Testing new immunotherapy combinations for advanced lung cancer
A Phase 1b/2, Multicenter, Open-label Platform Study of Select Immunotherapy Combinations in Adult Participants With Previously Untreated Advanced Non-small Cell Lung Cancer (NSCLC) With High PD-L1 Expression
This study is testing a new combination of immunotherapy drugs to see if they can help adults with untreated advanced lung cancer feel better and live longer.
Quick facts
| Phase | Phase1; Phase2 |
|---|---|
| Study type | Interventional |
| Enrollment | 176 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Servier Industry-sponsored |
| Drugs / interventions | prednisone, cemiplimab |
| Locations | 73 sites (Loma Linda, California and 72 other locations) |
| Trial ID | NCT06162572 on ClinicalTrials.gov |
What this trial studies
This study evaluates the effectiveness of the anti-PD1 antibody cemiplimab combined with other antibodies (S095018, S095024, S095029) in adults with untreated advanced non-small cell lung cancer (NSCLC) that has high PD-L1 expression. It consists of two parts: a safety lead-in phase to determine the recommended dose for expansion and a randomized dose expansion phase to assess the efficacy of these combinations. Participants will receive treatment for up to 108 weeks or until disease progression occurs. The study aims to improve treatment options for patients with this challenging cancer.
Who should consider this trial
Good fit: Ideal candidates are adults aged 18 and older with untreated advanced or metastatic NSCLC and high PD-L1 expression.
Not a fit: Patients with specific driver mutations or those who have previously received immune checkpoint inhibitors may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could provide a new effective treatment option for patients with advanced non-small cell lung cancer.
How similar studies have performed: Other studies have shown promising results with similar immunotherapy combinations, indicating potential for success in this approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adult patient aged ≥ 18 years * Written informed consent * Histologically (squamous or non-squamous) or cytologically documented locally advanced NSCLC not eligible for surgical resection and/or definitive chemoradiation, or metastatic NSCLC * No prior systemic treatment for locally advanced or metastatic NSCLC * High tumor cell PD-L1 expression \[Tumor Proportion Score (TPS) ≥50%\] based on documented status as determined by an approved test * Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1 * Measurable disease as determined by RECIST v1.1 Exclusion Criteria: * Tumors harboring driver mutations/genetic aberrations for which targeted therapies are approved as frontline treatment (e.g. EGFR mutation, ALK fusion oncogene, ROS1 aberrations) * Prior immune checkpoint inhibitor therapy * Active brain metastases * Participants with active and uncontrolled hepatitis B virus (HBV) or hepatitis C virus (HCV) infection * Uncontrolled HIV infection. Participants with HIV who have controlled infection (undetectable viral load and CD4 count above 350 either spontaneously or on a stable antiviral regimen) are allowed to enroll * Active, known or suspected autoimmune disease or immune deficiency * History of hypersensitivity reactions to any ingredient of the investigational medicinal product (IMP) and other monoclonal antibody (mAbs) and/or their excipients * History of interstitial lung disease, idiopathic pulmonary fibrosis, drug-induced pneumonitis, idiopathic pneumonitis or active pneumonitis ≥ grade 2 * History of inflammatory bowel disease or colitis ≥ grade 2 * History of hemophagocytic lymphohistiocytosis. * Systemic chronic steroid therapy (\>10mg/d prednisone or equivalent) * Active infection, including infection requiring systemic antibiotic therapy * Pregnant or breast-feeding (lactating) women * Participants with a history of allogeneic organ transplantation (e.g., stem cell or solid organ transplant) * Any medical condition that would in the investigator's judgement prevent the participant's participation in the clinical study
