Enhanced Dermatological Care to Reduce Rash and Paronychia in Epidermal Growth Factor Receptor (EGRF)-Mutated Non-Small Cell Lung Cancer (NSCLC) Treated First-line With Amivantamab Plus Lazertinib

Last updated: April 28, 2025
Sponsor: Janssen Research & Development, LLC
Overall Status: Active - Recruiting

Phase

2

Condition

N/A

Treatment

Noncomedogenic skin moisturizer

Clindamycin

Chlorhexidine

Clinical Study ID

NCT06120140
61186372NSC2007
61186372NSC2007
2023-505863-35-00
  • Ages > 18
  • All Genders

Study Summary

The purpose of this study is to evaluate whether enhanced dermatologic management can reduce incidence of grade greater than or equal to (>=) 2 dermatologic adverse events of interest (DAEIs) when compared with standard-of-care skin management in participants with locally advanced or metastatic stage IIIB/C-IV epidermal growth factor receptor (EGFR)-mutated non-small cell lung cancer (NSCLC) treated first-line with amivantamab and lazertinib. A substudy will enroll participants from Arms A and B who experience specific new-onset or persistent DAEIs (Grade >=2) during treatment with intravenous (IV) amivantamab and lazertinib. This substudy aims to assess the reactive use of dermatologic treatment strategies in these participants.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Have histologically or cytologically confirmed, locally advanced or metastaticnon-small cell lung cancer (NSCLC); Is treatment naive and not amenable to curativetherapy including surgical resection or (chemo) radiation. Adjuvant or neoadjuvanttherapy for Stage I, Stage II or Stage IIIA disease is allowed if last doseadministered more than 12 months prior to the development of locally advanced ormetastatic disease

  • Have a tumor that harbors an epidermal growth factor receptor (EGFR) Exon 19del orExon 21 L858R substitution, as detected by an Food and Drug Administration (FDA)-approved or other validated test in a clinical laboratory improvementamendments (CLIA)-certified laboratory (sites in the United States) or an accreditedlocal laboratory (sites outside of the United States) in accordance with sitestandard of care

  • A participant with asymptomatic or previously treated and stable brain metastasesmay participate in this study. Participants with a history of symptomatic brainmetastases must have had all lesions treated as clinically indicated (that is, nocurrent indication for further definitive local therapy). Any definitive localtherapy to brain metastases must have been completed at least 14 days prior torandomization, and the participant can be receiving no greater than 10 milligram (mg) prednisone or equivalent daily for the treatment of intracranial disease

  • Can have prior or concurrent second malignancy (other than the disease understudy)which natural history or treatment is unlikely to interfere with any studyendpoints, safety, or the efficacy of the study treatment(s)

  • Have an eastern cooperative oncology group (ECOG) performance status of 0 to 1

  • Sub-study: Participants must have new-onset or persistent (defined as non-responsiveto standard of care [SoC]) Grade >=2 specific DAEIs of the scalp, face, or body, asdefined by NCI CTCAE Grading v5.0 for DAEIs (excluding paronychia)

Exclusion

Exclusion Criteria:

  • History of uncontrolled illness, including but not limited to uncontrolled diabetes;ongoing or active infection (includes infection requiring treatment withantimicrobial therapy [participants will be required to complete antibiotics 1 weekprior to starting background anticancer treatment] or diagnosed or suspected viralinfection); active bleeding diathesis; impaired oxygenation requiring continuousoxygen supplementation; refractory nausea and vomiting, chronic gastrointestinaldiseases, inability to swallow the formulated product, or previous significant bowelresection that would preclude adequate absorption of background anticancer treatmentor doxycycline/minocycline; psychiatric illness, social situation, or any othercircumstances that would limit compliance with study requirements; anyophthalmologic condition that is clinically unstable; pre-existing skin conditionthat would prevent adequate evaluations of dermatologic toxicity, as determined bythe investigator

  • Medical history of interstitial lung disease (ILD), including drug-induced ILD orradiation pneumonitis

  • Known allergy, hypersensitivity, or intolerance to the excipients of amivantamab,lazertinib, or to tetracyclines, doxycycline, minocycline, or their excipients or toany component of the enhanced dermatologic management

