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    Summary
    EudraCT Number:2022-000485-18
    Sponsor's Protocol Code Number:61186372PANSC2001
    National Competent Authority:Spain - AEMPS
    Clinical Trial Type:EEA CTA
    Trial Status:Ongoing
    Date on which this record was first entered in the EudraCT database:2022-12-13
    Trial results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedSpain - AEMPS
    A.2EudraCT number2022-000485-18
    A.3Full title of the trial
    Investigation-Specific Appendix 1 to Master Protocol PLATFORMPANSC2001: A Phase 1/2 Study Evaluating the Safety and Efficacy of Amivantamab and Capmatinib Combination Therapy in Unresectable Metastatic Non-small Cell Lung Cancer
    Estudio en fase I/II que evalúa la seguridad y eficacia del tratamiento combinado de amivantamab y
    capmatinib en el cáncer de pulmón no microcítico metastásico irresecable
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    A Clinical Study to Evaluate the Safety and Efficacy of Amivantamab and Capmatinib Combination Therapy in Unresectable Metastatic Non-small Cell Lung Cancer
    Un estudio clínico para evaluar la seguridad y la eficacia de la terapia combinada de amivantamab y capmatinib en el cáncer de pulmón no microcítico metastásico irresecable
    A.3.2Name or abbreviated title of the trial where available
    METalmark
    METalmark
    A.4.1Sponsor's protocol code number61186372PANSC2001
    A.5.2US NCT (ClinicalTrials.gov registry) numberNCT05488314
    A.7Trial is part of a Paediatric Investigation Plan No
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorJanssen-Cilag International NV
    B.1.3.4CountryBelgium
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing supportJanssen Research & Development, LLC
    B.4.2CountryUnited States
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationJanssen-Cilag International NV
    B.5.2Functional name of contact pointGlobal Clinical Operations
    B.5.3 Address:
    B.5.3.1Street AddressPaseo de las Doce Estrellas, 5-7
    B.5.3.2Town/ cityMadrid
    B.5.3.3Post code28042
    B.5.3.4CountrySpain
    B.5.4Telephone number+34 672 608 148
    B.5.5Fax number+34 91 7228628
    B.5.6E-mailagar215@its.jnj.com
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name Rybrevant
    D.2.1.1.2Name of the Marketing Authorisation holderJanssen-Cilag International NV
    D.2.1.2Country which granted the Marketing AuthorisationEuropean Union
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameAmivantamab
    D.3.2Product code JNJ-61186372
    D.3.4Pharmaceutical form Concentrate for solution for infusion
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPIntravenous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNAmivantamab
    D.3.9.1CAS number 2171511-58-1
    D.3.9.2Current sponsor codeJNJ-61186372
    D.3.9.3Other descriptive nameJNJ-372, JNJ-6372, CNTO-4424, ANTI-EGFR/C-MET BISPECIFIC ANTIBODY,
    D.3.9.4EV Substance CodeSUB193051
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number50
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product Yes
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 2
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name Tabrecta
    D.2.1.1.2Name of the Marketing Authorisation holderNovartis Europharm Limited
    D.2.1.2Country which granted the Marketing AuthorisationEuropean Union
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameCapmatinib
    D.3.2Product code INC280
    D.3.4Pharmaceutical form Film-coated tablet
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNCapmatinib
    D.3.9.1CAS number 1865733-40-9
    D.3.9.3Other descriptive namePRD5134826 and PRD5134827
    D.3.9.4EV Substance CodeSUB181273
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number200
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 3
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name Tabrecta
    D.2.1.1.2Name of the Marketing Authorisation holderNovartis Europharm Limited
    D.2.1.2Country which granted the Marketing AuthorisationEuropean Union
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameCapmatinib
    D.3.2Product code INC280
    D.3.4Pharmaceutical form Film-coated tablet
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNCapmatinib
    D.3.9.1CAS number 1865733-40-9
    D.3.9.3Other descriptive namePRD5134826 and PRD5134827
    D.3.9.4EV Substance CodeSUB181273
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number150
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Unresectable Metastatic Non-small Cell Lung Cancer
    Cáncer de Pulmón No Microcítico Metastásico Irresecable
    E.1.1.1Medical condition in easily understood language
    Lung Cancer
    Cáncer de Pulmón
    E.1.1.2Therapeutic area Diseases [C] - Cancer [C04]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 21.1
    E.1.2Level PT
    E.1.2Classification code 10061873
    E.1.2Term Non-small cell lung cancer
    E.1.2System Organ Class 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    The primary objectives are:

    For Phase 1 Combination Dose Selection:
    - To identify the RP2CD(s) of the amivantamab and capmatinib combination therapy in with NSCLC.

