Non-small Cell Lung Cancer (NSCLC)Phase 3NCT06305754
Sacituzumab Tirumotecan (MK-2870) Versus Pemetrexed and Carboplatin Combination Therapy in Participants With Epidermal Growth Factor (EGFR)-Mutated, Advanced Nonsquamous Non-small Cell Lung Cancer (NSCLC) Who Have Progressed on Prior EGFR Tyrosine Kinase Inhibitors (MK-2870-009)
A Phase 3 study testing Sacituzumab tirumotecan, Pemetrexed and Carboplatin in people with Non-small Cell Lung Cancer (NSCLC), run by Merck Sharp & Dohme LLC at 156 sites in 19 countries.
Trial summary
The purpose of this study is to evaluate sacituzumab tirumotecan versus pemetrexed in combination with carboplatin for the treatment of epidermal growth factor receptor (EGFR)-mutated advanced non-squamous 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
- Non-small Cell Lung Cancer (NSCLC)
- What is being tested?
- Sacituzumab tirumotecan, Pemetrexed and Carboplatin
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 550 participants
- Where
- 156 sitesin 19 countries
- Study dates
- 11 Jun 2024to 14 Jun 2030
- 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
- Histologically or cytologically confirmed diagnosis of advanced-stage nonsquamous non-small cell lung cancer (NSCLC).
- Participants who have adverse events (AEs) due to previous anticancer therapies must have recovered to Grade ≤1 or baseline.
- Participants who are Hepatitis B surface antigen (HBsAg) positive are eligible if they have received Hepatitis B virus (HBV) antiviral therapy for at least 4 weeks and have undetectable HBV viral load.
- Participants with history of Hepatitis C virus (HCV) infection are eligible if HCV viral load is undetectable.
- Human immunodeficiency virus (HIV)-infected participants must have well controlled HIV on antiretroviral therapy.
- Life expectancy of at least 3 months.
Who cannot join
- Predominantly squamous cell histology NSCLC.
- History of second malignancy, unless potentially curative treatment has been completed with no evidence of malignancy for 3 years.
- Grade ≥2 peripheral neuropathy.
- History of documented severe dry eye syndrome, severe Meibomian gland disease and/or blepharitis, or severe corneal disease that prevents/delays corneal healing.
- Active inflammatory bowel disease requiring immunosuppressive medication or previous history of inflammatory bowel disease.
- Uncontrolled, or significant cardiovascular disease or cerebrovascular disease.
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- Received prior radiotherapy within 2 weeks of start of study intervention, or radiation-related toxicities, requiring corticosteroids.
- Received a live or live-attenuated vaccine within 30 days before the first dose of study intervention. Administration of killed vaccines are allowed.
- Received radiation therapy to the lung that is >30 Gray within 6 months of the first dose of study intervention.
- Known active central nervous system metastases and/or carcinomatous meningitis.
- Active infection requiring systemic therapy.
- History of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease.
- HIV-infected participants with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease.
- Concurrent active HBV and HCV infection.
- History of allogeneic tissue/solid organ transplant.
- Participants who have not adequately recovered from major surgery or have ongoing surgical complications.
Trial locations and contacts
156 sites in 19 countries.
156 sites in 19 countries
China26 sites
Beijing Cancer hospital ( Site 3100)
Beijing, Beijing Municipality, 100142
Beijing Peking Union Medical College Hospital-pneumology department ( Site 3107)
Beijing, Beijing Municipality, 100730
The Second Xiangya Hospital of Central South University-Oncology ( Site 3104)
Changsha, Hunan, 410011
West China Hospital, Sichuan University ( Site 3126)
Chengdu, Sichuan, 610041
Sichuan Cancer hospital. ( Site 3127)
Chengdu, Sichuan, 610042
Chongqing University Cancer Hospital-Medical Oncology ( Site 3128)
