Advanced or Metastatic Non-small Cell Lung CancerPhase 3PALOMA-3NCT05388669
A Study of Lazertinib With Subcutaneous Amivantamab Compared With Intravenous Amivantamab in Participants With Epidermal Growth Factor Receptor (EGFR)-Mutated Advanced or Metastatic Non-small Cell Lung Cancer
A Phase 3 study testing Lazertinib, Amivantamab Subcutaneous and Co-Formulated with Recombinant Human Hyaluronidase (SC CF) and Amivantamab Intravenous in people with Advanced or Metastatic Non-small Cell Lung Cancer, run by Janssen Research & Development, LLC at 187 sites in 20 countries.
Trial summary
The purpose of the study is to simplify amivantamab intravenous administration and to reduce dose times, by assessing a new formulation of amivantamab, amivantamab subcutaneous and co-formulated with recombinant human hyaluronidase (SC-CF), for subcutaneous administration. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Advanced or Metastatic Non-small Cell Lung Cancer
- What is being tested?
- Lazertinib, Amivantamab Subcutaneous and Co-Formulated with Recombinant Human Hyaluronidase (SC CF) and Amivantamab Intravenous
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 418 participants
- Where
- 187 sitesin 20 countries
- Study dates
- 5 Aug 2022to 30 Jun 2027
- 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
- Have histologically or cytologically confirmed, advanced or metastatic non-small cell lung cancer (NSCLC), characterized by either epidermal growth factor receptor (EGFR) Exon 19 deletion (Exon 19del) or Exon 21 leucine 858 to arginine substitution (Exon 21 L858R) mutation by an Food and Drug Administration (FDA)-approved or other validated test of either circulating tumor deoxyribonucleic acid (ctDNA) or tumor tissue in a clinical laboratory improvement amendments (CLIA) certified laboratory (sites in the United Started [US]) or an accredited local laboratory (sites outside of the US)
- Have progressed on or after osimertinib (or another approved 3rd generation epidermal growth factor receptor [EGFR] tyrosine kinase inhibitor [TKI]) and platinum-based chemotherapy (irrespective of order). a) The 3rd generation EGFR TKI must have been administered as the first EGFR TKI for metastatic disease or as the second TKI after prior treatment with first- or second-generation EGFR TKI in participants with metastatic EGFR T790M mutation positive NSCLC. b) Participants who decline or are otherwise ineligible for chemotherapy may be enrolled after discussion with the medical monitor. c) Any adjuvant or neoadjuvant treatment, whether with a 3rd generation EGFR TKI or platinum based chemotherapy, would count towards the prior treatment requirement if the participant experienced disease
- Have at least 1 measurable lesion, according to response evaluation criteria in solid tumors (RECIST) version 1.1
- Have an eastern cooperative oncology group (ECOG) performance status of 0 to 1
- Any toxicities from prior anticancer therapy must have resolved to common terminology criteria for adverse events (CTCAE) Version 5.0 Grade 1 or baseline level (except for alopecia [any grade], Grade less than or equal to (<=) 2 peripheral neuropathy, and Grade <=2 hypothyroidism stable on hormone replacement)
Who cannot join
- Participant has received cytotoxic, investigational, or targeted therapies beyond one regimen of platinum-based chemotherapy and EGFR inhibitors
- Participant has received radiotherapy for palliative purposes less than 7 days prior to randomization
- Participant has symptomatic or progressive brain metastases
- Participant has leptomeningeal disease, or participant has spinal cord compression not definitively treated with surgery or radiation
- Participant has uncontrolled tumor-related pain
- Participant has a medical history of interstitial lung disease (ILD), including drug-induced ILD or radiation pneumonitis
Trial locations and contacts
187 sites in 20 countries.
