Clinical Trial of AMG510 in Stage III Unresectable NSCLC KRAS p.G12C Patients and Ineligible for Chemo-radiotherapy
MERIT-lung
Phase II Clinical Trial of AMG510 (Sotorasib) in Stage III Unresectable NSCLC KRAS p.G12C Patients and Medically Ineligible for Concurrent Chemo-radiotherapy
2 other identifiers
interventional
19
1 country
20
Brief Summary
Open-label, non-randomised, exploratory, phase II, multi-centre clinical trial. 43 unresectable stage III (IIIA-N2, IIIB, IIIC) KRAS p.G12C non-small cell lung cancer patients will be enrolled in this trial to evaluate the efficacy of induction treatment of AMG510 (Sotorasib) plus AMG510 (Sotorasib) treatment post-induction as measured by Progression Free Survival at 12 months.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2
Started Mar 2022
Longer than P75 for phase_2
20 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 21, 2022
CompletedFirst Submitted
Initial submission to the registry
May 13, 2022
CompletedFirst Posted
Study publicly available on registry
May 31, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 31, 2028
April 30, 2026
April 1, 2026
5.8 years
May 13, 2022
April 29, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Efficacy of the treatment in terms of the Progression Free Survival (PFS)
PFS defined as the length of time from the date of end of post-induction treatment to the date of the first documented progression of disease according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
From the date of first dose of induction treatment until 6 months
Secondary Outcomes (4)
Overall response rate (ORR) of AMG510 (Sotorasib)
From the date of the end of treatment until 12 months and 24 months
Overall Survival (OS) rate of treatment with AMG510 (Sotorasib)
From the date of the start of treatment until 12 and 24 months
Detect and collect the sites of first failure
From the date of the start of treatment until the date of last follow up, assessed up to 24 months
Incidence of Treatment-Emergent Adverse Events (Safety and Tolerability)
From the subject written informed consent signature to 30 days from last dose of treatment.
Study Arms (1)
Experimental: Induction treatment + Post-Induction Phase
EXPERIMENTALPatients enrolled in the study will receive AMG510 (Sotorasib) 960mg once daily for 2 cycles (Q4W) in the induction phase and AMG510 (Sotorasib) 960 mg once daily (Q4W) in the treatment postinduction phase. Treatment post-induction phase only for patients with SD, PR or CR after induction treatment. This treatment will be administered until progression disease (PD), unacceptable toxicity, patient or physician's decision to discontinue or death.
Interventions
AMG510 (Sotorasib) is small molecule that specifically and irreversibly inhibits the KRAS-G12C mutant protein. AMG510 (Sotorasib) finished product is presented as tablets containing 120mg and will be packaged in bottles of 120 tablets.
Eligibility Criteria
You may qualify if:
- \. Male or female, aged ≤ 80 years old
- \. ECOG performance status of 0-1
- \. Histologically or cytologically confirmed, unresectable Stage III (IIIA-N2, IIIB and IIIC) NSCLC according to 8th version of the International Association for the Study of Lung Cancer Staging Manual in Thoracic Oncology.
- \. Patients who have documentation of KRAS p.G12C prior to enrollment. This determination can be done either by solid or liquid biopsy.
- \. No prior treatment for unresectable Stage III (IIIA-N2, IIIB and IIIC) NSCLC.
- \. Having a life expectancy ≥ 12 weeks
- \. Patients must be ineligible for concurrent chemo-radiotherapy because of:
- Tumor size ≥ 5 cm and lymph node N2 involvement
- The target lesion has to be bulky disease and/or more than 35% of the total volume of the two lungs should receive more than 20 Gy (V20) or inadequate pulmonary function
- Interstitial Lung diseases
- Prior treatment with thoracic radiotherapy for any reason
- Or under decision of a tumor committee as inappropriate due to local characteristics to perform treatment upfront
- \. PET-CT at baseline is mandatory to confirm the absence of distant disease and to confirm unresectable disease
- \. PET-CT positive mediastinic adenopathies must be histologically confirmed. Mediastinic involvement could be considered without histological test when no margin can be distinguished in the lymph node mass.
