Trial Investigating Visugromab and Nivolumab With or Without Docetaxel in 2L Treatment of Participants With Metastatic NSCLC

NCT ID: NCT07246863

Last Updated: 2025-11-24

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

PHASE2

Total Enrollment

131 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-10-07

Study Completion Date

2031-10-01

Brief Summary

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This is an exploratory, signal-finding, randomized, placebo-controlled, blinded, multi-center phase 2b trial of the anti-GDF-15 antibody Visugromab (CTL-002) at two different dose levels plus Nivolumab with Docetaxel versus Visugromab at the higher dose plus Nivolumab with placebo versus double-placebo with Docetaxel, in participants that receive second-line treatment for non-squamous NSCLC after failure of prior first-line treatment including a CPI (checkpoint inhibitor).

The trial consists of 3 Parts: an open-label Safety Run-in part (Part A) followed by a subsequent randomized phase 2b part with 4 treatment arms. After the treatment of 15 participants with visugromab at the expansion dose, an interim safety and preliminary efficacy analysis will be conducted (Part B), followed by the treatment of the remaining participants (Part C).

Detailed Description

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Conditions

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Metastatic Non-Squamous Non-Small Cell Lung Cancer Adult Solid Tumor

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Part A: Safety Run-In

Part B and C: Randomized Part consists of 4 Arms:

Arm A: Visugromab at the recommended dose for expansion (RDE) with Nivolumab and Docetaxel,

Arm B: Visugromab 6 mg/kg with Nivolumab and Docetaxel,

Arm C: Visugromab at the RDE with Nivolumab and Placebo (saline),

Arm D: Double Placebo (saline) and Docetaxel

Participants will be allocated in 2:1:1:1 ratio to treatment arms A, B, C, or D
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators
Throughout the randomized part of the trial, participants, Investigators, trial-assigned site staff (except for the pharmacists), the CRO (except for the unblinded clinical monitoring team), and imaging vendor will remain blinded to the information of which participant is receiving which IMP. Sponsor staff may be unblinded on an as needed basis.

Study Groups

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Arm A

Visugromab (RDE) + Nivolumab (360 mg) + Docetaxel (75 mg/m2), intravenous (IV) on Day 1 of every 21-day cycle every 3 weeks (Q3W)

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

Participants receive Nivolumab 360mg intravenous (IV) on Day 1 of every 21-day cycle (every 3 weeks, or Q3W)

Docetaxel

Intervention Type DRUG

Participants receive Docetaxel 75 mg/m2 intravenous (IV) on Day 1 of every 21-day cycle (every 3 weeks, or Q3W)

Visugromab RDE (recommended dose for expansion)

Intervention Type BIOLOGICAL

Participants receive Visugromab (RDE) intravenous (IV) on Day 1 of every 21-day cycle (every 3 weeks, or Q3W)

Arm B

Visugromab (6mg/kg) + Nivolumab (360 mg) + Docetaxel (75 mg/m2), intravenous (IV) on Day 1 of every 21-day cycle every 3 weeks (Q3W)

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

Participants receive Nivolumab 360mg intravenous (IV) on Day 1 of every 21-day cycle (every 3 weeks, or Q3W)

Docetaxel

Intervention Type DRUG

Participants receive Docetaxel 75 mg/m2 intravenous (IV) on Day 1 of every 21-day cycle (every 3 weeks, or Q3W)

Visugromab 6mg/kg

Intervention Type BIOLOGICAL

Participants receive Visugromab (6mg/kg) intravenous (IV) on Day 1 of every 21-day cycle (every 3 weeks, or Q3W)

Arm C

Visugromab (RDE) + Nivolumab (360 mg) + Placebo (Saline) intravenous (IV) on Day 1 of every 21-day cycle every 3 weeks (Q3W)

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

Participants receive Nivolumab 360mg intravenous (IV) on Day 1 of every 21-day cycle (every 3 weeks, or Q3W)

Placebo Saline Infusion

Intervention Type OTHER

Participants receive Saline intravenous (IV) on Day 1 of every 21-day cycle (every 3 weeks, or Q3W)

Visugromab RDE (recommended dose for expansion)

Intervention Type BIOLOGICAL

Participants receive Visugromab (RDE) intravenous (IV) on Day 1 of every 21-day cycle (every 3 weeks, or Q3W)

Arm D

Double Placebo (Saline) + Docetaxel (75 mg/m2), intravenous (IV) on Day 1 of every 21-day cycle (every 3 weeks, or Q3W)

