Study on Zipalertinib vs. Placebo for Early Stage Non-Small Cell Lung Cancer with Uncommon EGFR Mutations After Tumor Removal

Sponsor: Taiho Oncology, Inc.

Sponsor score: 40

ClinicalTrials ID:NCT07128199

This clinical trial is comparing the effectiveness and safety of the drug zipalertinib with a placebo, both combined with chemotherapy, in patients with early stage non-small cell lung cancer (NSCLC) who have uncommon EGFR mutations and have had their tumors surgically removed.

Patient Parameters

Program Overview

The aim of this study is to see if zipalertinib, when used with chemotherapy, is more effective than a placebo with chemotherapy in treating early stage non-small cell lung cancer (NSCLC) that has been surgically removed and has uncommon EGFR mutations. The study will involve about 360 participants who will be randomly assigned to receive either zipalertinib or a placebo, both in combination with standard chemotherapy.

Description

This study is testing a new drug called zipalertinib, which targets specific mutations in the EGFR gene, in combination with standard chemotherapy drugs (cisplatin or carboplatin plus pemetrexed) for patients with early stage non-small cell lung cancer (NSCLC) that has been surgically removed. Participants will be divided into two groups: one group will receive zipalertinib with chemotherapy, and the other group will receive a placebo with chemotherapy. Each treatment cycle will last 21 days. The study will monitor the safety and effectiveness of the treatments, and an independent committee will review safety data during the trial.

Eligibility Criteria

Inclusion Criteria

  • Diagnosed with primary non-small cell lung cancer (NSCLC) with non-squamous cell type.
  • Have uncommon EGFR mutations confirmed by a certified laboratory test.
  • Had a brain scan (MRI or CT) before or after surgery.
  • Complete surgical removal of the lung cancer, with no remaining cancerous tissue.
  • Classified as Stage IB, IIA, IIB, or IIIA after surgery.
  • Fully recovered from surgery at the time of joining the study.
  • In good general health with an ECOG performance status of 0 or 1.
  • Have a tumor tissue sample available for testing.

Exclusion Criteria

  • Currently participating in another clinical trial or receiving an investigational drug.
  • Have taken zipalertinib or any other EGFR inhibitor before.
  • Have had radiation therapy for the current lung cancer.
  • Have received any prior systemic cancer treatment for NSCLC.
  • Have had major surgery within 4 weeks before starting the study treatment.
  • Taking medications that affect the liver enzyme CYP3A4 within 7 days before starting the study.
  • Have only had segmentectomies or wedge resections.
  • Have a history of lung disease or inflammation.
  • Have significant heart problems.
  • Cannot swallow tablets or have digestive issues affecting absorption.
  • Have a history of other cancers, except for certain treated skin or in-situ cancers.
  • Have unstable or untreated hepatitis B, C, or HIV.
  • Have active bleeding disorders.
  • Have allergies to the study drugs or their components.
  • Cannot take certain supplements during treatment.

Locations

FACILITYZIPCITYSTATE
Alaska Oncology and Hematology99508AnchorageAlaska
City of Hope Comprehensive Cancer Center - Duarte91010DuarteCalifornia
Georgetown University School of Medicine20007Washington D.C.District of Columbia
D&H Cancer Research Center - Margate33063MargateFlorida
Alpha Oncology Research32763Orange CityFlorida
University of Illinois Medical Center60612ChicagoIllinois
Profound Research LLC at Michigan Hematology and Oncology Consultants48126DearbornMichigan
Henry Ford Health System48202DetroitMichigan
Perlmutter Cancer Center - 34th Street10016New YorkNew York
Memorial Sloan Kettering Cancer Center - New York10065New YorkNew York

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