Volrustomig Priming Regimens Exploratory Phase II Platform Study (eVOLVE-01)

June 10, 2026 updated by: AstraZeneca

A Phase II, Open-label Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Immunogenicity, and Antitumor Activity of Volrustomig Priming Regimens in Combination With Other Anticancer Agents in Participants With Solid Tumors (eVOLVE-01)

Purpose of this study is to assess the safety, tolerability, pharmacokinetics, immunogenicity, and antitumor activity of volrustomig in combination with other anticancer drugs in participants with specified solid tumors.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Detailed Description

This Phase II, platform, open-label, multicenter study will evaluate the efficacy, safety, and tolerability of volrustomig in combination with anticancer drugs in various solid tumor types.

This platform study currently includes 2 substudies:

Substudy 1: metastatic non-small cell lung cancer (mNSCLC) (non-squamous [NSQ]). Participants will be randomized in two treatment arms: Arm 1A and Arm 1B.

Substudy 2: mNSCLC (squamous [SQ] or NSQ). Participants will enroll to the Arm 2A only.

All arms will test a volrustomig dosing in combination with chemotherapy.

Study Type

Interventional

Enrollment (Estimated)

180

Phase

  • Phase 2

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

    • Quebec
      • Montreal, Quebec, Canada, H4A 3J1
        • Withdrawn
        • Research Site
      • Beijing, China, 100730
        • Recruiting
        • Research Site
      • Hangzhou, China, 310014
        • Recruiting
        • Research Site
      • Jinan, China, 250013
        • Recruiting
        • Research Site
      • Yantai, China, 264000
        • Recruiting
        • Research Site
      • Zhengzhou, China, 450000
        • Recruiting
        • Research Site
      • Bois-Guillaume, France, 76031
        • Recruiting
        • Research Site
      • Caen, France, 14076
        • Recruiting
        • Research Site
      • Créteil, France, 94000
        • Withdrawn
        • Research Site
      • Dijon, France, 21079
        • Recruiting
        • Research Site
      • Montpellier, France, 34070
        • Recruiting
        • Research Site
      • Batumi, Georgia, 6010
        • Recruiting
        • Research Site
      • Tbilisi, Georgia, 0114
        • Recruiting
        • Research Site
      • Tbilisi, Georgia, 0144
        • Recruiting
        • Research Site
      • Tbilisi, Georgia, 0112
        • Recruiting
        • Research Site
      • Tbilisi, Georgia, 186
        • Recruiting
        • Research Site
      • Tbilisi, Georgia, '0159
        • Recruiting
        • Research Site
      • Athens, Greece, 12462
        • Recruiting
        • Research Site
      • Athens, Greece, 115 27
        • Not yet recruiting
        • Research Site
      • Elaiones, Greece, 546 23
        • Recruiting
        • Research Site
      • Piraeus, Greece, 185 47
        • Recruiting
        • Research Site
      • Thessaloniki, Greece, 57001
        • Recruiting
        • Research Site
      • Genoa, Italy, 16132
        • Recruiting
        • Research Site
      • Meldola, Italy, 47014
        • Recruiting
        • Research Site
      • Milan, Italy, 20133
        • Recruiting
        • Research Site
      • Naples, Italy, 80131
        • Recruiting
        • Research Site
      • Orbassano, Italy, 10043
        • Recruiting
        • Research Site
      • Perugia, Italy, 06132
        • Recruiting
        • Research Site
      • Rozzano, Italy, 20089
        • Recruiting
        • Research Site
      • Udine, Italy, 33100
        • Recruiting
        • Research Site
      • Verona, Italy, 37134
        • Recruiting
        • Research Site
      • Kuala Lumpur, Malaysia, 59100
        • Recruiting
