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: June 4, 2026
Sponsor: Janssen Research & Development, LLC
Overall Status: Active - Not Recruiting

Phase

2

Condition

N/A

Treatment

Timolol

Noncomedogenic skin moisturizer

Clindamycin

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 and with modified enhanced dermatologic 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. The study also includes Expansion cohorts (in 2 different schedules) to evaluate enhanced dermatologic management and early intervention for DAEIs or paronychia, in participants receiving subcutaneous 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 under study)which natural history or treatment is unlikely to interfere with any studyendpoints, safety, or the efficacy of the study treatment(s). For the amivantamab SCexpansion cohorts: Due to the increased risk of skin cancer with ruxolitinib,participants with any prior or concurrent skin malignancies will be excluded

  • 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). For the amivantamab SC expansion cohorts, this includes active localizedserious infections; active bleeding diathesis; impaired oxygenation requiringcontinuous oxygen supplementation; refractory nausea and vomiting, chronicgastrointestinal diseases, inability to swallow the formulated product, or previoussignificant bowel resection that would preclude adequate absorption of backgroundanticancer treatment or doxycycline/minocycline; psychiatric illness, socialsituation, or any other circumstances that would limit compliance with studyrequirements; any ophthalmologic condition that is clinically unstable; pre-existingskin condition that would prevent adequate evaluations of dermatologic toxicity, asdetermined by the 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, timolol*, ruxolitinib*,zinc*, corticosteroids* or their excipients or to any component of the enhanceddermatologic management (*for the amivantamab SC expansion cohorts)

  • 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: 305
Treatment Group(s): 15
Primary Treatment: Timolol
Phase: 2
Study Start date:
February 16, 2024
Estimated Completion Date:
January 31, 2032

