Phase 1b/2 Platform Study of Select Immunotherapy Combinations in Participants With Advanced Non-small Cell Lung Cancer (NSCLC)
A Phase 1b/2, Multicenter, Open-label Platform Study of Select Immunotherapy Combinations in Adult Participants With Previously Untreated Advanced Non-small Cell Lung Cancer (NSCLC) With High PD-L1 Expression
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Institut de Recherches Internationales Servier (I.R.I.S.), Clinical Studies Department
- Phone Number: +33 1 55 72 60 00
- Email: scientificinformation@servier.com
Study Locations
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Buenos Aires, Argentina
- Instituto Médico Especializado Alexander Fleming
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Santa Fe, Argentina
- Sanatorio Parque S.A.
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Albury, Australia, 2640
- Border Medical Oncology Research Unit
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Bedford Park, Australia, 5042
- Flinders Medical Centre
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St Albans, Australia, 3021
- Sunshine Hospital
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Traralgon, Australia, 3844
- Latrobe Regional Health
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Linz, Austria, 4020
- Ordensklinikum Linz Elisabethinen
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Sankt Pölten, Austria, 3100
- Universitatsklinikum St. Poelten
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Vienna, Austria, 1090
- Medical University of Vienna - Akh
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Hasselt, Belgium, 3500
- Jessa Ziekenhuis
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Leuven, Belgium, 3500
- Uz Leuven Campus Gasthuisberg
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Barretos, Brazil, 14784-400
- Hospital de Amor - Barretos
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Chapecó, Brazil, 89812618
- Supera Oncologia
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Curitiba, Brazil, 80810-050
- CIONC
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Natal, Brazil, 59035-055
- Liga Contra O Cancer - Natal
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Porto Alegre, Brazil, 90020-090
- Santa Casa de Porto Alegre
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Porto Alegre, Brazil, 90619-900
- Hospital São Lucas da PUCRS
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Rio de Janeiro, Brazil, 22250-905
- Oncoclinicas Rj
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São Paulo, Brazil, 01509-010
- Hospital A C Camargo
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São Paulo, Brazil, 03102-002
- Hospital São Camilo
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São Paulo, Brazil, 04538-132
- Oncoclinicas Sp
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São Paulo, Brazil, 05652-900
- Hospital Albert Einstein
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Dijon, France, 21079
- Centre Georges François Leclerc
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Grenoble, France, 38043
- Chu Grenoble Alpes
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Marseille, France, 13009
- Institut Paoli Calmette
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Saint-Herblain, France, 44805
- Centre René Gauducheau/Inst de Cancér. de L'Ouest
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Villejuif, France, 94805
- Institut Gustave Roussy
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Hong Kong, Hong Kong
- Queen Mary Hospital
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Farkasgyepű, Hungary, 8582
- Farkasgyepu Tudogyogyintezet
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Gyöngyös, Hungary, 3200
- Bugat Pal Hospital
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Pécs, Hungary, 7624
- Pecsi Tudomanyegyetem, Klinikai Kozpont
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Aviano, Italy, 33081
- Centro Di Riferimento Oncologico
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Meldola, Italy, 47014
- Inst. Romagnolo Per Lo Studio E La Cura Dei Tumori
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Milan, Italy, 20141
- Istituto Europeo Di Oncologia
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Milan, Italy, 20162
- ASST Grande Ospedale Metropolitano Niguarda
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Milan, Italy, 20133
- Irccs Fondazione Istituto Nazionale Dei Tumori
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Naples, Italy, 80131
- Ist. Nazionale Tumori Irccs Fondazione G Pascale
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Perugia, Italy, 06132
- Azienda Ospedaliera S. Maria Della Misericordia
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Roma, Italy, 00144
- Istituto Nazionale Tumori Regina Elena
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Rozzano, Italy, 20089
- Istituto Clinico Humanitas I.R.C.C.S
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Cluj-Napoca, Romania
- Inst Oncologic "Prof Dr I Chiricuta" Cluj Napoca
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Barcelona, Spain, 08035
- Vall D' Hebron Institute of Oncology (Vhio), University Hospital
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Madrid, Spain, 28007
- Hospital General Universitario Gregorio Marañon
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Madrid, Spain, 28027
- Clinica Universitaria de Navarra (Madrid)
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Madrid, Spain, 28050
- Hospital Univ. Hm Sanchinarro Start Ciocc Early Phase
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Málaga, Spain, 29010
- Hospital Universitario Virgen de la Victoria
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Pamplona, Spain, 31008
- Clinica Universitaria de Navarra (Pamplona)
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Valencia, Spain, 46026
- Hospital Universitario Y Politecnico La Fe
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Taipei, Taiwan, 100225
- National Taiwan University Hospital
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Taipei, Taiwan, 114202
- TRI-Service General Hospital
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London, United Kingdom, SW3 6JJ
- The Royal Marsden in Chelsea
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London, United Kingdom, SM2 5PT
- The Royal Marsden in Sutton
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Manchester, United Kingdom, M20 4BX
- The Christie Nhs Foundation Foundation Trust
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Michigan
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Detroit, Michigan, United States, 48202
- Henry Ford Health
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Ohio
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Canton, Ohio, United States, 44718
- Gabrail Cancer Center
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Columbus, Ohio, United States, 43210
- Ohio State University Comprehensive Cancer Center
