Clinical trial • Phase III • Oncology

REPOTRECTINIB for Non-small cell lung cancer

Phase III trial of REPOTRECTINIB for Non-small cell lung cancer.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Non-small cell lung cancer
Trial Stage
Phase III
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
05-09-2023
First CTIS Authorization Date
10-01-2024

Trial design

Randomised, open-label, repotrectinib (tpx-0005) oral capsules (active substance: repotrectinib; max daily amount reported 320 mg) versus crizotinib (xalkori) oral capsules (active substance: crizotinib; marketed formulations 200 mg and 250 mg hard capsules; max daily amount reported 500 mg). exact scheduled dosing regimen not specified in the provided record.-controlled, crossover Phase III trial across 45 sites in Hungary, Greece, Netherlands and others.

Randomised
Yes
Open Label
Yes
Comparator
Repotrectinib (TPX-0005) oral capsules (active substance: repotrectinib; max daily amount reported 320 mg) versus Crizotinib (XALKORI) oral capsules (active substance: crizotinib; marketed formulations 200 mg and 250 mg hard capsules; max daily amount reported 500 mg). Exact scheduled dosing regimen not specified in the provided record.
Crossover
Yes
Target Sample Size
234

Eligibility

Recruits 234 adults.

Inclusion criteria

  • {"criterion_text":"- Participant has histologically or cytologically confirmed diagnosis of locally advanced or metastatic NSCLC\n- Participant has a ROS1 gene rearrangement/fusion as detected by a local test.\n- At least 1 measurable lesion according to RECIST v1.1, as assessed by the investigator.\n- Participants must not be exposed previously with TKIs that demonstrated activities in ROS1-positive NSCLC\n- Up to 1 prior line of systemic treatment for NSCLC is permitted\n- ECOG Performance Status ≤ 2"}

Exclusion criteria

  • {"criterion_text":"- Symptomatic brain metastases or symptomatic leptomeningeal involvement.\n- History of previous cancer requiring therapy within the previous 2 years, except for NSCLC under study, squamous cell or basal-cell carcinoma of the skin, or any in situ carcinoma that has been completely resected.\n- Known actionable tumor targetable co-mutations or rearrangements\n- Clinically significant cardiovascular disease (either active or within 6 months prior to enrollment)"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- PFS per BICR, according to RECIST v1.1","definition_or_measurement_approach":"Progression-Free Survival assessed per Blinded Independent Central Review (BICR) using RECIST v1.1"}

Secondary endpoints

  • {"endpoint_text":"- Overall Survival\n- Objective Response Rate (ORR)\n- Duration of Response (DOR)\n- Time to Response (TTR) per BICR and per investigator according to RECIST v1.1\n- PFS per investigator according to RECIST v1.1\n- Time to intracranial progression per BICR according to RECIST v1.1\n- Incidence of Adverse Events (AEs), Serious Adverse Events (SAEs)\n- AEs leading to study intervention discontinuation\n- Drug-related AEs and deaths\n- Proportion of participants without meaningful symptom deterioration as measured by the NSCLC-SAQ total score","definition_or_measurement_approach":"Overall Survival (OS): time to death from any cause (no further definition in record);\nObjective Response Rate (ORR): tumour response assessed (method not further specified in record);\nDuration of Response (DOR): duration of observed response (method not further specified);\nTime to Response (TTR) per BICR and per investigator: assessed according to RECIST v1.1 by BICR and by investigator;\nPFS per investigator: assessed according to RECIST v1.1 by investigator;\nTime to intracranial progression per BICR: assessed according to RECIST v1.1 by BICR;\nSafety endpoints (AEs/SAEs/AEs leading to discontinuation/drug-related AEs and deaths): incidence as reported in trial safety monitoring;\nProportion without meaningful symptom deterioration: measured by NSCLC-SAQ total score (protocol specifies this instrument and a meaningful deterioration threshold in translations but precise threshold described elsewhere as a change of at least 3 points in some translations)."}

Recruitment

Planned Sample Size
234
Recruitment Window Months
92
Consent Approach
Informed consent is obtained using L1 SIS and ICF subject information and informed consent form documents; country-/language-specific ICFs are available (documents present for English, French, German, Italian, Spanish, Dutch, Polish, Greek, Hungarian, Romanian and other local language versions). Separate ICFs are available for pregnant partners and for treatment beyond progression and crossover. No explicit text about assent or age-specific consent handling was present in the extracted record.

