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A Study of Repotrectinib Versus Crizotinib in Participants With Locally Advanced or Metastatic Tyrosine Kinase Inhibitor (TKI)-naïve ROS1-positive Non-Small Cell Lung Cancer (NSCLC) (TRIDENT-3)

Phase 3
Recruiting
Conditions
Carcinoma, Non-Small-Cell Lung
Interventions
Registration Number
NCT06140836
Lead Sponsor
Bristol-Myers Squibb
Brief Summary

The purpose of this study is to evaluate the efficacy and safety of repotrectinib and crizotinib in participants with locally advanced or metastatic TKI-naïve ROS1-positive non-small cell lung cancer (NSCLC).

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
190
Inclusion Criteria
  • Participant has histologically or cytologically confirmed diagnosis of locally advanced or metastatic NSCLC
  • Participant has a ROS1 gene rearrangement/fusion as detected by a local test.
  • At least 1 measurable lesion according to RECIST v1.1, as assessed by the investigator.
  • Participants must not be exposed previously with TKIs that demonstrated activities in ROS1-positive NSCLC
  • Up to 1 prior line of systemic treatment for NSCLC is permitted
  • ECOG Performance Status ≤ 2
Exclusion Criteria
  • Symptomatic brain metastases or symptomatic leptomeningeal involvement.
  • 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.
  • Known tumor targetable co-mutations or rearrangements
  • Clinically significant cardiovascular disease (either active or within 6 months prior to enrollment)

Note: Other protocol-defined inclusion/exclusion criteria apply

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm BCrizotinib-
Arm ARepotrectinib-
Primary Outcome Measures
NameTimeMethod
Progression-free Survival (PFS) as per Blinded Independent Central Review (BICR) according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1Up to approximately 41 months
Secondary Outcome Measures
NameTimeMethod
Overall Survival (OS)Up to approximately 41 months
Overall Response Rate (ORR) as per BICR according to RECIST v1.1Up to approximately 41 months
ORR as per Investigator according to RECIST v1.1Up to approximately 41 months
Duration of Response (DOR) as per BICR according to RECIST v1.1Up to approximately 41 months
DOR as per Investigator according to RECIST v1.1Up to approximately 41 months
Time to Response (TTR) as per BICR according to RECIST v1.1Up to approximately 41 months
TTR as per Investigator according to RECIST v1.1Up to approximately 41 months
PFS as per Investigator according to RECIST v1.1Up to approximately 41 months
Time to intracranial progressions as per BICR according to RECIST v1.1Up to approximately 41 months
Number of participants with Adverse Events (AEs), Serious AEs (SAEs), AEs leading to study intervention discontinuation, and drug-related AEsUp to 30 days after last dose
Number of deathsUp to 30 days after last dose
Number of participants without at least a 3-point change in the Non-Small Cell Lung Cancer-Symptom Assessment Questionnaire (NSCLC-SAQ) total scoreUp to 30 days after last dose

Trial Locations

Locations (144)

Local Institution - 0136

🇺🇸

Augusta, Georgia, United States

Local Institution - 0221

🇺🇸

Des Moines, Iowa, United States

Massachusetts General Hospital

🇺🇸

Boston, Massachusetts, United States

Beth Israel Deaconess Medical Center

🇺🇸

Boston, Massachusetts, United States

Local Institution - 0217

🇺🇸

Brooklyn, New York, United States

Perlmutter Cancer Center at NYU Langone Hospital - Long Island

🇺🇸

Mineola, New York, United States

Laura and Isaac Perlmutter Cancer Center

🇺🇸

New York, New York, United States

SUNY Upstate Medical University

🇺🇸

Syracuse, New York, United States

Local Institution - 0214

🇺🇸

Tacoma, Washington, United States

Local Institution - 0061

🇺🇸

Milwaukee, Wisconsin, United States

Hospital Británico de Buenos Aires

🇦🇷

Ciudad autónoma de Buenos Aires, Buenos Aires, Argentina

Instituto Alexander Fleming

🇦🇷

Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina

Hospital Italiano de Buenos Aires

🇦🇷

ABB, Ciudad Autónoma De Buenos Aires, Argentina

Centro de Educación Médica e Investigaciones clínicas "Dr. Norberto Quirno" (CEMIC)

