Non-small Cell Lung Cancer MetastaticPhase 3CARMEN-LC03NCT04154956
SAR408701 Versus Docetaxel in Previously Treated, Carcinoembryonic Antigen-related Cell Adhesion Molecule 5 (CEACAM5) Positive Metastatic Non-squamous Non-small-cell Lung Cancer Patients
A Phase 3 study testing SAR408701 and Docetaxel in people with Non-small Cell Lung Cancer Metastatic, run by Sanofi at 169 sites in 26 countries.
Trial summary
Primary Objectives: Study was designed with multiple primary endpoints analyzed on randomized participants at the time of the cut-off date for each given analysis (progression free survival [PFS] and overall survival [OS]) Study success was defined either on PFS or OS The primary objective was to determine whether… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Non-small Cell Lung Cancer Metastatic
- What is being tested?
- SAR408701 and Docetaxel
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 389 participants
- Where
- 169 sitesin 26 countries
- Study dates
- 6 Feb 2020to 16 Apr 2026
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- At least 18 years of age or above (or country's legal age of maturity if above 18 years) and signed the informed consent.
- Histologically or cytologically proven diagnosis of non-squamous NSCLC with metastatic disease at study entry; progression after platinum-based chemotherapy and immune checkpoint inhibitor.
- Participants with carcinoembryonic antigen-related cell adhesion molecule (CEACAM) 5 expression of greater than or equal to 2+ in archival tumor sample (or if not available, fresh biopsy sample) involving at least 50% of the tumor cell population as demonstrated prospectively by central laboratory via immune histochemistry (IHC).
- At least one measurable lesion by RECIST v1.1 as determined by local site investigator /radiologist assessment.
- Eastern Cooperative Oncology Group (ECOG) performance status 0-1.
- A female participant who agreed to use highly effective contraceptive methods during and for at least 7 months after the last dose of study intervention.
- A male participant who agreed to use highly effective contraception methods during and for at least 6 months after the last dose of study intervention.
Who cannot join
- Participants with untreated brain metastases and history of leptomeningeal disease. if previously treated brain metastases no documentation of non-progressive disease in brain by imaging performed at least 4 weeks after CNS directed treatment and at least 2 weeks prior to the first dose of study intervention.
- Significant concomitant illnesses, including all severe medical conditions that would impair the participation in the study or interpretation of the results.
- History within the last 3 years of an invasive malignancy other than the one treated in this study, with the exception of resected/ablated basal or squamous-cell carcinoma of the skin or carcinoma in situ of the cervix, or other local tumors considered cured by local treatment.
- Non-resolution of any prior treatment related toxicity to less than grade 2 according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version (V) 5.0, except for alopecia, vitiligo and active thyroiditis controlled with hormonal replacement therapy
- History of known acquired immunodeficiency syndrome (AIDS) related illnesses or known HIV disease requiring antiretroviral treatment, or unresolved viral hepatitis
- Previous history of and/or unresolved corneal disorders. The use of contact lenses was not permitted.
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- Concurrent treatment with any other anticancer therapy.
- Prior treatment with docetaxel or maytansinoid derivatives (DM1 or DM4 antibody drug conjugate) or any drug targeting CEACAM5.
- Contraindicated the use of corticosteroid premedication.
- Previous enrollment in this study and current participation in any other clinical study involving an investigational study treatment or any other type of medical research.
- Poor bone marrow, liver or kidney functions
- Hypersensitivity to any of the study interventions, or components thereof (EDTA), or drug (paclitaxel, polysorbate 80) or other allergy that, in the opinion of the Investigator, contraindicated participation in the study.
- The above information was not intended to contain all considerations relevant to a potential participation in a clinical trial.
Trial locations and contacts
169 sites in 26 countries.
