Study of Vudalimab or Pembrolizumab in Combination With Chemotherapy as First-line Treatment in Patients With Advanced NSCLC

NCT ID: NCT06173505

Last Updated: 2024-12-04

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

RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

168 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-12-27

Study Completion Date

2027-10-31

Brief Summary

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The purpose of this study is to identify the recommended dose of vudalimab to be used in combination with chemotherapy (Part 1) and to evaluate the efficacy and safety of vudalimab plus standard of care chemotherapy relative to pembrolizumab plus chemotherapy (Part 2) as first-line treatment in patients with nonsquamous non-small cell lung cancer (NSCLC).

Detailed Description

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This is a Phase 1b/2 study, multicenter, open-label, randomized study in patients with nonsquamous non-small cell lung cancer without prior treatment for metastatic disease. Part 1 is designed to identify the recommended Phase 2 dose (RP2D) of vudalimab, an anti-PD-1/CTLA-4 bispecific antibody, in combination with standard of care (SOC) chemotherapy. Part 2 will evaluate the efficacy and safety vudalimab, at the RP2D, plus SOC relative to pembrolizumab (anti-PD-1) plus SOC chemotherapy.

Conditions

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Nonsquamous Non-small Cell Lung Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Vudalimab + Carboplatin + Pemetrexed

Group Type EXPERIMENTAL

Vudalimab + Carboplatin + Pemetrexed

Intervention Type COMBINATION_PRODUCT

Vudalimab intravenous + carboplatin intravenous + pemetrexed intravenous

Pembrolizumab + Carboplatin + Pemetrexed

Group Type ACTIVE_COMPARATOR

Pembrolizumab + Carboplatin + Pemetrexed

Intervention Type COMBINATION_PRODUCT

Pembrolizumab intravenous + carboplatin intravenous + pemetrexed intravenous

Interventions

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Vudalimab + Carboplatin + Pemetrexed

Vudalimab intravenous + carboplatin intravenous + pemetrexed intravenous

Intervention Type COMBINATION_PRODUCT

Pembrolizumab + Carboplatin + Pemetrexed

Pembrolizumab intravenous + carboplatin intravenous + pemetrexed intravenous

Intervention Type COMBINATION_PRODUCT

Eligibility Criteria

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Inclusion Criteria

* Histologically confirmed, locally advanced (unresectable) or metastatic nonsquamous NSCLC
* Documented absence of tumor activating EGFR mutation, ALK gene and ROS1 rearrangements, and alterations in any actionable driver oncogenes for which there are locally approved targeted first-line therapies
* PD-L1 IHC testing documenting TPS \< 49%
* No prior systemic treatment for advanced/metastatic NSCLC.
* Measurable disease by RECIST 1.1
* ECOG performance status score of 0 or 1
* Life expectancy ≥ 3 months
* Adequate liver, kidney, thyroid and bone marrow function

Exclusion Criteria

* Have known active central nervous system metastases and/or carcinomatous meningitis. Patients with treated brain metastases may participate, provided they are radiologically stable
* Active known or suspected autoimmune disease
* Has any condition requiring systemic treatment with corticosteroids, prednisone equivalents, or other immunosuppressive medications within 14 days prior to first dose of study drug
* Interstitial lung disease that is symptomatic
* Positive test for hepatitis C RNA (a patient who is hepatitis C virus \[HCV\] antibody positive but HCV RNA negative due to documented, curative prior antiviral treatment or natural resolution is eligible)
* Positive test for hepatitis B surface antigen or hepatitis B core antibody (hBcAb) (a patient whose hBsAg is negative and hBcAb is positive may be enrolled if a hepatitis B virus (HBV) DNA test is negative and the subject is retested for HbsAg and HBV DNA every 2 months)
* History or evidence of any clinically unstable/uncontrolled disorder, condition, or disease (including, but not limited to, cardiopulmonary, renal, metabolic, hematologic, or psychiatric) other than NSCLC, that, in the opinion of the Investigator, would pose a risk to patient safety or interfere with study evaluations, procedures, or completion
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Xencor, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jolene Shorr

Role: STUDY_DIRECTOR

Executive Director, Clinical Development

Locations

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Palo Verde Cancer Specialists

Glendale, Arizona, United States

Site Status RECRUITING

Western Regional Medical Center

Goodyear, Arizona, United States

Site Status RECRUITING

Cancer and Blood Specialty Clinic

Los Alamitos, California, United States

Site Status RECRUITING

Eastern Connecticut Hematology and Oncology Associates

Norwich, Connecticut, United States

Site Status RECRUITING

Mid Florida Hematology and Oncology Center

Orange City, Florida, United States

Site Status RECRUITING

Memorial Cancer Institute at Memorial Hospital West

Pembroke Pines, Florida, United States

Site Status RECRUITING

Midwestern Regional Medical Center

Zion, Illinois, United States

Site Status RECRUITING

Johns Hopkins Sidney Kimmel Comprehensive Cancer Center

Baltimore, Maryland, United States

Site Status RECRUITING

Minnesota Oncology Hematology, P.A.

