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Phase 2Recruiting

Targeted Treatment for Advanced Non-Small Cell Lung Cancer That Has a MET Exon 14 Skipping Gene Change (An Expanded Lung-MAP Treatment Trial)

Sponsored by SWOG Cancer Research Network

About this study

This phase II Expanded Lung-MAP treatment trial tests tepotinib with or without ramucirumab for the treatment of patients with advanced non-small cell lung cancer that has spread from where it first started (primary site) to other places in the body (stage IV) or that has come back after a period of improvement (recurrent). Tepotinib is used in patients whose cancer has a mutated (changed) form of a gene called MET. It is in a class of medications called kinase inhibitors. It works by blocking the action of the abnormal MET protein that signals tumor cells to multiply. This helps slow or stop the spread of tumor cells. Ramucirumab is a monoclonal antibody that may prevent the growth of new blood vessels that tumors need to grow. Giving tepotinib with ramucirumab may lower the chance of the cancer from growing or spreading in patients with stage IV or recurrent non-small cell lung cancer.

PRIMARY OBJECTIVE: I. To compare the response rate (confirmed or unconfirmed, complete or partial) between participants with MET exon 14 skipping positive non-small cell lung cancer (NSCLC) randomized to tepotinib with or without ramucirumab. SECONDARY OBJECTIVES: I. To compare the frequency of all-grade treatment- related peripheral edema as defined by Common Terminology Criteria for Adverse Events (CTCAE) between the arms. II. To evaluate the frequency and severity of toxicities within each arm. III. To compare progression-free survival between the arms. IV. To compare overall survival between the arms. V. To estimate the duration of response (DoR) among responders within each arm. TRANSLATIONAL MEDICINE OBJECTIVE: I. To establish a tissue/blood repository for participants with MET…

Where this study is enrolling (241)

  • Gulf Health Hospitals Inc/Infirmary Cancer Care - Malbis

    Daphne, Alabama

    I'm interested
  • Thomas Hospital

    Fairhope, Alabama

    Call 251-435-4584

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  • Gulf Health Hospitals Inc/Infirmary Cancer Care - Saraland

    Saraland, Alabama

    I'm interested
  • Mobile Infirmary Medical Center

    Mobile, Alabama

    Call 251-435-3942

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  • NEA Baptist Memorial Hospital and Fowler Family Cancer Center - Jonesboro

    Jonesboro, Arkansas

    I'm interested
Show all 241 locations
  • University of Arkansas for Medical Sciences

    Little Rock, Arkansas

    Call 501-686-8274

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  • Sutter Pacific Medical Foundation

    Santa Rosa, California

    I'm interested
  • Kaiser Permanente-San Francisco

    San Francisco, California

    I'm interested
  • Cedars-Sinai Medical Center

    Los Angeles, California

    I'm interested
  • Memorial Medical Center

    Modesto, California

    I'm interested
  • Alta Bates Summit Medical Center-Herrick Campus

    Berkeley, California

    I'm interested
  • Eisenhower Medical Center

    Rancho Mirage, California

    Call 760-834-3798

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  • Sutter Roseville Medical Center

    Roseville, California

    I'm interested
  • Sutter Medical Center Sacramento

    Sacramento, California

    I'm interested
  • University of California Davis Comprehensive Cancer Center

    Sacramento, California

    Call 916-734-3089

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  • California Pacific Medical Center-Pacific Campus

    San Francisco, California

    I'm interested
  • Mills Health Center

    San Mateo, California

    I'm interested
  • Palo Alto Medical Foundation-Santa Cruz

    Santa Cruz, California

    I'm interested
  • Palo Alto Medical Foundation-Sunnyvale

    Sunnyvale, California

    I'm interested
  • Cedars-Sinai Cancer - Tarzana

    Tarzana, California

    Call 818-981-3818

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  • Torrance Memorial Physician Network - Cancer Care

