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A Study of Combination Amivantamab and Carboplatin-Pemetrexed Therapy, Compared With Carboplatin-Pemetrexed, in Participants With Advanced or Metastatic Non-Small Cell Lung Cancer Characterized by Epidermal Growth Factor Receptor (EGFR) Exon 20 Insertions

This research study is about a kind of lung cancer that has spread, called non-small cell lung cancer, specifically if it has a particular genetic change called an 'EGFR Exon 20 insertion'. Doctors want to find out if adding a new drug, amivantamab, to the usual chemotherapy (carboplatin and pemetrexed) works better than chemotherapy by itself. The main goal is to see if the cancer can be stopped from growing for longer. This is a Phase 3 study, meaning it's a large trial comparing the new approach to the standard treatment to see if it's more effective and safe for patients.

במבט חטוף

סטטוס
פעיל אך לא מגייס
שלב
שלב 3
נותן חסות
יאנסן מחקר ופיתוח, LLC
יעד הרשמה
308
התחל
13 Oct 2020
השלמה משוערת
02 Aug 2027

תוצאות

תוצאות ממחקר זה

פורסם May 2024

תוצאות המחקר פורסמו.

תוצאה ראשית
Progression-Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 as Assessed by Blinded Independent Central Review (BICR)
PFS was defined as the time from randomization until the date of objective disease progression based on BICR using RECIST version 1.1 or death (by any cause) in the absence of progression, whichever came first. Participants who have not progressed or have not died at the time of analysis were censored at the time of the latest date of their last evaluable RECIST version 1.1 assessment. Pharmacodynamic: Sum of diameters increased by greater than or equal to (\>=)20 percent (%) and \>=5 millimeter (mm) from nadir (including baseline if it was smallest sum).
תוצאות מלאות ברישום

על מה המחקר הזה?

This study is for people who have advanced or metastatic non-small cell lung cancer (NSCLC). This means the cancer has grown into nearby tissues or spread to other parts of the body. Doctors are particularly interested in NSCLC that has a specific genetic change, or 'mutation', called an EGFR Exon 20 insertion. This mutation can make the cancer behave differently and sometimes respond less well to common treatments.

The main aim of this study is to compare two treatment approaches. One group of patients will receive a combination of a new drug called amivantamab along with standard chemotherapy (carboplatin and pemetrexed). The other group will receive the standard chemotherapy alone. By comparing these two groups, researchers want to see if adding amivantamab helps to stop the cancer from growing for a longer period.

This is a 'Phase 3' study, which is a big step in testing new treatments. It means the treatment has already been tested in smaller groups and shown some promise. Now, it's being compared to the best available treatment to see if it's better overall. The results of studies like this help doctors understand which treatments are most effective for different types of cancer.

נקודות עיקריות

  • This study compares a new drug combination to standard chemotherapy for specific lung cancer.
  • It's for advanced non-small cell lung cancer with a particular genetic change (EGFR Exon 20 insertion).
  • The main goal is to see if the new combination stops cancer growth for longer.
  • Participation involves regular hospital visits, treatments, and tests.
  • You might receive the new combination or standard chemotherapy.

מי עשוי להיות זכאי?

To join this study, you would need to have been diagnosed with advanced or metastatic non-small cell lung cancer that has a specific genetic change called an EGFR Exon 20 insertion. Doctors would need to confirm this from a tissue sample. You also need to have cancer that can be measured and tracked by scans.

Your general health and how well you can do daily activities are also important. For instance, your doctor will check your 'performance status', which is a way of saying you're generally well enough to take part. Women who could become pregnant would need to have regular pregnancy tests and use effective birth control throughout the study.

There are also reasons why you might not be able to join. For example, if you have other types of lung cancer at the same time, or if your cancer has spread to your brain in a way that isn't stable. Certain existing lung conditions, like interstitial lung disease, or allergies to the study drugs or related medications (like Vitamin B12 or folic acid) would also mean you couldn't take part.

האם מחקר זה יכול להתאים לך?

