Overview
Sponsor-declared trial summary
Non small cell lung cancer (NSCLC)
To compare the Progression Free Survival (PFS) per Blinded Independent Central Review (BICR) of repotrectinib and crizotinib
Key facts
- Sponsor
- Bristol-Myers Squibb Services Unlimited Company
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Neoplasms [C04]
- Trial duration
- 24 Jan 2024 → ongoing
- Decision date (initial)
- 2024-01-15
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- Yes
- Funding sources
- Bristol-Myers Squibb Services Unlimited Company
External identifiers
- EU CT number
- 2023-505604-32-00
- WHO UTN
- U1111-1292-0487
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Pharmacodynamic, Safety, Efficacy, Pharmacokinetic
To compare the Progression Free Survival (PFS) per Blinded Independent Central Review (BICR) of repotrectinib and crizotinib
Secondary objectives 6
- Overall Survival (OS) of repotrectinib and crizotinib
- Tumor response of repotrectinib and crizotinib
- PFS per investigator of repotrectinib and crizotinib
- Time to intracranial progression of repotrectinib and crizotinib
- Safety of repotrectinib and crizotinib
- Disease-related symptoms for repotrectinib and crizotinib
Conditions and MedDRA coding
Non small cell lung cancer (NSCLC)
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 21.1 | PT | 10061873 | Non-small cell lung cancer | 100000004864 |
| 21.1 | PT | 10029521 | Non-small cell lung cancer stage IIIB | 100000004864 |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 6
- 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
Exclusion criteria 4
- 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 actionable tumor targetable co-mutations or rearrangements
- Clinically significant cardiovascular disease (either active or within 6 months prior to enrollment)
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- PFS per BICR, according to RECIST v1.1
Secondary endpoints 10
- Overall Survival
- Objective Response Rate (ORR)
- Duration of Response (DOR)
- Time to Response (TTR) per BICR and per investigator according to RECIST v1.1
- PFS per investigator according to RECIST v1.1
- Time to intracranial progression per BICR according to RECIST v1.1
- Incidence of Adverse Events (AEs), Serious Adverse Events (SAEs)
- AEs leading to study intervention discontinuation
- Drug-related AEs and deaths
- Proportion of participants without meaningful symptom deterioration as measured by the NSCLC-SAQ total score
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 4
PRD10161502 · Product
- Active substance
- Repotrectinib
- Pharmaceutical form
- CAPSULE, HARD
- Route of administration
- ORAL
- Max daily dose
- 320 mg milligram(s)
- Max total dose
- 9999 mg milligram(s)
- Max treatment duration
- 9999 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- BRISTOL-MYERS SQUIBB INTERNATIONAL CORPORATION
- Paediatric formulation
- No
- Orphan designation
- No
PRD10501502 · Product
- Active substance
- Repotrectinib
- Pharmaceutical form
- CAPSULE, HARD
- Route of administration
- ORAL
- Max daily dose
- 320 mg milligram(s)
- Max total dose
- 9999 mg milligram(s)
- Max treatment duration
- 9999 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- BRISTOL-MYERS SQUIBB INTERNATIONAL CORPORATION
- Paediatric formulation
- No
- Orphan designation
- No
PRD672296 · Product
- Active substance
- Crizotinib
- Substance synonyms
- PF-02341066
- Pharmaceutical form
- CAPSULE, HARD
- Route of administration
- ORAL
- Max daily dose
- 500 mg milligram(s)
- Max total dose
- 9999 mg milligram(s)
- Max treatment duration
- 9999 Week(s)
- Authorisation status
- Authorised
- ATC code
- L01ED01 — -
- Marketing authorisation
