A Study of Tiragolumab in Combination With Atezolizumab Plus Pemetrexed and Carboplatin/Cisplatin Versus Pembrolizumab Plus Pemetrexed and Carboplatin/Cisplatin in Participants With Previously Untreated Advanced Non-Squamous Non-Small Cell Lung Cancer (SKYSCRAPER-06)
Non-small Cell Lung Cancer (NSCLC)
About this trial
This is an interventional treatment trial for Non-small Cell Lung Cancer (NSCLC)
Eligibility Criteria
Key Inclusion Criteria:
- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
- Histologically or cytologically documented locally advanced unresectable or metastatic non-squamous NSCLC that is not eligible for curative surgery and/or definitive chemoradiotherapy
- No prior systemic treatment for metastatic non-squamous NSCLC
- Known tumor programmed death-ligand 1 (PD-L1) status
- Measurable disease, as defined by Response Evaluation Criteria in Solid Tumors, version 1.1 (RECIST v1.1)
- Life expectancy >= 12 weeks
- Adequate hematologic and end-organ function
- Negative human immunodeficiency virus (HIV) test at screening
- Serology test negative for active hepatitis B virus or active hepatitis C virus at screening.
Key Exclusion Criteria:
- Mutations in epidermal growth factor receptor (EGFR) gene or anaplastic lymphoma kinase (ALK) fusion oncogene
- Pulmonary lymphoepithelioma-like carcinoma subtype of NSCLC
- Symptomatic, untreated, or actively progressing central nervous system (CNS) metastases
- Active or history of autoimmune disease or immune deficiency
- History of idiopathic pulmonary fibrosis, organizing pneumonia, drug-induced pneumonitis, or idiopathic pneumonitis, or evidence of active pneumonitis
- History of malignancy other than NSCLC within 5 years prior to randomization, with the exception of malignancies with a negligible risk of metastasis or death
- Severe infection within 4 weeks prior to initiation of study treatment or any active infection that, in the opinion of the investigator, could impact patient safety
- Treatment with investigational therapy within 28 days prior to initiation of study treatment
- Prior treatment with CD137 agonists or immune checkpoint blockade therapies, including anti-cytotoxic T lymphocyte-associated protein 4, anti-TIGIT, anti-PD-1, and anti-PD-L1 therapeutic antibodies
- Treatment with systemic immunostimulatory agents within 4 weeks or 5 drug-elimination half-lives (whichever is longer) prior to initiation of study treatment
- Treatment with systemic immunosuppressive medication within 2 weeks prior to initiation of study treatment, or anticipation of need for systemic immunosuppressive medication during study treatment
- Known allergy or hypersensitivity or other contraindication to any component of the chemotherapy regimen the participant may receive during the study
- Women who are pregnant, or breastfeeding
- Known targetable c-ROS oncogene 1 (ROS1) or BRAFV600E genomic aberration.
Sites / Locations
- St. Bernard's Hospital, Inc. d/b/a St. Bernards Medical CenterRecruiting
- University Of Arkansas
- UCLA
- Kaiser Permanente - Oakland
- Kaiser Permanente - Roseville
- Kaiser Permanente - Sacramento; Oncology Pharmacy
- Kaiser Permanente - San Francisco (2238 Geary)
- Kaiser Permanente - San Jose Medical Center
- Kaiser Permanente - San Leandro
- Kaiser Permanente - Santa Clara; Oncology Clinical trials
- Kaiser Permanente - South San Francisco
- Torrance Memorial Physician Network/Cancer Care
- Kaiser Permanente - Vallejo
- Kaiser Permanente - Walnut Creek
- PIH Health Whittier Hospital; NC
- SCRI Florida Cancer Specialists South
- Advent Health Orlando
- Orlando Health Inc.
- SCRI Florida Cancer Specialists North; Research Office North Region.
- Northwest Georgia Oncology Centers PC - Marietta
- Fort Wayne Medical Oncology and Hematology, Inc
- Cancer Center of Kansas
- Baptist Health LexingtonRecruiting
- Boston Medical Center
- Cancer Care Specialists; Division of Clinical Research
- Memorial Sloan Kettering Cancer Center
- SCRI Tennessee Oncology Chattanooga
- Ballad Health
- Thompson Cancer Survival Center
- Sarah Cannon Res. Inst. Onc.
