TAK-788 as First-Line Treatment Versus Platinum-Based Chemotherapy for Non-Small Cell Lung Cancer (NSCLC) With EGFR Exon 20 Insertion Mutations
Advanced/Metastatic Non-Small Cell Lung Cancer (NSCLC)
About this trial
This is an interventional treatment trial for Advanced/Metastatic Non-Small Cell Lung Cancer (NSCLC) focused on measuring Drug Therapy
Eligibility Criteria
Inclusion Criteria:
- Histologically or cytologically confirmed nonsquamous cell locally advanced not suitable for definitive therapy, recurrent, or metastatic (Stage IV) NSCLC
- Documented epidermal growth factor receptor (EGFR) in-frame exon 20 insertion mutation assessed by a clinical laboratory improvements amendment (CLIA)-certified (US sites) or an accredited (outside of the US) local laboratory The EGFR exon 20 insertion mutation can be either alone or in combination with other EGFR or human epidermal growth factor receptor 2 (HER2) mutations except EGFR mutations for which there are approved anti-EGFR tyrosine kinase inhibitors [TKIs] (ie, exon 19 del, L858R, T790M, L861Q, G719X, or S768I, where X is any other amino acid)
- Adequate tumor tissue available, either from primary or metastatic sites, for central laboratory confirmation of EGFR exon 20 insertion mutation
- At least 1 measurable lesion per RECIST Version 1.1
- Life expectancy ≥3 months
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1
Exclusion Criteria:
Received prior systemic treatment for locally advanced or metastatic disease, including local administration, such as intra-pleural injection of anticancer medication with the exception noted below:
- Neoadjuvant or adjuvant chemotherapy/immune therapy for Stage I to III or combined modality chemotherapy/radiation for locally advanced disease is allowed if completed >6 months before the development of metastatic disease.
- Received radiotherapy ≤14 days before randomization or has not recovered from radiotherapy-related toxicities
- Received a moderate or strong cytochrome P-450 (CYP)3A inhibitor or moderate or strong CYP3A inducer within 10 days before randomization
- Have been diagnosed with another primary malignancy other than NSCLC
- Have current spinal cord compression or leptomeningeal disease
- Have uncontrolled hypertension. Participants with hypertension should be under treatment on study entry to control blood pressure
- Received a live vaccine within 4 weeks before randomization per Summary of product characteristics (SmPCs) for pemetrexed, cisplatin, and carboplatin.
Sites / Locations
- UC San Diego Moores Cancer Center
- City of Hope National Medical Center
- California Research Institute
- University of California Irvine
- Stanford University
- Eastern CT Hematology and Oncology Associates
- AdventHealth
- Northwestern University
- University of Maryland Greenebaum Cancer Center
- Beth Israel Deaconess Medical Center - 330 Brookline Ave
- Dana Farber Cancer Institute
- Massachusetts General Hospital
- Icahn School of Medicine at Mount Sinai
- Fox Chase Cancer Center
- Sarah Cannon Cancer Center
- Texas Oncology-Baylor Charles A. Sammons Cancer Center - USOR
- University of Virginia Health System
- St George Hospital
- GenesisCare North Shore
- Princess Alexandra Hospital
- Flinders Medical Centre
- Royal Hobart Hospital
- Medizinische Universitat Graz
- Klinik Floridsdorf
- Cliniques Universitaires Saint-Luc
- Grand Hopital de Charleroi asbl
- AZ Sint-Lucas
- British Columbia Cancer Agency
- William Osler Health System
- Princess Margaret Hospital
- Hopital Du Sacre Coeur de Montreal
- Beijing Cancer Hospital - PPDS
- Henan Cancer Hospital
- Jilin Cancer Hospital
- Beijing Cancer Hospital - PPDS
- Beijing Chest Hospital, Capital Medical Univerity
- Sichuan Cancer Hospital & Institute
- Guangdong Provincial People's Hospital
- The First Affiliated Hospital, Zhejiang University School of Medicine
- Harbin Medical University Tumor Hospital
- The Second Affiliated Hospital of Nanchang University
- Shanghai East Hospital
- Hubei Cancer Hospital
- Copenhagen University Hospital
- Odense Universitetshospital
- Centre Francois Baclesse
- CHU de Nantes - Hoptal Nord Laennec
- Hopital Calmette
- Hopital Louis Pradel
- Centre Leon Berard
- Institut Gustave Roussy
- Centre Hospitalier Intercommunal
- CHU de Grenoble
- Hopital Nord AP-HM
- CRLC Val d'Aurelle - Paul Lamarque
- Hopital Tenon
- Hopital PONTCHAILLOU CHU de Rennes
- Nouvel Hopital Civil
- Hopital Larrey
- Klinik Schillerhohe
- Thoraxklinik-Heidelberg gGmbH
- LMU Klinikum der Universitat Munchen
- University Clinic Regensburg
- Universitatsklinikum Frankfurt
- Pius Hospital Oldenburg
- Stadtischen Krankenhaus Kiel
- Helios Klinikum Emil Von Behring
- Malteser Krankenhaus St. Franziskus-Hospital
- Asklepios Fachkliniken GmbH
- Sotiria Chest Hospital of Athens
- Metaxa Cancer Hospital of Piraeus
- Bioclinic Thessaloniki (Galinos clinic)
- Princess Margaret Hospital
- Pamela Youde Nethersole Eastern Hospital
- Queen Elizabeth Hospital (QEH)
- Queen Mary Hospital - PPDS
- Tuen Mun Hospital
- Prince of Wales Hospital
- Soroka University Medical Centre
