57 Participants Needed

Amivantamab + Capmatinib for Non-Small Cell Lung Cancer

(METalmark Trial)

Recruiting at 132 trial locations
SC
Overseen ByStudy Contact
Age: 18+
Sex: Any
Trial Phase: Phase 1 & 2
Sponsor: Janssen Research & Development, LLC
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

The purpose of this study is to identify the recommended Phase 2 combination dose (RP2CD\[s\]) of the amivantamab and capmatinib combination therapy in participants with non-small cell lung cancer (NSCLC) in Phase 1 (combination dose selection), and to evaluate the antitumor effect of the amivantamab and capmatinib combination therapy in mesenchymal-epithelial transition (MET) exon 14 skipping mutation and MET amplified NSCLC, when administered at the selected RP2CD(s) in Phase 2 (expansion).

Will I have to stop taking my current medications?

The trial information does not specify if you need to stop taking your current medications. However, if you are on high-dose corticosteroids, you may need to adjust your dosage to meet the trial's criteria.

Is Amivantamab safe for humans?

Amivantamab has been approved for use in treating certain types of lung cancer, and early studies have shown it to be safe when combined with chemotherapy. However, more data is needed to fully understand its safety in different situations.12345

What makes the drug combination of Amivantamab and Capmatinib unique for treating non-small cell lung cancer?

The combination of Amivantamab and Capmatinib is unique because Amivantamab is a bispecific antibody that targets both EGFR and MET, which are proteins involved in cancer cell growth, and Capmatinib specifically targets MET. This dual targeting approach is particularly beneficial for patients with specific genetic mutations (EGFR Exon 20 insertions) in non-small cell lung cancer, offering a novel mechanism of action compared to traditional chemotherapy.13456

What data supports the effectiveness of the drug combination Amivantamab and Capmatinib for treating non-small cell lung cancer?

Amivantamab has shown effectiveness in treating non-small cell lung cancer (NSCLC) with specific mutations, achieving a 40% response rate in patients with certain genetic profiles. It is approved for use in NSCLC patients with EGFR exon 20 insertion mutations after chemotherapy, and ongoing trials are exploring its use in combination with other drugs.14678

Who Is on the Research Team?

JR

Janssen Research & Development, LLC Clinical Trial

Principal Investigator

Janssen Research & Development, LLC

Are You a Good Fit for This Trial?

This trial is for adults with Stage IV non-small cell lung cancer that can't be surgically removed. They should have stable brain metastases, no history of certain lung diseases or gastrointestinal issues affecting drug absorption, and controlled tumor-related pain. Participants must not need high doses of steroids and should be in good physical condition (ECOG 0 or 1).

Inclusion Criteria

I have been diagnosed with Stage IV non-small cell lung cancer that cannot be surgically removed.
My brain metastases have been treated, are stable, and I've had no symptoms for over 2 weeks.
I have had cancer before, but it won't affect this study's treatment.
See 2 more

Exclusion Criteria

I have brain metastases needing more steroids recently to manage symptoms.
I cannot take pills due to issues with my stomach or intestines.
I have or might have a lung condition not caused by an infection.
See 1 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Phase 1 (Combination Dose Selection)

Participants receive capmatinib 400 mg orally twice daily and amivantamab IV infusion weekly, with dose adjustments based on dose limiting toxicities

4 weeks
Weekly visits for dose adjustments

Phase 2 (Dose Expansion)

Participants receive capmatinib and amivantamab at the recommended Phase 2 combination dose to evaluate antitumor effects

Up to 2 years 1 month

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Amivantamab
  • Capmatinib
Trial Overview The study tests a combination therapy using Amivantamab and Capmatinib to treat NSCLC patients with specific genetic changes (MET exon 14 skipping mutation or MET amplification). It aims to find the best dose for Phase 2 trials and assess how well tumors respond to this treatment.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Group I: Phase 2 (Dose Expansion)Experimental Treatment2 Interventions
Group II: Phase 1 (Combination Dose Selection)Experimental Treatment2 Interventions

Amivantamab is already approved in United States, European Union for the following indications:

🇺🇸
Approved in United States as Rybrevant for:
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Approved in European Union as Rybrevant for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

Janssen Research & Development, LLC

Lead Sponsor

Trials
1,022
Recruited
6,408,000+
Joaquin Duato profile image

Joaquin Duato

Janssen Research & Development, LLC

Chief Executive Officer since 2022

MBA from ESADE, Master of International Management from Thunderbird School of Global Management

Dr. Jijo James, MD profile image

Dr. Jijo James, MD

Janssen Research & Development, LLC

Chief Medical Officer since 2014

MD from St. Johns Medical College, MPH from Columbia University

Published Research Related to This Trial

Amivantamab, approved for treating non-small cell lung cancer with specific genetic mutations, works by targeting two pathways: the epithelial growth factor receptor and mesenchymal epithelial transition factor, enhancing the immune response against cancer cells.
Preclinical studies indicate that Amivantamab effectively inhibits cancer cell growth in models with exon20 insertions of the epithelial growth factor receptor, suggesting its potential as a targeted therapy for this specific patient population.
Amivantamab: A New Hope in Targeting Non-small Cell Lung Cancer.Billowria, K., Das Gupta, G., Chawla, PA.[2023]
Amivantamab is a bispecific monoclonal antibody that targets both EGFR and MET, specifically developed for treating non-small cell lung cancer (NSCLC) with EGFR Exon 20 insertion mutations.
It received its first approval in the USA on May 21, 2021, for adult patients with advanced NSCLC who have progressed after platinum-based chemotherapy, and is currently in preregistration in multiple countries including the EU and Japan.
Amivantamab: First Approval.Syed, YY.[2021]
Amivantamab, a bispecific antibody targeting EGFR and MET, received accelerated FDA approval for treating non-small cell lung cancer (NSCLC) patients with specific EGFR mutations, showing a 40% objective response rate in a Phase I/IB trial with a median response duration of 11.1 months.
In patients with other EGFR mutations, amivantamab alone had a 19% response rate, while combining it with lazertinib improved the response to 36%, indicating potential benefits of combination therapy in NSCLC treatment.
Amivantamab in the Treatment of Metastatic NSCLC: Patient Selection and Special Considerations.Petrini, I., Giaccone, G.[2022]

Citations

Amivantamab plus Lazertinib Is Efficacious in Non-Small Cell Lung Cancer. [2023]
Amivantamab: A New Hope in Targeting Non-small Cell Lung Cancer. [2023]
Amivantamab: First Approval. [2021]
Amivantamab in the Treatment of Metastatic NSCLC: Patient Selection and Special Considerations. [2022]
Amivantamab for the treatment of EGFR exon 20 insertion mutant non-small cell lung cancer. [2022]
Amivantamab-Vmjw: A Novel Treatment for Patients with NSCLC Harboring EGFR Exon 20 Insertion Mutation after Progression on Platinum-Based Chemotherapy. [2023]
Amivantamab plus Chemotherapy in NSCLC with EGFR Exon 20 Insertions. [2023]
BRIEF REPORT: Real-world efficacy and safety of amivantamab for EGFR-mutant non-small cell lung cancer (NSCLC). [2023]
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