    For Phase 2 Expansion:
    -To evaluate the antitumor effect of the amivantamab and capmatinib combination therapy in MET exon 14 skipping mutation and MET amplified NSCLC, when administered at the selected RP2CD(s)

    Refer to Section 3 of Master protocol PLATFORMPANSC2001 for other primary objectives / endpoints.
    Los objetivos principales son:

    Para la selección de la dosis combinada de la Fase 1:
    - Identificar la(s) RP2CD(s) de la terapia de combinación de amivantamab y capmatinib en NSCLC.

    Para la Fase 2 de Expansión:
    -Evaluar el efecto antitumoral de la terapia de combinación de amivantamab y capmatinib en la mutación con omisión del exón 14 de MET y el NSCLC amplificado por MET, cuando se administra en los RP2CD seleccionados.

    Consulte la Sección 3 del protocolo global PLATFORMPANSC2001 para conocer otros objetivos/criterios de valoración principales.
    E.2.2Secondary objectives of the trial
    The secondary objectives are:

    For Phase 1 Combination Dose Selection:
    - To further evaluate safety and tolerability of the amivantamab and capmatinib combination therapy

    For Phase 2 Expansion (Cohorts 1A, 1B, and 1C):
    - To further assess the clinical benefit achieved by the amivantamab and capmatinib combination therapy
    - To assess Health-related Quality of Life (Cohort 1A)

    Refer to Section 3 of Master protocol PLATFORMPANSC2001 for other secondary objectives / endpoints.
    Los objetivos secundarios son:

    Para la selección de la dosis combinada de la Fase 1:
    - Evaluar más a fondo la seguridad y la tolerabilidad de la terapia de combinación de amivantamab y capmatinib

    Para la Fase 2 de Expansión (Cohortes 1A, 1B y 1C):
    - Evaluar más a fondo el beneficio clínico logrado por la terapia de combinación de amivantamab y capmatinib
    - Evaluar la Calidad de Vida relacionada con la Salud (Cohorte 1A)

    Consulte la Sección 3 del protocolo global PLATFORMPANSC2001 para conocer otros objetivos/criterios de valoración secundarios.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    Master protocol PLATFORMPANSC2001 - ISA 61186372PANSC2001
    inclusion criteria

    Age
    1. ≥18 years of age (or the legal age of consent in the jurisdiction in which the study is taking place) at the time of informed consent.

    Disease Characteristics
    2. Previously diagnosed with histologically or cytologically confirmed unresectable Stage IV (metastatic) NSCLC (any histology).

    3. Criterion modified per Amendment 1
    3.1. For Phase 1 – Combination Dose Selection:
    Metastatic NSCLC progressed on or after standard of care systemic anti-cancer therapy and is declining other systemic treatment options, if any:
    - Participants must have had disease progression on or have intolerance to prior platinumbased chemotherapy and an anti-PD-(L)1 antibody given concurrently or sequentially OR
    - Participants with targetable genomic aberrations must have had prior disease progression on or have intolerance to appropriate targeted therapies as per local standard of care Participants who may have received prior therapy with amivantamab and/or capmatinib as long as discontinuation was not due to toxicity.

    4. Criterion modified per Amendment 1
    4.1. For Phase 2 – Expansion:
    - Cohort 1A: MET exon 14 skipping mutation (without prior therapy for metastatic disease)
    - Metastatic NSCLC previously characterized as MET exon 14 skipping mutation positive AND lacking EGFR and ALK mutation, by a local test using a CLIA certified laboratory or an accredited laboratory
    - Participant must not have received systemic anti-cancer therapy for metastatic NSCLC. Neo-adjuvant and adjuvant therapies for earlier stage disease are allowed if relapse occurred >12 months from end of neoadjuvant or adjuvant systemic therapy
    - Adequate tumor tissue sample must be submitted to the sponsor.