- Ballad Health Cancer Care
- Inova Schar Cancer Institute; Inova Schar Cancer Institute Infusion Pharmacy
- Bon Secours Mercy Health
- Summit Cancer Centers
- Onze Lieve Vrouwziekenhuis Aalst
- Cliniques Universitaires St-Luc
- Jessa ZiekenhuisRecruiting
- CHU de LiègeRecruiting
- CHU UCL Mont-Godinne
- Vitaz
- Crio - Centro Regional Integrado de OncologiaRecruiting
- Oncocentro Belo Horizonte
- Oncosite - Centro de Pesquisa Clinica Em Oncologia Ltda
- Hospital das Clinicas - UFRGS
- Hospital Nossa Senhora da Conceicao
- Hospital de Cancer de Barretos
- Instituto do Cancer do Estado de Sao Paulo - ICESP
- Cross Cancer Institute
- Royal Victoria Regional Health CentreRecruiting
- Victoria Hospital - London Health Sciences CentreRecruiting
- Lakeridge Health OshawaRecruiting
- Sault Area Hospital; Algoma District Cancer ProgramRecruiting
- Princess Margaret Cancer Center
- Universite de Montreal - Hopital Maisonneuve-RosemontRecruiting
- Beijing Cancer Hospital
- Jilin Cancer Hospital
- Xiangya Hospital Central South UniversityRecruiting
- Changzhou First People's Hospital; Oncology
- Affiliated Hospital of Chengde Medical University
- Sichuan Cancer Hospital
- West China Hospital - Sichuan University
- Dongguan People's Hospital
- Cancer Center of Guangzhou Medical University
- Sir Run Run Shaw Hospital Zhejiang University
- Anhui Provincial Hospital; Respiratory Department
- Jinan Central Hospital
- The Second People's Hospital Of Liaocheng
- Linyishi Cancer Hospital
- The First Affiliated Hospital to Henan University of Science and Technology
- Pingxiang People Hospital
- Qingdao Central Hospital; Department of Respiratory and Critical Care Medicine
- Weifang People's Hospital
- Hubei Cancer Hospital
- The First Affiliated Hospital of Xian Jiao Tong UniversityRecruiting
- The First Affiliated Hospital of Xinxiang Medical University
- Subei People's Hospital of Jiangsu province; Respiratory
- The First Affiliated Hospital of Zhengzhou University
- Rigshospitalet; Onkologisk Klinik
- Odense Universitetshospital, Onkologisk Afdeling R
- Sjællands Universitetshospital, Roskilde; Klinisk Onkologisk Afdeling og Palliativ Enhed
- Institut Bergonie; Pneumology
- Hopital Nord; Pneumologie
- Institut Curie; Oncologie Medicale
- Hopital de Pontchaillou; Service de Pneumologie
- CHU Strasbourg - Nouvel Hopital Civil
- CHU de Toulouse - Hôpital Larrey; Service de pneumologie et oncologie pneumologique
- Helios Klinikum Emil von Behring GmbH
- Augusta-Kranken-Anstalt gGmbH; Klinik für Hämatologie, Onkologie & Palliativmedizin
- Klinikum Chemnitz gGmbHRecruiting
- LungenClinic Großhansdorf GmbH
- Krankenhaus Martha-Maria Halle-Doelau gGmbH; Klinik fuer Innere Medizin II
- St. Vincentius Kliniken KarlsruheRecruiting
- Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Medizinische Klinik, Pneumologie
- Klinikum der Philipps-Universität Marburg
- Universitätsklinikum Regensburg; Klinik und Poliklinik für Innere Medizin II, Pneumologie
- Universitätsklinikum Tübingen; Innere Medizin VIII, Medizinische Onkologie und Pneumologie
- Hong Kong United Oncology Centre
- Queen Mary Hospital; Dept. of Clinical Oncology
- Queen Mary Hospital; Medicine & Respiratory
- Tuen Mun Hospital; Clinical Onc
- Prince of Wales Hospital; Department of Clinical Onocology
- Azienda Ospedaliera di Rilievo Nazionale e di Alta Specialita San Giuseppe Moscati
- IRCCS Istituto Nazionale Tumori Fondazione Pascale; Oncologia Medica A
- Azienda Ospedaliero-Universitaria S.Orsola-Malpighi; Unità Operativa Oncologia Medica
- Centro Di Riferimento Oncologico; Struttura Operativa Complessa Di Oncologia Medica B
- IRCCS Istituto Regina Elena (IFO); Oncologia Medica B
- A.O. Villa Scassi; Oncologia Medica
- Asst Papa Giovanni XXIII; Oncologia MedicaRecruiting
- ASST Spedali Civili di Brescia
- Azienda Ospedaliero-Universitaria Careggi;S.C. Oncologia Medica 1Recruiting
- Kyushu University Hospital
- Kurume University Hospital
- Hiroshima University Hospital
- Takarazuka City Hospital
- University Hospital Kyoto Prefectural University of Medicine
- Sendai Kousei Hospital
- Osaka International Cancer Institute
- Kansai Medical University Hospital
- Kindai University Hospital
- Kinki-Chuo Chest Medical Center
- Saitama Cancer Center
- The Cancer Institute Hospital of JFCR
- Tokyo Medical University Hachioji Medical CenterRecruiting
- Wakayama Medical University Hospital
- International Cancer Institute (ICI)
- University of Nairobi - Institute of Tropical and Infectious Diseases
- Kosin University Gospel Hospital
- Kyungpook National University Chilgok HospitalRecruiting
- Chungnam National University Hospital
- St. Vincent's Hospital
- Samsung Changwon Hospital
- Seoul National University Hospital
- Kangbuk Samsung Hospital
- Severance Hospital, Yonsei University Health System
- Asan Medical Center
- Seoul St Mary's Hospital
- Health Pharma Professional Research
- ARKE Estudios Clínicos S.A. de C.V.