Geography

Total Number Of Sites
45
Total Number Of Participants
83

Hungary

Earliest CTIS Part Ii Submission Date
29-11-2023
Latest Decision Or Authorization Date
07-11-2024
Processing Time Days
344
Number Of Sites
1
Number Of Participants
2

Sites

Site Name
Koranyi National Institute For Pulmonology
Department Name
Department of Pulmonology
Principal Investigator Name
Ostoros Gyula
Principal Investigator Email
info@koranyi.hu
Contact Person Name
Ostoros Gyula
Contact Person Email
info@koranyi.hu

Greece

Earliest CTIS Part Ii Submission Date
28-11-2023
Latest Decision Or Authorization Date
02-09-2025
Processing Time Days
644
Number Of Sites
4
Number Of Participants
8

Sites

Site Name
Thoracic General Hospital Of Athens I Sotiria
Department Name
3rd Internal Medicine Clinic
Principal Investigator Name
Konstantinos Syrigos
Principal Investigator Email
ksyrigos.trials@gmail.com
Contact Person Name
Konstantinos Syrigos
Contact Person Email
ksyrigos.trials@gmail.com
Site Name
Theageneio Cancer Hospital
Department Name
1st Department of Medical Oncology
Principal Investigator Name
Pavlos Papakotoulas
Principal Investigator Email
papakotoulas@gmail.com
Contact Person Name
Pavlos Papakotoulas
Contact Person Email
papakotoulas@gmail.com
Site Name
University General Hospital Attikon
Department Name
Research Unit
Principal Investigator Name
Amanda Psyrri
Principal Investigator Email
ogkologiko@hotmail.com
Contact Person Name
Amanda Psyrri
Contact Person Email
ogkologiko@hotmail.com
Site Name
General University Hospital Of Patras
Department Name
Division of Oncology
Principal Investigator Name
Angelos Koutras
Principal Investigator Email
angkoutr@otenet.gr
Contact Person Name
Angelos Koutras
Contact Person Email
angkoutr@otenet.gr

Netherlands

Earliest CTIS Part Ii Submission Date
30-07-2024
Latest Decision Or Authorization Date
02-09-2025
Processing Time Days
399
Number Of Sites
2
Number Of Participants
1

Sites

Site Name
Amsterdam UMC Stichting
Department Name
Pulmonary Oncology
Principal Investigator Name
Sayed Hashemi
Principal Investigator Email
ctis@amsterdamumc.nl
Contact Person Name
Sayed Hashemi
Contact Person Email
ctis@amsterdamumc.nl
Site Name
Universitair Medisch Centrum Groningen
Department Name
Pulmonary Oncology
Principal Investigator Name
A van der Wekken
Principal Investigator Email
a.j.van.der.wekken@umcg.nl
Contact Person Name
A van der Wekken
Contact Person Email
a.j.van.der.wekken@umcg.nl

Austria

Earliest CTIS Part Ii Submission Date
24-11-2023
Latest Decision Or Authorization Date
12-09-2025
Processing Time Days
658
Number Of Sites
1
Number Of Participants
4

Sites

Site Name
Krankenhaus Nord Klinik Floridsdorf
Department Name
Internal Medicine and Pneumology
Principal Investigator Name
Johannes, Maximilian Hochmair
Principal Investigator Email
maximilian.hochmair@gesundheitsverbund.at
Contact Person Name
Johannes, Maximilian Hochmair

Romania

Earliest CTIS Part Ii Submission Date
21-11-2023
Latest Decision Or Authorization Date
10-09-2025
Processing Time Days
659
Number Of Sites
5
Number Of Participants
10