169 sites in 26 countries
China29 sites
Investigational Site Number : 1560026
Beijing, 100142
Investigational Site Number : 1560009
Changchun, 130012
Investigational Site Number : 1560010
Changchun, 130021
Investigational Site Number : 1560015
Changsha, 410006
Investigational Site Number : 1560039
Changsha, 410011
Investigational Site Number : 1560032
Chengdu, 610041
Investigational Site Number : 1560038
Chengdu, 610041
Investigational Site Number : 1560044
Chongqing, 400038
Investigational Site Number : 1560043
Chongqing, 400042
Investigational Site Number : 1560024
Fuzhou, 350008
Investigational Site Number : 1560001
Guangzhou, 510080
Investigational Site Number : 1560036
Guangzhou, 510095
Investigational Site Number : 1560037
Guangzhou, 510163
Investigational Site Number : 1560017
Guangzhou, 510515
Investigational Site Number : 1560025
Hangzhou, 310003
Investigational Site Number : 1560033
Hangzhou, 310009
Investigational Site Number : 1560021
Hangzhou, 310014
Investigational Site Number : 1560011
Hangzhou, 310022
Investigational Site Number : 1560005
Harbin, 150081
Investigational Site Number : 1560050
Huizhou, 516001
Investigational Site Number : 1560047
Jinan, 250013
Investigational Site Number : 1560023
Nanjing, 210006
Investigational Site Number : 1560019
Nanjing, 210009
Investigational Site Number : 1560012
Nanning, 530021
Investigational Site Number : 1560045
Tianjin, 300060
Investigational Site Number : 1560006
Wuhan, 430079
Investigational Site Number : 1560016
Zhanjiang, 524001
Investigational Site Number : 1560041
Zhengzhou, 450003
Investigational Site Number : 1560040
Zhengzhou, 450008
Japan17 sites
Investigational Site Number : 3920011
Bunkyo-ku, Tokyo, 113-8603
Investigational Site Number : 3920012
Fukuoka, Fukuoka, 810-8563
Investigational Site Number : 3920017
Himeji-shi, Hyōgo, 670-8520
Investigational Site Number : 3920001
Hirakata-shi, Osaka, 573-1191
Investigational Site Number : 3920006
Kanazawa, Ishikawa-ken, 920-8641
Investigational Site Number : 3920008
Kurume-shi, Fukuoka, 830-0011
Investigational Site Number : 3920018
Mitaka-shi, Tokyo, 181-8611
Investigational Site Number : 3920002
Nagoya, Aichi-ken, 460-0001
Investigational Site Number : 3920015
Nagoya, Aichi-ken, 464-8681
Investigational Site Number : 3920009
Natori-shi, Miyagi, 981-1293
Investigational Site Number : 3920003
Osaka, Osaka, 541-8567
Investigational Site Number : 3920013
Osaka Sayama-shi, Osaka, 589-8511
Investigational Site Number : 3920016
Sapporo, Hokkaido, 003-0804
Investigational Site Number : 3920004
Sunto-gun, Shizuoka, 411-8777
Investigational Site Number : 3920010
Ube-shi, Yamaguchi, 755-0241
Investigational Site Number : 3920007
Wakayama, Wakayama, 641-8510
Investigational Site Number : 3920005
Yokohama, Kanagawa, 241-8515
France13 sites
Investigational Site Number : 2500010
Bordeaux, 33076
Investigational Site Number : 2500008
Caen, 14076
Investigational Site Number : 2500006
Créteil, 94010
Investigational Site Number : 2500007
Grenoble, 38043
Investigational Site Number : 2500001
Marseille, 13015
Investigational Site Number : 2500013
Montpellier, 34295
Investigational Site Number : 2500011
Paris, 75231
Investigational Site Number : 2500014
Paris, 75970
Investigational Site Number : 2500009
Pierre-Bénite, 69495
Investigational Site Number : 2500003
Rennes, 35033
Investigational Site Number : 2500012
Saint-Herblain, 44800
Investigational Site Number : 2500002
Saint-Mandé, 94160
Investigational Site Number : 2500004
Villejuif, 94800
Turkey (Türkiye)11 sites
Investigational Site Number : 7920008
Adana, 01060
Investigational Site Number : 7920012
Adana, 01140
Investigational Site Number : 7920002
Adana, 01250
Investigational Site Number : 7920011
Ankara, 06800
Investigational Site Number : 7920005
Istanbul, 34214
Investigational Site Number : 7920001
Istanbul, 34303
Investigational Site Number : 7920006
Istanbul, 34722
Investigational Site Number : 7920007
Izmir
Investigational Site Number : 7920010
Izmir
Investigational Site Number : 7920014
Kocaeli, 41100