    Torrance, California

    I'm interested
  • Palo Alto Medical Foundation-Fremont

    Fremont, California

    I'm interested
  • Tower Cancer Research Foundation

    Beverly Hills, California

    I'm interested
  • Sutter Auburn Faith Hospital

    Auburn, California

    I'm interested
  • Kaiser Permanente-Vallejo

    Vallejo, California

    I'm interested
  • Sutter Solano Medical Center/Cancer Center

    Vallejo, California

    I'm interested
  • UC San Diego Moores Cancer Center

    La Jolla, California

    I'm interested
  • Memorial Hospital North

    Colorado Springs, Colorado

    Call 719-364-6700

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  • Poudre Valley Hospital

    Fort Collins, Colorado

    Call 970-297-6150

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  • Cancer Care and Hematology-Fort Collins

    Fort Collins, Colorado

    I'm interested
  • UCHealth Greeley Hospital

    Greeley, Colorado

    I'm interested
  • Medical Center of the Rockies

    Loveland, Colorado

    Call 970-203-7083

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  • UCHealth University of Colorado Hospital

    Aurora, Colorado

    Call 720-848-0650

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  • UCHealth Memorial Hospital Central

    Colorado Springs, Colorado

    Call 719-365-2406

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  • Smilow Cancer Hospital Care Center at Glastonbury

    Glastonbury, Connecticut

    I'm interested
  • Smilow Cancer Hospital Care Center at Greenwich

    Greenwich, Connecticut

    I'm interested
  • Smilow Cancer Hospital Care Center - Guilford

    Guilford, Connecticut

    I'm interested
  • Smilow Cancer Hospital Care Center at Saint Francis

    Hartford, Connecticut

    I'm interested
  • Yale University

    New Haven, Connecticut

    I'm interested
  • Yale-New Haven Hospital North Haven Medical Center

    North Haven, Connecticut

    I'm interested
  • Smilow Cancer Hospital-Torrington Care Center

    Torrington, Connecticut

    I'm interested
  • Smilow Cancer Hospital Care Center-Trumbull

    Trumbull, Connecticut

    I'm interested
  • Smilow Cancer Hospital-Waterbury Care Center

    Waterbury, Connecticut

    I'm interested
  • Smilow Cancer Hospital Care Center - Waterford

    Waterford, Connecticut

    I'm interested
  • Smilow Cancer Hospital Care Center at Long Ridge

    Stamford, Connecticut

    I'm interested
  • Smilow Cancer Hospital-Derby Care Center

    Derby, Connecticut

    I'm interested
  • Smilow Cancer Hospital Care Center-Fairfield

    Fairfield, Connecticut

    I'm interested
  • Bayhealth Hospital Sussex Campus

    Milford, Delaware

    I'm interested
  • Bayhealth Hospital Kent Campus

    Dover, Delaware

    I'm interested
  • Kaiser Permanente-Capitol Hill Medical Center

    Washington D.C., District of Columbia

    I'm interested
  • Moffitt Cancer Center

    Tampa, Florida

    I'm interested
  • Northeast Georgia Medical Center-Gainesville

    Gainesville, Georgia

    I'm interested
  • University Cancer and Blood Center LLC

    Athens, Georgia

    I'm interested
  • Kootenai Clinic Cancer Services - Post Falls

    Post Falls, Idaho

    I'm interested
  • Saint Alphonsus Cancer Care Center-Boise

    Boise, Idaho

    I'm interested
  • Saint Alphonsus Cancer Care Center-Caldwell

    Caldwell, Idaho

    I'm interested
  • Saint Alphonsus Cancer Care Center-Nampa

    Nampa, Idaho

    I'm interested
  • Kootenai Health - Coeur d'Alene

    Coeur d'Alene, Idaho

    I'm interested
  • Kootenai Clinic Cancer Services - Sandpoint

    Sandpoint, Idaho

    I'm interested
  • Carle Physician Group-Mattoon/Charleston

    Mattoon, Illinois

    I'm interested
  • Northwestern University

    Chicago, Illinois

    I'm interested
  • Illinois CancerCare-Eureka

    Eureka, Illinois

    I'm interested
  • Carle Physician Group-Effingham

    Effingham, Illinois

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  • Illinois CancerCare-Bloomington