Chongqing, Chongqing Municipality, 400030
Fujian Cancer Hospital ( Site 3124)
Fuzhou, Fujian, 350014
Southern Medical University Nanfang Hospital-Depatrment of Respiratory and Critical Care Medicine ( Site 3102)
Guangzhou, Guangdong, 510515
The first Affiliated Hospital, Zhejiang University School of Medicine ( Site 3101)
Hangzhou, Zhejiang, 310003
Sir Run Run Shaw Hospital of Zhejiang University School of Medicine-Medical Oncology ( Site 3106)
Hangzhou, Zhejiang, 310016
Harbin Medical University Cancer Hospital ( Site 3109)
Harbin, Heilongjiang, 150081
Anhui Provincial Cancer Hospital ( Site 3132)
Hefei, Anhui, 230031
Jinan Central Hospital ( Site 3113)
Jinan, Shandong, 250013
Shandong Cancer Hospital ( Site 3112)
Jinan, Shandong, 250117
The Second Affiliated Hospital of Nanchang University ( Site 3119)
Nanchang, Jiangxi, 330006
Nanjing Drum Tower Hospital JiangBei International Branch Hospital ( Site 3117)
Nanjing, Jiangsu, 210031
Guangxi Medical University Affiliated Tumor Hospital-Respiratory Oncology ( Site 3103)
Nanning, Guangxi, 530021
Zhongshan Hospital of Fudan University ( Site 3133)
Shanghai, Shanghai Municipality, 200032
The First Affiliated Hospital of Soochow University-Respiratory Department ( Site 3118)
Suzhou, Jiangsu, 215006
Shanxi Cancer Hospital ( Site 3114)
Taiyuan, Shanxi, 410013
The First Affiliated Hospital of Wenzhou Medical University-Respiratory department ( Site 3120)
Wenzhou, Zhejiang, 325015
Tongji Hospital Tongji Medical,Science & Technology ( Site 3121)
Wuhan, Hubei, 430000
Hubei Cancer Hospital ( Site 3122)
Wuhan, Hubei, 430079
The Second Affiliated Hospital of Xi'an Jiaotong University ( Site 3130)
Xi'an, Shaanxi, 710004
The First Affiliated hospital of Xiamen University ( Site 3125)
Xiamen, Fujian, 361003
Henan Cancer Hospital ( Site 3105)
Zhengzhou, Henan, 450008
Japan19 sites
National Cancer Center Hospital ( Site 3408)
Chūō, Tokyo, 104-0045
National Hospital Organization Kyushu Cancer Center ( Site 3401)
Fukuoka, Fukuoka, 811-1395
Kyushu University Hospital ( Site 3400)
Fukuoka, 812-8582
Kansai Medical University Hospital ( Site 3414)
Hirakata, Osaka, 573-1191
Hiroshima City Hiroshima Citizens Hospital ( Site 3419)
Hiroshima, 730-8518
Kanazawa University Hospital ( Site 3402)
Kanazawa, Ishikawa-ken, 920-8641
St. Marianna University Hospital ( Site 3415)
Kawasaki, Kanagawa, 216-8511
Saitama Prefectural Cancer Center ( Site 3417)
Kitaadachi-gun, Saitama, 362-0806
Miyagi Cancer Center ( Site 3406)
Natori-shi, Miyagi, 981-1293
Niigata Cancer Center Hospital ( Site 3403)
Niigata, 951-8566
Okayama University Hospital ( Site 3404)
Okayama, 700-8558
Osaka Prefectural Hospital Organization Osaka International Cancer Institute ( Site 3410)
Osaka, 541-8567
Osaka Metropolitan University Hospital ( Site 3412)
Osaka, 545-0051
Gunma Prefectural Cancer Center ( Site 3413)
Ōta, Gunma, 373-8550
Toho University Omori Medical Center ( Site 3407)
Ōta-ku, Tokyo, 143-8541
Shizuoka Cancer Center ( Site 3405)
Sunto-gun, Shizuoka, 411-8777
Ehime University Hospital ( Site 3411)
Tōon, Ehime, 791-0295
Fujita Health University Hospital ( Site 3409)
Toyoake, Aichi-ken, 470-1192
Kanagawa Cancer Center ( Site 3416)
Yokohama, Kanagawa, 241-8515
United States17 sites
University of Michigan ( Site 0009)
Ann Arbor, Michigan, 48109
Astera Cancer Care ( Site 0032)
East Brunswick, New Jersey, 08816
Sanford Fargo Medical Center ( Site 0028)
Fargo, North Dakota, 58122
John Peter Smith Hospital ( Site 0065)
Fort Worth, Texas, 76104
University of Texas MD Anderson ( Site 0063)
Houston, Texas, 77030
Millennium Research & Clinical Development ( Site 0035)
Houston, Texas, 77090
Northwest Georgia Oncology Centers, a Service of Wellstar Cobb Hospital-Research ( Site 0003)
Marietta, Georgia, 30060
Kaiser Permanente - Oakland ( Site 0054)
Oakland, California, 94611
Mid Florida Hematology and Oncology Center ( Site 0005)
Orange City, Florida, 32763
Kaiser Permanente - Roseville ( Site 0055)
Roseville, California, 95661
