A Study of Repotrectinib Versus Crizotinib in Participants With Locally Advanced or Metastatic Tyrosine Kinase Inhibitor (TKI)-naïve ROS1-positive Non-Small Cell Lung Cancer (NSCLC) (TRIDENT-3)

NCT ID: NCT06140836

Last Updated: 2025-11-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

190 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-12-21

Study Completion Date

2027-03-15

Brief Summary

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The purpose of this study is to evaluate the efficacy and safety of repotrectinib and crizotinib in participants with locally advanced or metastatic TKI-naïve ROS1-positive non-small cell lung cancer (NSCLC).

Detailed Description

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Conditions

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Carcinoma, Non-Small-Cell Lung

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm A

Group Type EXPERIMENTAL

Repotrectinib

Intervention Type DRUG

Specified dose on specified days

Arm B

Group Type ACTIVE_COMPARATOR

Crizotinib

Intervention Type DRUG

Specified dose on specified days

Interventions

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Repotrectinib

Specified dose on specified days

Intervention Type DRUG

Crizotinib

Specified dose on specified days

Intervention Type DRUG

Other Intervention Names

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BMS-986472 Xalkori

Eligibility Criteria

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Inclusion Criteria

* Participant has histologically or cytologically confirmed diagnosis of locally advanced or metastatic NSCLC
* Participant has a ROS1 gene rearrangement/fusion as detected by a local test.
* At least 1 measurable lesion according to RECIST v1.1, as assessed by the investigator.
* Participants must not be exposed previously with TKIs that demonstrated activities in ROS1-positive NSCLC
* Up to 1 prior line of systemic treatment for NSCLC is permitted
* ECOG Performance Status ≤ 2

Exclusion Criteria

* Symptomatic brain metastases or symptomatic leptomeningeal involvement.
* History of previous cancer requiring therapy within the previous 2 years, except for NSCLC under study, squamous cell or basal-cell carcinoma of the skin, or any in situ carcinoma that has been completely resected.
* Known tumor targetable co-mutations or rearrangements
* Clinically significant cardiovascular disease (either active or within 6 months prior to enrollment)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Zai Lab (Shanghai) Co., Ltd.

INDUSTRY

Sponsor Role collaborator

Bristol-Myers Squibb

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bristol-Myers Squibb

Role: STUDY_DIRECTOR

Bristol-Myers Squibb

Locations

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Local Institution - 0221

Des Moines, Iowa, United States

Site Status

Local Institution - 0075

Boston, Massachusetts, United States

Site Status

Local Institution - 0201

Boston, Massachusetts, United States

Site Status

Local Institution - 0210

Mineola, New York, United States

Site Status

Local Institution - 0134

New York, New York, United States

Site Status

Local Institution - 0214

Tacoma, Washington, United States

Site Status

Local Institution - 0092

Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina

Site Status

Instituto Alexander Fleming

Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina

Site Status

Local Institution - 0091

ABB, Buenos Aires F.D., Argentina

Site Status

Local Institution - 0106

Buenos Aires, , Argentina

Site Status

Local Institution - 0207

Buenos Aires, , Argentina

Site Status

Local Institution - 0093

Córdoba, , Argentina

Site Status

Local Institution - 0041

Vienna, , Austria

Site Status

Local Institution - 0073

Belo Horizonte, Minas Gerais, Brazil

Site Status

Local Institution - 0033

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

Local Institution - 0034

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

Local Institution - 0029

Barretos, São Paulo, Brazil

Site Status

Local Institution - 0037

São José do Rio Preto, São Paulo, Brazil

Site Status

Local Institution - 0209

São Paulo, São Paulo, Brazil

Site Status

Local Institution - 0147

São Paulo, São Paulo, Brazil

Site Status

Local Institution - 0098

Rio de Janeiro, , Brazil

Site Status

Local Institution - 0108

Rio de Janeiro, , Brazil

Site Status

Local Institution - 0032

São Paulo, , Brazil

Site Status

Local Institution - 0114

São Paulo, , Brazil

Site Status

Local Institution - 0002

Toronto, Ontario, Canada

Site Status

Local Institution - 0123

Trois-Rivières, Quebec, Canada

Site Status

Local Institution - 0096

Viña del Mar, Región de Valparaíso, Chile

Site Status

Fundacion Arturo Lopez Perez (FALP)