        • Research Site
      • Kuching, Malaysia, 93586
        • Recruiting
        • Research Site
      • Perai, Malaysia, 13700
        • Recruiting
        • Research Site
      • Lisbon, Portugal, 1169-050
        • Recruiting
        • Research Site
      • Lisbon, Portugal, 1649-035
        • Recruiting
        • Research Site
      • Lisbon, Portugal, 1400-038
        • Recruiting
        • Research Site
      • Lisbon, Portugal, 1500-458
        • Withdrawn
        • Research Site
      • Porto, Portugal, 4099-001
        • Recruiting
        • Research Site
      • Porto, Portugal, 4100-180
        • Withdrawn
        • Research Site
      • Cluj-Napoca, Romania, 400641
        • Recruiting
        • Research Site
      • Craiova, Romania, 200542
        • Recruiting
        • Research Site
      • Floreşti, Romania, 407280
        • Recruiting
        • Research Site
      • Belgrade, Serbia, 11000
        • Withdrawn
        • Research Site
      • Belgrade, Serbia, 11000
        • Recruiting
        • Research Site
      • Kamenitz, Serbia, 21204
        • Withdrawn
        • Research Site
      • Kragujevac, Serbia, 34000
        • Withdrawn
        • Research Site
      • Seongnam, South Korea, 13620
        • Completed
        • Research Site
      • Seoul, South Korea, 03722
        • Recruiting
        • Research Site
      • Seoul, South Korea, 06591
        • Withdrawn
        • Research Site
      • Suwon, South Korea, 16247
        • Recruiting
        • Research Site
      • A Coruña, Spain, 15009
        • Recruiting
        • Research Site
      • Alcorcón, Spain, 28922
        • Recruiting
        • Research Site
      • Barcelona, Spain, 08041
        • Recruiting
        • Research Site
      • Madrid, Spain, 28041
        • Recruiting
        • Research Site
      • Málaga, Spain, 29004
        • Recruiting
        • Research Site
      • Pamplona, Spain, 31008
        • Recruiting
        • Research Site
      • Santander, Spain, 39008
        • Recruiting
        • Research Site
      • Santiago de Compostela, Spain, 15706
        • Recruiting
        • Research Site
      • Valencia, Spain, 46026
        • Recruiting
        • Research Site
      • Valencia, Spain, 46015
        • Recruiting
        • Research Site
      • Basel, Switzerland, 4031
        • Withdrawn
        • Research Site
      • Geneva, Switzerland, 1205
        • Recruiting
        • Research Site
      • Lausanne, Switzerland, 1011
        • Recruiting
        • Research Site
      • Winterthur, Switzerland, 8401
        • Recruiting
        • Research Site
      • Zurich, Switzerland, 8091
        • Recruiting
        • Research Site
      • Changhua, Taiwan, 50006
        • Recruiting
        • Research Site
      • New Taipei City, Taiwan, 23561
        • Recruiting
        • Research Site
      • Taipei, Taiwan, 106
        • Recruiting
        • Research Site
      • Taipei, Taiwan, 110
        • Recruiting
        • Research Site
    • California
      • Los Angeles, California, United States, 90067
        • Completed
        • Research Site
    • Colorado
      • Grand Junction, Colorado, United States, 81501
        • Withdrawn
        • Research Site
      • Wheat Ridge, Colorado, United States, 80033
        • Withdrawn
        • Research Site
    • Maryland
      • Baltimore, Maryland, United States, 21231
        • Withdrawn
        • Research Site
    • Michigan
      • Detroit, Michigan, United States, 48202
        • Withdrawn
        • Research Site
    • North Carolina
      • Chapel Hill, North Carolina, United States, 27514
        • Active, not recruiting
        • Research Site
    • Washington
      • Tacoma, Washington, United States, 98405
        • Withdrawn
        • Research Site

