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NSCLCPhase 3NCT05493501

Aumolertinib With Chemotherapy or Alone Compared With Osimertinib in Patients With Epidermal Growth Factor Receptor-Mutant Non-Small Cell Lung Cancer

A Phase 3 study testing Aumolertinib monotherapy, Osimertinib monotherapy and Pemetrexed in people with NSCLC, run by EQRx International, Inc. at 8 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
Search all trials

Trial summary

Aumolertinib is a third-generation epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor (TKI) that targets EGFR mutations. The reason for this study is to learn whether adding chemotherapy to a new investigational drug called aumolertinib helps to slow or stop cancer growth in people with EGFR… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
NSCLC
What is being tested?
Aumolertinib monotherapy, Osimertinib monotherapy and Pemetrexed
Could I receive a placebo?
No, everyone receives an active treatment
How many people
8 participants
Where
8 sitesUnited States
Study dates
14 Dec 2022to 31 Aug 2023
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

  • Is at least 18 years of age (or the legal age of consent in the jurisdiction in which the study is taking place)
  • Has pathologically confirmed NSCLC that is Stage IIIB, metastatic (Stage IVA or IVB), or recurrent, and which is not amenable to curative intent therapy.
  • Tumor harbors one of the 2 common EGFR mutations known to be associated with EGFR-TKI sensitivity-ex19del or L858R-either alone or in combination with other EGFR mutations (eg, G719X, exon 20 insertions, S7681, L861Q)
  • Has Eastern Cooperative Oncology group performance status of 0, 1, or 2 at the time of enrollment.
  • Has adequate organ function at the time of enrollment.
  • Has QTc interval of ≤ 470 ms
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  • Male participants must agree to use a highly effective method of contraception and to refrain from donating sperm while receiving study treatment
  • Female participants are eligible to participate if not pregnant or breastfeeding, and at least one of the following conditions applies: is not of childbearing potential OR is of childbearing potential and using a highly effective contraceptive method while receiving study treatment AND agrees not to donate eggs (ova, oocytes) during this period
  • All female participants must have a negative serum or urine pregnancy test result within 48 hours prior to initiation of study drug dosing

Who cannot join

  • Is a candidate for curative intent therapy for the NSCLC diagnosis.
  • Tumor has mixed small-cell and non-small-cell pathology.
  • Has received prior systemic treatment for metastatic NSCLC. Prior chemotherapy or immunotherapy is permitted, provided that it was used for treatment of locoregional NSCLC as a component of curative intent therapy and administration was completed more than 6 months ago.
  • Has refractory nausea and vomiting, chronic gastrointestinal disease(s), inability to swallow the formulated product (percutaneous endoscopic gastrostomy tube administration may be allowed if tablets are not crushed), or a history of previous significant bowel resection-any of which would preclude adequate absorption of aumolertinib or osimertinib.
  • Has active or past medical history of interstitial lung disease, drug-induced interstitial lung disease or radiation pneumonitis that required steroid treatment
  • Has evidence of active bacterial, viral, or fungal infection which would preclude safe enrollment, as assessed by the treating Investigator.
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  • Has significant concomitant condition, that in the Investigator's judgment would prevent the participant from receiving study treatment or being followed in this study, or which otherwise renders the participant inappropriate for the study.
  • For participants in the aumolertinib monotherapy and aumolertinib with chemotherapy arms, use of strong CYP3A4 inhibitors/inducers within 14 days before initial study drug dosing and use of grapefruit-containing products within 72 hours before initial study drug dosing is prohibited.
  • Has a history of prolonged QT syndrome or Torsades de Pointes
  • Has any clinically important abnormalities in rhythm, conduction, or morphology of resting ECG, including evidence of QT prolongation (QTc >470 ms for males and >480 ms for females) or has any factor, including any current medication(s), known to increase the risk of QTc prolongation or the risk of arrhythmic events
  • Hypersensitivity or allergy to aumolertinib or osimertinib or their excipients

Trial locations and contacts

8 sites in 1 country.

8 sites in 1 country

United States8 sites
  • SCRI - Tennessee Oncology PLLC- Chattanooga

    Chattanooga, Tennessee, 37404

  • QCCA - Mission Blood & Cancer

    Des Moines, Iowa, 50314

  • Summit Health

    Florham Park, New Jersey, 07932

  • Memorial Cancer Institute

    Hollywood, Florida, 33021

  • SCRI - Tennessee Oncology- Nashville

    Nashville, Tennessee, 37203

  • Memorial Cancer Institute

    Pembroke Pines, Florida, 33028

  • Highlands Oncology Group

    Springdale, Arkansas, 72762

  • Northwest Medical Specialties, PLLC

    Tacoma, Washington, 98405

Other trials in United States

About this study

Official title: A Randomized, Three-Arm, Open-Label Phase 3b Clinical Trial of Aumolertinib, Versus Aumolertinib With Chemotherapy, Versus Osimertinib for Patients With Metastatic NSCLC and an EGFR Mutation (TREBLE)

Aumolertinib is a third-generation epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor (TKI) that targets EGFR mutations. The reason for this study is to learn whether adding chemotherapy to a new investigational drug called aumolertinib helps to slow or stop cancer growth in people with EGFR mutation-positive, locally advanced or metastatic non-small cell lung cancer (NSCLC). The study will compare this new combination of drugs to osimertinib, given alone. Aumolertinib given alone will also be used in the study, and it will be looked at in comparison with osimertinib given alone.

