308 Participants Needed

Amivantamab + Chemotherapy for Non-Small Cell Lung Cancer

(PAPILLON Trial)

Recruiting at 299 trial locations
SC
Overseen ByStudy Contact
Age: 18+
Sex: Any
Trial Phase: Phase 3
Sponsor: Janssen Research & Development, LLC
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Pivotal Trial (Near Approval)This treatment is in the last trial phase before FDA approval
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

The purpose of this study is to compare the efficacy, as demonstrated by progression-free survival (PFS), in participants treated with amivantamab in combination with chemotherapy, versus chemotherapy alone in participants with locally advanced or metastatic non-small cell lung cancer (NSCLC) characterized by EGFR Exon 20ins mutations.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

Is the combination of Amivantamab and chemotherapy safe for humans?

Amivantamab combined with chemotherapy has been studied in people with advanced non-small cell lung cancer, and early studies (Phase 1) have shown it to be generally safe. However, more data is needed to fully understand its safety profile.12345

What makes the drug Amivantamab combined with chemotherapy unique for treating non-small cell lung cancer?

Amivantamab is unique because it is a bispecific antibody that targets both EGFR and MET, specifically designed for non-small cell lung cancer with EGFR Exon 20 insertion mutations, which are often resistant to other treatments. This combination with chemotherapy offers a novel approach for patients whose cancer has progressed after standard platinum-based chemotherapy.23456

What data supports the effectiveness of the drug Amivantamab combined with chemotherapy for treating non-small cell lung cancer?

Amivantamab, when combined with chemotherapy drugs like carboplatin and pemetrexed, has shown antitumor activity in patients with advanced non-small cell lung cancer (NSCLC) with specific genetic mutations (EGFR exon 20 insertions). This combination has been evaluated in clinical trials, demonstrating its potential effectiveness in treating this type of lung cancer.23457

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 advanced non-small cell lung cancer (NSCLC) that has a specific mutation called EGFR Exon 20 insertion. They must have measurable disease, be in good physical condition (ECOG status 0 or 1), and agree to genetic tests of their tumor. Women who can have children must test negative for pregnancy.

Inclusion Criteria

I am a woman who can have children, have tested negative for pregnancy, and agree to ongoing pregnancy tests.
I agree to let doctors test my tumor and blood for genetic research.
My lung cancer is advanced, not squamous, and has a specific EGFR mutation.
See 3 more

Exclusion Criteria

I have untreated spinal cord compression.
I have a history of lung conditions like ILD or radiation pneumonitis.
I cannot take carboplatin or pemetrexed due to health reasons.
See 3 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive amivantamab in combination with chemotherapy or chemotherapy alone for up to 4 cycles, followed by maintenance therapy until disease progression

12 weeks (4 cycles of 21 days each)
Weekly visits for amivantamab, every 21 days for chemotherapy

Open-label extension (OLE)

Participants continue to receive the study treatment or cross over to amivantamab in the OLE phase

Until disease progression

Long-term extension (LTE)

Participants who completed the OLE period continue to receive the same treatment

Long-term

Follow-up

Participants are monitored for safety and effectiveness after treatment

Up to 29 months

What Are the Treatments Tested in This Trial?

Interventions

  • Amivantamab
  • Carboplatin
  • Pemetrexed
Trial Overview The study is testing the effectiveness of Amivantamab combined with Carboplatin-Pemetrexed chemotherapy versus just the chemotherapy alone. The main goal is to see which treatment stops the cancer from progressing longer.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Group I: Arm B: Chemotherapy AloneExperimental Treatment2 Interventions
Group II: Arm A: Amivantamab + ChemotherapyExperimental Treatment3 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]
In a phase III trial involving 657 patients with advanced EGFR-mutated non-small-cell lung cancer, both amivantamab-chemotherapy and amivantamab-lazertinib-chemotherapy significantly improved progression-free survival (PFS) compared to standard chemotherapy, with median PFS of 6.3 and 8.3 months versus 4.2 months, respectively.
The combination therapies also showed a higher objective response rate (64% and 63% for amivantamab-chemotherapy and amivantamab-lazertinib-chemotherapy, respectively) compared to chemotherapy (36%), although the amivantamab-lazertinib-chemotherapy regimen had more hematologic adverse events.
Amivantamab plus chemotherapy with and without lazertinib in EGFR-mutant advanced NSCLC after disease progression on osimertinib: primary results from the phase III MARIPOSA-2 study.Passaro, A., Wang, J., Wang, Y., et al.[2023]
Pemetrexed (Alimta) is an effective treatment for mesothelioma and shows comparable survival rates to docetaxel in advanced non-small-cell lung cancer (NSCLC) while causing significantly fewer and less severe side effects.
In combination with platinum agents, pemetrexed has demonstrated significant activity and a favorable toxicity profile, making it a promising option for treating thoracic malignancies and warranting further research with other novel drugs.
Pemetrexed in advanced NSCLC: a review of the clinical data.Zinner, RG., Fossella, FV., Herbst, RS.[2015]

Citations

Amivantamab: A New Hope in Targeting Non-small Cell Lung Cancer. [2023]
Amivantamab plus chemotherapy with and without lazertinib in EGFR-mutant advanced NSCLC after disease progression on osimertinib: primary results from the phase III MARIPOSA-2 study. [2023]
Pemetrexed in advanced NSCLC: a review of the clinical data. [2015]
BRIEF REPORT: Real-world efficacy and safety of amivantamab for EGFR-mutant non-small cell lung cancer (NSCLC). [2023]
Amivantamab plus Chemotherapy in NSCLC with EGFR Exon 20 Insertions. [2023]
Amivantamab-Vmjw: A Novel Treatment for Patients with NSCLC Harboring EGFR Exon 20 Insertion Mutation after Progression on Platinum-Based Chemotherapy. [2023]
Amivantamab: First Approval. [2021]
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