Carcinoma, Non-Small-Cell LungPhase 3NCT03456076
A Study Comparing Adjuvant Alectinib Versus Adjuvant Platinum-Based Chemotherapy in Patients With ALK Positive Non-Small Cell Lung Cancer
A Phase 3 study testing Alectnib, Cisplatin and Vinorelbine in people with Carcinoma, Non-Small-Cell Lung, run by Hoffmann-La Roche at 114 sites in 27 countries.
Trial summary
This randomized, active-controlled, multicenter, open-label, Phase III study is designed to investigate the efficacy and safety of alectinib compared with platinum-based in the adjuvant setting. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Carcinoma, Non-Small-Cell Lung
- What is being tested?
- Alectnib, Cisplatin and Vinorelbine
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 257 participants
- Where
- 114 sitesin 27 countries
- Study dates
- 16 Aug 2018to 19 Nov 2031
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age ≥18 years
- Complete resection of histologically confirmed Stage IB (tumor ≥ 4 cm) to Stage IIIA (T2-3 N0, T1-3 N1, T1-3 N2, T4 N0-1) NSCLC as per Union Internationale Contre le Cancer / American Joint Committee on Cancer, 7th edition, with negative margins, at 4-12 weeks before enrollment
- If mediastinoscopy was not performed preoperatively, it is expected that, at a minimum, mediastinal lymph node systematic sampling will have occurred
- Documented ALK-positive disease according to an FDA-approved and CE-marked test
- Eligible to receive a platinum-based chemotherapy regimen according to the local labels or guidelines
- Eastern Cooperative Oncology Group Performance Status of Grade 0 or 1
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- Adequate hematologic and renal function
- For women of childbearing potential: agreement to remain abstinent or use contraceptive methods with a failure rate of < 1% per year during the treatment period and for at least 90 days after the last dose of alectinib or according to local labels or guidelines for chemotherapy
- For men: agreement to remain abstinent or use contraceptive measures, and agreement to refrain from donating sperm for at least 90 days after the last dose of alectinib or according to local labels or guidelines for chemotherapy. Men must refrain from donating sperm during this same period
- Willingness and ability to comply with scheduled visits, treatment plans, laboratory tests, and other study procedures
Who cannot join
- Pregnant or breastfeeding, or intending to become pregnant during the study or within 90 days after the last dose of alectinib or according to local labels or guidelines for chemotherapy
- Prior adjuvant radiotherapy for NSCLC
- Prior exposure to systemic anti-cancer therapy and ALK inhibitors
- Stage IIIA N2 patients that, in the investigator's opinion, should receive post-operative radiotherapy treatment are excluded from the study
- Known sensitivity to any component of study drug to which the patient may be randomized. This includes, but is not limited to, patients with galactose intolerance, a congenital lactase deficiency or glucose-galactose malabsorption.
- Malignancies other than NSCLC within 5 years prior to enrollment, except for curatively treated basal cell carcinoma of the skin, early gastrointestinal (GI) cancer by endoscopic resection, in situ carcinoma of the cervix, ductal carcinoma in situ, papillary thyroid cancer, or any cured cancer that is considered to have no impact on disease free survival or overall survival for the current NSCLC
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- Any GI disorder that may affect absorption of oral medications, such as malabsorption syndrome or status post-major bowel resection
- Liver disease characterized by aspartate transaminase and alanine transaminase >= 3 × upper limit of normal or impaired excretory function or synthetic function or other conditions of decompensated liver disease such as coagulopathy, hepatic encephalopathy, hypoalbuminemia, ascites, or bleeding from esophageal varices or active viral or active autoimmune, alcoholic, or other types of acute hepatitis
- Japanese patients participating in the serial/intensive PK sample collection only: administration of strong/potent CYP450 3A inhibitors or inducers within 14 days prior to the first dose of study treatment and while on treatment with alectinib up to Week 3
- Any exclusion criteria based on the local labels or guidelines for chemotherapy regimen
- Patients with symptomatic bradycardia
- History of organ transplant
- Known HIV positivity or AIDS-related illness
- Any clinically significant concomitant disease or condition that could interfere with-or for which the treatment might interfere with the conduct of the study or the absorption of oral medications or that would pose an unacceptable risk to the patients in this study, in the opinion of the Principal Investigator
- Any psychological, familial, sociological, or geographical condition potentially hampering compliance with the study protocol requirements and/or follow-up procedures; those conditions should be discussed with the patient before trial entry
Trial locations and contacts
114 sites in 27 countries.
