Please note that the copy function is not enabled for this field.
If you wish to
modify
existing outcomes, please copy and paste the current outcome text into the Update field.
LOGIN
CREATE ACCOUNT
LOGIN
CREATE ACCOUNT
MY TRIALS
REGISTER TRIAL
FAQs
HINTS AND TIPS
DEFINITIONS
Trial Review
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
information for consumers
Download to PDF
Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/ct2/show/NCT04129502
Registration number
NCT04129502
Ethics application status
Date submitted
7/10/2019
Date registered
16/10/2019
Date last updated
17/05/2024
Titles & IDs
Public title
TAK-788 as First-Line Treatment Versus Platinum-Based Chemotherapy for Non-Small Cell Lung Cancer (NSCLC) With EGFR Exon 20 Insertion Mutations
Query!
Scientific title
A Randomized Phase 3 Multicenter Open-Label Study to Compare the Efficacy of TAK-788 as First-Line Treatment Versus Platinum-Based Chemotherapy in Patients With Non-Small Cell Lung Cancer With EGFR Exon 20 Insertion Mutations
Query!
Secondary ID [1]
0
0
NL20191212
Query!
Secondary ID [2]
0
0
TAK-788-3001
Query!
Universal Trial Number (UTN)
Query!
Trial acronym
Query!
Linked study record
Query!
Health condition
Health condition(s) or problem(s) studied:
Advanced/Metastatic Non-Small Cell Lung Cancer (NSCLC)
0
0
Query!
Condition category
Condition code
Cancer
0
0
0
0
Query!
Lung - Mesothelioma
Query!
Cancer
0
0
0
0
Query!
Lung - Non small cell
Query!
Cancer
0
0
0
0
Query!
Lung - Small cell
Query!
Intervention/exposure
Study type
Interventional
Query!
Description of intervention(s) / exposure
Treatment: Drugs - TAK-788
Treatment: Drugs - Pemetrexed
Treatment: Drugs - Cisplatin
Treatment: Drugs - Carboplatin
Experimental: TAK-788 Group (Arm A) - TAK-788 160 milligram (mg) with or without food, capsules, orally, once daily until the participants experience PD as assessed by blinded IRC, intolerable toxicity, or another discontinuation criteria.
Active Comparator: Platinum-based Chemotherapy Group (Arm B) - Pemetrexed 500 milligram per meter square (mg/m^2) plus cisplatin 75 mg/m^2, infusion, IV, once on Day 1 of 21-day cycle pemetrexed 500 mg/m^2 plus carboplatin, infusion, IV, once at a dose calculated to produce area under curve (AUC) of 5 milligram*minute per milliliter (mg*min/mL) on Day 1 of 21-day cycle until the participants experience PD as assessed by blinded IRC, intolerable toxicity, or another discontinuation criteria. Pemetrexed/cisplatin or pemetrexed/carboplatin will be repeated every 3 weeks for 4 cycles, followed by maintenance treatment with pemetrexed 500 mg/m^2, on Day 1 of a 21-day cycle thereafter.
Treatment: Drugs: TAK-788
TAK-788 capsule
Treatment: Drugs: Pemetrexed
Pemetrexed IV infusion
Treatment: Drugs: Cisplatin
Cisplatin IV infusion
Treatment: Drugs: Carboplatin
Carboplatin IV infusion
Query!
Intervention code [1]
0
0
Treatment: Drugs
Query!
Comparator / control treatment
Query!
Control group
Query!
Outcomes
Primary outcome [1]
0
0
Progression Free Survival (PFS) as Assessed by Blinded Independent Review Committee (IRC) per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1
Query!
Assessment method [1]
0
0
PFS is defined as the time interval from the date of randomization until the first date at which the criteria for progressive disease (PD) according to RECIST Version 1.1 are met or death, whichever occurs first.
Query!
Timepoint [1]
0
0
Up to approximately 40 months after the first participant is randomized
Query!
Secondary outcome [1]
0
0
Confirmed Objective Response Rate (ORR) as Assessed by Blinded Independent Review Committee (IRC) per RECIST Version 1.1
Query!