Group Type ACTIVE_COMPARATOR

Placebo Saline Infusion

Intervention Type OTHER

Participants receive Saline intravenous (IV) on Day 1 of every 21-day cycle (every 3 weeks, or Q3W)

Docetaxel

Intervention Type DRUG

Participants receive Docetaxel 75 mg/m2 intravenous (IV) on Day 1 of every 21-day cycle (every 3 weeks, or Q3W)

Interventions

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Nivolumab

Participants receive Nivolumab 360mg intravenous (IV) on Day 1 of every 21-day cycle (every 3 weeks, or Q3W)

Intervention Type BIOLOGICAL

Placebo Saline Infusion

Participants receive Saline intravenous (IV) on Day 1 of every 21-day cycle (every 3 weeks, or Q3W)

Intervention Type OTHER

Docetaxel

Participants receive Docetaxel 75 mg/m2 intravenous (IV) on Day 1 of every 21-day cycle (every 3 weeks, or Q3W)

Intervention Type DRUG

Visugromab RDE (recommended dose for expansion)

Participants receive Visugromab (RDE) intravenous (IV) on Day 1 of every 21-day cycle (every 3 weeks, or Q3W)

Intervention Type BIOLOGICAL

Visugromab 6mg/kg

Participants receive Visugromab (6mg/kg) intravenous (IV) on Day 1 of every 21-day cycle (every 3 weeks, or Q3W)

Intervention Type BIOLOGICAL

Other Intervention Names

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CTL-002 CTL-002 OPDIVO® 0.9% NaCl

Eligibility Criteria

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Inclusion Criteria

* Participants must have histologically or cytologically confirmed diagnosis of stage IV non-squamous NSCLC.
* Participants must have demonstrated absence of actionable mutations (e.g. EGFR, ALK, among others) that suggest/require treatment with available targeted agent.
* Participants must have failed one line of prior systemic treatment for metastatic NSCLC containing an approved anti PD (L)1 checkpoint inhibitor (CPI). The minimum treatment duration on this regimen must have been 12 weeks exposure for the CPI with no documented progression in this period. Failure of the prior line of systemic treatment for metastatic NSCLC must have occurred under ongoing CPI treatment. Discontinuation of the prior CPI and line of treatment due to AEs, or any other reason than progression/relapse does not permit enrollment.
* Participants must have measurable disease determined by the local site Investigator by their assessment per RECIST v1.1.
* Participants must have life expectancy of at least 3 months as assessed by the Investigator.
* Participants must have ECOG performance status ≤1.

Exclusion Criteria

* Participants must not have received more than one line of prior systemic treatment for advanced/metastatic NSCLC.
* Participants must not have a prior malignancy requiring treatment.
* Participants must not have a known or detected clinically active central nervous system (CNS) involvement by NSCLC or other tumors, e.g., with symptomatic metastases and/or carcinomatous meningitis
* Participants must not have any active autoimmune disease that has required systemic treatment in past 3 months before planned treatment start (i.e., with use of disease modifying agents, corticosteroids, or immunosuppressive drugs).
* Participants must not have interstitial lung disease or a history of (non-infectious) pneumonitis that required systemic steroids or current pneumonitis.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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CatalYm GmbH

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lena Lemke, MD

Role: STUDY_DIRECTOR

CatalYm GmbH

Locations

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University of Alabama at Birmingham (O'Neal Comprehensive Cancer Center)

Birmingham, Alabama, United States

Site Status NOT_YET_RECRUITING

Duke University Medical Center

Durham, North Carolina, United States

Site Status NOT_YET_RECRUITING

University Hospital of Jaen

Jaén, Andalusia, Spain

Site Status RECRUITING

University Hospital Basel

Basel, , Switzerland

Site Status RECRUITING

Cantonal Hospital Saint Gallen, Clinic of Oncology and Hematology

Sankt Gallen, , Switzerland

Site Status RECRUITING

Countries

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United States Spain Switzerland

Central Contacts

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Lena Lemke, MD

Role: CONTACT

+49 89 200066440

Gerda Vlasitz-Kocks, MD

Role: CONTACT

+49 89 200066440

Facility Contacts

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Leigh McManus, RN, MSHQS, CCRP

Role: primary

205-934-4173

Alicia Wilkerson

Role: primary

919-681-4768

Ana Laura Ortega, Dr

Role: primary

+34 (95) 322 0306

Benjamin Thiele, Dr

Role: primary

+41 (612) 655 074

Markus Joerger, Dr

Role: primary

+41 (71) 494 1111

Other Identifiers

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2024-516794-70-00

Identifier Type: CTIS

Identifier Source: secondary_id

CTL-002-004

Identifier Type: -

Identifier Source: org_study_id

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