Where this trial is running
Loma Linda, California and 72 other locations
- Loma Linda University — Loma Linda, California, United States (Not_yet_recruiting)
- University of Kansas Medical Center — Lawrence, Kansas, United States (Not_yet_recruiting)
- Henry Ford Health — Detroit, Michigan, United States (Not_yet_recruiting)
- Comprehensive Cancer Center of Nevada — Las Vegas, Nevada, United States (Not_yet_recruiting)
- Gabrail Cancer Center — Canton, Ohio, United States (Recruiting)
- Ohio State University Comprehensive Cancer Center — Columbus, Ohio, United States (Recruiting)
- Virginia Cancer Specialists, P.C. — Fairfax, Virginia, United States (Recruiting)
- Instituto Médico Especializado Alexander Fleming — Ciudad Autonoma de Buenos Aires, Argentina (Not_yet_recruiting)
- Sanatorio Parque S.A. — Santa Fe, Argentina (Not_yet_recruiting)
- Border Medical Oncology Research Unit — Albury, Australia (Recruiting)
- Flinders Medical Centre — Bedford Park, Australia (Recruiting)
- Sunshine Hospital — St Albans, Australia (Recruiting)
- Latrobe Regional Health — Traralgon, Australia (Recruiting)
- Ordensklinikum Linz Elisabethinen — Linz, Austria (Recruiting)
- Universitatsklinikum St. Poelten — St. Poelten, Austria (Recruiting)
- Medical University of Vienna - Akh — Wien, Austria (Recruiting)
- Jessa Ziekenhuis — Hasselt, Belgium (Not_yet_recruiting)
- Uz Leuven Campus Gasthuisberg — Leuven, Belgium (Not_yet_recruiting)
- Hospital de Amor - Barretos — Barretos, Brazil (Not_yet_recruiting)
- Supera Oncologia — Chapecó, Brazil (Recruiting)
- Cionc — Curitiba, Brazil (Recruiting)
- Oncosite — Ijuí, Brazil (Not_yet_recruiting)
- Liga Contra O Cancer - Natal — Natal, Brazil (Recruiting)
- Santa Casa de Porto Alegre — Porto Alegre, Brazil (Not_yet_recruiting)
- Hospital São Lucas Da Pucrs — Porto Alegre, Brazil (Recruiting)
- Oncoclinicas Rj — Rio De Janeiro, Brazil (Recruiting)
- Icesp - Instituto Do Câncer Do Estado de São Paulo — São Paulo, Brazil (Not_yet_recruiting)
- Hospital A C Camargo — São Paulo, Brazil (Not_yet_recruiting)
- Hospital São Camilo — São Paulo, Brazil (Recruiting)
- Oncoclinicas Sp — São Paulo, Brazil (Recruiting)
- Hospital Albert Einstein — São Paulo, Brazil (Not_yet_recruiting)
- Centre Georges Francois Leclerc — Dijon, France (Recruiting)
- Chu Grenoble Alpes — Grenoble, France (Not_yet_recruiting)
- Institut Paoli Calmette — Marseille, France (Recruiting)
- Centre René Gauducheau/Inst de Cancér. de L'Ouest — Saint-Herblain, France (Recruiting)
- Institut Gustave Roussy — Villejuif, France (Not_yet_recruiting)
- Hong Kong United Onology Centre — Hong Kong, Hong Kong (Not_yet_recruiting)
- Prince of Wales Hospital — Hong Kong, Hong Kong (Not_yet_recruiting)
- Queen Mary Hospital — Hong Kong, Hong Kong (Not_yet_recruiting)
- Farkasgyepu Tudogyogyintezet — Farkasgyepű, Hungary (Not_yet_recruiting)
- Bugat Pal Hospital — Gyöngyös, Hungary (Recruiting)
- Pecsi Tudomanyegyetem, Klinikai Kozpont — Pécs, Hungary (Not_yet_recruiting)
- Centro Di Riferimento Oncologico — Aviano, Italy (Recruiting)
- Inst. Romagnolo Per Lo Studio E La Cura Dei Tumori — Meldola, Italy (Recruiting)
- Irccs Fondazione Istituto Nazionale Dei Tumori — Milano, Italy (Not_yet_recruiting)
- Istituto Europeo Di Oncologia — Milano, Italy (Recruiting)
- ASST Grande Ospedale Metropolitano Niguarda — Milano, Italy (Recruiting)
- Ist. Nazionale Tumori Irccs Fondazione G Pascale — Napoli, Italy (Recruiting)
- Azienda Ospedaliera S. Maria Della Misericordia — Perugia, Italy (Recruiting)
- Istituto Nazionale Tumori Regina Elena — Roma, Italy (Recruiting)
+23 more sites — see ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Institut de Recherches Internationales Servier (I.R.I.S.), Clinical Studies Department
- Email: scientificinformation@servier.com
- Phone: +33 1 55 72 60 00
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.