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A Study of Amivantamab in Combination With Lazertinib, or Amivantamab in Combination With Platinum-Based Chemotherapy, for Common Epidermal Growth Factor Receptor (EGFR)-Mutated Locally Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC)

  • PhasePhase 2
  • StatusRecruiting
  • Planned enrollment480 people
  • Recruiting US sites119
  • SponsorJanssen Research & Development, LLC
  • RegistryNCT06667076

Recruitment re-checked on ClinicalTrials.gov Oct 30, 2026. Public record; not medical advice.

A Study of Amivantamab in Combination With Lazertinib, or Amivantamab in Combination With Platinum-Based Chemotherapy, for Common Epidermal Growth Factor Receptor (EGFR)-Mutated Locally Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC): a one-minute explainerNCT066670761 min

Eligibility

Who can join

The film gives the main points. The full list below is copied from the registry; the study team makes the final decision.

  • Age18 Years to no maximum
  • SexAll
  • Healthy volunteersNo

You may be able to join if

  • Have histologically or cytologically confirmed advanced or metastatic non-small cell lung cancer (NSCLC) that is not amenable to curative intent therapy
  • Epidermal growth factor resistance-mutation (EGFRm) must be an Ex19del or Ex21 L858R substitution, as detected by food and drug administration (FDA)-approved or other validated test in a clinical laboratory improvement amendments (CLIA)-certified laboratory (sites in the US), or an accredited local laboratory (sites outside of the US) in accordance with site standard of care. In the European union (EU), the local test must be Conformité Européenne (CE)-marked or an in-house laboratory-developed test from health institutions in the EU in accordance with Article 5(5) of the in vitro diagnostic regulations (IVDR ) 2071/746, as amended
  • Have at least 1 measurable lesion, according to RECIST version (v)1.1, that has not been previously irradiated
  • Any toxicities from prior systemic anticancer therapy must have resolved to national cancer institute common terminology criteria for adverse events (NCI-CTCAE) version 5.0 grade 1 or baseline level (except for alopecia [any grade], grade <=2 peripheral neuropathy, or grade <=2 hypothyroidism stable on hormone replacement)
  • Have an eastern cooperative oncology group (ECOG) performance status of 0 to 1

You cannot join if

  • Medical history of active interstitial lung disease (ILD), including drug-induced ILD or radiation pneumonitis. Participants with medical history of radiation pneumonitis, including radiation pneumonitis which required steroid treatment, should consult with the medical monitor and eligibility be assessed on a case-by-case basis
  • Had major surgery excluding placement of vascular access or tumor biopsy or had significant traumatic injury within 4 weeks before the first dose of anticancer treatments or will not have fully recovered from surgery, or has surgery planned during the time the participant is expected to participate in the study
  • Participant has uncontrolled tumor-related pain (symptomatic lesions amenable to palliative radiotherapy should be treated prior to first dosing)
  • Received an investigational treatment that has not been cleared (based on at least 5 half lives of any pharmaceutical treatment) before the planned first dose of study treatment or is currently enrolled in an investigational study
  • Has a prior or concurrent second malignancy (other than the disease under study) which natural history or treatment could likely interfere with any study endpoints of safety or the efficacy of the study treatment(s)

The treatment

How it is intended to work

This is how the treatment is meant to work. Whether it helps, and how safe it is, is what this trial is testing.