187 sites in 20 countries
China32 sites
Beijing Shijitan Hospital, Capital Medical University
Beijing, 100038
Beijing Friendship Hospital Capital Medical University
Beijing, 100050
Peking University Third Hospital
Beijing, 100191
Beijing Chest hospital, Capital medical university
Beijing, 101149
Cancer Hospital Chinese Academy of Medical Sciences
Beijing, 200240
Jilin cancer hospital
Changchun, 130012
The First People's Hospital Of Changzhou
Changzhou, 213004
Sichuan Cancer Hospital
Chengdu, 610041
West China Hospital Sichuan University
Chengdu, 610047
Chongqing University Cancer Hospital
Chongqing, 400030
Southwest Hospital
Chongqing, 400038
First Affiliated Hospital of Gannan Medical University
Ganzhou, 341000
Sun Yat-Sen Memorial Hospital Sun Yat-sen University
Guangzhou, 510000
The First Affiliated Hospital Sun Yat sen University
Guangzhou, 510080
The Second Affiliated Hospital of Zhejiang University College of Medicine
Hangzhou, 310009
Sir Run Run Shaw Hospital Zhejiang University School of Medicine
Hangzhou, 310016
Zhejiang Cancer Hospital
Hangzhou, 310022
Harbin medical university cancer hospital
Harbin, 150081
Huizhou Municipal Central Hospital
Huizhou, 516001
Huizhou First Hospital
Huizhou, 516003
Liuzhou people's Hospital
Liuzhou, 545026
Affiliated Hospital of North Sichuan Medical College
Nanchong, 637100
Fudan University Shanghai Cancer Center
Shanghai, 200032
Shengjing Hospital Of China Medical University
Shenyang, 110004
Shenzhen People s Hospital
Shenzhen, 518001
Shenzhen university General Hospital
Shenzhen, 518055
Tianjin Medical University Cancer Institute and Hospital
Tianjin, 300060
Union Hospital Tongji Medical College of Huazhong University of Science and Technology
Wuhan, 430022
The First Affiliated Hospital of Xian Jiaotong University
Xi'an, 710061
Xiangyang Central Hospital
Xiangyang, 441021
Yantai Yuhuangding Hospital
Yantai, 264000
Henan Cancer Hospital
Zhengzhou, 450008
Japan18 sites
National Cancer Center Hospital
Chūōku, 104 0045
National Hospital Organization Himeji Medical Center
Himeji, 670-8520
Kansai Medical University Hospital
Hirakata, 573 1191
Kanagawa Cancer Center
Kanagawa, 241-8515
Kurashiki Central Hospital
Kurashiki, 710-8602
Kurume University Hospital
Kurume, 830-0011
Matsusaka Municipal Hospital
Matsusaka, 515-8544
Niigata Cancer Center Hospital
Niigata, 951-8566
Okayama University Hospital
Okayama, 700 8558
Osaka International Cancer Institute
Osaka, 541 8567
Hokkaido University Hospital
Sapporo, 060-8648
Shizuoka Cancer Center
Shizuoka, 411 8777
The Cancer Institute Hospital of JFCR
Tokyo, 135 8550
Fujita Health University Hospital
Toyoake, 470-1192
National Hospital Organization Osaka Toneyama Medical Center
Toyonaka-shi, 560-8552
Wakayama Medical University Hospital
Wakayama, 641 8510
National Hospital Organization Iwakuni Clinical Center
Yamaguchi, 740-8510
National Hospital Organization Yamaguchi Ube Medical Center
Yamaguchi, 755-0241
United States17 sites
University of Michigan
Ann Arbor, Michigan, 48109
Baptist Lynn Cancer Institute
Boca Raton, Florida, 33486
Medical University of South Carolina
Charleston, South Carolina, 29425
National Jewish Health
Denver, Colorado, 80206
City of Hope Duarte
Duarte, California, 91010
Astera Cancer Care
East Brunswick, New Jersey, 08816
Virginia Cancer Specialists
Fairfax, Virginia, 22031
City of Hope Orange County Lennar Foundation Cancer Center
Irvine, California, 92618
University of Kansas
Kansas City, Kansas, 66160
City of Hope Long Beach Elm
Long Beach, California, 90813
Rutgers Cancer Institute of New Jersey
New Brunswick, New Jersey, 08901
NYU Langone Health Laura and Isaac Perlmutter Cancer Center
New York, New York, 10016
Orlando Health
Orlando, Florida, 32806
University of Pennsylvania Division of Hematology Oncology Perelman Center for Advanced Medicine
Philadelphia, Pennsylvania, 19104
Providence Portland Medical Center
Portland, Oregon, 97213
Providence Oncology and Hematology Care Clinic Westside
Portland, Oregon, 97225
Montefiore Medical Center
The Bronx, New York, 10461
Brazil16 sites
Fundacao Pio XII
Barretos, 14784-400
Cetus Oncologia
Belo Horizonte, 30110-017
Instituto Cionc de Ensino e Pesquisa S/S
Curitiba, 80810-050
Ynova Pesquisa Clinica
Florianópolis, 88020-210
Fundacao Sao Francisco Xavier HMC Unidade de Oncologia
