A Study of Belrestotug Plus Dostarlimab Compared With Placebo Plus Pembrolizumab in Previously Untreated Participants With Programmed Death Ligand 1 (PD-L1) High Non-small-cell Lung Cancer (NSCLC)

NCT ID: NCT06472076

Last Updated: 2025-09-10

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

88 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-06-10

Study Completion Date

2027-02-02

Brief Summary

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The goal of this clinical trial is to evaluate the safety and tolerability profile of dostarlimab in combination with belrestotug when compared with pembrolizumab and placebo in participants with previously untreated, unresectable, locally advanced or metastatic PD-L1 high NSCLC.

Detailed Description

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Conditions

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Lung Cancer, Non-Small Cell

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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Dostarlimab plus belrestotug

Group Type EXPERIMENTAL

Dostarlimab

Intervention Type BIOLOGICAL

Dostarlimab will be administered.

Belrestotug

Intervention Type BIOLOGICAL

Belrestotug will be administered.

Pembrolizumab plus placebo

Group Type ACTIVE_COMPARATOR

Pembrolizumab

Intervention Type BIOLOGICAL

Pembrolizumab will be administered.

Placebo

Intervention Type DRUG

Placebo will be administered.

Interventions

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Dostarlimab

Dostarlimab will be administered.

Intervention Type BIOLOGICAL

Belrestotug

Belrestotug will be administered.

Intervention Type BIOLOGICAL

Pembrolizumab

Pembrolizumab will be administered.

Intervention Type BIOLOGICAL

Placebo

Placebo will be administered.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Has a histologically or cytologically confirmed diagnosis of locally advanced, unresectable NSCLC (not eligible for curative surgery and/or definitive radiotherapy with or without chemotherapy), or Metastatic NSCLC
* Has not received prior systemic therapy for their locally advanced or metastatic NSCLC.
* Provides a fresh tumor tissue sample obtained at the time of or after the initial diagnosis of locally advanced or metastatic NSCLC.
* Has a PD-L1-high (Tumor cells \[TC\] ≥50%) tumor
* Has measurable disease (at least 1 target lesion) based on RECIST 1.1
* Has an Eastern Cooperative Oncology Group (ECOG) Performance status (PS) score of 0 or 1.
* Has adequate organ function

Exclusion Criteria

* Has NSCLC with a tumor that harbors any of the following molecular alterations:

1. Epidermal growth factor receptor (EGFR) mutations that are sensitive to available targeted inhibitor therapy
2. Anaplastic lymphoma kinase (ALK) translocations that are sensitive to available targeted inhibitor therapy
3. Any other known genomic aberrations or oncogenic driver mutations for which a locally approved targeted therapy is available for first line treatment of locally advanced or metastatic NSCLC.
* Has had surgery within 4 weeks of the first dose of study intervention and has not recovered from AEs (i.e., has any ongoing surgery-related events ≥ Grade 1)/complications related to surgery or has received lung radiation therapy of \>30 gray (Gy) within 6 months
* Has received prior therapy with any immune checkpoint inhibitors, including antibodies or drugs targeting PD-(L)1, Cytotoxic T-lymphocyte-associated protein 4 (CTLA-4), T cell immunoglobulin and ITIM domain (TIGIT), or other checkpoint pathways.
* Has never smoked, defined as smoking \<100 tobacco cigarettes in a lifetime.
* Has an invasive malignancy or history of invasive malignancy other than the disease under study within the last 5 years, with the exception of those with a negligible risk of metastasis or death and/or treated with expected curative outcome.
* Has symptomatic, untreated, or actively progressin g brain metastases or leptomeningeal disease
* Has autoimmune disease or syndrome (current or history thereof) that required systemic treatment within the past 2 years.
* Has received any live vaccine within 30 days prior to first dose of study intervention.
* Has any history of idiopathic pulmonary fibrosis, organizing pneumonia, drug induced pneumonitis, idiopathic pneumonitis, or evidence of active pneumonitis.
* Has symptomatic ascites, pleural effusion, or pericardial effusion.
* Has active inflammatory bowel disease
* Has a history of significant acute or chronic cardiac diagnosis requiring intervention/treatment in the last 6 months.
* Has severe infection or complication thereof 4 weeks prior to randomisation including active tuberculosis.
* Has a history of allogeneic tissue/stem cell transplant or solid organ transplant.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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iTeos Therapeutics

INDUSTRY

Sponsor Role collaborator

GlaxoSmithKline

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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GSK Investigational Site

Ocala, Florida, United States

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Honolulu, Hawaii, United States