- \. Brain CT or MRI is mandatory
- +9 more criteria
You may not qualify if:
- \. Patients with a known sensitizing mutation in the epidermal growth factor receptor (EGFR) gene, ALK translocations or ROS1 mutations
- \. Weight loss \>10% within the previous 3 months
- \. Patients with uncontrolled neuropathy (sensory) grade 2 or greater regardless of cause according to CTCAE v5.0
- \. Major surgery within 28 days of study day 1
- \. Significant gastrointestinal disorder that results in significant malabsorption, requirement for intravenous alimentation, or inability to take oral medication
- \. Significant cardiovascular disease, such as New York Heart Association cardiac disease (ClassII or greater), myocardial infarction within 6 months prior to study day 1, unstable arrhythmias or unstable angina
- \. Ongoing cardiac dysrhythmias of CTCAE grade ≥2, uncontrolled atrial fibrillation of any grade or QTcF interval \> 470ms
- \. Severe infections within 4 weeks prior to randomization including, but not limited to hospitalization for complications of infection, bacteremia or severe pneumonia
- \. Therapeutic oral or intravenous antibiotics within 2 weeks prior to randomization
- \. Patients with any concomitant and uncontrolled medical disorder
- \. Patients with vena cava syndrome
- \. Malignant pleural or pericardial effusion: both will be considered as suggestive of metastaticdisease. Also, are excluded those with negative cytology but being exudates. Patients with non-visible by thoracic X-ray pleural effusion or too small to be safely punctured could be included.
- \. Prior treatment with anti-neoplasic drugs
- \. Malignancies other than NSCLC within 3 years prior to enrollment
- \. Women who are pregnant, lactating, or intending to become pregnant during the study.
- +8 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Fundación GECPlead
Study Sites (20)
Hospital General Universitario de Alicante
Alicante, Alicante, 03010, Spain
ICO Badalona, Hospital Germans Trias i Pujol
Badalona, Barcelona, 08916, Spain
Hospital Universitari Quiron Dexeus
Barcelona, Barcelona, 08028, Spain
Hospital Universitari Vall d' Hebron
Barcelona, Barcelona, 08035, Spain
Hospital Parc Taulí
Barcelona, Barcelona, 08208, Spain
Hospital De Basurto
Bilbao, Bilbao, 48013, Spain
ICO Girona, Hospital Josep Trueta
Girona, Girona, 17007, Spain
Hospital Clínico San Cecilio De Granada
Granada, Granada, 18016, Spain
Complejo Hospitalario De Jaén
Jaén, Jaén, 23007, Spain
Hospitalario Universitario A Coruña
A Coruña, La Coruña, 15006, Spain
Hospital Universitario Lucus Augusti
Lugo, Lugo, 27003, Spain
Hospital Universitario Severo Ochoa
Leganés, Madrid, 28911, Spain
Hospital Clínico San Carlos
Madrid, Madrid, 28040, Spain
Hospital Universitario Fundación Jiménez Díaz
Madrid, Madrid, 28040, Spain
Hospital Universitario Puerta de Hierro
Majadahonda, Madrid, 28222, Spain
Hospital de Son Espases
Palma de Mallorca, Mallorca, 07120, Spain
Hospital Universitari Son Llatzer
Palma de Mallorca, Palma de Mallorca, 07198, Spain
Hospital Universitario Virgen Del Rocio
Seville, Sevilla, 41013, Spain
Hospital General Universitario De Valencia
Valencia, Valencia, 46014, Spain
Hospital Universitario La Fe
Valencia, Valencia, 46026, Spain
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Mariano Provencio, MD
Fundación GECP President
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 13, 2022
First Posted
May 31, 2022
Study Start
March 21, 2022
Primary Completion (Estimated)
December 31, 2027
Study Completion (Estimated)
December 31, 2028
Last Updated
April 30, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will not share