Study of Efficacy and Safety of Pembrolizumab Plus Platinum-based Doublet Chemotherapy With or Without Canakinumab in Previously Untreated Locally Advanced or Metastatic Non-squamous and Squamous NSCLC Subjects (CANOPY-1)
Non-small Cell Lung Cancer
About this trial
This is an interventional treatment trial for Non-small Cell Lung Cancer focused on measuring ACZ885, canakinumab, pembrolizumab, carboplatin, cisplatin, paclitaxel, nab-paclitaxel, pemetrexed, NSCLC, non-small cell lung cancer, non small cell lung cancer, squamous, non-squamous, hsCRP, IL-1β, PD-L1, CANOPY, CANOPY-1, platinum-based doublet chemotherapy, first line therapy, locally advanced, metastatic
Eligibility Criteria
Key inclusion criteria:
- Histologically confirmed locally advanced stage IIIB or stage IV NSCLC for treatment in the first-line setting
- Known PD-L1 status determined by a Novartis designated central laboratory. A newly obtained tissue biopsy or an archival biopsy (block or slides) is required for PD-L1 determination (PD-L1 IHC 22C3 pharmDx assay), prior to study randomization. Note: For the safety run-in part, known PD-L1 status is not required.
- Eastern Cooperative oncology group (ECOG) performance status of 0 or 1.
- At least 1 measurable lesion by RECIST 1.1
Key exclusion criteria:
- Previous immunotherapy (e.g. anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CTLA-4 antibody, or any other antibody or drug specifically targeting T-cell co-stimulation or immune checkpoint pathways).
- Prior treatment with canakinumab or drugs of a similar mechanism of action (IL-1β inhibitor).
- Subjects with epidermal growth factor receptor (EGFR) sensitizing mutations (identified in exons 19, 20, or 21), and/or ALK rearrangement by locally approved laboratory testing.
- Previously untreated or symptomatic central nervous system (CNS) metastases or lepto-meningeal disease.
- Subject with suspected or proven immune-compromised state or infections.
- Subject has prior to starting study drug: received live vaccination ≤3 months, had major surgery ≤4 weeks prior to starting study drug, has thoracic radiotherapy: lung fields ≤ 4 weeks, other anatomic sites ≤ 2 weeks, palliative radiotherapy for bone lesions ≤ 2 weeks.
Other protocol-defined inclusion/exclusion criteria may apply.
Sites / Locations
- Pacific Shores Medical Group .
- USC Kenneth Norris Comprehensive Cancer Center .
- Advent Health Cancer Institute
- Dana Farber Cancer Institute
- Novartis Investigative Site
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Arms of the Study
Arm 1
Arm 2
Experimental
Other
canakinumab
canakinumab matching-placebo
canakinumab in combination with pembrolizumab and platinum-based doublet chemotherapy
canakinumab matching-placebo in combination with pembrolizumab and platinum-based doublet chemotherapy