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A Study of Poziotinib in Previously Treated Participants With Locally Advanced or Metastatic NSCLC Harboring HER2 Exon 20 Mutations

Megadott ok: The study has not enrolled any patients. The study design is under discussion and will likely be redesigned in consultation with the FDA.

Key facts

Where
Winter Haven, Egyesült ÁllamokSee the site
Phase
3. fázis

Where in Egyesült Államok

  • Bond Clinic, P.A.Winter Haven, Egyesült ÁllamokNo longer taking part

Trial details

Who runs it
Spectrum Pharmaceuticals, Inc
Trial code
NCT05378763
Record updated
2026. október 28.
Original description
The primary purpose of this study is to compare the progression-free survival (PFS) in participants with locally advanced or metastatic non-small cell lung cancer (NSCLC) harboring human epidermal growth factor receptor 2 (HER2) exon 20 mutations when treated with poziotinib versus docetaxel.Read full original descriptionShow less

A Randomized, Phase 3 Study of Poziotinib in Previously Treated Patients With Locally Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC) Harboring HER2 Exon 20 Mutations (PINNACLE)

The primary purpose of this study is to compare the progression-free survival (PFS) in participants with locally advanced or metastatic non-small cell lung cancer (NSCLC) harboring human epidermal growth factor receptor 2 (HER2) exon 20 mutations when treated with poziotinib versus docetaxel.

Inclusion: Participant must:; Be willing and capable of providing signed and dated Informed Consent, adhering to dosing and visit schedules, and meeting the study requirements; Have histologically or cytologically confirmed NSCLC; Have at least one measurable NSCLC target lesion per RECIST v.1.1 by local assessment; Participant has had at least one prior systemic treatment for locally advanced or metastatic NSCLC, including platinum and a checkpoint inhibitor (CPI) therapy, unless the investigator affirms that a CPI was not medically indicated; Have documentation of HER2 exon 20 mutation; Have an Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1; Have adequate hematologic, hepatic, and renal function at Baseline as per protocol.

Exclusion: Has had previous treatment with poziotinib for treatment of NSCLC; Has had previous treatment with docetaxel for locally advanced or metastatic NSCLC. If docetaxel was received in the neo-adjuvant or adjuvant setting, progressive disease must have occurred ≥6 months after the last dose to be eligible; Is unable to take drugs orally; Has spinal cord compression or leptomeningeal disease; Has a high risk of cardiac disease, as determined by the Investigator; Has a history of, or signs of Grade ≥2 pneumonitis on current imaging studies; Has EGFR or anaplastic lymphoma kinase (ALK) genome tumor alterations; Participant:; Is pregnant or breast-feeding.

ClinicalTrials.gov NCT05378763