    Bloomington, Illinois

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  • Illinois CancerCare-Canton

    Canton, Illinois

    I'm interested
  • Illinois CancerCare-Carthage

    Carthage, Illinois

    I'm interested
  • John H Stroger Jr Hospital of Cook County

    Chicago, Illinois

    Call (312) 864-0200

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  • Carle at The Riverfront

    Danville, Illinois

    I'm interested
  • Cancer Care Specialists of Illinois - Decatur

    Decatur, Illinois

    I'm interested
  • Decatur Memorial Hospital

    Decatur, Illinois

    I'm interested
  • Northwestern Medicine Cancer Center Kishwaukee

    DeKalb, Illinois

    I'm interested
  • Crossroads Cancer Center

    Effingham, Illinois

    I'm interested
  • Illinois CancerCare-Galesburg

    Galesburg, Illinois

    I'm interested
  • Northwestern Medicine Cancer Center Delnor

    Geneva, Illinois

    I'm interested
  • Northwestern Medicine Glenview Outpatient Center

    Glenview, Illinois

    Call 312-695-1102

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  • Northwestern Medicine Grayslake Outpatient Center

    Grayslake, Illinois

    Call 312-695-1102

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  • Edward Hines Jr VA Hospital

    Hines, Illinois

    Call 708-202-8387

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  • Illinois CancerCare-Kewanee Clinic

    Kewanee, Illinois

    I'm interested
  • Northwestern Medicine Lake Forest Hospital

    Lake Forest, Illinois

    I'm interested
  • Illinois CancerCare-Macomb

    Macomb, Illinois

    I'm interested
  • Loyola University Medical Center

    Maywood, Illinois

    Call 708-226-4357

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  • Cancer Care Center of O'Fallon

    O'Fallon, Illinois

    I'm interested
  • Northwestern Medicine Oak Brook

    Oak Brook, Illinois

    I'm interested
  • Northwestern Medicine Orland Park

    Orland Park, Illinois

    I'm interested
  • Illinois CancerCare-Ottawa Clinic

    Ottawa, Illinois

    I'm interested
  • Illinois CancerCare-Pekin

    Pekin, Illinois

    I'm interested
  • Illinois CancerCare-Peoria

    Peoria, Illinois

    I'm interested
  • Illinois CancerCare-Peru

    Peru, Illinois

    I'm interested
  • Illinois CancerCare-Princeton

    Princeton, Illinois

    I'm interested
  • Memorial Hospital East

    Shiloh, Illinois

    I'm interested
  • Southern Illinois University School of Medicine

    Springfield, Illinois

    Call 217-545-7929

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  • Springfield Clinic

    Springfield, Illinois

    Call 800-444-7541

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  • Springfield Memorial Hospital

    Springfield, Illinois

    I'm interested
  • Carle Cancer Center

    Urbana, Illinois

    I'm interested
  • Northwestern Medicine Cancer Center Warrenville

    Warrenville, Illinois

    I'm interested
  • Illinois CancerCare - Washington

    Washington, Illinois

    I'm interested
  • Illinois CancerCare-Dixon

    Dixon, Illinois

    Call 815-285-7800

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  • Indiana University/Melvin and Bren Simon Cancer Center

    Indianapolis, Indiana

    I'm interested
  • McFarland Clinic - Trinity Cancer Center

    Fort Dodge, Iowa

    Call 515-956-4132

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  • McFarland Clinic - Marshalltown

    Marshalltown, Iowa

    Call 515-956-4132

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  • UI Health Care Mission Cancer and Blood - Waukee Clinic

    Waukee, Iowa

    Call 515-241-3305

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  • UI Health Care Mission Cancer and Blood - Laurel Clinic

    Des Moines, Iowa

    Call 515-241-3305

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  • Iowa Methodist Medical Center

    Des Moines, Iowa

    Call 515-241-6727

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  • UI Health Care Mission Cancer and Blood - West Des Moines Clinic

