Clinical trial Recruiting at 180 sites Phase 3 Interventional Ages 18 and up

Pumitamig vs pembrolizumab for first-line advanced NSCLC with PD‑L1 ≥50% (ROSETTA Lung-202)

Official title: ROSETTA Lung-202: A Randomized, Double-Blind, Phase 3 Study of Pumitamig Monotherapy Compared to Pembrolizumab as First-line Treatment in Participants With Locally Advanced or Metastatic Non-Small Cell Lung Cancer With PD-L1 ≥ 50%.

Run by Bristol-Myers Squibb · NCT07361510 · Data updated 2026-11-12

This will test if pumitamig works better than pembrolizumab as the first treatment for people with advanced non-small cell lung cancer and PD‑L1 levels of 50% or higher.

More Non-small Cell Lung Cancer (NSCLC) trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment750 (estimated)
SponsorBristol-Myers Squibb
Industry-sponsored
Drugs / interventionsPembrolizumab
Locations283 sites (Daphne, Alabama and 282 other locations)
StatusRecruiting
StartedMarch 12, 2026
Main results expectedOctober 14, 2031
Study endsOctober 14, 2031
Registry record updatedOctober 23, 2026
Trial IDNCT07361510 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults with previously untreated stage IIIB/IIIC or IV NSCLC, PD‑L1 tumor expression ≥50%, measurable disease, ECOG 0–1, and no actionable genomic alterations requiring targeted therapy.

Probably not a fit

Patients with approved first-line targeted therapy options for actionable genomic alterations, symptomatic untreated CNS metastases, prior systemic therapy for advanced disease, or ECOG >1 are unlikely to benefit from joining this trial.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

ROSETTA Lung-202 is a randomized Phase 3 trial comparing the investigational drug pumitamig against the approved immunotherapy pembrolizumab in adults with previously untreated stage IIIB/IIIC or IV non-small cell lung cancer and tumor PD‑L1 ≥50%. Eligible participants must have measurable disease by RECIST v1.1 and an ECOG performance status of 0–1, and those with actionable genomic alterations or symptomatic untreated CNS metastases are excluded. Patients are assigned to one of two treatment arms and followed with regular clinic visits, imaging, and safety monitoring to measure outcomes such as progression-free survival, overall survival, and adverse events. The study is sponsored by Bristol-Myers Squibb with collaboration from BioNTech and is being conducted at listed clinical sites in the United States.

Why it matters

Potential benefit: If successful, pumitamig could offer a more effective first-line option than pembrolizumab for patients with high PD‑L1 expression, potentially improving time without disease progression or overall survival.

How similar studies have gone: Pembrolizumab is an established first-line therapy for PD‑L1 ≥50% NSCLC and other investigational immune therapies have shown both comparable and occasionally improved outcomes in head-to-head comparisons, while pumitamig is a newer investigational agent being tested directly against pembrolizumab.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria

* Participants must have a histologically or cytologically confirmed diagnosis of Non-Small Cell Lung Cancer (NSCLC) (squamous and nonsquamous) with Stage IIIB/IIIC or Stage IV disease.
* Participants must have a programmed death ligand-1 (PD-L1) expression ≥ 50%.
* Participants must have measurable disease as defined by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
* Participants must have no prior systemic anti-tumor therapy for locally advanced or metastatic NSCLC.
* Participants must have an Eastern Cooperative Oncology Group (ECOG) Performance Status 0-1.

Exclusion Criteria

* Participants must not have any documented actionable genomic alteration (AGA) for which first-line (1L) approved therapies are indicated.
* Participants must not have any symptomatic untreated central nervous system (CNS) metastases, leptomeningeal metastases (carcinomatous meningitis) or spinal cord compression.
* Participants must not have any significant cardiovascular impairment as evidenced by uncontrolled hypertension (despite optimal medical treatment), congestive heart failure, active coronary disease (within 6 months prior to randomization), ventricular arrhythmias, or major thrombotic or embolic events or major hemorrhagic events (within 6 months prior to randomization), or significant risk of pulmonary hemorrhage.
* Participants must not an active autoimmune disease.
* Other protocol-defined Inclusion/Exclusion criteria apply.

