HumRes60992
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SNCTP000005173
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BASEC2022-00920
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NCT05261399
Savolitinib plus Osimertinib versus platinum-based doublet chemotherapy in participants with EGFR-mutated, MET-overexpressing and/or amplified NSCLC who have progressed on Osimertinib
Summary description of the study
The study investigates non-small cell lung cancer (NSCLC) that has progressed despite prior treatment with Osimertinib. The aim of this study is to find out whether the administration of Savolitinib in combination with Osimertinib is an effective treatment for NSCLC patients who have experienced disease progression while on Osimertinib alone. An equal number of patients in the main study will receive either Savolitinib in combination with Osimertinib or standard chemotherapy.
(BASEC)
Intervention under investigation
Savolitinib in combination with Osimertinib or standard chemotherapy.
(BASEC)
Disease under investigation
Non-small cell lung cancer (NSCLC) that has progressed on treatment with Osimertinib.
(BASEC)
Criteria for participation in trial
- Histologically or cytologically confirmed locally advanced or metastatic NSCLC that is not suitable for curative therapy. - Documented radiological progression under first or second line treatment with Osimertinib as the most recent cancer therapy. - Mandatory provision of FFPE tumor tissue. - MET gene elevation. - Adequate blood counts, liver and kidney values. - Pregnancy should be excluded. (BASEC)
Exclusion criteria
- NSCLC with predominant squamous cell histology for which Pemetrexed is not recommended. - Known transition to small cell lung cancer or presence of small cell elements. - Spinal cord compression or brain metastases. - Active tumor of the meninges. - Various heart diseases. - Major surgical procedures ≤ 28 days after the start of the study intervention or minor surgical procedures ≤ 7 days. - At the investigator's discretion, any evidence of severe or uncontrolled systemic diseases including active bleeding diathesis that would make patient participation in the study undesirable or would jeopardize adherence to the protocol. - Active Hepatitis B virus (HBV) - Known severe active infection, including tuberculosis or human immunodeficiency virus (HIV). - Receipt of a live attenuated vaccine (including against COVID-19) within 30 days prior to the first dose of the study intervention. - Presence of other active malignancies or a history of treatment for invasive malignancy within the last five years. - Prior allogeneic bone marrow transplantation. - For women only – the patient is currently pregnant (confirmed by a positive pregnancy test) or breastfeeding. (BASEC)
- Histologically or cytologically confirmed locally advanced or metastatic NSCLC that is not suitable for curative therapy. - Documented radiological progression under first or second line treatment with Osimertinib as the most recent cancer therapy. - Mandatory provision of FFPE tumor tissue. - MET gene elevation. - Adequate blood counts, liver and kidney values. - Pregnancy should be excluded. (BASEC)
Exclusion criteria
- NSCLC with predominant squamous cell histology for which Pemetrexed is not recommended. - Known transition to small cell lung cancer or presence of small cell elements. - Spinal cord compression or brain metastases. - Active tumor of the meninges. - Various heart diseases. - Major surgical procedures ≤ 28 days after the start of the study intervention or minor surgical procedures ≤ 7 days. - At the investigator's discretion, any evidence of severe or uncontrolled systemic diseases including active bleeding diathesis that would make patient participation in the study undesirable or would jeopardize adherence to the protocol. - Active Hepatitis B virus (HBV) - Known severe active infection, including tuberculosis or human immunodeficiency virus (HIV). - Receipt of a live attenuated vaccine (including against COVID-19) within 30 days prior to the first dose of the study intervention. - Presence of other active malignancies or a history of treatment for invasive malignancy within the last five years. - Prior allogeneic bone marrow transplantation. - For women only – the patient is currently pregnant (confirmed by a positive pregnancy test) or breastfeeding. (BASEC)