Investigational Site Number : 7920009
Malatya
Spain9 sites
Investigational Site Number : 7240007
Barcelona, Barcelona [Barcelona], 08028
Investigational Site Number : 7240005
Barcelona, Barcelona [Barcelona], 08036
Investigational Site Number : 7240001
L'Hospitalet de Llobregat, Barcelona [Barcelona], 08908
Investigational Site Number : 7240002
Madrid, 28041
Investigational Site Number : 7240009
Madrid / Madrid, Madrid, Comunidad de, 28040
Investigational Site Number : 7240004
Málaga, 29010
Investigational Site Number : 7240006
Pamplona, Navarre, 31008
Investigational Site Number : 7240011
Seville, 41013
Investigational Site Number : 7240008
Valencia, 46026
United States8 sites
Roswell Park Cancer Institute Site Number : 8400011
Buffalo, New York, 14263-0001
Renovatio Clinical- Site Number : 8400032
El Paso, Texas, 79915
Florida Cancer Specialists South Division- Site Number : 8400020
Fort Myers, Florida, 33901
Ca & Hem Center Of W Michigan- Site Number : 8400016
Grand Rapids, Michigan, 49546
Medical College of Wisconsin- Site Number : 8400006
Milwaukee, Wisconsin, 53226
Florida Cancer Specialists North Division- Site Number : 8400019
St. Petersburg, Florida, 33705
Renovatio Clinical - Site Number : 8400013
The Woodlands, Texas, 77380
Lankenau Hospital Cancer Center- Site Number : 8400017
Wynnewood, Pennsylvania, 19096-3411
Argentina7 sites
Investigational Site Number : 0320001
Buenos Aires, 1426ANZ
Investigational Site Number : 0320004
Buenos Aires, C1125ABD
Investigational Site Number : 0320009
CABA, Buenos Aires, C1019ABS
Investigational Site Number : 0320012
Capital Federal, Buenos Aires, 1012
Investigational Site Number : 0320014
Córdoba, ZCX5000AAI
Investigational Site Number : 0320002
Salta, 4400
Investigational Site Number : 0320003
Viedma, Río Negro Province, R8500ACE
Romania7 sites
Investigational Site Number : 6420008
Alba Iulia, 510077
Investigational Site Number : 6420009
Brasov, 500152
Investigational Site Number : 6420003
Bucaresti, 022328
Investigational Site Number : 6420010
Cluj-Napoca, 400124
Investigational Site Number : 6420011
Cluj-Napoca, 407280
Investigational Site Number : 6420012
Otopeni, 75100
Investigational Site Number : 6420005
Timișoara, 300166
South Korea7 sites
Investigational Site Number : 4100008
Busan, Busan, 48108
Investigational Site Number : 4100005
Cheongju-si, North Chungcheong, 28644
Investigational Site Number : 4100006
Seoul, Seoul-teukbyeolsi, 03722
Investigational Site Number : 4100007
Seoul, Seoul-teukbyeolsi, 05505
Investigational Site Number : 4100003
Seoul, Seoul-teukbyeolsi, 06351
Investigational Site Number : 4100004
Seoul, Seoul-teukbyeolsi, 07061
Investigational Site Number : 4100001
Seoul, 06591
Belgium6 sites
Investigational Site Number : 0560006
Anderlecht, 1070
Investigational Site Number : 0560004
Edegem, B-2650
Investigational Site Number : 0560005
Ghent, 9000
Investigational Site Number : 0560001
Leuven, 3000
Investigational Site Number : 0560003
Liège, 4000
Investigational Site Number : 0560002
Woluwe-Saint-Lambert, 1200
Brazil6 sites
Clínica de Oncologia Reichow Site Number : 0760023
Blumenau, Santa Catarina, 89010-340
~Instituto De Oncologia Parana- Site Number : 0760008
Curitiba, Paraná, 80530-010
Centro Regional Integrado De Oncologia - CRIO- Site Number : 0760002
Fortaleza, Ceará, 60336-232
Centro Avancado de Oncologia CECAN - Liga Contra o Cancer- Site Number : 0760026
Natal, Rio Grande do Norte, 59062-000
Hospital de Base Sao Jose do Rio Preto Site Number : 0760001
São José do Rio Preto, São Paulo, 15090-000
Hospital Sirio Libanes- Site Number : 0760018
São Paulo, São Paulo, 01308050
Bulgaria6 sites
Investigational Site Number : 1000008
Burgas, 8000
Investigational Site Number : 1000010
Pleven, 5800
Investigational Site Number : 1000007
Plovdiv, 4002
Investigational Site Number : 1000004
Sofia, 1330
Investigational Site Number : 1000003
Sofia, 1618
Investigational Site Number : 1000001
Sofia, 1797
Chile5 sites
Investigational Site Number : 1520007
Santiago, Reg Metropolitana de Santiago, 7500713
Investigational Site Number : 1520006