114 sites in 27 countries
Japan18 sites
Aichi Cancer Center
Aichi, 464-8681
National Cancer Center Hospital East
Chiba, 277-8577
National Hospital Organization Kyushu Cancer Center
Fukuoka, 811-1395
Hiroshima University Hospital
Hiroshima, 734-8551
National Hospital Organization Hokkaido Cancer Center
Hokkaido, 003-0804
National Hospital Organization Himeji Medical Center
Hyōgo, 670-8520
Kanagawa Cancer Center
Kanagawa, 241-8515
Kumamoto University Hospital
Kumamoto, 860-8556
Kyoto University Hospital
Kyoto, 606-8507
Sendai Kousei Hospital
Miyagi, 981-0914
Niigata Cancer Center Hospital
Niigata, 951-8566
Okayama University Hospital
Okayama, 700-8558
Osaka City General Hospital
Osaka, 534-0021
Shizuoka Cancer Center
Shizuoka, 411-8777
National Cancer Center Hospital
Tokyo, 104-0045
Juntendo University Hospital
Tokyo, 113-8431
The Cancer Institute Hospital of JFCR
Tokyo, 135-8550
Tokyo Medical University Hospital
Tokyo, 160-0023
China12 sites
Beijing Cancer Hospital
Beijing, 100142
Jilin Cancer Hospital
Changchun, 132013
West China Hospital, Sichuan University
Chengdu, 610041
Fujian Medical University Union Hospital
Fujian, 350001
Guangdong General Hospital
Guangzhou, 510080
Zhejiang Cancer Hospital
Hangzhou, 310022
Shandong Cancer Hospital
Jinan, 250117
Shanghai Chest Hospital
Shanghai, 200030
Zhongshan Hospital Fudan University
Shanghai, 200032
Shenzhen People's Hospital
Shenzhen, 510852
Union Hospital Tongji Medical College Huazhong University of Science and Technology
Wuhan, 430023
First Affiliated Hospital of Medical College of Xi'an Jiaotong University
Xi'an, 710061
South Korea8 sites
National Cancer Center
Gyeonggi-do, 10408
Seoul National University Bundang Hospital
Gyeonggi-do, 13620
Ajou University Medical Center
Gyeonggi-do, 16499
Gachon University Gil Medical Center
Incheon, 21565
Chonnam National University Hwasun Hospital
Jeollanam-do, 58128
Asan Medical Center
Seoul, 05505
Samsung Medical Center
Seoul, 06351
Korea University Guro Hospital
Seoul, 08308
Turkey (Türkiye)8 sites
Baskent University Adana Dr. Turgut Noyan Practice and Research Hospital
Adana, 01250
Hacettepe Uni Medical Faculty Hospital
Ankara, 06100
Ankara Ataturk Chest Diseases Training and Research Hospital
Ankara, 06500
Istanbul Uni Cerrahpasa Medical Faculty Hospital
Istanbul, 34300
Ege Uni Medical Faculty Hospital
Izmir, 35100
Izmir Suat Seren Chest Diseases and Surgery Research Hospital
Izmir, 35110
Inonu University Medical Faculty Turgut Ozal Medical Center Medical Oncology Department
Malatya, 44280
Medikal Park Samsun
Samsun, 55200
Russia7 sites
GUZ Regional clinical hospital # 1
Krasnodar, 350086
Moscow City Oncology Hospital #62
Moscovskaya Oblast, Moscow Oblast, 143423
FSBI Russian Oncology Research Center n.a. Blokhin of MOH RF
Moscow, Moscow Oblast, 115478
P.A. Gertsen Cancer Research Inst.
