A Study of Lazertinib as Monotherapy or in Combination With Amivantamab in Participants With Advanced Non-small Cell Lung Cancer

Last updated: June 20, 2025
Sponsor: Janssen Research & Development, LLC
Overall Status: Active - Not Recruiting

Phase

1

Condition

N/A

Treatment

Pemetrexed

Amivantamab

Carboplatin

Clinical Study ID

NCT04077463
CR108656
2023-506577-35-00
2020-000747-31
73841937NSC1001
  • Ages > 18
  • All Genders

Study Summary

The purpose of this study is to confirm the tolerability of recommended Phase 2 dose (RP2D) of Lazertinib (Phase 1), to determine the tolerability and identify the recommended Phase 2 combination dose of Lazertinib when combined with Amivantamab (JNJ-61186372) (Phase 1b), to characterize the safety and tolerability of Lazertinib and Amivantamab combinations at the RP2CD in participants with advanced non-small cell lung cancer (NSCLC) with documented advanced or metastatic epidermal growth factor receptor (EGFR) mutation (Phase 1b expansion cohorts A, B, C, D and E), to estimate the antitumor activity of Lazertinib and Amivantamab combinations at the RP2CD in participants with advanced NSCLC with documented advanced or metastatic EGFR mutation (Phase 1b expansion cohorts A, B, C, and D), to validate the biomarker identified in Phase 1b expansion Cohort D as a predictor of antitumor activity of Lazertinib and Amivantamab combination (Cohort E) or Amivantamab monotherapy (Cohort F) in participants with osimertinib-relapsed, chemotherapy-naïve, EGFR Exon19del or L858R mutated NSCLC, to identify the recommended Phase 2 dose (RP2ChD) of Lazertinib when combined with Amivantamab and standard of care chemotherapy and to determine the tolerability of the Lazertinib, Amivantamab, and platinum-doublet chemotherapy (LACP) combination (Phase 1b LACP combination cohort) and to characterize the safety and tolerability of Lazertinib at the RP2ChD and Amivantamab and standard of care chemotherapy in participants with advanced or metastatic EGFR-mutated NSCLC (Phase 1b LACP combination cohort), to assess 2 potential biomarker strategies to identify participants at increased, or decreased, probability of tumor response with JNJ-61186372 and lazertinib combination in participants with EGFR Exon19del or L858R mutated NSCLC progressed on or after osimertinib (Phase 1b expansion Cohort D).

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Phase 1 and Phase 1b lazertinib+Amivantamab combination cohorts: Histologically orcytologically confirmed non-small cell lung cancer (NSCLC) with previously epidermalgrowth factor receptor (EGFR) mutation (identified locally in a Clinical LaboratoryImprovement Amendments [CLIA]-certified laboratory [or equivalent]) that ismetastatic or unresectable, and have progressed after standard of care front-linetherapy, and exhausted available options with targeted therapy. A participant whohas refused all other currently available therapeutic options is allowed to enroll

  • For the Phase 1b Lazertinib, Amivantamab and Platinum-doublet Chemotherapy (LACP)combination cohort: histologically or cytologically confirmed advanced or metastaticEGFR-mutated NSCLC who have progressed on or after an EGFR-TKI as the most recentline of treatment with a maximum of 3 prior lines of therapy in the metastaticsetting allowed

  • For all expansion cohorts, the EGFR mutation must have been previouslyhistologically or cytologically characterized, as performed by a CLIA-certified (USsites) or an accredited (outside of US) local laboratory, with a copy of themutation analysis being submitted during screening (Phase 1b expansion Cohort B, C,D, E, and F)

  1. Expansion Cohort A: Participant must have advanced or metastatic EGFR-mutatednon-small cell lung cancer (NSCLC) that has progressed on prior treatment withosimertinib in the first or second line, followed by progression on aplatinum-based chemotherapy regimen as the last line of therapy prior to studyenrollment. Prior use of first or second generation EGFR tyrosine kinaseinhibitor (TKI) is allowed if administered prior to osimertinib

  2. Expansion Cohort B: Participant must have previously treated, advanced ormetastatic NSCLC with documented primary EGFR Exon 20ins activating mutation.Participants should have been treated with standard of care, platinum-basedchemotherapy regimens, but may have treated with approved EGFR TKI,investigational EGFR, or immunotherapy agents if refusing front lineplatinum-based chemotherapy standard of care. Up to 3 lines of prior systemicanti-cancer treatment are allowed