    - Cohort 1B: MET exon 14 skipping mutation (prior therapy)
    - Metastatic NSCLC previously characterized as MET exon 14 skipping mutation positive AND lacking EGFR and ALK mutation, by a local test using a CLIA certified laboratory or an accredited laboratory
    - Progression of metastatic disease on at least 1 but no more than 3 lines of prior systemic anti-cancer therapy, which may include MET TKI or chemotherapy as per local standard of care, but may not include prior amivantamab
    - Participants who have received prior amivantamab will be excluded
    - Adequate tumor tissue sample must be submitted to the sponsor.

    - Cohort 1C: MET amplification (prior therapy)
    - Metastatic NSCLC previously characterized as having MET amplification (≥5 copy number of MET) AND lacking EGFR and ALK mutation, by a local test using a CLIA certified laboratory or an accredited laboratory
    - Progression of metastatic disease on at least 1 but no more than 3 prior lines of standard of care therapy for metastatic disease
    - Participants who have received prior amivantamab will be excluded
    - Submission of adequate archival or fresh tumor tissue, obtained following metastatic NSCLC diagnosis and after disease progression on the last systemic therapy is required.
    5. At least 1 measurable lesion, according to RECIST v1.1. Must not have been previously irradiated. May be used for the screening biopsy provided baseline tumor assessment scans are performed ≥7 days after the biopsy.

    Brain and Central Nervous System Metastases
    6. May have: definitively, locally treated brain metastases that are clinically stable and asymptomatic for >2 weeks and who are off or receiving low-dose corticosteroid treatment (≤10 mg prednisone or equivalent) for at least 2 weeks prior to start of study treatment.

    Prior Malignancies
    7. May have a prior malignancy (other than the disease under study) the natural history or treatment of which is unlikely to interfere with any study endpoints of safety or the efficacy of the study treatment(s). Must be reviewed and agreed to with medical monitor.

    Performance Status
    8. Have an ECOG performance status of 0 or 1.

    Renal Function
    9. Have an estimated glomerular filtration rate (eGFR) >30 mL/min as measured or calculated by Modification of Diet in Renal Disease (MDRD) 4-variable formula.

    Please refer to Master Protocol PLATFORMPANSC2001 and protocol ISA 61186372PANSC2001 for additional inclusion criteria
    Criterios de inclusión según el Protocolo Global PLATFORMPANSC2001 - ISA 61186372PANSC2001

    Edad
    1. ≥18 años (o la edad legal de consentimiento en la jurisdicción en la que se realice el estudio)
    en el momento del consentimiento informado.

    Características de la enfermedad
    2. Diagnóstico previo de CPNM (metastásico) irresecable en estadio IV confirmado
    histológicamente o citológicamente (cualquier histología).

    3. Criterio modificado por la Enmienda 1
    3.1. Para la fase I – Selección de la dosis de combinación:
    El CPNM metastásico ha progresado con el tratamiento antineoplásico sistémico de
    referencia o después de él y está rechazando otras opciones de tratamiento sistémico, si las
    hay:
    - Los participantes deben haber tenido progresión de la enfermedad o tener intolerancia
    a quimioterapia previa basada en platino y un anticuerpo anti-PD-(L)1
    dado al mismo tiempo o secuencialmente O
    - Los participantes con aberraciones genómicas detectables deben haber tenido
    progresión de la enfermedad o intolerancia a los tratamientos dirigidos apropiados
    terapias según el estándar local de atención Los participantes que pueden tener
    recibido terapia previa con amivantamab y/o capmatinib siempre y cuando la interrupción no se debió a la toxicidad.

    4. Criterio modificado por la Enmienda 1
    4.1. Para la fase II – Ampliación:
    - Cohorte 1A: mutación de omisión del exón 14 de MET (sin tratamiento previo
    para la enfermedad metastásica)
    - CPNM metastásico previamente caracterizado como positivo para la mutación de
    omisión del exón 14 de MET Y sin mutación EGFR y ALK, mediante una prueba
    local utilizando un laboratorio certificado por un CLIA o un laboratorio
    acreditado.
    - El paciente no debe haber recibido tratamiento antineoplásico sistémico para el
    CPNM metastásico. Se permiten tratamientos neoadyuvantes y adyuvantes para la
    enfermedad en estadios más tempranos si la recidiva se ha producido >12 meses
    del final del tratamiento sistémico neoadyuvante o adyuvante.
    - Debe presentarse al promotor una muestra adecuada de tejido tumoral.

