AK112 in Advanced Non-Small Cell Lung Cancer
Primary Purpose
Advanced Non-small-cell Lung Cancer
Status
Active
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
AK112
Pembrolizumab
Sponsored by

About this trial
This is an interventional treatment trial for Advanced Non-small-cell Lung Cancer
Eligibility Criteria
Inclusion Criteria:
- Has a histologically or cytologically confirmed diagnosis of NSCLC.
- Has Stage IIIB/C or IV NSCLC (American Joint Committee on Cancer [AJCC]).
- ≥18 years old (at the time consent is obtained).
- Be able and willing to provide written informed consent and to comply with all requirements of study participation (including all study procedures).
- Be able to provide formalin fixed, paraffin-embedded (FFPE) tumor tissue.
- Has a life expectancy of at least 3 months.
- Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- Has measurable disease based on Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 as determined by the site study team.
- Has no EGFR-sensitive mutations or ALK gene translocations.
- Has positive PD-L1 expression in tumor tissue.
- Has no prior systemic anti-tumor therapy for locally advanced or metastatic NSCLC.
- Has adequate organ function.
- Has recovered from the effects of any prior radiotherapy or surgery.
- All female and male subjects of reproductive potential must agree to use an effective method of contraception, as determined by the Investigator, during and for 120 days after the last dose of study treatment.
Exclusion Criteria:
- Has any histologically small cell carcinoma component.
- Is currently participating in a study of an investigational agent or using an investigational device.
- Has a diagnosis of immunodeficiency or is receiving systemic steroid therapy within 2 years prior to the first dose of study treatment.
- Has undergone major surgery within 30 days of Study Day 1.
- Has a known additional malignancy that is progressing or requires systemic treatment. Exceptions include basal cell carcinoma of the skin, squamous cell carcinoma of the skin that has undergone potentially curative therapy or in situ cervical cancer.
- Has known active central nervous system (CNS) metastases.
- Has an active autoimmune disease that has required systemic treatment in the past 2 years (i.e. with use of disease modifying agents, corticosteroids or immunosuppressive drugs).
- Has an active infection requiring systemic therapy.
- Has known active Hepatitis B (e.g., HBsAg reactive) or Hepatitis C (e.g., HCV RNA [qualitative] is detected).
- History of myocardial infarction, unstable angina, congestive heart failure within 12 months prior to day 1 of study treatment.
- Has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the study, interfere with the subject's participation for the full duration of the study, or is not in the best interest of this subject to participate, in the opinion of the treating investigator.
- Has known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the study.
- Has received a live virus vaccine within 30 days of the planned first dose of study therapy.
- Is pregnant, breastfeeding, or expecting to conceive or father a child within the projected duration of the study including 120 days following the last dose of study treatment.
- Has any concurrent medical condition that, in the opinion of the Investigator, would complicate or compromise compliance with the study or the well-being of the subject.
Sites / Locations
- Shanghai Pulmonary Hospital
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
AK112
Pembrolizumab
Arm Description
Subjects receive AK112 monotherapy intravenously (IV), selected dose.
Subjects receive Pembrolizumab monotherapy intravenously (IV), 200mg q3w.
Outcomes
Primary Outcome Measures
PFS assessed by IRRC per RECIST v1.1
Progression-free survival (PFS) is defined as the time from the date of randomization till the first documentation of disease progression (per RECIST v1.1 criteria) assessed by the blinded IRRC or death due to any cause (whichever occurs first).
Secondary Outcome Measures
OS
Overall Survival (OS) is defined as the time from the start of treatment with AK112 until death due to any cause.
ORR assessed by IRRC per RECIST v1.1
ORR is the proportion of subjects with complete response(CR) or partial response(PR) , based on RECIST v1.1.
DoR assessed by IRRC per RECIST v1.1
Duration of response (DoR) assessed according to RECIST v1.1.
DCR assessed by IRRC per RECIST v1.1
Disease control rate (DCR) assessed according to RECIST v1.1.
TTR assessed by IRRC per RECIST v1.1
Time to response (TTR) is defined as the time to response base on RECIST v1.1.
