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NCT Number: NCT07613424

A Study of MET Concordance and Gene Profiling in 1L NSCLC (Genomet)

Multicenter prospective assessment of MET concordance and tumor gene profiling in treatment-naïve NSCLC

Recruiting

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Research Site, Beijing, China

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About this study

The primary objective of the study is to evaluate the agreement among four different test methods with a reference assay for MET OverExp. Analyses for primary endpoints will be conducted in assays concordance analysis set (ACS).

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Participants are eligible to be included in the study only if all of the following criteria apply:

Age

  • Participant must be ≥ 18 at the time of signing the informed consent. Type of Participant and Disease Characteristics
  • Participants who are in accordance with the Eighth Edition of TNM Staging of Lung Cancer by the International Association for the Study of Lung Cancer and American Joint Committee on Cancer, histologically or cytologically confirmed unresectable locally advanced (Stage ⅢB/ⅢC), metastatic or recurrent (Stage IV) NSCLC.
  • Willing to provide adequate tissue sample:

1Biopsy tissue must be collected after confirmation of unresectable locally advanced (Stage IIIB/IIIC), metastatic, or recurrent (Stage IV) NSCLC diagnosis, and before initiation of any antitumor therapy. The biopsy specimens require at least 16 FFPE slides.

or 2Surgical specimens only for patients with recurrent disease who either received no adjuvant therapy, or received only adjuvant chemotherapy and recurrence occurred >6 months after completing chemotherapy. The surgical specimens require at least 13 FFPE slides (surgical specimens obtained within 2 years before ICF signing).

Informed Consent 4.Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the ICF and in this protocol.

5.Provision of signed and dated, written informed consent form prior to any mandatory study-specific procedures, sampling, and analyses.

Exclusion criteria

Medical Conditions

  • Currently having other malignant tumors, or having other infiltrating malignant tumors in the past 5 years. Stage I malignant tumor after radical treatment for at least 3 years, except those considered by investigators to have a small possibility of recurrence. Participants with radically treated carcinoma in situ (non-infiltrating), papillary thyroid carcinoma and skin cancer other than malignant melanoma can be enrolled.
  • Prior radiotherapy or systemic therapy for unresectable locally advanced (Stage IIIB/IIIC) or metastatic/recurrent (Stage IV) NSCLC, except patients initiating first-line therapy for this specific disease stage within 1 month before ICF signing.

Treatment and study plan

NGS testing

Diagnostic Test

NGS testing first for all participants and then cohort assignment for each participant can be derived based on NGS results.

MET IHC testing

Diagnostic Test

the participants of cohort 1 need to do MET IHC testing.

PD-L1 and Her2 testing

Diagnostic Test

the participants of cohort 1 need to do PD-L1 and Her2 testing.

Primary outcomes

  1. OPA/PPA/NPA

    Time frame: 90 days after LPI

    The primary objective is to evaluate the agreement among four different test methods with a reference assy for MET OverExpression. Key agreement metrics includes Overall Percent Agreement (OPA),Positive percent agreement (PPA),Negative percent agreement (NPA).

Secondary outcomes

  1. OPA/PPA/NPA

    Time frame: 90 days after LPI

    The testing concordance between central lab and local labs using Amoy D1C2 assay will be evaluated by the metrisc including OPA/PPA/NPA.

  2. Fleiss's Kappa

    Time frame: 90 days after LPI

    Fleiss's Kappa will be calculated to assess the inter-rater agreement of MET IHC interpretation made by 20 pathologists.

  3. Treatment pattern

    Time frame: 90 days after LPI

    The number and percentage of participants in cohort 1 and cohort 2 using different treatment patterns will be summarized.

  4. Biomarker profiling

    Time frame: 90 days after LPI

    Gene profiling by tissue NGS

  5. Biomarker profiling

    Time frame: 90 days after LPI

    •Proportion of MET OverExp in cohort 1

  6. Biomarker profiling

    Time frame: 90 days after LPI

    •Proportion of HER2 OverExp in cohort 2

  7. Biomarker profiling

    Time frame: 90 days after LPI

    •Proportion of HER2m, HER2 amp, MET exon14 in overall population

  8. Biomarker profiling

    Time frame: 90 days after LPI

    •Proportion of HER2 OverExp & PD-L1+ in cohort 2

Study contacts

Contact information is provided by the study sponsor or research team.

AstraZeneca Clinical Study Information Center

CONTACT

[email protected]

1-877-240-9479

Sponsors and collaborators

Lead sponsor

AstraZeneca

Industry

Registry information

Official study title

A Multicenter, Prospective Study of MET Concordance and Gene Profiling in First-line Non-small Cell Lung Cancer (NSCLC) (Genomet)

Acronym: Genomet

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
May 29, 2026
Registry last updated
Jul 14, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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