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Adult patient aged ≥ 18 years
- Written informed consent
- Histologically (squamous or non-squamous) or cytologically documented locally advanced NSCLC not eligible for surgical resection and/or definitive chemoradiation, or metastatic NSCLC
- No prior systemic treatment for locally advanced or metastatic NSCLC
- High tumor cell PD-L1 expression [Tumor Proportion Score (TPS) ≥50%] based on documented status as determined by an approved test
- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
- Measurable disease as determined by RECIST v1.1
Exclusion Criteria:
- Tumors harboring driver mutations/genetic aberrations for which targeted therapies are approved as frontline treatment (e.g. EGFR mutation, ALK fusion oncogene, ROS1 aberrations)
- Prior immune checkpoint inhibitor therapy
- Active brain metastases
- Participants with active and uncontrolled hepatitis B virus (HBV) or hepatitis C virus (HCV) infection
- Uncontrolled HIV infection. Participants with HIV who have controlled infection (undetectable viral load and CD4 count above 350 either spontaneously or on a stable antiviral regimen) are allowed to enroll
- Active, known or suspected autoimmune disease or immune deficiency
- History of hypersensitivity reactions to any ingredient of the investigational medicinal product (IMP) and other monoclonal antibody (mAbs) and/or their excipients
- History of interstitial lung disease, idiopathic pulmonary fibrosis, drug-induced pneumonitis, idiopathic pneumonitis or active pneumonitis ≥ grade 2
- History of inflammatory bowel disease or colitis ≥ grade 2
- History of hemophagocytic lymphohistiocytosis.
- Systemic chronic steroid therapy (>10mg/d prednisone or equivalent)
- Clinically significant infection, as assessed by the investigator
- Pregnant or breast-feeding (lactating) women
- Participants with a history of allogeneic organ transplantation (e.g., stem cell or solid organ transplant)
- Any medical condition that would in the investigator's judgement prevent the participant's participation in the clinical study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: S095018 (anti-TIM3 antibody) in combination with cemiplimab
Part A: Combination-therapy safety lead-in
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Via IV infusion on Day 1 of each 21-day cycle
350 mg via IV infusion on Day 1 of each 21-day cycle
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Experimental: S095024 (anti-CD73 antibody) in combination with cemiplimab
Part A: Combination-therapy safety lead-in
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350 mg via IV infusion on Day 1 of each 21-day cycle
Via IV infusion on Day 1 of each 21-day cycle
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Experimental: S095029 (anti-NKG2A antibody) in combination with cemiplimab
Part A: Combination-therapy safety lead-in
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350 mg via IV infusion on Day 1 of each 21-day cycle
Via IV infusion on Day 1 of each 21-day cycle
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Experimental: S095018 (anti-TIM3 antibody) RDE in combination with cemiplimab
Part B: Randomized dose expansion
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350 mg via IV infusion on Day 1 of each 21-day cycle
Via IV infusion on Day 1 of each 21-day cycle
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Experimental: S095024 (anti-CD73 antibody) RDE in combination with cemiplimab
Part B: Randomized dose expansion
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350 mg via IV infusion on Day 1 of each 21-day cycle
Via IV infusion on Day 1 of each 21-day cycle
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Experimental: S095029 (anti-NKG2A antibody) RDE in combination with cemiplimab
Part B: Randomized dose expansion
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350 mg via IV infusion on Day 1 of each 21-day cycle
Via IV infusion on Day 1 of each 21-day cycle
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Active Comparator: Cemiplimab (control arm)
Part B: Randomized dose expansion
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350 mg via IV infusion on Day 1 of each 21-day cycle
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Incidence and severity of dose-limiting toxicities (DLTs) during the first 2 cycles of combination treatment
Time Frame: Through the end of the Cycle 2 (each cycle is 21 days)
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Part A
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Through the end of the Cycle 2 (each cycle is 21 days)
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Incidence and severity of adverse events (AEs)
Time Frame: From the signed informed consent form (ICF) to 30 days after the last dose
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Part A
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From the signed informed consent form (ICF) to 30 days after the last dose
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Incidence and severity of serious adverse events (SAEs)
Time Frame: From the signed ICF to 120 days after the last dose
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Part A
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From the signed ICF to 120 days after the last dose
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Adverse Events (AEs) Leading to Dose Interruption, Modification, or Delays
Time Frame: From signed ICF through treatment discontinuation (up to 108 weeks of treatment)
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Part A
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From signed ICF through treatment discontinuation (up to 108 weeks of treatment)
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Adverse Events (AEs) Leading to Permanent Treatment Discontinuation
Time Frame: From signed ICF through treatment discontinuation (up to 108 weeks of treatment)
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Part A
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From signed ICF through treatment discontinuation (up to 108 weeks of treatment)
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Objective Response (OR)
Time Frame: Until study termination (approximately 2 years)
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Part B: Participants who achieve complete response (CR) or partial response (PR), as per investigator assessment using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
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Until study termination (approximately 2 years)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Objective Response (OR)
Time Frame: Until study termination (approximately 3 years)
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Part A: Participants who achieve CR or PR, as per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 and immune RECIST (iRECIST) as assessed by the investigator.