amivantamab and recombinant human hyaluronidase. A co-formulation composed of amivantamab, a human bispecific antibody targeting both epidermal growth factor receptor EGFR and hepatocyte growth factor receptor (HGFR; c-Met), and a recombinant form of human hyaluronidase, with potential antineoplastic activity. Upon subcutaneous administration of amivantamab and recombinant human hyaluronidase, the hyaluronidase reversibly depolymerizes the polysaccharide hyaluronan in the subcutaneous tissue. This increases the permeability of the subcutaneous tissue and enhances the absorption of amivantamab into the systemic circulation. In turn, amivantamab simultaneously targets and binds to wild-type or certain mutant forms of both EGFR and c-Met expressed on cancer cells, thereby preventing receptor phosphorylation. This prevents the activation of both EGFR- and c-Met-mediated signaling pathways. In addition, binding results in receptor degradation, which further inhibits EGFR- and c-Met-mediated signaling. Amivantamab also causes antibody-dependent cellular cytotoxicity (ADCC). Altogether, this results in the inhibition of tumor cell proliferation. When administered subcutaneously, hyaluronidase, an endoglycosidase, increases the dispersion and absorption of co-administered drugs. EGFR and c-Met, upregulated or mutated in a variety of tumor cell types, play key roles in tumor cell proliferation. NCI Drug Dictionary

lazertinib mesylate hydrate. The hydrated mesylate salt form of lazertinib, an orally available third-generation, selective inhibitor of certain forms of the epidermal growth factor receptor (EGFR) with activating mutations, including the resistance mutation T790M, exon 19 deletions (Del19), and the L858R mutation, with potential antineoplastic activity. Upon oral administration, lazertinib specifically and irreversibly binds to and inhibits selective EGFR mutants, specifically EGFR exon 19 deletions and exon 21 L858R substitution mutations. This prevents EGFR mutant-mediated signaling and leads to cell death in EGFR mutant-expressing tumor cells. In addition, lazertinib penetrates the blood-brain barrier (BBB). As this agent shows minimal activity against wild-type EGFR (wtEGFR), systemic toxicity is minimal as compared to non-selective EGFR inhibitors. EGFR, a receptor tyrosine kinase (RTK) mutated in many tumor cell types, plays a key role in tumor cell proliferation and tumor vascularization. NCI Drug Dictionary

Treatments listed in the registry

  • Amivantamab (Drug): Amivantamab will be administered.
  • Lazertinib (Drug): Lazertinib tablet will be administered.
  • Chemotherapy: Pemetrexed (Drug): Pemetrexed will be administered.
  • Chemotherapy: Carboplatin (Drug): Carboplatin will be administered.

The study

Treatment groups

Non Randomized · Parallel · masking: None

Cohort 1: Amivantamab and Lazertinib (Experimental)

Participants will receive Amivantamab in combination with Lazertinib orally in 28-day cycles until disease progression, withdrawal of consent, death, or the investigator decides to discontinue treatment, whichever comes first.

Cohort 2: Amivantamab and Chemotherapy (Experimental)

Participants will receive Amivantamab in combination with chemotherapy (carboplatin and pemetrexed) intravenous (IV) infusion in 21-day cycles until disease progression, withdrawal of consent, death, or the investigator decides to discontinue treatment, whichever comes first.

Goals

What the study measures

Main goals

  • Progression Free Survival (PFS) (Up to 4 Years and 6 months)

Other goals

  • Number of Participants Reporting Dose Reductions, Interruptions, and Discontinuations
  • Number of Participants With Venous Thromboembolic Events (VTEs)
  • Number of Participants With Dermatologic Adverse Events (AEs)
  • Number of Participants with AEs by Severity
  • Overall Survival (OS)
  • Overall Response Rate (ORR)
  • Clinical Benefit Rate (CBR)
  • Duration of Response (DOR)
  • Time to Treatment Discontinuation (TTTD)
  • Time to Subsequent Therapy (TTST)
  • Time to Symptomatic Progression (TTSP)

Planned enrollment: 480 (estimated).