PFS assessed by investigator per RECIST v1.1
Progression-free survival (PFS) is defined as the time from the date of randomization till the first documentation of disease progression assessed by the investigator or death due to any cause (whichever occurs first).
ORR assessed by the investigator per RECIST v1.1
ORR is the proportion of subjects with complete response(CR) or partial response(PR) , based on RECIST v1.1.
DoR assessed by the investigator per RECIST v1.1
Duration of response (DoR) assessed according to RECIST v1.1.
DCR assessed by the investigator per RECIST v1.1
Disease control rate (DCR) assessed according to RECIST v1.1.
TTR assessed by the investigator per RECIST v1.1
Time to response (TTR) is defined as the time to response base on RECIST v1.1.
AE
An AE is any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment.
ADA
Number of subjects with detectable anti-drug antibodies (ADA).
PD-L1 expression
The correlationship between PD-L1 expression and AK112 anti-tumor activity.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT05499390
Brief Title
AK112 in Advanced Non-Small Cell Lung Cancer
Official Title
A Randomized Controlled, Multi-center Phase III Clinical Trial of AK112 Versus Pembrolizumab as First-line Treatment for PD-L1-Positive Locally-Advanced or Metastatic Non-Small Cell Lung Cancer
Study Type
Interventional
2. Study Status
Record Verification Date
September 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
November 9, 2022 (Actual)
Primary Completion Date
June 17, 2024 (Anticipated)
Study Completion Date
June 17, 2025 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Akeso
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This trial is a Phase III study. All patients are stage IIIB/C (unsuitable for radical therapy) or IV non-small cell lung cancer(NSCLC), Eastern Cooperative Oncology Group (ECOG) performance status 0-1. The purpose of this study is to evaluate the efficacy and safety of AK112 comparing Pembrolizumab in subjects with advanced NSCLC whose tumors have a programmed cell death-ligand 1 (PD-L1) Tumor Proportion Score (TPS) greater than or equal to 1%.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Non-small-cell Lung Cancer
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
398 (Actual)
8. Arms, Groups, and Interventions
Arm Title
AK112
Arm Type
Experimental
Arm Description
Subjects receive AK112 monotherapy intravenously (IV), selected dose.
Arm Title
Pembrolizumab
Arm Type
Active Comparator
Arm Description
Subjects receive Pembrolizumab monotherapy intravenously (IV), 200mg q3w.
Intervention Type
Drug
Intervention Name(s)
AK112
Intervention Description
Subjects receive AK112 intravenously.
Intervention Type
Drug
Intervention Name(s)
Pembrolizumab
Intervention Description
Subjects receive Pembrolizumab intravenously.
Primary Outcome Measure Information:
Title
PFS assessed by IRRC per RECIST v1.1
Description
Progression-free survival (PFS) is defined as the time from the date of randomization till the first documentation of disease progression (per RECIST v1.1 criteria) assessed by the blinded IRRC or death due to any cause (whichever occurs first).
Time Frame
Up to 2 approximately years
Secondary Outcome Measure Information:
Title
OS
Description
Overall Survival (OS) is defined as the time from the start of treatment with AK112 until death due to any cause.
Time Frame
Up to 2 approximately years
Title
ORR assessed by IRRC per RECIST v1.1
Description
ORR is the proportion of subjects with complete response(CR) or partial response(PR) , based on RECIST v1.1.
Time Frame
Up to 2 approximately years
Title
DoR assessed by IRRC per RECIST v1.1
Description
Duration of response (DoR) assessed according to RECIST v1.1.
Time Frame
Up to 2 approximately years
Title
DCR assessed by IRRC per RECIST v1.1
Description
Disease control rate (DCR) assessed according to RECIST v1.1.
Time Frame
Up to 2 approximately years
Title
TTR assessed by IRRC per RECIST v1.1
Description
Time to response (TTR) is defined as the time to response base on RECIST v1.1.
