NCT06120140Active, not recruitingPhase 2
Enhanced Dermatological Care to Reduce Rash and Paronychia in Epidermal Growth Factor Receptor (EGRF)-Mutated Non-Small Cell Lung Cancer (NSCLC) Treated First-line With Amivantamab Plus Lazertinib
A Phase 2, Open-Label, Randomized Trial Evaluating the Impact of Enhanced Versus Standard Dermatologic Management on Selected Dermatologic Adverse Events Among Patients With Locally Advanced or Metastatic EGFR-Mutated NSCLC Treated First-Line With Amivantamab + Lazertinib
Source: ClinicalTrials.gov · Last updated 3 Nov 2026
Brief summary (registry, in English)
The purpose of this study is to evaluate whether enhanced dermatologic management can reduce incidence of grade greater than or equal to (\>=) 2 dermatologic adverse events of interest (DAEIs) when compared with standard-of-care skin management and with modified enhanced dermatologic management in participants with locally advanced or metastatic stage IIIB/C-IV epidermal growth factor receptor (EGFR)-mutated non-small cell lung cancer (NSCLC) treated first-line with amivantamab and lazertinib. The study also includes Expansion cohorts (in 2 different schedules) to evaluate enhanced dermatologic management and early intervention for DAEIs or paronychia, in participants receiving subcutaneous amivantamab and lazertinib. A substudy will enroll participants from Arms A and B who experience specific new-onset or persistent DAEIs (Grade \>=2) during treatment with intravenous (IV) amivantamab and lazertinib. This substudy aims to assess the reactive use of dermatologic treatment strategies in these participants.
- Status (registry)
- Active, not recruiting
- Phase (registry)
- Phase 2
- Study type
- Interventional
- Enrollment
- 305 (actual)
- First submitted
- 2 Nov 2023
- Start date
- 16 Feb 2024
- Primary completion date
- 31 May 2027
- Lead sponsor
- Janssen Research & Development, LLC
- Diseases
- Lung cancer
- NCT number
- NCT06120140
- EU CT number
- 2023-505863-35-00
What you commit to
- Study type: Interventional · Phase 2
- Participants enrolled: 305
- From 16 Feb 2024 to the primary completion date, 31 May 2027
- 93 sites in 11 countries
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Prior treatment
- History of uncontrolled illness, including but not limited to uncontrolled diabetes; ongoing or active infection (includes infection requiring treatment with antimicrobial therapy \[participants will be required to complete antibiotics 1 week prior to starting background anticancer treatment\] or diagnosed or suspected viral infection). For the amivantamab SC expansion cohorts, this includes active localized serious infections; active bleeding diathesis; impaired oxygenation requiring continuous oxygen supplementation; refractory nausea and vomiting, chronic gastrointestinal diseases, inability to swallow the formulated product, or previous significant bowel resection that would preclude adequate absorption of background anticancer treatment or doxycycline/minocycline; psychiatric illness, social situation, or any other circumstances that would limit compliance with study requirements; any ophthalmologic condition that is clinically unstable; pre-existing skin condition that would prevent adequate evaluations of dermatologic toxicity, as determined by the investigator
- Participant has received any prior systemic treatment at any time for locally advanced stage III B/C or metastatic stage IV disease (adjuvant or neoadjuvant therapy for stage I, II or IIIA disease is allowed if last dose administered more than 12 months prior to the development of locally advanced or metastatic disease)
Other illness
- Medical history of interstitial lung disease (ILD), including drug-induced ILD or radiation pneumonitis
- Known allergy, hypersensitivity, or intolerance to the excipients of amivantamab, lazertinib, or to tetracyclines, doxycycline, minocycline, timolol\*, ruxolitinib\*, zinc\*, corticosteroids\* or their excipients or to any component of the enhanced dermatologic management (\*for the amivantamab SC expansion cohorts)
- Participant has an active or past medical history of leptomeningeal disease
Lab values
- Sub-study: Participants who have received prior treatment for epidermal growth factor receptor (EGFR)-induced DAEIs with JAK inhibitors (for Cohort A) or calcineurin inhibitors (for Cohort B)
Who the study is looking for
- Have histologically or cytologically confirmed, locally advanced or metastatic non-small cell lung cancer (NSCLC); Is treatment naive and not amenable to curative therapy including surgical resection or (chemo) radiation. Adjuvant or neoadjuvant therapy for Stage I, Stage II or Stage IIIA disease is allowed if last dose administered more than 12 months prior to the development of locally advanced or metastatic disease