Maple Grove, Minnesota, United States

Site Status RECRUITING

Nebraska Methodist Hospital

Omaha, Nebraska, United States

Site Status RECRUITING

New Jersey Center for Cancer Research

Brick, New Jersey, United States

Site Status WITHDRAWN

Cancer Institute at Phelps

Sleepy Hollow, New York, United States

Site Status RECRUITING

Consultants in Medical Oncology and Hematology, P.C.

Broomall, Pennsylvania, United States

Site Status RECRUITING

Alliance Cancer Specialists

Horsham, Pennsylvania, United States

Site Status RECRUITING

Hematology Associates of Fredericksburg

Fredericksburg, Virginia, United States

Site Status RECRUITING

Jessa Ziekenhuis - Campus Virga Jesse

Hasselt, , Belgium

Site Status RECRUITING

Athens Medical Center

Athens, , Greece

Site Status RECRUITING

St. Lukes (Agios Loucas) Hospital

Thessaloniki, , Greece

Site Status RECRUITING

Hospital Canselor Tuanku Muhriz

Cheras, , Malaysia

Site Status RECRUITING

Pantai Hospital Ipoh

Ipoh, , Malaysia

Site Status RECRUITING

Hospital Sultan Ismail

Johor Bahru, , Malaysia

Site Status RECRUITING

Hospital Umum Sarawak

Kuching, , Malaysia

Site Status RECRUITING

Institut Kanser Negara

Putrajaya, , Malaysia

Site Status RECRUITING

Columbia Asia Hospital Bukit Rimau

Shah Alam, , Malaysia

Site Status RECRUITING

The Netherlands Cancer Institute - Antoni van Leeuwenhoek

Amsterdam, North Holland, Netherlands

Site Status RECRUITING

Med-Polonia Sp. Z o.o.

Poznan, , Poland

Site Status RECRUITING

ULS do Alto Ave, EPE - Hospital da Senhora da Oliveira Guimarães

Guimarães, , Portugal

Site Status RECRUITING

Hospital Santo António dos Capuchos - Unidade Local de Saúde de São José

Lisbon, , Portugal

Site Status RECRUITING

Instituto Português de Oncologia de Porto Francisco Gentil, E.P.E.

Porto, , Portugal

Site Status RECRUITING

NEXT Oncology-Hospital Quirónsalud Barcelona

Barcelona, , Spain

Site Status RECRUITING

Hospital Universitario Vall d'Hebrón

Barcelona, , Spain

Site Status RECRUITING

Hospital Clinic i Provincial de Barcelona

Barcelona, , Spain

Site Status RECRUITING

Hospital Universitario Reina Sofia

Córdoba, , Spain

Site Status RECRUITING

Institut Català d'Oncolgia de Girona

Girona, , Spain

Site Status RECRUITING

Hospital Clínico San Carlos

Madrid, , Spain

Site Status RECRUITING

START MADRID-Hospital Fundacion Jimenez Diaz

Madrid, , Spain

Site Status RECRUITING

Hospital Universitario La Paz

Madrid, , Spain

Site Status RECRUITING

NEXT Oncology-Hospital Quirónsalud Madrid

Madrid, , Spain

Site Status RECRUITING

Hospital Universitario Virgen del Rocío

Seville, , Spain

Site Status RECRUITING

Hospital Universitario Y Politécnico La Fe

Valencia, , Spain

Site Status RECRUITING

Changhua Christian Hospital

Changhua, , Taiwan

Site Status RECRUITING

Kaohsiung Medical University Chung-Ho Memorial Hospital

Kaohsiung City, , Taiwan

Site Status RECRUITING

National Cheng Kung University Hospital

Tainan City, , Taiwan

Site Status RECRUITING

Countries

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United States Belgium Greece Malaysia Netherlands Poland Portugal Spain Taiwan

Central Contacts

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Michael Chiarella

Role: CONTACT

1-858-945-2415

Other Identifiers

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XmAb717-06

Identifier Type: -

Identifier Source: org_study_id