- Rambam Medical Center PPDS
- Meir Medical Center
- Sheba Medical Center - PPDS
- AORN Dei Colli- Ospedale Monaldi Napoli
- Istituto Romagnolo per lo Studio dei Tumori "Dino Amadori" - IRST S.r.l - PPDS
- Istituto Nazionale Dei Tumori
- Instituto Europeo Di Oncologia
- Azienda Sanitaria Ospedaliera S Luigi Gonzaga
- Centro Di Riferimento Oncologico
- Azienda Ospedaliero Universitaria Policlinico Vittorio Emanuele
- Azienda Ospedaliero Universitaria Pisana
- Azienda Ospedaliero Universitaria di Parma
- Ospedale Santa Maria Delle Croci
- Fujita Health University Hospital
- Ehime University Hospital
- Hiroshima University Hospital
- National Hospital Organization Hokkaido Cancer Center
- Kurume University Hospital
- Kanagawa Cancer Center
- Saiseikai Kumamoto Hospital
- Miyagi Cancer Center
- Okayama University Hospital
- Osaka International Cancer Institute
- Osaka Metropolitan University Hospital
- Kindai University Hospital
- Saitama Cancer Center
- National Cancer Center Hospital East
- The Cancer Institute Hospital of Japanese Foundation For Cancer Research
- National Hospital Organization Yamaguchi-Ube Medical Center
- Chungbuk National University Hospital
- Pusan National University Hospital
- National Cancer Center
- Chonnam National University Hwasun Hospital
- Korea University Anam Hospital
- Seoul National University Hospital
- Asan Medical Center - PPDS
- Samsung Medical Center PPDS
- The Catholic University of Korea, Seoul St. Mary's Hospital
- Severance Hospital Yonsei University Health System - PPDS
- VU Medisch Centrum
- Centro Hospitalar do Porto Hospital de Santo Antonio
- Hospital Cuf Porto
- Fundacao Champalimaud
- Centro Hospitalar de Lisboa Norte E.P.E Hospital Pulido Valente
- Instituto Portugues de Oncologia Do Porto Francisco Gentil Epe - PPDS
- Centro Hospitalar de Sao Joao, E.P.E.
- GBUZ Saint Petersburg Clinical Research Center of Specialized Types of Care (Oncology)
- LLC "EuroCityClinic"
- Moscow City Oncology Hospital #62
- Scientific Research Institute of Oncology n.a. N.N. Petrov
- National Cancer Centre
- ICO lHospitalet Hospital Duran i Reynals
- Hospital Universitario Puerta de Hierro - Majadahonda
- Hospital Universitario A Coruna
- Hospital General Universitario de Alicante
- Hospital Universitario Vall d'Hebron - PPDS
- Hospital Clinic de Barcelona
- C.H. Regional Reina Sofia - PPDS
- Hospital General Universitario Gregorio Maranon
- Hospital Universitario Fundacion Jimenez Diaz
- Hospital Universitario 12 de Octubre
- Hospital Universitario La Paz - PPDS
- Hospital Regional Universitario de Malaga Hospital General
- Hospital Universitario Virgen del Rocio - PPDS
- Hospital Universitari i Politecnic La Fe de Valencia
- Karolinska Universitetssjukhuset Solna
- Sahlgrenska Universitetssjukhuset
- Universitatsspital Basel
- Kantonsspital Winterthur
- Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation
- National Taiwan University Hospital - YunLin Branch
- Kaohsiung Medical University - Chung-Ho Memorial Hospital
- E-DA hospital
- Taichung Veterans General Hospital
- Chi Mei Medical Center, Liouying
- National Cheng Kung University Hospital
- National Taiwan University Hospital
- Taipei Veterans General Hospital
- Baskent University Medical Faculty Adana Practice and Research Center
- Istanbul University Cerrahpasa Medical Faculty Hospital
- T.C. Saglik Bakanligi Goztepe Prof. Dr. Suleyman Yalcin City Hospital
- Ege University Medical Faculty
- Kocaeli University Hospital
- SAKARYA University Medical Faculty
- Hacettepe University Medical Faculty
- Trakya University Medical Faculty
- Municipal Non-profit Enterprise "City Clinical Hospital # 4" of Dnipro City Council - PPDS
- Municipal Non-profit Enterprise SubCarpathian Clinical Oncological Centre of Ivano-Frankivsk RC
- Communal Non-profit Enterprise Regional Center of Oncology
- Private Enterprise Private Manufacturing Company Acinus
- Velindre Cancer Centre - PPDS
- University College London Hospitals (UCLH)
- The Royal Marsden - London
- Royal Marsden Hospital - Surrey
- Clatterbridge Centre For Oncology
- Leicester General Hospital
- The Christie NHS Foundation Trust - PPDS
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
TAK-788 Group (Arm A)
Platinum-based Chemotherapy Group (Arm B)
TAK-788 160 milligram (mg) with or without food, capsules, orally, once daily until the participants experience PD as assessed by blinded IRC, intolerable toxicity, or another discontinuation criteria.
Pemetrexed 500 milligram per meter square (mg/m^2) plus cisplatin 75 mg/m^2, infusion, IV, once on Day 1 of 21-day cycle pemetrexed 500 mg/m^2 plus carboplatin, infusion, IV, once at a dose calculated to produce area under curve (AUC) of 5 milligram*minute per milliliter (mg*min/mL) on Day 1 of 21-day cycle until the participants experience PD as assessed by blinded IRC, intolerable toxicity, or another discontinuation criteria. Pemetrexed/cisplatin or pemetrexed/carboplatin will be repeated every 3 weeks for 4 cycles, followed by maintenance treatment with pemetrexed 500 mg/m^2, on Day 1 of a 21-day cycle thereafter.