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Phase 3 Clinical Study of AK112 for NSCLC Patients

Primary Purpose

Non-Squamous Non-small Cell Lung Cancer

Status
Recruiting
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Ivonescimab (SMT112 or AK112) Injection
Placebo Injection
Sponsored by
Summit Therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

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

Eligibility Criteria

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

Inclusion Criteria:

  1. Ability to understand and voluntarily sign a written informed consent form (ICF), which must be signed before the specified study procedures required for the study are performed.
  2. Males or females aged ≥ 18 to ≤ 75 years at the time of signing informed consent.
  3. Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) 0 or 1.
  4. Life expectancy ≥3 months;
  5. Locally advanced (stage IIIB/IIIC) or metastatic (stage IV) non-squamous NSCLC confirmed by histology or cytology, inoperable and unable to receive radiotherapy and chemotherapy;
  6. The tumor histology, cytology or hematology confirmed the presence of EGFR activating mutations before enrollment
  7. Have previously received EGFR-TKI treatment and the treatment has failed
  8. Subjects have at least one measurable non-brain tumor lesion per RECIST v1.1
  9. Major organ function prior to treatment meets the following criteria
  10. Patients of childbearing potential must agree to use effective contraceptive measures

Exclusion Criteria:

  1. Histological or cytological pathology confirmed the presence of small cell carcinoma components, or the main component is squamous cell carcinoma
  2. There are reports confirming the existence of other driver gene mutations with known drug treatments
  3. Subjects who received any prior treatments targeting the mechanism of tumor immunity
  4. The subject has received systemic anti-tumor therapy other than EGFR-TKI
  5. Currently enrolled in any other clinical study
  6. Received EGFR-TKI treatment, palliative local treatment, non-specific immunomodulatory treatment within 2 weeks prior to the first dose; and Chinese herbal medicine or traditional Chinese medicinal products with anti-tumor indications within 1 weeks prior to the first dose.
  7. Tumor surrounds important blood vessels or has obvious necrosis, cavitation, or invades surrounding important organs and blood vessels.
  8. Symptomatic central nervous system metastases
  9. Active malignancies within the past 3 years, with the exception of tumors in this study and cured local tumors
  10. Active autoimmune disease requiring systemic treatment within 2 years prior to the start of study treatment
  11. There is a history of major diseases 1 year prior to the first dose.
  12. .Medical history of gastrointestinal perforation or gastrointestinal fistula within 6 months prior to the first dose
  13. Received chest radiation therapy prior to the first dose
  14. Presence of clinically symptomatic pleural effusion, pericardial effusion, or ascites requiring frequent drainage.
  15. Active or previously documented inflammatory bowel disease (e.g., Crohn's disease or ulcerative colitis).

Sites / Locations

  • Research Site
  • Research Site
  • Research SiteRecruiting
  • Research Site
  • Research SiteRecruiting
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Sun Yat-sen University Cancer CenterRecruiting
  • Research Site
  • Research Site
  • Research Site
  • Research Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Ivonescimab (SMT112 or AK112) in combination with Pemetrexed and Carboplatin

Placebo in combination with Pemetrexed and Carboplatin

Arm Description

Subjects will receive Ivonescimab (SMT112 or AK112) Plus Pemetrexed and Carboplatin via intravenous infusion (IV) Q3W, up to 4 cycles. Afterward, AK112 Plus Pemetrexed will be used for maintenance treatment (administered on Day 1 of each cycle, Q3W) up to 2 years.

Subjects will receive Placebo Plus Pemetrexed and Carboplatin via intravenous infusion (IV) Q3W, up to 4 cycles in treatment periods per the randomization schedule. Afterward, Placebo Plus Pemetrexed will be used for maintenance treatment (administered on Day 1 of each cycle, Q3W) up to 2 years.

Outcomes

Primary Outcome Measures

Progression-free survival (PFS)
Progression-free survival (PFS) assessed by IRC per RECIST v1.1 in the ITT population.
Overall Survival (OS)
Overall Survival (OS) in the ITT population

Secondary Outcome Measures

ORR
Efficacy measures such as overall response rate (ORR), which is the proportion of subjects with CR or PR by IRRC based on RECIST v1.1
DCR
Disease control rate (DCR), which is defined as the proportion of subjects with CR, PR, or SD, based on RECIST v1.1
DoR
Duration of response (DoR), which is defined as the duration from the first documentation of objective response to the first documented disease progression or death due to any cause, whichever occurs first.
TTR
TTR is defined as the time to response base on RECIST v1.1
PFS
PFS is defined as the time from randomization to the first documented progressive disease (PD) or death due to any cause, whichever occurs first assessed by investigator Per RECIST 1.1.
AE
Incidence and severity of adverse events (AEs) and serious adverse events (SAEs), and clinically significant abnormal laboratory results.
Observed concentrations of AK112
The endpoints for assessment of PK of AK112 include serum concentrations of AK112 at different timepoints after AK112 administration
Number of subjects who develop detectable anti-drug antibodies (ADAs)
The immunogenicity of AK112 will be assessed by summarizing the number of subjects who develop detectable antidrug antibodies (ADAs)