This is a randomized, open-label study with 3 different groups that are listed below. "Randomized" means the study treatment participants take will be chosen by chance (decided at random by a computer). "Open-label" means that the participant, the study doctor, and the Sponsor will know which study treatment each participant is receiving.

Read more

Participants will be randomly assigned to one of the following 3 treatment groups:

  • Group 1: Treatment with aumolertinib alone, taken orally (by mouth) as a pill once a day. Around 100 participants will be randomly assigned to this group.
  • Group 2: Treatment with aumolertinib taken orally as a pill once a day, in combination with chemotherapy given intravenously (IV; through a needle placed in a vein) on the schedule provided by the study doctor. Around 200 participants will be randomly assigned to this group.
  • Group 3: Treatment with osimertinib alone, taken orally as a pill once a day. Around 200 participants will be randomly assigned to this group.

Because there will be twice as many participants in Group 2 and Group 3 as in Group 1, the chance of a participant being randomly assigned to either of those groups is twice as likely as being assigned to Group 1.

Participants can continue to receive study treatment as long as they have not withdrawn consent, as long as they choose to continue to receive study treatment and are judged by their doctor to continue to receive clinical benefit from receiving the study treatment, and as long as no other study treatment and/or study discontinuation criteria are met .

Conditions
NSCLC
Being tested
Aumolertinib monotherapy, Osimertinib monotherapy, Pemetrexed, Cisplatin, Carboplatin

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Aumolertinib monotherapyDrug

    Also called EQ143, HS-10296

    Administered orally, once daily as two 55-mg tablets for a total dose of 110 mg.

  • Osimertinib monotherapyDrug

    Also called Tagrisso

    80 mg tablet administered orally, once daily

  • PemetrexedDrug

    Also called Alimta

    Administered by IV Infusion per prescribing information. Maybe be continued as maintenance therapy

  • CisplatinDrug

    Administered by IV Infusion given over 4 fixed cycles (q3wk × 4 cycles) per prescribing information.

  • CarboplatinDrug

    Administered by IV Infusion given over 4 fixed cycles (q3wk × 4 cycles) per prescribing information.

  • PaclitaxelDrug

    Also called Taxol

    Administered by IV Infusion given over 4 -6 fixed cycles per prescribing information.

  • Nab paclitaxelDrug

    Also called Abraxane, Albumin-bound paclitaxel

    Administered by IV Infusion given over 4 fixed cycles per prescribing information.

  • GemcitabineDrug

    Also called Gemzar

    Administered by IV Infusion over 4 fixed cycles per prescribing information.

Study groups in NCT05493501
Study groupRoleWhat they receive
Aumolertinib monotherapyExperimentalNot described
Receives: Drug: Aumolertinib monotherapy
Aumolertinib + platinum-based doublet chemotherapyExperimentalFor adenocarcinoma, either: * Aumolertinib + cisplatin with pemetrexed, or * Aumolertinib + carboplatin with pemetrexed For squamous cell carcinoma, one of the following: * Aumolertinib + cisplatin or carboplatin with paclitaxel; * Aumolertinib + cisplatin or carboplatin with albumin-bound paclitaxel; or * Aumolertinib + cisplatin or carboplatin with gemcitabine
Receives: Drug: Aumolertinib monotherapy; Drug: Pemetrexed; Drug: Cisplatin; Drug: Carboplatin; Drug: Paclitaxel; Drug: Nab paclitaxel; Drug: Gemcitabine
Osimertinib monotherapyActive comparatorNot described
Receives: Drug: Osimertinib monotherapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Progression Free Survival (PFS) as Assessed by Blinded Independent Central Review (BICR) Per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1

    PFS is defined as the time from date of randomization until date of disease progression or death due to any cause, whichever occurs first.

    Measured: Up to 5 years

Secondary outcomes (20)
  1. Overall Survival (OS)

    OS is defined as the time from date of randomization until death from any cause.

    Measured: Up to 6 years

  2. Objective Response Rate (ORR) as Assessed by BICR Per RECIST v1.1

    ORR is defined as proportion of participants who achieve a complete response or partial response at any time before progressive disease or initiating a subsequent anticancer therapy.

    Measured: Up to 5 years

  3. Disease Control Rate (DCR) as Assessed by BICR Per RECIST v1.1

    DCR is defined as the proportion of participants who have a best overall response of complete response or partial response or stable disease.

    Measured: Up to 5 years

  4. Tumor Growth Rate (TGR) as Assessed by BICR Per RECIST v1.1

    TGR is defined as the constant exponential growth rate estimated using the sum of longest diameters based on radiological tumor assessment per RECIST v1.1.

