Carcinoma, Non-Small-Cell LungPhase 3NCT06140836
A Study of Repotrectinib Versus Crizotinib in Participants With Locally Advanced or Metastatic Tyrosine Kinase Inhibitor (TKI)-naïve ROS1-positive Non-Small Cell Lung Cancer (NSCLC) (TRIDENT-3)
A Phase 3 study testing Repotrectinib and Crizotinib in people with Carcinoma, Non-Small-Cell Lung, run by Bristol-Myers Squibb at 122 sites in 21 countries.
Trial summary
The purpose of this study is to evaluate the efficacy and safety of repotrectinib and crizotinib in participants with locally advanced or metastatic TKI-naïve ROS1-positive non-small cell lung cancer (NSCLC). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Carcinoma, Non-Small-Cell Lung
- What is being tested?
- Repotrectinib and Crizotinib
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 190 participants
- Where
- 122 sitesin 21 countries
- Study dates
- 21 Dec 2023to 15 Mar 2027
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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
- Participant has histologically or cytologically confirmed diagnosis of locally advanced or metastatic NSCLC
- Participant has a ROS1 gene rearrangement/fusion as detected by a local test.
- At least 1 measurable lesion according to RECIST v1.1, as assessed by the investigator.
- Participants must not be exposed previously with TKIs that demonstrated activities in ROS1-positive NSCLC
- Up to 1 prior line of systemic treatment for NSCLC is permitted
- ECOG Performance Status ≤ 2
Who cannot join
- Symptomatic brain metastases or symptomatic leptomeningeal involvement.
- History of previous cancer requiring therapy within the previous 2 years, except for NSCLC under study, squamous cell or basal-cell carcinoma of the skin, or any in situ carcinoma that has been completely resected.
- Known tumor targetable co-mutations or rearrangements
- Clinically significant cardiovascular disease (either active or within 6 months prior to enrollment)
- Note: Other protocol-defined inclusion/exclusion criteria apply
Trial locations and contacts
122 sites in 21 countries.
122 sites in 21 countries
China18 sites
Local Institution - 0168
Beijing, Beijing Municipality, 100142
Local Institution - 0178
Changchun, Jilin, 130012
Local Institution - 0184
Changsha, Hunan, 410000
Local Institution - 0177
Chengdu, Sichuan, 610044
Local Institution - 0185
Chongqing, Chongqing Municipality, 400042
Local Institution - 0180
Guangzhou, Guangdong, 510120
Local Institution - 0175
Hangzhou, Zhejiang, 310022
Local Institution - 0171
Harbin, Heilongjiang, 150000
Local Institution - 0186
Jinan, Shandong, 250000
Local Institution - 0202
Nanchang, Jiangxi, 330006
Local Institution - 0193
Nanjing, Jiangsu, 210029
Local Institution - 0194
Nanning, Guangxi, 530000
Local Institution - 0164
Shanghai, Shanghai Municipality, 200030
Local Institution - 0179
Shanghai, Shanghai Municipality, 200032
Local Institution - 0181
Wuhan, Hubei, 430079
Local Institution - 0183
Xi'an, Shaanxi, 710061
Local Institution - 0169
Xiamen, Fujian, 361003
Local Institution - 0166
Zhengzhou, Henan, 450003
Japan12 sites
Tokyo Metropolitan Komagome Hospital
