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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

Scroll for more (134 remaining)
Local Institution - 0136
🇺🇸Augusta, Georgia, United States

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