    Clive, Iowa

    Call 515-241-3305

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  • UI Health Care Mission Cancer and Blood - Ankeny Clinic

    Ankeny, Iowa

    Call 515-241-3305

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  • McFarland Clinic - Ames

    Ames, Iowa

    I'm interested
  • Mary Greeley Medical Center

    Ames, Iowa

    Call 515-956-4132

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  • UI Health Care Mission Cancer and Blood - Des Moines Clinic

    Des Moines, Iowa

    Call 515-241-3305

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  • University of Kansas Hospital-Westwood Cancer Center

    Westwood, Kansas

    I'm interested
  • HaysMed

    Hays, Kansas

    Call 785-623-5774

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  • University of Kansas Cancer Center

    Kansas City, Kansas

    I'm interested
  • Lawrence Memorial Hospital

    Lawrence, Kansas

    I'm interested
  • The University of Kansas Cancer Center - Olathe

    Olathe, Kansas

    I'm interested
  • University of Kansas Cancer Center-Overland Park

    Overland Park, Kansas

    I'm interested
  • Salina Regional Health Center

    Salina, Kansas

    I'm interested
  • University of Kansas Health System Saint Francis Campus

    Topeka, Kansas

    Call 785-295-8000

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  • University of Kansas Hospital-Indian Creek Campus

    Overland Park, Kansas

    I'm interested
  • University of Kansas Clinical Research Center

    Fairway, Kansas

    I'm interested
  • University of Kentucky/Markey Cancer Center

    Lexington, Kentucky

    Call 859-257-3379

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  • Lafayette Family Cancer Center-EMMC

    Brewer, Maine

    Call 800-987-3005

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  • Kaiser Permanente Lutherville - Timonium Medical Center

    Lutherville, Maryland

    I'm interested
  • Kaiser Permanente-Gaithersburg Medical Center

    Gaithersburg, Maryland

    I'm interested
  • Kaiser Permanente-Woodlawn Medical Center

    Baltimore, Maryland

    I'm interested
  • Kaiser Permanente - Largo Medical Center

    Largo, Maryland

    I'm interested
  • UMass Memorial Medical Center - University Campus

    Worcester, Massachusetts

    I'm interested
  • Trinity Health Medical Center - Brighton

    Brighton, Michigan

    I'm interested
  • Trinity Health Saint Joseph Mercy Hospital Ann Arbor

    Ann Arbor, Michigan

    I'm interested
  • Trinity Health IHA Medical Group Hematology Oncology - Canton

    Canton, Michigan

    I'm interested
  • Trinity Health Medical Center - Canton

    Canton, Michigan

    I'm interested
  • Chelsea Hospital

    Chelsea, Michigan

    I'm interested
  • Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital

    Chelsea, Michigan

    I'm interested
  • Cancer Hematology Centers - Flint

    Flint, Michigan

    I'm interested
  • Genesys Hurley Cancer Institute

    Flint, Michigan

    I'm interested
  • Hurley Medical Center

    Flint, Michigan

    I'm interested
  • University of Michigan Health - Sparrow Lansing

    Lansing, Michigan

    I'm interested
  • Trinity Health Saint Mary Mercy Livonia Hospital

    Livonia, Michigan

    I'm interested
  • Trinity Health Saint Joseph Mercy Oakland Hospital

    Pontiac, Michigan

    I'm interested
  • MyMichigan Medical Center Saginaw

    Saginaw, Michigan

    I'm interested
  • MyMichigan Medical Center Tawas

    Tawas City, Michigan

    I'm interested
  • Huron Gastroenterology PC

    Ypsilanti, Michigan

    I'm interested
  • Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus

    Ypsilanti, Michigan

    I'm interested
  • Trinity Health IHA Medical Group Hematology Oncology - Brighton

    Brighton, Michigan

    I'm interested
  • Essentia Health Hibbing Clinic

    Hibbing, Minnesota

    Call 218-786-3308

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  • Essentia Health Cancer Center