Kaiser Permanente - San Francisco ( Site 0056)
San Francisco, California, 94115
Kaiser Permanente - Santa Clara ( Site 0057)
Santa Clara, California, 95051
Sanford Cancer Center ( Site 0024)
Sioux Falls, South Dakota, 57104
Cox Medical Center North - Cox Medical Center/ Hematology/Medical Oncology ( Site 0051)
Springfield, Missouri, 65807
Stony Brook University-Cancer Center ( Site 0038)
Stony Brook, New York, 11794
Kaiser Permanente-Kaiser Permanente ( Site 0036)
Vallejo, California, 94589
Kaiser Permanente - Walnut Creek ( Site 0058)
Walnut Creek, California, 94596
South Korea13 sites
Pusan National University Hospital ( Site 3805)
Busan, Pusan-Kwangyokshi, 49241
Chungbuk National University Hospital ( Site 3804)
Cheongju-si, North Chungcheong, 28644
Keimyung University Dongsan Hospital CRC room 1 ( Site 3814)
Daegu, Taegu-Kwangyokshi, 42601
National Cancer Center ( Site 3803)
Goyang-si, Kyonggi-do, 10408
Chungnam national university hospital ( Site 3806)
Junggu, Taejon-Kwangyokshi, 35015
Pusan National University Yangsan Hospital ( Site 3802)
Pusan, Kyongsangnam-do, 50612
Seoul National University Bundang Hospital ( Site 3807)
Seongnam, Kyonggi-do, 13620
The Catholic University of Korea, Eunpyeong St. Mary's Hospital ( Site 3812)
Seoul, 03312
Asan Medical Center ( Site 3810)
Seoul, 05505
Samsung Medical Center ( Site 3811)
Seoul, 06351
Korea University Guro Hospital ( Site 3808)
Seoul, 08308
The Catholic University Of Korea St. Vincent's Hospital ( Site 3800)
Suwon, Kyonggi-do, 16247
Ajou University Hospital ( Site 3813)
Suwon, Kyonggi-do, 16499
Taiwan12 sites
Changhua Christian Hospital ( Site 3904)
Changhua, 50006
National Taiwan University Hospital - Hsinchu branch ( Site 3900)
Hsinchu, 300
Chang Gung Memorial Hospital at Kaohsiung ( Site 3905)
Kaohsiung City, 83301
Far Eastern Memorial Hospital ( Site 3912)
New Taipei City, 220
Taichung Veterans General Hospital-Chest ( Site 3910)
Taichung, 40705
National Cheng Kung University Hospital ( Site 3901)
Tainan, Tainan, 704
Chi Mei Hospital - Liouying Branch ( Site 3909)
Tainan, Tainan, 73657
National Taiwan University Hospital-Oncology ( Site 3908)
Taipei, 10002
Mackay Memorial Hospital-Chest Medicine ( Site 3902)
Taipei, 10449
Taipei Medical University Hospital ( Site 3903)
Taipei, 110301
National Taiwan University Cancer Center (NTUCC) ( Site 3907)
Taipei City, Taipei, 106
Chang Gung Medical Foundation-Linkou Branch-Clinic of Chest Medicine ( Site 3911)
Taoyuan, 333
Thailand7 sites
Faculty of Medicine Siriraj Hospital ( Site 4004)
Bangkok, Bangkok, 10700
Bangkok Metropolitan Administration Medical College and Vajira Hospital ( Site 4006)
Dusit, Bangkok, 10300
Songklanagarind hospital ( Site 4003)
Hat Yai, Changwat Songkhla, 90110
Lampang Cancer Hospital ( Site 4000)
Lampang, Changwat Lampang, 52000
Faculty of Medicine - Khon Kaen University ( Site 4002)
Muang, Changwat Khon Kaen, 40002
Maharaj Nakorn Chiang Mai Hospital ( Site 4005)
Muang, Chiang Mai, 50200
Ramathibodi Hospital ( Site 4001)
Ratchathewi, Changwat Ratchaburi, 10400
Vietnam7 sites
Hanoi Oncology Hospital ( Site 4198)
Hanoi, Hanoi, 100000
K Hospital - National Cancer Hospital ( Site 4193)
Hanoi, Hanoi, 100000
National Lung Hospital-Oncology Department ( Site 4194)
Hanoi, Hanoi, 100000
Oncology Hospital ( Site 4191)
Ho Chi Minh City, Ho Chi Minh, 700000
Cho Ray Hospital ( Site 4190)
Ho Chi Minh City, 700000
Tam Anh TP.HCM General Hospital ( Site 4196)
Ho Chi Minh City, 700000
Thong Nhat Hospital ( Site 4192)
Tan Binh District, Ho Chi Minh, 700000
Argentina6 sites
Hospital Británico de Buenos Aires-Oncology ( Site 0304)
Buenos Aires, Buenos Aires F.D., C1280AEB
Clinica Adventista Belgrano-Oncology ( Site 0315)
Caba., Buenos Aires, C1430EGF
Instituto Alexander Fleming ( Site 0307)
Ciudad Autónoma de Buenos Aires, Buenos Aires, C1426ANZ
Fundación CORI para la Investigación y Prevención del Cáncer ( Site 0303)
La Rioja, F5300COE
Centro Privado de RMI Río Cuarto S.A. II ( Site 0310)
Río Cuarto, Córdoba Province, X5800ALB
