LAST UPDATED
May 07, 2026
Clinicaltrials.gov ID
CTSID
OVERVIEW
Open-Label, Global, Multicenter, Randomized, Phase 3 Study of Sacituzumab Govitecan Versus Docetaxel in Patients With Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC) With Progression on or After Platinum-Based Chemotherapy and Anti-PD-1/PD-L1 Immunotherapy (EVOKE-01)
PROTOCOL SUMMARY
The goal of this clinical study is to compare the study drug, sacituzumab govitecan-hziy (SG), versus docetaxel in participants with advanced or metastatic (cancer that has spread) non-small cell lung cancer (NSCLC).
View moreParticipation requirements
Age
18 years +
Sex
All
Healthy Volunteers
No
Age
18 years +
Sex
All
Healthy Volunteers
No
Study details
Medical Condition
Non-Small Cell Lung Cancer
Gender
N/A
Date
November 2021 - November 2023
Study Type
Interventional
Study Phase
Phase 3
Product
Sacituzumab Govitecan-hziy (SG), Docetaxel
Eligibility information
Inclusion criteria
- Pathologically documented non-small cell lung cancer (NSCLC) with documented evidence of Stage 4 NSCLC disease at the time of enrollment (based on the American Joint Committee on Cancer, Eighth Edition).
- Epidermal growth factor receptor (EGFR), anaplastic lymphoma kinase (ALK), and programmed death protein 1 (PD-1)/programmed death ligand 1 (PD-L1) results are required. Testing prior to enrollment. Resulting for other actionable genomic alterations is recommended and to be performed as per local standard of care and availability of targeted treatment. For patients with squamous cell carcinoma, EGFR and ALK testing is optional.
- Must have progressed after platinum-based chemotherapy in combination with anti-PD-1/PD-L1 antibody OR platinum-based chemotherapy and anti-PD-1/PD-L1 antibody (in either order) sequentially.
- No additional treatments are allowed in the recurrent/metastatic setting for individuals with no actionable genomic alterations.
- Individuals with EGFR, ALK, or any other known actionable genomic alterations must have also received treatment with at least 1 locally approved and available tyrosine kinase inhibitor 1(TKI) appropriate to the genomic alteration.
- Documented radiographic disease progression while on or after receiving the most recent treatment regimen for advanced or metastatic NSCLC.
- Measurable disease based on computed tomography (CT) or magnetic resonance imaging (MRI) as assessed by the investigator in accordance with per RECIST Version 1.1.
- Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1 before randomization.
- Adequate hematologic counts without transfusional or growth factor support within 2 weeks of study drug initiation (hemoglobin ≥ 9 g/dL, absolute neutrophil count ≥ 1500/mm^3, and platelets ≥ 100,000/μL).
- Adequate hepatic function (bilirubin ≤ 1.5 x upper limit of normal (ULN), aspartate aminotransferase and alanine aminotransferase ≤ 2.5 ULN or ≤ 5 x ULN if known liver metastases, and serum albumin > 3 g/dL).
- Creatinine clearance of at least 30 mL/min as assessed by the Cockcroft-Gault equation.
- Male individuals and female individuals of childbearing potential who engage in heterosexual intercourse must agree to use protocol-specified method(s) of contraception.
Exclusion criteria
- Mixed small-cell lung cancer and NSCLC histology.
- Positive serum pregnancy test or women who are lactating.
- Received a prior anticancer biologic agent within 4 weeks prior to enrollment or have received prior chemotherapy, targeted small molecule therapy, or radiation therapy within 2 weeks prior to enrollment and have not recovered (ie, > Grade 2 is considered not recovered) from adverse events (AEs) at the time of study entry. Individuals participating in observational studies are eligible.
- Have not recovered (ie, > Grade 2 is considered not recovered) from AEs due to a previously administered agent.
- Previously received treatment with any of the following:
- Topoisomerase 1 inhibitors. Any agent including an antibody-drug conjugate (ADC) containing a chemotherapeutic agent targeting topoisomerase 1
- Trop-2-targeted therapy
- Docetaxel as monotherapy or in combination with other agents
- Active second malignancy
- NSCLC that is eligible for definitive local therapy alone.