Moscow, Moscow Oblast, 125284
Pavlov First Saint Petersburg State Medical University
Saint Petersburg, Sankt-Peterburg, 197022
SPb City Clin Onc Dsp
Saint Petersburg, Sankt-Peterburg, 197022
Scientific Research Oncology Institute named after N.N. Petrov
Saint Petersburg, Sankt-Peterburg, 197758
Spain6 sites
Hospital Universitari Vall d'Hebron
Barcelona, 08035
Hospital de la Santa Creu i Sant Pau
Barcelona, 08041
Hospital Universitari Germans Trias i Pujol
Barcelona, 08916
Hospital Universitario La Paz
Madrid, 28046
Hospital Universitario Virgen del Rocio
Seville, 41013
Hospital Clinico Universitario de Valencia
Valencia, 46010
Italy5 sites
Irccs Istituto Europeo di Oncologia (IEO)
Milan, Lombardy, 20141
Az. Osp. Monaldi
Naples, Campania, 80131
Azienda Ospedaliero-Universitaria San Luigi Gonzaga
Orbassano, Piedmont, 10043
Azienda Ospedaliera Di Perugia Ospedale s. Maria Della Misericordia
Perugia, Umbria, 06156
Azienda Ospedaliera San Camillo Forlanini - Unità Operativa Complessa di Pneumologia Oncologica 1
Rome, Lazio, 00151
Taiwan5 sites
Chang Gung Memorial Foundation - Kaohsiung
Kaohsiung City, 00833
China Medical University Hospital
Taichung, 40447
National Taiwan University Hospital
Taipei, 10002
Chang Gung Medical Foundation - Linkou
Taoyuan, 333
Taichung Veterans General Hospital
Xitun Dist., 40705
Ukraine5 sites
Chemotherapy SI Dnipropetrovsk MA of MOHU
Dnipropetrovsk, 49102
Medical center of Yuriy Spizhenko LLC
Kapitanovka Village, KIEV Governorate, 08112
Kyiv City Clinical Oncological Center
Kyiv, 03115
RCI Sumy Regional Clinical Oncological Dispensary
Sumy, 40005
Vinnytsia Regional Clinical Oncology Dispensary
Vinnytsia, 21029
France4 sites
CHU Angers
Angers, 49933
Hopital Nord AP-HM
Marseille, 13015
Hopital Bichat Claude Bernard
Paris, 75018
Institut Gustave Roussy
Villejuif, 94805
Germany4 sites
Klinikum Chemnitz gGmbH
Chemnitz, 09116
Niels-Stensen-Kliniken Franziskus-Hospital Harderberg GmbH
Georgsmarienhütte, 49124
Thoraxklinik Heidelberg gGmbH
Heidelberg, 69126
Fachklinik für Lungenerkrankungen
Immenhausen, 34376
Poland4 sites
Gdanski Uniwersytet Medyczny
Gda?sk, 80-214
Krakowski Szpital Specjalistyczny im sw. Jana Paw?a II
Krakow, 31-202
Warminsko-Mazurskie Centrum Chorób P?uc w Olsztynie
Olsztyn, 10-357
Wielkopolskie Centrum Pulmonologii i Torakochirurgii w Poznaniu
Poznan, 60-569
United States3 sites
MGH Cancer Center
Boston, Massachusetts, 02114
Rush University Medical Center
Chicago, Illinois, 60612
AHN Cancer Institute ? Allegheny General Hospital
Pittsburgh, Pennsylvania, 15212
Australia3 sites
Chris O'Brien Lifehouse
Camperdown, New South Wales, 2050
Peter MacCallum Cancer Center
Melbourne, Victoria, 3000
GenesisCare North Shore
St Leonards, New South Wales, 2065
Belarus3 sites
Healthcare Institution ?Gomel Regional Clinical Oncologic Dispensary?
Homyel, Homyel'skaya Voblasts', 246012
Healthcare Institution Grodno University Hospital
Hrodna, Grodnenskaya, 230030
Vitebsk Regional Clinical Oncology Dispensary
Vitebsk, Vitebsk Oblast, BU-210603
Greece2 sites
Metropolitan Hospital
Athens, 185 47
Theageneio Hospital
Thessaloniki, 54007
Hungary2 sites
Orszagos Onkologiai Intezet
Budapest, 1122
Hetenyi Geza County Hospital
Szolnok, 5004
Israel2 sites
Rambam Health Care Campus
Haifa, 3109601
Meir Medical Center
Kfar Saba, 44281
North Macedonia2 sites
PHI University Clinic of Radiotherapy and Oncology; Malignant diseases of thorax
Skopje, 1000
Private Health Organization Acibadem Sistina Hospital
Skopje, 1000
Romania2 sites
Prof Dr I Chiricuta Institute of Oncology
Cluj-Napoca, 400015
Oncomed SRL
Timișoara, 300239
Thailand2 sites
Ramathibodi Hospital
Bangkok, 10400
Siriraj Hospital
Bangkok, 10700
United Kingdom2 sites
Guys Hospital
London, SE1 9RY
Wythenshaw Hospital
Manchester, M23 9QZ
Bosnia and Herzegovina1 site
Clinical center University of Sarajevo
Sarajevo, 71000
Denmark1 site
Odense Universitetshospital, Onkologisk Afdeling R
Odense C, 5000
About this study
Official title: A Phase III, Open-Label, Randomized Study to Evaluate the Efficacy and Safety of Adjuvant Alectinib Versus Adjuvant Platinum-Based Chemotherapy in Patients With Completely Resected Stage IB (Tumors Equal to or Larger Than 4cm) to Stage IIIA Anaplastic Lymphoma Kinase Positive Non-Small Cell Lung Cancer
This randomized, active-controlled, multicenter, open-label, Phase III study is designed to investigate the efficacy and safety of alectinib compared with platinum-based in the adjuvant setting. Participants in the experimental arm will receive alectinib at 600 mg orally twice daily (BID) taken with food for 24 months.
