Study of Sacituzumab Govitecan (SG) Versus Docetaxel in Participants With Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC) (EVOKE-01)
Non-Small Cell Lung Cancer

About this trial
This is an interventional treatment trial for Non-Small Cell Lung Cancer
Eligibility Criteria
Key Inclusion Criteria:
- Pathologically documented non-small cell lung cancer (NSCLC) with documented evidence of Stage 4 NSCLC disease at the time of enrollment (based on the American Joint Committee on Cancer, Eighth Edition).
- Testing for epidermal growth factor receptor (EGFR), anaplastic lymphoma kinase (ALK), and programmed death ligand 1 (PD-L1) is required. Testing for other actionable genomic alterations is recommended and to be performed as per local standard of care and availability of targeted treatment.
Must have progressed after platinum-based chemotherapy in combination with anti-PD-L1 antibody OR platinum-based chemotherapy and anti-PD-L1 antibody (in either order) sequentially.
- No additional treatments are allowed in the recurrent/metastatic setting for individuals with no actionable genomic alterations.
- Individuals with EGFR, ALK, or any other known actionable genomic alterations must have also received treatment with at least 1 approved tyrosine kinase inhibitor 1(TKI) appropriate to the genomic alteration.
- Documented radiographic disease progression while on or after receiving the most recent treatment regimen for advanced or metastatic NSCLC.
- Measurable disease based on computed tomography (CT) or magnetic resonance imaging (MRI) as assessed by the investigator in accordance with per RECIST Version 1.1.
- Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1.
- Adequate hematologic counts without transfusional or growth factor support within 2 weeks of study drug initiation (hemoglobin ≥ 9 g/dL, absolute neutrophil count ≥ 1500/mm^3, and platelets ≥ 100,000/μL).
- Adequate hepatic function (bilirubin ≤ 1.5 x upper limit of normal (ULN), aspartate aminotransferase and alanine aminotransferase ≤ 2.5 ULN or ≤ 5 x ULN if known liver metastases, and serum albumin > 3 g/dL).
- Creatinine clearance of at least 30 mL/min as assessed by the Cockcroft-Gault equation.
- Male individuals and female individuals of childbearing potential who engage in heterosexual intercourse must agree to use protocol-specified method(s) of contraception.
Key Exclusion Criteria:
- Mixed small-cell lung cancer and NSCLC histology.
- Positive serum pregnancy test or women who are lactating.
- Received a prior anticancer biologic agent within 4 weeks prior to enrollment or have received prior chemotherapy, targeted small molecule therapy, or radiation therapy within 2 weeks prior to enrollment and have not recovered (ie, > Grade 2 is considered not recovered) from adverse events (AEs) at the time of study entry. Individuals participating in observational studies are eligible.
- Have not recovered (ie, > Grade 2 is considered not recovered) from AEs due to a previously administered agent.
Previously received treatment with any of the following:
- Topoisomerase 1 inhibitors. Any agent including an antibody-drug conjugate (ADC) containing a chemotherapeutic agent targeting topoisomerase 1
- Trop-2-targeted therapy
- Docetaxel as monotherapy or in combination with other agents
- Active second malignancy
- NSCLC that is eligible for definitive local therapy alone.
- Clinically severe pulmonary compromise resulting from intercurrent pulmonary illnesses including, but not limited to, any underlying pulmonary disorder (ie, pulmonary emboli within 3 months of enrollment, severe asthma, severe chronic obstructive pulmonary disease, restrictive lung disease, pleural effusion, etc); any autoimmune, connective tissue, or inflammatory disorders with pulmonary involvement (ie, rheumatoid arthritis, Sjogren syndrome, sarcoidosis, etc); or prior pneumonectomy.
- Known active central nervous system (CNS) metastases and/or carcinomatous meningitis.
- Active cardiac disease
- Active chronic inflammatory bowel disease (ulcerative colitis, Crohn's disease) or gastrointestinal perforation within 6 months of enrollment.
- Active serious infection requiring antibiotics.
- Positive HIV-1 or HIV-2 antibody with detectable viral load OR taking medications that may interfere with SN-38 metabolism.
- Positive for hepatitis B surface antigen. Individuals who test positive for hepatitis B core antibody will require hepatitis B virus DNA by quantitative polymerase chain reaction for confirmation of active disease.