Santiago, Reg Metropolitana de Santiago, 7500921
Investigational Site Number : 1520009
Santiago, Reg Metropolitana de Santiago, 7650568
Investigational Site Number : 1520002
Santiago, Reg Metropolitana de Santiago, 8420383
Investigational Site Number : 1520001
Viña del Mar, Valparaiso, 2520598
Greece5 sites
Investigational Site Number : 3000005
Athens, 11526
Investigational Site Number : 3000001
Athens, 11527
Investigational Site Number : 3000003
Heraklion, 71500
Investigational Site Number : 3000004
Ioannina, 455 00
Investigational Site Number : 3000006
Thessaloniki, 54645
Italy5 sites
Investigational Site Number : 3800006
Catania
Investigational Site Number : 3800001
Milan, 20133
Investigational Site Number : 3800003
Orbassano, Torino, 10043
Investigational Site Number : 3800004
Ravenna, Emilia-Romagna, 48121
Investigational Site Number : 3800005
Rozzano, Milano, 20089
Portugal5 sites
Investigational Site Number : 6200002
Almada, 2801-951
Investigational Site Number : 6200001
Lisbon, 1769
Investigational Site Number : 6200004
Lisbon, 1998-018
Investigational Site Number : 6200005
Porto, 4099-001
Investigational Site Number : 6200006
Porto, 4100-180
Australia3 sites
Investigational Site Number : 0360002
Blacktown, New South Wales, 2148
Investigational Site Number : 0360003
Waratah, New South Wales, 2298
Investigational Site Number : 0360001
Woolloongabba, Queensland, 4102
Hungary3 sites
Investigational Site Number : 3480003
Budapest, 1121
Investigational Site Number : 3480007
Budapest, 1125
Investigational Site Number : 3480005
Kaposvár, 7400
Israel3 sites
Investigational Site Number : 3760001
Haifa, 3109601
Investigational Site Number : 3760002
Kfar Saba, 44281
Investigational Site Number : 3760003
Petah Tikva, 49100
Netherlands3 sites
Investigational Site Number : 5280003
's-Hertogenbosch, 5223 GZ
Investigational Site Number : 5280004
Breda, 4818 CK
Investigational Site Number : 5280005
Utrecht, 3543 AZ
Canada2 sites
Investigational Site Number : 1240003
Greenfield Park, Quebec, J4V 2H1
Investigational Site Number : 1240010
Montreal, Quebec, H1T 1P7
Germany2 sites
Investigational Site Number : 2760002
Essen, 45147
Investigational Site Number : 2760001
Heidelberg, 69126
Poland2 sites
Investigational Site Number : 6160004
Olsztyn, Warmian-Masurian Voivodeship, 10-357
Investigational Site Number : 6160001
Warsaw, 02-781
Russia2 sites
Investigational Site Number : 6430001
Moscow, 115478
Investigational Site Number : 6430003
Saint Petersburg, 197758
Singapore2 sites
Investigational Site Number : 7020001
Singapore, 308433
Investigational Site Number : 7020002
Singapore, 329563
Mexico1 site
Investigational Site Number : 4840003
Cuauhtémoc, Mexico City, 06700
About this study
Official title: Randomized, Open-label, Phase 3 Study of SAR408701 Versus Docetaxel in Previously Treated, Metastatic Nonsquamous, Non-small-cell Lung Cancer Patients With CEACAM5-positive Tumors
Primary Objectives:
- Study was designed with multiple primary endpoints analyzed on randomized participants at the time of the cut-off date for each given analysis (progression free survival [PFS] and overall survival [OS])
- Study success was defined either on PFS or OS
- The primary objective was to determine whether tusamitamab ravtansine improves the progression free survival (PFS) when compared to docetaxel in participants with metastatic non-squamous non-small-cell lung cancer (NSCLC) expressing CEACAM5 greater than or equal to 2+ in intensity in at least 50% of the tumor cell population and previously treated with standard-of-care platinum-based chemotherapy and an immune checkpoint inhibitor (ICI)
- The primary objective was to determine whether tusamitamab ravtansine improves the overall survival (OS) when compared with docetaxel in participants with metastatic non-squamous NSCLC expressing CEACAM5 greater than or equal to 2+ in intensity in at least 50% of the tumor cell population and previously treated with standard-of-care platinum-based chemotherapy and an immune checkpoint inhibitor.
