Zimberelimab and Domvanalimab in Combination With Chemotherapy Versus Pembrolizumab With Chemotherapy in Patients With Untreated Metastatic Non-Small Cell Lung Cancer (STAR-121)
Non-small Cell Lung Cancer
About this trial
This is an interventional treatment trial for Non-small Cell Lung Cancer
Eligibility Criteria
Key Inclusion Criteria:
- Life expectancy ≥ 3 months.
Pathologically documented NSCLC that meets both of the criteria below:
- Have documented evidence of Stage IV NSCLC disease at the time of enrollment (based on American Joint Committee on Cancer (AJCC), Eighth Edition).
- Have documented negative test results for epidermal growth factor receptor (EGFR) and anaplastic lymphoma kinase (ALK) mutations.
- Have no known genomic alterations in ROS proto-oncogene 1 (ROS1), neurotrophic tyrosine receptor kinase (NTRK), proto-oncogene B-raf (BRAF), RET mutations, or other actionable driver oncogenes with approved therapies (actionable genomic alteration).
- Have not received prior systemic treatment for metastatic NSCLC.
- Measurable disease by CT or MRI as per RECIST v1.1 criteria by investigator assessment.
- Eastern Cooperative Oncology Group performance status (ECOG PS) score of 0 or 1.
- Have adequate organ functions
Key Exclusion Criteria:
- Have mixed small-cell lung cancer (SCLC) and NSCLC histology.
- Positive serum pregnancy test or individuals who are breastfeeding or have plans to breastfeed during the study period.
- Received prior treatment with any anti-PD-1, anti-PD-L1, or any other antibody targeting an immune checkpoint.
- Known hypersensitivity to the study drug, its metabolites, or formulation excipient.
- Have an active second malignancy or have had an active second malignancy within 3 years prior to enrollment.
- Have an active autoimmune disease that required systemic treatment in past 2 years (ie, with use of disease-modifying agents, corticosteroids, or immunosuppressive drugs).
- Are receiving chronic systemic steroids.
- Have significant third-space fluid retention
- Have known active central nervous system (CNS) metastases and/or carcinomatous meningitis.
- Active chronic inflammatory bowel disease (ulcerative colitis, Crohn's disease) or gastrointestinal perforation within 6 months of enrollment.
- Has a history of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease.
- Has had an allogenic tissue/solid organ transplant.
- Have received a live-virus vaccination within 30 days of planned treatment start. Seasonal flu and COVID-19 vaccines that do not contain live virus are permitted.
- Have known active hepatitis B virus (HBV) or hepatitis C virus (HCV) infection
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Sites / Locations
- Palo Verde Hematology Oncology LtdRecruiting
- California Cancer Associates for Research and ExcellenceRecruiting
- Texas OncologyRecruiting
- Innovative Clinical Research InstituteRecruiting
- Eastern CT Hematology and Oncology AssociatesRecruiting
- Lake City Cancer CareRecruiting
- Florida Cancer SpecialistsRecruiting
- Moffitt Cancer CenterRecruiting
- Peachtree Hematology Oncology ConsultantsRecruiting
- Illinois Cancer CareRecruiting
- Messino Cancer CentersRecruiting
- Oncology Hematology Care, Inc.Recruiting
- Hematology & Oncology AssociatesRecruiting
- AHN Allegheny General HospitalRecruiting
- Arlington Cancer CenterRecruiting
- Texas Oncology - AustinRecruiting
- Texas OncologyRecruiting
- Texas Oncology- DenisonRecruiting
- US Oncology Investigational Products Center (IPC)Recruiting
- Oncology and Hematology Associates of Southwest Virginia, IncRecruiting
- Northwest Cancer Specialists, PCRecruiting
- Investigaciones CORI S.R.L.Recruiting
- Centro Médico Privado Centro de Especialidades Médicas Ambulatorias e Investigación ClínicaRecruiting
