Non-Squamous Non-Small Cell Lung CancerPhase 2/3NCT07005102
A Study to Assess Adverse Events, Change in Disease Activity of Intravenous Telisotuzumab Adizutecan in Combination With Osimertinib as First-Line Treatment in Adult Participants With Locally Advanced Unresectable or Metastatic EGFR-Mutated Non-Squamous Non-Small Cell Lung Cancer
A Phase 2/3 study testing Telisotuzumab Adizutecan, Osimertinib (Osi) and Cisplatin in people with Non-Squamous Non-Small Cell Lung Cancer and c-MET, run by AbbVie at 65 sites in 13 countries.
Trial summary
Non-small cell lung cancer (NSCLC) is a common type of lung cancer where abnormal cells in the lungs grow out of control. The purpose of this study is to assess adverse events and change in disease activity "when telisotuzumab adizutecan is given in combination with a fixed dose of osimertinib (Osi)or standard of care… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Non-Squamous Non-Small Cell Lung Cancer, c-MET
- What is being tested?
- Telisotuzumab Adizutecan, Osimertinib (Osi) and Cisplatin
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 854 participants
- Where
- 65 sitesin 13 countries
- Study dates
- 3 Aug 2025to Nov 2036
- Phase
- Phase 2/3
- Are there results?
- Not yet: the study is under way
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
- Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1 during the screening period and prior to dosing of study treatment on Cycle 1 Day 1.
- Must consent to provide recently obtained formalin-fixed, paraffin-embedded (FFPE) tumor tissue (ideally collected during or after locally advanced or metastatic diagnosis) or archived tissue during screening for c-Met immunohistochemistry (IHC) testing and study stratification. c-Met IHC results are required prior to randomization.
- Must have at least one non-irradiated measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. If only one measurable lesion exists, it is acceptable to be used (as a target lesion) as long as it has not been previously irradiated and as long as it has not been biopsied within 14 days of the baseline tumor assessment scans.
- Any toxicities from prior systemic anti-cancer therapy must have resolved to common terminology criteria for adverse events (CTCAE) Grade 1 or baseline level (except for alopecia [any grade] or Grade <= 2 peripheral neuropathy).
- Should not have any major, life-threatening conditions and life expectancy as determined by the investigator should be at least 3 months.
- No prior estimated glomerular filtration rate (EGFR) tyrosine kinase inhibitor (TKI) in the locally advanced and/or metastatic setting (except for when it is allowed on study prior to C1D1). Participants treated with prior EGFR TKI in the adjuvant setting are allowed to enroll provided that >= 126 months (since last dose of e.g., adjuvant osimertinib) have passed before Cycle 1, Day 1.
- Diagnosis of histologically or cytologically confirmed metastatic/locally advanced non-squamous NSCLC with documented classical EGFR mutation (Exon 19 Del or Exon 21 L858R) either alone or in combination with other EGFR mutations as detected by an Food and Drug Administration (FDA)-approved or other validated test in a Clinical Laboratory Improvement Amendments (CLIA) certified laboratory (sites in the US) or an accredited Laboratory (sites outside of the US) in accordance with site standard of care. A copy of the test report documenting the EGFR mutation must be available in the participant records.
Who cannot join
- History of interstitial lung disease (ILD), pneumonitis that required treatment with systemic steroids, or any evidence of active ILD/pneumonitis on screening chest computed tomography (CT) scan.
- History of idiopathic pulmonary fibrosis, organizing pneumonia (e.g., bronchiolitis obliterans), drug-induced pneumonitis, or idiopathic pneumonitis.
- Participants has leptomeningeal disease, or participant has spinal cord compression not definitively treated with surgery or radiation.
- History of any malignancy other than disease under study except for
- Malignancy treated with curative intent and with no known active disease present for 2 years before the first dose of study treatment and felt to be at low risk for recurrence by investigator.
- Successfully treated nonmelanoma skin cancer.
- Localized carcinoma in situ of the cervix.
- Breast Cancer; lobular carcinoma in situ or ductal carcinoma in situ that is considered completely cured.
Trial locations and contacts
65 sites in 13 countries. Contact the study team or a site near you to ask about taking part.