Read more
Secondary Objectives:
- Compared the objective response rate (ORR) of tusamitamab ravtansine with docetaxel
- Compared the health-related quality of life (HRQOL) of tusamitamab ravtansine with docetaxel
- Evaluated the safety of tusamitamab ravtansine compared to docetaxel
- Assessed the duration of response (DOR) of tusamitamab ravtansine as compared with docetaxel
Read the detailed description
The median expected duration of study per participant was estimated as median 9 months in docetaxel arm (1 month for screening, 4 months for treatment, and 4 months for the EOT and follow-up visits) and 12.5 months in SAR408701 arm (1 month for screening, 6.5 months for treatment, and 5 months for end of treatment follow-up).
- Conditions
- Non-small Cell Lung Cancer Metastatic
- Being tested
- SAR408701, Docetaxel
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SAR408701Drug
Pharmaceutical form: Concentrate for solution for intravenous infusion Route of administration: intravenous (IV) infusion
DocetaxelDrug
Also called TAXOTERE
Pharmaceutical form: Concentrate for solution for intravenous infusion Route of administration: IV infusion
| Study group | Role | What they receive |
|---|---|---|
| SAR408701 (tusamitamab ravtansine) | Experimental | Participants received tusamitamab ravtansine 100 milligrams per square meter (mg/m^2) by intravenous (IV) infusion, once every 2 weeks (Q2W) until objective progressive disease (PD), unacceptable adverse event/toxicity, upon participant's request to stop treatment, or Investigator decision, whichever occurred first (maximum exposure: 147 weeks). Receives: Drug: SAR408701 |
| Docetaxel | Active comparator | Participants received docetaxel 75 mg/m^2 by IV infusion, once every 3 weeks (Q3W) until objective PD, unacceptable adverse event/toxicity, upon participant's request to stop treatment, or Investigator decision, whichever occurred first (maximum exposure: 115 weeks). Receives: Drug: Docetaxel |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free Survival (PFS)
PFS was defined as the time from the date of randomization to the date of the first documentation of objective PD as assessed by radiological review committee (IRC) according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) definitions or death due to any cause before the study cut-off date, whichever occurred first. PD was defined as unequivocal progression of existing non-target lesions; appearance of 1 or more new lesions; at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 millimeters (mm).
Measured: Tumor assessments performed at screening, and every 8 weeks +/-5 days thereafter, up to 189 weeks
Overall Survival (OS)
Overall survival was defined as the time from date of randomization to date of death due to any cause.
Measured: From date of first study treatment administration (Day 1) until the date of death due to any cause, up to 189 weeks
Secondary outcomes (8)
Objective Response Rate (ORR)
ORR was defined as the percentage of participants who had a complete response (CR) or partial response (PR), as best overall response derived from overall response (OR) determined by the IRC per RECIST 1.1. CR was defined as disappearance of all target and non-target lesions, and normalization of tumor marker level. Any pathological lymph nodes (whether target or non-target) must have had reduction in short axis to <10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
Measured: Tumor assessments performed at screening, and every 8 weeks +/-5 days thereafter, up to 189 weeks
Time to Deterioration (TTD) in Disease-related Symptoms as Determined by European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire and Lung Cancer-specific Module With 13 Items (EORTC QLQ LC-13)
The TTD was defined as the time from baseline (Cycle 1, Day 1) until the first ≥10-point change from baseline up to the end of treatment assessment before the initiation of further anticancer therapy and the analysis cut-off date. For the TTD in disease-related symptoms (cough, dyspnea, pain) from EORTC QLQ LC-13, a deterioration was defined as an increase from baseline score of at least 10 points in any 1 of these 3 symptoms. The EORTC QLQ-LC13 (LC13) is the lung cancer module of the EORTC QLQ-C30 that assesses lung-cancer-associated symptoms (cough, dyspnea, pain, hemoptysis) and side-effects from conventional chemotherapy and radiotherapy (sore mouth, hair loss, dysphagia and neuropathy). The EORTC QLQ-LC13 contains 13 items. Items on the LC13 were scored using the LC13 scoring algorithms which standardize the raw scores to a 0-100 range. Lower scores indicate lower symptomology/symptom burden (lower scores better).