Participants in the control arm will receive one of the protocol specified platinum based chemotherapy regimens for 4 cycles. Following treatment completion, participants will be followed up for their disease until disease recurrence. At the time of disease recurrence, participants will enter a survival follow-up until death, withdrawal of consent or study closure, whichever occurs earlier.
- Conditions
- Carcinoma, Non-Small-Cell Lung
- Being tested
- Alectnib, Cisplatin, Vinorelbine, Gemcitabine, Pemetrexed
- Keywords
- NSCLC, alectinib, ALK positive,adjuvant treatment, platinum based chemotherapy, complete resection, Stage IB-IIIA.
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AlectnibDrug
Also called RO5424802
Participants will receive alectinib 600 mg orally BID until completion of treatment period (24 months) or recurrence of disease , unacceptable toxicity, withdrawal of consent or death, whichever occurs first.
CisplatinDrug
Participants will receive Cisplatin 75 milligrams per square meter (mg/m^2) on Day 1 every 21 days IV intravenously (IV) until completion of treatment period (4 cycles), recurrence of disease, unacceptable toxicity, withdrawal of consent, or death, whichever occurs first."
VinorelbineDrug
Also called Navelbine
Participants will receive Vinorelbine 25 mg/m^2 IV on Days 1 and 8 Q21D until completion of treatment period (4 cycles), recurrence of disease, unacceptable toxicity, withdrawal of consent, or death, whichever occurs first.
GemcitabineDrug
Also called Gitrabin
Participants will receive Gemcitabine 1250 mg/m^2 on Days 1 and 8 Q21D IV until completion of treatment period (4 cycles), recurrence of disease, unacceptable toxicity, withdrawal of consent, or death, whichever occurs first.
PemetrexedDrug
Also called Alimta®
Participants will receive 500 mg/m^2 Day 1 Q21D until completion of treatment period (4 cycles), recurrence of disease, unacceptable toxicity, withdrawal of consent, or death, whichever occurs first."
CarboplatinDrug
For participants who experience unacceptable toxicity with cisplatin, carboplatin can be used.
| Study group | Role | What they receive |
|---|---|---|
| Alectinib | Experimental | Not described Receives: Drug: Alectnib |
| Platinum-Based Chemotherapy | Active comparator | Not described Receives: Drug: Cisplatin; Drug: Vinorelbine; Drug: Gemcitabine; Drug: Pemetrexed; Drug: Carboplatin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Disease-free Survival (DFS), as Assessed by the Investigator
DFS, defined as the time from randomization to the first documented recurrence of disease or new primary NSCLC as determined by the investigator through use of an integrated assessment of radiographic data, biopsy sample results (if clinically feasible), and clinical status or death from any cause, whichever occurs first
Measured: Approximately 58 months
Secondary outcomes (5)
Overall Survival (OS)
Primary OS analysis at approximately 5 years after FPI and final OS analysis at approximately 8 years after FPI.
OS, defined as the time from randomization to death from any cause.
Measured: From the date of randomization until death due to any cause up to approximately 8 years
Percentage of Participants With Adverse Events (AEs)
An adverse event is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Pre-existing conditions which worsen during a study are also considered as adverse events.