Where it's running

  • Southern Cancer Center Pc
    Daphne, Alabama, United States
    Recruiting
  • Mohtaseb Cancer Center & Blood Disorders
    Bullhead City, Arizona, United States
    Recruiting
  • Palo Verde Hematology Oncology
    Glendale, Arizona, United States
    Recruiting
  • Beverly Hills Cancer Center
    Beverly Hills, California, United States
    Recruiting
  • Orange Coast Memorial Medical Center
    Fountain Valley, California, United States
    Recruiting
  • Cancer and Blood Specialty Clinic
    Los Alamitos, California, United States
    Recruiting
Show 44 more locations
  • UCLA
    Los Angeles, California, United States
    Recruiting
  • Pacific Cancer Care
    Monterey, California, United States
    Recruiting
  • BASS Cancer Center
    Walnut Creek, California, United States
    Recruiting
  • Clermont Oncology Center
    Clermont, Florida, United States
    Recruiting
  • Advanced Research
    Coral Springs, Florida, United States
    Recruiting
  • BRP- Hialeah Hospital
    Hialeah, Florida, United States
    Recruiting
  • Florida Clinical Trials Group
    Tamarac, Florida, United States
    Recruiting
  • University Cancer & Blood Center, LLC
    Athens, Georgia, United States
    Recruiting
  • Northwest Georgia Oncology Centers, a Service of Wellstar Cobb Hospital
    Marietta, Georgia, United States
    Recruiting
  • Northwest Cancer Centers, P.C.
    Dyer, Indiana, United States
    Recruiting
  • Missouri Cancer Associates
    Columbia, Missouri, United States
    Recruiting
  • Memorial Sloan Kettering Cancer Center
    New York, New York, United States
    Recruiting
  • Optum Medical Care, PC
    Westbury, New York, United States
    Recruiting
  • Novant Health Pharmacy Oncology Specialists
    Winston-Salem, North Carolina, United States
    Recruiting
  • Cincinnati Veterans Affairs Medical Center
    Cincinnati, Ohio, United States
    Recruiting
  • Lancaster General Hospital
    Lancaster, Pennsylvania, United States
    Recruiting
  • WellSpan Oncology Research
    York, Pennsylvania, United States
    Recruiting
  • University Of Texas Medical Branch At Galveston
    Galveston, Texas, United States
    Recruiting
  • Kelsey-Seybold Clinic Main Campus
    Houston, Texas, United States
    Recruiting
  • Texas Oncology - San Antonio
    San Antonio, Texas, United States
    Recruiting
  • Shenandoah Oncology, P.C.
    Winchester, Virginia, United States
    Recruiting
  • Charleston Area Medical Center (CAMC)
    Charleston, West Virginia, United States
    Recruiting
  • HSHS St. Vincent Hospital Regional Cancer Center
    Green Bay, Wisconsin, United States
    Recruiting
  • Marshfield Medical Center - Marshfield
    Marshfield, Wisconsin, United States
    Recruiting
  • Investigaciones Oncologicas C Colon SA
    Mar del Plata, Buenos Aires, Argentina
    Recruiting
  • Fundacion Estudios Clinicos
    Rosario, Santa Fe Province, Argentina
    Recruiting
  • Sanatorio Plaza
    Rosario, Santa Fe Province, Argentina
    Recruiting
  • Clínica Mayo de Urgencias Médicas Cruz Blanca S.R.L
    San Miguel de Tucumán, Tucumán Province, Argentina
    Recruiting
  • Clinica Adventista Belgrano
    Buenos Aires, Argentina
    Recruiting
  • Hospital Italiano De Cordoba
    Córdoba, Argentina
    Recruiting
  • Gosford Hospital
    Gosford, New South Wales, Australia
    Recruiting
  • Nepean Hospital
    Penrith, New South Wales, Australia
    Recruiting
  • Lyell McEwin Hospital
    Elizabeth Vale, South Australia, Australia
    Recruiting
  • Grampians Health
    Ballarat Central, Victoria, Australia
    Recruiting
  • Joondalup Health Campus
    Joondalup, Western Australia, Australia
    Recruiting
  • Kepler Universitaetsklinikum
    Linz, Upper Austria, Austria
    Recruiting
  • Landeskrankenhaus Feldkirch
    Feldkirch, Austria
    Recruiting
  • Universitätsklinikum St. Pölten
    Sankt Pölten, Austria
    Recruiting
  • ZAS Augustinus
    Wilrijk, Antwerpen, Belgium
    Recruiting
  • CHIREC - site delta
    Auderghem, Bruxelles-Capitale, Région de, Belgium
    Recruiting
  • UZ Leuven
    Leuven, Vlaams-Brabant, Belgium
    Recruiting
  • Algemeen Ziekenhuis klina
    Brasschaat, Belgium
    Recruiting
  • Crio - Centro Regional Integrado de Oncologia
    Fortaleza, Ceará, Brazil
    Recruiting
  • Liga Norte Riograndense Contra o Câncer
    Natal, Rio Grande do Norte, Brazil
    Recruiting

+233 more sites. See ClinicalTrials.gov for the full list.

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.