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Lexington, Kentucky, United States

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Lexington, Kentucky, United States

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Ann Arbor, Michigan, United States

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Omaha, Nebraska, United States

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Nashville, Tennessee, United States

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Fort Worth, Texas, United States

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Olympia, Washington, United States

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Buenos Aires, , Argentina

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Cipoletti Rio Negro, , Argentina

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Ciudad Autonoma de Buenos Aire, , Argentina

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Ciudad Autonoma de Bueno, , Argentina

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Córdoba, , Argentina

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Florida, , Argentina

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Mendoza, , Argentina

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Rosario, , Argentina

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Rosario, , Argentina

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San Miguel de Tucumán, , Argentina

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Hasselt, , Belgium

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Mont Gaston, , Belgium

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Barretos, , Brazil

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Belém, , Brazil

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CuritibaPR, , Brazil

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Florianópolis, , Brazil

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Fortaleza, , Brazil

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Londrina, , Brazil

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Porto VelhoRondOnia, , Brazil

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Salvador, , Brazil

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SAo JosE Do Rio PretoSP, , Brazil

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São Paulo, , Brazil

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Vitória, , Brazil

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Haskovo, , Bulgaria

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Plovdiv, , Bulgaria

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Halifax, Nova Scotia, Canada

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Chengdu, , China

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Hangzhou, , China

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Hangzhou, , China

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Hefei, , China

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Nanjing, , China

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Shanghai, , China

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Kuopio, , Finland

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Turku, , Finland

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Angers, , France

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Boulogne-Billancourt, , France

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Limoges, , France

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Lorient, , France

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Pessac, , France

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Rennes, , France

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Hamburg, , Germany

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Shatin, , Hong Kong

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Gokul Shirgoan, Kolhapur, India

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Ahmedabad-380016, , India

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Apex Wellness Hospital, , India

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Bangalore, , India

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Bangalore, , India

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Belagavi, , India

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Bhubaneshwar, , India

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Bhubaneswar, , India

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Gurgaon, , India

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Kolkata, , India

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New Delhi, , India

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Aichi, , Japan

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Chiba, , Japan

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Ehime, , Japan

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Ehime, , Japan

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Fukuoka, , Japan

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Fukuoka, , Japan

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Gifu, , Japan

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Gunma, , Japan

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Hiroshima, , Japan

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Hokkaido, , Japan

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Hyōgo, , Japan

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Hyōgo, , Japan

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Kanagawa, , Japan

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Kyoto, , Japan

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Mie, , Japan

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Miyagi, , Japan

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Miyagi, , Japan

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Nagasaki, , Japan

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Niigata, , Japan

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Okayama, , Japan

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Osaka, , Japan

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Osaka, , Japan

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Tochigi, , Japan

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Tokyo, , Japan

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Tokyo, , Japan

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Tokyo, , Japan

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Tottori, , Japan

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Wakayama, , Japan

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Guadajalara, , Mexico

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La Paz BCS, , Mexico

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Mexico City, , Mexico

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San Luis Potosí City, , Mexico

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Alkmaar, , Netherlands

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Enschede, , Netherlands

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Panama City, , Panama

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Punta Pacifica Panama City Panama, , Panama

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Daegu, , South Korea

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Incheon, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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A Coruña, , Spain

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Aravaca, , Spain

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BaracaldoVizcaya, , Spain

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Barcelona, , Spain

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Barcelona, , Spain

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Barcelona, , Spain

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Barcelona, , Spain

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Cartagena Murcia, , Spain

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Córdoba, , Spain

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Jaén, , Spain

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Las Palmas de Gran Canar, , Spain

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Madrid, , Spain

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Madrid, , Spain

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Madrid, , Spain

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Madrid, , Spain

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Málaga, , Spain

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Oviedo, , Spain

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Pamplona, , Spain

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Salamanca, , Spain

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Santander, , Spain

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Seville, , Spain

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Valladolid, , Spain

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Gävle, , Sweden

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Kaohsiung City, , Taiwan

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Taipei, , Taiwan

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Adana, , Turkey (Türkiye)

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Ankara, , Turkey (Türkiye)

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Ankara, , Turkey (Türkiye)

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Istanbul, , Turkey (Türkiye)

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Countries

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United States Argentina Belgium Brazil Bulgaria Canada China Finland France Germany Hong Kong India Japan Mexico Netherlands Panama South Korea Spain Sweden Taiwan Turkey (Türkiye)

Other Identifiers

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213823

Identifier Type: -

Identifier Source: org_study_id

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