- Have a tumor that harbors an epidermal growth factor receptor (EGFR) Exon 19del or Exon 21 L858R substitution, as detected by an Food and Drug Administration (FDA)-approved or other validated test in a clinical laboratory improvement amendments (CLIA)-certified laboratory (sites in the United States) or an accredited local laboratory (sites outside of the United States) in accordance with site standard-of-care
- A participant with asymptomatic or previously treated and stable brain metastases may participate in this study. Participants with a history of symptomatic brain metastases must have had all lesions treated as clinically indicated (that is, no current indication for further definitive local therapy). Any definitive local therapy to brain metastases must have been completed at least 14 days prior to randomization, and the participant can be receiving no greater than 10 milligram (mg) prednisone or equivalent daily for the treatment of intracranial disease
- Can have prior or concurrent second malignancy (other than the disease under study) which natural history or treatment is unlikely to interfere with any study endpoints, safety, or the efficacy of the study treatment(s). For the amivantamab SC expansion cohorts: Due to the increased risk of skin cancer with ruxolitinib, participants with any prior or concurrent skin malignancies will be excluded
- Sub-study: Participants must have new-onset or persistent (defined as non-responsive to standard of care \[SoC\]) Grade \>=2 specific DAEIs of the scalp, face, or body, as defined by NCI-CTCAE Grading v5.0 for DAEIs (excluding paronychia)
Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers
Sites (93)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Hospital Italiano de Buenos Aires Coordinator of this site? Confirm its status | Buenos Aires | Argentina | Unknown status |
| IADT Instituto Argentino de Diagnostico y Tratamiento Coordinator of this site? Confirm its status | CABA | Argentina | Unknown status |
| Centro Medico Austral Coordinator of this site? Confirm its status | Capital Federal | Argentina | Unknown status |
| Hospital Italiano de La Plata Coordinator of this site? Confirm its status | La Plata | Argentina | Unknown status |
| Hospital Privado de la Comunidad Coordinator of this site? Confirm its status | Mar del Plata | Argentina | Unknown status |
| CTO Centro De Tratamento Oncologico LTDA Coordinator of this site? Confirm its status | Belém | Brazil | Unknown status |
| Santa Casa de Misericordia de Belo Horizonte Coordinator of this site? Confirm its status | Belo Horizonte | Brazil | Unknown status |
| Liga Paranaense de Combate ao Cancer Coordinator of this site? Confirm its status | Curitiba | Brazil | Unknown status |
| Fundacao Doutor Amaral Carvalho Coordinator of this site? Confirm its status | Jaú | Brazil | Unknown status |
| Hospital Nossa Senhora da Conceicao S A Coordinator of this site? Confirm its status | Porto Alegre | Brazil | Unknown status |
| Nucleo de Oncologia da Bahia Oncoclinicas Coordinator of this site? Confirm its status | Salvador | Brazil | Unknown status |
| Hospital Ana Nery Santa Cruz do Sul Coordinator of this site? Confirm its status | Santa Cruz do Sul | Brazil | Unknown status |
| Fundacao Faculdade de Medicina Instituto do Cancer do Estado de Sao Paulo Coordinator of this site? Confirm its status | São Paulo | Brazil | Unknown status |
| Fundacao Antonio Prudente A C Camargo Cancer Center Coordinator of this site? Confirm its status | São Paulo | Brazil | Unknown status |
| Servicos de Tratamento ao Cancer de Taubate LTDA - Instituto do Cancer Brasil Unidade Taubate Coordinator of this site? Confirm its status | Taubaté | Brazil | Unknown status |
| Associacao Feminina de Educacao e Combate ao Cancer Hospital Santa Rita de Cassia Coordinator of this site? Confirm its status | Vitória | Brazil | Unknown status |
| Changzhou No 2 Peoples Hospital Coordinator of this site? Confirm its status | Changzhou | China | Unknown status |
| West China Hospital Coordinator of this site? Confirm its status | Chengdoucun | China | Unknown status |
| Sichuan Cancer Hospital Coordinator of this site? Confirm its status | Chengdu | China | Unknown status |
| The First Affiliated Hospital, Sun Yat-sen University Coordinator of this site? Confirm its status | Guangzhou | China | Unknown status |