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Until study termination (approximately 3 years)
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Best Overall Response (BOR)
Time Frame: Until study termination (approximately 3 years)
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Part A and B: The best response designation using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 and immune RECIST (iRECIST), recorded between the date of the first dose of treatment and the date of the first objectively documented progression or the date of subsequent anti-cancer therapy, whichever occurs first.
CR or PR used in the BOR requires a confirmation that is at least 4 weeks apart.
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Until study termination (approximately 3 years)
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Duration of Response (DoR)
Time Frame: Until study termination (approximately 3 years)
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Part A and B: The time from the first documentation of CR or PR until the documented progressive disease (PD) or death, as per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 and immune RECIST (iRECIST) as assessed by the investigator.
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Until study termination (approximately 3 years)
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Disease Control (DC)
Time Frame: Until study termination (approximately 3 years)
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Part A and B: Participants who achieved stable disease (SD), PR, or CR (based on participant's best response), as per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 and immune RECIST (iRECIST) as assessed by the investigator.
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Until study termination (approximately 3 years)
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6-month Durable Response (6-month DR)
Time Frame: Until study termination (approximately 3 years)
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Part A and B: Continuous CR or PR for ≥ 6 months, recorded between the date of the first dose of treatment and the date of the first objectively documented progression per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 or the date of subsequent anti-cancer therapy, whichever occurs first.
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Until study termination (approximately 3 years)
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Progression-Free Survival (PFS)
Time Frame: Until study termination (approximately 3 years)
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Part A and B: The time from the first dose to the first documented PD or death due to any cause, whichever occurs first, as per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 and immune RECIST (iRECIST) as assessed by the investigator.
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Until study termination (approximately 3 years)
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Plasma or serum concentration of S095018
Time Frame: From first dose to 30 days after the last dose
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Part A and B
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From first dose to 30 days after the last dose
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Plasma or serum concentration of S095024
Time Frame: From first dose to 30 days after the last dose
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Part A and B
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From first dose to 30 days after the last dose
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Plasma or serum concentration of S095029
Time Frame: From first dose to 30 days after the last dose
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Part A and B
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From first dose to 30 days after the last dose
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Incidence and titer of anti-drug antibodies (ADA) directed against S095018
Time Frame: From screening to 90 days after the last dose
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Part A and B
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From screening to 90 days after the last dose
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Incidence and titer of anti-drug antibodies (ADA) directed against S095024
Time Frame: From screening to 90 days after the last dose
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Part A and B
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From screening to 90 days after the last dose
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Incidence and titer of anti-drug antibodies (ADA) directed against S095029
Time Frame: From screening to 90 days after the last dose
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Part A and B
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From screening to 90 days after the last dose
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Incidence and severity of adverse events (AEs)
Time Frame: From signed ICF to 30 days after the last dose
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Part B
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From signed ICF to 30 days after the last dose
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Incidence and severity of serious adverse events (SAEs)
Time Frame: From signed ICF to 120 days after the last dose
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Part B
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From signed ICF to 120 days after the last dose
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Adverse Events (AEs) Leading to Dose Interruption, Modification, or Delays
Time Frame: From signed ICF through treatment discontinuation (up to 108 weeks of treatment)
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Part B
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From signed ICF through treatment discontinuation (up to 108 weeks of treatment)
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Adverse Events (AEs) Leading to Permanent Treatment Discontinuation
Time Frame: From signed ICF through treatment discontinuation (up to 108 weeks of treatment)
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Part B
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From signed ICF through treatment discontinuation (up to 108 weeks of treatment)
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- SPLFIO-174
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Qualified scientific and medical researchers can request access to anonymized patient-level and study-level clinical trial data.
Access can be requested for all interventional clinical studies:
- used for Marketing Authorization (MA) of medicines and new indications approved after 1 January 2014 in the European Economic Area (EEA) or the United States (US).
- where Servier is the Marketing Authorization Holder (MAH). The date of the first MA of the new medicine (or the new indication) in one of the EEA Member States will be considered for this scope.
In addition, access can be requested for all interventional clinical studies in patients:
- sponsored by Servier
- with a first patient enrolled as of 1 January 2004 onwards
- for New Chemical Entity or New Biological Entity (new pharmaceutical form excluded) for which development has been terminated before any Marketing authorization (MA) approval.
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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