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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04538664
Registration number
NCT04538664
Ethics application status
Date submitted
31/08/2020
Date registered
4/09/2020
Titles & IDs
Public title
A Study of Combination Amivantamab and Carboplatin-Pemetrexed Therapy, Compared With Carboplatin-Pemetrexed, in Participants With Advanced or Metastatic Non-Small Cell Lung Cancer Characterized by Epidermal Growth Factor Receptor (EGFR) Exon 20 Insertions
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Scientific title
A Randomized, Open-label Phase 3 Study of Combination Amivantamab and Carboplatin-Pemetrexed Therapy, Compared With Carboplatin-Pemetrexed, in Patients With EGFR Exon 20ins Mutated Locally Advanced or Metastatic Non-Small Cell Lung Cancer
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Secondary ID [1]
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2020-000633-40
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Secondary ID [2]
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CR108850
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Universal Trial Number (UTN)
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Trial acronym
PAPILLON
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Carcinoma, Non-Small-Cell Lung
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Condition category
Condition code
Cancer
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Lung - Non small cell
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Intervention/exposure
Study type
Interventional(has expanded access)
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Description of intervention(s) / exposure
Treatment: Drugs - Amivantamab
Treatment: Drugs - Pemetrexed
Treatment: Drugs - Carboplatin
Treatment: Drugs - Pemetrexed
Experimental: Arm A: Amivantamab + Chemotherapy - Participants will receive pemetrexed 500 milligram per meter square (mg/m\^2) intravenous (IV) infusion (with vitamin supplementation) on Day 1 of each 21-day cycle, in combination with carboplatin for up to 4 cycles, and then as maintenance monotherapy until disease progression. Carboplatin area under the concentration-time curve 5 milligram per milliliter (mg/mL) per minute (AUC 5) will be administered as IV infusion on Day 1 of each 21 day cycle, for up to 4 cycles. Participants will receive amivantamab 1400 mg (1750 mg if body weight is \>=80 kilogram \[kg\]) by IV infusion once weekly up to Cycle 2 Day 1, then 1750 mg (2100 mg if body weight is \>=80 kg) on Day 1 of each 21-day cycle, starting with Cycle 3. Following the primary analysis for efficacy, the study will transition to an OLE phase and participants will continue to receive the amivantamab plus chemotherapy in OLE phase. Participants who completed OLE period will enter LTE period and continue to receive same treatment.
Experimental: Arm B: Chemotherapy Alone - Participants will receive pemetrexed 500 mg/m\^2 IV infusion (with vitamin supplementation) on Day 1 of each 21-day cycle, in combination with carboplatin for up to 4 cycles, and then as maintenance monotherapy until disease progression. Carboplatin AUC 5 IV infusion will be administered on Day 1 of each 21-day cycle for up to 4 cycles. Following the primary analysis for efficacy, the study will transition to an OLE phase and participants will either continue to receive the chemotherapy or cross over to amivantamab in OLE phase. Participants who completed OLE period will enter LTE period and continue to receive same treatment.
Treatment: Drugs: Amivantamab
Amivantamab will be administered as an IV infusion at a dose of 1400 mg (1750 mg if body weight is \>=80 kilogram \[kg\]) by once weekly up to Cycle 2 Day 1, then 1750 mg (2100 mg if body weight is \>=80 kg) on Day 1 of each 21-day cycle, starting with Cycle 3 and will continue the same treatment in OLE phase then in LTE phase.
Treatment: Drugs: Pemetrexed
Pemetrexed will be administered as 500 mg/m\^2 IV infusion (with vitamin supplementation) on Day 1 of each 21-day cycle and then as maintenance monotherapy until disease progression in Arm A and will continue the same treatment in OLE phase then in LTE phase.
Treatment: Drugs: Carboplatin
Carboplatin will be administered as AUC 5 IV infusion for up to 4 cycles on Day 1 of each 21-day cycle.
Treatment: Drugs: Pemetrexed
Pemetrexed will be administered as 500 mg/m\^2 IV infusion (with vitamin supplementation) on Day 1 of each 21-day cycle and then as maintenance monotherapy until disease progression in Arm B and will continue the same treatment in OLE phase then in LTE phase.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Progression-Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 as Assessed by Blinded Independent Central Review (BICR)
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Assessment method [1]
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PFS was defined as the time from randomization until the date of objective disease progression based on BICR using RECIST version 1.1 or death (by any cause) in the absence of progression, whichever came first. Participants who have not progressed or have not died at the time of analysis were censored at the time of the latest date of their last evaluable RECIST version 1.1 assessment. Pharmacodynamic: Sum of diameters increased by greater than or equal to (\>=)20 percent (%) and \>=5 millimeter (mm) from nadir (including baseline if it was smallest sum).
