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.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 750 (estimated) |
| Sponsor | Bristol-Myers Squibb Industry-sponsored |
| Drugs / interventions | Pembrolizumab |
| Locations | 283 sites (Daphne, Alabama and 282 other locations) |
| Status | Recruiting |
| Started | March 12, 2026 |
| Main results expected | October 14, 2031 |
| Study ends | October 14, 2031 |
| Registry record updated | October 23, 2026 |
| Trial ID | NCT07361510 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
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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
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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
- Study coordinator: BMS Clinical Trials Contact Center www.BMSClinicalTrials.com
- Email: Clinical.Trials@bms.com
- Phone: 855-907-3286
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.