Trial sites
Basel, Zurich
(BASEC)
Argentina, Australia, Austria, Belgium, Brazil, Bulgaria, Canada, Chile, China, France, Germany, Greece, Hong Kong, Israel, Italy, Japan, Korea, Republic of, Malaysia, Netherlands, Philippines, Poland, Russian Federation, Singapore, Spain, Switzerland, Taiwan, Thailand, Turkey, United Kingdom, United States, Vietnam (ICTRP)
Sponsor
Fortrea Switzerland AG Verena Perneczky c/o Regus Badenerstr. 47 8004 Zürich
(BASEC)
Contact
Contact Person Switzerland
PD Dr. med. Dr. phil. nat. Sacha Rothschild
+41 61 265 50 74
sacha.rothschild@clutterusb.chKantonsspital Baden AG Zentrum Onkologie / Hämatologie Im Ergel 1 5404 Baden Schweiz
(BASEC)
General Information
Shanghai Chest Hospital, Shanghai JiaoTong University, #241 Huai Hai Road (west), Shanghai, China.,
1-877-240-9479
sacha.rothschild@clutterusb.ch(ICTRP)
Scientific Information
Shanghai Chest Hospital, Shanghai JiaoTong University, #241 Huai Hai Road (west), Shanghai, China.,
1-877-240-9479
sacha.rothschild@clutterusb.ch(ICTRP)
Name of the authorising ethics committee (for multicentre studies, only the lead committee)
Ethics Committee northwest/central Switzerland EKNZ
(BASEC)
Date of authorisation
13.10.2022
(BASEC)
ICTRP Trial ID
NCT05261399 (ICTRP)
Official title (approved by ethics committee)
A Phase III, Randomised, Open-Label Study of Savolitinib in Combination With Osimertinib Versus Platinum-Based Doublet Chemotherapy in Participants With EGFR Mutated MET-Overexpressed and/or Amplified, Locally Advanced or Metastatic Non-Small Cell Lung Cancer Who Have Progressed on Treatment With Osimertinib (SAFFRON) (BASEC)
Academic title
A Phase III, Randomised, Open-Label Study of Savolitinib in Combination With Osimertinib Versus Platinum-Based Doublet Chemotherapy in Participants With EGFR Mutated, MET-Overexpressed and/or Amplified, Locally Advanced or Metastatic Non-Small Cell Lung Cancer Who Have Progressed on Treatment With Osimertinib (SAFFRON). (ICTRP)
Public title
Savolitinib Plus Osimertinib Versus Platinum-based Doublet Chemotherapy in Participants With Non-Small Cell Lung Cancer Who Have Progressed on Osimertinib Treatment (ICTRP)
Disease under investigation
Carcinoma;Non-Small-Cell Lung (ICTRP)
Intervention under investigation
Drug: Savolitinib;Drug: Osimertinib;Drug: Pemetrexed;Drug: Cisplatin;Drug: Carboplatin (ICTRP)
Type of trial
Interventional (ICTRP)
Trial design
Allocation: Randomized. Intervention model: Parallel Assignment. Primary purpose: Treatment. Masking: None (Open Label). (ICTRP)
Inclusion/Exclusion criteria
Gender: All
Maximum age: 130 Years
Minimum age: 18 Years
Inclusion Criteria:
- Provision of signed and dated written ICF prior to any mandatory and non-mandatory
study-specific procedures, sampling and analyses.
- Participant must be =18 years (= 19 years of age in South Korea) at the time of
signing the informed consent. All genders are permitted.
- Histologically or cytologically confirmed locally advanced or metastatic NSCLC which
is not amenable to curative therapy.
- Must have at least one documented sensitising EGFR mutation: exon19 deletion, L858R
mutation, and/or T790M.
- Documented radiologic progression on first- or second-line treatment with
osimertinib as the most recent anti-cancer therapy.
- Mandatory provision of FFPE tumour tissue.
- MET overexpression and/or amplification in tumour specimen collected following
progression on prior osimertinib treatment.
- Measurable disease as defined by RECIST 1.1.
- Adequate haematological, liver, renal and cardiac functions, and coagulation
parameters.
- ECOG performance status of 0 or 1.
Exclusion Criteria:
- Predominant squamous NSCLC, and small cell lung cancer.
- Prior or current treatment with a third-generation EGFR-TKI other than Osimertinib.
- Prior or current treatment with savolitinib or another MET inhibitors.
- Spinal cord compression or brain metastases, unless asymptomatic and are stable.
- History or active leptomeningeal carcinomatosis.