Assessment method [1]
0
0
Confirmed ORR is defined as the percentage of participants who are confirmed to have achieved complete response (CR) or partial response (PR). Confirmed responses are responses that persist on repeat imaging =4 weeks after initial response.
Query!
Timepoint [1]
0
0
Up to approximately 40 months after the first participant is randomized
Query!
Secondary outcome [2]
0
0
Overall Survival (OS)
Query!
Assessment method [2]
0
0
OS is defined as the interval from the date of randomization until death.
Query!
Timepoint [2]
0
0
Up to approximately 40 months after the first participant is randomized
Query!
Secondary outcome [3]
0
0
Progression Free Survival (PFS) as Assessed by the Investigator
Query!
Assessment method [3]
0
0
PFS is defined as the time interval from the date of randomization until the first date at which the criteria for PD according to RECIST Version 1.1 are met or death, whichever occurs first.
Query!
Timepoint [3]
0
0
Up to approximately 40 months after the first participant is randomized
Query!
Secondary outcome [4]
0
0
Confirmed Objective Response Rate (ORR) as Assessed by the Investigator
Query!
Assessment method [4]
0
0
Confirmed ORR is defined as the percentage of participants who are confirmed to have achieved CR or PR. Confirmed responses are responses that persist on repeat imaging =4 weeks after initial response.
Query!
Timepoint [4]
0
0
Up to approximately 40 months after the first participant is randomized
Query!
Secondary outcome [5]
0
0
Duration of Response, as Assessed by the Blinded Independent Review Committee (IRC) and the Investigator
Query!
Assessment method [5]
0
0
Duration of response is defined as the time interval from the time that the measurement criteria are first met for CR/PR (whichever is first recorded) until the first date that PD or death (whichever occurs first) is objectively documented.
Query!
Timepoint [5]
0
0
Up to approximately 40 months after the first participant is randomized
Query!
Secondary outcome [6]
0
0
Time to Response, as Assessed by the Blinded Independent Review Committee (IRC) and the Investigator
Query!
Assessment method [6]
0
0
Time to response is defined as the time interval from the date of randomization until the initial observation of CR or PR.
Query!
Timepoint [6]
0
0
Up to approximately 40 months after the first participant is randomized
Query!
Secondary outcome [7]
0
0
Disease Control Rate (DCR) as Assessed by the Blinded Independent Review Committee (IRC) and the Investigator
Query!
Assessment method [7]
0
0
DCR is defined as the percentage of participants who have achieved CR, PR, or stable disease (SD) (in the case of SD, measurements must have met the SD criteria at least once after study entry at a minimum interval of 6 weeks) after the initiation of study drug.
Query!
Timepoint [7]
0
0
Up to approximately 40 months after the first participant is randomized
Query!
Secondary outcome [8]
0
0
Patient-reported Symptoms, Functioning, and Health-related Quality of Life (HRQoL) as Assessed by the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ)-C30
Query!
Assessment method [8]
0
0
EORTC QLQ-C30 is a cancer-specific questionnaire which comprises of 5 functional scales (physical, role, cognitive, emotional, and social functioning); 3 symptom scales (fatigue, pain, and nausea/vomiting); and a global health status/quality-of-life (QoL) scale. Six single-item scales are also included (dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties). Raw scores will be converted into scale scores ranging from 0 to 100. For the functional scales and the global health status/QoL scale, higher scores represent better HRQoL, whereas for the symptom scales lower scores represent better HRQoL (i.e., a low level of symptomatology/problems).
Query!
Timepoint [8]
0
0
Up to approximately 40 months after the first participant is randomized
Query!
Secondary outcome [9]
0
0
Participant-reported Symptoms as Assessed by the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire, Lung Cancer Module (QLQ-LC13)
Query!
Assessment method [9]
0
0
EORTC QLQ-LC13 is a cancer-specific questionnaire which comprises of 13 questions assessing lung cancer-associated symptoms (cough, hemoptysis, dyspnea, and site-specific pain), treatment-related side effects (sore mouth, dysphagia, peripheral neuropathy, and alopecia), and use of pain medication. Raw scores will be converted into scale scores ranging from 0 to 100. Higher scores represent a high level of symptomatology/problems.