Bunkyo Ku, Tokyo, 113-8677
Local Institution - 0195
Fukuoka, 811-1395
Local Institution - 0132
Kashiwa, Chiba, 277-8577
Local Institution - 0174
Matsuyama, Ehime, 791-0280
Local Institution - 0190
Nagoya, Aichi-ken, 466-8560
Local Institution - 0160
Osaka, 534-0021
Local Institution - 0167
Osaka, 541-8567
Local Institution - 0163
Sapporo, Hokkaido, 060-8648
Sendai Kosei Hospital
Sendai, Miyagi, 9800873
Tokyo Metropolitan Police Hospital
Tokyo, 164-8541
Local Institution - 0173
Yokohama, Kanagawa, 2418515
Local Institution - 0159
Yonago, Tottori, 683-8504
Brazil11 sites
Local Institution - 0029
Barretos, São Paulo, 14784400
Local Institution - 0073
Belo Horizonte, Minas Gerais, 30380-490
Local Institution - 0033
Porto Alegre, Rio Grande do Sul, 90110-270
Local Institution - 0034
Porto Alegre, Rio Grande do Sul, 90610-000
Local Institution - 0098
Rio de Janeiro, 22061-080
Local Institution - 0108
Rio de Janeiro, 22250-905
Local Institution - 0037
São José do Rio Preto, São Paulo, 15090000
Local Institution - 0209
São Paulo, São Paulo, 01308-060
Local Institution - 0147
São Paulo, São Paulo, 01321-001
Local Institution - 0032
São Paulo, 01401-002
Local Institution - 0114
São Paulo, 05652-900
Germany9 sites
Evangelische Lungenklinik Berlin
Berlin, 13125
Universitaetsklinikum Koeln
Cologne, 50937
Local Institution - 0035
Dresden, 01307
Klinikum Esslingen
Esslingen am Neckar, Baden-Wurttemberg, 73730
Asklepios Klinik Gauting GmbH
Gauting, 82131
Lungenfachklinik Immenhausen
Immenhausen, 34376
Marienhaus Klinikum Mainz
Mainz, 55131
Local Institution - 0074
Oldenburg, Lower Saxony, 26121
Klinikum Würzburg Mitte
Würzburg, Bavaria, 97074
France8 sites
Local Institution - 0109
Dijon, Côte-d'Or, 21079
Local Institution - 0058
La Tronche, Isère, 38700
Local Institution - 0056
Paris, 75014
Local Institution - 0055
Pessac, Aquitaine, 33600
Local Institution - 0060
Pierre-Bénite, Rhône, 69310
Local Institution - 0057
Rouen, Haute-Normandie, 76031
Local Institution - 0189
Saint-Herblain, Loire-Atlantique, 44800
Local Institution - 0059
Strasbourg, Alsace, 67091
India8 sites
Local Institution - 0102
Ahmedabad, Gujarat, 380054
Local Institution - 0118
Ahmedabad, Gujarat, 380060
Local Institution - 0082
Bengaluru, Karnataka, 560017
Local Institution - 0044
Gurugram, Haryana, 122001
Local Institution - 0218
New Delhi, National Capital Territory of Delhi, 110029
Local Institution - 0076
New Delhi, National Capital Territory of Delhi, 110085
Local Institution - 0045
Pune, Maharashtra, 411001
Local Institution - 0049
Pune, Maharashtra, 411004
Spain8 sites
Local Institution - 0141
A Coruña, A Coruña [La Coruña], 15006
Local Institution - 0140
Barcelona, Barcelona [Barcelona], 08035
Local Institution - 0137
Madrid, Madrid, Comunidad de, 28041
Local Institution - 0139
Majadahonda, Madrid, Comunidad de, 28222
Local Institution - 0142
Málaga, 29011
Local Institution - 0138
Santiago de Compostela, A Coruña [La Coruña], 15706
Local Institution - 0144
Seville, 41013
Local Institution - 0143
Valencia, 46026
Turkey (Türkiye)7 sites
Local Institution - 0088
Adana, 01140
Local Institution - 0084
