Premedication to Reduce Amivantamab Associated Infusion Related Reactions

NCT ID: NCT05663866

Last Updated: 2025-11-12

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

68 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-05-18

Study Completion Date

2026-07-30

Brief Summary

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The purpose of the study is to separately assess the potential of dexamethasone, montelukast and methotrexate administration, prior to amivantamab infusion given through a needle in the vein, to decrease the incidence and/or severity of first-dose infusion related reactions.

Detailed Description

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Conditions

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Carcinoma, Non-Small-Cell Lung

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Background Anti-cancer Therapy with Amivantamab Plus Lazertinib

Participant will receive following treatments in 4 different cohorts prior to administration of combination therapy of IV Amivantamab and oral Lazertinib (anti-cancer regimen): dexamethasone dose-1 in Cohort A; dexamethasone dose-2 in Cohort A2; montelukast in Cohort B; and methotrexate in Cohort C.

Group Type EXPERIMENTAL

Dexamethasone

Intervention Type DRUG

Dexamethasone will be administered orally.

Montelukast

Intervention Type DRUG

Montelukast will be administered orally.

Methotrexate

Intervention Type DRUG

Methotrexate will be administered subcutaneously.

Amivantamab

Intervention Type DRUG

Amivantamab will be administered intravenously.

Lazertinib

Intervention Type DRUG

Lazertinib tablets will be administered orally.

Interventions

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Dexamethasone

Dexamethasone will be administered orally.

Intervention Type DRUG

Montelukast

Montelukast will be administered orally.

Intervention Type DRUG

Methotrexate

Methotrexate will be administered subcutaneously.

Intervention Type DRUG

Amivantamab

Amivantamab will be administered intravenously.

Intervention Type DRUG

Lazertinib

Lazertinib tablets will be administered orally.

Intervention Type DRUG

Other Intervention Names

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JNJ-61186372 JNJ-73841937

Eligibility Criteria

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Inclusion Criteria

* Participant must have advanced or metastatic non-small cell lung cancer (NSCLC)
* Eastern Cooperative Oncology Group (ECOG) performance status grade of 0 or 1
* A female participant using oral contraceptives must use an additional barrier contraceptive method
* A male participant must wear a condom when engaging in any activity that allows for passage of ejaculate to another person during the study and for 3 months after receiving the last dose of study treatment, oral lazertinib and intravenous (IV) Amivantamab
* Each participant, or legally authorized representative, where allowed, must sign an informed consent form (ICF) indicating that the participant understands the purpose of, and procedures required for, the study and is willing to participate in the study
* Progressed on or after prior treatment with osimertinib and platinum-based chemotherapy. Prior use of first-or-second generation epidermal growth factor receptor tyrosine kinase inhibitor (EGFR TKI) is allowed if administered prior to osimertinib
* Previously identified EGFR-mutated non-small cell lung cancer (NSCLC) (EGFR Exon19 deletion or L858R) (identified locally in a Clinical Laboratory Improvement Amendments \[CLIA\]-certified laboratory \[or equivalent\])

Exclusion Criteria

* Participant has a medical history of interstitial lung disease (ILD), including drug-induced ILD or radiation pneumonitis
* Prior treatment with anti PD-1 or anti PD-L1 antibody within 6 weeks of planned first dose of study treatment or immune-mediated rash from checkpoint inhibitors that has not resolved prior to enrollment
* Participant has symptomatic brain metastases. A participant with asymptomatic or previously treated and stable brain metastases may participate in this study. Participants who have completed definitive therapy, are not on steroids, and have a stable clinical status for at least 2 weeks prior to study treatment are allowed. If brain metastases are diagnosed on Screening imaging, the participant may be enrolled, or rescreened for eligibility, after definitive treatment if above criteria are met
* Any toxicities from prior anticancer therapy must have resolved to common terminology criteria for adverse events (CTCAE) version 5.0 Grade 1 or baseline level (except for alopecia \[any grade\], Grade less than or equal to \[\<=\] 2 peripheral neuropathy, and Grade \<=2 hypothyroidism stable on hormone replacement therapy)
* Prior treatment with amivantamab or lazertinib
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen Research & Development, LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Janssen Research & Development, LLC Clinical Trial

Role: STUDY_DIRECTOR

Janssen Research & Development, LLC

Locations

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Compassionate Cancer Care

Fountain Valley, California, United States

Site Status

Virginia Cancer Specialists

Fairfax, Virginia, United States

Site Status

UW Medicine Valley Medical Center

Renton, Washington, United States

Site Status

CHU de Brest - Hopital de la Cavale Blanche

Brest, , France

Site Status

Centre Leon Berard

Lyon, , France

Site Status

Hopital Cochin

Paris, , France

Site Status

Hopital Europeen Georges-Pompidou

Paris, , France

Site Status

CHU Rouen Hopital Charles Nicolle

Rouen, , France

Site Status

Nouvel Hopital Civil - CHU Strasbourg

Strasbourg, , France

Site Status

Chungbuk National University Hospital

Cheongju-si, , South Korea

Site Status

National Cancer Center

Gyeonggi-do, , South Korea

Site Status

Gachon University Gil Medical Center

Incheon, , South Korea

Site Status

Chonnam National University Hwasun Hospital

Jeollanam-do, , South Korea

Site Status

Seoul National University Bundang Hospital

Seongnam-si, , South Korea

Site Status

Asan Medical Center

Seoul, , South Korea

Site Status

Hosp. de La Santa Creu I Sant Pau

Barcelona, , Spain

Site Status

Hosp Univ Vall D Hebron

Barcelona, , Spain

Site Status

Hosp. Univ. Quiron Dexeus

Barcelona, , Spain

Site Status

Hosp. San Pedro de Alcantara

Cáceres, , Spain

Site Status

Hosp. de Jerez de La Frontera

Jerez de la Frontera, , Spain

Site Status

Inst. Cat. Doncologia-H Duran I Reynals

L'Hospitalet de Llobregat, , Spain

Site Status

Hosp. Gral. Univ. Gregorio Maranon

Madrid, , Spain

Site Status

Hosp. Univ. 12 de Octubre

Madrid, , Spain

Site Status

Hosp Virgen de La Victoria

Málaga, , Spain

Site Status

Hosp. Univ. Son Espases

Palma de Mallorca, , Spain

Site Status

Hosp. Clinico Univ. de Santiago

Santiago de Compostela, , Spain

Site Status

Inst. Valenciano de Oncologia

Valencia, , Spain

Site Status

Hosp. Gral. Univ. Valencia

Valencia, , Spain

Site Status

Hosp. Clinico Univ. Lozano Blesa

Zaragoza, , Spain

Site Status

Changhua Christian Hospital

Changhua, , Taiwan

Site Status

Kaohsiung Medical University Chung Ho Memorial Hospital

Kaohsiung City, , Taiwan

Site Status

Taichung Veterans General Hospital

Taichung, , Taiwan

Site Status

Chi-Mei Medical Center, Liouying

Tainan, , Taiwan

Site Status

National Taiwan University Hospital

Taipei, , Taiwan

Site Status

Taipei Medical University

Taipei, , Taiwan

Site Status

Taipei Veterans General Hospital

Taipei, , Taiwan

Site Status

Countries

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United States France South Korea Spain Taiwan

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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61186372NSC2005

Identifier Type: OTHER

Identifier Source: secondary_id

2022-000974-25

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

2023-506578-11-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

CR109305

Identifier Type: -

Identifier Source: org_study_id