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JOURNAL ONKOLOGIE – STUDIE

A Study Evaluating Sotorasib Platinum Doublet Combination Versus Pembrolizumab Platinum Doublet Combination as a Front-Line Therapy in Participants With Stage IV or Advanced Stage IIIB/C Nonsquamous Non-Small Cell Lung Cancers (CodeBreaK 202)

Rekrutierend

NCT-Nummer:
NCT05920356

Studienbeginn:
November 2023

Letztes Update:
21.06.2024

Wirkstoff:
Sotorasib, Pembrolizumab

Indikation (Clinical Trials):
Lung Neoplasms, Carcinoma, Non-Small-Cell Lung

Geschlecht:
Alle

Altersgruppe:
Erwachsene (18+)

Phase:
Phase 3

Sponsor:
Amgen

Collaborator:
-

Studienleiter

MD
Study Director
Amgen

Kontakt

Studienlocations
(3 von 234)

Klinikum Chemnitz GmbH
09113 Chemnitz
(Sachsen)
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Universitaetsmedizin Goettingen
37075 Goettingen
(Niedersachsen)
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Klinikverbund Allgaeu
87439 Kempten
(Bayern)
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Klinikum der LMU Muenchen
80366 Muenchen
(Bayern)
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University of Illinois at Chicago
60612 Chicago
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Norton Cancer Institute - Brownsboro
40241 Louisville
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University of New Mexico Cancer Center
87131 Albuquerque
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Duke University Medical Center
27710 Durham
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University of Pittsburgh Medical Center Hillman Cancer Center
15232 Pittsburgh
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37920 Knoxville
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C1280AEB Caba
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C1426ANZ Capital Federal
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C1012AAR Ciudad Autónoma de Buenos Aires
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4600 San Salvador de Jujuy
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1426 Buenos Aires
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F5300COE La Rioja
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4400 Salta
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2139 Concord
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2065 St Leonards
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4102 Woolloongabba
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5000 Adelaide
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3000 Melbourne
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9020 Klagenfurt
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3000 Leuven
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4000 Liège
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2800 Mechelen
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50070-550 Recife
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20133 Milano
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06156 Perugia
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466-8560 Nagoya-shi
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606-8507 Kyoto-shi
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541-8567 Osaka-shi
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06560 Ankara
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06800 Ankara
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Studien-Informationen

Brief Summary:

The primary objective of this study is to compare progression-free survival (PFS) in

participants who receive sotorasib with platinum doublet chemotherapy versus participants who

receive pembrolizumab with platinum doublet chemotherapy.

Ein-/Ausschlusskriterien

Inclusion Criteria:

- Histologically or cytologically confirmed diagnosis of nonsquamous stage IV or

advanced Stage IIIB or IIIC NSCLC with KRAS p. G12C mutation and negative for PD-L1

expression by central testing or local laboratory testing confirmed through central

testing

- No history of systemic anticancer therapy in metastatic/non-curable settings

- Eastern Cooperative Oncology Group (ECOG) ≤ 1

Exclusion Criteria:

- Mixed histology NSCLC with either small-cell or large-cell neuroendocrine cell

component or predominant squamous cell histology

- Participants with tumors known to harbor molecular alterations for which targeted

therapy is locally approved

- Symptomatic (treated or untreated) brain metastases

- Gastrointestinal (GI) tract disease causing the inability to take oral medication

- Myocardial infarction within 6 months of randomization, unstable arrhythmias, or

unstable angina

- Prior therapy with a KRAS G12C inhibitor

Studien-Rationale

Primary outcome:

1. Progression-free Survival (PFS) (Time Frame - From Baseline up to end of study (EOS) (approximately 5.5 years)):
PFS is defined as the time from randomization until the first documentation of radiologic disease progression or death due to any cause, whichever occurs first. Progression will be based on Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, per Blinded Independent Central Review (BICR).



Secondary outcome:

1. Objective Response Rate (ORR) (Time Frame - From Baseline up to EOS (approximately 5.5 years)):
Objective response is defined as the best overall response of complete response (CR) or partial response (PR), based on RECIST v1.1, per BICR.

2. Overall Survival (OS) (Time Frame - From Baseline up to EOS (approximately 5.5 years)):
OS is defined as the time from randomization until death due to any cause.

