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Trial of Therapeutic Cancer Vaccine OSE2101 in Patients With Non-Small Cell Lung Cancer and Secondary Resistance to Immune Checkpoint Inhibitor

Phase 3
Recruiting
Conditions
Patients With Non-Small Cell Lung Cancer
Interventions
Device: NGS HLAA2 assay
Registration Number
NCT06472245
Lead Sponsor
OSE Immunotherapeutics
Brief Summary

Multicenter, randomized (2:1), open-label phase 3 study in HLA-A2 positive patients with squamous and non-squamous metastatic NSCLC with ICI secondary resistance.

Patients will be randomized into 2 arms (randomization 2:1): experimental Arm A with OSE2101 monotherapy or control Arm B SoC with docetaxel monotherapy. Stratification factors will be histology (squamous versus non squamous) and ECOG Performance Status (0 versus 1).

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
363
Inclusion Criteria
  1. Male or female, aged ≥ 18 years
  2. Patients expressing HLA-A2 phenotype in blood by pre-screening central laboratory
  3. Patients with histologically or cytologically squamous or non-squamous documented NSCLC, metastatic stage at study entry, not eligible for definite surgery or radiation, without EGFR, ALK and ROS1 gene alterations eligible for targeted therapy; other sensitizing mutations known to be immunosensitive are eligible in case of lack of local access to targeted therapy (i.e.; KRAS G12C and BRAF mutations) after Sponsor's agreement
  4. Patients with secondary resistance to ICI;

Other inclusion and exclusion criteria will apply per protocol.

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm A: OSE2101NGS HLAA2 assayUnit dose: 1 mL corresponding to a total of 5 mg of the combination of peptides Mode/Route: Subcutaneous injection Regimen: One injection every three weeks for six cycles, then every eight weeks for the remainder of year one and, finally every twelve weeks until the end of second year.
Arm B: DocetaxelNGS HLAA2 assayUnit dose: 75 mg/m2 Mode/Route: Intravenous infusion over 1 hour Regimen: One infusion every three weeks.
GenDx CDx TedopiNGS HLAA2 assaySystem of qualitative companion diagnostic devices, consisting of a polymerase chain reaction (PCR) assay Amp-HLA-A-CDx Tedopi, a DNA library preparation assay, LFK-CDx Tedopi and the software NGSengine-CDx Tedopi.
Arm A: OSE2101OSE2101Unit dose: 1 mL corresponding to a total of 5 mg of the combination of peptides Mode/Route: Subcutaneous injection Regimen: One injection every three weeks for six cycles, then every eight weeks for the remainder of year one and, finally every twelve weeks until the end of second year.
Arm B: DocetaxelDocetaxelUnit dose: 75 mg/m2 Mode/Route: Intravenous infusion over 1 hour Regimen: One infusion every three weeks.
Primary Outcome Measures
NameTimeMethod
OS defined as time from randomization to deathFrom randomization date through study completion, an average of 3 years

OS defined as time from randomization to death of any cause, censored until the data analysis cut-off date

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (205)

Clinical Research Advisors, LLC

🇺🇸

Beverly Hills, California, United States

Clinical Research Advisors - Encino

🇺🇸

Encino, California, United States

Clinical Research Advisors - West Hollywood

🇺🇸

Los Angeles, California, United States

Clinical Research Advisors - Korea Town

🇺🇸

Los Angeles, California, United States

SCL Health - Saint Joseph Hospital Cancer Center

🇺🇸

Littleton, Colorado, United States

Lutheran Medical Center - Cancer Centers of Colorado

🇺🇸

Wheat Ridge, Colorado, United States

Eastern Connecticut Hematology and Oncology Associates

🇺🇸

Norwich, Connecticut, United States

Georgetown Lombardi Comprehensive Cancer Center

🇺🇸

Washington, District of Columbia, United States

Comprehensive Hematology Oncology - Bradenton Clinic

🇺🇸

Bradenton, Florida, United States

Comprehensive Hematology Oncology - Brandon Clinic

🇺🇸

Brandon, Florida, United States

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Clinical Research Advisors, LLC
🇺🇸Beverly Hills, California, United States
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