Query!
Timepoint [9]
0
0
Up to approximately 40 months after the first participant is randomized
Query!
Eligibility
Key inclusion criteria
- Male or female adult patients (aged 18 years or older)
- Histologically or cytologically confirmed nonsquamous cell locally advanced not
suitable for definitive therapy, recurrent, or metastatic (Stage IV) NSCLC
- Documented epidermal growth factor receptor (EGFR) in-frame exon 20 insertion mutation
assessed by a clinical laboratory improvements amendment (CLIA)-certified (US sites)
or an accredited (outside of the US) local laboratory The EGFR exon 20 insertion
mutation can be either alone or in combination with other EGFR or human epidermal
growth factor receptor 2 (HER2) mutations except EGFR mutations for which there are
approved anti-EGFR tyrosine kinase inhibitors [TKIs] (ie, exon 19 del, L858R, T790M,
L861Q, G719X, or S768I, where X is any other amino acid)
- Adequate tumor tissue available, either from primary or metastatic sites, for central
laboratory confirmation of EGFR exon 20 insertion mutation
- At least 1 measurable lesion per RECIST Version 1.1
- Life expectancy =3 months
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1
- Adequate organ and hematologic function as defined by blood transfusions with a
recommended >/ 14 day washout period.
Query!
Minimum age
18
Years
Query!
Query!
Maximum age
No limit
Query!
Query!
Sex
Both males and females
Query!
Can healthy volunteers participate?
No
Query!
Key exclusion criteria
- Received prior systemic treatment for locally advanced or metastatic disease,
including local administration, such as intra-pleural injection of anticancer
medication with the exception noted below:
- Neoadjuvant or adjuvant chemotherapy/immune therapy for Stage I to III or
combined modality chemotherapy/radiation for locally advanced disease is allowed
if completed >6 months before the development of metastatic disease.
- Received radiotherapy =14 days before randomization or has not recovered from
radiotherapy-related toxicities
- Received a moderate or strong cytochrome P450 (CYP)3A inhibitor or moderate or strong
CYP3A inducer within 10 days before first dose of TAK-788
- Have been diagnosed with another primary malignancy other than NSCLC
- Have current spinal cord compression or leptomeningeal disease
- Have uncontrolled hypertension. Participants with hypertension should be under
treatment on study entry to control blood pressure
- Received a live vaccine within 4 weeks before randomization per Summary of product
characteristics (SmPCs) for pemetrexed, cisplatin, and carboplatin
- Taking medication(s) known to be associated with the development of torsades de
pointes.
Query!
Study design
Purpose of the study
Treatment
Query!
Allocation to intervention
Randomised controlled trial
Query!
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Query!
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Query!
Masking / blinding
Open (masking not used)
Query!
Who is / are masked / blinded?
Query!
Query!
Query!
Query!
Intervention assignment
Parallel
Query!
Other design features
Query!
Phase
Phase 3
Query!
Type of endpoint/s
Query!
Statistical methods / analysis
Query!
Recruitment
Recruitment status
Active, not recruiting
Query!
Data analysis
Query!
Reason for early stopping/withdrawal
Query!
Other reasons
Query!
Date of first participant enrolment
Anticipated
Query!
Actual
10/01/2020
Query!
Date of last participant enrolment
Anticipated
Query!
Actual
Query!
Date of last data collection
Anticipated
30/12/2024
Query!
Actual
Query!
Sample size
Target
Query!
Accrual to date
Query!
Final
354
Query!
Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA
Query!
Recruitment hospital [1]
0
0
GenesisCare North Shore - St Leonards
Query!
Recruitment hospital [2]
0
0
Princess Alexandra Hospital - Woolloongabba
Query!
Recruitment hospital [3]
0
0
Flinders Medical Centre - Bedford Park
Query!
Recruitment postcode(s) [1]
0
0
2065 - St Leonards
Query!
Recruitment postcode(s) [2]
0
0
4102 - Woolloongabba
Query!