Time Frame
Up to 2 approximately years
Title
PFS assessed by investigator per RECIST v1.1
Description
Progression-free survival (PFS) is defined as the time from the date of randomization till the first documentation of disease progression assessed by the investigator or death due to any cause (whichever occurs first).
Time Frame
Up to 2 approximately years
Title
ORR assessed by the investigator per RECIST v1.1
Description
ORR is the proportion of subjects with complete response(CR) or partial response(PR) , based on RECIST v1.1.
Time Frame
Up to 2 approximately years
Title
DoR assessed by the investigator per RECIST v1.1
Description
Duration of response (DoR) assessed according to RECIST v1.1.
Time Frame
Up to 2 approximately years
Title
DCR assessed by the investigator per RECIST v1.1
Description
Disease control rate (DCR) assessed according to RECIST v1.1.
Time Frame
Up to 2 approximately years
Title
TTR assessed by the investigator per RECIST v1.1
Description
Time to response (TTR) is defined as the time to response base on RECIST v1.1.
Time Frame
Up to 2 approximately years
Title
AE
Description
An AE is any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment.
Time Frame
Up to 2 approximately years
Title
ADA
Description
Number of subjects with detectable anti-drug antibodies (ADA).
Time Frame
Up to 2 approximately years
Title
PD-L1 expression
Description
The correlationship between PD-L1 expression and AK112 anti-tumor activity.
Time Frame
Up to 2 approximately years
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Has a histologically or cytologically confirmed diagnosis of NSCLC.
Has Stage IIIB/C or IV NSCLC (American Joint Committee on Cancer [AJCC]).
≥18 years old (at the time consent is obtained).
Be able and willing to provide written informed consent and to comply with all requirements of study participation (including all study procedures).
Be able to provide formalin fixed, paraffin-embedded (FFPE) tumor tissue.
Has a life expectancy of at least 3 months.
Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
Has measurable disease based on Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 as determined by the site study team.
Has no EGFR-sensitive mutations or ALK gene translocations.
Has positive PD-L1 expression in tumor tissue.
Has no prior systemic anti-tumor therapy for locally advanced or metastatic NSCLC.
Has adequate organ function.
Has recovered from the effects of any prior radiotherapy or surgery.
All female and male subjects of reproductive potential must agree to use an effective method of contraception, as determined by the Investigator, during and for 120 days after the last dose of study treatment.
Exclusion Criteria:
Has any histologically small cell carcinoma component.
Is currently participating in a study of an investigational agent or using an investigational device.
Has a diagnosis of immunodeficiency or is receiving systemic steroid therapy within 2 years prior to the first dose of study treatment.
Has undergone major surgery within 30 days of Study Day 1.
Has a known additional malignancy that is progressing or requires systemic treatment. Exceptions include basal cell carcinoma of the skin, squamous cell carcinoma of the skin that has undergone potentially curative therapy or in situ cervical cancer.
Has known active central nervous system (CNS) metastases.
Has an active autoimmune disease that has required systemic treatment in the past 2 years (i.e. with use of disease modifying agents, corticosteroids or immunosuppressive drugs).
Has an active infection requiring systemic therapy.
Has known active Hepatitis B (e.g., HBsAg reactive) or Hepatitis C (e.g., HCV RNA [qualitative] is detected).
History of myocardial infarction, unstable angina, congestive heart failure within 12 months prior to day 1 of study treatment.
Has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the study, interfere with the subject's participation for the full duration of the study, or is not in the best interest of this subject to participate, in the opinion of the treating investigator.
Has known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the study.
Has received a live virus vaccine within 30 days of the planned first dose of study therapy.
Is pregnant, breastfeeding, or expecting to conceive or father a child within the projected duration of the study including 120 days following the last dose of study treatment.
Has any concurrent medical condition that, in the opinion of the Investigator, would complicate or compromise compliance with the study or the well-being of the subject.
Facility Information:
Facility Name
Shanghai Pulmonary Hospital
City
Shanghai
Country
China
12. IPD Sharing Statement
Plan to Share IPD
No
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AK112 in Advanced Non-Small Cell Lung Cancer
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