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A Study of DZD9008 Versus Platinum-Based Doublet Chemotherapy in Local Advanced or Metastatic Non-small Cell Lung Cancer (WU-KONG28)

Phase 3
Recruiting
Conditions
Non-small Cell Lung Cancer
Interventions
Drug: Pemetrexed+carboplatin
Drug: DZD9008
Registration Number
NCT05668988
Lead Sponsor
Dizal Pharmaceuticals
Brief Summary

This is a phase 3, open-label, randomized, multi-center study assessing the efficacy and safety of DZD9008 versus platinum-based doublet chemotherapy in participants with locally advanced or metastatic NSCLC with EGFR Exon20ins mutation, who are newly diagnosed or have not received prior systemic therapy in advanced stage.

Primary objective of this study is to assess the efficacy of DZD9008 versus platinum-based doublet chemotherapy using by BICR-assessed PFS per RECIST 1.1 as primary endpoint. Approximately 320 participants are estimated to be randomized into the study. Participants enrolled will be randomized to DZD9008 or platinum-based doublet chemotherapy in a 1:1 manner, stratified by baseline brain metastasis (with/without).

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
320
Inclusion Criteria
  1. Aged at least 18 years old (or per local regulatory/IRB requirement).
  2. Histologically or cytologically confirmed diagnosis of non-squamous NSCLC, locally advanced (Stage IIIB and IIIC according to the 8th edition of the AJCC TNM staging criteria) or metastatic (Stage IV), not suitable for curative therapy.
  3. Adequate tumor tissue available, for central laboratory confirmation of EGFR exon 20 insertion mutation
  4. At least 1 measurable lesion per RECIST Version 1.1
  5. Life expectancy β‰₯ 12 weeks
  6. Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1
  7. Adequate organ and hematologic function
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Exclusion Criteria
  1. Prior treatment with any systemic anti-cancer therapy for locally advanced or metastatic NSCLC.
  2. Spinal cord compression or leptomeningeal metastasis.
  3. Concurrent EGFR mutations: exon 19 deletion, L858R, T790M, G719X, S768I, or L861Q.
  4. History of stroke or intracranial hemorrhage within 6 months before randomization.
  5. As judged by the investigator, any evidence of severe or uncontrolled systemic diseases, including uncontrolled hypertension and active bleeding diatheses (i.e., hemophilia and Von Willebrand disease).
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Platinum-based ChemotherapyPemetrexed+carboplatin-
DZD9008DZD9008-
Primary Outcome Measures
NameTimeMethod
Progression Free Survival (PFS) as assessed by Blinded Independent Central Review (BICR) per RECIST 1.1Up to approximately 34 months after the first participant is randomized
Secondary Outcome Measures
NameTimeMethod
Overall SurvivalUp to approximately 34 months after the first participant is randomized

Trial Locations

Locations (46)

WK28 Investigative Site

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Konya, Turkey

MD Anderson cancer center

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Houston, Texas, United States

Antwerpen University Hospital (UZA)

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Edegem, Antwerp, Belgium

University Hospital Gent- Drug Research Unit Ghent (D.R.U.G.)

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Ghent, Flanders, Belgium

Grand Hopital de Charleroi (GHdC) - Hopital Notre Dame

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Charleroi, Hainaut, Belgium

Beijing Cancer Hospital

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Beijing, China

Beijing Chest Hospital, Capital Medical University

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Beijing, China

Cancer Hospital of the Chinese Academy of Medical Sciences

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Beijing, China

Peking Union Medical College Hospital

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Beijing, China

Hunan Cancer Hospital

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Changsha, China

Chongqing Cancer Hospital

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Chongqing, China

West China Hospital of Sichuan University

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Chengdu, China

Army Medical Center of PLA

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Chongqing, China

Fujian Medical University Union Hospital

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Fuzhou, China

The First Affiliated Hospital Zhejiang University School of Medicine

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Hangzhou, China

Zhejiang Cancer Hospital

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Hangzhou, China

Anhui Provincial Hospital

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Hefei, China

The Affiliated Hospital of Inner Mongolia Medical University

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Hohhot, China

Shandong Cancer Hospital & Institution

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Jinan, China

The Second Affiliated Hospital of Nanchang University

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Nanchang, China

Guangxi Medical University Cancer Hospital

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Nanning, China

Shanghai Chest Hospital

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Shanghai, China

Shanghai Pulmonary Hospital

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Shanghai, China

ZhongShan Hospital Fudan University

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Shanghai, China

Taizhou Hospital of Zhejiang Province

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Taizhou, China

Tianjin Medical University Cancer Institute & Hospital

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Tianjin, China

Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science & Technology

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Wuhan, China

The First Affiliated Hospital of Xi 'an Jiaotong University

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Xi'an, China

The First Affiliated Hospital of Zhengzhou University

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Zhengzhou, China

Henan Cancer Hospital

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Zhengzhou, China

Fujian Cancer Hospital

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Fuzhou, China

Peking University Third Hospital

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Beijing, China

The First Affiliated Hospital of Guangzhou Medical University

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Guangzhou, China

The First Affiliated Hospital of Sun Yat-sen University

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Guangzhou, China

Harbin Medical University Cancer Hospital

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Ha'erbin, China

The First Affiliated Hospital of Anhui Medical University

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Hefei, China

Jilin Cancer Hospital

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Jilin, China

Central Hospital Affiliated to Shandong First Medical University

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Jinan, China

Yunnan Cancer Hospital

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Kunming, China

The First Hospital of China Medical University

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Shenyang, China

The Fourth Hospital of Hebei Medical University

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Shijiazhuang, China

Shanxi Provincial Cancer Hospital

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Taiyuan, China

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

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Wuhan, China

Yantai Yuhuangding Hospital

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Yantai, China

Jiangsu Cancer Hospital

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Nanjing, China

Jiangsu Provincial Hospital

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Nanjing, China

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