  3. Expansion Cohort C: Participant must have advanced or metastatic NSCLCcharacterized by an uncommon activating mutation Additional uncommon EGFRmutations/alterations, beyond those listed above, may be considered forenrollment after agreement with the medical monitor. Participants may betreatment naïve or have been treated with one prior line of therapy which mustbe a first or second generation TKI (that is gefitinib, erlotinib, afatinib) inthe most recent line of therapy. Prior chemotherapy is allowed if administeredprior to EGFR TKI therapy, or as the only systemic anti-cancer therapy prior tostudy enrollment. Up to 2 lines of prior systemic anti-cancer treatment areallowed

  4. Expansion Cohort D, E, and F: Participant must have advanced or metastaticEGFR-mutated NSCLC (EGFR Exon19 deletion or L858R) that has progressed on priortreatment with osimertinib in the first or second line (after first- orsecond-generation EGFR TKI), as the immediate prior line of therapy. Onlyprevious treatment in the metastatic setting with a first, second, or thirdgeneration EGFR TKI is allowed. In addition, participants considered forCohorts E and F must be eligible for, and agree to comply with, the use ofprophylactic anticoagulation with a direct oral anticoagulant or a lowmolecular weight heparin during the first 4 months (from Day 1 through Day 120)according to national comprehensive cancer network (NCCN) or local guidelines,if assigned to the combination Cohort E

  • Evaluable disease

  • Eastern Cooperative Oncology Group (ECOG) performance status grade of 0 or 1

  • Participants must meet the study protocol defined laboratory criteria without havinga history of red blood cell transfusion, platelet transfusion, or granulocyte-colonystimulating factor support within 7 days prior to the date of the test

  • A woman of childbearing potential: Must have a negative serum beta human chorionicgonadotropin at screening; Must agree not to breast-feed during the study and for 6months after the last dose of study intervention. (Enrollment is not allowed even ifa woman who is breast-feeding stops breast-feeding); Must agree not to donate eggs (ova, oocytes) for the purposes of assisted reproduction during the study and for 6months after receiving the last dose of study intervention

Exclusion

Exclusion Criteria:

  • Participant has an uncontrolled illness, including but not limited to uncontrolleddiabetes, ongoing or active infection (includes infection requiring treatment withantimicrobial therapy [participants will be required to complete antibiotics 1 weekprior to study treatment] or diagnosed or suspected viral infection); activebleeding diathesis; Impaired oxygenation requiring continuous oxygensupplementation; Refractory nausea and vomiting, chronic gastrointestinal diseases,inability to swallow the formulated product, or previous significant bowel resectionthat would preclude adequate absorption of study treatment; or psychiatric illnessor any other circumstances (including social circumstances) that would limitcompliance with study requirements. Any ophthalmologic condition that is eitherclinically unstable or requires treatment

  • Prior treatment with anti programmed cell death-1 (PD-1) or anti programmed celldeath-ligand 1 (PD-L1) antibody within 6 weeks of planned first dose of studyintervention

  • Untreated brain or other central nervous system (CNS) metastases whether symptomaticor asymptomatic. Participants who have completed definitive therapy, are not onsteroids, and have a stable clinical status for at least 2 weeks prior to studytreatment may be eligible for Phase 1b expansion cohorts. If brain metastases arediagnosed on Screening imaging, the participant may be enrolled, or rescreened foreligibility, after definitive treatment if above criteria are met

  • Any Toxicities from prior anticancer therapy must have resolved to commonterminology criteria for adverse events (CTCAE) version 5.0 Grade 1 or baselinelevel (except for alopecia [any grade], Grade <=2 peripheral neuropathy, and Grade <=2 hypothyroidism stable on hormone replacement therapy)

  • Allergies, hypersensitivity, or intolerance to Lazertinib or JNJ-61186372 or theirexcipients. For the LACP combination cohort: participant has a contraindication forthe use of carboplatin or pemetrexed (refer to local prescribing information foreach agent). Participant has a history of hypersensitivity to, or cannot take,vitamin B12 or folic acid

Study Design

Total Participants: 701
Treatment Group(s): 4
Primary Treatment: Pemetrexed
Phase: 1
Study Start date:
September 04, 2019
Estimated Completion Date:
June 03, 2026