65 sites in 13 countries
United States18 sites, 17 recruiting
- Recruiting
University Colorado Cancer Center /ID# 275382
Aurora, Colorado, 80045-2517
- Recruiting
Texas Oncology - South Austin /ID# 276033
Austin, Texas, 78745
- Recruiting
Ironwood Cancer and Research Centers - Chandler /ID# 275443
Chandler, Arizona, 85224
- Recruiting
City of Hope National Medical Center /ID# 282241
Duarte, California, 91010
- Recruiting
Virginia Cancer Specialists - Fairfax /ID# 275071
Fairfax, Virginia, 22031
- Recruiting
Kaiser Permanente Moanalua Medical Center /ID# 275942
Honolulu, Hawaii, 96819
- Recruiting
The University of Texas MD Anderson Cancer Center /ID# 275107
Houston, Texas, 77030
- Recruiting
City of Hope - Orange County Lennar Foundation Cancer Center /ID# 284734
Irvine, California, 92618
- Recruiting
Nho - Revive Research Institute /ID# 276115
Lincoln, Nebraska, 68506
- Recruiting
USC Norris Comprehensive Cancer Center /ID# 275343
Los Angeles, California, 90033
- Recruiting
Usc Norris Oncology/Hematology Treatment Center /ID# 278673
Newport Beach, California, 92663
- Recruiting
Mid Florida Hematology And Oncology Center /ID# 275278
Orange City, Florida, 32763
- Recruiting
Texas Oncology - Palestine Cancer Center /ID# 276034
Palestine, Texas, 75801
- Recruiting
Renown Regional Medical Center /ID# 276049
Reno, Nevada, 89502
- Recruiting
UCLA - Santa Monica /ID# 276816
Santa Monica, California, 90404
- Recruiting
University of Washington Medical Center /ID# 275866
Seattle, Washington, 98195
- Recruiting
City Of Hope - Upland /ID# 284650
Upland, California, 91786
- Completed
The Iowa Clinic /ID# 276020
West Des Moines, Iowa, 50266
China7 sites, 7 recruiting
- Recruiting
Cancer Hospital - Chinese Academy of Medical Sciences /ID# 275631
Beijing, Beijing Municipality, 100021
- Recruiting
West China Hospital of Sichuan University /ID# 274946
Chengdu, Sichuan, 610041
- Recruiting
Fujian Province Cancer Hospital /ID# 274913
Fuzhou, Fujian, 350014
- Recruiting
The First Affiliated Hospital Of Guangzhou Medical University /ID# 274914
Guangzhou, Guangdong, 510163
- Recruiting
The First affiliated hospital of Nanchang University /ID# 275257
Nanchang, Jiangxi, 330006
- Recruiting
Shanghai Chest Hospital /ID# 275273
Shanghai, Shanghai Municipality, 200030
- Recruiting
Union Hospital Tongji Medical College /ID# 278711
Wuhan, Hubei, 430048
Japan6 sites, 6 recruiting
- Recruiting
Juntendo University Hospital /ID# 276424
Bunkyo-ku, Tokyo, 113-8431
- Recruiting
National Cancer Center Hospital /ID# 275678
Chuo-Ku, Tokyo, 104-0045
- Recruiting
Niigata University Medical and Dental Hospital /ID# 275685
Niigata, Niigata, 951-8520
- Recruiting
Shizuoka Cancer Center /ID# 278082
Sunto-gun, Shizuoka, 411-8777
- Recruiting
Osaka Medical And Pharmaceutical University Hospital /ID# 275684
Takatsuki, Osaka, 569-8686
- Recruiting
Yokohama Municipal Citizen's Hospital /ID# 275682
Yokohama, Kanagawa, 221-0855
South Korea5 sites, 5 recruiting
- Recruiting
Inje University Haeundae Paik Hospital /ID# 275388
Busan, Busan Gwang Yeogsi, 48108
- Recruiting
Chungbuk National University Hospital /ID# 275768
Cheongju-si, North Chungcheong, 28644
- Recruiting
Yonsei University Health System Severance Hospital /ID# 275384
Seoul, Seoul Teugbyeolsi, 03722
- Recruiting
Asan Medical Center /ID# 275600
Seoul, Seoul Teugbyeolsi, 05505
- Recruiting
Samsung Medical Center /ID# 278083