- Positive hepatitis C antibody and detectable hepatitis C viral load.
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Sites / Locations
- Alaska Oncology and Hematology, LLC.
- USOR - Arizona Oncology Associates Tucson - Wilmot
- Beverly Hills Cancer Center
- Rocky Mountain Cancer Centers - Aurora
- Florida Cancer Specialists (Administration and Drug Shipment)
- Woodlands Medical Specialists, PA
- Florida Cancer Specialists
- Florida Cancer Specialists
- University of Chicago Medical Center
- Illinois Cancer Specialists
- Siouxland Regional Cancer Center dba June E. Nylen Cancer Center
- Kansas City VA Medical Center
- Baptist Health Lexington
- Maryland Oncology Hematology, P.A.
- Lahey Hospital & Medical Center
- Park Nicollet Frauenshuh Cancer Center
- Nebraska Hematology - Oncology
- Comprehensive Cancer Centers of Nevada
- Broome Oncology, LLC
- Stony Brook Cancer Center
- Levine Cancer Institute
- FirstHealth Outpatient Cancer Center
- W.G (Bill) Hefner VAMC
- Zangmeister Cancer Center
- Tennessee Oncology, PLLC
- Baptist Clinical Research Institute
- Texas Oncology - Bedford
- Texas Oncology - Denison
- Texas Oncology - Denton South
- Texas Oncology Cancer Care and Research Center
- USOR - Texas Oncology - McKinney
- Texas Oncology - Paris
- Texas Oncology-Plano East
- Texas Oncology-Plano West
- Shenandoah Oncology Associates, PC
- University of Wisconsin Clinical Science Center
- Froedtert Hospital/Medical College of Wisconsin
- Border Medical Oncology Research Unit
- Southern Highlands Cancer Centre
- St Vincent's Public Hospital
- Sunshine Coast University Private Hospital
- Gallipoli Medical Research Foundation
- Flinders Medical centre
- Icon Cancer Centre
- Box Hill Hospital
- Monash Health
- Peninsula & South Eastern Haematology and Oncology Group
- Joondalup Health Campus
- ir Charles Gairdner Hospital
- Medizinische Universität Innsbruck, Medizinische Universitat Innsbruck, Universitatsklinik fur Innere Medizin V, Hamatologie und Onkolgie
- Muellner Hauptstrabe 48
- zuniklinikum Salzburg, Landeskrankenhaus, Universitatsklinik fur Innere Medizin III der PMU
- Klinik Floridsdorf, Karl Landsteiner Institute fur Lungenforschung und Pneumologische onkologie (LFPO) Abteilung Fur Innere Medizin un Pneumologie
- Algemeen Ziekenhuis Klina
- Cliniques Universitaires Saint-Luc
- Universitair Ziekenhuis Antwerpen
- Algemeen Ziekenhuis Sint-Lucas
- Az Maria Middelares Ghent
- CHU Ambroise Pare
- CRIO - Centro Regional Integrado de Oncologia
- ONCOSITE - Centro de Pesquisa Clinica em Oncologia
- Catatina Pesquisa Clinica - Clinica de Neoplasias Litoral
- Centro de Pesquisas Clinicas da Fundacao Doutor Amaral Carvalho
- Hospital de Clínicas de Porto Alegre - HCPA
- Centro Gaucho Integrado de Oncologia, Hematologia, Ensino e Pesquisa
- Instituto do Câncer do Estado de São Paulo "Octavio Frias de Oliveira" - ICESP
- Nucleo de Pesquisa da Rede Sao Camilo-Instituto Brasileiro de controle do cancer-IBC
- A Beneficência Portuguesa de São Paulo
- Royal Victoria Regional Health Centre
- William Osler Health System-Brampton Civic Hospital
- McGill University Health Centre
- Required Centre Hospitalier Regional de Rimouski
- Windsor Regional Hospital Cancer Program
- Institut Sainte Catherine
- Centre Hospitalier de la Côte Basque
- APHP-Hopital Ambroise-Pare
- CHU de CAEN
- Centre Francois Baclesse
- Centre Hospitalier de Chauny
- CHU-Hopital Gabriel Montpied
- Centre Hospitalier Intercommunal de Creteil
- Centre Hospitalier Annecy Genevois
- Centre Hospitalier Departemental Vendee
- Clinique Victor Hugo
- CHU de Lille
- Hopital Dupuytren (CHU de Limoges)
- Chu Montpellier Hopital Arnaud de Villeneuve
- GHR Sud Alsace - Hopital Emile Muller
- Institut Curie
- CHU de Bordeaux Hopital Haut leveque
- Hospices Civils de Lyon, Centre Hospitalier Lyon-Sud
- CHU de Poitiers