- Centro Medico Barrio ParqueRecruiting
- Sanatorio AllendeRecruiting
- Sanatorio Britanico de RosarioRecruiting
- Sanatorio Parque de RosarioRecruiting
- Hospital Provincial del CentenarioRecruiting
- Instituto Medico de la Fundacion Estudios ClinicosRecruiting
- CAIPO - Centro para la Atención Integral del Paciente OncológicoRecruiting
- Clínica ViedmaRecruiting
- Klinikum Klagenfurt am WoertherseeRecruiting
- Ordensklinikum Linz GmbH, ElisabethinenRecruiting
- Klinikum Wels-GrieskirchenRecruiting
- Krankenhaus Nord - Klinik FloridsdorfRecruiting
- Algemeen Ziekenhuis Sint-LucasRecruiting
- Grand Hopital de Charleroi asbl (GHdC)Recruiting
- AZ Sint-MaartenRecruiting
- CHU UCL Namur / Site Sainte ElisabethRecruiting
- Cenantron Centro Avançado de Tratamento Oncologico LtdaRecruiting
- Instituto do Câncer do Ceará - ICCRecruiting
- Oncosite - Centro de Pesquisa Clinica em Oncologia LTDARecruiting
- Centro Des Pesquisas Clinicas da Fundacao Doutor Amaral CarvalhoRecruiting
- Irmandade da Santa Casa de Misericordia de Porto AlegreRecruiting
- Hospital São Lucas da PUCRSRecruiting
- Hospital Ana Nery Santa Cruz do SulRecruiting
- Instituto Brasiliero de Controle do Cancer IBCCRecruiting
- Centre de santé et services sociaux de Rimouski-NeigetteRecruiting
- CISSS des LaurentidesRecruiting
- Clinica Alemana de SantiagoRecruiting
- OrlandioncologiaRecruiting
- Oncovida- SantiagoRecruiting
- Clinica Puerto MonttRecruiting
- BiocineticRecruiting
- James Lind Centro de Investigacion del CancerRecruiting
- Oncocentro APYSRecruiting
- Klinikum Chemnitz gGmbHRecruiting
- LungenClinic GrosshansdorfRecruiting
- Krankenhaus Martha-Maria Halle DölauRecruiting
- Asklepios Kliniken HamburgRecruiting
- Katholisches Marienkrankenhaus gGmbHRecruiting
- Lungenklinik Hemer, Zentrum fur Pneumologie and ThoraxchirurgieRecruiting
- Vincentius-Diakonissen-Kliniken gAG, St. Vincentius-Kliniken, Medizinische Klinik 2Recruiting
- Klinikum KasselRecruiting
- Kliniken der Stadt Köln ggmbh, Krankenhaus Koln-Merheim/LungenklinikRecruiting
- Universitatsklinikum Schleswig-HolsteinRecruiting
- Johannes Wesling Klinikum MindenRecruiting
- Queen Elizabeth HospitalRecruiting
- Queen Mary HospitalRecruiting
- Prince of Wales HospitalRecruiting
- Soroka University Medical Center, Itzchak Rager Blvd.Recruiting
- Shaare Zedek Medical CenterRecruiting
- Oncology Institute, Galilee Medical Center, Route 89 Nahariya-CabriRecruiting
- Rabin Medical CenterRecruiting
- Kaplan Medical CenterRecruiting
- Tel-Aviv Sourasky Medical CenterRecruiting
- Azienda Ospedaliera San Giuseppe MoscatiRecruiting
- IRCCS Fondazoine del Piemonte per l'OncologiaRecruiting
- Azienda Socio Sanitaria Territoriale di CremonaRecruiting
- Ospedale Policlinico San MartinoRecruiting
- Ospedale San RaffaeleRecruiting
- AORN CardarelliRecruiting
- Azienda Ospedaliera dei ColliRecruiting
- IRCCS Policlinico S. Matteo, Dipartimento Oncologia Ematologia-Oncologia MedicaRecruiting
- Azienda Sanitaria Territoriale Pesaro e Urbino (AST)Recruiting
- Ospedale Guglielmo da Saliceto AUSL di PiacenzaRecruiting
- Regina Elena Institute for Cancer ResearchRecruiting
- ASST Bergamo Ovest- ospedale di TreviglioRecruiting
- Amphia ZiekenhuisRecruiting
- Ziekenhuis Gelderse ValleiRecruiting
- Ziekenhuis St JansdalRecruiting
- TweeSteden ZiekenhuisRecruiting
- Hospital Prof. Doutor Fernando FonsecaRecruiting
- Fundacao ChampalimaudRecruiting
- Centro Hospitalar Universitário Lisboa Norte - Hospital Pulido ValenteRecruiting
- Centro Hospitalar Universitario Sao Joao, EPERecruiting
- Unidade Local de Saude de Matosinhos EPE - Hospital Pedro Hispano SARecruiting
- Raffles HospitalRecruiting
- Tang Tock Seng HospitalRecruiting
- Hospital Clinic de BarcelonaRecruiting