Instituto de Oncología de Rosario ( Site 0301)
Rosario, Santa Fe Province, S2000KZE
Colombia6 sites
FUNDACION CTIC CENTRO DE TRATAMIENTO E INVESTIGACION SOBRE CANCER LUIS CARLOS SARMIENTO ANGULO ( Site 0600)
Bogotá, Bogota D.C., 110131
Clinica Colsanitas S.A, Sede Clínica Universitaria Colombia-Center Investigator ( Site 0606)
Bogotá, Bogota D.C., 111321
Fundacion Valle del Lili- CIC-Oncology CIC ( Site 0605)
Cali, Valle del Cauca Department, 760032
IMAT S.A.S ( Site 0602)
Montería, Departamento de Córdoba, 230002
Oncologos del Occidente ( Site 0604)
Pereira, Risaralda Department, 660001
Sociedad de Oncología Y Hematología del Cesar S.A.S. ( Site 0601)
Valledupar, Cesar Department, 200002
India6 sites
Artemis hospital ( Site 3307)
Gurugram, Haryana, 122001
Tata Memorial Hospital-Medical Oncology ( Site 3304)
Mumbai, Maharashtra, 400012
Kokilaben Dhirubhai Ambani Hospital & Medical Research Institute-Centre for cancer ( Site 3302)
Mumbai, Maharashtra, 400053
All India Institute of Medical Sciences-Department of medical oncology ( Site 3303)
New Delhi, National Capital Territory of Delhi, 110029
Indraprastha Apollo Hospitals-APOLLO RESEARCH INNOVATION ( Site 3301)
New Delhi, National Capital Territory of Delhi, 110076
Rajiv Gandhi Cancer Institute And Research Centre ( Site 3300)
New Delhi, National Capital Territory of Delhi, 110085
Italy5 sites
Instituto Tumori Giovanni Paolo II-SSD Oncologia Medica per la Patologia Toracica ( Site 1802)
Bari, Apulia, 70124
Azienda Ospedaliera Universitaria Careggi-SOD ONCOLOGIA MEDICA ( Site 1804)
Florence, Tuscany, 50134
Fondazione IRCCS Istituto Nazionale dei Tumori-Struttura Complessa Oncologia Medica 1 ( Site 1800)
Milan, Lombardy, 20133
Istituto Europeo di Oncologia IRCCS-Divisione di Oncologia Toracica ( Site 1803)
Milan, Lombardy, 20141
Fondazione Policlinico Universitario Agostino Gemelli IRCCS - Università Cattolica del Sacro Cuore ( Site 1801)
Roma, 00168
Malaysia5 sites
Hospital Pulau Pinang-Oncology, radiotherapy and palliat ( Site 3501)
George Town, Pulau Pinang, 10450
Hospital Tengku Ampuan Afzan ( Site 3506)
Kuantan, Pahang, 25100
Sarawak General Hospital-Radiotherapy Unit ( Site 3508)
Kuching, Sarawak, 93586
University Malaya Medical Centre ( Site 3507)
Lembah Pantai, Kuala Lumpur, 59100
National Cancer Institute-Radiotherapy and Oncology ( Site 3504)
Putrajaya, Kuala Lumpur, 62250
Mexico5 sites
CIO - Centro de Inmuno-Oncología de Occidente ( Site 0700)
Guadalajara, Jalisco, 44630
Arké SMO S.A. de C.V. ( Site 0706)
Mexico City, Mexico City, 06700
Hospital Universitario "Dr. Jose Eleuterio Gonzalez"-Servicio de Oncología ( Site 0705)
Monterrey, Nuevo León, 64460
Oaxaca Site Management Organization S.C. ( Site 0701)
Oaxaca City, 68000
Centro de Investigacion Clinica de Oaxaca ( Site 0704)
Oaxaca City, 68020
Turkey (Türkiye)5 sites
Adana Medical Park Seyhan Hastanesi-Medikal Onkoloji ( Site 2504)
Adana, 01140
Hacettepe Universite Hastaneleri-oncology hospital ( Site 2501)
Ankara, 06230
Memorial Ankara Hastanesi-Medical Oncology ( Site 2505)
Ankara, 06520
Ankara Bilkent Şehir Hastanesi ( Site 2500)
Ankara, 06800
I.E.U. Medical Point Hastanesi-Oncology ( Site 2503)
Izmir, 35575
Canada4 sites
Cross Cancer Institute ( Site 0201)
Edmonton, Alberta, T6G 1Z2
Waterloo Regional Health Network (WRHN) ( Site 0207)
Kitchener, Ontario, N2G 1G3
McGill University Health Centre ( Site 0204)
Montreal, Quebec, H4A 3J1
Princess Margaret Cancer Centre ( Site 0203)
Toronto, Ontario, M5G 2M9
France4 sites
Clinique Clairval ( Site 1306)
Marseille, Bouches-du-Rhone, 13009
Hopitaux Universitaires Paris Centre-Hopital Cochin-Unité d'Oncologie Thoracique ( Site 1304)
Paris, 75014
Nouvel Hôpital Civil (NHC) ( Site 1302)
Strasbourg, Alsace, 67091
Gustave Roussy ( Site 1303)
Villejuif, Île-de-France Region, 94805
Poland4 sites
Bialostockie Centrum Onkologii ( Site 2010)
Bialystok, Podlaskie Voivodeship, 15-027
Centrum Onkologii im. Prof. Franciszka Lukaszczyka-Ambulatorium Chemioterapii ( Site 2003)
Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-796
Narodowy Instytut Onkologii - Oddzial w Gliwicach-II Klinika Radioterapi i Chemioterapii ( Site 2002)
Gliwice, Silesian Voivodeship, 44-102
Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - P-Klinika Nowotworow Pluca i Klatki Pier ( Site 2000)
Warsaw, Masovian Voivodeship, 02-781
Spain4 sites
Hospital Universitario Juan Ramon Jimenez-Oncología Medica ( Site 2323)
Huelva, 21005
Institut Català d'Oncologia - L'Hospitalet-Medical Oncology ( Site 2321)
LHospitalet de Llobregat, Barcelona, 08908
CHUS - Hospital Clinico Universitario-Servicio de Oncologia ( Site 2322)
Santiago de Compostela, La Coruna, 15706
Hospital Universitario Virgen Macarena-Unidad de Investigación Oncológica ( Site 2324)
Seville, 41009
Sweden1 site
Karolinska Universitetssjukhuset Solna ( Site 2401)
Stockholm, Stockholm County, 171 64
About this study
Official title: A Randomized, Open-label, Phase 3 Study of MK-2870 vs. Platinum Doublets in Participants With EGFR-mutated, Advanced Nonsquamous Non-small Cell Lung Cancer (NSCLC) Who Have Progressed on Prior EGFR Tyrosine Kinase Inhibitors
The purpose of this study is to evaluate sacituzumab tirumotecan versus pemetrexed in combination with carboplatin for the treatment of epidermal growth factor receptor (EGFR)-mutated advanced non-squamous non-small cell lung cancer (NSCLC). Participants in this study have NSCLC that has continued to progress on prior treatment with EGFR tyrosine kinase inhibitors (TKIs).
The primary hypotheses of this study is that sacituzumab tirumotecan is better than platinum-based doublet chemotherapy (pemetrexed and carboplatin) in regard to overall survival (OS).
Read the detailed description
Participants will be randomized 1:1 into two arms:
- Sacituzumab tirumotecan
- Pemetrexed plus Carboplatin
Participants will receive treatment until any of the criteria for discontinuation of study intervention are met.
- Conditions
- Non-small Cell Lung Cancer (NSCLC)
- Being tested
- Sacituzumab tirumotecan, Pemetrexed, Carboplatin, H1 Receptor Antagonist, H2 Receptor Antagonist
- 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.
Sacituzumab tirumotecanBiological
Also called SKB264, MK-2870
4 mg/kg via IV infusion
PemetrexedDrug
500 mg/m^2 via IV infusion
CarboplatinDrug
AUC 5 mg/mL*min via IV infusion
H1 Receptor AntagonistDrug
Administered as rescue medication per approved product label
H2 Receptor AntagonistDrug
Administered as rescue medication per approved product label
Acetaminophen (or equivalent)Drug
Administered as rescue medication per approved product label
Dexamethasone (or equivalent)Drug
Administered as rescue medication per approved product label
Steroid Mouthwash (dexamethasone or equivalent)Drug
Administered as rescue medication per approved product label
| Study group | Role | What they receive |
|---|---|---|
| Sacituzumab tirumotecan | Experimental | Participants receive 4 mg/kg sacituzumab tirumotecan via intravenous (IV) infusion every 2 weeks (Days 1, 15, and 29 of every 6-week cycle) until discontinuation criteria is met. Receives: Biological: Sacituzumab tirumotecan; Drug: H1 Receptor Antagonist; Drug: H2 Receptor Antagonist; Drug: Acetaminophen (or equivalent); Drug: Dexamethasone (or equivalent); Drug: Steroid Mouthwash (dexamethasone or equivalent) |
| Pemetrexed Plus Carboplatin | Active comparator | Participants receive, via IV infusion, 500 mg/m2 pemetrexed every 3 weeks (Days 1 and 22 of every 6-week cycle) plus area under the curve (AUC) 5 mg/mL*min carboplatin every 3 weeks (Days 1 and 22 of every 6-week cycle for 4 doses), then 500 mg/m2 pemetrexed every 3 weeks until discontinuation criteria is met. Receives: Drug: Pemetrexed; Drug: Carboplatin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival (OS)
Overall survival is defined as the time from randomization to death due to any cause. Overall survival for all randomized participants will be reported.
