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JOURNAL ONKOLOGIE – STUDIE
Krascendo 170

A Study Evaluating the Safety, Activity, and Pharmacokinetics of Divarasib in Combination With Other Anti-Cancer Therapies in Participants With Previously Untreated Advanced or Metastatic Non-Small Cell Lung Cancer With a KRAS G12C Mutation

Rekrutierend

NCT-Nummer:
NCT05789082

Studienbeginn:
Juni 2023

Letztes Update:
18.04.2024

Wirkstoff:
Divarasib, Pembrolizumab, Carboplatin, Cisplatin, Pemetrexed

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

Geschlecht:
Alle

Altersgruppe:
Erwachsene (18+)

Phase:
-

Sponsor:
Hoffmann-La Roche

Collaborator:
-

Studienleiter

Clinical Trials
Study Director
Hoffmann-La Roche

Kontakt

Reference Study ID Number: BO44426 https://forpatients.roche.com/
Kontakt:
Phone: 888-662-6728 (U.S. and Canada)
E-Mail: global-roche-genentech-trials@gene.com
» Kontaktdaten anzeigen

Studienlocations
(3 von 51)

NYU Langone Hospital - Long Island
11501 Mineola
United StatesRekrutierend» Google-Maps
NYU Cancer Center; NYU Cancer Institute
10016 New York
United StatesRekrutierend» Google-Maps
Hospital Britanico; Oncologia
C1280AEB Buenos Aires
ArgentinaRekrutierend» Google-Maps
Clinica Adventista Belgrano; Oncology
C1430EGF Ciudad Autonoma Buenos Aires
ArgentinaRekrutierend» Google-Maps
Centro Oncologico Riojano Integral (CORI)
F5300COE La Rioja
ArgentinaRekrutierend» Google-Maps
Concord Repatriation General Hospital; Concord Cancer Centre
2139 Concord
AustraliaRekrutierend» Google-Maps
Cliniques Universitaires St-Luc
1200 Bruxelles
BelgiumRekrutierend» Google-Maps
Jessa Zkh (Campus Virga Jesse)
3500 Hasselt
BelgiumAktiv, nicht rekrutierend» Google-Maps
Hospital Nossa Senhora da Conceicao
90040-373 Porto Alegre
BrazilZurückgezogen» Google-Maps
Hospital de Cancer de Barretos
14784-400 Barretos
BrazilRekrutierend» Google-Maps
Instituto do Cancer do Estado de Sao Paulo - ICESP
01246-000 Sao Paulo
BrazilRekrutierend» Google-Maps
Princess Margaret Cancer Center
M5G 1Z5 Toronto
CanadaAktiv, nicht rekrutierend» Google-Maps
Jewish General Hospital
H3T 1E2 Montreal
CanadaAktiv, nicht rekrutierend» Google-Maps
Harbin Medical University Cancer Hospital
150081 Harbin
ChinaRekrutierend» Google-Maps
Shanghai Pulmonary Hospital
200433 Shanghai
ChinaAktiv, nicht rekrutierend» Google-Maps
Rambam Medical Center; Oncology
3109601 Haifa
IsraelRekrutierend» Google-Maps
Rabin MC; Davidof Center - Oncology Institute
4941492 Petach Tikva
IsraelRekrutierend» Google-Maps
Tel Aviv Sourasky Medical Ctr; Oncology
6423906 Tel Aviv
IsraelRekrutierend» Google-Maps
Istituto Nazionale Tumori Fondazione G. Pascale
80131 Napoli
ItalyRekrutierend» Google-Maps
Policlinico Universitario Agostino Gemelli IRCCS; UOS Fase 1
00168 Roma
ItalyRekrutierend» Google-Maps
A.O. UNIVERSITARIA S. LUIGI GONZAGA; Oncologia Medica
10043 Orbassano
ItalyRekrutierend» Google-Maps
Pusan National University Hospital
602-739 Busan
Korea, Republic ofRekrutierend» Google-Maps
Asan Medical Center
05505 Seoul
Korea, Republic ofRekrutierend» Google-Maps
Samsung Medical Center
06351 Seoul
Korea, Republic ofRekrutierend» Google-Maps
Korea University Guro Hospital
08308 Seoul
Korea, Republic ofRekrutierend» Google-Maps
NKI The Netherlands Cancer Institute
1066 CX Amsterdam
NetherlandsAktiv, nicht rekrutierend» Google-Maps
Uniwersyteckie Centrum Kliniczne; Osrodek Badan Wczesnych Faz
80-214 Gda?sk
PolandRekrutierend» Google-Maps
Krakowski Szpital Specjalistyczny im sw. Jana Paw?a II; Oddzia? Onkologiczny
31-202 Kraków
PolandRekrutierend» Google-Maps
Warminsko-Mazurskie Centrum Chorób P?uc w Olsztynie; Oddzial onkologii z pododdzialem chemioterapii
10-357 Olsztyn
PolandRekrutierend» Google-Maps
ICO Badalona-H.U. Germans Trias i Pujol
08916 Badalona
SpainRekrutierend» Google-Maps
NEXT Oncology-Hospital Quironsalud Madrid
28223 Pozuelo de Alarcon
SpainZurückgezogen» Google-Maps
Vall d?Hebron Institute of Oncology (VHIO), Barcelona
08035 Barcelona
SpainRekrutierend» Google-Maps
Hospital General Universitario Gregorio Marañon; Servicio de Oncologia
28007 Madrid
SpainAktiv, nicht rekrutierend» Google-Maps
Hospital Universitario Virgen del Rocio; Servicio de Oncologia
41013 Sevilla
SpainAktiv, nicht rekrutierend» Google-Maps
Sahlgrenska University Hospital; Sahlgrenska Clinical Trial unit / Department of Oncology
413 45 Göteborg
SwedenRekrutierend» Google-Maps
Universitätsspital Basel; Oncology - Klinische Forschung
4031 Basel
SwitzerlandRekrutierend» Google-Maps
Inselspital Bern; Universitätsklinik für Medizinische Onkologie, Klinische Forschungseinheit
3010 Bern
SwitzerlandRekrutierend» Google-Maps
National Cheng Kung University Hospital; Internal Medicine
70403 North Dist.
TaiwanRekrutierend» Google-Maps
Taichung Veterans General Hospital; Dept of Internal Medicine
407 Taichung
TaiwanRekrutierend» Google-Maps
National Taiwan Uni Hospital; Internal Medicine
100 Taipei
TaiwanRekrutierend» Google-Maps
Chang Gung Medical Foundation - Linkou; Chest Dept
333 Taoyuan
TaiwanRekrutierend» Google-Maps
Adana City Hospital, Medical Oncology
01060 Adana
TurkeyZurückgezogen» Google-Maps
Ankara Bilkent City Hospital
06490 Ankara
TurkeyZurückgezogen» Google-Maps
Koc University Hospital; Oncology
Istanbul
TurkeyZurückgezogen» Google-Maps
Beatson West of Scotland Cancer Centre
G12 0YN Glasgow
United KingdomRekrutierend» Google-Maps
Barts & London School of Med; Medical Oncology
EC1A 7BE London
United KingdomRekrutierend» Google-Maps
Alle anzeigen