Ipatinga, 35162 189
UPCO Unidade de Pesquisa Clinica em Oncologia
Pelotas, 96020 080
Uniao Brasileira de Educacao e Assistencia Hospital Sao Lucas da PUCRS
Porto Alegre, 90610-000
Impar Servicos Hospitalares S/A
Rio de Janeiro, 22061-080
Oncoclinicas Rio de Janeiro S A
Rio de Janeiro, 22250 905
Instituto D Or de Pesquisa e Ensino IDOR
Rio de Janeiro, 22281 100
Nucleo de Oncologia da Bahia
Salvador, 40170 110
CEPHO Centro de Estudos e Pesquisa de Hematologia e Oncologia
Santo André, 09060-650
Impar Servicos Hospitalares SA Hospital Nove de Julho
São Paulo, 01409-002
Núcleo de Pesquisa São Camilo
São Paulo, 04014-002
Onco Star SP Oncologia Ltda
São Paulo, 04543-000
Sociedade Beneficente Israelita Brasileira Hospital Albert Einstein
São Paulo, 05652 900
Spain16 sites
Hosp Univ A Coruna
A Coruña, 15006
Hosp. Gral. Univ. de Alicante
Alicante, 03010
Hosp Univ Vall D Hebron
Barcelona, 08035
Hosp Clinic de Barcelona
Barcelona, 08036
Hosp. Univ. Quiron Dexeus
Barcelona, 8028
Hosp Reina Sofia
Córdoba, 14004
Hosp. Univ. Insular de Gran Canaria
Las Palmas de Gran Canaria, 35016
Hosp. Univ. Lucus Augusti
Lugo, 27003
Hosp. Gral. Univ. Gregorio Maranon
Madrid, 28009
Hosp. Univ. La Paz
Madrid, 28046
Hosp. Univ. Pta. de Hierro Majadahonda
Majadahonda, 28222
Hosp Regional Univ de Malaga
Málaga, 29011
Hosp. Univ. Central de Asturias
Oviedo, 33011
Hosp. Univ. Son Espases
Palma de Mallorca, 07120
Hosp. Virgen Del Rocio
Seville, 41013
Hosp. Univ. I Politecni La Fe
Valencia, 46026
Turkey (Türkiye)11 sites
Adana City Hospital
Adana, 01060
Adana Baskent Hospital
Adana, 01120
Memorial Ankara Hastanesi
Ankara, 06520
Gazi University Hospital
Ankara, 06560
Ankara Bilkent City Hospital
Ankara, 06800
Trakya University Medical Faculty
Edirne, 22030
Istanbul University Cerrahpasa Medical Faculty
Istanbul, 34098
Acıbadem Maslak Hospital
Istanbul, 34457
Dokuz Eylul University Medical Faculty
Izmir, 35330
IEU Medical Point Hospital
Izmir, 35575
Medical Park Samsun Hastanesi
Samsun, 55200
Italy9 sites
Oncologia Medica - Irccs - Istituto Tumori Giovanni Paolo II
Bari, 70124
A O U Sant Orsola Malpighi
Bologna, 40138
European Institute of Oncology
Milan, 20141
Aou San Luigi Gonzaga
Orbassano, 10043
Istituto Oncologico Veneto - IRCCS
Padova, 35128
Ospedale S. Maria Delle Croci
Ravenna, 48121
A.O. San Camillo Forlanini
Roma, 00152
Istituto Nazionale Tumori Regina Elena
Rome, 00144
Istituto Clinico Humanitas
Rozzano, 20089
South Korea9 sites
National Cancer Center
Gyeonggi-do, 10408
CHA Bundang Medical Center, CHA University
Gyeonggi-do, 13496
GyeongSang National University Hospital
Gyeongsangnam-do, 52727
Chonnam National University Hwasun Hospital
Jeollanam-do, 58128
Seoul National University Bundang Hospital
Seongnam-si, 13620
Seoul National University Hospital
Seoul, 03080
Severance Hospital Yonsei University Health System
Seoul, 03722
Asan Medical Center
Seoul, 05505
Samsung Medical Center
Seoul, 06351
Taiwan8 sites
Changhua Christian Hospital
Changhua, 50006
Kaohsiung Medical University Chung Ho Memorial Hospital
Kaohsiung City, 80756
Chang Kung Memorial Hospital
Kaohsiung City, 833
Chung Shan Medical University Hospital
Taichung, 403
National Cheng Kung University Hospital
Tainan, 70403
National Taiwan University Hospital
Taipei, 10048
National Taiwan University Cancer Center
Taipei, 106
Linkou Chang Gung Memorial Hospital
Taoyuan, 33382
Argentina6 sites
CEMIC (Centro de Educación Médica e Investigaciones Clínicas)
Buenos Aires, 1431
IADT Instituto Argentino de Diagnostico y Tratamiento
CABA, C1122
Centro Oncológico Korben
Chabas, C1425
Cemaic Centro Privado de Especialidades Medicas Ambulatorias e Investigacion Clinica
Córdoba, 5000
Sanatorio Allende
Córdoba, 5000
Clínica Viedma
Viedma, R8500ACE
Australia6 sites
Cancer Research SA
Adelaide, 5000
Chris O'Brien Lifehouse
Camperdown, 2050
Peter MacCallum Cancer Centre
Melbourne, 3000
St John of God Hospital Murdoch
Murdoch, 6150
Westmead Hospital
Westmead, 2145
Princess Alexandra Hospital
Woolloongabba, 4102
Germany6 sites
Evangelische Lungenklinik Berlin
Berlin, 13125
Niels-Stensen-Kliniken Franziskus-Hospital Harderberg
Georgsmarienhütte, 49124
Universitaetsklinikum Giessen und Marburg GmbH
Giessen, 35392
Munster University Hospital
Münster, 48149
Oncologianova GmbH
Recklinghausen, 45659