Study Description

Lung cancer is one of the most common types of cancer and is also the most common cause of death from cancer. NSCLC accounts for 85 percent (%) to 90% of lung cancers. Lazertinib is an oral, highly potent, mutant-selective, and irreversible EGFR-tyrosine kinase inhibitor (TKI) targeting both, the T790M mutation and activating EGFR mutations while sparing wild type EGFR. JNJ-61186372 (also referred to as amivantamab), is a low fucose, fully human immunoglobulin G1(IgG1)-based bispecific antibody. As a third generation EGFR-TKI targeting activating EGFR mutations, lazertinib has a distinct mechanism of action from JNJ-61186372, which targets the extracellular domains of both the EGFR and cMet proteins. The distinct mechanisms of action of lazertinib and JNJ-61186372 suggests potential to improve clinical outcomes through the combination of these two molecules. Phase 1 and 1b lazertinib + amivantamab, and Phase 1b LACP combination cohort are divided into 2 periods: screening and treatment period whereas Phase 1b expansion cohorts are divided into 3 periods: screening, treatment, and post-treatment follow up period. Safety assessment will include adverse events (AEs), serious adverse events (SAEs), physical examinations, Eastern Cooperative Oncology Group (ECOG) criteria for performance status, laboratory tests, vital signs, electrocardiograms, chest x-ray, baseline ophthalmologic examination (Phase 1b Expansion Cohorts), echocardiography or multigated acquisition, and concomitant medication usage. The overall duration of the study will be up to 5 years and 2 months.

Connect with a study center

  • Beijing Cancer Hospital

    Beijing, 100142
    China

    Site Not Available

  • The First Bethune Hospital of Jilin University

    Changchun, 130021
    China

    Site Not Available

  • Hunan Cancer hospital

    Changsha, 410013
    China

    Site Not Available

  • West China School of Medicine/West China Hospital, Sichuan University

    Chengdu, 610041
    China

    Site Not Available

  • Chongqing University Cancer Hospital

    Chongqing, 400030
    China

    Site Not Available

  • The Fifth Affiliated Hospital of Guangzhou Medical University

    Guangzhou, 440112
    China

    Site Not Available

  • Zhejiang Cancer Hospital

    Hang Zhou, 310022
    China

    Site Not Available

  • Central Hospital of Jinan

    Jinan, 250013
    China

    Site Not Available

  • The Second Affiliated Hospital of Kunming Medical University

    Kunming, 650101
    China

    Site Not Available

  • The First Affiliated Hospital of NanChang University

    Nanchang, 330006
    China

    Site Not Available

  • Shanghai Chest Hospital

    Shanghai, 200030
    China

    Site Not Available

  • Shengjing Hospital Of China Medical University

    Shenyang, 110022
    China

    Site Not Available

  • Shengjing Hospital of China Medical University

    Shenyang, 110022
    China

    Active - Recruiting

  • Tianjin Medical University Cancer Institute and Hospital

    Tianjin, 300000
    China

    Site Not Available

  • Union Hospital Tongji Medical College of Huazhong University of Science and Technology