Ankara, 06010
Local Institution - 0087
Istanbul, 34214
T.C. Saglik Bakanligi Turkiye Kamu Hastaneleri Kurumu - Bakirkoy Dr. Sadi Konuk Egitim ve Arastirma Hastanesi
Istanbul, 34440
Local Institution - 0083
Istanbul, 34899
Local Institution - 0085
Sakarya, 0
Local Institution - 0086
Yenimahalle, Ankara, 06200
United States6 sites
Local Institution - 0075
Boston, Massachusetts, 02114
Local Institution - 0201
Boston, Massachusetts, 02215
Local Institution - 0221
Des Moines, Iowa, 50309
Local Institution - 0210
Mineola, New York, 11501
Local Institution - 0134
New York, New York, 10016
Local Institution - 0214
Tacoma, Washington, 98405
Argentina6 sites
Local Institution - 0091
ABB, Buenos Aires F.D., C1199ABB
Local Institution - 0106
Buenos Aires, 1431
Local Institution - 0207
Buenos Aires, C1417DTB
Local Institution - 0092
Ciudad Autónoma de Buenos Aires, Buenos Aires, 1280
Instituto Alexander Fleming
Ciudad Autónoma de Buenos Aires, Buenos Aires, C1426ANZ
Local Institution - 0093
Córdoba, 5000
Italy5 sites
Local Institution - 0151
Aviano, Friuli Venezia Giulia, 33081
Local Institution - 0152
Milan, Lombardy, 20133
Local Institution - 0149
Monza, Lombardy, 20900
Local Institution - 0150
Naples, Napoli, 80131
Local Institution - 0148
Rome, Roma, 00144
Romania5 sites
Local Institution - 0030
Bucharest, Bucharest, 013812
Local Institution - 0066
Bucharest, Bucharest, 022328
Local Institution - 0122
Cluj-Napoca, 400015
Local Institution - 0031
Craiova, Dolj, 200746
Local Institution - 0067
Iași, 700106
South Korea5 sites
Local Institution - 0062
Cheongju-si, Chungcheongbuk-do [Chungbuk], 28644
Seoul National University Bundang Hospital
Seongnam, Kyǒnggi-do, 13620
Severance Hospital, Yonsei University Health System
Seoul, Seoul-teukbyeolsi [Seoul], 03722
Asan Medical Center
Seoul, Seoul-teukbyeolsi [Seoul], 05505
Local Institution - 0063
Seoul, Seoul-teukbyeolsi [Seoul], 06351
Greece4 sites
Local Institution - 0153
Athens, Attikí, 115 27
Local Institution - 0155
Chaïdári, Attikí, 124 62
Local Institution - 0154
Pátrai, Achaḯa, 26504
"Theagenio" Cancer Hospital of Thessaloniki
Thessaloniki, Kentrikí Makedonía, 540 07
Canada2 sites
Local Institution - 0002
Toronto, Ontario, M5G 2M9
Local Institution - 0123
Trois-Rivières, Quebec, G8Z 3R9
Chile2 sites
Fundacion Arturo Lopez Perez (FALP)
Santiago, Santiago Metropolitan, 7500921
Local Institution - 0096
Viña del Mar, Valparaiso, 2520598
Poland2 sites
Local Institution - 0187
Lublin, Lublin Voivodeship, 20-609
Local Institution - 0196
Olsztyn, Warmian-Masurian Voivodeship, 10-357
Netherlands1 site
Local Institution - 0216
Amsterdam, North Holland, 1081 HV
About this study
Official title: Randomized, Open-label, Multicenter, Phase 3 Trial of Repotrectinib Versus Crizotinib in Participants With Locally Advanced or Metastatic Tyrosine Kinase Inhibitor (TKI)-naïve ROS1-positive Non-Small Cell Lung Cancer (NSCLC) (TRIDENT-3)
The purpose of this study is to evaluate the efficacy and safety of repotrectinib and crizotinib in participants with locally advanced or metastatic TKI-naïve ROS1-positive non-small cell lung cancer (NSCLC).