    Duluth, Minnesota

    I'm interested
  • Essentia Health - Deer River Clinic

    Deer River, Minnesota

    I'm interested
  • Sanford Joe Lueken Cancer Center

    Bemidji, Minnesota

    I'm interested
  • Essentia Health Virginia Clinic

    Virginia, Minnesota

    I'm interested
  • Essentia Health Sandstone

    Sandstone, Minnesota

    I'm interested
  • Baptist Memorial Hospital and Cancer Center-Golden Triangle

    Columbus, Mississippi

    I'm interested
  • Baptist Cancer Center-Grenada

    Grenada, Mississippi

    I'm interested
  • Baptist Memorial Hospital and Cancer Center-Union County

    New Albany, Mississippi

    I'm interested
  • Baptist Memorial Hospital and Cancer Center-Oxford

    Oxford, Mississippi

    I'm interested
  • Baptist Memorial Hospital and Cancer Center-Desoto

    Southhaven, Mississippi

    I'm interested
  • Siteman Cancer Center-South County

    St Louis, Missouri

    I'm interested
  • Siteman Cancer Center at Christian Hospital

    St Louis, Missouri

    I'm interested
  • Siteman Cancer Center at Saint Peters Hospital

    City of Saint Peters, Missouri

    I'm interested
  • Siteman Cancer Center at West County Hospital

    Creve Coeur, Missouri

    I'm interested
  • University Health Truman Medical Center

    Kansas City, Missouri

    Call 816-404-4375

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  • University of Kansas Cancer Center - Briarcliff

    Kansas City, Missouri

    Call 913-588-3671

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  • Saint Francis Medical Center

    Cape Girardeau, Missouri

    I'm interested
  • Mercy Hospital South

    St Louis, Missouri

    I'm interested
  • Washington University School of Medicine

    St Louis, Missouri

    I'm interested
  • University of Kansas Cancer Center - Lee's Summit

    Lee's Summit, Missouri

    I'm interested
  • University of Kansas Cancer Center - North

    Kansas City, Missouri

    I'm interested
  • Community Hospital of Anaconda

    Anaconda, Montana

    I'm interested
  • Billings Clinic Cancer Center

    Billings, Montana

    I'm interested
  • Bozeman Health Deaconess Hospital

    Bozeman, Montana

    I'm interested
  • Logan Health Medical Center

    Kalispell, Montana

    I'm interested
  • Community Medical Center

    Missoula, Montana

    I'm interested
  • Benefis Sletten Cancer Institute

    Great Falls, Montana

    I'm interested
  • OptumCare Cancer Care at Fort Apache

    Las Vegas, Nevada

    I'm interested
  • OptumCare Cancer Care at Charleston

    Las Vegas, Nevada

    I'm interested
  • Solinsky Center for Cancer Care

    Manchester, New Hampshire

    Call 800-339-6484

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  • New Hampshire Oncology Hematology PA-Concord

    Concord, New Hampshire

    Call 603-224-2556

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  • Memorial Sloan Kettering Monmouth

    Middletown, New Jersey

    Call 212-639-7592

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  • Memorial Sloan Kettering Bergen

    Montvale, New Jersey

    Call 212-639-7592

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  • Virtua Samson Cancer Center

    Moorestown, New Jersey

    I'm interested
  • Virtua Voorhees

    Voorhees Township, New Jersey

    I'm interested
  • Memorial Sloan Kettering Basking Ridge

    Basking Ridge, New Jersey

    Call 212-639-7592

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  • Memorial Sloan Kettering Nassau

    Uniondale, New York

    Call 212-639-7592

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  • Memorial Sloan Kettering Cancer Center

    New York, New York

    Call 212-639-7592

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  • Memorial Sloan Kettering Westchester

    Harrison, New York

    Call 212-639-7592

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  • Memorial Sloan Kettering Commack

    Commack, New York

    Call 212-639-7592

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  • University of Rochester

    Rochester, New York

    Call 585-275-5830

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  • FirstHealth of the Carolinas-Moore Regional Hospital