    Measured: Up to 5 years

  5. Duration of Response (DOR) as Assessed by BICR Per RECIST v1.1

    DOR is defined as date of first response (complete response or partial response) until date of disease progression or death due to any cause, whichever occurs first

    Measured: Up to 5 years

  6. Depth of Response (DepOR) as Assessed by BICR Per RECIST v1.1

    DepOR is defined as the relative change in target lesion tumor size (calculated as the sum of the longest diameters of the target lesions, in the absence of new lesions or progression of nontarget lesions) as compared to baseline.

    Measured: Up to 5 years

  7. PFS as Assessed by the Investigator Per RECIST v1.1

    PFS is defined as the time from date of randomization until date of disease progression or death due to any cause, whichever occurs first.

    Measured: Up to 5 years

  8. ORR as Assessed by the Investigator Per RECIST v1.1

    ORR is defined as the proportion of participants who achieve a complete response or partial response at any time before disease progression or initiating a subsequent anticancer therapy.

    Measured: Up to 5 years

  9. DCR as Assessed by the Investigator Per RECIST v1.1

    DCR is defined as the proportion of participants who have a best overall response of complete response or partial response or stable disease.

    Measured: Up to 5 years

  10. TGR as Assessed by the Investigator Per RECIST v1.1

    TGR is defined as the constant exponential growth rate estimated using the sum of longest diameters based on radiological tumor assessment per RECIST v1.1.

    Measured: Up to 5 years

  11. DOR as Assessed by the Investigator Per RECIST v1.1

    DOR is defined as date of first response (complete response or partial response) until the date of disease progression or death due to any cause, whichever occurs first.

    Measured: Up to 5 years

  12. DepOR as Assessed by the Investigator Per RECIST v1.1

    DepOR is defined as the relative change in target lesion tumor size (calculated as the sum of the longest diameters of the target lesions, in the absence of new lesions or progression of nontarget lesions) as compared to baseline.

    Measured: Up to 5 years

  13. Quality of Life as Assessed by the National Cancer Institute Patient Reported Outcomes Common Terminology Criteria for Adverse Events (NCI PRO-CTCAE) Questionnaire

    NCI PRO-CTCAE questionnaire responses are scored from 0 to 4, wherein lower values represent a better outcome. For this trial, the burden of symptoms that will be captured by this questionnaire comprises nausea, diarrhea, and rash.

    Measured: Up to 5 years

  14. Rate of Circulating Tumor DNA (ctDNA) Clearance

    ctDNA clearance is defined as when a detectable EGFR mutation in ctDNA at baseline becomes undetectable or drops below a predetermined threshold. Rate of ctDNA clearance is defined as 100 × number of participants who are ctDNA-negative at 6 weeks divided by number of participants who are ctDNA-positive at baseline.

    Measured: 6 weeks

  15. Plasma Concentration of Aumolertinib

    Plasma concentration is defined as the measured drug concentration of aumolertinib.

    Measured: Up to approximately 5 months

  16. Plasma Concentration of Aumolertinib Metabolite

    Plasma concentration is defined as the measured drug concentration of aumolertinib metabolite.

    Measured: Up to approximately 5 months

  17. Number of Participants With Treatment Emergent Adverse Events (TEAEs)

    This outcome will evaluate the incidence of participants with TEAEs, graded according to NCI CTCAE V5.

    Measured: From date of treatment initiation until discontinuation from treatment (plus 28 days for TEAEs), up to 5 years

  18. Number of Participants With Serious Adverse Events (SAEs)

    This outcome will evaluate incidence of participants with SAEs, be graded according to NCI CTCAE V5.

    Measured: From date of treatment initiation until discontinuation from treatment (plus 28 days for TEAEs), up to 5 years

  19. Number of Participants With Electrocardiogram (ECG) Abnormalities

    This outcome will evaluate incidence of participants with ECG abnormalities

    Measured: From date of treatment initiation until discontinuation from treatment (plus 28 days for TEAEs), up to 5 years

  20. Number of Participants With Laboratory Abnormalities

    This outcome will evaluate incidence of participants with laboratory abnormalities, graded according to NCI CTCAE V5.

    Measured: From date of treatment initiation until discontinuation from treatment (plus 28 days for TEAEs), up to 5 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Aug 2022
  2. Study start14 Dec 2022
  3. Primary completion31 Aug 2023
  4. Study completion31 Aug 2023

Why it stopped: The study is being closed based on corporate changes at EQRx and is not related to any efficacy or safety issues with aumolertinib.

Resources

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
8 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05493501
Sponsor's protocol ID
EQ143-301
Other IDs
2022-002674-93
Status last verified
Oct 2023
First submitted
24 Jun 2022
Last updated
2 May 2024
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Aumolertinib monotherapy, Osimertinib monotherapy and Pemetrexed in people with NSCLC, run by EQRx International, Inc. at 8 sites in United States.

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 9 inclusion and 11 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: stopped early, as of the sponsor's last update on 2 May 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in United States. 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 May 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?

Progression Free Survival (PFS) as Assessed by Blinded Independent Central Review (BICR) Per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 (time frame: Up to 5 years). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 2 May 2024.

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