- Conditions
- Carcinoma, Non-Small-Cell Lung
- Being tested
- Repotrectinib, Crizotinib
- Keywords
- TKI-naïve, ROS1, NSCLC, ROS1-positive non-small cell lung cancer
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RepotrectinibDrug
Also called BMS-986472
Specified dose on specified days
CrizotinibDrug
Also called Xalkori
Specified dose on specified days
| Study group | Role | What they receive |
|---|---|---|
| Arm A | Experimental | Not described Receives: Drug: Repotrectinib |
| Arm B | Active comparator | Not described Receives: Drug: Crizotinib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free Survival (PFS) as per Blinded Independent Central Review (BICR) according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
Measured: Up to approximately 41 months
Secondary outcomes (12)
Overall Survival (OS)
Measured: Up to approximately 41 months
Overall Response Rate (ORR) as per BICR according to RECIST v1.1
Measured: Up to approximately 41 months
ORR as per Investigator according to RECIST v1.1
Measured: Up to approximately 41 months
Duration of Response (DOR) as per BICR according to RECIST v1.1
Measured: Up to approximately 41 months
DOR as per Investigator according to RECIST v1.1
Measured: Up to approximately 41 months
Time to Response (TTR) as per BICR according to RECIST v1.1
Measured: Up to approximately 41 months
TTR as per Investigator according to RECIST v1.1
Measured: Up to approximately 41 months
PFS as per Investigator according to RECIST v1.1
Measured: Up to approximately 41 months
Time to intracranial progressions as per BICR according to RECIST v1.1
Measured: Up to approximately 41 months
Number of participants with Adverse Events (AEs), Serious AEs (SAEs), AEs leading to study intervention discontinuation, and drug-related AEs
Measured: Up to 30 days after last dose
Number of deaths
Measured: Up to 30 days after last dose
Number of participants without at least a 3-point change in the Non-Small Cell Lung Cancer-Symptom Assessment Questionnaire (NSCLC-SAQ) total score
Measured: Up to 30 days after last dose
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Nov 2023
- Study start21 Dec 2023
- Primary completion16 Feb 2027 (estimated)
- Study completion15 Mar 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Carcinoma, Non-Small-Cell LungStudies of the same condition, open and under way.
- More trials run by Bristol-Myers SquibbThe 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
- 190 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Bristol-Myers Squibb
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Zai Lab (Shanghai) Co., Ltd.
- Responsible party
- Sponsor
- Investigators
- Bristol-Myers Squibb, Study director, Bristol-Myers Squibb
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06140836
- Sponsor's protocol ID
- CA127-1030
- Other IDs
- U1111-1292-0487
- Status last verified
- Sep 2026
- First submitted
- 15 Nov 2023
- Last updated
- 22 Sep 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: BMS will provide access to individual anonymized participant data upon request from qualified researchers, and subject to certain criteria. Additional information regarding Bristol Myer Squibb's data sharing policy and process can be found at https://www.bms.com/researchers-and-partners/clinical-trials-and-research.html
- Expanded access
- Available
Study at a glance
From the registry record, last updated by the sponsor on 22 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Randomized, Open-label, Multicenter, Phase 3 Trial of Repotrectinib Versus Crizotinib in Participants With Locally Advanced or Metastatic Tyrosine Kinase Inhibitor (TKI)-naïve ROS1-positive Non-Small Cell Lung Cancer (NSCLC) (TRIDENT-3)
- ClinicalTrials.gov ID
- NCT06140836
- Acronym / sponsor ID
- CA127-1030
- Conditions
- Carcinoma, Non-Small-Cell Lung
- Keywords
- TKI-naïve, ROS1, NSCLC, ROS1-positive non-small cell lung cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 190 participants (estimated)
- Lead sponsor
- Bristol-Myers SquibbIndustry (pharma, biotech, devices)
- Collaborators
- Zai Lab (Shanghai) Co., Ltd.