    Pinehurst, North Carolina

    I'm interested
  • Sanford Bismarck Medical Center

    Bismarck, North Dakota

    I'm interested
  • Sanford Broadway Medical Center

    Fargo, North Dakota

    I'm interested
  • Sanford Roger Maris Cancer Center

    Fargo, North Dakota

    I'm interested
  • Premier Blood and Cancer Center

    Dayton, Ohio

    Call 937-276-8320

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  • Aultman Health Foundation

    Canton, Ohio

    I'm interested
  • Miami Valley Hospital South

    Centerville, Ohio

    I'm interested
  • Ohio State University Comprehensive Cancer Center

    Columbus, Ohio

    I'm interested
  • Miami Valley Hospital

    Dayton, Ohio

    I'm interested
  • Miami Valley Cancer Care and Infusion

    Greenville, Ohio

    Call 937-569-7515

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  • ProMedica Flower Hospital

    Sylvania, Ohio

    I'm interested
  • Upper Valley Medical Center

    Troy, Ohio

    I'm interested
  • Miami Valley Hospital North

    Dayton, Ohio

    I'm interested
  • Atrium Medical Center-Middletown Regional Hospital

    Franklin, Ohio

    I'm interested
  • Cancer Centers of Southwest Oklahoma Research

    Lawton, Oklahoma

    Call 877-231-4440

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  • University of Oklahoma Health Sciences Center

    Oklahoma City, Oklahoma

    I'm interested
  • Providence Saint Vincent Medical Center

    Portland, Oregon

    I'm interested
  • Kaiser Permanente Northwest

    Portland, Oregon

    I'm interested
  • Oregon Health and Science University

    Portland, Oregon

    I'm interested
  • Providence Newberg Medical Center

    Newberg, Oregon

    I'm interested
  • Providence Willamette Falls Medical Center

    Oregon City, Oregon

    I'm interested
  • Saint Alphonsus Cancer Care Center-Ontario

    Ontario, Oregon

    I'm interested
  • Providence Portland Medical Center

    Portland, Oregon

    I'm interested
  • Geisinger Medical Center

    Danville, Pennsylvania

    I'm interested
  • Geisinger Cancer Center Dickson City

    Dickson City, Pennsylvania

    I'm interested
  • Adams Cancer Center

    Gettysburg, Pennsylvania

    Call 877-441-7957

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  • Ephrata Cancer Center

    Ephrata, Pennsylvania

    Call 717-721-4840

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  • Geisinger Wyoming Valley/Henry Cancer Center

    Wilkes-Barre, Pennsylvania

    I'm interested
  • Cancer Care Associates of York

    York, Pennsylvania

    Call 717-741-9229

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  • WellSpan Health-York Cancer Center

    York, Pennsylvania

    Call 877-441-7957

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  • WellSpan Health-York Hospital

    York, Pennsylvania

    Call 877-441-7957

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  • Community Medical Center