Sites

Site Name
Institute Of Oncology Prof. Dr. Ion Chiricuta Cluj-Napoca
Department Name
Oncology
Principal Investigator Name
Tudor Ciuleanu
Principal Investigator Email
office@iocn.ro
Contact Person Name
Tudor Ciuleanu
Contact Person Email
office@iocn.ro
Site Name
Centrul De Oncologie SF Nectarie S.R.L.
Department Name
Oncology
Principal Investigator Name
Michael Schenker
Principal Investigator Email
centruldeoncologie@yahoo.ro
Contact Person Name
Michael Schenker
Contact Person Email
centruldeoncologie@yahoo.ro
Site Name
Institutul Oncologic Prof. Dr. Alexandru Trestioreanu Bucuresti
Department Name
Oncology
Principal Investigator Name
Aurelia Alexandru
Principal Investigator Email
secretariat@iob.ro
Contact Person Name
Aurelia Alexandru
Contact Person Email
secretariat@iob.ro
Site Name
Spitalul De Oncologie Monza S.R.L.
Department Name
Oncology
Principal Investigator Name
Ingrid Iordan
Principal Investigator Email
relatiipublice@spitalulmonza.ro
Contact Person Name
Ingrid Iordan
Site Name
Centrul De Oncologie-Euroclinic S.R.L.
Department Name
Oncology
Principal Investigator Name
Constantin Volovat
Principal Investigator Email
wyx@yahoo.com
Contact Person Name
Constantin Volovat
Contact Person Email
wyx@yahoo.com

Spain

Earliest CTIS Part Ii Submission Date
28-11-2023
Latest Decision Or Authorization Date
14-04-2026
Processing Time Days
838
Number Of Sites
8
Number Of Participants
9

Sites

Site Name
Complexo Hospitalario Universitario A Coruna
Department Name
Oncology
Principal Investigator Name
María García Campelo
Principal Investigator Email
xxx.xxx@xxx.es
Contact Person Name
María García Campelo
Contact Person Email
xxx.xxx@xxx.es
Site Name
Complexo Hospitalario Universitario De Santiago
Department Name
Oncology
Principal Investigator Name
Jorge Garcia Gonzalez
Principal Investigator Email
xxx.xxx@xxx.es
Contact Person Name
Jorge Garcia Gonzalez
Contact Person Email
xxx.xxx@xxx.es
Site Name
Hospital Universitario Regional De Malaga
Department Name
Oncology
Principal Investigator Name
Alexandra Cantero
Principal Investigator Email
xxx.xxx@xxx.es
Contact Person Name
Alexandra Cantero
Contact Person Email
xxx.xxx@xxx.es
Site Name
Hospital Universitario 12 De Octubre
Department Name
Oncology
Principal Investigator Name
Jon Zugazagoitia Fraile
Principal Investigator Email
j.zugazagoitia.imas12@h12o.es
Contact Person Name
Jon Zugazagoitia Fraile
Contact Person Email
j.zugazagoitia.imas12@h12o.es
Site Name
University Hospital Virgen Del Rocio S.L.
Department Name
Oncology
Principal Investigator Name
Reyes Bernabe
Principal Investigator Email
xxx.xxx@xxx.es
Contact Person Name
Reyes Bernabe
Contact Person Email
xxx.xxx@xxx.es
Site Name
Hospital Universitari Vall D Hebron
Department Name
Oncology
Principal Investigator Name
Enriqueta Felip Font
Principal Investigator Email
efelip@vhio.net
Contact Person Name
Enriqueta Felip Font
Contact Person Email
efelip@vhio.net
Site Name
Hospital Universitario Puerta De Hierro De Majadahonda
Department Name
Oncology
Principal Investigator Name
Mariano Provencio
Principal Investigator Email
xxx.xxx@xxx.es
Contact Person Name
Mariano Provencio
Contact Person Email
xxx.xxx@xxx.es
Site Name
Hospital Universitario Y Politecnico La Fe
Department Name
Oncology
Principal Investigator Name
Oscar Juan Vidal
Principal Investigator Email
xxx.xxx@xxx.es
Contact Person Name
Oscar Juan Vidal
Contact Person Email
xxx.xxx@xxx.es

Poland

Earliest CTIS Part Ii Submission Date
27-11-2023
Latest Decision Or Authorization Date
13-04-2026
Processing Time Days
838
Number Of Sites
2
Number Of Participants
1

Sites

Site Name
Instytut Genetyki I Immunologii Genim Sp. z o.o.
Principal Investigator Name
Izabela Chmielewska
Principal Investigator Email
biuro@genim.pl
Contact Person Name
Izabela Chmielewska
Contact Person Email
biuro@genim.pl
Site Name
Warminsko-Mazurskie Centrum Chorob Pluc W Olsztynie
Department Name
Oddzial Onkologii z Pododdzialem Chemioterapii
Principal Investigator Name
Jaroslaw Kolb-Sielecki
Principal Investigator Email
sekretariat@pulmonologia.olsztyn.pl
Contact Person Name
Jaroslaw Kolb-Sielecki