- Centre Hospitalier Universitaire de Rouen - Hopitel Charles Nicolle
- Institut de Cancérologie de l'Ouest - Paysde Loire (site SAINT HERBLAIN)
- Hopital Foch
- Institut Cancérologie Strasbourg Europe
- CHITS-Hopital Sainte Musse
- Stadtisches Klinikum Braunschweig gGmbH Medizinische Klinik III Hamatologie und Onkologie
- Klinikum Esslingen GmbH Klinik fur Kardiologie,Angiologie und Pneumologie
- Asklepios Klinikum Harburg, Thoraxzentrum Hamburg - Lungenabteilung
- Studiengeselischaft Hamato-Onkologie Hamburg
- Onkologische Schwerpunktpraxis Heilbronn
- Lungenfachklink Immenhausen
- Klinikum Kassel Klinik Für Hämatologie Onkologie Und Immunologie
- Universitatsklinikum Schleswig-Holstein - Campus Lubeck, Medizinische Klinik III (Studienzentrum Pneumologie)
- University Hospital Mannheim, Department of Personalized Medical Oncology with Section Thoracic Oncology
- Asklepios-Fachkliniken Munchen-Gauting, Zentrum fur Pneumologie und Thoraxchirurgie
- Sana Klinikum Offenbach, Medizinische Klinik IV fur Hamatologie und internistische Onkologie
- Henry Dunant Hospital Center, 4th Oncology Department
- General Hospital of Chest Diseases "I Sotiria", 3rd Internal Medicine Department of Athens University - Oncology Unit
- Metropolitan General, Oncology department
- General Oncology Hospital of Kifisia "Agioi Anargyroi", 2nd Department of Medical Oncology
- University General Hospital of Larissa, Oncology Department-1St Internal Medical Division
- General Oncology Hospital of Kifisia "Agioi Anargyroi", 2nd Department of Medical Oncology
- Euromedica General Clinic of Thessaloniki
- Interbalkan Medical Center of Thessaloniki
- Samson Assuta Ashdod University Hospital
- Soroka Medical Center
- Hadassah University Hospital Ein Kerem
- Kaplan Medical Center
- Tel Aviv Sourasky Medical Center
- Shamir Medical Center (Assaf Harofeh)
- ASST Papa Giovanni XXIII, Oncologia Medica
- Azienda Socio Sanitaria Territoriale (ASST) degli Spedali Civili di Brescia
- AOU Policlinico G Rodlico-Oncologia Medica
- AOU mater Domini, UOC Oncologia Medica e Oncologia Medica Trazionale
- ASST Cremona
- Instituto Europeo di Oncologia
- ASST Grande Ospedale Metropolitano Niguarda SC Oncologia
- Fondazione IRCCS Policlinico San Matteo
- Fondazione Policlinico Universitario Campus Bio-Medico, UOC Oncologia Medica
- UOC Oncologia
- ASST Bergamo Ovest- ospedale di Treviglio-u.o. Oncologia
- SC Oncologia -ASST SETTE LAGHI
- National Hospital Organization Asahikawa Medical Center
- National Cancer Center Hospital
- Fukui Prefectural Hospital
- Kansai Medical University Hospital
- Hiroshima University Hospital
- Kobe City Medical Center General Hospital
- National Hospital Organization Himeji Medical Center
- Nippon Medical School Chiba Hokusoh Hospital
- National Hospital Organization Iwakuni Clinical Center
- Kagoshima University Hospital
- Kanagawa Prefectural Hospital Organization Kanagawa Cardiovascular and Respiratory Center
- Kanazawa University Hospital
- National Cancer Center Hospital East
- Saitama Cancer Center
- The Cancer Institute Hospital of JFCR
- Kurume University Hospital
- University Hospital Kyoto Prefectural University of Medicine
- Shikoku Cancer Center
- Miyagi Cancer Center
- Nagasaki University Hospital
- National Hospital Organization Nagoya Medical Center
- Niigata Cancer Center Hospital
- Okayama University Hospital
- Kindai University Hospital
- Osaka Prefectural Hospital Organization Osaka International Cancer Institute
- National Hospital Organization Kinki-Chuo Chest Medical Center
- Centor Hospital of the National Center for Global Health and Medicine
- Shizuoka Cancer Center
- National Hospital Organization Osaka Toneyama Medical Center
- Tochigi Cancer Center
- Japanese Red Cross Wakayama Medical Center
- Yokohama Municipal Citizen's Hospital
- Kanagawa Cancer Center
- Tottori University Hospital
- Cryptex Investigación Clínica, S.A. de C.V.