Recruitment postcode(s) [3]
0
0
5042 - Bedford Park
Query!
Recruitment outside Australia
Country [1]
0
0
United States of America
Query!
State/province [1]
0
0
California
Query!
Country [2]
0
0
United States of America
Query!
State/province [2]
0
0
Florida
Query!
Country [3]
0
0
United States of America
Query!
State/province [3]
0
0
Illinois
Query!
Country [4]
0
0
United States of America
Query!
State/province [4]
0
0
Maryland
Query!
Country [5]
0
0
United States of America
Query!
State/province [5]
0
0
Massachusetts
Query!
Country [6]
0
0
United States of America
Query!
State/province [6]
0
0
Tennessee
Query!
Country [7]
0
0
United States of America
Query!
State/province [7]
0
0
Virginia
Query!
Country [8]
0
0
Austria
Query!
State/province [8]
0
0
Wien
Query!
Country [9]
0
0
Belgium
Query!
State/province [9]
0
0
Brussels
Query!
Country [10]
0
0
Belgium
Query!
State/province [10]
0
0
Hainaut
Query!
Country [11]
0
0
Belgium
Query!
State/province [11]
0
0
Oost-Vlaanderen
Query!
Country [12]
0
0
Canada
Query!
State/province [12]
0
0
British Columbia
Query!
Country [13]
0
0
Canada
Query!
State/province [13]
0
0
Ontario
Query!
Country [14]
0
0
Canada
Query!
State/province [14]
0
0
Quebec
Query!
Country [15]
0
0
China
Query!
State/province [15]
0
0
Beijing
Query!
Country [16]
0
0
China
Query!
State/province [16]
0
0
Henan
Query!
Country [17]
0
0
China
Query!
State/province [17]
0
0
Jilin
Query!
Country [18]
0
0
China
Query!
State/province [18]
0
0
Chengdu
Query!
Country [19]
0
0
China
Query!
State/province [19]
0
0
Guangzhou
Query!
Country [20]
0
0
China
Query!
State/province [20]
0
0
Hangzhou
Query!
Country [21]
0
0
China
Query!
State/province [21]
0
0
Harbin
Query!
Country [22]
0
0
China
Query!
State/province [22]
0
0
Shanghai
Query!
Country [23]
0
0
China
Query!
State/province [23]
0
0
Wuhan
Query!
Country [24]
0
0
France
Query!
State/province [24]
0
0
Calvados
Query!
Country [25]
0
0
France
Query!
State/province [25]
0
0
Loire-Atlantique
Query!
Country [26]
0
0
France
Query!
State/province [26]
0
0
Nord
Query!
Country [27]
0
0
France
Query!
State/province [27]
0
0
Rhone
Query!
Country [28]
0
0
France
Query!
State/province [28]
0
0
Val-de-Marne
Query!
Country [29]
0
0
France
Query!
State/province [29]
0
0
Grenoble
Query!
Country [30]
0
0
France
Query!
State/province [30]
0
0
Marseille
Query!
Country [31]
0
0
France
Query!
State/province [31]
0
0
Montpellier
Query!
Country [32]
0
0
France
Query!
State/province [32]
0
0
Paris
Query!
Country [33]
0
0
France
Query!
State/province [33]
0
0
Strasbourg
Query!
Country [34]
0
0
France
Query!
State/province [34]
0
0
Toulouse
Query!
Country [35]
0
0
Germany
Query!
State/province [35]
0
0
Baden-Wurttemberg
Query!
Country [36]
0
0
Germany
Query!
State/province [36]
0
0
Bayern
Query!
Country [37]
0
0
Germany
Query!
State/province [37]
0
0
Hessen
Query!
Country [38]
0
0
Germany
Query!
State/province [38]
0
0
Niedersachsen
Query!
Country [39]
0
0
Germany
Query!
State/province [39]
0
0
Berlin
Query!
Country [40]
0
0
Greece
Query!
State/province [40]
0
0
Attiki
Query!
Country [41]
0
0
Greece
Query!
State/province [41]
0
0
Thessaloniki
Query!
Country [42]
0
0
Hong Kong
Query!