- Unresolved toxicities from any prior therapy greater than CTCAE Grade 1 and prior
platinum-therapy related Grade 2 neuropathies with the exception of alopecia and
haemoglobin = 9.0 g/dL.
- Active/unstable cardiac diseases currently or within the last 6 months, clinically
significant ECG abnormalities, and/or factors/medications that may affect QTc
intervals.
- History of liver cirrhosis of any origin and clinical stage; or history of other
serious liver disease or chronic disease with relevant liver involvement.
- Known serious active infection including, but not limited to, tuberculosis, or HIV,
HBV or HCV or gastrointestinal disease.
- Receipt of live attenuated vaccine (including against COVID-19) within 30 days prior
to the first dose of study intervention.
- Past medical history of ILD, drug-induced ILD, radiation pneumonitis, which required
steroid treatment, or any evidence of clinically active ILD.
- Participants currently receiving medications or herbal supplements known to be
strong inducers of cytochrome P450 (CYP)3A4 or strong inhibitors of CYP1A2. (ICTRP)
not available
Primary and secondary end points
Progression-free survival (PFS) / savolitinib + osimertinib versus platinum doublet chemotherapy in participants with EGFR mutated, MET-overexpressed and/or amplified, locally advanced or metastatic NSCLC who have progressed on osimertinib. (ICTRP)
Overall Survival (OS) /savolitinib + osimertinib versus platinum doublet chemotherapy in participants with EGFR mutated, MET-overexpressed and/or amplified locally advanced or metastatic NSCLC who have progressed on treatment with osimertinib.;Progression-free survival (PFS) / savolitinib + osimertinib versus platinum doublet chemotherapy in participants with EGFR mutated, MET-overexpressed, locally advanced or metastatic NSCLC who have progressed on treatment with osimertinib.;Overall Survival (OS) / savolitinib in combination with osimertinib versus platinum doublet chemotherapy in participants with EGFR mutated, MET-overexpressed by IHC, locally advanced or metastatic NSCLC who have progressed on treatment with osimertinib.;Objective response rate (ORR) savolitinib + osimertinib versus platinum doublet chemotherapy in participants with EGFR mutated, MET-overexpressed and/or amplified locally advanced or metastatic NSCLC who have progressed on treatment with osimertinib.;Participant-reported pulmonary core symptoms / savolitinib + osimertinib versus platinum doublet chemotherapy in participants with EGFR mutated, MET-overexpressed and/or amplified, locally advanced or metastatic NSCLC who have progressed on osimertinib.;Pharmacokinetics (PK) of savolitinib.;Disease control rate (DCR) / savolitinib + osimertinib versus platinum doublet chemotherapy in participants with EGFR mutated, MET-overexpressed and/or amplified locally advanced or metastatic NSCLC who have progressed on treatment with osimertinib.;Time to discontinuation of treatment (TDT) or death / savolitinib + osimertinib vs platinum doublet chemotherapy in participants with EGFR mutated, MET-overexpressed and/or amplified locally advanced or metastatic NSCLC who have progressed on osimertinib;Tumor shrinkage / savolitinib + osimertinib versus platinum doublet chemotherapy in participants with EGFR mutated, MET-overexpressed and/or amplified locally advanced or metastatic NSCLC who have progressed on treatment with osimertinib.;Duration of response (DoR) / savolitinib + osimertinib versus platinum doublet chemotherapy in participants with EGFR mutated, MET-overexpressed and/or amplified locally advanced or metastatic NSCLC who have progressed on treatment with osimertinib. (ICTRP)
Registration date
not available
Incorporation of the first participant
not available
Secondary sponsors
not available
Additional contacts
Shun Lu, Prof,MD,PhD,;AstraZeneca Clinical Study Information Center, information.center@astrazeneca.com, 1-877-240-9479, Shanghai Chest Hospital, Shanghai JiaoTong University, #241 Huai Hai Road (west), Shanghai, China., (ICTRP)
Secondary trial IDs
2024-511169-12-00, 2021-006374-24, D5087C00001 (ICTRP)
Results-Individual Participant Data (IPD)
not available
Further information on the trial
https://clinicaltrials.gov/ct2/show/NCT05261399 (ICTRP)
Results of the trial
Results summary
not available
Link to the results in the primary register
not available