New study aims to tame skin rashes in lung cancer therapy
NCT ID NCT06120140
First seen Jun 27, 2026 · Last updated Aug 28, 2026 · Updated 4 times
Summary
This study looks at whether special skin care can lower the chance of bad skin reactions in people with advanced lung cancer who are taking a combination of two drugs (amivantamab and lazertinib). About 305 participants will be randomly assigned to standard skin care or enhanced skin care. The goal is to see if the enhanced approach reduces moderate to severe skin problems like rash, itching, or nail changes.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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305 people
The number who actually took part.
- Started
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Feb 2024
- Expected to finish
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Jun 2030
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Have histologically or cytologically confirmed, locally advanced or metastatic non-small cell lung cancer (NSCLC); Is treatment naive and not amenable to curative therapy including surgical resection or (chemo) radiation. Adjuvant or neoadjuvant therapy for Stage I, Stage II or Stage IIIA disease is allowed if last dose administered more than 12 months prior to the development of locally advanced or metastatic disease * Have a tumor that harbors an epidermal growth factor receptor (EGFR) Exon 19del or Exon 21 L858R substitution, as detected by an Food and Drug Administration (FDA)-approved or other validated test in a clinical laboratory improvement amendments (CLIA)-certified laboratory (sites in the United States) or an accredited local laboratory (sites outside of the United States) in accordance with site standard-of-care * A participant with asymptomatic or previously treated and stable brain metastases may participate in this study. Participants with a history of symptomatic brain metastases must have had all lesions treated as clinically indicated (that is, no current indication for further definitive local therapy). Any definitive local therapy to brain metastases must have been completed at least 14 days prior to randomization, and the participant can be receiving no greater than 10 milligram (mg) prednisone or equivalent daily for the treatment of intracranial disease * Can have prior or concurrent second malignancy (other than the disease under study) which natural history or treatment is unlikely to interfere with any study endpoints, safety, or the efficacy of the study treatment(s). For the amivantamab SC expansion cohorts: Due to the increased risk of skin cancer with ruxolitinib, participants with any prior or concurrent skin malignancies will be excluded * Sub-study: Participants must have new-onset or persistent (defined as non-responsive to standard of care \[SoC\]) Grade \>=2 specific DAEIs of the scalp, face, or body, as defined by NCI-CTCAE Grading v5.0 for DAEIs (excluding paronychia) Exclusion Criteria: * History of uncontrolled illness, including but not limited to uncontrolled diabetes; ongoing or active infection (includes infection requiring treatment with antimicrobial therapy \[participants will be required to complete antibiotics 1 week prior to starting background anticancer treatment\] or diagnosed or suspected viral infection). For the amivantamab SC expansion cohorts, this includes active localized serious infections; active bleeding diathesis; impaired oxygenation requiring continuous oxygen supplementation; refractory nausea and vomiting, chronic gastrointestinal diseases, inability to swallow the formulated product, or previous significant bowel resection that would preclude adequate absorption of background anticancer treatment or doxycycline/minocycline; psychiatric illness, social situation, or any other circumstances that would limit compliance with study requirements; any ophthalmologic condition that is clinically unstable; pre-existing skin condition that would prevent adequate evaluations of dermatologic toxicity, as determined by the investigator * Medical history of interstitial lung disease (ILD), including drug-induced ILD or radiation pneumonitis * Known allergy, hypersensitivity, or intolerance to the excipients of amivantamab, lazertinib, or to tetracyclines, doxycycline, minocycline, timolol\*, ruxolitinib\*, zinc\*, corticosteroids\* or their excipients or to any component of the enhanced dermatologic management (\*for the amivantamab SC expansion cohorts) * Participant has received any prior systemic treatment at any time for locally advanced stage III B/C or metastatic stage IV disease (adjuvant or neoadjuvant therapy for stage I, II or IIIA disease is allowed if last dose administered more than 12 months prior to the development of locally advanced or metastatic disease) * Participant has an active or past medical history of leptomeningeal disease * Sub-study: Participants who have received prior treatment for epidermal growth factor receptor (EGFR)-induced DAEIs with JAK inhibitors (for Cohort A) or calcineurin inhibitors (for Cohort B)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Adana City Hospital
Adana, 1060, Turkey (Türkiye)
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Ankara Bilkent City Hospital
Ankara, 6800, Turkey (Türkiye)
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Associacao Feminina de Educacao e Combate ao Cancer Hospital Santa Rita de Cassia
Vitória, 29043-260, Brazil