Measured: Until 28 days after the last dose of alectinib (up to 2 years) or 28 days after end of last cycle of chemotherapy (up to 4 cycles)
AEs Grade 3-5 With a Difference in Incidence Rate of at Least 2% Between Treatment Arms
An adverse event is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Pre-existing conditions which worsen during a study are also considered as adverse events.
Measured: Until 28 days after the last dose of alectinib (up to 2 years) or 28 days after end of last cycle of chemotherapy (up to 4 cycles)
Plasma Concentration of Alectinib
Measured: Predose (2 hours) Week 3 - Week 96
Plasma Concentration of Alectinib Metabolite M4
Measured: Predose (2 hours) Week 3 - Week 96
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Mar 2018
- Study start16 Aug 2018
- Primary completion26 Jun 2023
- Study completion19 Nov 2031 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for Carcinoma, Non-Small-Cell LungStudies of the same condition, open and under way.
- More trials run by Hoffmann-La RocheThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 257 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03456076
- Sponsor's protocol ID
- BO40336
- Other IDs
- 2017-004331-37, 2017
- Status last verified
- Oct 2026
- First submitted
- 6 Mar 2018
- Last updated
- 14 Oct 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data\_sharing
Publications
Dziadziuszko R, Ahn JS, Barlesi F, Solomon BJ, Wu YL, Bondarenko I, Hochmair M, Horinouchi H, Lee DH, Lee JS, Planchard D, Rittmeyer A, Zhong W, Adler L, Archer V, Cardona A, Petric P, Scalori A, Ding B, Mamolo C, Smoljanovic V, Nishio M. Adjuvant alectinib versus chemotherapy in resected ALK-positive non-small-cell lung cancer (ALINA): health-related quality-of-life and safety outcomes from a randomised, open-label, phase 3 trial. Lancet Oncol. 2026 Sep;27(9):1110-1119. doi: 10.1016/S1470-2045(26)00283-4.
PubMed 42636834Barlesi F, Ahn JS, Solomon BJ, Nishio M, Dziadziuszko R, Lee DH, Lee JS, Zhong W, Horinouchi H, Mao W, Hochmair M, de Marinis F, Migliorino MR, Bondarenko I, Xu T, Bara I, Ding B, Ngiam C, Petric P, Wu YL. Disease characteristics and treatment outcomes in patients with resected early-stage ALK-positive non-small cell lung cancer from the randomized ALINA trial. Lung Cancer. 2026 Jun;216:109385. doi: 10.1016/j.lungcan.2026.109385. Epub 2026 Mar 28.
PubMed 41996761Wu YL, Dziadziuszko R, Ahn JS, Barlesi F, Nishio M, Lee DH, Lee JS, Zhong W, Horinouchi H, Mao W, Hochmair M, de Marinis F, Migliorino MR, Bondarenko I, Lu S, Wang Q, Lohmann TO, Xu T, Cardona A, Hiles L, Noe J, Solomon BJ. Plain language summary of the ALINA study results: alectinib compared with chemotherapy after surgery in people with ALK-positive non-small cell lung cancer. Future Sci OA. 2025 Dec;11(1):2578145. doi: 10.1080/20565623.2025.2578145. Epub 2025 Nov 11.
PubMed 41217067Wu YL, Dziadziuszko R, Ahn JS, Barlesi F, Nishio M, Lee DH, Lee JS, Zhong W, Horinouchi H, Mao W, Hochmair M, de Marinis F, Migliorino MR, Bondarenko I, Lu S, Wang Q, Ochi Lohmann T, Xu T, Cardona A, Ruf T, Noe J, Solomon BJ; ALINA Investigators. Alectinib in Resected ALK-Positive Non-Small-Cell Lung Cancer. N Engl J Med. 2024 Apr 11;390(14):1265-1276. doi: 10.1056/NEJMoa2310532.
PubMed 38598794
Study at a glance
From the registry record, last updated by the sponsor on 14 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, Open-Label, Randomized Study to Evaluate the Efficacy and Safety of Adjuvant Alectinib Versus Adjuvant Platinum-Based Chemotherapy in Patients With Completely Resected Stage IB (Tumors Equal to or Larger Than 4cm) to Stage IIIA Anaplastic Lymphoma Kinase Positive Non-Small Cell Lung Cancer
- ClinicalTrials.gov ID
- NCT03456076
- Acronym / sponsor ID
- BO40336
- Conditions
- Carcinoma, Non-Small-Cell Lung
- Keywords
- NSCLC, alectinib, ALK positive,adjuvant treatment, platinum based chemotherapy, complete resection, Stage IB-IIIA.