Where

Recruiting US sites

  • Southern Cancer Center, PC, Daphne, Alabama
  • City of Hope Phoenix, Goodyear, Arizona
  • The Oncology Institute of Hope and Innovation, Cerritos, California
  • City of Hope Corona, Corona, California
  • City of Hope, Duarte, California
  • Providence Medical Foundation, Fullerton, California
  • Los Angeles Cancer Network, Glendale, California
  • Glendale Adventist Medical Center, Glendale, California
  • Marin Cancer Center, Greenbrae, California
  • City of Hope Seacliff, Huntington Beach, California
  • City of Hope Orange County Lennar Foundation Cancer Center, Irvine, California
  • University of California San Diego Health, La Jolla, California
  • City of Hope Antelope Valley, Lancaster, California
  • City of Hope Long Beach Elm, Long Beach, California
  • Cancer and Blood Specialty Clinic, Los Alamitos, California
  • USC Norris Comprehensive Cancer Center, Los Angeles, California
  • Cedars Sinai Medical Center, Los Angeles, California
  • Valkyrie Clinical Trials, Los Angeles, California
  • Valkyrie Clinical Trials Murrieta, Murrieta, California
  • St. Joseph Hospital Center for Cancer Prevention and Treatment, Orange, California
  • University of California Irvine, Orange, California
  • UC Davis Comprehensive Cancer Center, Sacramento, California
  • UCSF Zuckerberg San Francisco General Hospital, San Francisco, California
  • Sansum Clinic, Santa Barbara, California
  • Kaiser Permanente Santa Clara Medical Center, Santa Clara, California
  • Providence Medical Foundation 1, Santa Rosa, California
  • City of Hope South Pasadena, South Pasadena, California
  • City of Hope Upland, Upland, California
  • Kaiser Permanente Northern California, Vallejo, California
  • Kaiser Permanente Walnut Creek Medical Center, Walnut Creek, California
  • John Muir Health Clinical Research Center, Walnut Creek, California
  • Rocky Mountain Cancer Centers, Lone Tree, Colorado
  • Yale New Haven Hospital Yale Cancer Center, New Haven, Connecticut
  • ChristianaCare Helen F Graham Cancer Center and Research Institute, Newark, Delaware
  • MedStar Georgetown University Hospital, Washington D.C., District of Columbia
  • Washington DC VA Medical Center, Washington D.C., District of Columbia
  • Baptist Lynn Cancer Institute, Boca Raton, Florida
  • The Oncology Institute of Hope and Innovation 1, Fort Lauderdale, Florida
  • Florida Cancer Specialists, Fort Myers, Florida
  • Univ of Florida, Gainesville, Florida
  • Memorial Regional Hospital, Hollywood, Florida
  • Baptist MD Anderson Cancer Center, Jacksonville, Florida
  • Mayo Clinic, Jacksonville, Florida
  • Sylvester Comprehensive Cancer Center, Miami, Florida
  • Baptist Health Miami Cancer Institute, Miami, Florida
  • AdventHealth Orlando, Orlando, Florida
  • Orlando Health Cancer Institute, Orlando, Florida
  • Memorial Cancer Institute, Pembroke Pines, Florida
  • Florida Cancer Specialists & Research Institute 1, St. Petersburg, Florida
  • Moffitt Cancer Center, Tampa, Florida
  • Florida Cancer Specialists & Research Institute, West Palm Beach, Florida
  • Grady Health System Correll Pavilion, Atlanta, Georgia
  • Piedmont Healthcare, Atlanta, Georgia
  • Piedmont Cancer Institute, Atlanta, Georgia
  • Winship Cancer Institute Emory University, Atlanta, Georgia
  • City of Hope Cancer Center, Newnan, Georgia
  • Rush University Medical Center Rush University Cancer Center Chicago, Chicago, Illinois
  • University of Illinois at Chicago, Chicago, Illinois
  • Cancer Care Specialists of Central Illinois, Decatur, Illinois
  • Illinois CancerCare, Peoria, Illinois
  • City of Hope Chicago, Zion, Illinois