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Bakirkoy Training and Research Hospital
Istanbul, 34147, Turkey (Türkiye)
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CTO Centro De Tratamento Oncologico LTDA
Belém, 66.073-005, Brazil
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Cancer and Blood Specialty Clinic
Los Alamitos, California, 90720, United States
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Centro Medico Austral
Capital Federal, C1017, Argentina
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Chang Gung Memorial Hospital
Kaohsiung City, 833, Taiwan
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Changzhou No 2 Peoples Hospital
Changzhou, 213004, China
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Chungbuk National University Hospital
Cheongju-si, 28644, South Korea
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City of Hope
Duarte, California, 91010, United States
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City of Hope Long Beach Elm
Long Beach, California, 90813, United States
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City of Hope Orange County Lennar Foundation Cancer Center
Irvine, California, 92618, United States
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City of Hope Seacliff
Huntington Beach, California, 92648, United States
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City of Hope South Pasadena
South Pasadena, California, 91030, United States
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Clinical Research Alliance Inc
Westbury, New York, 11590, United States
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Ege University Medical Faculty
Izmir, 35100, Turkey (Türkiye)
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Fudan University Shanghai Cancer Center
Shanghai, 200032, China
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Fundacao Antonio Prudente A C Camargo Cancer Center
São Paulo, 01509 900, Brazil
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Fundacao Doutor Amaral Carvalho
Jaú, 17.210-080, Brazil
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Fundacao Faculdade de Medicina - Instituto do Cancer do Estado de Sao Paulo
São Paulo, 01246 000, Brazil
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Gachon University Gil Medical Center
Incheon, 21565, South Korea
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Gazi University Hospital
Ankara, 06560, Turkey (Türkiye)
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Gulhane Training and Research Hospital
Ankara, 06010, Turkey (Türkiye)
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Gundersen Health System
West Salem, Wisconsin, 54669, United States
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Harbin medical university cancer hospital
Harbin, 150040, China
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Henan Cancer Hospital
Zhengzhou, 450008, China
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Hope and Healing Care
Hinsdale, Illinois, 60521, United States
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Hopital Nord
Marseille, 13915, France
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Hopital PASTEUR
Nice, 06001, France
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Hosp Regional Univ de Malaga
Málaga, 29010, Spain
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Hosp Univ A Coruna
A Coruña, 15006, Spain
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Hosp Univ Vall D Hebron
Barcelona, 08035, Spain
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Hosp. Gral. Univ. Gregorio Maranon
Madrid, 28007, Spain
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Hosp. Gral. Univ. de Alicante
Alicante, 03010, Spain
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Hosp. Ntra. Sra. de Valme
Seville, 41014, Spain
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Hosp. Univ. Lucus Augusti
Lugo, 27003, Spain
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Hosp. Univ. Quiron Dexeus
Barcelona, 08028, Spain
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Hosp. Univ. de Jaen
Jaén, 23007, Spain
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Hospital Ana Nery Santa Cruz do Sul
Santa Cruz do Sul, 96835-100, Brazil
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Hospital Italiano de Buenos Aires
Buenos Aires, C1199, Argentina
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Hospital Italiano de La Plata
La Plata, B1900AXI, Argentina
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Hospital Nossa Senhora da Conceicao S A
Porto Alegre, 91350 200, Brazil
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Hospital Privado de la Comunidad
Mar del Plata, B7602, Argentina
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Hospital Pulau Pinang
George Town, 10450, Malaysia
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Hospital Tengku Ampuan Afzan
Kuantan, 25100, Malaysia
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Hospital Umum Sarawak
Kuching, 93586, Malaysia
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Huizhou Municipal Central Hospital
Huizhou, 516001, China
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Hunterdon Hematology Oncology
Flemington, New Jersey, 08822, United States
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I A U VM Medical Park Florya Hastanesi
Istanbul, 34295, Turkey (Türkiye)
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IADT Instituto Argentino de Diagnostico y Tratamiento
