A Phase III, Randomised Study of Adjuvant Dato-DXd in Combination With Rilvegostomig or Rilvegostomig Monotherapy Versus Standard of Care, Following Complete Tumour Resection, in Participants With Stage I Adenocarcinoma NSCLC Who Are ctDNA-positive or Have High-risk Pathological Features
Part of paid clinical trials in Tucson, Arizona.
- Sponsor
- AstraZeneca
- Study ID
- NCT06564844
- Phase
- PHASE3
- Status
- Active Not Recruiting
Conditions
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - N/A
- Healthy Volunteers
- Not accepted
Interventions
- Datopotamab Deruxtecan — DRUGDatopotamab Deruxtecan IV (intravenous)
- Rilvegostomig — DRUGRilvegostomig IV (intravenous)
- Carboplatin — DRUGCarboplatin IV (intravenous), Active Comparator
- Cisplatin — DRUGCisplatin IV (intravenous), Active Comparator
- Etoposide — DRUGEtoposide IV (intravenous), Active Comparator
- Pemetrexed — DRUGPemetrexed IV (intravenous), Active Comparator
- Vinorelbine — DRUGVinorelbine IV (intravenous), Active Comparator
- UFT — DRUGUFT Oral route of administration, Active Comparator
Study Details
This is a Phase III, randomised, open-label, multicentre, global study assessing the efficacy and safety of adjuvant Dato-DXd in combination with rilvegostomig compared with SoC, after complete surgical resection (R0) in participants with Stage I adenocarcinoma NSCLC who are ctDNA-positive, as determined by the Sponsor-designated ctDNA assay, or have at least one high-risk pathological feature.
Key Dates
- Start date
- Oct 15, 2024
- Status verified
- May 2026
- Primary completion
- Jun 30, 2027
- Completion
- Jun 30, 2027
Study Design
- Enrollment
- 25 participants (actual)
- Allocation
- RANDOMIZED
- Intervention model
- PARALLEL
- Primary purpose
- TREATMENT
Arms
- Experimental: Dato-DXd + rilvegostomigParticipants in the Dato-DXd in combination with rilvegostomig group will receive Dato-DXd and rilvegostomig as intravenous (IV) infusion every 3 weeks (Q3W).
- Experimental: RilvegostomigParticipants in the rilvegostomig monotherapy group will receive rilvegostomig as intravenous (IV) infusion every 3 weeks (Q3W).
- Active Comparator: Standard of Care (SoC)Patients in SoC group will undergo observation or will receive Investigator's Choice of Chemotherapy (ICC).
Primary Outcome Measure
Disease-Free Survival (DFS) using BICR in participants with Stage I adenocarcinoma NSCLC who are ctDNA-positive or having at least one high-risk pathological feature treated with adjuvant Dato-DXd in combination with rilvegostomig relative to SoC [ Time Frame: From date of randomisation up to approximately 10 years. ]
Locations (37)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| Research Site | Tucson | Arizona | 85724 | - |
| Research Site | Duarte | California | 91010 | - |
| Research Site | Glendale | California | 91204 | - |
| Research Site | Los Angeles | California | 90089 | - |
| Research Site | Lone Tree | Colorado | 80124 | - |
| Research Site | Washington D.C. | District of Columbia | 20007 | - |
| Research Site | Jacksonville | Florida | 32224 | - |
| Research Site | St. Petersburg | Florida | 33709 | - |
| Research Site | Chicago | Illinois | 60637 | - |
| Research Site | Evanston | Illinois | 60201 | - |
| Research Site | Zion | Illinois | 60099 | - |
| Research Site | Kansas City | Kansas | 66160 | - |
| Research Site | Lexington | Kentucky | 40503 | - |
| Research Site | Baltimore | Maryland | 21237 | - |
| Research Site | Farmington Hills | Michigan | 48334 | - |
| Research Site | Grand Rapids | Michigan | 49503 | - |
| Research Site | Minneapolis | Minnesota | 55407 | - |
| Research Site | Billings | Montana | 59102 | - |
| Research Site | Omaha | Nebraska | 68130 | - |
| Research Site | East Syracuse | New York | 13057 | - |
| Research Site | Mineola | New York | 11501 | - |
| Research Site | New York | New York | 10016 | - |
| Research Site | New York | New York | 10065 | - |
| Research Site | Portland | Oregon | 97239 | - |
| Research Site | Bethlehem | Pennsylvania | 18015 | - |
| Research Site | Philadelphia | Pennsylvania | 19107 | - |
| Research Site | Pittsburgh | Pennsylvania | 15212 | - |
| Research Site | Knoxville | Tennessee | 37920 | - |
| Research Site | Memphis | Tennessee | 38120 | - |
| Research Site | Nashville | Tennessee | 37203 | - |
| Research Site | Austin | Texas | 78745 | - |
| Research Site | Dallas | Texas | 75231 | - |
| Research Site | Houston | Texas | 77030 | - |
| Research Site | San Antonio | Texas | 78217 | - |
| Research Site | Fairfax | Virginia | 22031 | - |
| Research Site | Seattle | Washington | 98104 | - |
| Research Site | Madison | Wisconsin | 53792 | - |
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