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A Study Evaluating Sotorasib Platinum Doublet Combination Versus Pembrolizumab Platinum Doublet Combination as a Front-Line Therapy in Participants With Stage IV or Advanced Stage IIIB/C Nonsquamous Non-Small Cell Lung Cancers (CodeBreaK 202)

Primary Purpose

Non-Small Cell Lung Cancer (NSCLC)

Status
Not yet recruiting
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Sotorasib
Pembrolizumab
Sponsored by
Amgen
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Non-Small Cell Lung Cancer (NSCLC) focused on measuring Oncology, Lung Cancer, PD-L1, KRAS p.G12C, Sotorasib, Pembrolizumab, Carboplatin, Pemetrexed, CodeBreaK 202, NSCLC, PD-L1 Negative, AMG 510, LUMAKRAS ®, LUMYKRAS ®

Eligibility Criteria

18 Years - 100 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Histologically or cytologically confirmed diagnosis of nonsquamous stage IV or advanced Stage IIIB or IIIC NSCLC with KRAS p. G12C mutation and negative for PD-L1 expression by central testing or local laboratory testing confirmed through central testing No history of systemic anticancer therapy in metastatic/non-curable settings Eastern Cooperative Oncology Group (ECOG) ≤ 1 Exclusion Criteria: Mixed histology NSCLC with either small-cell or large-cell neuroendocrine cell component or predominant squamous cell histology Participants with tumors known to harbor molecular alterations for which targeted therapy is locally approved Symptomatic (treated or untreated) brain metastases Gastrointestinal (GI) tract disease causing the inability to take oral medication Myocardial infarction within 6 months of randomization, unstable arrhythmias, or unstable angina Prior therapy with a KRAS G12C inhibitor

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    Sotorasib combined with carboplatin and pemetrexed

    Pembrolizumab combined with carboplatin and pemetrexed

    Arm Description

    Sotorasib administered in combination with carboplatin and pemetrexed.

    Pembrolizumab administered in combination with carboplatin and pemetrexed.

    Outcomes

    Primary Outcome Measures

    Progression-free Survival (PFS)
    PFS is defined as the time from randomization until the first documentation of radiologic disease progression or death due to any cause, whichever occurs first. Progression will be based on Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, per Blinded Independent Central Review (BICR).

    Secondary Outcome Measures

    Objective Response Rate (ORR)
    Objective response is defined as the best overall response of complete response (CR) or partial response (PR), based on RECIST v1.1, per BICR.
    Overall Survival (OS)
    OS is defined as the time from randomization until death due to any cause.
    Change in Quality-of-Life Questionnaire Core 30 (QLQ-C30) Dyspnea Domain Score
    Change in Quality-of-Life Questionnaire Lung Cancer 13 (QLQ-LC13) Symptoms of Dyspnea Subscale
    Change in QLQ-LC13 Symptoms of Cough Subscale
    Change in QLQ-LC13 Symptoms of Chest Pain Subscale
    Change in Physical Function as Measured by QLQ-C30
    Change in Global Health Status as Measured by QLQ-C30
    Progression-free Survival 2 (PFS2)
    PFS2 is defined as the time from randomization to progression per investigator after initiation of new anticancer therapy or treatment beyond progression (ie, second progression) or death from any cause, whichever occurs first.
    Change in QLQ-LC13 Subscale Scores
    Change in QLQ-C30 Subscale Scores
    Time to Deterioration in QLC-LC13 Subscale Scores
    Time to Deterioration in QLC-C30 Subscale Scores
    Change in Summary Scores and Visual Analogue Scale (VAS) Scores
    Measured by EuroQol-5 Dimension (EQ-5D-5L).
    Duration of Response
    Duration of response is defined as the time from the first documentation of objective response until the first documentation of disease progression per BICR or death due to any cause, whichever occurs first.
    Time to Response
    Defined as the time from randomization to first evidence of PR or CR per BICR.
    Disease Control
    Defined as CR plus PR plus stable disease based on RECIST v1.1 per BICR.
    PFS
    Based on investigator tumor assessments per RECIST v1.1.
    Objective Response
    Based on investigator tumor assessments per RECIST v1.1.
    Number of Participants With Treatment-Emergent Adverse Events
    Number of Participants With Clinically Significant Changes in Vital Signs
    Number of Participants With Clinically Significant Changes in Clinical Laboratory Tests
    Maximum Plasma Concentration (Cmax) of Sotorasib
    Minimum Plasma Concentration (Cmin) of Sotorasib
    Area Under The Curve (AUC) of Sotorasib