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 257 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- 16 Aug 2018 (actual)
- Primary completion
- 26 Jun 2023 (actual)
- Study completion
- 19 Nov 2031 (estimated)
- First posted
- 7 Mar 2018 (actual)
- Results
- Posted 26 Aug 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This randomized, active-controlled, multicenter, open-label, Phase III study is designed to investigate the efficacy and safety of alectinib compared with platinum-based in the adjuvant setting. Participants in the experimental arm will receive alectinib at 600 mg orally twice daily (BID) taken with food for 24 months.
Participants in the control arm will receive one of the protocol specified platinum based chemotherapy regimens for 4 cycles. Following treatment completion, participants will be followed up for their disease until disease recurrence. At the time of disease recurrence, participants will enter a survival follow-up until death, withdrawal of consent or study closure, whichever occurs earlier.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Alectinib | Experimental | Drug: Alectnib |
| Platinum-Based Chemotherapy | Active comparator | Drug: Cisplatin, Drug: Vinorelbine, Drug: Gemcitabine, Drug: Pemetrexed, Drug: Carboplatin |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Age ≥18 years
- Complete resection of histologically confirmed Stage IB (tumor ≥ 4 cm) to Stage IIIA (T2-3 N0, T1-3 N1, T1-3 N2, T4 N0-1) NSCLC as per Union Internationale Contre le Cancer / American Joint Committee on Cancer, 7th edition, with negative margins, at 4-12 weeks before enrollment
- If mediastinoscopy was not performed preoperatively, it is expected that, at a minimum, mediastinal lymph node systematic sampling will have occurred
- Documented ALK-positive disease according to an FDA-approved and CE-marked test
- Eligible to receive a platinum-based chemotherapy regimen according to the local labels or guidelines
Key exclusion criteria (15 listed)
- Pregnant or breastfeeding, or intending to become pregnant during the study or within 90 days after the last dose of alectinib or according to local labels or guidelines for chemotherapy
- Prior adjuvant radiotherapy for NSCLC
- Prior exposure to systemic anti-cancer therapy and ALK inhibitors
- Stage IIIA N2 patients that, in the investigator's opinion, should receive post-operative radiotherapy treatment are excluded from the study
- Known sensitivity to any component of study drug to which the patient may be randomized. This includes, but is not limited to, patients with galactose intolerance, a congenital lactase deficiency or glucose-galactose malabsorption.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| AlectnibAlso: RO5424802Participants will receive alectinib 600 mg orally BID until completion of treatment period (24 months) or recurrence of disease , unacceptable toxicity, withdrawal of consent or death, whichever occurs first. | Drug | Alectinib |
| CisplatinParticipants will receive Cisplatin 75 milligrams per square meter (mg/m^2) on Day 1 every 21 days IV intravenously (IV) until completion of treatment period (4 cycles), recurrence of disease, unacceptable toxicity, withdrawal of consent, or death, whichever occurs first." | Drug | Platinum-Based Chemotherapy |
| VinorelbineAlso: NavelbineParticipants will receive Vinorelbine 25 mg/m^2 IV on Days 1 and 8 Q21D until completion of treatment period (4 cycles), recurrence of disease, unacceptable toxicity, withdrawal of consent, or death, whichever occurs first. | Drug | Platinum-Based Chemotherapy |
| GemcitabineAlso: GitrabinParticipants will receive Gemcitabine 1250 mg/m^2 on Days 1 and 8 Q21D IV until completion of treatment period (4 cycles), recurrence of disease, unacceptable toxicity, withdrawal of consent, or death, whichever occurs first. | Drug | Platinum-Based Chemotherapy |
| PemetrexedAlso: Alimta®Participants will receive 500 mg/m^2 Day 1 Q21D until completion of treatment period (4 cycles), recurrence of disease, unacceptable toxicity, withdrawal of consent, or death, whichever occurs first." | Drug | Platinum-Based Chemotherapy |
| CarboplatinFor participants who experience unacceptable toxicity with cisplatin, carboplatin can be used. | Drug | Platinum-Based Chemotherapy |
