A Randomized, Open-label, Phase 3 Study of MK-2870 vs Chemotherapy (Docetaxel or Pemetrexed) in Previously Treated Advanced or Metastatic Nonsquamous Non-small Cell Lung Cancer (NSCLC) With EGFR Mutations or Other Genomic Alterations
Merck Sharp & Dohme LLC
Summary
The purpose of this study is to evaluate sacituzumab tirumotecan versus chemotherapy (docetaxel or pemetrexed) for the treatment of previously-treated non-small cell lung cancer (NSCLC) with exon 19del or exon 21 L858R EGFR mutations (hereafter referred to as EGFR mutations or EGFR-mutated) or any of the follow genomic alterations: ALK gene rearrangements, ROS1 rearrangements, BRAF V600E mutations, NTRK gene fusions, MET exon 14 skipping mutations, RET rearrangements, or less common EGFR point mutations of exon 20 S768I, exon 21 L861Q, or exon 18 G719X mutations. The primary hypotheses are that sacituzumab tirumotecan is: (1) superior to chemotherapy with respect to progression-free survival (PFS) per RECIST 1.1 as assessed by BICR in NSCLC with EGFR mutations; and (2) superior to chemotherapy with respect to overall survival (OS) in NSCLC with EGFR mutations.
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
The main inclusion and exclusion criteria include but are not limited to the following: Inclusion Criteria: * Histologically- or cytologically-documented advanced (Stage III not eligible for resection or curative radiation) or metastatic non-squamous NSCLC with specific mutations. * Documentation of locally assessed radiological disease progression while on or after last treatment based on Response Evaluation Criteria in Solid Tumors Version (RECIST) 1.1. * Participants with genome mutations must have received 1 or 2 prior lines of epidermal growth factor receptor tyrosine kinase inhibitor (…
Interventions
- BiologicalSacituzumab tirumotecan
4 mg/kg of MK-sacituzumab tirumotecan by IV infusion
- DrugDocetaxel
75 mg/m\^2 of docetaxel by IV Infusion
- DrugPemetrexed
500 mg/m\^2 of pemetrexed by IV infusion
Locations (194)
- UCLA Hematology/Oncology - Santa Monica ( Site 0023)Los Angeles, California
- Mayo Clinic in Florida-Mayo Clinic Comprehensive Cancer Center ( Site 0001)Jacksonville, Florida
- Mid Florida Hematology and Oncology Center ( Site 0005)Orange City, Florida
- Northwest Georgia Oncology Centers, a Service of Wellstar Cobb Hospital-Research ( Site 0003)Marietta, Georgia
- Karmanos Cancer Institute ( Site 0018)Detroit, Michigan
- Mayo Clinic in Rochester, Minnesota-Mayo Clinic Comprehensive Cancer Center ( Site 0027)Rochester, Minnesota