State/province [42]
0
0
Kowloon City
Query!
Country [43]
0
0
Hong Kong
Query!
State/province [43]
0
0
Hong Kong
Query!
Country [44]
0
0
Hong Kong
Query!
State/province [44]
0
0
Sha Tin
Query!
Country [45]
0
0
Israel
Query!
State/province [45]
0
0
Beer Sheva
Query!
Country [46]
0
0
Israel
Query!
State/province [46]
0
0
Ramat Gan
Query!
Country [47]
0
0
Italy
Query!
State/province [47]
0
0
Campania
Query!
Country [48]
0
0
Italy
Query!
State/province [48]
0
0
Forli-Cesena
Query!
Country [49]
0
0
Italy
Query!
State/province [49]
0
0
Lombardia
Query!
Country [50]
0
0
Italy
Query!
State/province [50]
0
0
Piemonte
Query!
Country [51]
0
0
Italy
Query!
State/province [51]
0
0
Pordenone
Query!
Country [52]
0
0
Italy
Query!
State/province [52]
0
0
Toscana
Query!
Country [53]
0
0
Italy
Query!
State/province [53]
0
0
Parma
Query!
Country [54]
0
0
Italy
Query!
State/province [54]
0
0
Ravenna
Query!
Country [55]
0
0
Japan
Query!
State/province [55]
0
0
Aiti
Query!
Country [56]
0
0
Japan
Query!
State/province [56]
0
0
Ehime
Query!
Country [57]
0
0
Japan
Query!
State/province [57]
0
0
Hokkaido
Query!
Country [58]
0
0
Japan
Query!
State/province [58]
0
0
Hukuoka
Query!
Country [59]
0
0
Japan
Query!
State/province [59]
0
0
Kanagawa
Query!
Country [60]
0
0
Japan
Query!
State/province [60]
0
0
Kumamoto
Query!
Country [61]
0
0
Japan
Query!
State/province [61]
0
0
Miyagi
Query!
Country [62]
0
0
Japan
Query!
State/province [62]
0
0
Okayama
Query!
Country [63]
0
0
Japan
Query!
State/province [63]
0
0
Osaka
Query!
Country [64]
0
0
Japan
Query!
State/province [64]
0
0
Saitama
Query!
Country [65]
0
0
Japan
Query!
State/province [65]
0
0
Tiba
Query!
Country [66]
0
0
Japan
Query!
State/province [66]
0
0
Tokyo
Query!
Country [67]
0
0
Korea, Republic of
Query!
State/province [67]
0
0
Chungcheongbugdo
Query!
Country [68]
0
0
Korea, Republic of
Query!
State/province [68]
0
0
Busan
Query!
Country [69]
0
0
Korea, Republic of
Query!
State/province [69]
0
0
Goyang
Query!
Country [70]
0
0
Korea, Republic of
Query!
State/province [70]
0
0
Jeongnam
Query!
Country [71]
0
0
Korea, Republic of
Query!
State/province [71]
0
0
Seoul
Query!
Country [72]
0
0
Netherlands
Query!
State/province [72]
0
0
Noord-Holland
Query!
Country [73]
0
0
Portugal
Query!
State/province [73]
0
0
Aveiro
Query!
Country [74]
0
0
Portugal
Query!
State/province [74]
0
0
Porto
Query!
Country [75]
0
0
Portugal
Query!
State/province [75]
0
0
Lisboa
Query!
Country [76]
0
0
Russian Federation
Query!
State/province [76]
0
0
Leningradskaya Oblast
Query!
Country [77]
0
0
Russian Federation
Query!
State/province [77]
0
0
Sankt-Peterburg
Query!
Country [78]
0
0
Singapore
Query!
State/province [78]
0
0
Singapore
Query!
Country [79]
0
0
Spain
Query!
State/province [79]
0
0
Barcelona
Query!
Country [80]
0
0
Spain
Query!
State/province [80]
0
0
A Coruna
Query!
Country [81]
0
0
Spain
Query!
State/province [81]
0
0
Alicante
Query!
Country [82]
0
0
Spain
Query!