Onkologische Schwerpunktpraxis
Weinsberg, 74189
Malaysia6 sites
Prince Court Medical Centre
Kuala Lumpur, 50450
Pantai Hospital Kuala Lumpur
Kuala Lumpur, 59100
University Malaya Medical Centre
Kuala Lumpur, 59100
Hospital Umum Sarawak
Kuching, 93586
Beacon Hospital Sdn Bhd
Petaling Jaya, 46050
Sunway Medical Centre
Petaling Jaya, 47500
Israel5 sites
Rambam Medical Center
Haifa, 3109601
Meir Medical Center
Kfar Saba, 44281
Rabin Medical Center
Petah Tikva, 49100
Chaim Sheba Medical Center
Ramat Gan, 5262100
Shaare Zedek Medical Center
Yeruham, 91031
Poland5 sites
Centrum Onkologii im Prof F Lukaszczyka w Bydgoszczy
Bydgoszcz, 85 796
Krakowski Szpital Specjalityczny im. Jana Pawla II
Krakow, 31-202
Mazowieckie Centrum Leczenia Chorob Pluc
Otwock, 05 400
Private Specialist Hospitals - MedPolonia
Poznan, 60-693
Narodowy Instytut Onkologii im Marii Sklodowskiej Curie Panstwowy Instytut Badawczy
Warsaw, 02-781
France4 sites
CHU Grenoble
La Tronche, 38700
Institute Coeur Poumon
Lille, 59000
CHU de Limoges Hopital Dupuytren
Limoges, 87000
Hopital Nord
Marseille, 13915
Portugal4 sites
Hospital de Braga
Braga, 4710-243
Hospital da Luz, SA
Lisbon, 1500-650
Hosp. Cuf Descobertas
Lisbon, 1998-018
Ulsm - Hosp. Pedro Hispano
Senhora da Hora, 4464-513
United Kingdom4 sites
Birmingham Heartlands Hospital
Birmingham, B9 5SS
Imperial College Healthcare
London, W2 1NY
Newcastle Freeman Hospital
Newcastle upon Tyne, NE7 7DN
Royal Marsden Hospital
Sutton, SM2 5PT
Thailand3 sites
Phramongkutklao Hospital and Medical College
Bangkok, 10400
Siriraj Hospital
Bangkok, 10700
Chiang Mai University
Chiang Mai, 50200
Canada2 sites
The Ottawa Hospital Cancer Centre
Ottawa, Ontario, K1H 8L6
Princess Margaret Hospital
Toronto, Ontario, M5G 1Z5
About this study
Official title: A Phase 3, Open-label, Randomized Study of Lazertinib With Subcutaneous Amivantamab Compared With Intravenous Amivantamab in Patients With EGFR-mutated Advanced or Metastatic Non-small Cell Lung Cancer After Progression on Osimertinib and Chemotherapy
The purpose of the study is to simplify amivantamab intravenous administration and to reduce dose times, by assessing a new formulation of amivantamab, amivantamab subcutaneous and co-formulated with recombinant human hyaluronidase (SC-CF), for subcutaneous administration. This formulation has the potential to enhance both the patient and physician experience with amivantamab by providing easier and accelerated administration.
- Being tested
- Lazertinib, Amivantamab Subcutaneous and Co-Formulated with Recombinant Human Hyaluronidase (SC CF), Amivantamab Intravenous
- 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.
LazertinibDrug
Also called JNJ-73841937, YH25448
Lazertinib tablets will be administered orally.
Amivantamab Subcutaneous and Co-Formulated with Recombinant Human Hyaluronidase (SC CF)Drug
Also called JNJ-61186372
Amivantamab injection will be administered subcutaneously by manual injection.
Amivantamab IntravenousDrug
Also called JNJ-61186372
Amivantamab will be administered by IV infusion.
| Study group | Role | What they receive |
|---|---|---|
| Arm A: Lazertinib with Amivantamab SC-CF | Experimental | Lazertinib 240 milligrams (mg) will be administered orally once daily. Participants will receive amivantamab subcutaneous and co-formulated with recombinant human hyaluronidase (SC-CF), 1600 mg/ 2240 mg depending on the body weight by manual injection. Participants benefiting from study treatment after primary analysis may continue to receive access to study treatment within the study by transferring to the long-term extension (LTE) Phase. Receives: Drug: Lazertinib; Drug: Amivantamab Subcutaneous and Co-Formulated with Recombinant Human Hyaluronidase (SC CF) |
| Arm B: Lazertinib with Amivantamab Intravenous (IV) Infusion | Experimental | Lazertinib 240 mg will be administered orally once. Participants will receive amivantamab, 1050 mg or 1400 mg depending on the body weight as an IV infusion. Participants benefiting from study treatment after primary analysis may continue to receive access to study treatment within the study by transferring to the LTE Phase. Receives: Drug: Lazertinib; Drug: Amivantamab Intravenous |
What is being measured
The primary outcome is the main question the study is designed to answer.