Seoul, Seoul Teugbyeolsi, 06351
Australia4 sites, 4 recruiting
- Recruiting
Austin Health /ID# 275505
Heidelberg, Victoria, 3084
- Recruiting
Liverpool Hospital /ID# 276304
Liverpool, New South Wales, 2170
- Recruiting
St John of God Murdoch Hospital /ID# 275700
Murdoch, Western Australia, 6150
- Recruiting
The Queen Elizabeth Hospital /ID# 275719
Woodville South, South Australia, 5011
Belgium4 sites, 4 recruiting
- Recruiting
Jessa Ziekenhuis - Campus Virga Jesse /ID# 275585
Hasselt, Limburg, 3500
- Recruiting
Universitair Ziekenhuis Leuven /ID# 275586
Leuven, Vlaams-Brabant, 3000
- Recruiting
CHU de Liege /ID# 277971
Liège, 4000
- Recruiting
AZ-Delta. /ID# 275753
Roeselare, West-Vlaanderen, 8800
Italy4 sites, 4 recruiting
- Recruiting
Azienda Ospedaliero Universitaria San Luigi Gonzaga /ID# 275215
Orbassano, Torino, 10043
- Recruiting
Azienda Ospedaliera di Perugia - Ospedale S. Maria della Misericordia /ID# 277808
Perugia, 06156
- Recruiting
Fondazione Policlinico Universitario Campus Bio-Medico /ID# 280103
Roma, 00128
- Recruiting
IRCCS Istituti Fisioterapici Ospitalieri-Istituto Nazionale Tumori Regina Elena /ID# 274948
Rome, Roma, 00144
Spain4 sites, 4 recruiting
- Recruiting
Hospital Clinic de Barcelona /ID# 275476
Barcelona, 08036
- Recruiting
Hospital General Universitario Gregorio Maranon /ID# 275475
Madrid, 28007
- Recruiting
Hospital Universitario 12 de Octubre /ID# 277698
Madrid, 28041
- Recruiting
Instituto Valenciano de Oncologia /ID# 275471
Valencia, 46009
Israel3 sites, 3 recruiting
- Recruiting
Rambam Health Care Campus- Haifa /ID# 274542
Haifa, 3109601
- Recruiting
Rabin Medical Center. /ID# 274540
Petah Tikva, Central District, 4941492
- Recruiting
The Chaim Sheba Medical Center /ID# 274541
Ramat Gan, Tel Aviv, 5265601
Portugal3 sites, 3 recruiting
- Recruiting
Unidade Local de Saude de Braga, EPE /ID# 275394
Braga, 4710-243
- Recruiting
Unidade Local de Saude de Santo Antonio /ID# 275387
Porto, 4099-003
- Recruiting
Hospital Cuf Porto /ID# 275395
Porto, 4100-180
Taiwan3 sites, 3 recruiting
- Recruiting
Kaohsiung Medical University Chung-Ho Memorial Hospital /ID# 275293
Kaohsiung City, 807
- Recruiting
National Taiwan University Cancer Center (Ntucc) /ID# 275291
Taipei, 106
- Recruiting
Taipei Veterans General Hospital /ID# 275292
Taipei, 112
Canada2 sites, 1 recruiting
- Recruiting
The Ottawa Hospital - General Campus /ID# 275611
Ottawa, Ontario, K1H 8L6
- Active, not recruiting
Princess Margaret Cancer Centre /ID# 274845
Toronto, Ontario, M5G 2M9
Singapore2 sites, 2 recruiting
- Recruiting
National Cancer Centre Singapore /ID# 275986
Singapore, Central Singapore, 169611
- Recruiting
National University Hospital /ID# 275988
Singapore, 119074
About this study
Official title: A Phase 2/3 Randomized Study to Evaluate the Safety, Efficacy, and Optimal Dose of Telisotuzumab Adizutecan in Combination With Osimertinib as First-Line Treatment in Patients With Locally Advanced Unresectable or Metastatic EGFR-Mutated Non-Squamous Non-Small Cell Lung Cancer
Non-small cell lung cancer (NSCLC) is a common type of lung cancer where abnormal cells in the lungs grow out of control. The purpose of this study is to assess adverse events and change in disease activity "when telisotuzumab adizutecan is given in combination with a fixed dose of osimertinib (Osi)or standard of care (Osi plus platinum/pemetrexed chemotherapy).