State/province [82]
0
0
Cordoba
Query!
Country [83]
0
0
Spain
Query!
State/province [83]
0
0
Madrid
Query!
Country [84]
0
0
Spain
Query!
State/province [84]
0
0
Valencia
Query!
Country [85]
0
0
Sweden
Query!
State/province [85]
0
0
Sodermanlands Lan
Query!
Country [86]
0
0
Taiwan
Query!
State/province [86]
0
0
Dalin
Query!
Country [87]
0
0
Taiwan
Query!
State/province [87]
0
0
Douliu
Query!
Country [88]
0
0
Taiwan
Query!
State/province [88]
0
0
Kaohsiung
Query!
Country [89]
0
0
Taiwan
Query!
State/province [89]
0
0
Taichung City
Query!
Country [90]
0
0
Taiwan
Query!
State/province [90]
0
0
Tainan City
Query!
Country [91]
0
0
Taiwan
Query!
State/province [91]
0
0
Tainan
Query!
Country [92]
0
0
Taiwan
Query!
State/province [92]
0
0
Taipei
Query!
Country [93]
0
0
Turkey
Query!
State/province [93]
0
0
Adana
Query!
Country [94]
0
0
Turkey
Query!
State/province [94]
0
0
Istanbul
Query!
Country [95]
0
0
Turkey
Query!
State/province [95]
0
0
Izmir
Query!
Country [96]
0
0
Turkey
Query!
State/province [96]
0
0
Sakarya
Query!
Country [97]
0
0
Turkey
Query!
State/province [97]
0
0
Ankara
Query!
Country [98]
0
0
Turkey
Query!
State/province [98]
0
0
Edirne
Query!
Country [99]
0
0
Ukraine
Query!
State/province [99]
0
0
Dnipropetrovs'ka Oblast
Query!
Country [100]
0
0
Ukraine
Query!
State/province [100]
0
0
Kharkivs'ka Oblast
Query!
Country [101]
0
0
Ukraine
Query!
State/province [101]
0
0
Kropyvnytskyi
Query!
Country [102]
0
0
United Kingdom
Query!
State/province [102]
0
0
London, City Of
Query!
Country [103]
0
0
United Kingdom
Query!
State/province [103]
0
0
Surrey
Query!
Country [104]
0
0
United Kingdom
Query!
State/province [104]
0
0
Wirral
Query!
Country [105]
0
0
United Kingdom
Query!
State/province [105]
0
0
Leicester
Query!
Country [106]
0
0
United Kingdom
Query!
State/province [106]
0
0
Manchester
Query!
Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Query!
Name
Takeda
Query!
Address
Query!
Country
Query!
Ethics approval
Ethics application status
Query!
Summary
Brief summary
The purpose of this study is to compare the effectiveness of TAK-788 as first-line treatment
with that of platinum-based chemotherapy in participants with locally advanced or metastatic
non-small cell lung cancer (NSCLC) whose tumors has epidermal growth factor receptor (EGFR)
exon 20 insertion mutations.
Participants will be randomly assigned to one of the two treatment groups- TAK-788 group or
Platinum-based chemotherapy group.
Participants will receive TAK-788 orally and pemetrexed/cisplatin or pemetrexed/carboplatin
via vein until the participants experience worsening disease (PD) as assessed by blinded
independent review committee (IRC), intolerable harmful effects or another discontinuation
criteria.
Query!
Trial website
https://clinicaltrials.gov/ct2/show/NCT04129502
Query!
Trial related presentations / publications
Query!
Public notes
Query!
Contacts
Principal investigator
Name
0
0
Study Director
Query!
Address
0
0
Takeda
Query!
Country
0
0
Query!
Phone
0
0
Query!
Fax
0
0
Query!
Email
0
0
Query!
Contact person for public queries
Name
0
0
Query!
Address
0
0
Query!
Country
0
0
Query!
Phone
0
0
Query!
Fax
0
0
Query!
Email
0
0
Query!
Contact person for scientific queries
Summary Results
For IPD and results data, please see
https://clinicaltrials.gov/ct2/show/NCT04129502
Download to PDF