For All Regions Other Than the European Union (EU) and Others Accepting Cycle 2 Day 1: Observed Serum Concentration (Ctrough) of Amivantamab at Steady State
Ctrough was the observed serum concentration of Amivantamab at steady state immediately prior to the next drug administration.
Measured: Pre-dose on Cycle 4 Day 1 (each cycle of 28 days)
For EU and Any Applicable Region: Observed Serum Concentration (Ctrough) of Amivantamab
Ctrough was the observed serum concentration of Amivantamab immediately prior to the next drug administration.
Measured: Pre-dose on Cycle 2 Day 1 (each cycle of 28 days)
Area Under the Concentration (AUC) Time Curve of Amivantamab From Day 1 to Day 15 (AUC [Day 1-15]) of Cycle 2
AUC (Day 1-15) defined as area under the concentration time curve from Cycle 2 Day 1 to Day 15 were reported.
Measured: Cycle 2: Arm A: pre-dose, 24, 48, 72, 96, 168, and 360 hours (hrs) post-dose on Day 1; Arm B: pre-infusion, end of infusion (EOI)+10 minutes, EOI+2, EOI+6, EOI+24, EOI+48, EOI+72, EOI+168, and EOI+360 hrs post dose on Day 1
Secondary outcomes (20)
Objective Response Rate (ORR)
Measured: Up to 3 years 4 months
Progression-Free Survival (PFS)
Measured: Up to 3 years 4 months
Duration of Response (DOR)
Measured: Up to 3 years 4 months
Time to Response (TTR)
Measured: Up to 3 years 4 months
Number of Participants With Adverse Events (AEs)
Measured: Up to 3 years 4 months
Number of Participants With AEs by Severity
Measured: Up to 3 years 4 months
Number of Participants With Clinical Laboratory Abnormalities
Measured: Up to 3 years 4 months
Number of Participants With Clinical Laboratory Abnormalities by Severity
Measured: Up to 3 years 4 months
Number of Participants With Infusion Related Reactions (IRRs)
Measured: Up to 3 years 4 months
Number of Participants With IRRs by Severity
Measured: Up to 3 years 4 months
For All Regions Other Than the EU and Others Accepting Cycle 2 Day 1: Observed Serum Concentration (Ctrough) of Amivantamab at Pre-dose on Cycle 2 Day 1
Measured: Pre-dose on Cycle 2 Day 1 (each cycle of 28 days)
For EU and Any Applicable Region: Observed Serum Concentration (Ctrough) of Amivantamab at Steady State on Cycle 4 Day 1
Measured: Pre-dose on Cycle 4 Day 1 (each cycle of 28 days)
Model-Predicted Area Under the Concentration Time Curve of Amivantamab at Steady State From Day 1 to Day 15 (AUC [Day 1-15]) of Cycle 4
Measured: Cycle 4: Arm A: pre-dose, 24, 48, 72, 96, 168, and 360 hrs post-dose on Day 1; Arm B: preinfusion, EOI+10 minutes, EOI+2, EOI+6, EOI+24, EOI+48, EOI+72, EOI+168, and EOI+360 hrs post dose on Day 1
Percentage of Participants With Presence of Anti-amivantamab Antibodies and Anti-rHuPH20 Antibodies
Measured: Up to 3 years 4 months
Percentage of Participants With Cancer Therapy Satisfaction as Assessed by Therapy Administration Satisfaction Questionnaire (TASQ)
Measured: Up to 3 years 4 months
Change From Baseline in Therapy Administration Satisfaction Questionnaire (TASQ) as Assessed Over Time
Measured: From baseline (Day 1, Cycle 1) to 3 years 4 months (each cycle of 28 days)
Participant Chair Time
Measured: Up to 3 years 4 months
Participant Chair Time in Treatment Room
Measured: Up to 3 years 4 months
Duration of Treatment Administration
Measured: Up to 3 years 4 months
Active Health Care Professional (HCP) Time For Drug Preparation, Treatment Administration and Post-treatment Monitoring
Measured: Up to 3 years 4 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 May 2022
- Study start5 Aug 2022
- Primary completion3 Jan 2024
- Study completion30 Jun 2027 (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 (2)Papers the sponsor has linked to this study.
- Other trials for Advanced or Metastatic Non-small Cell Lung CancerStudies of the same condition, open and under way.