Studien-Informationen

Brief Summary:

The purpose of this study is to evaluate the safety, pharmacokinetics (PK), and activity of

divarasib combined with other anti-cancer therapies in participants with previously

untreated, advanced or metastatic non-small cell lung cancer (NSCLC).

Ein-/Ausschlusskriterien

Inclusion Criteria:

- Confirmation of Biomarker eligibility

- Pre-treatment tumor tissue along with an associated pathology report is required for

all participants enrolled on study. Representative tumor specimens must be in

formalin-fixed, paraffin embedded (FFPE) blocks (preferred) or 15 unstained, freshly

cut, serial slides. Although 15 slides are required, if only 10 slides are available,

the participant may be eligible for the study following consultation with the Sponsor.

- Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1

- Histologically or cytologically documented locally advanced unresectable or metastatic

NSCLC that is not eligible for curative surgery and/or definitive chemoradiotherapy

- No prior systemic treatment for advanced unresectable or metastatic NSCLC

- Measurable disease, as defined by Response Evaluation Criteria in Solid Tumors

(RECIST) v1.1

Exclusion Criteria:

- Known concomitant second oncogenic driver with available targeted treatment

- Squamous cell histology NSCLC

- Symptomatic, untreated, or actively progressing central nervous system (CNS)

metastases

- Prior treatment with a KRAS G12C inhibitor

- Known hypersensitivity to any of the components of divarasib or pembrolizumab; or

known hypersensitivity to pemetrexed, carboplatin, or cisplatin (Cohort B only)