  • Fort Wayne Medical Oncology and Hematology, Fort Wayne, Indiana
  • Investigative Clinical Research of Indiana, LLC, Noblesville, Indiana
  • Accellacare of McFarland, Ames, Iowa
  • University of Kansas Cancer Center, Fairway, Kansas
  • University of Maryland, Baltimore, Maryland
  • Maryland Oncology Hematology P A, Silver Spring, Maryland
  • Boston University Medical Center, Boston, Massachusetts
  • Beth Israel Deaconess Medical Center, Boston, Massachusetts
  • Dana Farber Cancer Institute, Boston, Massachusetts
  • University of Michigan Health System, Ann Arbor, Michigan
  • Trinity Health St Joseph Mercy Ann Arbor, Ypsilanti, Michigan
  • University Of Minnesota, Minneapolis, Minnesota
  • Mayo Clinic Rochester, Rochester, Minnesota
  • Truman Medical Ctr West, Kansas City, Missouri
  • Oncology Hematology Associates, Springfield, Missouri
  • Washington University School Of Medicine, St Louis, Missouri
  • Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire
  • Morristown Medical Center, Morristown, New Jersey
  • Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey
  • Overlook Medical Center, Summit, New Jersey
  • University of New Mexico, Albuquerque, New Mexico
  • Hematology-Oncology Associates of CNY, East Syracuse, New York
  • Laura & Isaac Perlmutter Cancer Center at NYU Langone Hospital - Long Island, Mineola, New York
  • NYU Langone Health Laura and Isaac Perlmutter Cancer Center, New York, New York
  • Herbert Irving Comprehensive Cancer Center Columbia University Medical Center, New York, New York
  • Ellis Hospital, Schenectady, New York
  • New York Cancer and Blood Specialists, Shirley, New York
  • Montefiore Medical Center, The Bronx, New York
  • Atrium Health, Charlotte, North Carolina
  • Regional Medical Oncology Center, Wilson, North Carolina
  • Atrium Health Wake Forest Baptist Comprehensive Cancer Center, Winston-Salem, North Carolina
  • Cincinnati Veterans Affairs Medical Center, Cincinnati, Ohio
  • Oncology Associates of Oregon PC Willamette Valley Cancer Institute, Eugene, Oregon
  • Oregon Health And Science University, Portland, Oregon
  • Thomas Jefferson University Hospital, Philadelphia, Pennsylvania
  • Jefferson Health Northeast, Philadelphia, Pennsylvania
  • McGlinn Cancer Institute Reading Hospital, West Reading, Pennsylvania
  • Medical University of South Carolina, Charleston, South Carolina
  • Tennessee Oncology - Chattanooga, Chattanooga, Tennessee
  • Tennessee Cancer Specialists, Knoxville, Tennessee
  • University of Tennessee, Knoxville, Tennessee
  • SCRI Oncology Partners, Nashville, Tennessee
  • Tennessee Oncology, Nashville, Tennessee
  • Texas Oncology South, Austin, Texas
  • Parkland Health and Hospital System, Dallas, Texas
  • Texas Oncology DFW, Dallas, Texas
  • UT Southwestern Medical Center, Dallas, Texas
  • MD Anderson Cancer Center, Houston, Texas
  • Oncology Consultants Texas, Houston, Texas
  • Texas Oncology San Antonio Northeast, San Antonio, Texas
  • Community Clinical Trials, Spring, Texas
  • The University of Texas Health Science Center at Tyler, Tyler, Texas
  • Texas Oncology - Northeast, Tyler, Texas
  • Texas Oncology-Gulf Coast, Webster, Texas
  • Huntsman Cancer Institute, Salt Lake City, Utah
  • Virginia Cancer Specialists, Fairfax, Virginia
  • Vista Oncology, Olympia, Washington
  • Summit Cancer Centers, Spokane, Washington

54 recruiting sites outside the US. Site status as of Oct 30, 2026. Check the live record before contacting a site.

Sources

Where this comes from

Registry record reviewed as fetched Oct 30, 2026, last updated by the sponsor Sep 24, 2026. Public record; not medical advice.

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