Measured: Predose on Day 1 of Cycle 1, then on Day 1 of every 2 docetaxel Cycles, or every 3 tusamitamab ravtansine Cycles (i.e., every 6 weeks) up to 30 days after the last dose of study drug administration, up to 151 weeks
TTD in Physical Function as Determined by European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Cancer-specific Module With 30 Items (EORTC QLQ C30)
TTD was defined as time from baseline(Cycle 1,Day 1) until first ≥10-point change from baseline up to end of treatment assessment before initiation of further anticancer therapy and analysis cut-off date.For TTD in physical function from EORTC QLQ-C30, deterioration=decrease of at least 10 points from baseline score.EORTC QLQ-C30(C30) is 30-item, cancer specific that includes global health status/health-related quality of life(GHS/QoL), functional scales(physical,role,emotional,cognitive,social), symptom scales(fatigue,nausea\&vomiting,pain), 5 symptom items(dyspnea,insomnia,appetite loss,constipation,diarrhea,perceived financial difficulties). Most questions from QLQ-C30 were rated on 4-point scale(1/Not at All to 4/Very Much), except Items 29-30,which comprise GHS scale and were rated on 7-point scale(1/Very Poor to 7/Excellent). All scales were transformed from raw scores to linear scales ranging 0-100. High score represented favorable outcome with best quality of life.
Measured: Predose on Day 1 of Cycle 1, then on Day 1 of every 2 docetaxel Cycles, or every 3 tusamitamab ravtansine Cycles (i.e., every 6 weeks) up to 30 days after the last dose of study drug administration, up to 151 weeks
TTD in Role Function Measured by EORTC QLQ C30
TTD was defined as time from baseline (Cycle 1, Day 1) until first ≥10-point change from baseline up to end of treatment assessment before initiation of further anticancer therapy and analysis cut-off date. For TTD in role function from EORTC QLQ-C30, deterioration = decrease of at least 10 points from baseline score. EORTC QLQ-C30 (C30) is a 30-item, cancer specific that includes GHS/QoL, functional scales (physical, role, emotional, cognitive, social), symptom scales (fatigue, nausea \& vomiting, pain), 5 symptom items (dyspnea, insomnia, appetite loss, constipation, diarrhea, perceived financial difficulties item). Most questions from QLQ-C30 were rated on a 4-point scale (1/Not at All to 4/Very Much), except Items 29-30, which comprise GHS scale and were rated on a 7-point scale (1/Very Poor to 7/Excellent). All scales were transformed from raw scores to linear scales ranging 0 to 100. A high score represented a favorable outcome with a best quality of life for participant.
Measured: Predose on Day 1 of Cycle 1, then on Day 1 of every 2 docetaxel Cycles, or every 3 tusamitamab ravtansine Cycles (i.e., every 6 weeks) up to 30 days after the last dose of study drug administration, up to 151 weeks
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)
An AE was any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. A SAE was defined as any untoward medical occurrence that, at any dose resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent disability/incapacity, was a congenital anomaly/birth defect, or was an important medical event. TEAEs were defined as AEs that developed, worsened, or became serious during the treatment period.
Measured: From date of first study treatment administration (Day 1) up to 30 days after the last dose of study treatment administration, up to 151 weeks
Number of Participants With Potentially Clinically Significant Abnormalities (PCSA) in Hematology Parameters
Blood samples were collected to determine the abnormalities in hematology parameters.
Measured: From date of first study treatment administration (Day 1) up to 30 days after the last dose of study treatment administration, up to 151 weeks
Number of Participants With PCSA in Clinical Chemistry
Blood samples were collected to determine the clinical chemistry laboratory abnormalities.
Measured: From date of first study treatment administration (Day 1) up to 30 days after the last dose of study treatment administration, up to 151 weeks
Duration of Response (DOR)
DOR was defined as the time from the date of first initial occurrence of a CR or PR to the date of first documentation of objective PD according to RECIST 1.1 before the initiation of any posttreatment anticancer therapy or death due to any cause, whichever occurred first. CR was defined as disappearance of all target and non-target lesions, and normalization of tumor marker level. Any pathological lymph nodes (whether target or non-target) must have had reduction in short axis to <10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. PD was defined as unequivocal progression of existing non-target lesions; appearance of 1 or more new lesions; at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.
Measured: Tumor assessments performed at screening, and every 8 weeks +/-5 days thereafter, up to 189 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Nov 2019
- Study start6 Feb 2020
- Primary completion22 Sep 2023
- Study completion16 Apr 2026
Why it stopped: Sponsor decision, the decision is not related to any safety concern.
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Non-small Cell Lung Cancer MetastaticStudies of the same condition, open and under way.