- EU/1/12/793/002
- MA holder
- PFIZER EUROPE MA EEIG
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
PRD672297 · Product
- Active substance
- Crizotinib
- Substance synonyms
- PF-02341066
- Pharmaceutical form
- CAPSULE, HARD
- Route of administration
- ORAL
- Max daily dose
- 500 mg milligram(s)
- Max total dose
- 9999 mg milligram(s)
- Max treatment duration
- 9999 Week(s)
- Authorisation status
- Authorised
- ATC code
- L01ED01 — -
- Marketing authorisation
- EU/1/12/793/004
- MA holder
- PFIZER EUROPE MA EEIG
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Bristol-Myers Squibb Services Unlimited Company
- Sponsor organisation
- Bristol-Myers Squibb Services Unlimited Company
- Address
- Plaza 254 Blanchardstown Corporate Park 2, Ballycoolin Ballycoolin
- City
- Dublin 15
- Postcode
- D15 T867
- Country
- Ireland
Scientific contact point
- Organisation
- Bristol-Myers Squibb Services Unlimited Company
- Contact name
- GSM-CT
Public contact point
- Organisation
- Bristol-Myers Squibb Services Unlimited Company
- Contact name
- GSM-CT
Third parties 1
| Organisation | City, country | Duties |
|---|---|---|
| Y-Prime, Inc. ORL-000000955
|
Malvern, PA, United States | Other |
Locations
10 EU/EEA countries · 45 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Austria | Ended | 4 | 1 |
| France | Ongoing, recruitment ended | 19 | 8 |
| Germany | Ongoing, recruitment ended | 19 | 9 |
| Greece | Ended | 8 | 4 |
| Hungary | Ended | 2 | 1 |
| Italy | Ongoing, recruitment ended | 10 | 5 |
| Netherlands | Ended | 1 | 2 |
| Poland | Ended | 1 | 2 |
| Romania | Ongoing, recruitment ended | 10 | 5 |
| Spain | Ongoing, recruitment ended | 9 | 8 |
| Rest of world
Turkey, Korea, Democratic People's Republic of, Switzerland, India, Chile, Argentina, Brazil, China, United States, Canada
|
— | 234 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| Austria | 2024-01-30 | 2025-09-22 | 2024-08-20 | 2025-05-15 | |
| France | 2024-01-26 | 2024-02-15 | 2025-05-15 | ||
| Germany | 2024-01-24 | 2024-03-14 | 2025-05-15 | ||
| Greece | 2024-04-05 | 2025-05-15 | 2025-01-09 | 2025-05-15 | |
| Hungary | 2024-08-08 | ||||
| Italy | 2024-02-13 | 2024-03-07 | 2025-05-15 | ||
| Netherlands | 2025-05-22 | 2025-09-05 | |||
| Poland | 2024-03-15 | 2025-05-15 | 2024-11-08 | 2025-05-15 | |
| Romania | 2024-01-26 | 2024-02-23 | 2025-05-15 | ||
| Spain | 2024-01-30 | 2024-02-22 | 2025-05-15 |
Oversight and notifications
Regulatory notifications under CTR Articles 38, 52, 53, 54 and 77
Corrective measures 1 · Art. 77 CTR
Corrective measure CM-IT-0001
- Member state
- Italy
- Publication date
- 2025-10-14
- Type
- 1
- Reason
- 6
- Reverted date
- 2025-10-14
- Immediate action required
- Yes
- Notes
- Reverted (2025-10-14)
- Justification
- Dear Applicant,
It was ascertained that the Territorial Ethics Committee due to technical issue did not assess the documentation submitted for the SM-09 EU CT 2023-505604-32-00 procedure (AIFA authorization provision n° 0115112-12/09/2025-AIFA-AIFA_USC-P).
Therefore, in compliance with CHAPTER XIII (SUPERVISION BY MEMBER STATES, UNION INSPECTIONS AND CONTROLS) of Regulation 536/2014 with specific reference to Article 77 (Corrective measures to be taken by Member States):
1. Where a Member State concerned has justified grounds for considering that the requirements set out in this Regulation are no longer met, it may take the following measures on its territory:
(a) revoke the authorisation of a clinical trial;
(b) suspend a clinical trial;
(c) require the sponsor to modify any aspect of the clinical trial.
A corrective measure is applied suspending the trial. This corrective measure is only applicable to Italy.