🇦🇷

Buenos Aires, Argentina

Instituto de Oncología Angel H. Roffo

🇦🇷

Buenos Aires, Argentina

Instituto Oncológico de Córdoba

🇦🇷

Córdoba, Argentina

Klinik Floridsdorf

🇦🇹

Wien, Austria

Hospital Luxemburgo

🇧🇷

Belo Horizonte, Minas Gerais, Brazil

Centro Gaucho Integrado De Oncologia, Hematologia, Ensino E Pesquisa

🇧🇷

Porto Alegre, Rio Grande Do Sul, Brazil

Hospital São Lucas da PUCRS

🇧🇷

Porto Alegre, Rio Grande Do Sul, Brazil

Fundação Pio XII - Hospital de Câncer de Barretos

🇧🇷

Barretos, São Paulo, Brazil

Hospital Sírio Libanês

🇧🇷

Sao Paulo, São Paulo, Brazil

Hospital Paulistano

🇧🇷

Sao Paulo, São Paulo, Brazil

Fundação Faculdade Regional de Medicina de São José do Rio Preto

🇧🇷

São José do Rio Preto, São Paulo, Brazil

Hospital São Lucas de Copacabana

🇧🇷

Rio de Janeiro, Brazil

Centro de Tratamento de Tumores Botafogo para Oncoclinicas Rio de Janeiro SA

🇧🇷

Rio de Janeiro, Brazil

Instituto D'Or de Pesquisa e Ensino (IDOR)

🇧🇷

São Paulo, Brazil

Sociedade Beneficente Israelita Brasileira Hospital Albert Einstein

🇧🇷

São Paulo, Brazil

Local Institution - 0002

🇨🇦

Toronto, Ontario, Canada

Local Institution - 0123

🇨🇦

Trois-Rivières, Quebec, Canada

Fundacion Arturo Lopez Perez (FALP)

🇨🇱

Santiago, Región Metropolitana De Santiago, Chile

Oncocentro Apys

🇨🇱

Viña del Mar, Valparaíso, Chile

Beijing Cancer hospital

🇨🇳

Beijing, Beijing, China

Army Medical Center of PLA

🇨🇳

Chongqing, Chongqing, China

Local Institution - 0192

🇨🇳

Fuzhou, Fujian, China

The First Affiliated hospital of Xiamen University

🇨🇳

Xiamen, Fujian, China

The First Affiliated Hospital of Guangzhou Medical University

🇨🇳

Guangzhou, Guangdong, China

The First Affiliated Hospital of Guangxi Medical University

🇨🇳

Nanning, Guangxi, China

Affiliated Cancer Hospital of Harbin Medical University

🇨🇳

Harbin, Heilongjiang, China

Henan Cancer Hospital

🇨🇳

Zhengzhou, Henan, China

Hubei Cancer Hospital

🇨🇳

Wuhan Shi, Hubei, China

Local Institution - 0203

🇨🇳

Wuhan, Hubei, China

Hunan Province People'S Hospital

🇨🇳

Changsha, Hunan, China

Local Institution - 0165

🇨🇳

Changsha, Hunan, China

Jiangsu Province Hospital Of Chinese Medicine

🇨🇳

Nanjing, Jiangsu, China

The First Affiliated Hospital of Nanchang University

🇨🇳

Nanchang, Jiangxi, China

Jilin Cancer Hospital

🇨🇳

Changchun, Jilin, China

The First Affiliated Hospital of Xi'an Jiaotong University

🇨🇳

Xi'an, Shaanxi, China

Shandong Cancer Hospital

🇨🇳

Jinan, Shandong, China

Local Institution - 0205

🇨🇳

Linyi, Shandong, China

Shanghai Chest Hospital

🇨🇳

Shanghai, Shanghai, China

Fudan University Shanghai Cancer Center

🇨🇳

Shanghai, Shanghai, China

Local Institution - 0170

🇨🇳

Chengdu, Sichuan, China

West China Hospital, Sichuan University

🇨🇳

Chengdu, Sichuan, China

Local Institution - 0204

🇨🇳

Kunming, Yunnan, China

Local Institution - 0206

🇨🇳

Hangzhou, Zhejiang, China

Zhejiang Cancer Hospital

🇨🇳

Hangzhou, Zhejiang, China

Nouvel Hôpital Civil (NHC)

