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A Study Evaluating the Efficacy and Safety of Multiple Therapies in Cohorts of Participants With Locally Advanced, Unresectable, Stage III Non-Small Cell Lung Cancer (NSCLC)

Phase 3
Recruiting
Conditions
Non-Small Cell Lung Cancer
Interventions
Registration Number
NCT05170204
Lead Sponsor
Hoffmann-La Roche
Brief Summary

This study will evaluate the efficacy and safety of multiple therapies in participants with locally advanced, unresectable, Stage III NSCLC with eligible biomarker status as determined by Version 8 of the American Joint Committee on Cancer/Union for International Cancer Control NSCLC staging system.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
71
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Cohort A1: ALK-positive (durvalumab arm)DurvalumabParticipants will receive 1500 mg of intravenous (IV) durvalumab every 4 weeks until completion of treatment period (1 year) or until disease progression, unacceptable toxicity, patient or physician decision to discontinue, or death, whichever occurs first
Cohort A1: ALK-Positive (alectinib arm)AlectinibParticipants will receive alectinib 600 mg orally twice daily until completion of treatment period (3 years), or until disease progression, unacceptable toxicity, patient or physician decision to discontinue, or death, whichever occurs first
Cohort A2: ROS 1-positive (entrectinib arm)EntrectinibParticipants will receive entrectinib 600 mg orally once daily until completion of treatment period (3 years), or until disease progression, unacceptable toxicity, patient or physician decision to discontinue, or death, whichever occurs first. Cohort A2 has been closed to enrollment.
Cohort A2: ROS 1-positive (durvalumab arm)DurvalumabParticipants will receive 1500 mg of IV durvalumab every 4 weeks until completion of treatment period (1 year) or until disease progression, unacceptable toxicity, patient or physician decision to discontinue, or death, whichever occurs first Cohort A2 has been closed to enrollment.
Primary Outcome Measures
NameTimeMethod
Progression-free survival (PFS)From randomization to the first documented disease progression as determined by blinded independent central review (BICR) per Response Evaluation Criterial in Solid Tumors (RECIST) v1.1, or death from any cause, whichever occurs first (up to 3 years)
Secondary Outcome Measures
NameTimeMethod
Time to central nervous system (CNS) progressionFrom randomization to the first occurrence of disease progression in the CNS as determined by BICR per RECIST v1.1 (up to 3 years)
Distant metastasis-free survival (DMFS)From randomization to the first occurrence of distant metastasis or death (whichever occurs first) as determined by BICR per RECIST v1.1 (up to 3 years)
Objective response rate (ORR), defined as the percentage of participants with measurable disease who attain a complete response (CR) or partial response (PR) as determined by the investigator per RECIST v1.1Up to 3 years
PFSFrom randomization to the first documented disease progression as determined by the investigator per RECIST v1.1, or death from any cause, whichever occurs first (up to 3 years)
Duration of response (DOR)From the first documented CR or PR to the first documented disease progression or death (whichever occurs first) as determined by the investigator per RECIST v1.1 (up to 3 years)
ORR, defined as the percentage of participants with measurable disease who attain a CR or PR as determined by BICR per RECIST v1.1Up to 3 years
DORFrom the first documented CR or PR to the first documented disease progression or death (whichever occurs first) as determined by BICR per RECIST v1.1 (up to 3 years)
Overall survival (OS)From randomization to death from any cause (up to 5 years)
Time to CNS progressionFrom randomization to the first occurrence of disease progression in the CNS as determined by the investigator per RECIST v1.1 (up to 3 years)
Time-to-confirmed deterioration (TTCD)From randomization to the first deterioration of >/= 10 points that is either maintained for two consecutive assessments or followed by death from any cause within 3 weeks (up to 3 years)
Proportion of participants who have maintained or improved baseline health as measured by the European Organisation for the Research and Treatment of Cancer (EORTC) quality of life questionnaire (QLQ)-C30 physical functioning and role functioning scales5, 11, and 17 months
Proportion of participants who have maintained or improved from their baseline health in cough, chest pain, and dyspnea symptoms as measured using the EORTC QLQ-LC135, 11, and 17 months
Percentage of participants with adverse events (AEs)Up to 3 years

Trial Locations

Locations (179)

University of South Alabama

🇺🇸

Mobile, Alabama, United States

Southern California Kaiser Permanente

🇺🇸

Los Angeles, California, United States

Rocky Mountain Cancer Centers - Lone Tree

🇺🇸

Lone Tree, Colorado, United States

Mount Sinai Medical Center

🇺🇸

Miami Beach, Florida, United States

University Of Michigan

🇺🇸

Ann Arbor, Michigan, United States

Oregon Health Sciences Uni

🇺🇸

Portland, Oregon, United States

Northwest Cancer Specialists, P.C.

🇺🇸

Tigard, Oregon, United States

Hillman Cancer Center

🇺🇸

Pittsburgh, Pennsylvania, United States

Thompson Cancer Survival Center

🇺🇸

Knoxville, Tennessee, United States

Baptist Cancer Center

🇺🇸

Memphis, Tennessee, United States

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University of South Alabama
🇺🇸Mobile, Alabama, United States

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