- Cuidados oncologicos
- Oncologico PotosinoRecruiting
- Auckland City Hospital, Cancer and Blood Research
- Waikato Hospital - Cancer and Blood Research Trials Unit; Regional Cancer Centre
- Palmerston North HospitalRecruiting
- Tauranga Hospital, Clinical Trials Unit; BOP Clinical School
- Centrum Terapii Wspolczesnej J.M.Jasnorzewska Spolka Komandytowo-Akcyjna
- Szpital Morski Im. Pck; Oncology & Radiotherapy Dept
- Regionalny Szpital Specjalistyczny im. W. Bieganskiego; Oddzial Onkologii Klinicznej
- Warminsko-Mazurskie Centrum Chorób P?uc w Olsztynie; Oddzial onkologii z pododdzialem chemioterapii
- ICO L'Hospitalet; Servicio de oncologia medica
- Hospital Son Llatzer; Servicio de Oncologia
- Complejo Hospitalario Universitario A Coruña (CHUAC); Servicio de Oncologia
- Complejo Hospitalario Universitario Insular?Materno Infantil; Servicio de Oncologia
- Hospital del Mar; Servicio de Oncologia
- Hospital Clinic Barcelona; Servicio de oncologia
- Hospital Lucus Augusti; Servicio de Oncologia
- Hospital General Universitario Gregorio Marañon; Servicio de Oncologia
- Hospital Universitario La Paz; Servicio de Oncologia
- Hospital Univ. Nuestra Señora de Valme; Servicio de Oncologia
- Hospital Clinico Universitario de Valencia; Servicio de Onco-hematologia
- Kantonsspital Aarau
- Kantonsspital Graubünden Medizin Onkologie; Onkologie und Hämatologie
- UniversitätsSpital Zürich; Zentrum für Hämatologie und Onkologie, Klinik für Onkologie
- Changhua Christian Hospital
- China Medical University Hospital
- Taipei Veterans General HospitalRecruiting
- Vajira Hospital
- Chulalongkorn Hospital; Medical Oncology
- Pramongkutklao Hospital; Medicine - Medical Oncology Unit
- Faculty of Med. Siriraj Hosp.; Med.-Div. of Med. Oncology
- Maharaj Nakorn Chiang Mai Hospital; Department of Medicine
- Songklanagarind Hospital; Department of Internal Medicine, Division of Respiratory
- Adana Baskent University Medical Faculty; Oncology
- Ankara Bilkent City Hospital
- Liv Hospital Ankara; Medical Oncology
- Dicle University Faculty of Medicine
- Trakya University Medical Faculty
- Istanbul University Cerrahpasa Medical Faculty
- Medeniyet University Goztepe Training and Research Hospital.
- Royal Cornwall Hospital; Dept of Clinical Oncology
- Castle Hill Hospital; The Queen's Centre for Oncology & Haematology
- Barts & London School of Med; Medical Oncology
- Guy'S Hospital; Oncology Unit
- Christie Hospital Nhs Trust; Medical OncologyRecruiting
- Nottingham City Hospital
- New Cross Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
Tiragolumab+Atezolizumab+Pemetrexed+Carboplatin or Cisplatin
Placebo+Pembrolizumab+Pemetrexed+Carboplatin or Cisplatin
Induction treatment with tiragolumab in combination with atezolizumab plus pemetrexed and cisplatin or carboplatin will be administered to participants on Day 1 of each 21-day cycle for 4 cycles. Following the induction phase, participants will continue maintenance therapy with tiragolumab in combination with atezolizumab and pemetrexed on Day 1 of each 21-day cycle.
Induction treatment with placebo in combination with pembrolizumab plus pemetrexed and cisplatin or carboplatin will be administered to participants on Day 1 of each 21-day cycle for 4 cycles. Following the induction phase, participants will continue maintenance therapy with placebo in combination with pembrolizumab and pemetrexed on Day 1 of each 21-day cycle.