Santiago, Santiago Metropolitan, Chile

Site Status

Local Institution - 0168

Beijing, Beijing Municipality, China

Site Status

Local Institution - 0185

Chongqing, Chongqing Municipality, China

Site Status

Local Institution - 0169

Xiamen, Fujian, China

Site Status

Local Institution - 0180

Guangzhou, Guangdong, China

Site Status

Local Institution - 0194

Nanning, Guangxi, China

Site Status

Local Institution - 0171

Harbin, Heilongjiang, China

Site Status

Local Institution - 0166

Zhengzhou, Henan, China

Site Status

Local Institution - 0181

Wuhan, Hubei, China

Site Status

Local Institution - 0184

Changsha, Hunan, China

Site Status

Local Institution - 0193

Nanjing, Jiangsu, China

Site Status

Local Institution - 0202

Nanchang, Jiangxi, China

Site Status

Local Institution - 0178

Changchun, Jilin, China

Site Status

Local Institution - 0183

Xi'an, Shaanxi, China

Site Status

Local Institution - 0186

Jinan, Shandong, China

Site Status

Local Institution - 0164

Shanghai, Shanghai Municipality, China

Site Status

Local Institution - 0179

Shanghai, Shanghai Municipality, China

Site Status

Local Institution - 0177

Chengdu, Sichuan, China

Site Status

Local Institution - 0175

Hangzhou, Zhejiang, China

Site Status

Local Institution - 0059

Strasbourg, Alsace, France

Site Status

Local Institution - 0055

Pessac, Aquitaine, France

Site Status

Local Institution - 0109

Dijon, Côte-d'Or, France

Site Status

Local Institution - 0057

Rouen, Haute-Normandie, France

Site Status

Local Institution - 0058

La Tronche, Isère, France

Site Status

Local Institution - 0189

Saint-Herblain, Loire-Atlantique, France

Site Status

Local Institution - 0060

Pierre-Bénite, Rhône, France

Site Status

Local Institution - 0056

Paris, , France

Site Status

Klinikum Esslingen

Esslingen am Neckar, Baden-Wurttemberg, Germany

Site Status

Klinikum Würzburg Mitte

Würzburg, Bavaria, Germany

Site Status

Local Institution - 0074

Oldenburg, Lower Saxony, Germany

Site Status

Evangelische Lungenklinik Berlin

Berlin, , Germany

Site Status

Universitaetsklinikum Koeln

Cologne, , Germany

Site Status

Local Institution - 0035

Dresden, , Germany

Site Status

Asklepios Klinik Gauting GmbH

Gauting, , Germany

Site Status

Lungenfachklinik Immenhausen

Immenhausen, , Germany

Site Status

Marienhaus Klinikum Mainz

Mainz, , Germany

Site Status

Local Institution - 0154

Pátrai, Achaḯa, Greece

Site Status

Local Institution - 0153

Athens, Attikí, Greece

Site Status

Local Institution - 0155

Chaïdári, Attikí, Greece

Site Status

"Theagenio" Cancer Hospital of Thessaloniki

Thessaloniki, Kentrikí Makedonía, Greece

Site Status

Local Institution - 0135

Budapest, , Hungary

Site Status

Local Institution - 0102

Ahmedabad, Gujarat, India

Site Status

Local Institution - 0118

Ahmedabad, Gujarat, India

Site Status

Local Institution - 0044

Gurugram, Haryana, India

Site Status

Local Institution - 0082

Bengaluru, Karnataka, India

Site Status

Local Institution - 0045

Pune, Maharashtra, India

Site Status

Local Institution - 0049

Pune, Maharashtra, India

Site Status

Local Institution - 0218

New Delhi, National Capital Territory of Delhi, India

Site Status

Local Institution - 0076

New Delhi, National Capital Territory of Delhi, India

Site Status

Local Institution - 0151

Aviano, Friuli Venezia Giulia, Italy

Site Status

Local Institution - 0152

Milan, Lombardy, Italy

Site Status

Local Institution - 0149

Monza, Lombardy, Italy

Site Status

Local Institution - 0150

Naples, Napoli, Italy

Site Status

Local Institution - 0148