Telisotuzumab adizutecan is an investigational drug being developed for the treatment of NSCLC. Osi is a drug approved for the treatment of NSCLC. This study will be divided into two stages, in the first stage participants will receive increasing doses of telisotuzumab adizutecan with Osi. Participants will then be randomized into 4 groups called treatment arms where 3 groups will receive 1 of 3 doses of telisotuzumab adizutecan from from the dose escalation phase with Osi, or standard of care (Osi plus chemotherapy). In the second stage participants will receive the optimal dose of telisotuzumab adizutecan, from the previous stage, with Osi, or SOC. Approximately 854 adult participants with 1L estimated glomerular filtration rate (EGFR) mut (mutated) not sufficient quantity (NSq) NSCLC will be enrolled in the study in 200 sites worldwide.
Read more
In Stage 1, during dose escalation participants will receive increasing intravenous (IV) doses of telisotuzumab adizutecan with oral Osi tablets. participants will receive 1 of 3 doses of telisotuzumab adizutecan with Osi, or standard of care (Osi plus chemotherapy). In stage 2 participants will receive the optimal dose of IV telisotuzumab adizutecanin with oral Osi tablet, or SOC. The study will run for a duration of approximately 76 months.
There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at an approved institution (hospital or clinic). The effect of the treatment will be frequently checked by medical assessments, blood tests, questionnaires and side effects.
- Conditions
- Non-Squamous Non-Small Cell Lung Cancer, c-MET
- Being tested
- Standard of Care, Telisotuzumab Adizutecan, Osimertinib (Osi), Cisplatin, Carboplatin
- Keywords
- Non-Squamous Non-Small Cell Lung Cancer, Telisotuzumab Adizutecan, Osimertinib, Cisplatin, Carboplatin, Pemetrexed, ABBV-400, Stand of Care, Cancer, Chemotherapy, Platinum Chemotherapy
- Medical subject headings
- Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Standard of CareDrug
Standard of Care
Telisotuzumab AdizutecanDrug
Intravenous (IV)
Osimertinib (Osi)Drug
Oral
CisplatinDrug
IV
CarboplatinDrug
IV
PemetrexedDrug
IV
| Study group | Role | What they receive |
|---|---|---|
| Stage 1: Escalation Telisotuzumab Adizutecan + Osimertinib | Experimental | Participants will receive increasing doses of telisotuzumab adizutecan with osimertinib (Osi), as part of the approximately 76 month study duration. Receives: Drug: Telisotuzumab Adizutecan; Drug: Osimertinib (Osi) |
| Stage 1: Expansion Telisotuzumab Adizutecan Dose A + Osi | Experimental | Participants will receive telisotuzumab adizutecan dose A with Osi, as part of the approximately 76 month study duration. Receives: Drug: Telisotuzumab Adizutecan; Drug: Osimertinib (Osi) |
| Stage 1: Expansion Telisotuzumab Adizutecan Dose B + Osi | Experimental | Participants will receive telisotuzumab adizutecan dose B with Osi, as part of the approximately 76 month study duration. Receives: Drug: Telisotuzumab Adizutecan; Drug: Osimertinib (Osi) |
| Stage 1: Expansion Telisotuzumab Adizutecan Dose C + Osi | Experimental | Participants will receive telisotuzumab adizutecan dose C with Osi, as part of the approximately 76 month study duration. Receives: Drug: Telisotuzumab Adizutecan; Drug: Osimertinib (Osi) |
| Stage 1: Expansion Osi + Chemotherapy + Pemetrexed | Experimental | Participants will receive Osi with chemotherapy followed by Osi with pemetrexed, as part of the approximately 76 month study duration. Receives: Drug: Osimertinib (Osi); Drug: Cisplatin; Drug: Carboplatin; Drug: Pemetrexed |
| Stage 2: Standared of Care (SOC) | Experimental | Participants will receive SOC, as part of the approximately 76 month study duration. Receives: Drug: Standard of Care; Drug: Osimertinib (Osi) |
| Stage 2: Optimized Telisotuzumab Adizutecan + Osi | Experimental | Participants will receive the optimized dose of telisotuzumab adizutecan with Osi, as part of the approximately 76 month study duration. Receives: Drug: Telisotuzumab Adizutecan; Drug: Osimertinib (Osi) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Stage 1: Objective Response (OR) Based on Blinded Independent Central Review (BICR) Assessment per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
OR is defined as confirmed complete response (CR) or confirmed partial response (PR) per BICR based on RECIST version 1.1.