- More trials run by SanofiThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 389 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sanofi
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Sciences & Operations, Study director, Sanofi
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04154956
- Sponsor's protocol ID
- EFC15858
- Other IDs
- U1111-1233-0781, 2024-515101-26-00, 2019-001273-81, 2019
- Acronym
- CARMEN-LC03
- Status last verified
- Apr 2026
- First submitted
- 5 Nov 2019
- Last updated
- 18 May 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
Study at a glance
From the registry record, last updated by the sponsor on 18 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Randomized, Open-label, Phase 3 Study of SAR408701 Versus Docetaxel in Previously Treated, Metastatic Nonsquamous, Non-small-cell Lung Cancer Patients With CEACAM5-positive Tumors
- ClinicalTrials.gov ID
- NCT04154956
- Acronym / sponsor ID
- CARMEN-LC03 / EFC15858
- Conditions
- Non-small Cell Lung Cancer Metastatic
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Sponsor decision, the decision is not related to any safety concern.
- Enrolment
- 389 participants (actual)
- Lead sponsor
- SanofiIndustry (pharma, biotech, devices)
- Study start
- 6 Feb 2020 (actual)
- Primary completion
- 22 Sep 2023 (actual)
- Study completion
- 16 Apr 2026 (actual)
- First posted
- 7 Nov 2019 (actual)
- Results
- Posted 1 Nov 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Primary Objectives:
- Study was designed with multiple primary endpoints analyzed on randomized participants at the time of the cut-off date for each given analysis (progression free survival [PFS] and overall survival [OS])
- Study success was defined either on PFS or OS
- The primary objective was to determine whether tusamitamab ravtansine improves the progression free survival (PFS) when compared to docetaxel in participants with metastatic non-squamous non-small-cell lung cancer (NSCLC) expressing CEACAM5 greater than or equal to 2+ in intensity in at least 50% of the tumor cell population and previously treated with standard-of-care platinum-based chemotherapy and an immune checkpoint inhibitor (ICI)
- The primary objective was to determine whether tusamitamab ravtansine improves the overall survival (OS) when compared with docetaxel in participants with metastatic non-squamous NSCLC expressing CEACAM5 greater than or equal to 2+ in intensity in at least 50% of the tumor cell population and previously treated with standard-of-care platinum-based chemotherapy and an immune checkpoint inhibitor.
Secondary Objectives:
- Compared the objective response rate (ORR) of tusamitamab ravtansine with docetaxel
- Compared the health-related quality of life (HRQOL) of tusamitamab ravtansine with docetaxel
- Evaluated the safety of tusamitamab ravtansine compared to docetaxel
- Assessed the duration of response (DOR) of tusamitamab ravtansine as compared with docetaxel
Detailed description
The median expected duration of study per participant was estimated as median 9 months in docetaxel arm (1 month for screening, 4 months for treatment, and 4 months for the EOT and follow-up visits) and 12.5 months in SAR408701 arm (1 month for screening, 6.5 months for treatment, and 5 months for end of treatment follow-up).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| SAR408701 (tusamitamab ravtansine) | Experimental | Drug: SAR408701Participants received tusamitamab ravtansine 100 milligrams per square meter (mg/m^2) by intravenous (IV) infusion, once every 2 weeks (Q2W) until objective progressive disease (PD), unacceptable adverse event/toxicity, upon participant's request to stop treatment, or Investigator decision, whichever occurred first (maximum exposure: 147 weeks). |
| Docetaxel | Active comparator | Drug: DocetaxelParticipants received docetaxel 75 mg/m^2 by IV infusion, once every 3 weeks (Q3W) until objective PD, unacceptable adverse event/toxicity, upon participant's request to stop treatment, or Investigator decision, whichever occurred first (maximum exposure: 115 weeks). |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- At least 18 years of age or above (or country's legal age of maturity if above 18 years) and signed the informed consent.
- Histologically or cytologically proven diagnosis of non-squamous NSCLC with metastatic disease at study entry; progression after platinum-based chemotherapy and immune checkpoint inhibitor.
- Participants with carcinoembryonic antigen-related cell adhesion molecule (CEACAM) 5 expression of greater than or equal to 2+ in archival tumor sample (or if not available, fresh biopsy sample) involving at least 50% of the tumor cell population as demonstrated prospectively by central laboratory via immune histochemistry (IHC).
- At least one measurable lesion by RECIST v1.1 as determined by local site investigator /radiologist assessment.
- Eastern Cooperative Oncology Group (ECOG) performance status 0-1.