Germany

Earliest CTIS Part Ii Submission Date
11-12-2023
Latest Decision Or Authorization Date
10-04-2026
Processing Time Days
851
Number Of Sites
9
Number Of Participants
19

Sites

Site Name
Marienhaus Kliniken GmbH
Department Name
Klinik für Pneumologie, Beatmungs- und Schlafmedizin
Principal Investigator Name
Michael Kreuter
Principal Investigator Email
michael.kreuter@marienhaus.de
Contact Person Name
Michael Kreuter
Contact Person Email
michael.kreuter@marienhaus.de
Site Name
Lungenfachklinik Immenhausen
Department Name
Thoraxonkologie
Principal Investigator Name
Achim Rittmeyer
Contact Person Name
Achim Rittmeyer
Site Name
Asklepios Fachkliniken Muenchen Gauting
Department Name
Onkologie
Principal Investigator Name
Niels Reinmuth
Principal Investigator Email
n.reinmuth@asklepios.com
Contact Person Name
Niels Reinmuth
Contact Person Email
n.reinmuth@asklepios.com
Site Name
Technische Universitat Dresden
Department Name
Medizinische Klinik und Poliklinik I
Principal Investigator Name
Martin Wermke
Principal Investigator Email
martin.wermke@uniklinikum-dresden.de
Contact Person Name
Martin Wermke
Site Name
Pius-Hospital Oldenburg
Department Name
Pius Hospital Oldenburg
Principal Investigator Name
Frank Griesinger
Principal Investigator Email
frank.griesinger@pius-hospital.de
Contact Person Name
Frank Griesinger
Site Name
Evangelische Lungenklinik Berlin Krankenhausbetriebs gGmbH
Department Name
Klinik für Pneumologie
Principal Investigator Name
Christian Grohe
Principal Investigator Email
christian.grohe@pgdiakonie.de
Contact Person Name
Christian Grohe
Contact Person Email
christian.grohe@pgdiakonie.de
Site Name
Klinikum Esslingen GmbH
Department Name
Klinikum Esslingen
Principal Investigator Name
Martin Faehling
Principal Investigator Email
m.faehling@klinikum-esslingen.de
Contact Person Name
Martin Faehling
Site Name
Klinikum Wuerzburg Mitte gGmbH
Department Name
Missionsärztliche Klinik
Principal Investigator Name
Jens Kern
Principal Investigator Email
jens.kern@kwm-klinikum.de
Contact Person Name
Jens Kern
Contact Person Email
jens.kern@kwm-klinikum.de
Site Name
University Hospital Cologne AöR
Department Name
CIO / Innere Medizin I
Principal Investigator Name
Juergen Wolf
Principal Investigator Email
juergen.wolf@uk-koeln.de
Contact Person Name
Juergen Wolf
Contact Person Email
juergen.wolf@uk-koeln.de

Italy

Earliest CTIS Part Ii Submission Date
19-09-2023
Latest Decision Or Authorization Date
11-05-2026
Processing Time Days
965
Number Of Sites
5
Number Of Participants
10

Sites

Site Name
Azienda Ospedaliera Dei Colli
Department Name
U.O.C. Oncologia
Principal Investigator Name
Danilo Rocco
Principal Investigator Email
danilorocc@yahoo.it
Contact Person Name
Danilo Rocco
Contact Person Email
danilorocc@yahoo.it
Site Name
I.F.O. Istituti Fisioterapici Ospitalieri
Department Name
Oncologia Medica 2
Principal Investigator Name
Lorenza Landi
Principal Investigator Email
lorenza.landi@ifo.it
Contact Person Name
Lorenza Landi
Contact Person Email
lorenza.landi@ifo.it
Site Name
Centro Di Riferimento Oncologico Di Aviano
Department Name
UO Oncologia Medica
Principal Investigator Name
Alessandra Bearz
Principal Investigator Email
abearz@cro.it
Contact Person Name
Alessandra Bearz
Contact Person Email
abearz@cro.it
Site Name
Fondazione IRCCS Istituto Nazionale Dei Tumori
Department Name
Struttura Complessa Oncologia Medica 1
Principal Investigator Name
Arsela Prelaj
Principal Investigator Email
Arsela.Prelaj@istitutotumori.mi.it
Contact Person Name
Arsela Prelaj
Site Name
Fondazione IRCCS San Gerardo Dei Tintori
Department Name
S.C. Oncologia Medica
Principal Investigator Name
Diego Luigi Cortinovis
Principal Investigator Email
diegoluigi.cortinovis@irccs-sangerardo.it
Contact Person Name
Diego Luigi Cortinovis