- Study start
- 21 Dec 2023 (actual)
- Primary completion
- 16 Feb 2027 (estimated)
- Study completion
- 15 Mar 2027 (estimated)
- First posted
- 20 Nov 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the efficacy and safety of repotrectinib and crizotinib in participants with locally advanced or metastatic TKI-naïve ROS1-positive non-small cell lung cancer (NSCLC).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Arm A | Experimental | Drug: Repotrectinib |
| Arm B | Active comparator | Drug: Crizotinib |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Participant has histologically or cytologically confirmed diagnosis of locally advanced or metastatic NSCLC
- Participant has a ROS1 gene rearrangement/fusion as detected by a local test.
- At least 1 measurable lesion according to RECIST v1.1, as assessed by the investigator.
- Participants must not be exposed previously with TKIs that demonstrated activities in ROS1-positive NSCLC
- Up to 1 prior line of systemic treatment for NSCLC is permitted
Key exclusion criteria (5 listed)
- Symptomatic brain metastases or symptomatic leptomeningeal involvement.
- History of previous cancer requiring therapy within the previous 2 years, except for NSCLC under study, squamous cell or basal-cell carcinoma of the skin, or any in situ carcinoma that has been completely resected.
- Known tumor targetable co-mutations or rearrangements
- Clinically significant cardiovascular disease (either active or within 6 months prior to enrollment)
- Note: Other protocol-defined inclusion/exclusion criteria apply
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 |
|---|---|---|
| RepotrectinibAlso: BMS-986472Specified dose on specified days | Drug | Arm A |
| CrizotinibAlso: XalkoriSpecified dose on specified days | Drug | Arm B |
Primary outcome
Progression-free Survival (PFS) as per Blinded Independent Central Review (BICR) according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
Time frame: Up to approximately 41 months
12 secondary outcomes
Overall Survival (OS)
Time frame: Up to approximately 41 months
Overall Response Rate (ORR) as per BICR according to RECIST v1.1
Time frame: Up to approximately 41 months
ORR as per Investigator according to RECIST v1.1
Time frame: Up to approximately 41 months
Duration of Response (DOR) as per BICR according to RECIST v1.1
Time frame: Up to approximately 41 months
DOR as per Investigator according to RECIST v1.1
Time frame: Up to approximately 41 months
Time to Response (TTR) as per BICR according to RECIST v1.1
Time frame: Up to approximately 41 months
TTR as per Investigator according to RECIST v1.1
Time frame: Up to approximately 41 months
PFS as per Investigator according to RECIST v1.1
Time frame: Up to approximately 41 months
Time to intracranial progressions as per BICR according to RECIST v1.1
Time frame: Up to approximately 41 months
Number of participants with Adverse Events (AEs), Serious AEs (SAEs), AEs leading to study intervention discontinuation, and drug-related AEs
Time frame: Up to 30 days after last dose
Number of deaths
Time frame: Up to 30 days after last dose
Number of participants without at least a 3-point change in the Non-Small Cell Lung Cancer-Symptom Assessment Questionnaire (NSCLC-SAQ) total score
Time frame: Up to 30 days after last dose
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 Sep 2026.
- BMS Clinical Trial InformationLink provided by the sponsor.
- BMS Clinical Trial Patient RecruitingLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. BMS will provide access to individual anonymized participant data upon request from qualified researchers, and subject to certain criteria. Additional information regarding Bristol Myer Squibb's data sharing policy and process can be found at https://www.bms.com/researchers-and-partners/clinical-trials-and-research.html
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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.
Bristol-Myers Squibb study director
Bristol-Myers Squibb
122 sites in 21 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Repotrectinib and Crizotinib in people with Carcinoma, Non-Small-Cell Lung, run by Bristol-Myers Squibb at 122 sites in 21 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 6 inclusion and 5 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: under way, not looking for participants, as of the sponsor's last update on 22 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 122 sites in China, Japan, Brazil, Germany, France and 16 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?
This study is still under way. Results are not available in the source record yet.
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) as per Blinded Independent Central Review (BICR) according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 (time frame: Up to approximately 41 months). 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 22 Sep 2026.