Titre A Phase III, Randomised, Open-label, Global Study of Datopotamab Deruxtecan (Dato-DXd) in Combination With Rilvegostomig or Rilvegostomig Monotherapy Versus Pembrolizumab Monotherapy for the First-line Treatment of Participants With Locally-advanced or Metastatic Non-squamous NSCLC With High PD-L1 Expression (TC ? 50%) and Without Actionable Genomic Alterations
Protocole ID TROPION-Lung10
ClinicalTrials.gov ID NCT06357533
Type(s) de cancer Poumon non à petites cellules
Phase Phase III
Stade Maladie avancée ou métastatique
Type étude Clinique
Médicament Dato-DXd avec Rilvegostomig ou Rilvegostomig en monothérapie versus Pembrolizumab en monothérapie
Institution CISSS DU BAS-SAINT-LAURENT
   HOPITAL REGIONAL DE RIMOUSKI
      150 av. Rouleau, Rimouski, QC, G5L 5T1
Ville Rimouski
Investigateur(trice) principal(e) Dre Katerine Marquis
Coordonnateur(trice) Isabelle Gagnon
 418-724-3000 poste 8029
Statut Actif en recrutement
Date d'activation 01-05-2024
Critètes d'éligibilité
  • Histologically or cytologically documented non-squamous NSCLC.
  • Stage IIIB or IIIC or Stage IV metastatic NSCLC (according to Edition 8 of the AJCC staging manual) not amenable to curative surgery or definitive chemoradiation.
  • Absence of sensitising EGFR mutations, and ALK and ROS1 rearrangements, and absence of documented local test result for any other known genomic alteration for which there are locally approved targeted first-line therapies.
  • Must provide tumor sample to determine PD-L1 status, TROP2 status and other biomarkers.
  • Known tumour PD-L1 expression status defined as TC ≥ 50%
  • At least one lesion, not previously irradiated that qualifies as a RECIST 1.1 target lesion at baseline
  • ECOG performance status of 0 or 1
  • Adequate bone marrow reserve and organ function within 7 days before the first dose of study intervention
Critètes d'exclusion
  • Prior systemic therapy for advanced/metastatic NSCLC.
  • Squamous cell histology, or predominantly squamous cell histology NSCLC; mixed small cell lung cancer; NSCLC histology, sarcomatoid variant.
  • History of another primary malignancy within 3 years
  • Active or prior documented autoimmune or inflammatory disorders (with exceptions)
  • Any evidence of severe or uncontrolled systemic diseases, including, but not limited to active bleeding diseases, active infection, active ILD/pneumonitis, cardiac disease.
  • Has clinically significant third-space fluid retention (for example pleural effusion) and is not amenable for repeated drainage.
  • History of non-infectious ILD/pneumonitis that required steroids, has current ILD/pneumonitis, or has suspected ILD/pneumonitis that cannot be ruled out by imaging at screening
  • Has severe pulmonary function compromise resulting from intercurrent pulmonary illnesses
  • Spinal cord compression, or brain metastases unless participant treated and no longer symptomatic, radiologically stable, and who require no treatment with corticosteroids or anticonvulsants.
  • History of leptomeningeal carcinomatosis
  • Known clinically significant corneal disease
  • Active infection with TB, HBV, HCV, Hepatitis A, or known HIV infection that is not well controlled
  • History of active primary immunodeficiency