Measured: Up to Approximately 76 Months
Stage 2: Progression-free survival (PFS) based on BICR assessment per RECIST version 1.1.
PFS is defined as the time from the participant's randomization date to the first occurrence of radiographic progression per BICR based on RECIST version 1.1 or death from any cause, whichever occurs earlier.
Measured: Up to Approximately 76 Months
Number of Participants with Adverse Events (AEs)
An AE is defined as any untoward medical occurrence in a patient or clinical investigation in which a participant is administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment.
Measured: Up to Approximately 76 Months
Secondary outcomes (11)
Stage 1: PFS based on BICR assessment per RECIST version 1.1.
PFS is defined as the time from the participant's randomization date to the first occurrence of radiographic progression per BICR based on RECIST version 1.1 or death from any cause, whichever occurs earlier.
Measured: Up to Approximately 76 Months
Stage 1: Duration of response (DoR) based on BICR assessment per RECIST version 1.1.
DOR is defined as the time from the first documented CR or PR per BICR to the first occurrence of radiographic progression per RECIST version 1.1 or death from any cause, whichever occurs first. DOR is defined for participants with confirmed CR/PR.
Measured: Up to Approximately 76 Months
Stage 1: Disease control rate (DC) based on BICR assessment per RECIST version 1.1.
DC is defined as best overall response of confirmed CR or confirmed PR, or stable disease (SD) for at least 12 weeks following randomization date based on RECIST version 1.1, as determined by the BICR.
Measured: Up to Approximately 76 Months
Stage 1: Overall Survival
OS is defined as the time from participant's randomization date to the event of death from any cause.
Measured: Up to Approximately 76 Months
Stage 2: Overall Survival
OS is defined as the time from participant's randomization date to the event of death from any cause.
Measured: Up to Approximately 76 Months
Stage 2: OR based on BICR assessment per RECIST version 1.1.
OR is defined as confirmed CR or confirmed PR per BICR based on RECIST version 1.1.
Measured: Up to Approximately 76 Months
Stage 2: DoR based on BICR assessment per RECIST version 1.1.
DOR is defined as the time from the first documented CR or PR per BICR to the first occurrence of radiographic progression per RECIST version 1.1 or death from any cause, whichever occurs first. DOR is defined for participants with confirmed CR/PR.
Measured: Up to Approximately 76 Months
Stage 2: DC based on BICR assessment per RECIST version 1.1.
DC is defined as best overall response of confirmed CR or confirmed PR, or SD for at least 12 weeks following randomization date based on RECIST version 1.1, as determined by the BICR.
Measured: Up to Approximately 76 Months
Stage 2: Change from baseline at Week 12 in physical functioning as measured by the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30).
The EORTC QLQ-C30 is a 30-item patient-reported questionnaire composed of both multi-item and single scales including 5 functional scales (physical, role, emotional, social, and cognitive), 3 symptom scales (fatigue, nausea and vomiting, and pain), a global health status/QoL scale, and 6 single items (dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties). Participants rate items on a 4-point scale ranging from 1 to 4 (1 = Not at All, 2 = A Little, 3 = Quite a Bit, and 4 = Very Much).
Measured: Up to Approximately 76 Months
Stage 2: Change from baseline at Week 12 in key lung cancer symptoms as measured by the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer 13 (EORTC QLQ-LC13)
The EORTC QLQ-LC13 is a lung cancer specific module and consists of 13 questions assessing lung cancer-associated symptoms and treatment-related effects, including one multiple-item scale to assess dyspnea and a series of single items assessing coughing, hemoptysis, sore mouth, dysphagia, peripheral neuropathy, alopecia, pain, and pain medication. Each item is assessed on a Likert scale from 1 (not at all) to 4 (very much).