    Full Information

    First Posted
    May 23, 2023
    Last Updated
    June 26, 2023
    Sponsor
    Amgen
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05920356
    Brief Title
    A Study Evaluating Sotorasib Platinum Doublet Combination Versus Pembrolizumab Platinum Doublet Combination as a Front-Line Therapy in Participants With Stage IV or Advanced Stage IIIB/C Nonsquamous Non-Small Cell Lung Cancers (CodeBreaK 202)
    Official Title
    A Phase 3, Multicenter, Randomized, Open-label Study Evaluating Efficacy of Sotorasib Platinum Doublet Combination Versus Pembrolizumab Platinum Doublet Combination as a Front-Line Therapy in Subjects With Stage IV or Advanced Stage IIIB/C Nonsquamous Non-Small Cell Lung Cancers, Negative for PD-L1, and Positive for KRAS p.G12C (CodeBreaK 202)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    June 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    September 5, 2023 (Anticipated)
    Primary Completion Date
    December 4, 2025 (Anticipated)
    Study Completion Date
    November 1, 2030 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Amgen

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    Yes
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    The primary objective of this study is to compare progression-free survival (PFS) in participants who receive sotorasib with platinum doublet chemotherapy versus participants who receive pembrolizumab with platinum doublet chemotherapy.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Non-Small Cell Lung Cancer (NSCLC)
    Keywords
    Oncology, Lung Cancer, PD-L1, KRAS p.G12C, Sotorasib, Pembrolizumab, Carboplatin, Pemetrexed, CodeBreaK 202, NSCLC, PD-L1 Negative, AMG 510, LUMAKRAS ®, LUMYKRAS ®

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    750 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Sotorasib combined with carboplatin and pemetrexed
    Arm Type
    Experimental
    Arm Description
    Sotorasib administered in combination with carboplatin and pemetrexed.
    Arm Title
    Pembrolizumab combined with carboplatin and pemetrexed
    Arm Type
    Active Comparator
    Arm Description
    Pembrolizumab administered in combination with carboplatin and pemetrexed.
    Intervention Type
    Drug
    Intervention Name(s)
    Sotorasib
    Other Intervention Name(s)
    AMG 510, LUMYKRAS ®, LUMAKRAS ®
    Intervention Description
    Oral administration
    Intervention Type
    Drug
    Intervention Name(s)
    Pembrolizumab
    Intervention Description
    Intravenous administration
    Primary Outcome Measure Information:
    Title
    Progression-free Survival (PFS)
    Description
    PFS is defined as the time from randomization until the first documentation of radiologic disease progression or death due to any cause, whichever occurs first. Progression will be based on Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, per Blinded Independent Central Review (BICR).
    Time Frame
    From Baseline up to end of study (EOS) (approximately 5.5 years)
    Secondary Outcome Measure Information:
    Title
    Objective Response Rate (ORR)
    Description
    Objective response is defined as the best overall response of complete response (CR) or partial response (PR), based on RECIST v1.1, per BICR.
    Time Frame
    From Baseline up to EOS (approximately 5.5 years)
    Title
    Overall Survival (OS)
    Description
    OS is defined as the time from randomization until death due to any cause.
    Time Frame
    From Baseline up to EOS (approximately 5.5 years)
    Title
    Change in Quality-of-Life Questionnaire Core 30 (QLQ-C30) Dyspnea Domain Score
    Time Frame
    From Baseline to Week 12
    Title
    Change in Quality-of-Life Questionnaire Lung Cancer 13 (QLQ-LC13) Symptoms of Dyspnea Subscale
    Time Frame
    From Baseline to Week 12
    Title
    Change in QLQ-LC13 Symptoms of Cough Subscale
    Time Frame
    From Baseline to Week 12
    Title
    Change in QLQ-LC13 Symptoms of Chest Pain Subscale
    Time Frame
    From Baseline to Week 12
    Title
    Change in Physical Function as Measured by QLQ-C30
    Time Frame
    From Baseline to Week 12
    Title
    Change in Global Health Status as Measured by QLQ-C30
    Time Frame
    From Baseline to Week 12
    Title
    Progression-free Survival 2 (PFS2)
    Description
    PFS2 is defined as the time from randomization to progression per investigator after initiation of new anticancer therapy or treatment beyond progression (ie, second progression) or death from any cause, whichever occurs first.
    Time Frame
    From Baseline up to EOS (approximately 5.5 years)
    Title
    Change in QLQ-LC13 Subscale Scores
    Time Frame
    From Baseline up to EOS (approximately 5.5 years)
    Title
    Change in QLQ-C30 Subscale Scores
    Time Frame
    From Baseline up to EOS (approximately 5.5 years)
    Title
    Time to Deterioration in QLC-LC13 Subscale Scores
    Time Frame
    From Baseline to Week 12
    Title
    Time to Deterioration in QLC-C30 Subscale Scores
    Time Frame
    From Baseline to Week 12
    Title
    Change in Summary Scores and Visual Analogue Scale (VAS) Scores
    Description
    Measured by EuroQol-5 Dimension (EQ-5D-5L).
    Time Frame
    From Baseline up to EOS (approximately 5.5 years)
    Title
    Duration of Response
    Description
    Duration of response is defined as the time from the first documentation of objective response until the first documentation of disease progression per BICR or death due to any cause, whichever occurs first.
    Time Frame
    From Baseline up to EOS (approximately 5.5 years)
    Title
    Time to Response
    Description
    Defined as the time from randomization to first evidence of PR or CR per BICR.
    Time Frame
    From Baseline up to EOS (approximately 5.5 years)
    Title
    Disease Control
    Description
    Defined as CR plus PR plus stable disease based on RECIST v1.1 per BICR.
    Time Frame
    From Baseline up to EOS (approximately 5.5 years)
    Title
    PFS
    Description
    Based on investigator tumor assessments per RECIST v1.1.
    Time Frame
    From Baseline up to EOS (approximately 5.5 years)
    Title
    Objective Response
    Description
    Based on investigator tumor assessments per RECIST v1.1.
    Time Frame
    From Baseline up to EOS (approximately 5.5 years)
    Title
    Number of Participants With Treatment-Emergent Adverse Events
    Time Frame
    From Baseline up to EOS (approximately 5.5 years)
    Title
    Number of Participants With Clinically Significant Changes in Vital Signs
    Time Frame
    From Baseline up to EOS (approximately 5.5 years)
    Title
    Number of Participants With Clinically Significant Changes in Clinical Laboratory Tests
    Time Frame
    From Baseline up to EOS (approximately 5.5 years)
    Title
    Maximum Plasma Concentration (Cmax) of Sotorasib
    Time Frame
    Pre-dose Day 1 up to Day 64
    Title
    Minimum Plasma Concentration (Cmin) of Sotorasib
    Time Frame
    Pre-dose Day 1 up to Day 64
    Title
    Area Under The Curve (AUC) of Sotorasib
    Time Frame
    Pre-dose Day 1 up to Day 64