  • Participant has received any prior systemic treatment at any time for locallyadvanced stage III B/C or metastatic stage IV disease (adjuvant or neoadjuvanttherapy for stage I, II or IIIA disease is allowed if last dose administered morethan 12 months prior to the development of locally advanced or metastatic disease)

  • Participant has an active or past medical history of leptomeningeal disease

  • Sub-study: Participants who have received prior treatment for epidermal growthfactor receptor (EGFR)-induced DAEIs with JAK inhibitors (for Cohort A) orcalcineurin inhibitors (for Cohort B)

Study Design

Total Participants: 300
Treatment Group(s): 11
Primary Treatment: Noncomedogenic skin moisturizer
Phase: 2
Study Start date:
February 16, 2024
Estimated Completion Date:
March 31, 2026

Connect with a study center

  • Hospital Italiano de Buenos Aires

    Buenos Aires, C1199
    Argentina

    Active - Recruiting

  • IADT Instituto Argentino de Diagnostico y Tratamiento

    Caba, C1122
    Argentina

    Active - Recruiting

  • Centro Medico Austral

    Capital Federal, C1017
    Argentina

    Active - Recruiting

  • Hospital Italiano de La Plata

    La Plata, B1900AXI
    Argentina

    Completed

  • Hospital Privado de la Comunidad

    Mar del Plata, B7602
    Argentina

    Active - Recruiting

  • CTO Centro De Tratamento Oncologico LTDA

    Belem, 66.073-005
    Brazil

    Active - Recruiting

  • Santa Casa de Misericordia de Belo Horizonte

    Belo Horizonte, 30150-221
    Brazil

    Active - Recruiting

  • Liga Paranaense de Combate ao Cancer

    Curitiba, 81520-060
    Brazil

    Active - Recruiting

  • Fundacao Doutor Amaral Carvalho

    Jaú, 17.210-080
    Brazil

    Active - Recruiting

  • Hospital Nossa Senhora da Conceicao S A

    Porto Alegre, 91350 200
    Brazil

    Active - Recruiting

  • Nucleo de Oncologia da Bahia Oncoclinicas

    Salvador, 40170 070
    Brazil

    Active - Recruiting

  • Hospital Ana Nery Santa Cruz do Sul

    Santa Cruz do Sul, 96835-100
    Brazil

    Active - Recruiting

  • Fundacao Antonio Prudente A C Camargo Cancer Center

    Sao Paulo, 01509 900
    Brazil

    Active - Recruiting

  • Fundacao Faculdade de Medicina - Instituto do Cancer do Estado de Sao Paulo

    Sao Paulo, 01246 000
    Brazil

    Active - Recruiting

  • Servicos de Tratamento ao Cancer de Taubate LTDA - Instituto do Cancer Brasil Unidade Taubate

    Taubate, 12030-200
    Brazil

    Active - Recruiting

  • Associacao Feminina de Educacao e Combate ao Cancer Hospital Santa Rita de Cassia