    Scranton, Pennsylvania

    I'm interested
  • Geisinger Medical Oncology-Lewisburg

    Lewisburg, Pennsylvania

    I'm interested
  • Sechler Family Cancer Center

    Lebanon, Pennsylvania

    I'm interested
  • WellSpan Medical Oncology and Hematology

    Chambersburg, Pennsylvania

    Call 717-217-6020

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Who can participate

Inclusion criteria

  • ✓Participants must have been assigned to S1900K by the Southwest Oncology Group (SWOG) Statistics and Data Management Center (SDMC). Assignment to S1900K is determined by the LUNGMAP protocol
  • ✓Participants must have documentation of stage IV or recurrent NSCLC with a MET exon 14 skipping mutation determined by tissue-based or blood-based (circulating tumor DNA \[ctDNA\]) next generation sequencing (NGS) assay done within a laboratory with Clinical Laboratory Improvement Act (CLIA), International Organization for Standardization (ISO)/ International Electrotechnical Commission (IEC), College of American Pathologists (CAP), or similar certification. Documentation must either be:
  • ✓NGS test results from tissue submitted for LUNGMAP screening, or
  • ✓Submitted documentation in the LUNGMAP Rave Electronic Data Capture System of a MET exon 14 skipping mutation from a previously completed tissue or blood-based NGS test
  • ✓Participants must have measurable disease documented by CT or MRI. The CT from a combined positron emission tomography (PET)/CT may be used to document measurable disease ONLY if it is of diagnostic quality, otherwise, it may be used to document non-measurable disease only. Measurable disease must be assessed within 28 days prior to sub-study randomization. Pleural effusions, ascites and laboratory parameters are not acceptable as the only evidence of disease. Non-measurable disease must be assessed within 42 days prior to sub-study randomization. All known sites of disease must be assessed and documented on the Baseline Tumor Assessment Form. Participants whose only measurable disease is within a previous radiation therapy port must demonstrate clearly progressive disease (in the opinion of the treating investigator) prior to sub-study randomization to be considered measurable
  • ✓Participants must have a CT or MRI scan of the brain to evaluate for central nervous system (CNS) disease within 42 days prior to sub-study randomization
  • ✓Participants must not have leptomeningeal disease, spinal cord compression or brain metastases unless:
  • ✓Metastases have been locally treated and have remained clinically controlled and asymptomatic for at least 3 days following the stereotactic radiation and/or 14 days following whole brain radiation, and prior to sub-study randomization, AND
  • ✓Participant has no residual neurological dysfunction and has been off corticosteroids for at least 24 hours prior to sub-study randomization
  • ✓Participants must not have other known actionable oncogenic alterations, such as (but not limited to) EGFR sensitizing mutations, EGFR T790M mutation, ALK gene fusion, ROS1 gene rearrangement, RET gene rearrangement, NTRK rearrangement, HER2 mutation, KRAS activating mutations, and BRAF V600E mutation
  • ✓Participants who have received at least one line of systemic treatment for stage IV or recurrent NSCLC must have progressed (in the opinion of the treating physician) following the most recent line of therapy. Participants who have not yet received systemic treatment for their stage IV or recurrent NSCLC are allowed
  • ✓Participants may have received any number of lines of therapy for stage IV or recurrent NSCLC (including zero) and must be able to report prior treatment information
  • ✓Participants must have recovered (=\< grade 1) from any side effects of prior therapy for NSCLC except alopecia and vitiligo
  • ✓Participants must not have received any prior systemic therapy (systemic chemotherapy, immunotherapy or investigational drug) within 21 days prior to sub-study randomization
  • ✓Participants must not have received treatment with prior MET inhibitor therapies (e.g., crizotinib, tivantinib, savolitinib, tepotinib, cabozantinib, and foretinib).
  • ✓Participants must not have received treatment with prior angiogenesis inhibitor therapies (including but not limited to bevacizumab and ramucirumab)
  • ✓Participants must not have a history of interstitial lung disease that required steroid treatment
  • ✓Participants must not have received any radiation therapy within 7 days prior to sub-study randomization with the exceptions of
  • ✓Stereotactic radiation to CNS metastases which must have been completed at least 3 days prior to sub-study randomization and
  • ✓Palliative radiotherapy to bone metastases which must have been completed at least 1 day prior to sub-study randomization
  • ✓Participants must not be planning to receive any concurrent chemotherapy, immunotherapy, biologic or hormonal therapy for cancer treatment while receiving treatment on this study
  • ✓Participants must not have had a major surgery within 14 days prior to sub-study randomization. Participants must have fully recovered from the effects of prior surgery in the opinion of the treating investigator
  • ✓Participants must not have a prior or concurrent malignancy whose natural history or treatment (in the opinion of the treating physician) has the potential to interfere with the safety or efficacy assessment of the investigational regimen