    - Cohorte 1B: mutación de omisión del exón 14 de MET (tratamiento previo)
    - CPNM metastásico previamente caracterizado como positivo para la mutación de
    omisión del exón 14 de MET Y sin mutación EGFR y ALK, mediante una prueba
    local utilizando un laboratorio certificado por un CLIA o un laboratorio
    acreditado

    - Progresión de la enfermedad metastásica en al menos 1 pero no más de 3 líneas de
    tratamiento antineoplásico sistémico previo, que puede incluir TKI de MET o
    quimioterapia según el tratamiento de referencia local.
    - Debe presentarse al promotor una muestra adecuada de tejido tumoral.

    - Cohorte 1C: amplificación de MET (tratamiento previo)
    - CPNM metastásico previamente caracterizado por tener amplificación de MET
    (número de copias de MET ≥5) Y no tener mutación de EGFR y ALK, mediante
    una prueba local utilizando un laboratorio certificado por un CLIA o un
    laboratorio acreditado.

    - Progresión de la enfermedad metastásica en al menos 1 pero no más de 3 líneas
    previas de tratamiento de referencia para la enfermedad metastásica.
    - Se requiere la presentación de tejido tumoral de archivo o fresco adecuado,
    obtenido después del diagnóstico de CPNM metastásico y después de la progresión
    de la enfermedad en el último tratamiento sistémico.
    5. Como mínimo 1 lesión mensurable según RECIST v 1.1. No debe haber sido irradiado
    previamente. Se puede utilizar para la biopsia de selección siempre que se realicen
    exploraciones de evaluación del tumor en el momento de referencia ≥7 días después de la
    biopsia.

    Metástasis en el cerebro y en el sistema nervioso central
    6. Puede tener: metástasis cerebrales tratadas localmente de forma definitiva que estén
    clínicamente estables y asintomáticas durante >2 semanas y que hayan dejado de recibir o
    reciban tratamiento con corticosteroides en dosis bajas (≤10 mg de prednisona o
    equivalente) durante al menos 2 semanas antes del inicio del tratamiento del estudio.

    Neoplasias malignas previas
    7. Puede tener una neoplasia maligna previa (distinta de la enfermedad en estudio) cuya
    evolución natural o tratamiento probablemente no interfieran con los criterios de valoración
    de seguridad del estudio o la eficacia de los tratamientos del estudio. Debe ser revisado y acordado con el monitor
    médico.


    Función renal
    9. Tener una filtración glomerular (FG) estimada >30 ml/min, medida o calculada mediante la
    fórmula de 4 variables de Modificación de la dieta en enfermedad renal (MDER).

    Consulte el protocolo maestro PLATFORMPANSC2001 y el protocolo ISA
    61186372PANSC2001 para criterios de inclusión adicionales
    E.4Principal exclusion criteria
    Master protocol PLATFORMPANSC2001 - ISA 61186372PANSC2001
    exclusion criteria

    Medical Conditions
    1. History of uncontrolled illness, including but not limited to:
    a. Uncontrolled diabetes
    b. Ongoing or active infection (includes infection requiring treatment with antimicrobial therapy [participants will be required to complete antibiotics 1 week prior to starting study treatment] or diagnosed or suspected viral infection).
    c. Active bleeding diathesis
    d. Impaired oxygenation requiring continuous oxygen supplementation
    e. Psychiatric illness or any other circumstances (including social circumstances) that would limit compliance with study requirements

    2. Medical history of (non-infectious) ILD/pneumonitis, or has current ILD/ pneumonitis, or where suspected ILD/pneumonitis cannot be ruled out by imaging at screening.

    3. Known allergies, hypersensitivity, or intolerance to
    a. amivantamab excipients.
    b. capmatinib or its excipients.

    4. Participant has, or will have, any of the following:
    a. An invasive operative procedure with entry into a body cavity, within 4 weeks or without complete recovery before administration of the first study treatment. Thoracentesis, if needed, and percutaneous biopsy for baseline tumor tissue sample may be done less than 4 weeks prior to administration of the first study treatment, as long as the participant has adequately recovered from the procedure prior to the first dose of study treatment in the clinical judgement of the investigator.
    b. Significant traumatic injury within 3 weeks before the start of administration of the first study treatment (all wounds must be fully healed prior to Day 1). Expected major surgery while the investigational agent is being administered or within 6 months after the last dose of study treatment

    5. The participant has impairment of the gastrointestinal function that could affect absorption of capmatinib or is unable or unwilling to swallow tablets.