Measured: Up to Approximately 76 Months
Stage 2: Change from baseline at Week 12 in GHS/QoL as measured by the EORTC QLQ-C30.
The EORTC QLQ-C30 is a 30-item patient-reported questionnaire composed of both multi-item and single scales including 5 functional scales (physical, role, emotional, social, and cognitive), 3 symptom scales (fatigue, nausea and vomiting, and pain), a global health status/QoL scale, and 6 single items (dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties). Participants rate items on a 4-point scale ranging from 1 to 4 (1 = Not at All, 2 = A Little, 3 = Quite a Bit, and 4 = Very Much).
Measured: Up to Approximately 76 Months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Jun 2025
- Study start3 Aug 2025
- Primary completionNov 2036 (estimated)
- Study completionNov 2036 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Non-Squamous Non-Small Cell Lung CancerStudies of the same condition, open and under way.
- More trials run by AbbVieThe 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 2/3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 854 participants (estimated)
Sponsor and investigators
- Lead sponsor
- AbbVie
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- ABBVIE INC., Study director, AbbVie
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07005102
- Sponsor's protocol ID
- M25-287
- Other IDs
- 2024-518586-10
- Status last verified
- Oct 2026
- First submitted
- 27 May 2025
- Last updated
- 5 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: AbbVie is committed to responsible clinical trial data sharing. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information.
Study at a glance
From the registry record, last updated by the sponsor on 5 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2/3 Randomized Study to Evaluate the Safety, Efficacy, and Optimal Dose of Telisotuzumab Adizutecan in Combination With Osimertinib as First-Line Treatment in Patients With Locally Advanced Unresectable or Metastatic EGFR-Mutated Non-Squamous Non-Small Cell Lung Cancer
- ClinicalTrials.gov ID
- NCT07005102
- Acronym / sponsor ID
- M25-287
- Conditions
- Non-Squamous Non-Small Cell Lung Cancer, c-MET
- Keywords
- Non-Squamous Non-Small Cell Lung Cancer, Telisotuzumab Adizutecan, Osimertinib, Cisplatin, Carboplatin, Pemetrexed, ABBV-400, Stand of Care
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 854 participants (estimated)
- Lead sponsor
- AbbVieIndustry (pharma, biotech, devices)
- Study start
- 3 Aug 2025 (actual)
- Primary completion
- Nov 2036 (estimated)
- Study completion
- Nov 2036 (estimated)
- First posted
- 5 Jun 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Non-small cell lung cancer (NSCLC) is a common type of lung cancer where abnormal cells in the lungs grow out of control. The purpose of this study is to assess adverse events and change in disease activity "when telisotuzumab adizutecan is given in combination with a fixed dose of osimertinib (Osi)or standard of care (Osi plus platinum/pemetrexed chemotherapy).
Telisotuzumab adizutecan is an investigational drug being developed for the treatment of NSCLC. Osi is a drug approved for the treatment of NSCLC. This study will be divided into two stages, in the first stage participants will receive increasing doses of telisotuzumab adizutecan with Osi. Participants will then be randomized into 4 groups called treatment arms where 3 groups will receive 1 of 3 doses of telisotuzumab adizutecan from from the dose escalation phase with Osi, or standard of care (Osi plus chemotherapy). In the second stage participants will receive the optimal dose of telisotuzumab adizutecan, from the previous stage, with Osi, or SOC. Approximately 854 adult participants with 1L estimated glomerular filtration rate (EGFR) mut (mutated) not sufficient quantity (NSq) NSCLC will be enrolled in the study in 200 sites worldwide.
In Stage 1, during dose escalation participants will receive increasing intravenous (IV) doses of telisotuzumab adizutecan with oral Osi tablets. participants will receive 1 of 3 doses of telisotuzumab adizutecan with Osi, or standard of care (Osi plus chemotherapy). In stage 2 participants will receive the optimal dose of IV telisotuzumab adizutecanin with oral Osi tablet, or SOC. The study will run for a duration of approximately 76 months.
