A Study of AK104/Tislelizumab With Chemotherapy as First-line Treatment in PD-L1 TPS < 1% Non-small Cell Lung Cancer

NCT ID: NCT05990127

Last Updated: 2023-08-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

642 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-11-14

Study Completion Date

2026-11-28

Brief Summary

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This is a randomized, double-blind, phase III clinical study to compare the efficacy and safety of AK104 combined chemotherapy versus Tislelizumab combined chemotherapy in first-line treatment of Locally advanced or metastatic NSCLC with PD-L1 TPS \< 1%.

Detailed Description

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Conditions

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Locally Advanced or Metastatic NSCLC

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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AK104 arm

Group Type EXPERIMENTAL

AK104

Intervention Type DRUG

AK104 IV, q3w

carboplatin

Intervention Type DRUG

carboplatin IV, q3w

Pemetrexed

Intervention Type DRUG

Pemetrexed IV, q3w (for Nonsquamous NSCLC)

Paclitaxel

Intervention Type DRUG

Paclitaxel IV, q3w (for squamous NSCLC)

Tislelizumab arm

Group Type ACTIVE_COMPARATOR

Tislelizumab

Intervention Type DRUG

Tislelizumab IV, q3w

carboplatin

Intervention Type DRUG

carboplatin IV, q3w

Pemetrexed

Intervention Type DRUG

Pemetrexed IV, q3w (for Nonsquamous NSCLC)

Paclitaxel

Intervention Type DRUG

Paclitaxel IV, q3w (for squamous NSCLC)

Interventions

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AK104

AK104 IV, q3w

Intervention Type DRUG

Tislelizumab

Tislelizumab IV, q3w

Intervention Type DRUG

carboplatin

carboplatin IV, q3w

Intervention Type DRUG

Pemetrexed

Pemetrexed IV, q3w (for Nonsquamous NSCLC)

Intervention Type DRUG

Paclitaxel

Paclitaxel IV, q3w (for squamous NSCLC)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. The subjects voluntarily participated in the study with full informed consent and signed written informed consent form.
2. Aged ≥18 years when the subject signed the informed consent.
3. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
4. Life expectancy ≥ 3 months.
5. Histologically or cytologically confirmed locally advanced (Stage IIIB/IIIC) that not amenable to complete surgical resection and not amenable to radical concurrent/sequential chemoradiation or metastatic (Stage IV) NSCLC (American Joint Committee on Cancer \[AJCC\] 8th edition).
6. No prior systemic therapy for advanced or metastatic NSCLC was received.
7. PD-L1 TPS \< 1%.
8. No EGFR sensitive mutations or ALK gene translocation alterations.

Exclusion Criteria

1. Histologically confirmed small cell lung cancer (SCLC).
2. NSCLC with driver gene mutations for approved targeted drug indications.
3. Active central nervous system (CNS) metastases were present.
4. Pulmonary radiation therapy \> 30 Gy within 6 months prior to first dose.
5. Active malignant tumors within the past 5 years, except for tumors in this study and scured local tumors.
6. Pregnant or lactating women.
7. Clinically significant cardiovascular or cerebrovascular disease.
8. Subjects with a known history of severe hypersensitivity to other monoclonal antibodies. A known history of allergy or hypersensitivity to all investigational drugs or any of their components.
9. Active autoimmune disease requiring systemic treatment within 2 years prior to the start of study treatment, or autoimmune diseases that may relapse or require scheduled treatment as judged by the Investigator.
10. Known active pulmonary tuberculosis.
11. Patients with active hepatitis B or active hepatitis C.
12. Known medical history of immunodeficiency or positive HIV test.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Akeso

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jie Wang, M.D.

Role: PRINCIPAL_INVESTIGATOR

Cancer hospital, Chinese academy of medical sciences and Peking union medical college

Qingming Wang

Role: PRINCIPAL_INVESTIGATOR

Henan Cancer Hospital

Locations

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The first affiliated hospital of bengbu medical college

Bengbu, Anhui, China

Site Status

Anhui provincial hospital

Hefei, Anhui, China

Site Status

Anhui provincial cancer hospital

Hefei, Anhui, China

Site Status

The first affiliated hospital of wannan medical college

Wuhu, Anhui, China

Site Status

Cancer hospital, Chinese academy of medical sciences and Peking union medical college

Beijing, Beijing Municipality, China

Site Status

The Fifth Medical Center of the Chinese People's Liberation Army General Hospital