    Wuhan, 430022
    China

    Site Not Available

  • The First Affiliated Hospital of Xi'an Jiaotong University

    Xi'an, 710061
    China

    Site Not Available

  • The First Affiliated Hospital of Xian Jiaotong University

    Xian, 710061
    China

    Site Not Available

  • Institut Bergonie

    Bordeaux, 33000
    France

    Site Not Available

  • Institut Bergonié

    Bordeaux, 33000
    France

    Active - Recruiting

  • Centre Leon Berard

    Lyon Cedex 8, 69373
    France

    Site Not Available

  • Centre Leon Bérard

    Lyon Cedex 8, 69373
    France

    Active - Recruiting

  • CHU de la Timone

    Marseille, 13005
    France

    Site Not Available

  • Institut Curie

    Paris, 75005
    France

    Site Not Available

  • CHU De Poitiers

    Poitiers, 86000
    France

    Site Not Available

  • HIA Begin

    Saint Mande, 94163
    France

    Site Not Available

  • Institut Gustave Roussy

    Villejuif Cedex, 94805
    France

    Site Not Available

  • Evangelische Lungenklinik Berlin

    Berlin, 13125
    Germany

    Site Not Available

  • Universitaetsklinikum Essen

    Essen, 45147
    Germany

    Site Not Available

  • Klinikum der Johann Wolfgang Goethe-Universität

    Frankfurt am Main, 60590
    Germany

    Site Not Available

  • Asklepios Klinik Gauting GmbH - Asklepios Fachkliniken Munchen-Gauting

    Gauting, 82131
    Germany

    Site Not Available

  • Asklepios Klinik Gauting GmbH - Asklepios Fachkliniken München-Gauting

    Gauting, 82131
    Germany

    Active - Recruiting

  • Robert-Bosch-Krankenhaus - Klinik Schillerhoehe

    Gerlingen, 70839
    Germany

    Site Not Available

  • Städtisches Krankenhaus Martha-Maria Halle-Dölau gGmbH

    Halle (Saale), 06120
    Germany

    Site Not Available

  • Thoraxklinik am Universitätsklinikum Heidelberg

    Heidelberg, 69126
    Germany

    Site Not Available

  • Lungenklinik Hemer

    Hemer, 58675
    Germany

    Site Not Available

  • Kliniiken der Stadt Köln gGmbH, Krankenhaus Köln-Mehrheim

    Köln, 51109
    Germany

    Site Not Available

  • Uniklinik Köln

    Köln, 50937
    Germany

    Site Not Available

  • Pius-Hospital Oldenburg

    Oldenburg, 26121
    Germany

    Site Not Available

  • Robert-Bosch-Krankenhaus - Klinik Schillerhoehe

    Stuttgart, 70376
    Germany

    Site Not Available

  • IRCCS Istituto Europeo di Oncologia

    Milano,
    Italy

    Site Not Available

  • IRCCS Ospedale San Raffaele

    Milano, 20132
    Italy

    Site Not Available

  • San Gerardo Hospital

    Monza, 20052
    Italy

    Site Not Available

  • Istituto Nazionale Tumori Fondazione G. Pascale

    Napoli, 80131
    Italy

    Site Not Available

  • Ospedale S. Maria Delle Croci

    Ravenna, 48121
    Italy

    Site Not Available

  • National Cancer Center Hospital

    Chuo Ku, 104 0045
    Japan

    Site Not Available

  • National Cancer Center Hospital

    Chuo-Ku, 104-0045
    Japan

    Active - Recruiting

  • National Cancer Center Hospital

    Chuo-ku, 104-0045
    Japan

    Site Not Available

  • Kansai Medical University Hospital

    Hirakata, 573 1191
    Japan

    Site Not Available

  • Kobe City Medical Center General Hospital

    Hyogo, 650-0047
    Japan

    Site Not Available

  • National Cancer Center Hospital East

    Kashiwa, 277 8577
    Japan

    Site Not Available

  • Kobe City Medical Center General Hospital

    Kobe City, 650 0047
    Japan

    Site Not Available

  • Kobe City Medical Center General Hospital

    Kobe-City,, 650-0047
    Japan

    Site Not Available

  • Aichi Cancer Center Hospital

    Nagoya Shi, 464 8681
    Japan

    Site Not Available

  • Aichi Cancer Center Hospital

    Nagoya-Shi, 464-8681
    Japan

    Active - Recruiting

  • Aichi Cancer Center Hospital

    Nagoya-shi, 464-8681
    Japan

    Site Not Available

  • Okayama University Hospital

    Okayama, 700 8558
    Japan

    Site Not Available

  • Shizuoka Cancer Center

    Shizuoka, 411 8777
    Japan

    Site Not Available

  • Shizuoka Cancer Center

    Sunto-gun, 411-8777
    Japan

    Site Not Available

  • Seoul National University Bundang Hospital

    Gyeonggi-do, 13620
    Korea, Republic of

    Site Not Available

  • Seoul National University Bundang Hospital

    Seongnam-si, 13620
    Korea, Republic of

    Site Not Available

  • Samsung Medical Center

    Seoul, 06351
    Korea, Republic of

    Site Not Available

  • Seoul National University Hospital

    Seoul, 03080
    Korea, Republic of

    Site Not Available

  • Severance Hospital Yonsei University Health System

    Seoul, 03722
    Korea, Republic of

    Site Not Available

  • Severance Hospital, Yonsei University Health System