- Clinically severe pulmonary compromise resulting from intercurrent pulmonary illnesses including, but not limited to, any underlying pulmonary disorder (ie, pulmonary emboli within 3 months of enrollment, severe asthma, severe chronic obstructive pulmonary disease, restrictive lung disease, pleural effusion, etc); any autoimmune, connective tissue, or inflammatory disorders with pulmonary involvement (ie, rheumatoid arthritis, Sjogren syndrome, sarcoidosis, etc); or prior pneumonectomy.
- Known active central nervous system (CNS) metastases and/or carcinomatous meningitis.
- Active cardiac disease
- Active chronic inflammatory bowel disease (ulcerative colitis, Crohn's disease) or gastrointestinal perforation within 6 months of enrollment.
- Active serious infection requiring antibiotics.
- Positive HIV-1 or HIV-2 antibody with detectable viral load OR taking medications that may interfere with SN-38 metabolism.
- Positive for hepatitis B surface antigen. Individuals who test positive for hepatitis B core antibody will require hepatitis B virus DNA by quantitative polymerase chain reaction for confirmation of active disease.
- Positive hepatitis C antibody and detectable hepatitis C viral load.
- Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Locations
Locations (227)
Alaska Oncology and Hematology, LLC.
Anchorage, Alaska, United States, 99508
USOR - Arizona Oncology Associates Tucson - Wilmot
Tucson, Arizona, United States, 85711
Beverly Hills Cancer Center
Beverly Hills, California, United States, 90211
Rocky Mountain Cancer Centers - Aurora
Aurora, Colorado, United States, 80012
Florida Cancer Specialists (Administration and Drug Shipment)
Fort Myers, Florida, United States, 33901
Woodlands Medical Specialists, PA
Pensacola, Florida, United States, 32503
Florida Cancer Specialists
St. Petersburg, Florida, United States, 33705
Florida Cancer Specialists
West Palm Beach, Florida, United States, 33401
University of Chicago Medical Center
Chicago, Illinois, United States, 60607
Siouxland Regional Cancer Center dba June E. Nylen Cancer Center
Sioux City, Iowa, United States, 51101
Maryland Oncology Hematology, P.A.
Clinton, Maryland, United States, 20735
Lahey Hospital & Medical Center
Burlington, Massachusetts, United States, 01805
Park Nicollet Frauenshuh Cancer Center
Saint Paul, Minnesota, United States, 55101
Nebraska Hematology - Oncology
Lincoln, Nebraska, United States, 68506
Comprehensive Cancer Centers of Nevada
Henderson, Nevada, United States, 89052
Stony Brook Cancer Center
Stony Brook, New York, United States, 11794
Levine Cancer Institute
Charlotte, North Carolina, United States, 28204
FirstHealth Outpatient Cancer Center
Pinehurst, North Carolina, United States, 28374
W.G (Bill) Hefner VAMC
Salisbury, North Carolina, United States, 28144
Tennessee Oncology, PLLC
Chattanooga, Tennessee, United States, 37404
Baptist Clinical Research Institute
Memphis, Tennessee, United States, 38120
Texas Oncology Cancer Care and Research Center
McAllen, Texas, United States, 78503
USOR - Texas Oncology - McKinney
McKinney, Texas, United States, 75071
Shenandoah Oncology Associates, PC
Winchester, Virginia, United States, 22601
University of Wisconsin Clinical Science Center
Madison, Wisconsin, United States, 53792
Froedtert Hospital/Medical College of Wisconsin
Milwaukee, Wisconsin, United States, 53226
Border Medical Oncology Research Unit
Albury, New South Wales, Australia, 2640
