The study will compare the efficacy and safety of entrectinib with crizotinib in participants with advanced or metastatic ROS1 non-small cell lung cancer (NSCLC). The participants will self-administer oral entrectinib or crizotinib as described in the protocol and local prescribing information. Treatments will continue until progressive disease, unacceptable toxicity, death, or withdrawal from the study, whichever occurs first.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
220
Entrectinib will be self-administered orally at a dose of 600 mg (three 200 mg capsules per day) once daily with or without food.
Crizotinib will be self-administered orally at a dose of 250 mg twice daily with or without food.
Oncocentro Serviços Médicos e Hospitalares Ltda
Fortaleza, Ceará, Brazil
RECRUITINGHospital Sao Rafael - HSR
Salvador, Estado de Bahia, Brazil
RECRUITINGHospitais Integrados da Gavea S/A
Brasília, Federal District, Brazil
ACTIVE_NOT_RECRUITINGOncocentro Belo Horizonte
Belo Horizonte, Minas Gerais, Brazil
Progression-free survival (PFS) in participants with central nervous system (CNS) metastases at baseline
PFS is defined as the time from randomization to the first documented disease progression (extracranial or intracranial) or death from any cause whichever occurs first determined by a blinded independent review committee (BIRC) using Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST v1.1).
Time frame: Up to 7 years
Progression-free survival in the Central Nervous System (CNS-PFS)
CNS-PFS is defined as the time from randomization to the first documented disease progression in the CNS or death from any cause, whichever occurs first, as determined by the BIRC using RECIST v1.1
Time frame: Up to 7 Years
Overall response rate (ORR)
ORR is defined as the percentage of participants who attain Complete Response (CR) or Partial Response (PR) as assessed by the BIRC and the investigator per RECIST v1.1
Time frame: Up to 7 Years
Duration of response (DOR)
DOR is defined as the time from when response (CR or PR) is first documented to disease progression or death, whichever occurs first, as assessed by the BIRC and the investigator per RECIST v1.1
Time frame: Up to 7 Years
Progression-free survival (PFS)
PFS is defined as the time from randomization to the first documented disease progression (extracranial or intracranial) or death from any cause, whichever occurs first, as determined by the BICR and investigator using RECIST v1.1
Time frame: Up to 7 years
Overall survival (OS)
OS is defined as the time from randomization to death from any cause
Time frame: Up to 7 Years
Percentage of participants with confirmed deterioration as assessed by the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Core 30 (QLQ-C30)
Time frame: Up to 7 Years
Percentage of participants with impact on lung cancer-specific symptoms assessed by the EORTC QLQ-LC13
Time frame: Up to 7 Years
Objective response rate in the CNS-ORR in participants with CNS metastases at baseline
CNS-ORR is defined as the percentage of participants who attain CR or PR for lesions in the CNS, as determined by the BIRC per RECIST v1.1
Time frame: Up to 7 Years
Duration of response in the CNS (CNS-DOR) in participants with CNS metastases at baseline
CNS-DOR is defined as the time from when a CNS response (CR or PR) is first documented to disease progression in the CNS, as determined by the BIRC per RECIST v1.1
Time frame: Up to 7 Years
Percentage of participants with Adverse Events and Serious Adverse Events and Adverse Events leading to dose modifications/interruptions, study drug withdrawal or death
Assessed by the investigator according to the NCI CTCAE v5.0
Time frame: Up to 7 Years
Reference Study ID Number: MO41552 https://forpatients.roche.com/
CONTACT
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Oncosite - Centro de Pesquisa Clinica Em Oncologia Ltda
Ijuí, Rio Grande do Sul, Brazil
WITHDRAWNCentro de Pesquisa e Ensino em Oncologia de Santa Catarina - CEPEN
Florianópolis, Santa Catarina, Brazil
RECRUITINGHospital de Cancer de Barretos
Barretos, São Paulo, Brazil
ACTIVE_NOT_RECRUITINGInstituto do Cancer do Estado de Sao Paulo - ICESP
São Paulo, São Paulo, Brazil
ACTIVE_NOT_RECRUITINGOncoclinicas Rio de Janeiro S.A.
Rio de Janeiro, Brazil
COMPLETEDBeijing Union Hospital
Beijing, China
WITHDRAWN...and 81 more locations