    Seoul, 03722
    Korea, Republic of

    Active - Recruiting

  • Oncologic Hospital, Puerto Rico Medical Center

    Rio Piedras, OO935
    Puerto Rico

    Site Not Available

  • Hosp Univ Vall D Hebron

    Barcelona, 8035
    Spain

    Site Not Available

  • Hosp. Univ. Quiron Dexeus

    Barcelona, 08028
    Spain

    Site Not Available

  • Hosp. Univ. Vall D Hebron

    Barcelona, 8035
    Spain

    Active - Recruiting

  • Inst. Cat. Doncologia-H Duran I Reynals

    Hospitalet de Llobregat, Barcelona, 08908
    Spain

    Site Not Available

  • Hosp Univ Fund Jimenez Diaz

    Madrid, 28040
    Spain

    Site Not Available

  • Hosp Univ Hm Sanchinarro

    Madrid, 28050
    Spain

    Site Not Available

  • Hosp. Gral. Univ. Gregorio Maranon

    Madrid, 28009
    Spain

    Site Not Available

  • Hosp. Gral. Univ. Gregorio Marañon

    Madrid, 28009
    Spain

    Active - Recruiting

  • Hosp. Univ. 12 de Octubre

    Madrid, 28041
    Spain

    Site Not Available

  • Hosp. Univ. Fund. Jimenez Diaz

    Madrid, 28040
    Spain

    Active - Recruiting

  • Hosp. Univ. Hm Sanchinarro

    Madrid, 28050
    Spain

    Active - Recruiting

  • Hosp. Univ. Ramon Y Cajal

    Madrid, 28034
    Spain

    Site Not Available

  • Hosp. Virgen Del Rocio

    Seville, 41013
    Spain

    Site Not Available

  • Kaohsiung Medical University Chung Ho Memorial Hospital

    Kaohsiung, 807
    Taiwan

    Site Not Available

  • Kaohsiung Medical University Chung-Ho Memorial Hospital

    Kaohsiung, 807
    Taiwan

    Active - Recruiting

  • Chung Shan Medical University Hospital

    Taichung, 402
    Taiwan

    Site Not Available

  • National Cheng Kung University Hospital

    Tainan, 704
    Taiwan

    Site Not Available

  • National Taiwan University Hospital

    Taipei City, 10002
    Taiwan

    Site Not Available

  • USC - Norris Comprehensive Cancer Center

    Los Angeles, California 90033
    United States

    Active - Recruiting

  • USC Norris Comprehensive Cancer Center

    Los Angeles, California 90033
    United States

    Site Not Available

  • University of California Irvine

    Orange, California 92868
    United States

    Site Not Available

  • University of California, Irvine

    Orange, California 92868
    United States

    Active - Recruiting

  • Standford University

    Palo Alto, California 94304
    United States

    Site Not Available

  • UCSF Helen Diller Comprehensive

    San Francisco, California 94158
    United States

    Site Not Available

  • Stanford University Medical Center

    Stanford, California 94305
    United States

    Site Not Available

  • Cedars Sinai Medical Center

    West Hollywood, California 90048
    United States

    Site Not Available

  • Mayo Clinic

    Jacksonville, Florida 32224
    United States

    Site Not Available

  • H. Lee Moffitt Cancer & Research Institute

    Tampa, Florida 33612
    United States

    Site Not Available

  • Johns Hopkins Bayview Medical

    Baltimore, Maryland 21224
    United States

    Site Not Available

  • Boston University Medical Center

    Boston, Massachusetts 02118
    United States

    Site Not Available

  • Dana Farber Cancer Institute

    Boston, Massachusetts 02215
    United States

    Site Not Available

  • Massachusetts General Hospital

    Boston, Massachusetts 02114
    United States

    Site Not Available

  • Barbara Ann Karmanos Cancer Institute

    Detroit, Michigan 48201
    United States

    Site Not Available

  • Mayo Clinic

    Rochester, Minnesota 55905
    United States

    Site Not Available

  • Washington University School Of Medicine

    Saint Louis, Missouri 63110
    United States

    Site Not Available

  • Washington University School of Medicine

    Saint Louis, Missouri 63110
    United States

    Active - Recruiting

  • Columbia University Medical Center

    New York, New York 10032
    United States

    Site Not Available

  • Langone Health at NYC University, NYU School of Medicine

    New York, New York 10016
    United States

    Site Not Available

  • Providence Portland Medical Center

    Portland, Oregon 97213
    United States

    Site Not Available

  • University of Pennsylvania Division of Hematology Oncology Perelman Center for Advanced Medicine

    Philadelphia, Pennsylvania 19104
    United States

    Site Not Available

  • Huntsman Cancer Institute

    Salt Lake City, Utah 84112
    United States

    Site Not Available

  • Virginia Cancer Specialists

    Fairfax, Virginia 22031
    United States

    Site Not Available

  • University of Washington

    Seattle, Washington 98109
    United States

    Site Not Available

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.