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Timepoint [1]
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From randomization to either disease progression or death whichever occurs first (up to 29 months)
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Secondary outcome [1]
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Objective Response Rate (ORR)
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Assessment method [1]
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Timepoint [1]
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Up to 5 years 3 months
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Secondary outcome [2]
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Duration of Response (DoR)
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Assessment method [2]
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Timepoint [2]
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Up to 5 years 3 months
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Secondary outcome [3]
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Overall Survival (OS)
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Assessment method [3]
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Timepoint [3]
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Up to 5 years 3 months
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Secondary outcome [4]
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Time to Subsequent Therapy (TST)
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Assessment method [4]
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Timepoint [4]
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Up to 5 years 3 months
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Secondary outcome [5]
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Progression-Free Survival After First Subsequent Therapy (PFS2)
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Assessment method [5]
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Timepoint [5]
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Up to 5 years 3 months
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Secondary outcome [6]
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Time to Symptomatic Progression (TTSP)
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Assessment method [6]
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Timepoint [6]
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Up to 5 years 3 months
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Secondary outcome [7]
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Number of Participants Treatment-emergent Adverse Events (TEAEs)
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Assessment method [7]
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Timepoint [7]
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From Day 1 to 5 years 2 months
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Secondary outcome [8]
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Number of Participants TEAEs With Severity
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Assessment method [8]
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Timepoint [8]
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From Day 1 to 5 years 2 months
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Secondary outcome [9]
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Number of Participants With Clinical Laboratory Abnormalities
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Assessment method [9]
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Timepoint [9]
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Up to 5 years 3 months
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Secondary outcome [10]
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Number of Participants With Vital Signs Abnormalities
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Assessment method [10]
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Timepoint [10]
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Up to 5 years 3 months
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Secondary outcome [11]
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Number of Participants With Physical Examination Abnormalities
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Assessment method [11]
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Timepoint [11]
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Up to 5 years 3 months
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Secondary outcome [12]
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Serum Concentration of Amivantamab
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Assessment method [12]
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Timepoint [12]
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Day 1 (Cycles 1, 2, 3, 5, 7, 9, 11, 13), Day 2 (Cycle 1)
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Secondary outcome [13]
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Number of Participants With Anti-Amivantamab Antibodies
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Assessment method [13]
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Timepoint [13]
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Day 1 (Cycles 1, 2, 3, 5, 7, 9, 11, 13), Day 2 (Cycle 1)
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Secondary outcome [14]
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Change From Baseline in European Organization of Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC-QLQ-C30)
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Assessment method [14]
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Timepoint [14]
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From baseline to 5 years 3 months
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Secondary outcome [15]
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Change From Baseline in Patient Reported Outcomes Measurement Information System-Physical Function (PROMIS-PF)
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Assessment method [15]
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Timepoint [15]
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From baseline to 5 years 3 months
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Eligibility
Key inclusion criteria
* Participant must have histologically or cytologically confirmed, locally advanced or metastatic, nonsquamous non-small cell lung cancer (NSCLC) with documented primary epidermal growth factor receptor (EGFR) Exon 20ins activating mutation
* Participant must have measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
* Participant must have Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
* Participant must agree to genetic characterization of tumor status through the required pretreatment tumor biopsy (or submission of equivalent archival material), as well as baseline and periodic blood samples for analysis of tumor mutations in the bloodstream
* A female participant of childbearing potential must have a negative serum or urine test at screening and within 72 hours of the first dose of study treatment and must agree to further serum or urine pregnancy tests during the study
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Participant has evidence of synchronous NSCLC disease (as suggested by genetic characterization or radiographic appearance)
* Participant has untreated brain metastases (a participant with definitively, locally treated metastases who is clinically stable, asymptomatic, and off corticosteroid treatment for at least 2 weeks prior to randomization is eligible)
* Participant has history of spinal cord compression that has not been treated definitively with surgery or radiation
* Participant has a medical history of interstitial lung disease (ILD), including drug-induced ILD, or radiation pneumonitis
* Participant has a contraindication to the use of carboplatin or pemetrexed (refer to local prescribing information for each agent). Participant has a history of hypersensitivity to, or cannot take, vitamin B12 or folic acid
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
13/10/2020
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
31/01/2026
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Actual
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Sample size
Target
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Accrual to date
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Final
308
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Chris O'Brien Lifehouse - Camperdown
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St George Hospital - Kogarah
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Cabrini Medical Centre - Malvern
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Recruitment hospital [4]
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Sir Charles Gairdner Hospital - Nedlands
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Recruitment postcode(s) [1]
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2050 - Camperdown
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2217 - Kogarah
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Recruitment postcode(s) [3]
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3144 - Malvern
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Recruitment postcode(s) [4]
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6009 - Nedlands
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Recruitment outside Australia
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United States of America
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California
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Japan
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Kashiwa
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Japan
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Kishiwada
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Japan
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Kobe
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Japan
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Kurashiki
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Japan
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Kurume
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Japan
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Matsusaka
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Japan
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State/province [106]