    6. Participant has a history of clinically significant cardiovascular disease including, but not limited to the following:
    a. Diagnosis of deep vein thrombosis or pulmonary embolism within 1 month prior to administration of the first dose of study treatment, or any of the following within 6 months prior to administration of the first dose of study treatment: myocardial infarction, unstable angina, stroke, transient ischemic attack, coronary/peripheral artery bypass graft, or any acute coronary syndrome. Clinically non-significant thrombosis, such as non-obstructive catheter-associated clots, are not exclusionary.
    b. Prolonged QTc interval >480 msec or clinically significant cardiac arrhythmia or electrophysiologic disease (eg, placement of implantable cardioverter defibrillator or atrial fibrillation with uncontrolled rate).
    c. Note: Participants with cardiac pacemakers who are clinically stable are eligible
    d. Uncontrolled (persistent) hypertension: systolic blood pressure >160 mmHg; diastolic blood pressure >100 mmHg.
    e. Congestive heart failure (CHF) defined as New York Heart Association (NYHA) class III-IV or hospitalization for CHF (any NYHA class) within
    6 months of administration of the first study treatment.
    f. Pericarditis/clinically significant pericardial effusion within 1 month prior to administration of the first dose of study treatment.
    g. Myocarditis.

    Disease Characteristics
    7. Participant received thoracic radiotherapy to lung fields ≤4 weeks prior to Cycle 1 Day 1 or patients who have not recovered from radiotherapy-related toxicities. For all other anatomic sites (including radiotherapy to thoracic vertebrae and ribs), radiotherapy ≤2 weeks prior to Cycle 1 Day 1 or patients who have not recovered from radiotherapy-related toxicities.

    8. Participant has:
    a. (or has a history of) leptomeningeal disease (carcinomatous meningitis).
    b. spinal cord compression not definitively treated with surgery or radiation.

    9. Participant has symptomatic central nervous system (CNS) metastases which are neurologically unstable or have required increasing doses of steroids >10 mg prednisone or equivalent within the 2 weeks prior to study entry to manage CNS symptoms.

    10. Participant has uncontrolled tumor-related pain: Symptomatic lesions amenable to palliative radiotherapy (eg, bone metastases, or metastases causing nerve impingement) should be treated more than 7 days prior to the administration of the first study treatment.

    Please refer to Master Protocol PLATFORMPANSC2001 and protocol ISA 61186372PANSC2001 for additional exclusion criteria.
    Criterios de exclusión según el Protocolo Global PLATFORMPANSC2001 - ISA 61186372PANSC2001

    Afecciones médicas
    1. Antecedentes de enfermedad no controlada, que incluye, entre otras:
    a. Diabetes no controlada
    b. Infección persistente o activa (incluye infección que requiera un tratamiento
    antimicrobiano [se requerirá que los pacientes completen el tratamiento con
    antibióticos 1 semana antes de comenzar el tratamiento del estudio] o sospecha
    o diagnóstico de infección vírica). Véase también el criterio de inclusión 13 y
    el criterio de exclusión 14 para las consideraciones relativas a la infección por el VIH y la hepatitis, respectivamente.
    c. Diátesis hemorrágica activa.
    d. Deterioro de la oxigenación que requiera suplemento de oxígeno continuo.
    e. Enfermedad psiquiátrica o cualquier otra circunstancia (incluidas las
    circunstancias sociales) que limite el cumplimiento de los requisitos del
    estudio.
    2. Historia clínica de EPI/neumonitis (no infecciosa), o tener EPI/neumonitis en curso, o
    cuando la sospecha de EPI/neumonitis no puede descartarse mediante técnicas de
    imagen en la selección.
    3. Alergias, hipersensibilidad o intolerancia conocidas a. excipientes del amivantamab.
    b. capmatinib o sus excipientes.