Connect with a study center

  • Hospital Italiano de Buenos Aires

    Buenos Aires, C1199
    Argentina

    Site Not Available

  • IADT Instituto Argentino de Diagnostico y Tratamiento

    CABA, C1122
    Argentina

    Site Not Available

  • Centro Medico Austral

    Capital Federal, C1017
    Argentina

    Site Not Available

  • Hospital Italiano de La Plata

    La Plata, B1900AXI
    Argentina

    Site Not Available

  • Hospital Privado de la Comunidad

    Mar del Plata, B7602
    Argentina

    Site Not Available

  • Santa Casa de Misericordia de Belo Horizonte

    Belo Horizonte, 30150-221
    Brazil

    Site Not Available

  • CTO Centro De Tratamento Oncologico LTDA

    Belém, 66.073-005
    Brazil

    Site Not Available

  • Liga Paranaense de Combate ao Cancer

    Curitiba, 81520-060
    Brazil

    Site Not Available

  • Fundacao Doutor Amaral Carvalho

    Jaú, 17.210-080
    Brazil

    Site Not Available

  • Hospital Nossa Senhora da Conceicao S A

    Porto Alegre, 91350 200
    Brazil

    Site Not Available

  • Nucleo de Oncologia da Bahia Oncoclinicas

    Salvador, 40170 070
    Brazil

    Site Not Available

  • Hospital Ana Nery Santa Cruz do Sul

    Santa Cruz do Sul, 96835-100
    Brazil

    Site Not Available

  • Fundacao Antonio Prudente A C Camargo Cancer Center

    Sao Paulo, 01509 900
    Brazil

    Active - Recruiting

  • Fundacao Antonio Prudente A C Camargo Cancer Center

    São Paulo, 01509 900
    Brazil

    Site Not Available

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

    São Paulo, 01246 000
    Brazil

    Site Not Available

  • Fundacao Antonio Prudente A C Camargo Cancer Center

    São Paulo 3448439, 01509 900
    Brazil

    Active - Recruiting

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

    Taubaté, 12030-200
    Brazil

    Site Not Available

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

    Vitória, 29043-260
    Brazil

    Site Not Available

  • Changzhou No 2 Peoples Hospital

    Changzhou, 213004
    China

    Site Not Available

  • West China Hospital

    Chengdoucun, 610041
    China

    Site Not Available

  • Sichuan Cancer Hospital

    Chengdu, 610041
    China

    Site Not Available

  • The First Affiliated Hospital Sun Yat sen University

    Guangzhou, 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

    Site Not Available

  • Harbin medical university cancer hospital

    Harbin, 150040
    China

    Site Not Available

  • Huizhou Municipal Central Hospital

    Huizhou, 516001
    China

    Site Not Available

  • Zhongda Hospital Southeast University

    Nanjing, 210000
    China

    Site Not Available

  • Fudan University Shanghai Cancer Center

    Shanghai, 200032
    China

    Site Not Available

  • The First Affiliated Hospital of Xian Jiaotong University

    Xi'an, 710061
    China

    Site Not Available

  • Henan Cancer Hospital

    Zhengzhou, 450008
    China

    Site Not Available

  • Hopital Nord

    Marseille, 13915
    France

    Site Not Available

  • Hopital PASTEUR

    Nice, 06001
    France

    Site Not Available

  • Institut Curie

    Paris, 75005
    France

    Site Not Available

  • Universitaetsklinikum der RWTH Aachen

    Aachen, 52074
    Germany

    Site Not Available

  • Kliniken Essen-Mitte

    Essen, 45136
    Germany

    Site Not Available

  • Universitaetsklinikum Giessen und Marburg GmbH

    Giessen, 35392
    Germany

    Site Not Available

  • Thoraxklinik am Universitatsklinikum Heidelberg

    Heidelberg, 69126
    Germany

    Site Not Available

  • Klinikum Kassel GmbH

    Kassel, 34125
    Germany

    Site Not Available

  • Universitaetsklinikum Schleswig Holstein Campus Kiel

    Kiel, 24105
    Germany

    Site Not Available

  • Hospital Pulau Pinang

    George Town, 10450
    Malaysia

    Site Not Available

  • University Malaya Medical Centre

    Kuala Lumpur, 59100
    Malaysia

    Site Not Available

  • Hospital Tengku Ampuan Afzan

    Kuantan, 25100
    Malaysia

    Site Not Available

  • Hospital Umum Sarawak

    Kuching, 93586
    Malaysia

    Site Not Available

  • Chungbuk National University Hospital

    Cheongju-si, 28644
    South Korea

    Site Not Available

  • Gachon University Gil Medical Center

    Incheon, 21565
    South Korea

    Site Not Available

  • Gachon University Gil Hospital

    Incheon 1843564, 405-760
    South Korea

    Active - Recruiting

  • Severance Hospital Yonsei University Health System

    Seoul, 03722
    South Korea

    Site Not Available

  • Hosp. Univ. A Coruna

    A Coruna, 15006
    Spain

    Active - Recruiting

  • Hosp Univ A Coruna

    A Coruña, 15006
    Spain

    Site Not Available

  • Hosp. Gral. Univ. de Alicante

    Alicante, 03010
    Spain

    Site Not Available

  • Hosp Univ Vall D Hebron

    Barcelona, 08035
    Spain

    Site Not Available

  • Hosp. Univ. Quiron Dexeus

    Barcelona, 08028
    Spain

    Site Not Available

  • Hosp. Univ. Vall D Hebron

    Barcelona, 08035
    Spain

    Active - Recruiting

  • Hosp. Univ. Quiron Dexeus

    Barcelona 3128760, 08028
    Spain

    Active - Recruiting

  • Hosp. Univ. de Jaen

    Jaén, 23007
    Spain

    Site Not Available

  • Hosp. Univ. Lucus Augusti

    Lugo, 27003
    Spain

    Site Not Available

  • Hosp. Gral. Univ. Gregorio Maranon

    Madrid, 28007
    Spain

    Site Not Available

  • Hosp. Regional Univ. de Malaga

    Malaga, 29010
    Spain

    Active - Recruiting

  • Hosp Regional Univ de Malaga

    Málaga, 29010
    Spain

    Site Not Available

  • Hosp. Ntra. Sra. de Valme

    Seville, 41014
    Spain

    Site Not Available

  • National Taiwan University Hospital Hsin-Chu Branch

    Hsin Chu, 30059
    Taiwan

    Active - Recruiting

  • National Taiwan University Hospital Hsin Chu Branch

    Hsinchu, 30059
    Taiwan

    Site Not Available

  • Chang Gung Memorial Hospital

    Kaohsiung City, 833
    Taiwan

    Site Not Available

  • Chang Kung Memorial Hospital

    Kaohsiung City, 833
    Taiwan

    Completed

  • Taichung Veterans General Hospital

    Taichung, 40705
    Taiwan

    Site Not Available

  • National Taiwan University Hospital

    Taipei, 100
    Taiwan

    Site Not Available

  • Linkou Chang Gung Memorial Hospital

    Taoyuan City, 333
    Taiwan

    Site Not Available

  • Ankara Bilkent City Hospital

    Ankara, 6800
    Turkey

    Active - Recruiting

  • Gazi University Hospital

    Ankara, 06560
    Turkey

    Active - Recruiting

  • I A U VM Medical Park Florya Hastanesi

    Istanbul, 34295
    Turkey

    Active - Recruiting

  • Adana City Hospital

    Adana, 1060
    Turkey (Türkiye)

