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Recruiting Phase 1 NCT05401110

NCT05401110 Study of Osimertinib With Carotuximab in Advanced, EGFR-mutated Non-Small Cell Lung Cancer

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Clinical Trial Summary
NCT ID NCT05401110
Status Recruiting
Phase Phase 1
Sponsor Karen Reckamp, MD, MS
Condition Non Small Cell Lung Cancer
Study Type INTERVENTIONAL
Enrollment 60 participants
Start Date 2023-09-15
Primary Completion 2028-01

Trial Parameters

Condition Non Small Cell Lung Cancer
Sponsor Karen Reckamp, MD, MS
Study Type INTERVENTIONAL
Phase Phase 1
Enrollment 60
Sex ALL
Min Age 18 Years
Max Age N/A
Start Date 2023-09-15
Completion 2028-01
Interventions
OsimertinibCarotuximab

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Brief Summary

The purpose of this study is to examine the combination of osimertinib and carotuximab to assess the safety and find the recommended dose for treatment of advanced EGFR-mutated non-small cell lung cancer (NSCLC). Safety and tolerability will be measured by the number of dose-limiting toxicities, according to National Cancer Institute Common Toxicity Criteria for Adverse Events (NCI CTCAE) Version 5, to find the maximum tolerated dose. The secondary objectives include evaluating the rate of objective response rate, duration of response, progression-free survival, and disease control rate, along with assessing biomarkers through tumor tissue and circulating tumor DNA.

Eligibility Criteria

Inclusion Criteria: * Stage IV or recurrent/metastatic non-squamous NSCLC that harbors an EGFR activating mutation (Exon 21 L858R, Exon 19 deletion, Exon 18 G719X, Exon 21 L861Q, etc). Local testing for EGFR mutations is acceptable provided it was performed in a CLIA certified lab. * Part I: Progressive disease on at least one prior EGFR TKI * Part II, Cohort 1: Progressive disease on osimertinib or other prior EGFR TKIs * Part II, Cohort 2: Receiving osimertinib as front line treatment for less than 12 weeks. Persistent ctDNA with EGFR mutation between weeks 6-12 from the start of osimertinib treatment. * Age at least 18 * Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) 0-2 * Archival tissue from a biopsy performed after progression of disease on previous EGFR TKI or willing to consent for a fresh tumor biopsy. * Measurable disease by RECIST 1.1. * Patients with untreated brain metastases are allowed provided that the patient is clinically asymptomatic and stable. *

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