- More trials run by Janssen Research & Development, LLCThe 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
- 418 participants (actual)
Sponsor and investigators
- Lead sponsor
- Janssen Research & Development, LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Janssen Research & Development, LLC Clinical Trial, Study director, Janssen Research & Development, LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05388669
- Sponsor's protocol ID
- CR109211
- Other IDs
- 61186372NSC3004, 2022-000525-25, 2024-512045-16-00
- Acronym
- PALOMA-3
- Status last verified
- Nov 2026
- First submitted
- 19 May 2022
- Last updated
- 3 Nov 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: The data sharing policy of the Janssen Pharmaceutical Companies of Johnson \& Johnson is available at www.janssen.com/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu
- Expanded access
- Available
Publications
Leighl NB, Passaro A, Akamatsu H, Spira AI, Nguyen D, Qin A, Schuchard J, Gamil M, Baig M, Alexander M. Plain language summary of subcutaneous vs IV amivantamab plus lazertinib in EGFR-altered non-small-cell lung cancer. Future Oncol. 2026 Aug 24:1-17. doi: 10.1080/14796694.2026.2709936. Online ahead of print.
PubMed 42635093Leighl NB, Akamatsu H, Lim SM, Cheng Y, Minchom AR, Marmarelis ME, Sanborn RE, Chih-Hsin Yang J, Liu B, John T, Massuti B, Spira AI, Lee SH, Wang J, Li J, Liu C, Novello S, Kondo M, Tamiya M, Korbenfeld E, Moskovitz M, Han JY, Alexander M, Joshi R, Felip E, Voon PJ, Danchaivijitr P, Hsu PC, Silva Melo Cruz FJ, Wehler T, Greillier L, Teixeira E, Nguyen D, Sabari JK, Qin A, Kowalski D, Sendur MAN, Xie J, Ghosh D, Alhadab A, Haddish-Berhane N, Clemens PL, Lorenzini P, Verheijen RB, Gamil M, Bauml JM, Baig M, Passaro A; PALOMA-3 Investigators. Subcutaneous Versus Intravenous Amivantamab, Both in Combination With Lazertinib, in Refractory Epidermal Growth Factor Receptor-Mutated Non-Small Cell Lung Cancer: Primary Results From the Phase III PALOMA-3 Study. J Clin Oncol. 2024 Oct 20;42(30):3593-3605. doi: 10.1200/JCO.24.01001. Epub 2024 Jun 10.
PubMed 38857463
Study at a glance
From the registry record, last updated by the sponsor on 3 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Open-label, Randomized Study of Lazertinib With Subcutaneous Amivantamab Compared With Intravenous Amivantamab in Patients With EGFR-mutated Advanced or Metastatic Non-small Cell Lung Cancer After Progression on Osimertinib and Chemotherapy
- ClinicalTrials.gov ID
- NCT05388669
- Acronym / sponsor ID
- PALOMA-3 / CR109211
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 418 participants (actual)
- Lead sponsor
- Janssen Research & Development, LLCIndustry (pharma, biotech, devices)
- Study start
- 5 Aug 2022 (actual)
- Primary completion
- 3 Jan 2024 (actual)
- Study completion
- 30 Jun 2027 (estimated)
- First posted
- 24 May 2022 (actual)
- Results
- Posted 2 Feb 2026
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of the study is to simplify amivantamab intravenous administration and to reduce dose times, by assessing a new formulation of amivantamab, amivantamab subcutaneous and co-formulated with recombinant human hyaluronidase (SC-CF), for subcutaneous administration. This formulation has the potential to enhance both the patient and physician experience with amivantamab by providing easier and accelerated administration.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Arm A: Lazertinib with Amivantamab SC-CF | Experimental | Drug: Lazertinib, Drug: Amivantamab Subcutaneous and Co-Formulated with Recombinant Human Hyaluronidase (SC CF)Lazertinib 240 milligrams (mg) will be administered orally once daily. Participants will receive amivantamab subcutaneous and co-formulated with recombinant human hyaluronidase (SC-CF), 1600 mg/ 2240 mg depending on the body weight by manual injection. Participants benefiting from study treatment after primary analysis may continue to receive access to study treatment within the study by transferring to the long-term extension (LTE) Phase. |