Key exclusion criteria (13 listed)
- Participants with untreated brain metastases and history of leptomeningeal disease. if previously treated brain metastases no documentation of non-progressive disease in brain by imaging performed at least 4 weeks after CNS directed treatment and at least 2 weeks prior to the first dose of study intervention.
- Significant concomitant illnesses, including all severe medical conditions that would impair the participation in the study or interpretation of the results.
- History within the last 3 years of an invasive malignancy other than the one treated in this study, with the exception of resected/ablated basal or squamous-cell carcinoma of the skin or carcinoma in situ of the cervix, or other local tumors considered cured by local treatment.
- Non-resolution of any prior treatment related toxicity to less than grade 2 according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version (V) 5.0, except for alopecia, vitiligo and active thyroiditis controlled with hormonal replacement therapy
- History of known acquired immunodeficiency syndrome (AIDS) related illnesses or known HIV disease requiring antiretroviral treatment, or unresolved viral hepatitis
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| SAR408701Pharmaceutical form: Concentrate for solution for intravenous infusion Route of administration: intravenous (IV) infusion | Drug | SAR408701 (tusamitamab ravtansine) |
| DocetaxelAlso: TAXOTEREPharmaceutical form: Concentrate for solution for intravenous infusion Route of administration: IV infusion | Drug | Docetaxel |
Primary outcome
Progression-free Survival (PFS)
Time frame: Tumor assessments performed at screening, and every 8 weeks +/-5 days thereafter, up to 189 weeks
PFS was defined as the time from the date of randomization to the date of the first documentation of objective PD as assessed by radiological review committee (IRC) according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) definitions or death due to any cause before the study cut-off date, whichever occurred first. PD was defined as unequivocal progression of existing non-target lesions; appearance of 1 or more new lesions; at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 millimeters (mm).
Overall Survival (OS)
Time frame: From date of first study treatment administration (Day 1) until the date of death due to any cause, up to 189 weeks
Overall survival was defined as the time from date of randomization to date of death due to any cause.
8 secondary outcomes
Objective Response Rate (ORR)
Time frame: Tumor assessments performed at screening, and every 8 weeks +/-5 days thereafter, up to 189 weeks
Time to Deterioration (TTD) in Disease-related Symptoms as Determined by European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire and Lung Cancer-specific Module With 13 Items (EORTC QLQ LC-13)
Time frame: Predose on Day 1 of Cycle 1, then on Day 1 of every 2 docetaxel Cycles, or every 3 tusamitamab ravtansine Cycles (i.e., every 6 weeks) up to 30 days after the last dose of study drug administration, up to 151 weeks
TTD in Physical Function as Determined by European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Cancer-specific Module With 30 Items (EORTC QLQ C30)
Time frame: Predose on Day 1 of Cycle 1, then on Day 1 of every 2 docetaxel Cycles, or every 3 tusamitamab ravtansine Cycles (i.e., every 6 weeks) up to 30 days after the last dose of study drug administration, up to 151 weeks
TTD in Role Function Measured by EORTC QLQ C30
Time frame: Predose on Day 1 of Cycle 1, then on Day 1 of every 2 docetaxel Cycles, or every 3 tusamitamab ravtansine Cycles (i.e., every 6 weeks) up to 30 days after the last dose of study drug administration, up to 151 weeks
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)
Time frame: From date of first study treatment administration (Day 1) up to 30 days after the last dose of study treatment administration, up to 151 weeks
Number of Participants With Potentially Clinically Significant Abnormalities (PCSA) in Hematology Parameters
Time frame: From date of first study treatment administration (Day 1) up to 30 days after the last dose of study treatment administration, up to 151 weeks
Number of Participants With PCSA in Clinical Chemistry
Time frame: From date of first study treatment administration (Day 1) up to 30 days after the last dose of study treatment administration, up to 151 weeks
Duration of Response (DOR)
Time frame: Tumor assessments performed at screening, and every 8 weeks +/-5 days thereafter, up to 189 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 May 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- EFC15858 Plain Language Results SummaryLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Sciences & Operations study director
Sanofi
169 sites in 26 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing SAR408701 and Docetaxel in people with Non-small Cell Lung Cancer Metastatic, run by Sanofi at 169 sites in 26 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 18 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 169 sites in China, Japan, France, Turkey (Türkiye), Spain and 21 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 1 Nov 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-free Survival (PFS) (time frame: Tumor assessments performed at screening, and every 8 weeks +/-5 days thereafter, up to 189 weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 May 2026.