CABA, C1122, Argentina
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Institut Curie
Paris, 75005, France
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Ironwood Cancer and Research Center
Chandler, Arizona, 85224, United States
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Kaiser Permanente Northern California
Vallejo, California, 94589, United States
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Kaiser Permanente Oakland Medical Center
Oakland, California, 94611, United States
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Kaiser Permanente Roseville Medical Center
Roseville, California, 95661, United States
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Kaiser Permanente San Francisco Medical Center
San Francisco, California, 94115, United States
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Kaiser Permanente Santa Clara Medical Center
Santa Clara, California, 95051, United States
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Kaiser Permanente Walnut Creek Medical Center
Walnut Creek, California, 94596, United States
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Keck Hospital of USC
Los Angeles, California, 90033, United States
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Kliniken Essen-Mitte
Essen, 45136, Germany
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Klinikum Kassel GmbH
Kassel, 34125, Germany
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Liga Paranaense de Combate ao Cancer
Curitiba, 81520-060, Brazil
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Linkou Chang Gung Memorial Hospital
Taoyuan City, 333, Taiwan
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Los Angeles Cancer Network
Glendale, California, 91204, United States
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National Taiwan University Hospital
Taipei, 100, Taiwan
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National Taiwan University Hospital Hsin Chu Branch
Hsinchu, 30059, Taiwan
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Nucleo de Oncologia da Bahia Oncoclinicas
Salvador, 40170 070, Brazil
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Oncology Hematology Associates
Springfield, Missouri, 65807, United States
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Ondokuz Mayis University
Samsun, 55420, Turkey (Türkiye)
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Providence Fullerton
Fullerton, California, 92835, United States
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Regional Medical Oncology Center
Wilson, North Carolina, 27893, United States
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Renown Health Medical Oncology
Reno, Nevada, 89502, United States
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Santa Casa de Misericordia de Belo Horizonte
Belo Horizonte, 30150-221, Brazil
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Servicos de Tratamento ao Cancer de Taubate LTDA - Instituto do Cancer Brasil Unidade Taubate
Taubaté, 12030-200, Brazil
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Severance Hospital Yonsei University Health System
Seoul, 03722, South Korea
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Sichuan Cancer Hospital
Chengdu, 610041, China
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Taichung Veterans General Hospital
Taichung, 40705, Taiwan
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The First Affiliated Hospital Sun Yat sen University
Guangzhou, 510080, China
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The First Affiliated Hospital Zhejiang University School of Medicine
Hangzhou, 310003, China
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The First Affiliated Hospital of Xian Jiaotong University
Xi'an, 710061, China
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Thoraxklinik am Universitatsklinikum Heidelberg
Heidelberg, 69126, Germany
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USC Norris Oncology Hematology Newport Beach
Newport Beach, California, 92663, United States
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Universitaetsklinikum Giessen und Marburg GmbH
Giessen, 35392, Germany
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Universitaetsklinikum Schleswig Holstein Campus Kiel
Kiel, 24105, Germany
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Universitaetsklinikum der RWTH Aachen
Aachen, 52074, Germany
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University Cancer & Blood Center
Athens, Georgia, 30607, United States
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University Hospitals Cleveland Medical Center
Cleveland, Ohio, 44106, United States
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University Malaya Medical Centre
Kuala Lumpur, 59100, Malaysia
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Valley Medical Center
Renton, Washington, 98055, United States
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Virginia Cancer Specialists
Fairfax, Virginia, 22031, United States
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West China Hospital
Chengdoucun, 610041, China
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Zhongda Hospital Southeast University
Nanjing, 210000, China
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Other studies related to the condition(s) this trial covers.
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