A Phase III, Open-label, Sponsor-blind, Randomized Study of Dato-DXd With or Without Osimertinib Versus Platinum-based Doublet Chemotherapy for Participants With EGFR-mutated Locally Advanced or Metastatic Non-small Cell Lung Cancer Whose Disease Has Progressed on Prior Osimertinib Treatment (TROPION-Lung15)
Summary
This study will assess the effect of Dato-DXd in combination with osimertinib or Dato-DXd monotherapy versus platinum-based doublet chemotherapy in terms of progression-free survival (PFS).
Detailed description
This is a Phase III, open-label, 3-arm, multicenter study assessing the effects of Dato-DXd in combination with osimertinib or Dato-DXd monotherapy versus platinum-based doublet chemotherapy in participants with epidermal growth factor receptor gene mutation (EGFRm) locally advanced or metastatic non-small cell lung cancer (NSCLC) whose disease has progressed on prior osimertinib treatment. Participants will be randomized in a 1:1:1 ratio to one of the following intervention groups: 1. Dato-DXd + osimertinib combination therapy 2. Dato-DXd monotherapy 3. Platinum-based doublet chemotherapy Participants will receive study intervention until Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST v1.1) -defined radiological progression by the investigator, unacceptable toxicity, or other discontinuation criterion is met. After study intervention discontinuation, all participants will undergo an end of treatment (EoT) visit within 35 days of discontinuation and will be followed up for safety assessments 28 (+ 7) days after their last dose of study intervention.
Arms & interventions
- DrugDato-DXd
Dato-DXd will be administered as IV infusion.
- DrugOsimertinib
Osimertinib will be administered orally.
- DrugPemetrexed
Pemetrexed will be administered as IV infusion.
- DrugCarboplatin
Carboplatin will be administered as IV infusion.
- DrugCisplatin
Cisplatin will be administered as IV infusion.
Outcome measures
Primary
Progression free Survival (PFS)
PFS is defined as the time from randomization to Blinded Independent Central Review (BICR)-assessed progression using RECIST v1.1 or death due to any cause, regardless of whether the participant withdraws from study therapy, receives other anti-cancer therapy, or clinical progression.
Time frame: Up to 2.5 years
Secondary
Overall Survival (OS)
Time frame: Up to 3.5 years
Central Nervous System Progression-free Survival (CNS PFS)
Time frame: Up to 2.5 years
Objective Response Rate (ORR)
Time frame: Up to 2.5 years
Duration of Response (DoR)
Time frame: Up to 2.5 years
Progression-free Survival-2 (PFS-2)
Time frame: Up to 3.5 years
Objective Response Rate (ORR) Using CNS Modified RECIST v1.1
Time frame: Up to 2.5 years
Duration of Response (DoR) Using CNS Modified RECIST v1.1
Time frame: Up to 2.5 years
Time to Deterioration in Pulmonary Symptoms
Time frame: Up to 3.5 years
Time to Deterioration in Physical Functioning
Time frame: Up to 3.5 years
Time to Deterioration in Global Health Status (GHS)/Quality of Life (QoL)
Time frame: Up to 3.5 years
Pharmacokinetics (PK) of Dato-DXd
Time frame: Up to 3.5 years
Immunogenicity of Dato-DXd
Time frame: Up to 3.5 years
Eligibility criteria
Study locations (34)
Research Site
Fayetteville, Arkansas, 72703
Research Site
Duarte, California, 91010
Research Site
Fountain Valley, California, 92708
Research Site
La Jolla, California, 92093
Research Site
Los Angeles, California, 90048
Research Site
San Diego, California, 92123
Research Site
Colorado Springs, Colorado, 80909
Research Site
Fort Collins, Colorado, 80528
Research Site
Washington D.C., District of Columbia, 20007
Research Site
Gainesville, Florida, 32608
Research Site
Jacksonville, Florida, 32256
Research Site
Athens, Georgia, 30607
Research Site
Chicago, Illinois, 60611
Research Site
Evanston, Illinois, 60201
Research Site
Louisville, Kentucky, 40207
Research Site
Baltimore, Maryland, 21201
Research Site
Bethesda, Maryland, 20817
Research Site
Boston, Massachusetts, 02114
Research Site
Boston, Massachusetts, 02215
Research Site
Detroit, Michigan, 48202
Research Site
Kansas City, Missouri, 64132
Research Site
Omaha, Nebraska, 68124
Research Site
Morristown, New Jersey, 07960
Research Site
Northfield, New Jersey, 08225
Research Site
New York, New York, 10016
Research Site
New York, New York, 10065
Research Site
The Bronx, New York, 10461
Research Site
Maumee, Ohio, 43537
Research Site
Philadelphia, Pennsylvania, 19107
Research Site
Pittsburgh, Pennsylvania, 15232
Research Site
Chattanooga, Tennessee, 37404
Research Site
Nashville, Tennessee, 37203
Research Site
Fairfax, Virginia, 22031
Research Site
Seattle, Washington, 98104
References
- Tan DS, Nadal E, Cheema P, Wu YL, Ahn MJ, Tanizaki J, Grainger E, Nizialek E, Forcina A, van der Gronde T, Yu HA. TROPION-Lung15: a randomized phase III study of osimertinib combined with datopotamab deruxtecan (Dato-DXd) or Dato-DXd alone versus platinum-doublet chemotherapy in patients with EGFR-mutated advanced non-small cell lung cancer and whose disease has progressed on prior osimertinib. Ther Adv Med Oncol. 2025 Dec 23;17:17588359251385410. doi: 10.1177/17588359251385410. eCollection 2025.(PubMed)