Recruiting PHASE3 Non-small Cell Lung Cancer

New treatment option for Non-small Cell Lung Cancer

Official title Study of Trastuzumab Deruxtecan, Pembrolizumab, and Platinum-based Chemotherapy in First-line HER2 Overexpressing Non-small Cell Lung Cancer

ClinicalTrials.gov ID: NCT06899126

What this study is testing

What is Trastuzumab Deruxtecan?

Trastuzumab Deruxtecan is an investigational medicine, given as an infusion into a vein, being studied as a potential treatment for non-small cell lung cancer.

Also referred to as T-DXd, ENHERTU®.

Plain-language explanation of the investigational treatment - it is being studied and is not an approved or proven therapy. The study team can confirm the details.

What it's testing
This clinical trial is designed to assess the efficacy and safety of trastuzumab deruxtecan (T-DXd; Enhertu®) in combination with pembrolizumab versus platinum-based chemotherapy in combination with pembrolizumab in participants with no prior therapy for locally advanced unresectable or metastatic non-squamous NSCLC, whose tumors have HER2-overexpressing and PD-L1 TPS \<50% without known AGA that have locally available therapies targeting their AGAs in first-line advanced/metastatic setting.
  • Phase 3: a large, late-stage study

A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.

Who can take part

Ages 18 and older

You may be able to join if

  • Sign and date the Tissue Screening ICF, prior to any Tissue Screening procedure. Sign and date the Main ICF, prior to the start of any trial-specific...
  • Adults ≥18 years of age on the day of signing the ICF. Follow local regulatory requirements if the legal age of consent for trial participation is...
  • Histologically documented non-squamous locally advanced unresectable or metastatic NSCLC and meets all of the following criteria: Has Stage IV NSCLC...
  • Has not been treated with systemic anticancer therapy for advanced or metastatic non-squamous NSCLC. Participants who received adjuvant or...
  • Any agent, including an ADC, containing a chemotherapeutic agent targeting topoisomerase I.

You likely can't join if

  • Has a medical history of MI within 6 months before randomization/enrollment or symptomatic CHF (NYHA Class II to Class IV). Participants with...
  • Has a QTc prolongation to \>480 ms based on the average of the Screening triplicate 12- lead ECG.
  • Has a history of (non-infectious) ILD/pneumonitis that required steroids, has current ILD/pneumonitis, or where suspected ILD/pneumonitis cannot be...
  • Has clinically severe pulmonary compromise resulting from intercurrent, pulmonary illnesses including, but not limited to:
  • Any underlying pulmonary disorder (eg, pulmonary emboli within 3 months of the trial randomization, severe asthma, severe COPD, restrictive lung...
  • Any auto immune, connective tissue, or inflammatory disorders with potential pulmonary involvement (eg, rheumatoid arthritis, Sjogren's syndrome...
See the full eligibility criteria
Who can join
  • Sign and date the Tissue Screening ICF, prior to any Tissue Screening procedure. Sign and date the Main ICF, prior to the start of any trial-specific qualification procedures. Sign and date the Optional PGx ICF...
  • Adults ≥18 years of age on the day of signing the ICF. Follow local regulatory requirements if the legal age of consent for trial participation is \>18 years old.
  • Histologically documented non-squamous locally advanced unresectable or metastatic NSCLC and meets all of the following criteria: Has Stage IV NSCLC disease or Stage IIIB or IIIC disease but is not a candidate for...
  • Has not been treated with systemic anticancer therapy for advanced or metastatic non-squamous NSCLC. Participants who received adjuvant or neoadjuvant therapy other than those listed below, including ICI (ie...
  • Any agent, including an ADC, containing a chemotherapeutic agent targeting topoisomerase I.
  • HER2-targeted antibody-based anticancer therapy.
  • Has adequate tumor tissue sample (not previously irradiated) available for assessment of HER2 and PD-L1 expression by central or Sponsor-specified laboratory. A new biopsy is required if the participant's most recent...
What rules you out
  • Has a medical history of MI within 6 months before randomization/enrollment or symptomatic CHF (NYHA Class II to Class IV). Participants with troponin levels above the ULN at Screening (as defined by the manufacturer)...
  • Has a QTc prolongation to \>480 ms based on the average of the Screening triplicate 12- lead ECG.
  • Has a history of (non-infectious) ILD/pneumonitis that required steroids, has current ILD/pneumonitis, or where suspected ILD/pneumonitis cannot be ruled out by imaging at Screening.
  • Has clinically severe pulmonary compromise resulting from intercurrent, pulmonary illnesses including, but not limited to:
  • Any underlying pulmonary disorder (eg, pulmonary emboli within 3 months of the trial randomization, severe asthma, severe COPD, restrictive lung disease, pleural effusion).
  • Any auto immune, connective tissue, or inflammatory disorders with potential pulmonary involvement (eg, rheumatoid arthritis, Sjogren's syndrome, sarcoidosis). Severe conditions are those defined as impacting daily...
  • Had a prior complete pneumonectomy.

The study team makes the final eligibility decision.

Where it's taking place

  • Anchorage, Alaska, United States
  • Fountain Valley, California, United States
  • Los Angeles, California, United States
  • Santa Rosa, California, United States
  • Bay Pines, Florida, United States
  • Boca Raton, Florida, United States
  • Fort Lauderdale, Florida, United States
  • Orange City, Florida, United States
  • Plantation, Florida, United States
  • Weston, Florida, United States
  • Atlanta, Georgia, United States
  • Honolulu, Hawaii, United States
  • Hinsdale, Illinois, United States
  • Boston, Massachusetts, United States
  • Rochester, Minnesota, United States
  • Kalispell, Montana, United States
  • Reno, Nevada, United States
  • Westbury, New York, United States
  • Pinehurst, North Carolina, United States
  • Wilson, North Carolina, United States

+ 165 more site(s).

Questions & answers

Do participants get paid in this trial?

This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.

Is it free to join, and do I need insurance?

Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.

How long does this study last?

The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.

Who can join this trial?

This study is enrolling all sexes, 18 years and older. The study team makes the final eligibility decision.

Where is this trial taking place?

Study sites include Anchorage, Alaska, United States; Fountain Valley, California, United States; Los Angeles, California, United States; Santa Rosa, California, United States; Bay Pines, Florida, United States; Boca Raton, Florida, United States and 179 more location(s). Enter your location above to see the nearest site and check your eligibility.

Explore other conditions

BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from ClinicalTrials.gov; the study team decides eligibility.