Studieoverzicht

Study name: CodeBreak 202 -AMGEN20190341 Phase 3 studie 1L Sotorasib UMCG

Histology NSCLC
Tumor stage Stage IV
Host / recruiting sites UMC Groningen, MUMC+
Therapy line First line (1L)
Design

This is a phase 3, international, multicenter, randomized, open-label study to evaluate the efficacy and safety of sotorasib in combination with carboplatin and pemetrexed versus pembrolizumab in combination with carboplatin and pemetrexed in front-line setting in subjects with Stage IV or advanced Stage IIIB/C nonsquamous PD-L1 negative and KRAS p.G12C-mutation positive NSCLC.

Intervention

Platinum-pemetrexed-pembrolizumab vs platinum-pemetrexed-sotorasib

Key outcome parameters

To compare progression-free survival
(PFS) in subjects who receive
sotorasib with platinum doublet
chemotherapy versus subjects who
receive pembrolizumab with platinum
doublet chemotherapy

Key inclusion criteria

Stage IV or advanced Stage IIIB/C NSCLC (not a candidate for definitive
multimodality therapy due to the extent of disease)

  • no history of systemic anticancer therapy in metastatic/incurable settings
  • must provide tumor tissue sample (or be willing to undergo biopsy) for central
    molecular analysis
  • must be tumor tissue negative for PD-L1 expression (TC  1), tested using SP263
    IHC assay in the central laboratory (in selected cases, local laboratory results can be
    used for study entry and randomization while central laboratory results are pending;
    see Section 5.1)
  • must be plasma circulating tumor DNA (ctDNA) and/or tumor tissue positive for
    KRAS p.G12C mutation tested by central laboratory (in selected cases, local
    laboratory results can be used for study entry and randomization while central
    laboratory results are pending; see Section 5.1)
  • must have measurable disease as defined by RECIST v1.1 criteria
  • has Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1"
Key exclusion criteria

mixed histology NSCLC with either small-cell or large-cell neuroendocrine
component (any percentage) or predominant squamous cell histology (more than
50% of the available tumor)

  • tumors known to harbor molecular alterations for which targeted therapy is locally
    approved (including but not limited to EGFR or ALK alteration) other than
    KRAS p.G12C
  • active brain metastases, defined as symptomatic (treated or untreated) brain
    metastases; subjects with asymptomatic untreated metastases or asymptomatic
    treated brain metastases are eligible if they meet all prespecified criteria
    (see Section 5.2)
  • active autoimmune disease (see Section 5.2)"
Contact information