Measured: Up to approximately 51 months
Secondary outcomes (13)
Progression-Free Survival (PFS)
Progression-Free Survival is defined as the time from randomization to the first documented disease progression per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) based on blinded independent central review (BICR) or death due to any cause, whichever occurs first. PFS for all randomized participants will be reported.
Measured: Up to approximately 51 months
Objective Response Rate (ORR)
The objective response rate (ORR) is defined as a confirmed complete response (CR: disappearance of all target lesions) or partial response (PR: at least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1 as assessed by BICR. The overall response rate for all randomized participants will be reported.
Measured: Up to approximately 51 months
Duration of Response (DOR)
For participants who demonstrate confirmed CR or PR per RECIST 1.1 as assessed by BICR, duration of response is defined as the time from the first documented evidence of CR or PR until disease progression or death due to any cause, whichever occurs first. CR is defined as the disappearance of all target lesions. PR is defined as at least a 30% decrease in the sum of diameters of target lesions.
Measured: Up to approximately 51 months
Change from Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) Global Health Status (Item 29) and Quality of Life (Item 30) Combined Score
The EORTC-QLQ-C30 is a 30-item questionnaire developed to assess the quality of life of cancer patients. Participant responses to the Global Health Status (GHS) question "How would you rate your overall health during the past week?" (Item 29) and the Quality of Life (QoL) question "How would you rate your overall quality of life during the past week?" (Item 30) are scored on a 7-point scale (1=Very Poor to 7=Excellent). Using linear transformation, raw scores are standardized so that scores range from 0 to 100. A higher value indicates a better level of function. The change from baseline in EORTC QLQ-C30 Items 29 and 30 combined score will be reported.
Measured: Baseline and up to approximately 6 years
Change From Baseline in the Dyspnea (Item 8) Score, on the EORTC QLQ-C30
The EORTC QLQ-C30 is a cancer specific health-related quality-of life (QoL) questionnaire. Participant responses to the question "Were you short of breath?" are scored on a 4-point scale (1=Not at All to 4=Very Much). Using linear transformation, raw scores are standardized so that scores range from 0 to 100. A higher value indicates increased severity of symptoms. Change from baseline in dyspnea (EORTC QLQ-C30 Item 8) will be reported.
Measured: Baseline and up to approximately 6 years
Change from Baseline in the Cough (Item 31) Score, on the EORTC Lung-Cancer specific Quality of Life Questionnaire (QLQ-LC13)
The EORTC QLQ-LC13 is a lung cancer-specific supplemental questionnaire used in combination with the EORTC QLQ-C30. Participant responses to the question "How much did you cough?" are scored on a 4-point scale (1=Not at All to 4=Very Much). Using linear transformation, raw scores are standardized, so that scores range from 0 to 100. A higher value indicates increased severity of symptoms. Change from baseline in cough (EORTC QLQ-LC13 Item 31) will be reported.
Measured: Baseline and up to approximately 6 years
Change from Baseline in the Chest Pain (Item 40) Score, on the EORTC QLQ-LC13
The EORTC QLQ-LC13 is a lung cancer-specific supplemental questionnaire used in combination with the EORTC QLQ-C30. Participant responses to the question "Have you had pain in your chest?" are scored on a 4-point scale (1=Not at All to 4=Very Much). Using linear transformation, raw scores are standardized, so that scores range from 0 to 100. A higher value indicates increased severity of symptoms. Change from baseline in chest pain (EORTC QLQ-LC13 Item 40) score will be presented.
Measured: Baseline and up to approximately 6 years
Time to Deterioration (TTD) in Global Health Status/Quality of Life (Items 29 and 30) Combined Score, on the EORTC QLQ-C30
EORTC-QLQ-C30 is a 30-item questionnaire developed to assess the QoL of cancer patients. Participant responses to Items 29 and 30 ("How would you rate your overall health during the past week?" and "How would you rate your overall quality of life during the past week?") are scored on a 7-point scale (1=Very Poor to 7=Excellent). Using linear transformation, raw scores are standardized, so that scores range from 0 to 100. TTD in Global Health Status (GHS)/Quality of Life (QoL) is defined as the time from baseline to the first onset of a ≥10-point decrease from baseline in combined GHS/QoL score. The TTD in GHS/QoL (Items 29 and 30) combined score will be reported.
Measured: Baseline and up to approximately 6 years
TTD in the Dyspnea (Item 8) Score, on the EORTC QLQ-C30
EORTC-QLQ-C30 is a 30-item questionnaire developed to assess the QoL of cancer patients. Participant responses to the question for Item 8 "Were you short of breath?" are scored on a 4-point scale (1=Not at All to 4=Very Much). TTD is defined as the time from baseline to the first onset of a ≥10-point decrease from baseline in score. The TTD in dyspnea score (EORTC QLQ-C30 Item 8) will be reported.