ענה על השאלות המהירות הללו כדי לבדוק אם אתה עשוי להיות זכאי. זהו מדריך בלבד — צוות המחקר מקבל את ההחלטה הסופית.

  1. Do I have advanced or metastatic non-small cell lung cancer?
  2. Has my cancer been tested for an 'EGFR Exon 20 insertion' mutation, and does it have one?
  3. Is my cancer measurable on scans?
  4. Am I generally well enough for treatment, as assessed by my doctor?
  5. Do I have any other major lung conditions or allergies to the study drugs?
ענה על כל שאלה כדי לראות את התוצאה שלך.

מה כרוך בהשתתפות?

If you join this study, you would receive either the new drug combination or standard chemotherapy. This would involve regular visits to the hospital for treatment, which is given through a drip (intravenous infusion). During these visits, you'll have blood tests, physical exams, and side effect checks. You would also have regular scans (like CT scans) to see how the cancer is responding to treatment. Researchers would also take blood samples to look for changes in your cancer over time. This study does not specify an exact duration, but participants are followed closely while receiving treatment and likely continue to be monitored afterwards. The total length of your participation would depend on how your cancer responds to treatment and overall health status.

סיכונים ותועלות פוטנציאליים

Taking part in any clinical trial involves potential benefits and risks. A potential benefit of this study is that the new combination treatment *might* be more effective at stopping your cancer from growing for longer compared to standard chemotherapy alone. However, there's no guarantee it will work for everyone, or that it will be better than the existing treatment. Potential risks include side effects from the medications, which can vary widely and will be discussed in detail by your study doctors. You have the right to withdraw from the study at any time, for any reason, without it affecting your usual medical care.

Locations (232)

  • City of Hope 2
    מיקוד מאומת
    דוארטה, ארצות הברית
  • אוניברסיטת קליפורניה אירווין
    מיקוד מאומת
    אורנג', ארצות הברית
  • UCLA
    מיקוד מאומת
    סנטה מוניקה, ארצות הברית
  • Georgetown University Hospital
    מיקוד מאומת
    וושינגטון די.סי., ארצות הברית
  • H. Lee Moffitt Cancer & Research Institute
    מיקוד מאומת
    טמפה, ארצות הברית
  • University Cancer And Blood Center LLC
    מיקוד מאומת
    Athens, United States
  • Henry Ford Hospital
    מיקוד מאומת
    דטרויט, ארצות הברית
  • Washington University Medical Center
    מיקוד מאומת
    סנט לואיס, ארצות הברית
  • Regional Cancer Care Associates LLC
    מיקוד מאומת
    East Brunswick, United States
  • Langone Health at NYC University, NYU School of Medicine
    מיקוד מאומת
    ניו יורק, ארצות הברית
  • Columbia University Medical Center
    מיקוד מאומת
    ניו יורק, ארצות הברית
  • Providence Portland Medical Center
    מיקוד מאומת
    פורטלנד, ארצות הברית

שאלות נפוצות

What is an 'EGFR Exon 20 insertion'?

It's a specific genetic change, or 'mutation', found in some lung cancers. It helps doctors choose the best treatment.

What is amivantamab?

Amivantamab is a newer type of drug designed to target specific features of cancer cells, which researchers hope will help treat this particular type of lung cancer.

האם אני בהחלט אקבל את התרופה החדשה?

No, this is a comparison study. You will either receive the new drug with chemotherapy or chemotherapy alone. It's decided randomly, like flipping a coin.

What are the main side effects of chemotherapy?

Common side effects can include feeling tired, sickness, hair loss, and a higher risk of infection. Your doctor will discuss all potential side effects with you.

How long will I be on the study?

The length of time you're on the study can vary. You'll receive treatment as long as it's helping and you're not having severe side effects. You'll also have follow-up appointments.

כיצד לגלות עוד

תמיד התייעץ עם רופא המשפחה או המומחה שלך לפני שתחליט להשתתף במחקר.

דיון

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