    Vitoria, 29043-260
    Brazil

    Active - Recruiting

  • Changzhou No 2 Peoples Hospital

    Changzhou, 213004
    China

    Active - Recruiting

  • West China Hospital

    Chengdou, 610041
    China

    Site Not Available

  • Sichuan Cancer Hospital

    Chengdu, 610041
    China

    Active - Recruiting

  • The First Affiliated Hospital Sun Yat sen University

    Guang Zhou, 510080
    China

    Site Not Available

  • The First Affiliated Hospital Zhejiang University College of Medicine

    Hangzhou, 310003
    China

    Site Not Available

  • The First Affiliated Hospital Zhejiang University School of Medicine

    Hangzhou, 310003
    China

    Completed

  • Harbin medical university cancer hospital

    Harbin, 150040
    China

    Active - Recruiting

  • Huizhou Municipal Central Hospital

    Huizhou, 516001
    China

    Active - Recruiting

  • Zhongda Hospital Southeast University

    Nanjing, 210000
    China

    Site Not Available

  • Fudan University Shanghai Cancer Center

    ShangHai, 200032
    China

    Active - Recruiting

  • The First Affiliated Hospital of Xian Jiaotong University

    Xi'an, 710061
    China

    Active - Recruiting

  • Henan Cancer Hospital

    Zhengzhou, 450008
    China

    Active - Recruiting

  • Hopital Nord

    Marseille Cedex 20, 13915
    France

    Active - Recruiting

  • Hopital PASTEUR

    Nice, 06001
    France

    Active - Recruiting

  • Institut Curie

    Paris, 75005
    France

    Active - Recruiting

  • Universitaetsklinikum der RWTH Aachen

    Aachen, 52074
    Germany

    Active - Recruiting

  • Kliniken Essen-Mitte

    Essen, 45136
    Germany

    Active - Recruiting

  • Universitaetsklinikum Giessen und Marburg GmbH

    Giessen, 35392
    Germany

    Active - Recruiting

  • Thoraxklinik am Universitatsklinikum Heidelberg

    Heidelberg, 69126
    Germany

    Active - Recruiting

  • Klinikum Kassel GmbH

    Kassel, 34125
    Germany

    Active - Recruiting

  • Universitaetsklinikum Schleswig Holstein Campus Kiel

    Kiel, 24105
    Germany

    Active - Recruiting

  • Chungbuk National University Hospital

    Cheongju-si, 28644
    Korea, Republic of

    Active - Recruiting

  • Gachon University Gil Hospital

    Incheon, 405-760
    Korea, Republic of

    Active - Recruiting

  • Severance Hospital Yonsei University Health System

    Seoul, 03722
    Korea, Republic of

    Active - Recruiting

  • Hospital Pulau Pinang

    Georgetown, 10450
    Malaysia

    Active - Recruiting

  • University Malaya Medical Centre

    Kuala Lumpur, 59100
    Malaysia

    Active - Recruiting

  • Hospital Tengku Ampuan Afzan

    Kuantan, 25100
    Malaysia

    Active - Recruiting

  • Hospital Umum Sarawak

    Kuching, 93586
    Malaysia

    Active - Recruiting

  • Hosp Univ A Coruna

    A Coruna, 15006
    Spain

    Active - Recruiting

  • Hosp. Univ. A Coruna

    A Coruna, 15006
    Spain

    Active - Recruiting

  • Hosp. Gral. Univ. de Alicante

    Alicante, 03010
    Spain

    Active - Recruiting

  • Hosp Univ Vall D Hebron

    Barcelona, 08035
    Spain

    Site Not Available

  • Hosp. Univ. Quiron Dexeus

    Barcelona, 08028
    Spain

    Active - Recruiting

  • Hosp. Univ. Vall D Hebron

    Barcelona, 08035
    Spain

    Active - Recruiting

  • Hosp. Univ. de Jaen

    Jaen, 23007
    Spain

    Active - Recruiting

  • Hosp. Univ. Lucus Augusti

    Lugo, 27003
    Spain

    Active - Recruiting

  • Hosp. Gral. Univ. Gregorio Maranon

    Madrid, 28007
    Spain

    Active - Recruiting

  • Hosp Regional Univ de Malaga

    Malaga, 29010
    Spain

    Active - Recruiting

  • Hosp. Regional Univ. de Malaga

    Malaga, 29010
    Spain

    Active - Recruiting

  • Hosp. Ntra. Sra. de Valme

    Sevilla, 41014
    Spain

    Active - Recruiting

  • National Taiwan University Hospital Hsin Chu Branch

    Hsin Chu, 30059
    Taiwan

    Active - Recruiting

  • National Taiwan University Hospital Hsin-Chu Branch

    Hsin Chu, 30059
    Taiwan

    Active - Recruiting

  • Chang Gung Memorial Hospital

    Kaohsiung City, 833
    Taiwan

    Active - Recruiting

  • Chang Kung Memorial Hospital

    Kaohsiung City, 833
    Taiwan

    Completed

  • Taichung Veterans General Hospital

    Taichung City, 40705
    Taiwan

    Active - Recruiting

  • National Taiwan University Hospital

    Taipei, 100