Measured: Baseline and up to approximately 6 years
TTD in the Cough (Item 31) Score, on the EORTC QLQ-LC13
The EORTC QLQ-LC13 is a lung cancer-specific supplemental questionnaire used in combination with the EORTC QLQ-C30. Participant responses to the question for Item 31 "How much did you cough?" are scored on a 4-point scale (1=Not at All to 4=Very Much). TTD is defined as the time from baseline to the first onset of a ≥10-point decrease from baseline in score. The TTD in cough score (EORTC QLQ-C30 Item 31) will be reported.
Measured: Baseline and up to approximately 6 years
TTD in the Chest Pain (Item 40) Score, on the EORTC QLQ-LC13
The EORTC QLQ-LC13 is a lung cancer-specific supplemental questionnaire used in combination with the EORTC QLQ-C30. Participant responses to the question for Item 40 "Have you had pain in your chest?" are scored on a 4-point scale (1=Not at All to 4=Very Much). Using linear transformation, raw scores are standardized, so that scores range from 0 to 100. TTD is defined as the time from baseline to the first onset of a ≥10-point decrease from baseline in score. The TTD in chest pain score (EORTC QLQ-C30 Item 40) will be reported.
Measured: Baseline and up to approximately 6 years
Number of Participants Who Experience One or More Adverse Events (AEs)
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The number of participants who experience one or more AEs will be reported.
Measured: Up to approximately 6 years
Number of Participants Who Discontinue Study Treatment Due to an AE
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The number of participants who discontinue study treatment due to an AE will be reported.
Measured: Up to approximately 6 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Mar 2024
- Study start11 Jun 2024
- Primary completion17 Aug 2028 (estimated)
- Study completion14 Jun 2030 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Non-small Cell Lung Cancer (NSCLC)Studies of the same condition, open and under way.
- More trials run by Merck Sharp & Dohme LLCThe 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
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 550 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Merck Sharp & Dohme LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Merck Sharp & Dohme LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06305754
- Sponsor's protocol ID
- 2870-009
- Other IDs
- 2023-504910-31-00, U1111-1288-3804, MK-2870-009, jRCT2071240041, 2023
- Status last verified
- Oct 2026
- First submitted
- 5 Mar 2024
- Last updated
- 30 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf
Study at a glance
From the registry record, last updated by the sponsor on 30 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Open-label, Phase 3 Study of MK-2870 vs. Platinum Doublets in Participants With EGFR-mutated, Advanced Nonsquamous Non-small Cell Lung Cancer (NSCLC) Who Have Progressed on Prior EGFR Tyrosine Kinase Inhibitors
- ClinicalTrials.gov ID
- NCT06305754
- Acronym / sponsor ID
- 2870-009
- Conditions
- Non-small Cell Lung Cancer (NSCLC)
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 550 participants (estimated)
- Lead sponsor
- Merck Sharp & Dohme LLCIndustry (pharma, biotech, devices)
- Study start
- 11 Jun 2024 (actual)
- Primary completion
- 17 Aug 2028 (estimated)
- Study completion
- 14 Jun 2030 (estimated)
- First posted
- 12 Mar 2024 (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 sacituzumab tirumotecan versus pemetrexed in combination with carboplatin for the treatment of epidermal growth factor receptor (EGFR)-mutated advanced non-squamous non-small cell lung cancer (NSCLC). Participants in this study have NSCLC that has continued to progress on prior treatment with EGFR tyrosine kinase inhibitors (TKIs).
The primary hypotheses of this study is that sacituzumab tirumotecan is better than platinum-based doublet chemotherapy (pemetrexed and carboplatin) in regard to overall survival (OS).
Detailed description
Participants will be randomized 1:1 into two arms:
- Sacituzumab tirumotecan
- Pemetrexed plus Carboplatin
Participants will receive treatment until any of the criteria for discontinuation of study intervention are met.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Sacituzumab tirumotecan | Experimental | Biological: Sacituzumab tirumotecan, Drug: H1 Receptor Antagonist, Drug: H2 Receptor Antagonist, Drug: Acetaminophen (or equivalent), Drug: Dexamethasone (or equivalent), Drug: Steroid Mouthwash (dexamethasone or equivalent)Participants receive 4 mg/kg sacituzumab tirumotecan via intravenous (IV) infusion every 2 weeks (Days 1, 15, and 29 of every 6-week cycle) until discontinuation criteria is met. |
| Pemetrexed Plus Carboplatin | Active comparator | Drug: Pemetrexed, Drug: CarboplatinParticipants receive, via IV infusion, 500 mg/m2 pemetrexed every 3 weeks (Days 1 and 22 of every 6-week cycle) plus area under the curve (AUC) 5 mg/mL*min carboplatin every 3 weeks (Days 1 and 22 of every 6-week cycle for 4 doses), then 500 mg/m2 pemetrexed every 3 weeks until discontinuation criteria is met. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Histologically or cytologically confirmed diagnosis of advanced-stage nonsquamous non-small cell lung cancer (NSCLC).