    4. El paciente se ha sometido, o se someterá, a cualquiera de los siguientes:
    a. Procedimiento quirúrgico invasivo con entrada en una cavidad corporal en las
    4 semanas previas o no haberse recuperado completamente antes de la administración del primer tratamiento del estudio. La toracocentesis, si es
    necesaria, y la biopsia percutánea para la muestra de tejido tumoral en el
    momento de referencia pueden realizarse menos de 4 semanas antes de la
    administración del primer tratamiento del estudio, siempre que el paciente se
    haya recuperado adecuadamente del procedimiento antes de la primera dosis
    del tratamiento del estudio según el criterio clínico del investigador.
    b. Lesión traumática significativa en las 3 semanas anteriores al inicio de la
    administración del primer tratamiento del estudio (todas las heridas deben
    haber cicatrizado por completo antes del día 1). Cirugía mayor programada mientras se administre el fármaco en investigación o en los
    6 meses posteriores a la última dosis del tratamiento del estudio.
    5. El paciente presenta una alteración de la función gastrointestinal que podría afectar a
    la absorción de capmatinib, o no puede o no quiere tragarse los comprimidos.
    6. El paciente tiene antecedentes de enfermedad cardiovascular clínicamente significativa,
    incluidos, entre otros, los siguientes:
    a. Diagnóstico de trombosis venosa profunda o embolia pulmonar en el plazo de 1 mes antes de la administración de la primera dosis del tratamiento del
    estudio, o cualquiera de los siguientes en los 6 meses anteriores a la
    administración de la primera dosis del tratamiento del estudio: infarto de
    miocardio, angina inestable, ictus, accidente isquémico transitorio, injerto
    anastomótico coronario/en arteria periférica o cualquier síndrome coronario
    agudo. La trombosis clínicamente no significativa, como los coágulos no
    obstructivos asociados a catéter, no es excluyente.
    b. Prolongación del intervalo QTc >480 ms o arritmia cardíaca clínicamente
    significativa o enfermedad electrofisiológica (p. ej., colocación de un
    desfibrilador cardioversor implantable o fibrilación auricular con frecuencia
    no controlada).
    c. Nota: Los pacientes con marcapasos cardíacos que estén clínicamente estables
    son elegibles.
    d. Hipertensión no controlada (persistente): presión arterial sistólica
    >160 mmHg; presión arterial diastólica >100 mmHg.
    e. Insuficiencia cardíaca congestiva (ICC), definida como de clase III-IV de la
    New York Heart Association (NYHA), u hospitalización por ICC (cualquier clase de la NYHA) en los 6 meses previos a la administración del primer tratamiento del estudio.
    f. Pericarditis/derrame pericárdico clínicamente significativo en el plazo de 1 mes antes de la administración de la primera dosis del tratamiento del
    estudio.
    g. Miocarditis.

    Características de la enfermedad.
    7. El paciente recibió radioterapia torácica en los campos pulmonares ≤4 semanas antes
    del día 1 del ciclo 1 o pacientes que no se han recuperado de las toxicidades
    relacionadas con la radioterapia. Para
    todas las demás localizaciones anatómicas (incluida la radioterapia de vértebras torácicas y costillas), radioterapia ≤2 semanas antes del día 1 del ciclo 1 o pacientes que no se han recuperado de las toxicidades
    relacionadas con la radioterapia.
    8. El paciente tiene
    a. (o tiene antecedentes de) enfermedad leptomeníngea (meningitis
    carcinomatosa).
    b. compresión de la médula espinal no tratada de forma definitiva con cirugía o
    radiación.

    Consulte el protocolo global PLATFORMPANSC2001 y el protocolo ISA
    61186372PANSC2001 para criterios de inclusión adicionales
    E.5 End points
    E.5.1Primary end point(s)
    The Primary end points are:

    For Phase 1 Combination Dose Selection:
    - Incidence and Severity of AEs, including Dose Limiting Toxicities (DLTs)

    For Phase 2 Expansion:
    - Objective response rate (ORR) according to RECIST v1.1 by investigator review; confirmatory analysis may be performed using blinded independent central review (BICR)

    Refer to Section 3 of Master protocol PLATFORMPANSC2001 for other
    primary endpoints.
    Las variables clínicas de evaluación primarias son:

    Para la selección de la dosis combinada de la Fase 1:
    - Incidencia y gravedad de los EA, incluidas las toxicidades limitantes de la dosis (DLT)

    Para la Fase 2 de Expansión:
    - Tasa de respuesta objetiva (ORR) según RECIST v1.1 por revisión del investigador; el análisis confirmatorio se puede realizar utilizando una revisión central independiente ciega (BICR)