Full Information

First Posted
December 21, 2021
Last Updated
October 10, 2023
Sponsor
Summit Therapeutics
Collaborators
Akeso
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1. Study Identification

Unique Protocol Identification Number
NCT05184712
Brief Title
Phase 3 Clinical Study of AK112 for NSCLC Patients
Official Title
A Randomized, Double-blind, Multi-center, Phase III Study of AK112 or Placebo Combined With Pemetrexed and Carboplatin in Patients With EGFR-mutant Locally Advanced or Metastatic Non-squamous NSCLC Who Have Failed to EGFR-TKI Treatment
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
January 1, 2022 (Actual)
Primary Completion Date
January 1, 2025 (Anticipated)
Study Completion Date
January 1, 2026 (Anticipated)

3. Sponsor/Collaborators

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

4. Oversight

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

5. Study Description

Brief Summary
A Randomized, Double-blind, Multi-center, Phase III Clinical Study of Ivonescimab (SMT112 or AK112) or Placebo Plus Pemetrexed and Carboplatin in Patients With EGFR-mutant Locally Advanced or Metastatic Non-squamous Non-small Cell Lung Cancer Who Have Progressed on or Following Growth Factor Receptor Tyrosine Kinase Inhibitor (EGFR-TKI) Treatment (HARMONi)
Detailed Description
The trial will be performed as a randomized, Double-Blind, Multicenter trial to compare Ivonescimab (SMT112 or AK112) Plus Pemetrexed and Carboplatin to Placebo Plus Pemetrexed and Carboplatin in Patients with Locally Advanced or Metastatic Non-Squamous Non-Small Cell Lung Cancer (NSCLC) Harboring. Approximately 470 subjects will be randomized to two treatment arms at the ratio of 1:1. Each enrolled subject will receive an intravenous infusion of Ivonescimab (SMT112 or AK112) Plus Pemetrexed and Carboplatin or Placebo Plus Pemetrexed and Carboplatin(Q3W, up to 4 cycles) in treatment periods per the randomization schedule. Afterward, Ivonescimab (SMT112 or AK112) Plus Pemetrexed or Placebo Plus Pemetrexed will be used for maintenance treatment (administered on Day 1 of each cycle, Q3W) up to 2 years.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non-Squamous 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
470 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Ivonescimab (SMT112 or AK112) in combination with Pemetrexed and Carboplatin
Arm Type
Experimental
Arm Description
Subjects will receive Ivonescimab (SMT112 or AK112) Plus Pemetrexed and Carboplatin via intravenous infusion (IV) Q3W, up to 4 cycles. Afterward, AK112 Plus Pemetrexed will be used for maintenance treatment (administered on Day 1 of each cycle, Q3W) up to 2 years.
Arm Title
Placebo in combination with Pemetrexed and Carboplatin
Arm Type
Placebo Comparator
Arm Description
Subjects will receive Placebo Plus Pemetrexed and Carboplatin via intravenous infusion (IV) Q3W, up to 4 cycles in treatment periods per the randomization schedule. Afterward, Placebo Plus Pemetrexed will be used for maintenance treatment (administered on Day 1 of each cycle, Q3W) up to 2 years.
Intervention Type
Drug
Intervention Name(s)
Ivonescimab (SMT112 or AK112) Injection
Other Intervention Name(s)
Pemetrexed, Carboplatin
Intervention Description
Subjects will receive Ivonescimab (SMT112 or AK112) Plus Pemetrexed and Carboplatin via intravenous infusion (IV) Q3W, up to 4 cycles. Afterward, Ivonescimab (SMT112 or AK112) Plus Pemetrexed will be used for maintenance treatment (administered on Day 1 of each cycle, Q3W) up to 2 years.
Intervention Type
Drug
Intervention Name(s)
Placebo Injection
Other Intervention Name(s)
Pemetrexed, Carboplatin
Intervention Description
Subjects will receive Placebo Plus Pemetrexed and Carboplatin via intravenous infusion (IV) Q3W, up to 4 cycles in treatment periods per the randomization schedule. Afterward, Placebo Plus Pemetrexed will be used for maintenance treatment (administered on Day 1 of each cycle, Q3W) up to 2 years.
Primary Outcome Measure Information:
Title
Progression-free survival (PFS)
Description
Progression-free survival (PFS) assessed by IRC per RECIST v1.1 in the ITT population.
Time Frame
Up to 2 years
Title
Overall Survival (OS)
Description
Overall Survival (OS) in the ITT population
Time Frame
Up to 2 years
Secondary Outcome Measure Information:
Title
ORR
Description
Efficacy measures such as overall response rate (ORR), which is the proportion of subjects with CR or PR by IRRC based on RECIST v1.1
Time Frame
Up to 2 years
Title
DCR
Description
Disease control rate (DCR), which is defined as the proportion of subjects with CR, PR, or SD, based on RECIST v1.1
Time Frame
Up to 2 years
Title
DoR
Description
Duration of response (DoR), which is defined as the duration from the first documentation of objective response to the first documented disease progression or death due to any cause, whichever occurs first.
Time Frame
Up to 2 years
Title
TTR
Description
TTR is defined as the time to response base on RECIST v1.1
Time Frame
Up to 2 years
Title
PFS
Description
PFS is defined as the time from randomization to the first documented progressive disease (PD) or death due to any cause, whichever occurs first assessed by investigator Per RECIST 1.1.
Time Frame
Up to 2 years
Title
AE
Description
Incidence and severity of adverse events (AEs) and serious adverse events (SAEs), and clinically significant abnormal laboratory 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