| Arm B: Lazertinib with Amivantamab Intravenous (IV) Infusion | Experimental | Drug: Lazertinib, Drug: Amivantamab IntravenousLazertinib 240 mg will be administered orally once. Participants will receive amivantamab, 1050 mg or 1400 mg depending on the body weight as an IV infusion. Participants benefiting from study treatment after primary analysis may continue to receive access to study treatment within the study by transferring to the LTE Phase. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Have histologically or cytologically confirmed, advanced or metastatic non-small cell lung cancer (NSCLC), characterized by either epidermal growth factor receptor (EGFR) Exon 19 deletion (Exon 19del) or Exon 21 leucine 858 to arginine substitution (Exon 21 L858R) mutation by an Food and Drug Administration (FDA)-approved or other validated test of either circulating tumor deoxyribonucleic acid (ctDNA) or tumor tissue in a clinical laboratory improvement amendments (CLIA) certified laboratory (sites in the United Started [US]) or an accredited local laboratory (sites outside of the US)
- Have progressed on or after osimertinib (or another approved 3rd generation epidermal growth factor receptor [EGFR] tyrosine kinase inhibitor [TKI]) and platinum-based chemotherapy (irrespective of order). a) The 3rd generation EGFR TKI must have been administered as the first EGFR TKI for metastatic disease or as the second TKI after prior treatment with first- or second-generation EGFR TKI in participants with metastatic EGFR T790M mutation positive NSCLC. b) Participants who decline or are otherwise ineligible for chemotherapy may be enrolled after discussion with the medical monitor. c) Any adjuvant or neoadjuvant treatment, whether with a 3rd generation EGFR TKI or platinum based chemotherapy, would count towards the prior treatment requirement if the participant experienced disease
- Have at least 1 measurable lesion, according to response evaluation criteria in solid tumors (RECIST) version 1.1
- Have an eastern cooperative oncology group (ECOG) performance status of 0 to 1
- Any toxicities from prior anticancer therapy must have resolved to common terminology criteria for adverse events (CTCAE) Version 5.0 Grade 1 or baseline level (except for alopecia [any grade], Grade less than or equal to (<=) 2 peripheral neuropathy, and Grade <=2 hypothyroidism stable on hormone replacement)
Key exclusion criteria (6 listed)
- Participant has received cytotoxic, investigational, or targeted therapies beyond one regimen of platinum-based chemotherapy and EGFR inhibitors
- Participant has received radiotherapy for palliative purposes less than 7 days prior to randomization
- Participant has symptomatic or progressive brain metastases
- Participant has leptomeningeal disease, or participant has spinal cord compression not definitively treated with surgery or radiation
- Participant has uncontrolled tumor-related pain
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 |
|---|---|---|
| LazertinibAlso: JNJ-73841937, YH25448Lazertinib tablets will be administered orally. | Drug | Arm A: Lazertinib with Amivantamab SC-CF, Arm B: Lazertinib with Amivantamab Intravenous (IV) Infusion |
| Amivantamab Subcutaneous and Co-Formulated with Recombinant Human Hyaluronidase (SC CF)Also: JNJ-61186372Amivantamab injection will be administered subcutaneously by manual injection. | Drug | Arm A: Lazertinib with Amivantamab SC-CF |
| Amivantamab IntravenousAlso: JNJ-61186372Amivantamab will be administered by IV infusion. | Drug | Arm B: Lazertinib with Amivantamab Intravenous (IV) Infusion |
Primary outcome
For All Regions Other Than the European Union (EU) and Others Accepting Cycle 2 Day 1: Observed Serum Concentration (Ctrough) of Amivantamab at Steady State
Time frame: Pre-dose on Cycle 4 Day 1 (each cycle of 28 days)
Ctrough was the observed serum concentration of Amivantamab at steady state immediately prior to the next drug administration.
For EU and Any Applicable Region: Observed Serum Concentration (Ctrough) of Amivantamab
Time frame: Pre-dose on Cycle 2 Day 1 (each cycle of 28 days)
Ctrough was the observed serum concentration of Amivantamab immediately prior to the next drug administration.
Area Under the Concentration (AUC) Time Curve of Amivantamab From Day 1 to Day 15 (AUC [Day 1-15]) of Cycle 2
Time frame: Cycle 2: Arm A: pre-dose, 24, 48, 72, 96, 168, and 360 hours (hrs) post-dose on Day 1; Arm B: pre-infusion, end of infusion (EOI)+10 minutes, EOI+2, EOI+6, EOI+24, EOI+48, EOI+72, EOI+168, and EOI+360 hrs post dose on Day 1
AUC (Day 1-15) defined as area under the concentration time curve from Cycle 2 Day 1 to Day 15 were reported.