There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at an approved institution (hospital or clinic). The effect of the treatment will be frequently checked by medical assessments, blood tests, questionnaires and side effects.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 7
| Arm | Type | Receives |
|---|---|---|
| Stage 1: Escalation Telisotuzumab Adizutecan + Osimertinib | Experimental | Drug: Telisotuzumab Adizutecan, Drug: Osimertinib (Osi)Participants will receive increasing doses of telisotuzumab adizutecan with osimertinib (Osi), as part of the approximately 76 month study duration. |
| Stage 1: Expansion Telisotuzumab Adizutecan Dose A + Osi | Experimental | Drug: Telisotuzumab Adizutecan, Drug: Osimertinib (Osi)Participants will receive telisotuzumab adizutecan dose A with Osi, as part of the approximately 76 month study duration. |
| Stage 1: Expansion Telisotuzumab Adizutecan Dose B + Osi | Experimental | Drug: Telisotuzumab Adizutecan, Drug: Osimertinib (Osi)Participants will receive telisotuzumab adizutecan dose B with Osi, as part of the approximately 76 month study duration. |
| Stage 1: Expansion Telisotuzumab Adizutecan Dose C + Osi | Experimental | Drug: Telisotuzumab Adizutecan, Drug: Osimertinib (Osi)Participants will receive telisotuzumab adizutecan dose C with Osi, as part of the approximately 76 month study duration. |
| Stage 1: Expansion Osi + Chemotherapy + Pemetrexed | Experimental | Drug: Osimertinib (Osi), Drug: Cisplatin, Drug: Carboplatin, Drug: PemetrexedParticipants will receive Osi with chemotherapy followed by Osi with pemetrexed, as part of the approximately 76 month study duration. |
| Stage 2: Standared of Care (SOC) | Experimental | Drug: Standard of Care, Drug: Osimertinib (Osi)Participants will receive SOC, as part of the approximately 76 month study duration. |
| Stage 2: Optimized Telisotuzumab Adizutecan + Osi | Experimental | Drug: Telisotuzumab Adizutecan, Drug: Osimertinib (Osi)Participants will receive the optimized dose of telisotuzumab adizutecan with Osi, as part of the approximately 76 month study duration. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1 during the screening period and prior to dosing of study treatment on Cycle 1 Day 1.
- Must consent to provide recently obtained formalin-fixed, paraffin-embedded (FFPE) tumor tissue (ideally collected during or after locally advanced or metastatic diagnosis) or archived tissue during screening for c-Met immunohistochemistry (IHC) testing and study stratification. c-Met IHC results are required prior to randomization.
- Must have at least one non-irradiated measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. If only one measurable lesion exists, it is acceptable to be used (as a target lesion) as long as it has not been previously irradiated and as long as it has not been biopsied within 14 days of the baseline tumor assessment scans.
- Any toxicities from prior systemic anti-cancer therapy must have resolved to common terminology criteria for adverse events (CTCAE) Grade 1 or baseline level (except for alopecia [any grade] or Grade <= 2 peripheral neuropathy).
- Should not have any major, life-threatening conditions and life expectancy as determined by the investigator should be at least 3 months.
Key exclusion criteria (8 listed)
- History of interstitial lung disease (ILD), pneumonitis that required treatment with systemic steroids, or any evidence of active ILD/pneumonitis on screening chest computed tomography (CT) scan.
- History of idiopathic pulmonary fibrosis, organizing pneumonia (e.g., bronchiolitis obliterans), drug-induced pneumonitis, or idiopathic pneumonitis.
- Participants has leptomeningeal disease, or participant has spinal cord compression not definitively treated with surgery or radiation.