    Site Not Available

  • Ankara Bilkent City Hospital

    Ankara, 6800
    Turkey (Türkiye)

    Site Not Available

  • Gazi University Hospital

    Ankara, 06560
    Turkey (Türkiye)

    Site Not Available

  • Gulhane Training and Research Hospital

    Ankara, 06010
    Turkey (Türkiye)

    Site Not Available

  • Ankara Bilkent City Hospital

    Ankara 323786, 6800
    Turkey (Türkiye)

    Active - Recruiting

  • Gazi University Hospital

    Ankara 323786, 06560
    Turkey (Türkiye)

    Active - Recruiting

  • Bakirkoy Training and Research Hospital

    Istanbul, 34147
    Turkey (Türkiye)

    Site Not Available

  • I A U VM Medical Park Florya Hastanesi

    Istanbul, 34295
    Turkey (Türkiye)

    Site Not Available

  • Bakirkoy Training and Research Hospital

    Istanbul 745044, 34147
    Turkey (Türkiye)

    Active - Recruiting

  • Ege University Medical Faculty

    Izmir, 35100
    Turkey (Türkiye)

    Site Not Available

  • Ondokuz Mayis University

    Samsun, 55420
    Turkey (Türkiye)

    Site Not Available

  • Ironwood Cancer and Research Center

    Chandler, Arizona 85224
    United States

    Site Not Available

  • City of Hope

    Duarte, California 91010
    United States

    Site Not Available

  • Providence Fullerton

    Fullerton, California 92835
    United States

    Site Not Available

  • Los Angeles Cancer Network

    Glendale, California 91204
    United States

    Site Not Available

  • City of Hope Huntington Beach

    Huntington Beach, California 92648
    United States

    Active - Recruiting

  • City of Hope Seacliff

    Huntington Beach, California 92648
    United States

    Site Not Available

  • City of Hope Orange County Lennar Foundation Cancer Center

    Irvine, California 92618
    United States

    Site Not Available

  • City of Hope Long Beach Elm

    Long Beach, California 90813
    United States

    Site Not Available

  • Cancer and Blood Specialty Clinic

    Los Alamitos, California 90720
    United States

    Site Not Available

  • Keck Hospital of USC

    Los Angeles, California 90033
    United States

    Site Not Available

  • USC Norris Oncology Hematology Newport Beach

    Newport Beach, California 92663
    United States

    Site Not Available

  • Kaiser Permanente Oakland Medical Center

    Oakland, California 94611
    United States

    Site Not Available

  • Kaiser Permanente Roseville Medical Center

    Roseville, California 95661
    United States

    Site Not Available

  • Kaiser Permanente San Francisco Medical Center

    San Francisco, California 94115
    United States

    Site Not Available

  • Kaiser Permanente Santa Clara Medical Center

    Santa Clara, California 95051
    United States

    Site Not Available

  • City of Hope South Pasadena

    South Pasadena, California 91030
    United States

    Site Not Available

  • Kaiser Permanente Northern California

    Vallejo, California 94589
    United States

    Site Not Available

  • Kaiser Permanente Walnut Creek Medical Center

    Walnut Creek, California 94596
    United States

    Site Not Available

  • University Cancer & Blood Center

    Athens, Georgia 30607
    United States

    Site Not Available

  • Hope and Healing Care

    Hinsdale, Illinois 60521
    United States

    Site Not Available

  • Oncology Hematology Associates

    Springfield, Missouri 65807
    United States

    Site Not Available

  • Renown Health Medical Oncology

    Reno, Nevada 89502
    United States

    Site Not Available

  • Renown Regional Medical Center

    Reno, Nevada 89502
    United States

    Active - Recruiting

  • Hunterdon Hematology Oncology

    Flemington, New Jersey 08822
    United States

    Site Not Available

  • Clinical Research Alliance Inc

    Westbury, New York 11590
    United States

    Site Not Available

  • Clinical Research Alliance, Inc.

    Westbury, New York 11590
    United States

    Active - Recruiting

  • Regional Medical Oncology Center

    Wilson, North Carolina 27893
    United States

    Site Not Available

  • University Hospitals Cleveland Medical Center

    Cleveland, Ohio 44106
    United States

    Site Not Available

  • Virginia Cancer Specialists

    Fairfax, Virginia 22031
    United States

    Site Not Available

  • Valley Medical Center

    Renton, Washington 98055
    United States

    Site Not Available

  • Gundersen Health System

    West Salem, Wisconsin 54669
    United States

    Site Not Available

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