- Panamerican Clinical Research S.A. de C.V
- Actualidad Basada en la Investigación del Cáncer
- Amphia Hospital
- Haaglanden Medical Centre
- Maastricht Universitair Medisch Centrum
- Erasmus MC
- Elisabeth-TweeSteden Ziekenhuis (ETZ)
- Przychodnia Lekarska Komed Roman Karaszewski
- Instytut MSF Sp. z o.o.
- Centrum Medyczne Mrukmed
- Marzowiecki Szpital Wojewodzki sw Jana Pawla II Wsiedicach sp. z.o.o Siedickie centrum onkoiogii
- Instituto Português de Oncologia de Coimbra Francisco Gentil
- Centro Hospitalar Universitário Lisboa Norte - Hospital Pulido Valente
- Fundacao Champalimaud
- Senhora da Hora
- Hospital CUF Porto
- Centro Hospitalar Universitario do Porto
- Instituto Portugues de Oncologia do Porto
- Ad-Vance Medical Research, LLC
- Pan American Center For Oncology Trials, LLC
- Complejo Hospitalario Universitario A Coruna. Hospital Teresa Herrera
- Institut Catala d'Oncologia Badalona, ICO Badalona, Hospital Germans Trias i Pujol
- Hospital Universitario Cruces
- Hospital Universitari Dexeus
- Hospital Universitario Vall D'Hebron
- Institut Catala D'Oncologia (ICO L'Hospitalet) Hospital Duran i Reynals
- Hospital San Pedro de Alcantara
- Institut Catala d'Oncologia de Girona
- Hospital Universitario de la Princesa
- Hospital Universitario Gregorio Marañón
- Hospital Universitario Fundacion Jimenez Dias
- Hospital Universitario Ramón y Cajal
- Hospital Clinical San Carlos
- Hospital Universitario 12 Octubre
- Hospital universitario la paz
- Hospital Regional Universitario de Malaga-Hospital Civil
- Hospital Clinicl universitario virgen de la Arrixaca
- Clinica Universidad de Navarra-Pamplona
- Hospital de Sabadell
- Hospital Virgen de Valme
- Hospital universitario Virgen Macarena
- Hospital Universitario la Fe
- Hacettepe Üniversitesi Hastanesi
- Memorial Ankara Hastane
- Acibadem Bursa Hastanesi
- Ankara Sehir Hastanesi
- Trakya Üniversitesi Sağlık Araştırma ve Uygulama Merkezi
- Bagcilar Medipol Mega Universite Hastanesi
- T.C. Saglik Bakanligi Goztepe Prof. Dr Suleyman Yalcin Sehir Hastanesi
- Acibadem Maslak Hastanesi
- Gazi Universitesi Gazi Hastanesi
- University Hospital Birmingham NHS Trust, Birmingham Heartlands Hospital
- East Suffolk and North Essex NHS Foundation Trust
- The Beatson West of Scotland Cancer Centre
- St James University Hospital
- Leicester Royal Infirmary
- Barts Health NHS Trust
- The Christie NHS Foundation
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Sacituzumab Govitecan-hziy (SG)
Docetaxel
Participants will receive SG 10 mg/kg on Days 1 and 8 of a 21-day cycle (ie, 2 weekly doses plus 1 week without treatment) until progressive disease (PD), death, unacceptable toxicity, or another treatment discontinuation criterion is met.
Participants will receive docetaxel 75 mg/m^2 on Day 1 of a 21-day cycle (ie, once every 3 weeks) until PD, death, unacceptable toxicity, or another treatment discontinuation criterion is met.