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Nagoya Shi
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Japan
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Nagoya-shi
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Japan
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Niigata
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Japan
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Osaka Sayama shi
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Japan
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Sagamihara
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Japan
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Sapporo-shi
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Japan
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Shiwa-gun
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Japan
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Shizuoka
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Japan
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Tokyo
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Japan
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Toon-shi
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Japan
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Wakayama
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Japan
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Yamaguchi
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Korea, Republic of
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Busan
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Korea, Republic of
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Gyeonggi-do
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Korea, Republic of
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Seongnam-si
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Korea, Republic of
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Seoul
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Malaysia
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George Town
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Malaysia
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Johor Bahru
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Malaysia
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Kuala Lumpur
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Mexico
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Ciudad de Mexico
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Mexico
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Guadalajara
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Mexico
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Mexico
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Mexico
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Monterrey
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Mexico
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Naucalpan
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Poland
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Bydgoszcz
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Poland
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Gdansk
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Poland
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Gdynia
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Olsztyn
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Poznan
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Poland
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Warszawa
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Portugal
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Lisboa
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Portugal
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Porto
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Portugal
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Vila Nova de Gaia
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Puerto Rico
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Rio Piedras
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Russian Federation
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Irkutsk
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Russian Federation
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Russian Federation
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Russian Federation
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Kuzmolovsky
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Russian Federation
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Moscow
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Russian Federation
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Nalchik
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Russian Federation
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Nizhniy Novgorod
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Russian Federation
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Saint Petersburg
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Russian Federation
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Saint-Petersburg
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Russian Federation
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St-Petersburg
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Russian Federation
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Tomsk
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Russian Federation
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Ufa
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Russian Federation
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Yaroslavl
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Spain
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A Coruna
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Spain
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Badalona
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Spain
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Barcelona
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Spain
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Burgos
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Spain
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Madrid
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Spain
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Majadahonda
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Spain
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Málaga
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Spain
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Pamplona
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Spain
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Seville
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Spain
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Zaragoza
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Taiwan
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Kaohsiung
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New Taipei
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Taiwan
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Taichung
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Taiwan
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Thailand
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Bangkok
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Thailand
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Songkla
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Adana
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Turkey
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Ankara
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Turkey
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Edirne
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Turkey
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Istanbul
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Turkey
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Izmir
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Ukraine
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Dnipro
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Ukraine
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Kyiv
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United Kingdom
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Edinburgh
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United Kingdom
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London
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United Kingdom
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Sutton
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Janssen Research & Development, LLC
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to compare the efficacy, as demonstrated by progression-free survival (PFS), in participants treated with amivantamab in combination with chemotherapy, versus chemotherapy alone in participants with locally advanced or metastatic non-small cell lung cancer (NSCLC) characterized by EGFR Exon 20ins mutations.
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Trial website
https://clinicaltrials.gov/study/NCT04538664
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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0
Janssen Research & Development, LLC Clinical Trial
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Address
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Janssen Research & Development, LLC
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Fax
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Contact person for public queries
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
The data sharing policy of the Janssen Pharmaceutical Companies of Johnson \& Johnson is available at www.janssen.com/clinical-trials/transparency.
As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu
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When will data be available (start and end dates)?
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Available to whom?
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Available for what types of analyses?
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How or where can data be obtained?
IPD available at link: https://www.janssen.com/clinical-trials/transparency
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What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/64/NCT04538664/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/64/NCT04538664/SAP_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04538664