- Hospital de la Santa Creu i de Sant PauRecruiting
- Hospital Universitari Dexeus (USP Institut Universitari Dexeus/Hospital Universitari Quiron Dexeus)Recruiting
- Hospital Universitari Vall D'HebronRecruiting
- Hospital Parc TauliRecruiting
- Hospital Universitario Reina SofiaRecruiting
- Hospital Doctor Josep TruetaRecruiting
- Hospital Universitario de JaenRecruiting
- Hospital Universitario Fundacion Jimenez DiazRecruiting
- Clinica Universidad de NavarraRecruiting
- Hospital Universitario La PazRecruiting
- Hospital Universitario Puerta de Hierro de MajadahondaRecruiting
- Hospital Sant Joan de ReusRecruiting
- Hospital Regional Universitario de MalagaRecruiting
- Hospital Universitario Virgen MacarenaRecruiting
- Hospital Universitario Virgen del RocioRecruiting
- Instituto Valenciano De Oncologia (IVO)Recruiting
- Hospital Universitari i Politecnic La FeRecruiting
- Hospital Vithas Valencia 9 de OctubreRecruiting
- Changhua Christian HospitalRecruiting
- E-DA HospitalRecruiting
- Kaohsiung Medical University Chung-Ho Memorial HospitalRecruiting
- Chang Gung Memorial Hospital KaohsiungRecruiting
- National Cheng Kung University HospitalRecruiting
- Chi Mei Hospital, LiouyingRecruiting
- National Taiwan University HospitalRecruiting
- Taipei Veterans General HospitalRecruiting
- Chang Gung Memorial Hospital Linkou Branch of the Chang Gung Medical FoundationRecruiting
- Istanbul University Cerrahpasa Medical Faculty HospitalRecruiting
- Medipol Mega University HospitalRecruiting
- Turgut Ozal Medical FacultyRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Active Comparator
Experimental
Zimberelimab (ZIM) +Domvanalimab (DOM) + Chemotherapy
Pembrolizumab (PEMBRO) + Chemotherapy
Zimberelimab (ZIM) + Chemotherapy
Participants will receive ZIM 360 mg + DOM 1200 mg (up to 35 doses) with chemotherapy every 3 weeks (Q3W) on Day 1 of each 21-day cycle. Choice of chemotherapy is dependent on histology. Participants with nonsquamous histology will receive cisplatin 75 mg/m^2 or carboplatin area under the concentration versus time curve (AUC)5 + pemetrexed 500 mg/m^2 Q3W for first 4 cycles. After the completion of the first 4 cycles, participants with nonsquamous histology may continue with maintenance pemetrexed 500 mg/m^2 Q3W until disease progression or intolerable toxicities. Participants with squamous histology will receive carboplatin AUC 6 Q3W with paclitaxel 200 mg/m^2 Q3W or nab-paclitaxel 100 mg/m^2 weekly (QW) for first 4 cycles.
Participants will receive PEMBRO 200 mg (up to 35 doses) with chemotherapy Q3W on Day 1 of each 21-day cycle. Choice of chemotherapy is dependent on histology. Participants with nonsquamous histology will receive cisplatin 75 mg/m^2 or carboplatin AUC 5 + pemetrexed 500 mg/m^2 Q3W for first 4 cycles. After the completion of the first 4 cycles, participants with nonsquamous histology may continue with maintenance pemetrexed 500 mg/m^2 Q3W until disease progression or intolerable toxicities. Participants with squamous histology will receive carboplatin AUC 6 Q3W with paclitaxel 200 mg/m^2 Q3W or nab-paclitaxel 100 mg/m^2 weekly (QW) for first 4 cycles.
Participants will receive ZIM 360 mg (up to 35 doses) with chemotherapy Q3W on Day 1 of each 21-day cycle. Choice of chemotherapy is dependent on histology. Participants with nonsquamous histology will receive cisplatin 75 mg/m^2 or carboplatin AUC 5 + pemetrexed 500 mg/m^2 Q3W for first 4 cycles After the completion of the first 4 cycles, participants with nonsquamous histology may continue with maintenance pemetrexed 500 mg/m^2 Q3W until disease progression or intolerable toxicities. Participants with squamous histology will receive carboplatin AUC 6 Q3W with paclitaxel 200 mg/m^2 Q3W or nab-paclitaxel 100 mg/m^2 weekly (QW) for first 4 cycles.