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 112 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol 2023-505604-32-00 GR Redacted | 04 EU |
| Protocol (for publication) | D1_Protocol 2023-505604-32-00_Redacted | 04 EU |
| Protocol (for publication) | D1_Protocol administrative letter 2023-505604-32-00_Redacted | NA |
| Protocol (for publication) | D4 Patient Facing Documents redacted GR | NA |
| Protocol (for publication) | D4 Statement on validated questionnaire _under license PL | N/A |
| Protocol (for publication) | D4 statement_patient facing documents_AUT_GER_for publication | N/A |
| Protocol (for publication) | D4 statement_patient facing documents_D_GER_for publication | 1 |
| Protocol (for publication) | D4_Patient facing document_Questionnaire PGIC_AUT | N/A |
| Protocol (for publication) | D4_Patient facing document_Questionnaire PGIC_DE | 1 |
| Protocol (for publication) | D4_Patient facing document_Questionnaire PGIS_AUT | N/A |
| Protocol (for publication) | D4_Patient facing document_Questionnaire_PGIS_DE | 1 |
| Protocol (for publication) | D4_Patient facing documents EQ-5D-5L_redacted | 1 |
| Protocol (for publication) | D4_Patient facing documents EQ-5D-5L_Redacted | 1 |
| Protocol (for publication) | D4_Patient facing documents FACIT-GP5_IT_Redacted | 1 |
| Protocol (for publication) | D4_Patient facing documents GP5_redacted | 1 |
| Protocol (for publication) | D4_Patient facing documents GP5_Redacted | 1 |
| Protocol (for publication) | D4_Patient facing documents PGIC_IT_Redacted | 1 |
| Protocol (for publication) | D4_Patient facing documents PGIC_redacted | 1 |
| Protocol (for publication) | D4_Patient facing documents PGIC_Redacted | 1 |
| Protocol (for publication) | D4_Patient facing documents PGIS_IT_Redacted | 1 |
| Protocol (for publication) | D4_Patient facing documents PGIS_redacted | 1 |
| Protocol (for publication) | D4_Patient facing documents PGIS_Redacted | 1 |
| Protocol (for publication) | D4_Patient facing documents pro-ctcae_redacted | 1 |
| Protocol (for publication) | D4_Patient facing documents PRO-CTCAE_Redacted | 1 |
| Protocol (for publication) | D4_Patient facing documents PROC_NSCLC-SAQ_IT_Redacted | 1 |
| Protocol (for publication) | D4_Patient facing documents PROC_NSCLC-SAQ_redacted | 1 |
| Protocol (for publication) | D4_Patient facing documents PROC_NSCLC-SAQ_Redacted | NA |
| Protocol (for publication) | D4_Patient facing documents_pro-ctcae_IT_Redacted | 1 |
| Protocol (for publication) | D4_Patient facing documents_Questionnaire PGIC_FR | N/A |
| Protocol (for publication) | D4_Patient facing documents_Questionnaire PGIS_FR | N/A |
| Protocol (for publication) | D4_Patient facing documents_Questionnaire PGIS_HU | 1 |
| Protocol (for publication) | D4_Patient facing documents_Statement on Questionnaires under licence ENG | 1 |
| Protocol (for publication) | D4_Patient facing documents_Statement on Questionnaires under licence_FR | N/A |
| Protocol (for publication) | D4_Statement on validated questionnaires under license_HU | 1 |
| Protocol (for publication) | D4_Statement on validated questionnaires under license_NL | 1 |
| Recruitment arrangements (for publication) | K1 Template recruitment arrangements | 2.0 |
| Recruitment arrangements (for publication) | K1_ Recruitment arrangements | 3 |
| Recruitment arrangements (for publication) | K1_ Recruitment arrangements_IT_Redacted | 3 |
| Recruitment arrangements (for publication) | K1_ Recruitment arrangements_IT_tc | 2 |
| Recruitment arrangements (for publication) | K1_AT_recruitment arrangements | 2 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements PL_Redacted | 2 |
| Recruitment arrangements (for publication) | K1_recruitment arrangements_DE | 2 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_FR | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements_NL | 1.2 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_redacted | 1 |
| Recruitment arrangements (for publication) | K2_ Recruitment material_Generic Study Participant Guide Cancer | 1 |
| Recruitment arrangements (for publication) | K2_ Recruitment material_Participant Guide Cancer_RO | 1 |
| Recruitment arrangements (for publication) | K2_ Recruitment material_ParticipantVisitPlanner_RO | NA |
| Recruitment arrangements (for publication) | K2_ Recruitment material_Patient_Brochure | 1 |
| Recruitment arrangements (for publication) | K2_ Recruitment material_Patient_Brochure_RO | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment Material_Generic Study Participant Guide Cancer_GR | NA |
| Recruitment arrangements (for publication) | K2_recruitment material_patient _translation | 1 |
| Recruitment arrangements (for publication) | K2_recruitment material_patient brochure | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_patient brochure | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Patient Brochure_PL | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_patient brochure_translation | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment Material_Patient_Brochure_GR | 1.0 |
| Subject information and informed consent form (for publication) | L1 ICF for Pregnant Partners | 1.0 |
| Subject information and informed consent form (for publication) | L1 ICF for Treatment beyond Progression | 1.0 |