20 secondary outcomes
Objective Response Rate (ORR)
Time frame: Up to 3 years 4 months
Progression-Free Survival (PFS)
Time frame: Up to 3 years 4 months
Duration of Response (DOR)
Time frame: Up to 3 years 4 months
Time to Response (TTR)
Time frame: Up to 3 years 4 months
Number of Participants With Adverse Events (AEs)
Time frame: Up to 3 years 4 months
Number of Participants With AEs by Severity
Time frame: Up to 3 years 4 months
Number of Participants With Clinical Laboratory Abnormalities
Time frame: Up to 3 years 4 months
Number of Participants With Clinical Laboratory Abnormalities by Severity
Time frame: Up to 3 years 4 months
Number of Participants With Infusion Related Reactions (IRRs)
Time frame: Up to 3 years 4 months
Number of Participants With IRRs by Severity
Time frame: Up to 3 years 4 months
For All Regions Other Than the EU and Others Accepting Cycle 2 Day 1: Observed Serum Concentration (Ctrough) of Amivantamab at Pre-dose on Cycle 2 Day 1
Time frame: Pre-dose on Cycle 2 Day 1 (each cycle of 28 days)
For EU and Any Applicable Region: Observed Serum Concentration (Ctrough) of Amivantamab at Steady State on Cycle 4 Day 1
Time frame: Pre-dose on Cycle 4 Day 1 (each cycle of 28 days)
Model-Predicted Area Under the Concentration Time Curve of Amivantamab at Steady State From Day 1 to Day 15 (AUC [Day 1-15]) of Cycle 4
Time frame: Cycle 4: Arm A: pre-dose, 24, 48, 72, 96, 168, and 360 hrs post-dose on Day 1; Arm B: preinfusion, EOI+10 minutes, EOI+2, EOI+6, EOI+24, EOI+48, EOI+72, EOI+168, and EOI+360 hrs post dose on Day 1
Percentage of Participants With Presence of Anti-amivantamab Antibodies and Anti-rHuPH20 Antibodies
Time frame: Up to 3 years 4 months
Percentage of Participants With Cancer Therapy Satisfaction as Assessed by Therapy Administration Satisfaction Questionnaire (TASQ)
Time frame: Up to 3 years 4 months
Change From Baseline in Therapy Administration Satisfaction Questionnaire (TASQ) as Assessed Over Time
Time frame: From baseline (Day 1, Cycle 1) to 3 years 4 months (each cycle of 28 days)
Participant Chair Time
Time frame: Up to 3 years 4 months
Participant Chair Time in Treatment Room
Time frame: Up to 3 years 4 months
Duration of Treatment Administration
Time frame: Up to 3 years 4 months
Active Health Care Professional (HCP) Time For Drug Preparation, Treatment Administration and Post-treatment Monitoring
Time frame: Up to 3 years 4 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Nov 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 42635093Leighl NB, Passaro A, Akamatsu H, Spira AI, Nguyen D, Qin A, Schuchard J, Gamil M, Baig M, Alexander M. Plain language summary of subcutaneous vs IV amivantamab plus lazertinib in EGFR-altered non-small-cell lung cancer. Future Oncol. 2026 Aug 24:1-17. doi: 10.1080/14796694.2026.2709936. Online ahead of print.
- Derived from this study: PubMed 38857463Leighl NB, Akamatsu H, Lim SM, Cheng Y, Minchom AR, Marmarelis ME, Sanborn RE, Chih-Hsin Yang J, Liu B, John T, Massuti B, Spira AI, Lee SH, Wang J, Li J, Liu C, Novello S, Kondo M, Tamiya M, Korbenfeld E, Moskovitz M, Han JY, Alexander M, Joshi R, Felip E, Voon PJ, Danchaivijitr P, Hsu PC, Silva Melo Cruz FJ, Wehler T, Greillier L, Teixeira E, Nguyen D, Sabari JK, Qin A, Kowalski D, Sendur MAN, Xie J, Ghosh D, Alhadab A, Haddish-Berhane N, Clemens PL, Lorenzini P, Verheijen RB, Gamil M, Bauml JM, Baig M, Passaro A; PALOMA-3 Investigators. Subcutaneous Versus Intravenous Amivantamab, Both in Combination With Lazertinib, in Refractory Epidermal Growth Factor Receptor-Mutated Non-Small Cell Lung Cancer: Primary Results From the Phase III PALOMA-3 Study. J Clin Oncol. 2024 Oct 20;42(30):3593-3605. doi: 10.1200/JCO.24.01001. Epub 2024 Jun 10.
- Individual participant dataSharing planned: Yes. The data sharing policy of the Janssen Pharmaceutical Companies of Johnson \& Johnson is available at www.janssen.com/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu
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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.
Janssen Research & Development, LLC Clinical Trial study director
Janssen Research & Development, LLC
187 sites in 20 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Lazertinib, Amivantamab Subcutaneous and Co-Formulated with Recombinant Human Hyaluronidase (SC CF) and Amivantamab Intravenous in people with Advanced or Metastatic Non-small Cell Lung Cancer, run by Janssen Research & Development, LLC at 187 sites in 20 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 5 inclusion and 6 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 3 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 187 sites in China, Japan, United States, Brazil, Spain and 15 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 2 Feb 2026). 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?
For All Regions Other Than the European Union (EU) and Others Accepting Cycle 2 Day 1: Observed Serum Concentration (Ctrough) of Amivantamab at Steady State (time frame: Pre-dose on Cycle 4 Day 1 (each cycle of 28 days)). The study lists 3 primary outcomes in all. 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 NCT05388669, which also lists 2 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 3 Nov 2026.