Title
Observed concentrations of AK112
Description
The endpoints for assessment of PK of AK112 include serum concentrations of AK112 at different timepoints after AK112 administration
Time Frame
through study completion, an average of 2 year
Title
Number of subjects who develop detectable anti-drug antibodies (ADAs)
Description
The immunogenicity of AK112 will be assessed by summarizing the number of subjects who develop detectable antidrug antibodies (ADAs)
Time Frame
From first dose of AK112 through 90 days after last dose of AK112,up to 2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Ability to understand and voluntarily sign a written informed consent form (ICF), which must be signed before the specified study procedures required for the study are performed. Males or females aged ≥ 18 years at the time of signing informed consent. Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) 0 or 1. Life expectancy ≥3 months; Locally advanced (stage IIIB/IIIC) or metastatic (stage IV) non-squamous NSCLC confirmed by histology or cytology, inoperable and unable to receive radiotherapy and chemotherapy; The tumor histology, cytology or hematology confirmed the presence of EGFR activating mutations before enrollment Have previously received 3rd generation EGFR-TKI treatment and have progressed on or following Subjects have at least one measurable non-brain tumor lesion per RECIST v1.1 Major organ function prior to treatment meets the following criteria Patients of childbearing potential must agree to use effective contraceptive measures Exclusion Criteria: Histological or cytological pathology confirmed the presence of small cell carcinoma components, or the main component is squamous cell carcinoma There are reports confirming the existence of other driver gene mutations with known drug treatments Subjects who received any prior treatments targeting the mechanism of tumor immunity The subject has received systemic anti-tumor therapy other than EGFR-TKI Currently enrolled in any other clinical study Received EGFR-TKI treatment, palliative local treatment, non-specific immunomodulatory treatment within 2 weeks prior to the first dose. Tumor surrounds important blood vessels or has obvious necrosis, cavitation, or invades surrounding important organs and blood vessels. Symptomatic central nervous system metastases Active malignancies within the past 3 years, with the exception of tumors in this study and cured local tumors Active autoimmune disease requiring systemic treatment within 2 years prior to the start of study treatment There is a history of major diseases 1 year prior to the first dose. .Medical history of gastrointestinal perforation or gastrointestinal fistula within 6 months prior to the first dose Received chest radiation therapy prior to the first dose Presence of clinically symptomatic pleural effusion, pericardial effusion, or ascites requiring frequent drainage. Active or previously documented inflammatory bowel disease (e.g., Crohn's disease or ulcerative colitis).
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Lori Styles, MD
Phone
1-833-256-0522
Email
medicalinformation@smmttx.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Li Zhang, MD
Organizational Affiliation
Sun Yat-sen University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Research Site
City
Los Angeles
State/Province
California
ZIP/Postal Code
90024
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Orange
State/Province
California
ZIP/Postal Code
92868
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Santa Rosa
State/Province
California
ZIP/Postal Code
95404
Country
United States
Individual Site Status
Recruiting
Facility Name
Research Site
City
Ocala
State/Province
Florida
ZIP/Postal Code
34471
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Plantation
State/Province
Florida
ZIP/Postal Code
33322
Country
United States
Individual Site Status
Recruiting
Facility Name
Research Site
City
Chicago
State/Province
Illinois
ZIP/Postal Code
92037
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Edmonton
State/Province
Alberta
ZIP/Postal Code
T6G 1Z2
Country
Canada
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Vancouver
State/Province
British Columbia
ZIP/Postal Code
V5Z 1L3
Country
Canada
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Ottawa
State/Province
Ontario
ZIP/Postal Code
K1H 8L6
Country
Canada
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5G 2M9
Country
Canada
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Québec
ZIP/Postal Code
V5Z 1H6
Country
Canada
Individual Site Status
Not yet recruiting
Facility Name
Sun Yat-sen University Cancer Center
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510000
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Li Zhang, Master
Phone
139 0228 2893
Facility Name
Research Site
City
Paris
ZIP/Postal Code
75018
Country
France
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Roma
ZIP/Postal Code
00128
Country
Italy
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Madrid
ZIP/Postal Code
28034
Country
Spain
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Manchester
ZIP/Postal Code
M20 4BX
Country
United Kingdom
Individual Site Status
Not yet recruiting

12. IPD Sharing Statement

Learn more about this trial

Phase 3 Clinical Study of AK112 for NSCLC Patients

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