| Subject information and informed consent form (for publication) | L1 ICF Main Redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF Crossover | 1 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF for Crossover study_IT_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF for processing personal data_IT_Redacted | 4.0 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF MAIN _IT | 4 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF Main_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF Pregnant Partner | 1 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF Pregnant partner_IT_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF TRAVEL REIMBURSEMENT _INSTITUTION_IT_tc | 2 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF_ subject reimbourse_Administration_IT_Redacted | 2 |
| Subject information and informed consent form (for publication) | L1_AT_ICF_PP_unredacted | 1 |
| Subject information and informed consent form (for publication) | L1_AT_ICF_TBP_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1_AT_SIS and ICF Crossover_redacted | 1 |
| Subject information and informed consent form (for publication) | L1_AT_SIS and ICF Main_Redacted | 3 |
| Subject information and informed consent form (for publication) | L1_NL_SIS and ICF crossover IC_NLD Redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and IC Main_PL_Redacted | 3 |
| Subject information and informed consent form (for publication) | L1_SIS and IC Patient Reimbursement _PL | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and IC Treatment Beyond Progression _PL | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Crossover_DE_Redacted | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Crossover_GR_Redacted | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Crossover_Redacted_PL | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_DE_redacted | 4 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_IT_Redacted | 5.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF PP_DE | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pregnant Partner | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pregnant partner_FR_Clean | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pregnant Partner_PL | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF TBP_DE_redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Treatment Beyond Progression_FR | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF treatment beyond progression_IT | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Crossover_ES_Redacted | 3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main IC_Included participant_FR_redacted | 4.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main IC_New participant_FR_Redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main IC_redacted | 5 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_NL_nld_Redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional IC_Crossover_FR_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnant Participant and Pregnant Partner IC_NL_nld | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnant_Partner_NL | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_site contact details_redacted | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Treatment beyond progression | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Treatment Beyond Progression_NL | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Treatment beyond progression_Redacted | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC Xalkori Pfizer GmbH | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis 2023-505604-32_HU | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis EN 2023-505604-32-00 | 4 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2023-505604-32_NL | 4.0 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_2023-505604-32-00_FR | 4.0 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_EU-CT 2023-505604-32-00_AT | 4 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_EU-CT 2023-505604-32-00_ES | 4 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_EU-CT 2023-505604-32-00_GR | 4 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_EU-CT 2023-505604-32-00_RO | 4 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_IT_2023-505604-32-00 | 4 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_PL_EU CT 2023-505604-32-00 | 4 |
Application history
16 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2023-09-05 | France | Acceptable 2024-01-09
|
2024-01-10 |
| 2 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2024-01-17 | Acceptable 2024-01-09
|
2024-01-17 | |
| 3 | NON SUBSTANTIAL MODIFICATION | NSM-2 | 2024-01-19 | Acceptable 2024-01-09
|
2024-01-19 | |
| 4 | NON SUBSTANTIAL MODIFICATION | NSM-3 | 2024-01-22 | Acceptable 2024-01-09
|
2024-01-22 | |
| 5 | SUBSTANTIAL MODIFICATION | SM-1 | 2024-01-29 | |||
| 6 | NON SUBSTANTIAL MODIFICATION | NSM-4 | 2024-03-13 | France | 2024-03-13 | |
| 7 | SUBSTANTIAL MODIFICATION | SM-2 | 2024-04-08 | Acceptable | 2024-07-15 | |
| 8 | SUBSTANTIAL MODIFICATION | SM-3 | 2024-04-08 | France | Acceptable | 2024-04-23 |
| 9 | SUBSEQUENT ADDITION OF MSC | APP-9 | 2024-05-22 | Acceptable 2024-01-09
|
2024-08-02 | |
| 10 | NON SUBSTANTIAL MODIFICATION | NSM-6 | 2024-08-09 | Acceptable 2024-01-09
|
2024-08-09 | |
| 11 | SUBSTANTIAL MODIFICATION | SM-6 | 2024-08-29 | France | Acceptable 2024-11-06
|
2024-11-06 |
| 12 | SUBSTANTIAL MODIFICATION | SM-7 | 2024-11-29 | France | Acceptable 2025-02-06
|
2025-02-06 |
| 13 | NON SUBSTANTIAL MODIFICATION | NSM-7 | 2025-04-09 | France | Acceptable 2025-02-06
|
2025-04-09 |
| 14 | NON SUBSTANTIAL MODIFICATION | NSM-8 | 2025-04-09 | Acceptable 2025-02-06
|
2025-04-09 | |
| 15 | SUBSTANTIAL MODIFICATION | SM-9 | 2025-07-11 | France | Acceptable 2025-09-01
|
2025-09-02 |
| 16 | SUBSTANTIAL MODIFICATION | SM-10 | 2026-02-06 | France | Acceptable 2026-04-09
|
2026-04-10 |