The purpose of this trial was to evaluate the safety and efficacy of capmatinib in
combination with spartalizumab in adult participants with epidermal growth factor
receptor (EGFR) wild type (for exon 19 deletions and exon 21 L858R substitution
mutations), anaplastic lymphoma kinase (ALK) rearrangement negative in locally advanced
(stage IIIB, not eligible for definitive chemo-radiation) or metastatic (stage IV)
Non-small cell lung cancer (NSCLC) after failure of platinum doublet and checkpoint
inhibitor treatment.
Study sponsor and potential other locations can be found on ClinicalTrials.gov for NCT03647488.
This was a two-part prospectively designed, multicenter, open-label, randomized phase II
study.
Part 1: Run-in. Prior to the randomized part of the study, a run-in to assess the safety
and tolerability as well as preliminary efficacy of the capmatinib and spartalizumab
combination was conducted. Participants were treated with capmatinib 400 mg twice daily
(BID) and spartalizumab 400 mg intravenously (i.v.) once every 28 days. A review was
planned to take place after all participants had at least 24 weeks of follow-up. The
decision to expand the study to the randomized part was to be based on the safety,
tolerability, and preliminary efficacy of the capmatinib and spartalizumab combination.
Part 2: Randomized. Subjects were planned to be randomized to one of the following arms
in a 2:1 ratio: 1) combination of capmatinib 400 mg BID and spartalizumab 400 mg i.v.
once every 28 days; 2) docetaxel 75 mg/m2 i.v. following local guidelines as per standard
of care and product labels. Based on the results obtained in the run-in part of the
study, the randomized part was not opened.
For the run-in part of the study, the treatment period began on Cycle 1 Day 1 and
continued in 28-day cycles until disease progression, unacceptable toxicity, withdrawal
of informed consent, pregnancy, lost to follow-up, or death irrespective of start of new
anti-neoplastic therapy. After treatment discontinuation, all subjects were followed for
safety evaluations during the safety follow-up period, and the subject's status was
collected every 8 weeks as part of the survival follow-up
Lead OrganizationNovartis Pharmaceuticals Corporation