Southern Highlands Cancer Centre
Bowral, New South Wales, Australia, 2576
St Vincent's Public Hospital
Darlinghurst, New South Wales, Australia, 2010
Sunshine Coast University Private Hospital
Birtinya, Queensland, Australia, 4575
Gallipoli Medical Research Foundation
Greenslopes, Queensland, Australia, 4120
Flinders Medical centre
Bedford Park, South Australia, Australia, 5042
Peninsula & South Eastern Haematology and Oncology Group
Frankston, Victoria, Australia, 3199
Joondalup Health Campus
Joondalup, Western Australia, Australia, 6027
ir Charles Gairdner Hospital
Perth, Western Australia, Australia, 6009
Medizinische Universität Innsbruck, Medizinische Universitat Innsbruck, Universitatsklinik fur Innere Medizin V, Hamatologie und Onkolgie
Innsbruck, Austria, 06020
zuniklinikum Salzburg, Landeskrankenhaus, Universitatsklinik fur Innere Medizin III der PMU
Salzburg, Austria, A-5020
Klinik Floridsdorf, Karl Landsteiner Institute fur Lungenforschung und Pneumologische onkologie (LFPO) Abteilung Fur Innere Medizin un Pneumologie
Vienna, Austria, 1210
CRIO - Centro Regional Integrado de Oncologia
Fortaleza, Brazil, 60810180
ONCOSITE - Centro de Pesquisa Clinica em Oncologia
Ijuí, Brazil, 98700-000
Catatina Pesquisa Clinica - Clinica de Neoplasias Litoral
Itajaí, Brazil, 88331-10
Centro de Pesquisas Clinicas da Fundacao Doutor Amaral Carvalho
Jaú, Brazil, 17210080
Hospital de Clínicas de Porto Alegre - HCPA
Porto Alegre, Brazil, 90035903
Centro Gaucho Integrado de Oncologia, Hematologia, Ensino e Pesquisa
Porto Alegre, Brazil, 90110-270
Nucleo de Pesquisa da Rede Sao Camilo-Instituto Brasileiro de controle do cancer-IBC
São Paulo, Brazil, 03102002
Instituto do Câncer do Estado de São Paulo "Octavio Frias de Oliveira" - ICESP
São Paulo, Brazil,
William Osler Health System-Brampton Civic Hospital
Brampton, Canada, L6R 3J7
Required Centre Hospitalier Regional de Rimouski
Rimouski, Canada, G5L5T1
Centre Hospitalier Departemental Vendee
La Roche-sur-Yon, France, 85925
Chu Montpellier Hopital Arnaud de Villeneuve
Montpellier, France, 34295 CEDEX
Hospices Civils de Lyon, Centre Hospitalier Lyon-Sud
Pierre-Bénite, France, 69495
Centre Hospitalier Universitaire de Rouen - Hopitel Charles Nicolle
Rouen, France, 76031
Institut de Cancérologie de l'Ouest - Paysde Loire (site SAINT HERBLAIN)
Saint-Herblain, France, 44805
Stadtisches Klinikum Braunschweig gGmbH Medizinische Klinik III Hamatologie und Onkologie
Braunschweig, Germany, 38114
Klinikum Esslingen GmbH Klinik fur Kardiologie,Angiologie und Pneumologie
Esslingen am Neckar, Germany, 73730
Asklepios Klinikum Harburg, Thoraxzentrum Hamburg - Lungenabteilung
Hamburg, Germany, 21075
Klinikum Kassel Klinik Für Hämatologie Onkologie Und Immunologie
Kassel, Germany, 34125
Universitatsklinikum Schleswig-Holstein - Campus Lubeck, Medizinische Klinik III (Studienzentrum Pneumologie)
Lübeck, Germany, 23538
University Hospital Mannheim, Department of Personalized Medical Oncology with Section Thoracic Oncology
Mannheim, Germany, 68167
Asklepios-Fachkliniken Munchen-Gauting, Zentrum fur Pneumologie und Thoraxchirurgie
Munchen-Gauting, Germany, 82131
Sana Klinikum Offenbach, Medizinische Klinik IV fur Hamatologie und internistische Onkologie
Offenbach, Germany, 63069
Henry Dunant Hospital Center, 4th Oncology Department
Athens, Greece, 11526
General Hospital of Chest Diseases "I Sotiria", 3rd Internal Medicine Department of Athens University - Oncology Unit