Rome, Roma, Italy

Site Status

Local Institution - 0190

Nagoya, Aichi-ken, Japan

Site Status

Local Institution - 0132

Kashiwa, Chiba, Japan

Site Status

Local Institution - 0174

Matsuyama, Ehime, Japan

Site Status

Local Institution - 0163

Sapporo, Hokkaido, Japan

Site Status

Local Institution - 0173

Yokohama, Kanagawa, Japan

Site Status

Sendai Kosei Hospital

Sendai, Miyagi, Japan

Site Status

Tokyo Metropolitan Komagome Hospital

Bunkyo Ku, Tokyo, Japan

Site Status

Local Institution - 0159

Yonago, Tottori, Japan

Site Status

Local Institution - 0195

Fukuoka, , Japan

Site Status

Local Institution - 0160

Osaka, , Japan

Site Status

Local Institution - 0167

Osaka, , Japan

Site Status

Tokyo Metropolitan Police Hospital

Tokyo, , Japan

Site Status

Local Institution - 0216

Amsterdam, North Holland, Netherlands

Site Status

Local Institution - 0187

Lublin, Lublin Voivodeship, Poland

Site Status

Local Institution - 0196

Olsztyn, Warmian-Masurian Voivodeship, Poland

Site Status

Local Institution - 0030

Bucharest, București, Romania

Site Status

Local Institution - 0066

Bucharest, București, Romania

Site Status

Local Institution - 0031

Craiova, Dolj, Romania

Site Status

Local Institution - 0122

Cluj-Napoca, , Romania

Site Status

Local Institution - 0067

Iași, , Romania

Site Status

Local Institution - 0062

Cheongju-si, Chungcheongbuk-do [Chungbuk], South Korea

Site Status

Seoul National University Bundang Hospital

Seongnam, Kyǒnggi-do, South Korea

Site Status

Severance Hospital, Yonsei University Health System

Seoul, Seoul-teukbyeolsi [Seoul], South Korea

Site Status

Asan Medical Center

Seoul, Seoul-teukbyeolsi [Seoul], South Korea

Site Status

Local Institution - 0063

Seoul, Seoul-teukbyeolsi [Seoul], South Korea

Site Status

Local Institution - 0141

A Coruña, A Coruña [La Coruña], Spain

Site Status

Local Institution - 0138

Santiago de Compostela, A Coruña [La Coruña], Spain

Site Status

Local Institution - 0140

Barcelona, Barcelona [Barcelona], Spain

Site Status

Local Institution - 0137

Madrid, Madrid, Comunidad de, Spain

Site Status

Local Institution - 0139

Majadahonda, Madrid, Comunidad de, Spain

Site Status

Local Institution - 0142

Málaga, , Spain

Site Status

Local Institution - 0144

Seville, , Spain

Site Status

Local Institution - 0143

Valencia, , Spain

Site Status

Kantonspital Baden

Baden, Canton of Aargau, Switzerland

Site Status

Local Institution - 0086

Yenimahalle, Ankara, Turkey (Türkiye)

Site Status

Local Institution - 0088

Adana, , Turkey (Türkiye)

Site Status

Local Institution - 0084

Ankara, , Turkey (Türkiye)

Site Status

Local Institution - 0087

Istanbul, , Turkey (Türkiye)

Site Status

T.C. Saglik Bakanligi Turkiye Kamu Hastaneleri Kurumu - Bakirkoy Dr. Sadi Konuk Egitim ve Arastirma Hastanesi

Istanbul, , Turkey (Türkiye)

Site Status

Local Institution - 0083

Istanbul, , Turkey (Türkiye)

Site Status

Local Institution - 0085

Sakarya, , Turkey (Türkiye)

Site Status

Countries

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United States Argentina Austria Brazil Canada Chile China France Germany Greece Hungary India Italy Japan Netherlands Poland Romania South Korea Spain Switzerland Turkey (Türkiye)

Related Links

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Other Identifiers

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U1111-1292-0487

Identifier Type: REGISTRY

Identifier Source: secondary_id

CA127-1030

Identifier Type: -

Identifier Source: org_study_id

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