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Trial Title: A Phase III Study of SKB264 for EGFR Mutant NSCLC Patients

NCT ID: NCT05870319

Condition: Non-small Cell Lung Cancer

Conditions: Official terms:
Lung Neoplasms
Carcinoma, Non-Small-Cell Lung
Carboplatin
Pemetrexed

Study type: Interventional

Study phase: Phase 3

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: SKB264
Description: intravenous (IV) infusion (Q2W)
Arm group label: SKB264 by IV infusion on Days 1 and 15 of each 4-week cycle;

Intervention type: Drug
Intervention name: Pemetrexed
Description: 500 mg/m2 intravenous (IV) infusion (Q3W)
Arm group label: pemetrexed+ carboplatin or on Day 1 of each 3-week cycle, with 4 cycles chemo

Intervention type: Drug
Intervention name: Carboplatin
Description: AUC 5 intravenous (IV) infusion (Q3W) 4cycles
Arm group label: pemetrexed+ carboplatin or on Day 1 of each 3-week cycle, with 4 cycles chemo

Intervention type: Drug
Intervention name: Cisplatin
Description: 75 mg/m2 intravenous (IV) infusion (Q3W) 4cycles
Arm group label: pemetrexed+ carboplatin or on Day 1 of each 3-week cycle, with 4 cycles chemo

Summary: This is a randomized, open-label, multicenter Phase 3 clinical study to evaluate SKB264 monotherapy versus pemetrexed in combination with platinum in subjects with locally advanced or metastatic non-squamous NSCLC with EGFR mutation who have failed to EGFR-TKI therapy.

Detailed description: This is a randomized, open-label, multicenter Phase 3 clinical study to evaluate SKB264 monotherapy versus pemetrexed in combination with platinum in subjects with locally advanced or metastatic non-squamous NSCLC with EGFR mutation who have failed to EGFR-TKI therapy. The primary objective is to compare the efficacy and safety of SKB264 monotherapy versus pemetrexed in combination with platinum in patients with locally advanced or metastatic non-squamous NSCLC with EGFR mutation who have failed to EGFR-TKI therapy.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Males or females aged ≥18 to ≤75 years at the time of signing the ICF; 2. Histologically or cytologically confirmed non-squamous NSCLC and locally advanced (stage IIIB/IIIC) or metastatic (Stage IV) non-squamous NSCLC not amenable to radical surgery and/or radical concurrent/sequential chemoradiotherapy; 3. EGFR-sensitive mutations; 4. Failure of prior EGFR-TKI therapy; 5. At least one measurable target lesion per RECIST 1.1 as assessed by the investigator; 6. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1; 7. Expected survival ≥12 weeks; 8. Adequate organ and bone marrow function; 9. Female subjects of childbearing potential and male subjects with partners of childbearing potential who use effective medical contraception from the time of signing the informed consent form until 6 months after the last dose; 10. Subjects voluntarily participate in the study, sign the ICF, and will be able to comply with the protocol-specified visits and relevant procedures Exclusion Criteria: 1. Histologically or cytologically confirmed presence of small cell lung cancer, neuroendocrine carcinoma, and carcinosarcoma components or squamous cell carcinoma components of more than 10%; 2. Other malignancies within 3 years prior to the first dose; 3. History of (noninfectious) interstitial lung disease (ILD)/noninfectious pneumonitis requiring steroid therapy and current ILD/noninfectious pneumonitis; 4. Subjects with active chronic inflammatory bowel disease, GI tract obstruction, severe ulcers, perforation gastrointestinal, abdominal abscess, or acute GI tract bleed; 5. Toxicities from prior anti-tumor therapy not recovering to ≤ Grade 1 (per NCI CTCAE 5.0) or to the level specified in the eligibility criteria; 6. Subjects with human immunodeficiency virus (HIV) test positive or history of acquired immunodeficiency syndrome (AIDS); known active syphilis infection; 7. Prior TROP2-targeted therapy; 8. Prior treatment with any drug therapy targeting topoisomerase I inhibitor, including antibody-drug conjugates (ADCs); 9. Major surgery within 4 weeks prior to the first dose or expected to require major surgery during the study; 10. Subjects who have received live vaccines within 30 days prior to the first dose, or are scheduled to receive live vaccines during the study; 11. Pregnant or lactating women;

Gender: All

Minimum age: 18 Years

Maximum age: 75 Years

Healthy volunteers: No

Locations:

Facility:
Name: Sun Yat-sen University Cancer Center

Address:
City: Guangzhou
Zip: 510060
Country: China

Status: Recruiting

Contact:
Last name: Li Zhang, PHD

Phone: 020-87343458
Email: zhangli@sysucc.org.cn

Start date: June 26, 2023

Completion date: September 30, 2026

Lead sponsor:
Agency: Sichuan Kelun Pharmaceutical Research Institute Co., Ltd.
Agency class: Industry

Collaborator:
Agency: Sichuan Kelun-Biotech Biopharmaceutical Co., Ltd.
Agency class: Industry

Source: Sichuan Kelun Pharmaceutical Research Institute Co., Ltd.

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05870319

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