    Taiwan

    Active - Recruiting

  • Linkou Chang Gung Memorial Hospital

    Taoyuan City, 333
    Taiwan

    Active - Recruiting

  • Adana City Hospital

    Adana, 1060
    Turkey

    Active - Recruiting

  • Ankara Bilkent City Hospital

    Ankara, 6800
    Turkey

    Active - Recruiting

  • Gazi University Hospital

    Ankara, 06560
    Turkey

    Active - Recruiting

  • Gulhane Training and Research Hospital

    Ankara, 06010
    Turkey

    Active - Recruiting

  • Bakirkoy Training and Research Hospital

    Istanbul, 34147
    Turkey

    Active - Recruiting

  • I A U VM Medical Park Florya Hastanesi

    Istanbul, 34295
    Turkey

    Active - Recruiting

  • Ege University Medical Faculty

    Izmir, 35100
    Turkey

    Active - Recruiting

  • Ondokuz Mayis University

    Samsun, 55420
    Turkey

    Active - Recruiting

  • Ironwood Cancer and Research Center

    Chandler, Arizona 85224
    United States

    Active - Recruiting

  • City of Hope

    Duarte, California 91010
    United States

    Active - Recruiting

  • Providence Fullerton

    Fullerton, California 92835
    United States

    Active - Recruiting

  • Los Angeles Cancer Network

    Glendale, California 91204
    United States

    Active - Recruiting

  • City of Hope Huntington Beach

    Huntington Beach, California 92648
    United States

    Active - Recruiting

  • City of Hope Seacliff

    Huntington Beach, California 92648
    United States

    Active - Recruiting

  • City of Hope Orange County Lennar Foundation Cancer Center

    Irvine, California 92618
    United States

    Active - Recruiting

  • City of Hope Long Beach Elm

    Long Beach, California 90813
    United States

    Active - Recruiting

  • Cancer and Blood Specialty Clinic

    Los Alamitos, California 90720
    United States

    Active - Recruiting

  • Keck Hospital of USC

    Los Angeles, California 90033
    United States

    Active - Recruiting

  • USC Norris Oncology Hematology Newport Beach

    Newport Beach, California 92663
    United States

    Active - Recruiting

  • Kaiser Permanente Oakland Medical Center

    Oakland, California 94611
    United States

    Active - Recruiting

  • Kaiser Permanente Roseville Medical Center

    Roseville, California 95661
    United States

    Active - Recruiting

  • Kaiser Permanente San Francisco Medical Center

    San Francisco, California 94115
    United States

    Active - Recruiting

  • Kaiser Permanente Santa Clara Medical Center

    Santa Clara, California 95051
    United States

    Active - Recruiting

  • City of Hope South Pasadena

    South Pasadena, California 91030
    United States

    Active - Recruiting

  • Kaiser Permanente Northern California

    Vallejo, California 94589
    United States

    Active - Recruiting

  • Kaiser Permanente Walnut Creek Medical Center

    Walnut Creek, California 94596
    United States

    Active - Recruiting

  • University Cancer & Blood Center

    Athens, Georgia 30607
    United States

    Active - Recruiting

  • Hope and Healing Care

    Hinsdale, Illinois 60521
    United States

    Active - Recruiting

  • Oncology Hematology Associates

    Springfield, Missouri 65807
    United States

    Active - Recruiting

  • Renown Health Medical Oncology

    Reno, Nevada 89502
    United States

    Active - Recruiting

  • Renown Regional Medical Center

    Reno, Nevada 89502
    United States

    Active - Recruiting

  • Hunterdon Hematology Oncology

    Flemington, New Jersey 08822
    United States

    Active - Recruiting

  • Clinical Research Alliance Inc

    Westbury, New York 11590
    United States

    Active - Recruiting

  • Clinical Research Alliance, Inc.

    Westbury, New York 11590
    United States

    Active - Recruiting

  • Regional Medical Oncology Center

    Wilson, North Carolina 27893
    United States

    Active - Recruiting

  • University Hospitals Cleveland Medical Center

    Cleveland, Ohio 44106
    United States

    Active - Recruiting

  • Virginia Cancer Specialists

    Fairfax, Virginia 22031
    United States

    Active - Recruiting

  • Valley Medical Center

    Renton, Washington 98055
    United States

    Active - Recruiting

  • Gundersen Health System

    W. Salem, Wisconsin 54669
    United States

    Active - Recruiting

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