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A Study of AK138D1 Alone or in Combination With Ivonescimab in Advanced Non-Small Cell Lung Cancer

28. maj 2026 opdateret af: Akeso

A Phase Ib/II Study of AK138D1 as Monotherapy and in Combination With Ivonescimab in Patients With Advanced Non-Small Cell Lung Cancer

The goal of this clinical trial is to evaluate the safety, tolerability, and efficacy of AK138D1 as monotherapy or in combination with ivonescimab in patients with advanced non-small cell lung cancer.

Participants will receive study treatment with AK138D1 alone or in combination with ivonescimab, undergo safety assessments and tumor evaluations, and be followed for treatment tolerability, antitumor activity, and clinical outcomes.

Studieoversigt

Status

Ikke rekrutterer endnu

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

This is a multicenter, open-label phase Ib/II study of AK138D1 as monotherapy or in combination with ivonescimab in patients with advanced non-small cell lung cancer. The phase Ib portion is designed to evaluate the safety, tolerability, and preliminary antitumor activity of AK138D1 in combination with ivonescimab. The phase II portion is designed to evaluate the safety and efficacy of AK138D1 as monotherapy or in combination with ivonescimab.

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

265

Fase

  • Fase 2
  • Fase 1

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Studiesteder

  • Kina
    • Shanghai Municipality
      • Shanghai, Shanghai Municipality, Kina
        • Shanghai East Hospital
        • Kontakt:

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ingen

Beskrivelse

Inclusion Criteria:

  1. The subject must sign the written informed consent form (ICF) voluntarily;
  2. At enrollment, aged ≥ 18 to ≤ 75 years, both males and females are eligible;
  3. Has an Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1;
  4. Has a life expectancy of ≥ 3 months;
  5. Has measurable disease based on Response Evaluation Criteria in Solid Tumors (RECIST) 1.1.
  6. Has Stage IIIB/IIIC or IV NSCLC (American Joint Committee on Cancer [AJCC]).
  7. Adequate organ function.

Exclusion Criteria:

  1. Concomitant participation in another clinical study, unless it is a non-interventional clinical study or the follow-up period of an interventional study;
  2. Presence of active central nervous system (CNS) metastases.
  3. Live vaccines or attenuated live vaccines administered within 4 weeks prior to the first dose, or planned to be administered during the study; use of inactivated vaccines is allowed;
  4. Untreated subjects with active hepatitis B or active hepatitis C;
  5. Known active pulmonary tuberculosis (TB); subjects with suspected active TB must undergo appropriate clinical assessment to rule out the presence of active disease;
  6. Known active syphilis infection;
  7. Subjects with known allergy to any component of any study drug; and with a history of known severe hypersensitivity reactions to other monoclonal antibodies;
  8. Other reasons for ineligibility as evaluated by investigator.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: AK138D1
AK138D1 will be administered at pre-specified dose levels.
Medicin: AK138D1
Tilmeldte forsøgspersoner vil modtage intravenøs infusion (IV) af AK138D1 i henhold til det doseringsregime, der er specificeret i deres kohorte.
Eksperimentel: AK138D1+ Ivonescimab
AK138D1 and ivonescimab will be administered at pre-specified dose levels.
Medicin: AK138D1
Tilmeldte forsøgspersoner vil modtage intravenøs infusion (IV) af AK138D1 i henhold til det doseringsregime, der er specificeret i deres kohorte.
Medicin: Ivonescimab
Enrolled subjects will receive intravenous infusion (IV) of Ivonescimab according to the dosing regimen specified in their cohort.
Eksperimentel: AK138D1 + Ivonescimab + Carboplatin
AK138D1, ivonescimab and carboplatin will be administered at pre-specified dose levels.
Medicin: AK138D1
Tilmeldte forsøgspersoner vil modtage intravenøs infusion (IV) af AK138D1 i henhold til det doseringsregime, der er specificeret i deres kohorte.
Medicin: Ivonescimab
Enrolled subjects will receive intravenous infusion (IV) of Ivonescimab according to the dosing regimen specified in their cohort.
Medicin: Carboplatin
Enrolled subjects will receive intravenous infusion (IV) of Carboplatin according to the dosing regimen specified in their cohort.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Adverse events (AEs)
Tidsramme: Up to approximately 2 years
Incidence and severity of subjects with adverse events
Up to approximately 2 years
Objective Response Rate (ORR)
Tidsramme: Up to approximately 2 years
Objective Response Rate (ORR) is the proportion of subjects with complete response (CR) or partial response (PR) , assessed by investigator according to RECIST v1.1.
Up to approximately 2 years

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Anti-lægemiddel-antistoffer (ADA)
Tidsramme: Op til cirka 2 år
Antal forsøgspersoner med påviselige anti-lægemiddel-antistoffer (ADA).
Op til cirka 2 år
Samlet overlevelse (OS)
Tidsramme: Op til cirka 2 år
Samlet overlevelse (OS) er defineret som tiden fra randomisering til død på grund af enhver årsag.
Op til cirka 2 år
Disease Control Rate (DCR)
Tidsramme: Up to approximately 2 years
Disease control rate (DCR) assessed by investigator according to RECIST v1.1.
Up to approximately 2 years
Duration of response (DoR)
Tidsramme: Up to approximately 2 years
Duration of response (DoR) assessed by investigator according to RECIST v1.1.
Up to approximately 2 years
Time to response (TTR)
Tidsramme: Up to approximately 2 years
Time to response (TTR) is defined as the time to response assessed by investigator according to RECIST v1.1.
Up to approximately 2 years
Progression Free Survival (PFS)
Tidsramme: Up to approximately 2 years
PFS is defined as the time from randomization to the first documented disease progression (per RECIST v1.1) assessed by investigator or death due to any cause, whichever occurs first.
Up to approximately 2 years
Pharmacokinetics (PK) characteristics
Tidsramme: Up to approximately 2 years
Serum drug concentration profiles at different time points after administration.
Up to approximately 2 years

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Akeso

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

18. juni 2026

Primær færdiggørelse (Anslået)

18. juni 2028

Studieafslutning (Anslået)

3. juli 2030

Datoer for studieregistrering

Først indsendt

28. maj 2026

Først indsendt, der opfyldte QC-kriterier

28. maj 2026

Først opslået (Faktiske)

3. juni 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

3. juni 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

28. maj 2026

Sidst verificeret

1. maj 2026

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • AK138D1-201

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ingen

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

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