- Participants who have adverse events (AEs) due to previous anticancer therapies must have recovered to Grade ≤1 or baseline.
- Participants who are Hepatitis B surface antigen (HBsAg) positive are eligible if they have received Hepatitis B virus (HBV) antiviral therapy for at least 4 weeks and have undetectable HBV viral load.
- Participants with history of Hepatitis C virus (HCV) infection are eligible if HCV viral load is undetectable.
- Human immunodeficiency virus (HIV)-infected participants must have well controlled HIV on antiretroviral therapy.
Key exclusion criteria (16 listed)
- Predominantly squamous cell histology NSCLC.
- History of second malignancy, unless potentially curative treatment has been completed with no evidence of malignancy for 3 years.
- Grade ≥2 peripheral neuropathy.
- History of documented severe dry eye syndrome, severe Meibomian gland disease and/or blepharitis, or severe corneal disease that prevents/delays corneal healing.
- Active inflammatory bowel disease requiring immunosuppressive medication or previous history of inflammatory bowel disease.
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 |
|---|---|---|
| Sacituzumab tirumotecanAlso: SKB264, MK-28704 mg/kg via IV infusion | Biological | Sacituzumab tirumotecan |
| Pemetrexed500 mg/m^2 via IV infusion | Drug | Pemetrexed Plus Carboplatin |
| CarboplatinAUC 5 mg/mL*min via IV infusion | Drug | Pemetrexed Plus Carboplatin |
| H1 Receptor AntagonistAdministered as rescue medication per approved product label | Drug | Sacituzumab tirumotecan |
| H2 Receptor AntagonistAdministered as rescue medication per approved product label | Drug | Sacituzumab tirumotecan |
| Acetaminophen (or equivalent)Administered as rescue medication per approved product label | Drug | Sacituzumab tirumotecan |
| Dexamethasone (or equivalent)Administered as rescue medication per approved product label | Drug | Sacituzumab tirumotecan |
| Steroid Mouthwash (dexamethasone or equivalent)Administered as rescue medication per approved product label | Drug | Sacituzumab tirumotecan |
Primary outcome
Overall Survival (OS)
Time frame: Up to approximately 51 months
Overall survival is defined as the time from randomization to death due to any cause. Overall survival for all randomized participants will be reported.
13 secondary outcomes
Progression-Free Survival (PFS)
Time frame: Up to approximately 51 months
Objective Response Rate (ORR)
Time frame: Up to approximately 51 months
Duration of Response (DOR)
Time frame: Up to approximately 51 months
Change from Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) Global Health Status (Item 29) and Quality of Life (Item 30) Combined Score
Time frame: Baseline and up to approximately 6 years
Change From Baseline in the Dyspnea (Item 8) Score, on the EORTC QLQ-C30
Time frame: Baseline and up to approximately 6 years
Change from Baseline in the Cough (Item 31) Score, on the EORTC Lung-Cancer specific Quality of Life Questionnaire (QLQ-LC13)
Time frame: Baseline and up to approximately 6 years
Change from Baseline in the Chest Pain (Item 40) Score, on the EORTC QLQ-LC13
Time frame: Baseline and up to approximately 6 years
Time to Deterioration (TTD) in Global Health Status/Quality of Life (Items 29 and 30) Combined Score, on the EORTC QLQ-C30
Time frame: Baseline and up to approximately 6 years
TTD in the Dyspnea (Item 8) Score, on the EORTC QLQ-C30
Time frame: Baseline and up to approximately 6 years
TTD in the Cough (Item 31) Score, on the EORTC QLQ-LC13
Time frame: Baseline and up to approximately 6 years
TTD in the Chest Pain (Item 40) Score, on the EORTC QLQ-LC13
Time frame: Baseline and up to approximately 6 years
Number of Participants Who Experience One or More Adverse Events (AEs)
Time frame: Up to approximately 6 years
Number of Participants Who Discontinue Study Treatment Due to an AE
Time frame: Up to approximately 6 years
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 30 Oct 2026.
- Merck Clinical Trials Information.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf
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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.
Medical Director study director
Merck Sharp & Dohme LLC
156 sites in 19 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Sacituzumab tirumotecan, Pemetrexed and Carboplatin in people with Non-small Cell Lung Cancer (NSCLC), run by Merck Sharp & Dohme LLC at 156 sites in 19 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 16 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 30 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 156 sites in China, Japan, United States, South Korea, Taiwan and 14 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?
Overall Survival (OS) (time frame: Up to approximately 51 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 30 Oct 2026.