  • ✓Absolute neutrophil count \>= 1.5 x 10\^3/uL (within 28 days prior to sub-study randomization)
  • ✓Hemoglobin \>= 9.0 g/dL (within 28 days prior to sub-study randomization)
  • ✓Platelets \>= 100 x 10\^3/uL (within 28 days prior to sub-study randomization)
  • ✓Total bilirubin =\< 1.5 x institutional upper limit of normal (ULN) unless history of Gilbert's disease. Participants with history of Gilbert's disease must have total bilirubin =\< 5 x institutional ULN (within 28 days prior to sub-study randomization)
  • ✓Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) =\< 2.5 × institutional ULN. Participants with history of liver metastasis must have AST and ALT =\< 5 x ULN (within 28 days prior to sub-study randomization)
  • ✓Participants must have a serum creatinine =\< the institutional upper limit of normal (IULN) or calculated creatinine clearance \>= 30 mL/min using the following Cockcroft-Gault Formula. This specimen must have been drawn and processed within 28 days prior to sub-study randomization
  • ✓Participants must have a cystatin C test performed to obtain baseline value within 28 days prior to sub-study randomization
  • ✓Participants' most recent Zubrod performance status must be 0-1 and be documented within 28 days prior to sub-study randomization
  • ✓Participants must have a completed medical history and physical exam within 28 days prior to sub-study randomization
  • ✓Participants must have adequate cardiac function. Participants with known history or current symptoms of cardiac disease, or history of treatment with cardiotoxic agents, must have a clinical risk assessment of cardiac function using the New York Heart Association Functional Classification. To be eligible for this trial, participants must be class 2B or better
  • ✓Participants with known human immunodeficiency virus (HIV)-infection must be on effective anti-retroviral therapy and have undetectable viral load test on the most recent test results obtained within 6 months prior to sub-study randomization
  • ✓Participants with evidence of chronic hepatitis B virus (HBV) infection must have undetectable HBV viral load while on suppressive therapy on the most recent test results obtained within 6 months prior to sub-study randomization, if indicated by the treating investigator
  • ✓Participants with a history of hepatitis C virus (HCV) infection must have been treated and cured. Participants currently being treated for HCV infection must have undetectable HCV viral load test on the most recent test results obtained within 6 months prior to sub-study randomization, if indicated by the treating investigator
  • ✓Participants must not have cirrhosis at a level of Child-Pugh B (or worse) OR any degree of cirrhosis AND a history of hepatic encephalopathy or clinically meaningful ascites resulting from cirrhosis
  • ✓Participants must not have grade \< 0 of peripheral edema within 28 days prior to sub-study randomization
  • ✓Participants must not have experienced any arterial thromboembolic events, including but not limited to transient ischemic attack or cerebrovascular accident within 6 months prior to sub-study randomization
  • ✓Participants must not have uncontrolled blood pressure and hypertension within 28 days prior to sub-study randomization
  • ✓Participants must not be pregnant or breastfeeding (nursing includes breast milk fed to an infant by any means, including from the breast, milk expressed by hand, or pumped). Individuals who are of reproductive potential must have agreed to use an effective contraceptive method with details provided as a part of the consent process. A person who has had menses at any time in the preceding 12 consecutive months or who has semen likely to contain sperm is considered to be of "reproductive potential." In addition to routine contraceptive methods, "effective contraception" also includes refraining from sexual activity that might result in pregnancy and surgery intended to prevent pregnancy (or with a side-effect of pregnancy prevention) including hysterectomy, bilateral oophorectomy, bilateral tubal ligation/occlusion, and vasectomy with testing showing no sperm in the semen
  • ✓Participants must also be offered participation in specimen banking. With participant consent, specimens must be collected and submitted via the SWOG Specimen Tracking System
  • ✓Participants must be informed of the investigational nature of this study and must sign and give informed consent in accordance with institutional and federal guidelines
  • ✓NOTE: Participants with impaired decision-making capabilities, legally authorized representatives may sign and give informed consent on behalf of study participants in accordance with applicable federal, local, and Central Institutional Review Board (CIRB) regulations

Only the research team can confirm whether you qualify. The intake questionnaire is the best way to find out.

Completing a questionnaire on Clinably does not enroll you in a clinical trial or confirm your eligibility. Only the research team can determine whether you qualify to participate. These results are based on the information you provide and are intended to help you start a conversation with the research team.

Trial data sourced from ClinicalTrials.gov.