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    100 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Histologically or cytologically confirmed diagnosis of nonsquamous stage IV or advanced Stage IIIB or IIIC NSCLC with KRAS p. G12C mutation and negative for PD-L1 expression by central testing or local laboratory testing confirmed through central testing No history of systemic anticancer therapy in metastatic/non-curable settings Eastern Cooperative Oncology Group (ECOG) ≤ 1 Exclusion Criteria: Mixed histology NSCLC with either small-cell or large-cell neuroendocrine cell component or predominant squamous cell histology Participants with tumors known to harbor molecular alterations for which targeted therapy is locally approved Symptomatic (treated or untreated) brain metastases Gastrointestinal (GI) tract disease causing the inability to take oral medication Myocardial infarction within 6 months of randomization, unstable arrhythmias, or unstable angina Prior therapy with a KRAS G12C inhibitor
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Amgen Call Center
    Phone
    866-572-6436
    Email
    medinfo@amgen.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    MD
    Organizational Affiliation
    Amgen
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Plan to Share IPD
    Yes
    IPD Sharing Plan Description
    De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request
    IPD Sharing Time Frame
    Data sharing requests relating to this study will be considered beginning 18 months after the study has ended and either 1) the product and indication have been granted marketing authorization in both the US and Europe or 2) clinical development for the product and/or indication discontinues and the data will not be submitted to regulatory authorities. There is no end date for eligibility to submit a data sharing request for this study.
    IPD Sharing Access Criteria
    Qualified researchers may submit a request containing the research objectives, the Amgen product(s) and Amgen study/studies in scope, endpoints/outcomes of interest, statistical analysis plan, data requirements, publication plan, and qualifications of the researcher(s). In general, Amgen does not grant external requests for individual patient data for the purpose of re-evaluating safety and efficacy issues already addressed in the product labelling. Requests are reviewed by a committee of internal advisors. If not approved, a Data Sharing Independent Review Panel will arbitrate and make the final decision. Upon approval, information necessary to address the research question will be provided under the terms of a data sharing agreement. This may include anonymized individual patient data and/or available supporting documents, containing fragments of analysis code where provided in analysis specifications. Further details are available at the URL below.
    IPD Sharing URL
    http://www.amgen.com/datasharing
    Links:
    URL
    http://www.amgentrials.com
    Description
    AmgenTrials clinical trials website

    Learn more about this trial

    A Study Evaluating Sotorasib Platinum Doublet Combination Versus Pembrolizumab Platinum Doublet Combination as a Front-Line Therapy in Participants With Stage IV or Advanced Stage IIIB/C Nonsquamous Non-Small Cell Lung Cancers (CodeBreaK 202)

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