| The First Affiliated Hospital Zhejiang University School of Medicine Coordinator of this site? Confirm its status | Hangzhou | China | Unknown status |
| Harbin Medical University Cancer Hospital Coordinator of this site? Confirm its status | Harbin | China | Unknown status |
| Huizhou Municipal Central Hospital Coordinator of this site? Confirm its status | Huizhou | China | Unknown status |
| Zhongda Hospital Southeast University Coordinator of this site? Confirm its status | Nanjing | China | Unknown status |
| Fudan University Shanghai Cancer Center Coordinator of this site? Confirm its status | Shanghai | China | Unknown status |
| The First Affiliated Hospital of Xian Jiaotong University Coordinator of this site? Confirm its status | Xi'an | China | Unknown status |
| Henan Cancer Hospital Coordinator of this site? Confirm its status | Zhengzhou | China | Unknown status |
| Universitaetsklinikum Aachen AöR Coordinator of this site? Confirm its status | Aachen | Germany | Active, not recruiting |
| KEM I Evang. Kliniken Essen-Mitte gGmbH Coordinator of this site? Confirm its status | Essen | Germany | Active, not recruiting |
| Justus-Liebig-Universitaet Giessen Coordinator of this site? Confirm its status | Giessen | Germany | Active, not recruiting |
| Thoraxklinik Heidelberg gGmbH Coordinator of this site? Confirm its status | Heidelberg | Germany | Active, not recruiting |
| Klinikum Kassel GmbH Coordinator of this site? Confirm its status | Kassel | Germany | Active, not recruiting |
| Universitaetsklinikum Schleswig-Holstein Coordinator of this site? Confirm its status | Kiel | Germany | Active, not recruiting |
| Complexo Hospitalario Universitario A Coruña Coordinator of this site? Confirm its status | A Coruña | Spain | Active, not recruiting |
| Hospital General Universitario Dr. Balmis Coordinator of this site? Confirm its status | Alicante | Spain | Active, not recruiting |
| Hospital Universitari Vall d'Hebron Coordinator of this site? Confirm its status | Barcelona | Spain | Active, not recruiting |
| Hospital Universitari Dexeus Grupo Quironsalud Coordinator of this site? Confirm its status | Barcelona | Spain | Active, not recruiting |
| Hospital Universitario de Jaén Coordinator of this site? Confirm its status | Jaén | Spain | Active, not recruiting |
| Hospital Universitario Lucus Augusti Coordinator of this site? Confirm its status | Lugo | Spain | Active, not recruiting |
| Hospital General Universitario Gregorio Marañón Coordinator of this site? Confirm its status | Madrid | Spain | Active, not recruiting |
| Hospital Universitario Regional de Málaga Coordinator of this site? Confirm its status | Málaga | Spain | Active, not recruiting |
| Hospital Universitario Virgen De Valme Coordinator of this site? Confirm its status | Sevilla | Spain | Active, not recruiting |
| Assistance Publique Hôpitaux de Marseille Coordinator of this site? Confirm its status | Marseille | France | Active, not recruiting |
| Centre Hospitalier Universitaire de Nice Coordinator of this site? Confirm its status | Nice | France | Active, not recruiting |
| Institut Curie Coordinator of this site? Confirm its status | Paris | France | Active, not recruiting |
| Chungbuk National University Hospital Coordinator of this site? Confirm its status | Cheongju-si | South Korea | Unknown status |
| Gachon University Gil Medical Center Coordinator of this site? Confirm its status | Incheon | South Korea | Unknown status |
| Severance Hospital, Yonsei University Health System Coordinator of this site? Confirm its status | Seoul | South Korea | Unknown status |
| Hospital Pulau Pinang Coordinator of this site? Confirm its status | George Town | Malaysia | Unknown status |
| University Malaya Medical Centre Coordinator of this site? Confirm its status | Kuala Lumpur | Malaysia | Unknown status |
| Hospital Tengku Ampuan Afzan Coordinator of this site? Confirm its status | Kuantan | Malaysia | Unknown status |
| Hospital Umum Sarawak Coordinator of this site? Confirm its status | Kuching | Malaysia | Unknown status |
| National Taiwan University Hospital Hsin Chu Branch Coordinator of this site? Confirm its status | Hsinchu | Taiwan | Unknown status |
| Chang Gung Memorial Hospital Coordinator of this site? Confirm its status | Kaohsiung City | Taiwan | Unknown status |
| Taichung Veterans General Hospital Coordinator of this site? Confirm its status | Taichung | Taiwan | Unknown status |
| National Taiwan University Hospital Coordinator of this site? Confirm its status | Taipei | Taiwan | Unknown status |
| Linkou Chang-Gung Memorial Hospital Coordinator of this site? Confirm its status | Taoyuan City | Taiwan | Unknown status |