Primary outcome
Disease-free Survival (DFS), as Assessed by the Investigator
Time frame: Approximately 58 months
DFS, defined as the time from randomization to the first documented recurrence of disease or new primary NSCLC as determined by the investigator through use of an integrated assessment of radiographic data, biopsy sample results (if clinically feasible), and clinical status or death from any cause, whichever occurs first
5 secondary outcomes
Overall Survival (OS)
Time frame: From the date of randomization until death due to any cause up to approximately 8 years
Percentage of Participants With Adverse Events (AEs)
Time frame: Until 28 days after the last dose of alectinib (up to 2 years) or 28 days after end of last cycle of chemotherapy (up to 4 cycles)
AEs Grade 3-5 With a Difference in Incidence Rate of at Least 2% Between Treatment Arms
Time frame: Until 28 days after the last dose of alectinib (up to 2 years) or 28 days after end of last cycle of chemotherapy (up to 4 cycles)
Plasma Concentration of Alectinib
Time frame: Predose (2 hours) Week 3 - Week 96
Plasma Concentration of Alectinib Metabolite M4
Time frame: Predose (2 hours) Week 3 - Week 96
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Oct 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 42636834Dziadziuszko R, Ahn JS, Barlesi F, Solomon BJ, Wu YL, Bondarenko I, Hochmair M, Horinouchi H, Lee DH, Lee JS, Planchard D, Rittmeyer A, Zhong W, Adler L, Archer V, Cardona A, Petric P, Scalori A, Ding B, Mamolo C, Smoljanovic V, Nishio M. Adjuvant alectinib versus chemotherapy in resected ALK-positive non-small-cell lung cancer (ALINA): health-related quality-of-life and safety outcomes from a randomised, open-label, phase 3 trial. Lancet Oncol. 2026 Sep;27(9):1110-1119. doi: 10.1016/S1470-2045(26)00283-4.
- Derived from this study: PubMed 41996761Barlesi F, Ahn JS, Solomon BJ, Nishio M, Dziadziuszko R, Lee DH, Lee JS, Zhong W, Horinouchi H, Mao W, Hochmair M, de Marinis F, Migliorino MR, Bondarenko I, Xu T, Bara I, Ding B, Ngiam C, Petric P, Wu YL. Disease characteristics and treatment outcomes in patients with resected early-stage ALK-positive non-small cell lung cancer from the randomized ALINA trial. Lung Cancer. 2026 Jun;216:109385. doi: 10.1016/j.lungcan.2026.109385. Epub 2026 Mar 28.
- Derived from this study: PubMed 41217067Wu YL, Dziadziuszko R, Ahn JS, Barlesi F, Nishio M, Lee DH, Lee JS, Zhong W, Horinouchi H, Mao W, Hochmair M, de Marinis F, Migliorino MR, Bondarenko I, Lu S, Wang Q, Lohmann TO, Xu T, Cardona A, Hiles L, Noe J, Solomon BJ. Plain language summary of the ALINA study results: alectinib compared with chemotherapy after surgery in people with ALK-positive non-small cell lung cancer. Future Sci OA. 2025 Dec;11(1):2578145. doi: 10.1080/20565623.2025.2578145. Epub 2025 Nov 11.
- Derived from this study: PubMed 38598794Wu YL, Dziadziuszko R, Ahn JS, Barlesi F, Nishio M, Lee DH, Lee JS, Zhong W, Horinouchi H, Mao W, Hochmair M, de Marinis F, Migliorino MR, Bondarenko I, Lu S, Wang Q, Ochi Lohmann T, Xu T, Cardona A, Ruf T, Noe J, Solomon BJ; ALINA Investigators. Alectinib in Resected ALK-Positive Non-Small-Cell Lung Cancer. N Engl J Med. 2024 Apr 11;390(14):1265-1276. doi: 10.1056/NEJMoa2310532.
- Individual participant dataSharing planned: Yes. For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data_sharing
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Trials study director
Hoffmann-La Roche
114 sites in 27 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Alectnib, Cisplatin and Vinorelbine in people with Carcinoma, Non-Small-Cell Lung, run by Hoffmann-La Roche at 114 sites in 27 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 10 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 14 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 114 sites in Japan, China, South Korea, Turkey (Türkiye), Russia and 22 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 26 Aug 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Disease-free Survival (DFS), as Assessed by the Investigator (time frame: Approximately 58 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03456076, which also lists 4 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Oct 2026.