3. Change in Quality-of-Life Questionnaire Core 30 (QLQ-C30) Dyspnea Domain Score (Time Frame - From Baseline to Week 12)

4. Change in Quality-of-Life Questionnaire Lung Cancer 13 (QLQ-LC13) Symptoms of Dyspnea Subscale (Time Frame - From Baseline to Week 12)

5. Change in QLQ-LC13 Symptoms of Cough Subscale (Time Frame - From Baseline to Week 12)

6. Change in QLQ-LC13 Symptoms of Chest Pain Subscale (Time Frame - From Baseline to Week 12)

7. Change in Physical Function as Measured by QLQ-C30 (Time Frame - From Baseline to Week 12)

8. Change in Global Health Status as Measured by QLQ-C30 (Time Frame - From Baseline to Week 12)

9. Progression-free Survival 2 (PFS2) (Time Frame - From Baseline up to EOS (approximately 5.5 years)):
PFS2 is defined as the time from randomization to progression per investigator after initiation of new anticancer therapy or treatment beyond progression (ie, second progression) or death from any cause, whichever occurs first.

10. Change in QLQ-LC13 Subscale Scores (Time Frame - From Baseline up to EOS (approximately 5.5 years))

11. Change in QLQ-C30 Subscale Scores (Time Frame - From Baseline up to EOS (approximately 5.5 years))

12. Time to Deterioration in QLC-LC13 Subscale Scores (Time Frame - From Baseline to Week 12)

13. Time to Deterioration in QLC-C30 Subscale Scores (Time Frame - From Baseline to Week 12)

14. Change in Summary Scores and Visual Analogue Scale (VAS) Scores (Time Frame - From Baseline up to EOS (approximately 5.5 years)):
Measured by EuroQol-5 Dimension (EQ-5D-5L).

15. Duration of Response (Time Frame - From Baseline up to EOS (approximately 5.5 years)):
Duration of response is defined as the time from the first documentation of objective response until the first documentation of disease progression per BICR or death due to any cause, whichever occurs first.

16. Time to Response (Time Frame - From Baseline up to EOS (approximately 5.5 years)):
Defined as the time from randomization to first evidence of PR or CR per BICR.

17. Disease Control (Time Frame - From Baseline up to EOS (approximately 5.5 years)):
Defined as CR plus PR plus stable disease based on RECIST v1.1 per BICR.

18. PFS (Time Frame - From Baseline up to EOS (approximately 5.5 years)):
Based on investigator tumor assessments per RECIST v1.1.

19. Objective Response (Time Frame - From Baseline up to EOS (approximately 5.5 years)):
Based on investigator tumor assessments per RECIST v1.1.

20. Number of Participants With Treatment-Emergent Adverse Events (Time Frame - From Baseline up to EOS (approximately 5.5 years))

21. Number of Participants With Clinically Significant Changes in Vital Signs (Time Frame - From Baseline up to EOS (approximately 5.5 years))

22. Number of Participants With Clinically Significant Changes in Clinical Laboratory Tests (Time Frame - From Baseline up to EOS (approximately 5.5 years))

23. Maximum Plasma Concentration (Cmax) of Sotorasib (Time Frame - Pre-dose Day 1 up to Day 64)

24. Minimum Plasma Concentration (Cmin) of Sotorasib (Time Frame - Pre-dose Day 1 up to Day 64)

25. Area Under The Curve (AUC) of Sotorasib (Time Frame - Pre-dose Day 1 up to Day 64)

Studien-Arme

  • Experimental: Sotorasib combined with carboplatin and pemetrexed
    Sotorasib administered in combination with carboplatin and pemetrexed.
  • Active Comparator: Pembrolizumab combined with carboplatin and pemetrexed
    Pembrolizumab administered in combination with carboplatin and pemetrexed.

Geprüfte Regime

  • Sotorasib (AMG 510 / LUMYKRAS ® / LUMAKRAS ® / ):
    Oral administration
  • Pembrolizumab:
    Intravenous administration

Quelle: ClinicalTrials.gov


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"A Study Evaluating Sotorasib Platinum Doublet Combination Versus Pembrolizumab Platinum Doublet Combination as a Front-Line Therapy in Participants With Stage IV or Advanced Stage IIIB/C Nonsquamous Non-Small Cell Lung Cancers (CodeBreaK 202)"

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