Beijing, Beijing Municipality, China

Site Status

Beijing Cancer Hospital

Beijing, Beijing Municipality, China

Site Status

Beijing Chest hospital

Beijing, Beijing Municipality, China

Site Status

Chongqing University Cancer Hospital

Chongqing, Chongqing Municipality, China

Site Status

Fujian cancer hospital

Fuzhou, Fujian, China

Site Status

Zhangzhou municipal hospital of fujian province

Zhangzhou, Fujian, China

Site Status

Gansu provincial cancer hospital

Lanzhou, Gansu, China

Site Status

The First Affiliated Hospital of Sun Yat-sen University

Guangzhou, Guangdong, China

Site Status

Affiliated cancer hospital and institute of guangzhou medical university

Guangzhou, Guangdong, China

Site Status

Nanfang hospital

Guangzhou, Guangdong, China

Site Status

Cancer hospital Chinses academy of medical sciences, shenzhen center

Shenzhen, Guangdong, China

Site Status

Hainan cancer hospital

Haikou, Hainan, China

Site Status

Affiliated hospital of Hebei university

Baoding, Hebei, China

Site Status

The second people's hospital of Hengshui

Hengshui, Hebei, China

Site Status

The Second Hospital of HeBei Medical University

Shijiazhuang, Hebei, China

Site Status

The Fourth Hospital of Hebei Medical University

Shijiazhuang, Hebei, China

Site Status

Tangshang people's hospital

Tangshan, Hebei, China

Site Status

Harbin medical university cancer hospital

Harbin, Heilongjiang, China

Site Status

Jiamusi Tuberculosis Prevention and Control Hospital (Jiamusi Cancer Hospital)

Jiamusi, Heilongjiang, China

Site Status

The first hospital of Qiqihar

Qiqihar, Heilongjiang, China

Site Status

The First Affiliated Hospital of Henan University of Science and Technology

Luoyang, Henan, China

Site Status

Nanyang central hospital

Nanyang, Henan, China

Site Status

The First Affiliated Hospital of Xinxiang Medical College

Xinxiang, Henan, China

Site Status

Henan Cancer Hospital

Zhengzhou, Henan, China

Site Status

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, Henan, China

Site Status

Renmin Hospital of Wuhan University

Wuhan, Hubei, China

Site Status

Hubei Cancer Hospital

Wuhan, Hubei, China

Site Status

Xiangya Hospital of Central South University

Changsha, Hunan, China

Site Status

The Second Xiangya Hospital, Central South University

Changsha, Hunan, China

Site Status

Hunan Cancer Hospital

Changsha, Hunan, China

Site Status

The First Affiliated Hospital of Soochow University

Suzhou, Jiangsu, China

Site Status

The affiliated hospital of xuzhou medical university

Xuzhou, Jiangsu, China

Site Status

First Affiliated Hospital of Gannan medical college

Ganzhou, Jiangxi, China

Site Status

First Affiliated Hospital of Nanchang University

Nanchang, Jiangxi, China

Site Status

The first hospital of Jilin Universit

Changchun, Jilin, China

Site Status

Tonghua Central Hospital

Tonghua, Jilin, China

Site Status

The First Hospital of China medical University

Shenyang, Liaoning, China

Site Status

Liaoning cancer hospital

Shenyang, Liaoning, China

Site Status

General hospital of ningxia medical university

Yinchuan, Ningxia, China

Site Status

Qinghai university affiliated hospital

Xining, Qinghai, China

Site Status

Binzhou medical university hospital

Binzhou, Shandong, China

Site Status

Shandong Cancer Hospital

Jinan, Shandong, China

Site Status

The Affiliated Hospital of Qingdao University

Qingdao, Shandong, China

Site Status

Weifang NO.2 people's Hospital

Weifang, Shandong, China

Site Status

Zhongshan Hospital, Fudan university

Shanghai, Shanghai Municipality, China

Site Status

Changzhi people's hospital

Changzhi, Shanxi, China

Site Status

Shanxi Cancer hospital

Taiyuan, Shanxi, China

Site Status

The First Affiliated Hospital of Xi'an Jiaotong University

Xi’an, Shanxi, China

Site Status

Sichuan Cancer Hospital

Chengdu, Sichuan, China

Site Status

Mianyang central hospital

Mianyang, Sichuan, China

Site Status

The Second People's Hospital of Yibin City

Yibin, Sichuan, China

Site Status

Tianjin Medical University Cancer Institute & Hospital

Tianjin, Tianjin Municipality, China

Site Status

Tianjin Chest Hospital

Tianjin, Tianjin Municipality, China

Site Status

Xinjiang Medical University Cancer Hospital

Ürümqi, Xinjiang, China

Site Status

Yunnan Cancer Hospital /the Third Affiliated Hospital of Kunming Medical University

Kunming, Yunnan, China

Site Status

The First Affiliated Hospital, Zhejiang University School of Medicine (FAHZU)

Hangzhou, Zhejiang, China

Site Status

Zhejiang Cancer Hospital

Hangzhou, Zhejiang, China

Site Status

Countries

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China

Central Contacts

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Zhifang Yao, M.D.

Role: CONTACT

+86-0760-89873999

Other Identifiers

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AK104-307

Identifier Type: -

Identifier Source: org_study_id

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