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Clinical Study of Ivonescimab for First-line Treatment of Metastatic Squamous NSCLC Patients

Primary Purpose

Non-Small Cell Lung Cancer

Status
Not yet recruiting
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Ivonescimab Injection
Pembrolizumab Injection
Sponsored by
Summit Therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Non-Small Cell Lung Cancer

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Age ≥ 18 years old at the time of enrollment Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1 Expected life expectancy ≥ 3 months Metastatic (Stage IV) NSCLC Histologically or cytologically confirmed squamous NSCLC Tumor Proportion Score (TPS) with PD-L1 expression percent At least one measurable noncerebral lesion according to RECIST 1.1 No prior systemic treatment for metastatic NSCLC Exclusion Criteria: Histologic or cytopathologic evidence of the presence of small cell lung carcinoma, or non-squamous NSCLC histology. Known actionable genomic alterations in epidermal growth factor receptor (EGFR), anaplastic lymphoma kinase (ALK), BRAF V600E, neurotrophic tyrosine receptor kinase (NTRK) 1/2/3, METex14, RET, or ROS1 genes for which first-line approved therapies are available Has received any prior therapy for NSCLC in the metastatic setting Major blood vessel invasion or encasement by cancer or intratumor cavitation

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    Arm A - Ivonescimab and chemotherapy

    Arm B - Pembrolizumab and chemotherapy

    Arm Description

    Subject will receive ivonescimab and chemotherapy

    Subject will receive pembrolizumab and chemotherapy

    Outcomes

    Primary Outcome Measures

    Overall Survival (OS)
    Overall Survival (OS) in the ITT population

    Secondary Outcome Measures

    Progression-Free Survival (PFS)
    Progression-free survival (PFS) assessed by investigator based on RECIST v1.1
    Adverse Event (AE)
    incidence and severity of adverse events (AEs) and clinically significant abnormal laboratory test results

    Full Information

    First Posted
    June 1, 2023
    Last Updated
    June 9, 2023
    Sponsor
    Summit Therapeutics
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05899608
    Brief Title
    Clinical Study of Ivonescimab for First-line Treatment of Metastatic Squamous NSCLC Patients
    Official Title
    A Randomized, Controlled, Multiregional Phase 3 Study of Ivonescimab Combined With Chemotherapy Versus Pembrolizumab Combined With Chemotherapy for the First-line Treatment of Metastatic Squamous Non-small Cell Lung Cancer (HARMONi-3)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    June 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    September 30, 2023 (Anticipated)
    Primary Completion Date
    September 30, 2027 (Anticipated)
    Study Completion Date
    December 20, 2027 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Summit Therapeutics

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    Yes
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    This is a Phase 3 Randomized, Controlled, Multiregional Study of Ivonescimab Combined with Chemotherapy Versus Pembrolizumab Combined with Chemotherapy for the First-line Treatment of Metastatic Squamous Non-small Cell Lung Cancer. The primary endpoint is overall survival and key secondary endpoints include progression free survival. response and safety.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Non-Small Cell Lung Cancer

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    400 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Arm A - Ivonescimab and chemotherapy
    Arm Type
    Experimental
    Arm Description
    Subject will receive ivonescimab and chemotherapy
    Arm Title
    Arm B - Pembrolizumab and chemotherapy
    Arm Type
    Active Comparator
    Arm Description
    Subject will receive pembrolizumab and chemotherapy
    Intervention Type
    Biological
    Intervention Name(s)
    Ivonescimab Injection
    Intervention Description
    Subject will receive ivonescimab and chemotherapy as an IV injection
    Intervention Type
    Biological
    Intervention Name(s)
    Pembrolizumab Injection
    Intervention Description
    Subject will receive pembrolizumab and chemotherapy as an IV injection
    Primary Outcome Measure Information:
    Title
    Overall Survival (OS)
    Description
    Overall Survival (OS) in the ITT population
    Time Frame
    approximately 4 years
    Secondary Outcome Measure Information:
    Title
    Progression-Free Survival (PFS)
    Description
    Progression-free survival (PFS) assessed by investigator based on RECIST v1.1
    Time Frame
    approximately 4 years
    Title
    Adverse Event (AE)
    Description
    incidence and severity of adverse events (AEs) and clinically significant abnormal laboratory test results
    Time Frame
    From the subject signs the ICF to 30 days (AE) and 90 days (SAE) after the last dose of study treatment or initiation of other anti-tumor therapy, whichever occurs first, up to 2 years

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Age ≥ 18 years old at the time of enrollment Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1 Expected life expectancy ≥ 3 months Metastatic (Stage IV) NSCLC Histologically or cytologically confirmed squamous NSCLC Tumor Proportion Score (TPS) with PD-L1 expression percent At least one measurable noncerebral lesion according to RECIST 1.1 No prior systemic treatment for metastatic NSCLC Exclusion Criteria: Histologic or cytopathologic evidence of the presence of small cell lung carcinoma, or non-squamous NSCLC histology. Known actionable genomic alterations in epidermal growth factor receptor (EGFR), anaplastic lymphoma kinase (ALK), BRAF V600E, neurotrophic tyrosine receptor kinase (NTRK) 1/2/3, METex14, RET, or ROS1 genes for which first-line approved therapies are available Has received any prior therapy for NSCLC in the metastatic setting Major blood vessel invasion or encasement by cancer or intratumor cavitation
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Summit Clinical Trial Information
    Phone
    1-833-256-0522
    Email
    medicalinformation@smmttx.com

    12. IPD Sharing Statement

    Learn more about this trial

    Clinical Study of Ivonescimab for First-line Treatment of Metastatic Squamous NSCLC Patients

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