France

Earliest CTIS Part Ii Submission Date
30-10-2023
Latest Decision Or Authorization Date
10-04-2026
Processing Time Days
892
Number Of Sites
8
Number Of Participants
19

Sites

Site Name
Centre Hospitalier Universitaire De Nantes
Department Name
oncology thoracic unit
Principal Investigator Name
Elvire PONS-TOSTIVINT
Principal Investigator Email
elvire.pons@chu-nantes.fr
Contact Person Name
Elvire PONS-TOSTIVINT
Contact Person Email
elvire.pons@chu-nantes.fr
Site Name
Centre Hospitalier Universitaire Grenoble Alpes
Department Name
pneumology-thoracic oncology unit
Principal Investigator Name
Denis MORO-SIBILOT
Principal Investigator Email
pirechoncothoracique@chu-grenoble.fr
Contact Person Name
Denis MORO-SIBILOT
Site Name
Assistance Publique Hopitaux De Paris
Department Name
pneumology
Principal Investigator Name
Marie WISLEZ
Principal Investigator Email
marie.wislez@aphp.fr
Contact Person Name
Marie WISLEZ
Contact Person Email
marie.wislez@aphp.fr
Site Name
Centr Georges Francois Leclerc
Department Name
medical oncology
Principal Investigator Name
Aurélie LAGRANGE
Principal Investigator Email
alagrange@cgfl.fr
Contact Person Name
Aurélie LAGRANGE
Contact Person Email
alagrange@cgfl.fr
Site Name
Centre Hospitalier Universitaire De Bordeaux
Department Name
respiratory medicine unit
Principal Investigator Name
Rémi VEILLON
Principal Investigator Email
remi.veillon@chu-bordeaux.fr
Contact Person Name
Rémi VEILLON
Contact Person Email
remi.veillon@chu-bordeaux.fr
Site Name
Les Hopitaux Universitaires De Strasbourg
Department Name
pneumology
Principal Investigator Name
Céline MASCAUX
Principal Investigator Email
celine.mascaux@chru-strasbourg.fr
Contact Person Name
Céline MASCAUX
Site Name
CHU De Rouen
Department Name
pneumology
Principal Investigator Name
Florian GUISIER
Principal Investigator Email
florian.guisier@chu-rouen.fr
Contact Person Name
Florian GUISIER
Contact Person Email
florian.guisier@chu-rouen.fr
Site Name
Centre Hospitalier Lyon Sud
Department Name
pulmonology
Principal Investigator Name
Sébastien COURAUD
Principal Investigator Email
sebastien.couraud@chu-lyon.fr
Contact Person Name
Sébastien COURAUD
Contact Person Email
sebastien.couraud@chu-lyon.fr

Sponsor

Primary sponsor

Full Name
Bristol-Myers Squibb Services Unlimited Company
Organisation Type
Pharmaceutical company
Country Of Registered Address
Ireland

Contract research organisations

Name
Y-Prime, Inc.
Responsibilities
IVRS – treatment randomisation, Core Technology Services

Third parties

  • {"country":"United States","full_name":"Y-Prime, Inc.","duties_or_roles":"IVRS – treatment randomisation, Core Technology Services","organisation_type":"Industry"}

Investigational products

Investigational Product Name
Repotrectinib (TPX-0005)
Active Substance
REPOTRECTINIB
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
prodAuthStatus 1
Maximum Dose
320 mg
Investigational Product Name
XALKORI 200 mg hard capsules
Active Substance
CRIZOTINIB
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
prodAuthStatus 2
Maximum Dose
500 mg
Investigational Product Name
XALKORI 250 mg hard capsules
Active Substance
CRIZOTINIB
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
prodAuthStatus 2
Maximum Dose
500 mg

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