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Key Inclusion Criteria:

  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 with no deterioration.
  • Life expectancy greater than or equal to (>=) 12 weeks.
  • Adequate organ and bone marrow function.
  • Body weight greater than (>) 35 kilograms (kg) at screening and at randomization.
  • Histologically or cytologically documented NSQ NSCLC in substudy 1 and SQ or NSQ mNSCLC in substudy 2.
  • Absence of sensitizing epidermal growth factor receptor (EGFR) mutations.
  • Absence of documented tumor genomic alteration results from tests conducted as part of standard local practice in any other actionable driver oncogenes for which there are locally approved targeted 1L therapies.
  • At least one measurable lesion not previously irradiated that can be accurately measured at baseline as >= 10 millimeter (mm) in the longest diameter.

Key Exclusion Criteria:

  • Spinal cord compression.
  • History of primary active immunodeficiency.
  • Active or prior documented autoimmune or inflammatory disorders.
  • Mixed small-cell lung cancer and NSCLC histology or sarcomatoid variant.
  • Brain metastases unless asymptomatic, stable, and not requiring steroids for at least 14 days prior to start of study intervention. A minimum of 2 weeks must have elapsed between the end of radiation therapy and study enrollment.
  • Prior chemotherapy or any other systemic therapy for Stage IV NSCLC. Participants who have received prior platinum-containing adjuvant, neoadjuvant, or definitive chemoradiation for local disease are eligible, provided that progression has occurred greater (>) 12 months from end of last therapy.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Substudy 1: Arm 1A: Volrustomig dose regimen 1 + Carboplatin and Pemetrexed
Volrustomig priming dose followed by volrustomig dosing regimen 1 in combination with carboplatin and pemetrexed.
Participants will receive volrustomig via intravenous (IV) infusion.
Other Names:
  • MEDI5752
Participants will receive carboplatin via IV infusion.
Participants will receive pemetrexed via IV infusion.
Experimental: Substudy 1: Arm 1B: Volrustomig dose regimen 2 + Carboplatin and Pemetrexed
Volrustomig priming dose followed by volrustomig dosing regimen 2 in combination with carboplatin and pemetrexed.
Participants will receive volrustomig via intravenous (IV) infusion.
Other Names:
  • MEDI5752
Participants will receive carboplatin via IV infusion.
Participants will receive pemetrexed via IV infusion.
Experimental: Substudy 2: Arm 2A: Volrustomig dose regimen 2 +Ramucirumab + Carboplatin + Pemetrexed or Paclitaxel
Volrustomig priming dose followed by volrustomig dosing regimen 2 in combination with ramucirumab and histology-specific chemotherapy (carboplatin+ either pemetrexed or paclitaxel).
Participants will receive volrustomig via intravenous (IV) infusion.
Other Names:
  • MEDI5752
Participants will receive carboplatin via IV infusion.
Participants will receive pemetrexed via IV infusion.
Participants will receive ramucirumab via IV infusion.
Participants will receive paclitaxel via IV infusion.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time Frame: From screening (Days -28 to Day -1) up to 2 year 10 months
The safety and tolerability of volrustomig in combination with other anticancer drugs in participants with specified solid tumors will be assessed.
From screening (Days -28 to Day -1) up to 2 year 10 months
Confirmed Objective Response rate (ORR)
Time Frame: Up to 2 year 10 months
ORR is defined as the percentage of participants who have a confirmed complete response (CR) or confirmed partial response (PR), as per Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST 1.1).
Up to 2 year 10 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Disease Control Rate (DCR)
Time Frame: Up to 2 year 10 months
DCR is defined as the percentage of participants who have a CR or PR or who have stable disease (SD) after the date of randomization or first dose.
Up to 2 year 10 months
Duration of Response (DOR)
Time Frame: Up to 2 year 10 months
DOR is defined as the time from the date of first documented response until the date of documented progression or death due to any cause (in the absence of progression).
Up to 2 year 10 months
Progression Free Survival (PFS)
Time Frame: Up to 2 year 10 months
PFS is defined as the time from randomization or first dose until radiological progression or death due to any cause (in the absence of progression).
Up to 2 year 10 months
Overall Survival (OS)
Time Frame: Up to 2 year 10 months
OS is defined as the time from randomization or first dose until the date of death due to any cause.
Up to 2 year 10 months
Serum Concentration of Volrustomig
Time Frame: Up to 2 year 10 months
The serum concentrations volrustomig alone and when used in combination with other anticancer agents in participants with pre-specified solid tumors will be assessed.
Up to 2 year 10 months
Trough concentration (Ctrough)
Time Frame: Up to 2 year 10 months
The trough concentrations volrustomig alone and when used in combination with other anticancer agents in participants with pre-specified solid tumors will be assessed.
Up to 2 year 10 months
Maximum Observed Concentration (Cmax)
Time Frame: Up to 2 year 10 months
The serum concentrations volrustomig alone and when used in combination with other anticancer agents in participants with pre-specified solid tumors will be assessed.
Up to 2 year 10 months
Area Under the Curve (AUC)
Time Frame: Up to 2 year 10 months
The AUC concentrations of volrustomig alone and when used in combination with other anticancer agents in participants with pre-specified solid tumors will be assessed.
Up to 2 year 10 months
Number of Participants with Positive Antidrug Antibodies (ADAs)
Time Frame: Up to 2 year 10 months
The incidence of ADAs against volrustomig or other anticancer agents in serum will be assessed.
Up to 2 year 10 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

August 27, 2024

Primary Completion (Estimated)

July 30, 2027

Study Completion (Estimated)

July 30, 2027

Study Registration Dates

First Submitted

June 4, 2024

First Submitted That Met QC Criteria

June 4, 2024

First Posted (Actual)

June 7, 2024

Study Record Updates

Last Update Posted (Actual)

June 11, 2026

Last Update Submitted That Met QC Criteria

June 10, 2026

Last Verified

June 1, 2026

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

IPD Plan Description

Qualified researchers can request access to anonymized individual patient-leveldata from AstraZeneca group of companies sponsored clinical trials via therequest portal Vivli.org. All requests will be evaluated as per the AZ disclosurecommitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure."Yes",indicates that AZ are accepting requests for IPD, but this does not mean allrequests will be approved.

IPD Sharing Time Frame

AstraZeneca will meet or exceed data availability as per the commitment smade to the EFPIA/PhRMA Data-Sharing Principles. For details of our timelines, please refer to our disclosure commitment athttps://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.

IPD Sharing Access Criteria

When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure researchenvironmentVivli.org. A Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.

IPD Sharing Supporting Information Type

  • STUDY_PROTOCOL
  • SAP

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

Yes

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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