- History of any malignancy other than disease under study except for
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 |
|---|---|---|
| Standard of CareStandard of Care | Drug | Stage 2: Standared of Care (SOC) |
| Telisotuzumab AdizutecanIntravenous (IV) | Drug | Stage 1: Escalation Telisotuzumab Adizutecan + Osimertinib, Stage 1: Expansion Telisotuzumab Adizutecan Dose A + Osi, Stage 1: Expansion Telisotuzumab Adizutecan Dose B + Osi, Stage 1: Expansion Telisotuzumab Adizutecan Dose C + Osi, Stage 2: Optimized Telisotuzumab Adizutecan + Osi |
| Osimertinib (Osi)Oral | Drug | Stage 1: Escalation Telisotuzumab Adizutecan + Osimertinib, Stage 1: Expansion Osi + Chemotherapy + Pemetrexed, Stage 1: Expansion Telisotuzumab Adizutecan Dose A + Osi, Stage 1: Expansion Telisotuzumab Adizutecan Dose B + Osi, Stage 1: Expansion Telisotuzumab Adizutecan Dose C + Osi, Stage 2: Optimized Telisotuzumab Adizutecan + Osi, Stage 2: Standared of Care (SOC) |
| CisplatinIV | Drug | Stage 1: Expansion Osi + Chemotherapy + Pemetrexed |
| CarboplatinIV | Drug | Stage 1: Expansion Osi + Chemotherapy + Pemetrexed |
| PemetrexedIV | Drug | Stage 1: Expansion Osi + Chemotherapy + Pemetrexed |
Primary outcome
Stage 1: Objective Response (OR) Based on Blinded Independent Central Review (BICR) Assessment per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
Time frame: Up to Approximately 76 Months
OR is defined as confirmed complete response (CR) or confirmed partial response (PR) per BICR based on RECIST version 1.1.
Stage 2: Progression-free survival (PFS) based on BICR assessment per RECIST version 1.1.
Time frame: Up to Approximately 76 Months
PFS is defined as the time from the participant's randomization date to the first occurrence of radiographic progression per BICR based on RECIST version 1.1 or death from any cause, whichever occurs earlier.
Number of Participants with Adverse Events (AEs)
Time frame: Up to Approximately 76 Months
An AE is defined as any untoward medical occurrence in a patient or clinical investigation in which a participant is administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment.
11 secondary outcomes
Stage 1: PFS based on BICR assessment per RECIST version 1.1.
Time frame: Up to Approximately 76 Months
Stage 1: Duration of response (DoR) based on BICR assessment per RECIST version 1.1.
Time frame: Up to Approximately 76 Months
Stage 1: Disease control rate (DC) based on BICR assessment per RECIST version 1.1.
Time frame: Up to Approximately 76 Months
Stage 1: Overall Survival
Time frame: Up to Approximately 76 Months
Stage 2: Overall Survival
Time frame: Up to Approximately 76 Months
Stage 2: OR based on BICR assessment per RECIST version 1.1.
Time frame: Up to Approximately 76 Months
Stage 2: DoR based on BICR assessment per RECIST version 1.1.
Time frame: Up to Approximately 76 Months
Stage 2: DC based on BICR assessment per RECIST version 1.1.
Time frame: Up to Approximately 76 Months
Stage 2: Change from baseline at Week 12 in physical functioning as measured by the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30).
Time frame: Up to Approximately 76 Months
Stage 2: Change from baseline at Week 12 in key lung cancer symptoms as measured by the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer 13 (EORTC QLQ-LC13)
Time frame: Up to Approximately 76 Months
Stage 2: Change from baseline at Week 12 in GHS/QoL as measured by the EORTC QLQ-C30.
Time frame: Up to Approximately 76 Months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Oct 2026.
- Individual participant dataSharing planned: Yes. AbbVie is committed to responsible clinical trial data sharing. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information.
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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.
ABBVIE INC. study director
AbbVie
65 sites in 13 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2/3 study testing Telisotuzumab Adizutecan, Osimertinib (Osi) and Cisplatin in people with Non-Squamous Non-Small Cell Lung Cancer and c-MET, run by AbbVie at 65 sites in 13 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 7 inclusion and 8 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: looking for participants now, as of the sponsor's last update on 5 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 65 sites in United States, China, Japan, South Korea, Australia and 8 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 combined phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact ABBVIE CALL CENTER (844-663-3742, abbvieclinicaltrials@abbvie.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Stage 1: Objective Response (OR) Based on Blinded Independent Central Review (BICR) Assessment per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 (time frame: Up to Approximately 76 Months). 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?
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 5 Oct 2026.