Athens, Greece, 11527
General Oncology Hospital of Kifisia "Agioi Anargyroi", 2nd Department of Medical Oncology
Heraklion, Greece,
University General Hospital of Larissa, Oncology Department-1St Internal Medical Division
Larissa, Greece, 413 34
General Oncology Hospital of Kifisia "Agioi Anargyroi", 2nd Department of Medical Oncology
Nea Kifissia, Greece, 14565
Euromedica General Clinic of Thessaloniki
Thessaloniki, Greece, 54645
Interbalkan Medical Center of Thessaloniki
Thessaloniki, Greece, 555 35
Azienda Socio Sanitaria Territoriale (ASST) degli Spedali Civili di Brescia
Brescia, Italy, 25123
AOU mater Domini, UOC Oncologia Medica e Oncologia Medica Trazionale
Catanzaro, Italy, 88100
ASST Grande Ospedale Metropolitano Niguarda SC Oncologia
Milan, Italy, 20162
Fondazione Policlinico Universitario Campus Bio-Medico, UOC Oncologia Medica
Roma, Italy, 00128
ASST Bergamo Ovest- ospedale di Treviglio-u.o. Oncologia
Treviglio, Italy, 24047
National Hospital Organization Asahikawa Medical Center
Asahikawa, Japan, 070-8644
National Hospital Organization Himeji Medical Center
Hyōgo, Japan, 670-8520
National Hospital Organization Iwakuni Clinical Center
Iwakuni, Japan, 740-8510
Kanagawa Prefectural Hospital Organization Kanagawa Cardiovascular and Respiratory Center
Kanagawaken, Japan, 236-0051
University Hospital Kyoto Prefectural University of Medicine
Kyoto, Japan, 602-8566
National Hospital Organization Nagoya Medical Center
Nagoya, Japan, 460-0001
Osaka Prefectural Hospital Organization Osaka International Cancer Institute
Osaka, Japan, 541-8567
National Hospital Organization Kinki-Chuo Chest Medical Center
Sakai, Japan, 591-8555
Centor Hospital of the National Center for Global Health and Medicine
Shinjuku-Ku, Japan, 162-8655
National Hospital Organization Osaka Toneyama Medical Center
Toyonaka, Japan, 560-8552
Actualidad Basada en la Investigación del Cáncer
Guadalajara, Mexico,
Cryptex Investigación Clínica, S.A. de C.V.
Mexico City, Mexico, 06100
Maastricht Universitair Medisch Centrum
Maastricht, Netherlands, 6229 HX
Marzowiecki Szpital Wojewodzki sw Jana Pawla II Wsiedicach sp. z.o.o Siedickie centrum onkoiogii
Siedlce, Poland, 08-110
Instituto Português de Oncologia de Coimbra Francisco Gentil
Coimbra, Portugal, 3000-075
Centro Hospitalar Universitário Lisboa Norte - Hospital Pulido Valente
Lisbon, Portugal, 1769-001
Pan American Center For Oncology Trials, LLC
San Juan, PR, Puerto Rico, 00902
Complejo Hospitalario Universitario A Coruna. Hospital Teresa Herrera
A Coruña, Spain, 15006
Institut Catala d'Oncologia Badalona, ICO Badalona, Hospital Germans Trias i Pujol
Badalona, Spain, 08916
Institut Catala D'Oncologia (ICO L'Hospitalet) Hospital Duran i Reynals
Barcelona, Spain, 08908
Hospital Regional Universitario de Malaga-Hospital Civil
Málaga, Spain, 29010
Hospital Clinicl universitario virgen de la Arrixaca
Murcia, Spain, 30120
Trakya Üniversitesi Sağlık Araştırma ve Uygulama Merkezi
Edirne, Turkey (Türkiye),
Bagcilar Medipol Mega Universite Hastanesi
Istanbul, Turkey (Türkiye),
T.C. Saglik Bakanligi Goztepe Prof. Dr Suleyman Yalcin Sehir Hastanesi
Kadıköy, Turkey (Türkiye),
University Hospital Birmingham NHS Trust, Birmingham Heartlands Hospital
Birmingham, United Kingdom, B9 5SS
East Suffolk and North Essex NHS Foundation Trust
Colchester, United Kingdom, CO4 5JL
The Beatson West of Scotland Cancer Centre
Glasgow, United Kingdom, G12 0YN
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