruitment

Planned Sample Size
34
Recruitment Window Months
35
Consent Approach
Informed consent documents (SIS and ICF) are provided for each country; language-specific ICF documents are present for Poland (PL), Italy (IT/ITA) and Spain (ES/SPA) as indicated by uploaded documents. Consent is obtained from participants (adult population); specific assent/consent procedures are not detailed in the supplied JSON.

Geography

Total Number Of Sites
12
Total Number Of Participants
26

Poland

Earliest CTIS Part Ii Submission Date
24-06-2024
Latest Decision Or Authorization Date
21-11-2025
Processing Time Days
515
Number Of Sites
3
Number Of Participants
6

Sites

Site Name
Instytut Genetyki I Immunologii Genim Sp. z o.o.
Contact Person Name
Izabela Chmielewska
Contact Person Email
izachm@wp.pl
Site Name
Wielkopolskie Centrum Pulmonologii I Torakochirurgii Im. Eugenii I Janusza Zeylandow
Department Name
Oddział Onkologii Klinicznej z Pododdziałem Dziennej Chemioterapii
Contact Person Name
Katarzyna Stencel
Contact Person Email
kstencel@wcpit.org
Site Name
Narodowy Instytut Onkologii Im. Marii Sklodowskiej-Curie Panstwowy Instytut Badawczy
Department Name
Oddział Zachowawczy Kliniki Nowotworów Płuca i Klatki Piersiowej
Contact Person Name
Dariusz Kowalski
Contact Person Email
Dariusz.Kowalski@pib-nio.pl

Italy

Earliest CTIS Part Ii Submission Date
10-06-2024
Latest Decision Or Authorization Date
25-03-2026
Processing Time Days
653
Number Of Sites
3
Number Of Participants
8

Sites

Site Name
Istituto Europeo Di Oncologia S.r.l.
Department Name
Oncologia Toracica
Contact Person Name
Antonio Passaro
Contact Person Email
Antonio.Passaro@ieo.it
Site Name
Centro Ricerche Cliniche Di Verona S.r.l.
Department Name
Oncologia Medica
Contact Person Name
Sara Pilotto
Contact Person Email
sara.pilotto@univr.it
Site Name
Azienda Ospedaliero-Universitaria San Luigi Gonzaga
Department Name
SSD Oncologia Polmonare
Contact Person Name
Silvia Novello
Contact Person Email
silvia.novello@unito.it

Spain

Earliest CTIS Part Ii Submission Date
14-05-2024
Latest Decision Or Authorization Date
09-03-2026
Processing Time Days
664
Number Of Sites
6
Number Of Participants
12

Sites

Site Name
Hospital Universitario Virgen De La Macarena
Department Name
Medical Oncology
Contact Person Name
Maria del Carmen Damas Fuentes
Contact Person Email
carmendamasf@gmail.com
Site Name
Fundacion Instituto Valenciano De Oncologia
Department Name
Medical Oncology
Contact Person Name
Sergio Sandiego Contreras
Contact Person Email
ssandiego@fivo.org
Site Name
Hospital Universitari Vall D Hebron
Department Name
Medical Oncology
Contact Person Name
Enriqueta Felip Font
Contact Person Email
efelip@vhio.net
Site Name
Hospital Universitari Dexeus Grupo Quironsalud
Department Name
Medical Oncology
Contact Person Name
Andrés Aguilar Hernández
Contact Person Email
aaguilar@oncorosell.com
Site Name
Hospital Universitario 12 De Octubre
Department Name
Medical Oncology
Contact Person Name
Jon Zugazagoitia Fraile
Contact Person Email
j.zugazagoitia.imas12@h12o.es
Site Name
Hospital General Universitario Dr. Balmis
Department Name
Medical Oncology
Contact Person Name
Bartomeu Massuti Sureda
Contact Person Email
massuti.oncoalicante@gmail.com

Sponsor

Primary sponsor

Full Name
Janssen - Cilag International
Organisation Type
Pharmaceutical company
Country Of Registered Address
Belgium

Contract research organisations

Name
Parexel International (IRL) Limited
Responsibilities
Sponsor duties: code 6 (specific responsibilities not detailed in supplied JSON)
Name
Almac Clinical Technologies LLC
Responsibilities
screening and enrolling patients
Name
Altasciences Compagnie Inc.
Responsibilities
role indicated (sponsor duty code 4); specific responsibilities not detailed

Third parties

  • {"country":"Ireland","full_name":"Parexel International (IRL) Limited","duties_or_roles":"Sponsor duties: code 6 (role code present in record; specific role text not provided)","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Labcorp Central Laboratory Services LP","duties_or_roles":"Sample management; other sponsor duty code 4 (additional role code present)","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Almac Clinical Technologies LLC","duties_or_roles":"screening and enrolling patients; other sponsor duty code 3","organisation_type":"Pharmaceutical company"}
  • {"country":"Canada","full_name":"Altasciences Compagnie Inc.","duties_or_roles":"sponsor duty code 4 (role code present; specific role text not provided)","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Smithers PDS LLC","duties_or_roles":"PK and immunogenicity","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United States","full_name":"Guardant Health Inc.","duties_or_roles":"ctDNA samples","organisation_type":"Laboratory/Research/Testing facility"}

Investigational products

Investigational Product Name
JNJ-61186372
Active Substance
AMIVANTAMAB
Modality
Bispecific antibody
Routes Of Administration
Intravenous
Route
Intravenous
Authorisation Status
Authorised (prodAuthStatus=1)
Investigational Product Name
JNJ-63723283
Active Substance
CETRELIMAB
Modality
Monoclonal antibody
Routes Of Administration
Intravenous
Route
Intravenous
Authorisation Status
Authorised (prodAuthStatus=1)
Combination Treatment
Yes

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