    Consulte la Sección 3 del protocolo maestro PLATFORMPANSC2001 para conocer otras
    variables clínicas de evaluación primarias.
    E.5.1.1Timepoint(s) of evaluation of this end point
    Throughout the study
    A lo largo del estudio
    E.5.2Secondary end point(s)
    The Secondary end points are:

    For Phase 1 Combination Dose Selection:
    - Incidence and Severity of AEs and Clinical Laboratory Abnormalities

    For Phase 2 Expansion (Cohorts 1A, 1B, and 1C):
    - Duration of response (DoR) confirmatory analysis may be performed using BICR
    - Disease control rate (DCR)
    - Progression free survival (PFS) according to RECIST v1.1 by investigator review
    - Overall Survival (OS)
    - Time to subsequent therapy (TTST)
    - EORTC-QLQ-C30 change from baseline
    - NSCLC-SAQ
    - EQ-5D-5L
    - PROMIS-PF

    Refer to Section 3 of Master protocol PLATFORMPANSC2001 for other
    secondary endpoints.
    Las variables clínicas de evaluación secundarias son:

    Para la selección de la dosis combinada de la Fase 1:
    - Incidencia y gravedad de los EA y anomalías de laboratorio clínico

    Para la Fase 2 de Expansión (Cohortes 1A, 1B y 1C):
    - El análisis confirmatorio de la duración de la respuesta (DoR) se puede realizar mediante BICR
    - Tasa de control de enfermedades (DCR)
    - Supervivencia libre de progresión (PFS) según RECIST v1.1 por revisión del investigador
    - Supervivencia general (SG)
    - Tiempo hasta la terapia posterior (TTST)
    - EORTC-QLQ-C30 cambio desde el inicio
    - NSCLC-SAQ
    -EQ-5D-5L
    - PROMIS-PF

    Consulte la Sección 3 del protocolo maestro PLATFORMPANSC2001 para conocer otros
    variables clínicas de evaluación secundarias.
    E.5.2.1Timepoint(s) of evaluation of this end point
    Throughout the study
    A lo largo del estudio
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy No
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic Yes
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response Yes
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others Yes
    E.6.13.1Other scope of the trial description
    Tolerability, Biomarkers and Immunogenicity Assessments
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) Yes
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other Yes
    E.7.1.3.1Other trial type description
    Recommended Phase 2 combination Dose Study (RP2CD)
    E.7.2Therapeutic exploratory (Phase II) Yes
    E.7.3Therapeutic confirmatory (Phase III) No
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled No
    E.8.1.1Randomised Yes
    E.8.1.2Open Yes
    E.8.1.3Single blind No
    E.8.1.4Double blind No
    E.8.1.5Parallel group Information not present in EudraCT
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) No
    E.8.2.2Placebo No
    E.8.2.3Other No
    E.8.2.4Number of treatment arms in the trial4
    E.8.3 The trial involves single site in the Member State concerned No
    E.8.4 The trial involves multiple sites in the Member State concerned Yes
    E.8.4.1Number of sites anticipated in Member State concerned11
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA28
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA Yes
    E.8.6.2Trial being conducted completely outside of the EEA No
    E.8.6.3If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned
    Brazil
    Canada
    China
    Japan
    Korea, Republic of
    United States
    France
    Poland
    Spain
    Germany
    Italy
    Turkey
    United Kingdom
    E.8.7Trial has a data monitoring committee No
    E.8.8 Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial
    LVLS
    LVLS
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years2
    E.8.9.1In the Member State concerned months4
    E.8.9.1In the Member State concerned days11
    E.8.9.2In all countries concerned by the trial years2
    E.8.9.2In all countries concerned by the trial months4
    E.8.9.2In all countries concerned by the trial days11
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) No
    F.1.1.6Adolescents (12-17 years) No
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 70
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 70
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Yes
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception Yes
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally Yes
    F.3.3.6.1Details of subjects incapable of giving consent
    Legally acceptable representative must sign
    El representante legal autorizado debe firmar
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state19
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 70
    F.4.2.2In the whole clinical trial 141
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    Th participants who have completed the study and are benefiting from the study treatment, as determined by their investigator, will be able to receive continued access to study treatment.
    Los participantes que hayan completado el estudio y se beneficien del tratamiento del estudio, según lo determine su investigador, podrán recibir acceso continuo al tratamiento del estudio.
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2023-05-26
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2022-12-23
    P. End of Trial
    P.End of Trial StatusOngoing
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