🇫🇷

Strasbourg, Alsace, France

CHU Bordeaux Haut-Leveque

🇫🇷

Pessac, Aquitaine, France

Centre Georges François Leclerc

🇫🇷

Dijon, Côte-d'Or, France

CHU Charles Nicolle

🇫🇷

Rouen, Haute-Normandie, France

Chu Grenoble Alpes

🇫🇷

La Tronche, Isère, France

Hôpital Nord Guillaume-et-René-Laennec / CHU de Nantes

🇫🇷

Saint-Herblain, Loire-Atlantique, France

Centre Hospitalier Lyon Sud

🇫🇷

Pierre-Bénite, Rhône, France

Hopitaux Universitaires Paris Centre-Hopital Cochin

🇫🇷

Paris, France

Klinikum Esslingen

🇩🇪

Esslingen, Baden-Württemberg, Germany

Klinikum Würzburg Mitte

🇩🇪

Wuerzburg, Bayern, Germany

Pius Hospital Oldenburg

🇩🇪

Oldenburg, Niedersachsen, Germany

Evangelische Lungenklinik Berlin

🇩🇪

Berlin, Germany

Universitaetsklinikum Carl Gustav Carus Dresden

🇩🇪

Dresden, Germany

Asklepios Klinik Gauting GmbH

🇩🇪

Gauting, Germany

Lungenfachklinik Immenhausen

🇩🇪

Immenhausen, Germany

Universitaetsklinikum Koeln

🇩🇪

Köln, Germany

Marienhaus Klinikum Mainz

🇩🇪

Mainz, Germany

University Hospital of Patras

🇬🇷

Patras, Achaḯa, Greece

Thoracic General Hospital of Athens "I Sotiria"

🇬🇷

Athens, Attikí, Greece

Attikon General University Hospital

🇬🇷

Chaidari, Attikí, Greece

"Theagenio" Cancer Hospital of Thessaloniki

🇬🇷

Thessaloniki, Kentrikí Makedonía, Greece

Országos Korányi Pulmonológiai Intézet

🇭🇺

Budapest, Hungary

All India Institute of Medical Sciences

🇮🇳

New Delhi, Delhi, India

Rajiv Gandhi Cancer Institute And Research Centre

🇮🇳

New Delhi, Delhi, India

Hemato Oncology Clinic

🇮🇳

Ahmedabad, Gujarat, India

HCG Aastha Cancer Centre

🇮🇳

Ahmedabad, Gujarat, India

Local Institution - 0117

🇮🇳

Gurgaon, Haryana, India

Artemis hospital

🇮🇳

Gurugram, Haryana, India

Manipal Hospitals

🇮🇳

Bengaluru, Karnataka, India

Local Institution - 0219

🇮🇳

Thiruvananthapuram, Kerala, India

Local Institution - 0065

🇮🇳

Mumbai, Maharashtra, India

Local Institution - 0048

🇮🇳

Mumbai, Maharashtra, India

Grant Medical Foundation - Ruby Hall Clinic

🇮🇳

Pune, Maharashtra, India

Sahyadri Super Speciality Hospital

🇮🇳

Pune, Maharashtra, India

Local Institution - 0220

🇮🇳

Hyderabad, Telangana, India

Cro-Irccs

🇮🇹

Aviano, Friuli-Venezia Giulia, Italy

Fondazione IRCCS Istituto Nazionale dei Tumori

🇮🇹

Milan, Lombardia, Italy

Fondazione IRCCS San Gerardo dei Tintori

🇮🇹

Monza, Lombardia, Italy

A.O.R.N. Ospedale dei Colli - Monaldi V.