- History of idiopathic pulmonary fibrosis, organizing pneumonia (e.g., bronchiolitis

obliterans), drug-induced pneumonitis, or idiopathic pneumonitis, or evidence of

active pneumonitis, active tuberculosis, significant cardiovascular disease within 3

months prior to initiation of study treatment

- History of malignancy other than NSCLC within 5 years prior to initiation of study

treatment, with the exception of malignancies with a negligible risk of metastasis or

death (e.g., 5-year OS rate more >90%), such as adequately treated carcinoma in situ

of the cervix, non-melanoma skin carcinoma, localized prostate cancer, ductal breast

carcinoma in situ, or Stage I uterine cancer

- Uncontrolled tumor related pain, pleural effusion, pericardial effusion, or ascites

requiring recurrent drainage procedures, uncontrolled or symptomatic hypercalcemia

Studien-Rationale

Primary outcome:

1. Percentage of Participants with Adverse Events (AEs) (Time Frame - Baseline until 60 days after the final dose of study treatment or until initiation of another anti-cancer therapy, whichever occurs first (up to approximately 3 years))



Secondary outcome:

1. Objective Response Rate (ORR) (Time Frame - Up to approximately 3 years):
The percentage of participants who experience a complete response or partial response, as determined by the investigator, according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1

2. Duration of Response (DOR) (Time Frame - Up to approximately 3 years):
The time from the first occurrence of a documented objective response to disease progression or death from any cause (whichever occurs first), as determined by the investigator according to RECIST v1.1

3. Progression Free Survival (PFS) (Time Frame - Up to approximately 3 years):
The time from randomization, or date of first treatment for participants enrolled prior to the expansion stage, to the first occurrence of disease progression or death from any cause during the study (whichever occurs first), as determined by the investigator according to RECIST v1.1

4. Number of Participants Reporting Presence, Frequency, Severity, and/or Degree of Interference with Daily Function of Symptomatic Side Effects as Assessed Through the Patient-Reported Outcomes Common Terminology Criteria for Adverse Events (PRO-CTCAE) (Time Frame - Up to approximately 3 years)

5. Change from Baseline in Symptomatic Side Effects, as Assessed Through use of the PRO-CTCAE (Time Frame - Baseline up to approximately 3 years)

6. Percentage of Participants Reporting "Frequent" or "Almost Constant" Diarrhea During the First Three Cycles of Treatment According to the PRO-CTCAE Criteria (Time Frame - Up to approximately 3 years)

7. Percentage of Participants Reporting "Severe" or "Very Severe" Nausea or Vomiting During the First Three Cycles of Treatment According to the PRO-CTCAE (Time Frame - Up to approximately 3 years)

8. Frequency of Participant's Response of the Degree they are Troubled with Treatment Symptoms, as Assessed Through use of the Single-item European Organisation for Research and Treatment of Cancer (EORTC) Item List 46 (IL46) (Time Frame - Up to approximately 3 years)

9. Plasma Concentration of Divarasib at Specified Timepoints (Time Frame - At Days 1, 8 and 15 of Cycles 1 and 2; Days 1 and 15 of Cycles 3 and 4; Day 1 of every other Cycle after Cycle 5, until treatment discontinuation (up to approximately 3 years). Each cycle is 21 days.)

10. Identification of Divarasib Recommended Dose (Time Frame - Up to approximately 3 years):
The recommended dose will be based upon the totality of safety, activity, and PK data.

Studien-Arme

  • Experimental: Cohort A - Combination Dose Finding + Dose Expansion
    Participants enrolled in this cohort will receive divarasib (different dose levels will be evaluated) once a day (QD) combined with pembrolizumab 200 mg intravenous (IV) infusion every 3 weeks (Q3W). During the expansion stage, some participants are planned to be randomized to one divarasib combination dose level; other participants are planned to be randomized to another divarasib combination dose level. Divarasib will be given in combination with pembrolizumab.
  • Experimental: Cohort B - Combination Dose Finding + Dose Expansion
    Participants enrolled in this cohort will receive divarasib (different dose levels will be evaluated) QD combined with pembrolizumab 200 mg IV Q3W plus investigator's choice of platinum-based chemotherapy (carboplatin or cisplatin) and pemetrexed.

Geprüfte Regime

  • Divarasib:
    Participants will receive one of two doses of divarasib orally (PO), QD on days 1-21 of each 21-day cycle.
  • Pembrolizumab:
    Participants will receive a 200 mg IV infusion of pembrolizumab Q3W on Day 1 of each 21-day cycle.
  • Carboplatin:
    Participants will receive IV carboplatin Q3W for four 21-day cycles.
  • Cisplatin:
    Participants will receive IV cisplatin Q3W for four 21-day cycles.
  • Pemetrexed:
    Participants will receive IV pemetrexed Q3W.

Quelle: ClinicalTrials.gov


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