| University Cancer & Blood Center Coordinator of this site? Confirm its status | Athens | United States | Unknown status |
| Ironwood Cancer and Research Center Coordinator of this site? Confirm its status | Chandler | United States | Unknown status |
| University Hospitals Cleveland Medical Center* Coordinator of this site? Confirm its status | Cleveland | United States | Unknown status |
| City of Hope Coordinator of this site? Confirm its status | Duarte | United States | Unknown status |
| Virginia Cancer Specialists Coordinator of this site? Confirm its status | Fairfax | United States | Unknown status |
| Hunterdon Hematology Oncology Coordinator of this site? Confirm its status | Flemington | United States | Unknown status |
| Providence Fullerton Coordinator of this site? Confirm its status | Fullerton | United States | Unknown status |
| Los Angeles Cancer Network Coordinator of this site? Confirm its status | Glendale | United States | Unknown status |
| Hope and Healing Care Coordinator of this site? Confirm its status | Hinsdale | United States | Unknown status |
| City of Hope Seacliff Coordinator of this site? Confirm its status | Huntington Beach | United States | Unknown status |
| City of Hope Orange County Lennar Foundation Cancer Center Coordinator of this site? Confirm its status | Irvine | United States | Unknown status |
| City of Hope Long Beach Elm Coordinator of this site? Confirm its status | Long Beach | United States | Unknown status |
| Cancer and Blood Specialty Clinic Coordinator of this site? Confirm its status | Los Alamitos | United States | Unknown status |
| Keck Hospital of USC Coordinator of this site? Confirm its status | Los Angeles | United States | Unknown status |
| USC Norris Oncology/Hematology-Newport Beach Coordinator of this site? Confirm its status | Newport Beach | United States | Unknown status |
| Kaiser Permanente Oakland Medical Center Coordinator of this site? Confirm its status | Oakland | United States | Unknown status |
| Renown Health Medical Oncology Coordinator of this site? Confirm its status | Reno | United States | Unknown status |
| Valley Medical Center Coordinator of this site? Confirm its status | Renton | United States | Unknown status |
| Kaiser Permanente Roseville Medical Center Coordinator of this site? Confirm its status | Roseville | United States | Unknown status |
| Kaiser Permanente San Francisco Medical Center Coordinator of this site? Confirm its status | San Francisco | United States | Unknown status |
| Kaiser Permanente Santa Clara Medical Center Coordinator of this site? Confirm its status | Santa Clara | United States | Unknown status |
| City of Hope South Pasadena Coordinator of this site? Confirm its status | South Pasadena | United States | Unknown status |
| Oncology Hematology Associates Coordinator of this site? Confirm its status | Springfield | United States | Unknown status |
| Kaiser Permanente Northern California Coordinator of this site? Confirm its status | Vallejo | United States | Unknown status |
| Kaiser Permanente Walnut Creek Medical Center Coordinator of this site? Confirm its status | Walnut Creek | United States | Unknown status |
| Clinical Research Alliance Inc Coordinator of this site? Confirm its status | Westbury | United States | Unknown status |
| Gundersen Health System Coordinator of this site? Confirm its status | West Salem | United States | Unknown status |
| Regional Medical Oncology Center Coordinator of this site? Confirm its status | Wilson | United States | Unknown status |
| Adana City Hospital Coordinator of this site? Confirm its status | Adana | Turkey (Türkiye) | Unknown status |
| Gazi University Hospital Coordinator of this site? Confirm its status | Ankara | Turkey (Türkiye) | Unknown status |
| Ankara Bilkent City Hospital Coordinator of this site? Confirm its status | Ankara | Turkey (Türkiye) | Unknown status |
| Gulhane Training and Research Hospital Coordinator of this site? Confirm its status | Ankara | Turkey (Türkiye) | Unknown status |
| I A U VM Medical Park Florya Hastanesi Coordinator of this site? Confirm its status | Istanbul | Turkey (Türkiye) | Unknown status |
| Bakirkoy Training and Research Hospital Coordinator of this site? Confirm its status | Istanbul | Turkey (Türkiye) | Unknown status |
| Ege University Medical Faculty Coordinator of this site? Confirm its status | Izmir | Turkey (Türkiye) | Unknown status |
| Ondokuz Mayis University Coordinator of this site? Confirm its status | Samsun | Turkey (Türkiye) | Unknown status |
This page is information, not medical advice. Discuss any trial with your doctor.