🇮🇹

Naples, Napoli, Italy

Istituto Nazionale Tumori Regina Elena

🇮🇹

Rome, Roma, Italy

Nagoya University Hospital

🇯🇵

Nagoya, Aichi, Japan

National Cancer Center Hospital East

🇯🇵

Kashiwa, Chiba, Japan

National Hospital Organization Shikoku Cancer Center

🇯🇵

Matsuyama, Ehime, Japan

Hokkaido University Hospital

🇯🇵

Sapporo, Hokkaido, Japan

Kanagawa cancer center

🇯🇵

Yokohama, Kanagawa, Japan

Sendai Kosei Hospital

🇯🇵

Sendai, Miyagi, Japan

Tokyo Metropolitan Komagome Hospital

🇯🇵

Bunkyo ku, Tokyo, Japan

Tottori University Hospital

🇯🇵

Yonago, Tottori, Japan

National Hospital Organization Kyushu Cancer Center

🇯🇵

Fukuoka, Japan

Osaka City General Hospital

🇯🇵

Osaka, Japan

Osaka International Cancer Institute

🇯🇵

Osaka, Japan

Tokyo Metropolitan Police Hospital

🇯🇵

Tokyo, Japan

Chungbuk National University Hospital

🇰🇷

Cheongju-si, Chungcheongbuk-do [Chungbuk], Korea, Republic of

Seoul National University Bundang Hospital

🇰🇷

Seongnam, Kyǒnggi-do, Korea, Republic of

Severance Hospital, Yonsei University Health System

🇰🇷

Seoul, Seoul-teukbyeolsi [Seoul], Korea, Republic of

Asan Medical Center

🇰🇷

Seoul, Seoul-teukbyeolsi [Seoul], Korea, Republic of

Samsung Medical Center

🇰🇷

Seoul, Seoul-teukbyeolsi [Seoul], Korea, Republic of

Local Institution - 0223

🇲🇾

Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Malaysia

Local Institution - 0237

🇲🇾

Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Malaysia

Local Institution - 0222

🇲🇾

Lembah Pantai, Wilayah Persekutuan Kuala Lumpur, Malaysia

Local Institution - 0226

🇲🇾

Lembah Pantai, Wilayah Persekutuan Kuala Lumpur, Malaysia

Local Institution - 0224

🇲🇾

Putrajaya, Wilayah Persekutuan Kuala Lumpur, Malaysia

Amsterdam UMC, locatie VUmc

🇳🇱

Amsterdam, Noord-Holland, Netherlands

Local Institution - 0215

🇳🇱

Groningen, Netherlands

Instytut Genetyki i Immunologii GENIM

🇵🇱

Lublin, Lubelskie, Poland

Warmińsko - Mazurskie Centrum Chorób Płuc w Olsztynie

🇵🇱

Olsztyn, Warmińsko-mazurskie, Poland

SC Memorial Healthcare International SRL

🇷🇴

Bucharest, București, Romania

Institutul Oncologic Bucuresti

🇷🇴

Bucharest, București, Romania

Centrul de Oncologie "Sfântul Nectarie"

🇷🇴

Craiova, Dolj, Romania

Institutul Oncologic Cluj

🇷🇴

Cluj, Romania

S.C. Centrul de Oncologie Euroclinic S.R.L.

🇷🇴

Iași, Romania

CHUAC-Hospital Teresa Herrera

🇪🇸

A Coruña, A Coruña [La Coruña], Spain

CHUS - Hospital Clinico Universitario

🇪🇸

Santiago de Compostela, A Coruña [La Coruña], Spain

Hospital Universitari Vall d'Hebron

🇪🇸

Barcelona, Barcelona [Barcelona], Spain

Hospital Universitario 12 de Octubre

🇪🇸

Madrid, Madrid, Comunidad De, Spain

Hospital Universitario Puerta de Hierro Majadahonda

🇪🇸

Majadahonda, Madrid, Comunidad De, Spain

H.R.U Málaga - Hospital General

🇪🇸

Málaga, Spain

Hospital Universitario Virgen Del Rocio

🇪🇸

Sevilla, Spain

Hospital Universitari i Politecnic La Fe

🇪🇸

València, Spain

Kantonspital Baden

🇨🇭

Baden, Aargau, Switzerland

Ankara Bilkent Şehir Hastanesi

🇹🇷

Yenimahalle, Ankara, Turkey

Adana Medical Park Seyhan Hastanesi

🇹🇷

Adana, Turkey

Sbü Gülhane Eğitim Ve Araştirma Hastanesi

🇹🇷

Ankara, Turkey

Medipol Mega Universite Hastanesi

🇹🇷

Istanbul, Turkey

T.C. Saglik Bakanligi Turkiye Kamu Hastaneleri Kurumu - Bakirkoy Dr. Sadi Konuk Egitim ve Arastirma Hastanesi

🇹🇷

Istanbul, Turkey

VM Medical Park Pendik Hospital

🇹🇷

Istanbul, Turkey

Sakarya Training and Research Hospital

🇹🇷

Sakarya, Turkey

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