NCT05499390进行中（未招募）3 期
A Randomized Controlled, Multi-center Phase III Clinical Trial of AK112 Versus Pembrolizumab as First-line Treatment for PD-L1-Positive Locally-Advanced or Metastatic Non-Small Cell Lung Cancer
Akeso1 个研究点 分布在 1 个国家目标入组 398 人开始时间: 2022年11月9日最近更新:
适应症
干预措施
相关药物
试验速览
- 阶段
- 3 期
- 状态
- 进行中（未招募）
- 发起方
- 入组人数
- 398
- 试验地点
- 1
- 主要终点
- PFS assessed by IRRC per RECIST v1.1
研究概览
简要总结
This trial is a Phase III study. All patients are stage IIIB/C (unsuitable for radical therapy) or IV non-small cell lung cancer(NSCLC), Eastern Cooperative Oncology Group (ECOG) performance status 0-1. The purpose of this study is to evaluate the efficacy and safety of AK112 comparing Pembrolizumab in subjects with advanced NSCLC whose tumors have a programmed cell death-ligand 1 (PD-L1) Tumor Proportion Score (TPS) greater than or equal to 1%.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Has a histologically or cytologically confirmed diagnosis of NSCLC.
- •Has Stage IIIB/C or IV NSCLC (American Joint Committee on Cancer [AJCC]).
- •≥18 years old (at the time consent is obtained).
- •Be able and willing to provide written informed consent and to comply with all requirements of study participation (including all study procedures).
- •Be able to provide formalin fixed, paraffin-embedded (FFPE) tumor tissue.
- •Has a life expectancy of at least 3 months.
- •Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or
- •Has measurable disease based on Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 as determined by the site study team.
- •Has no EGFR-sensitive mutations or ALK gene translocations.
- •Has positive PD-L1 expression in tumor tissue.
- •Has no prior systemic anti-tumor therapy for locally advanced or metastatic NSCLC.
- •Has adequate organ function.
- •Has recovered from the effects of any prior radiotherapy or surgery.
- •All female and male subjects of reproductive potential must agree to use an effective method of contraception, as determined by the Investigator, during and for 120 days after the last dose of study treatment.
排除标准
- •Has any histologically small cell carcinoma component.
- •Is currently participating in a study of an investigational agent or using an investigational device.
- •Has a diagnosis of immunodeficiency or is receiving systemic steroid therapy within 2 years prior to the first dose of study treatment.
- •Has undergone major surgery within 30 days of Study Day
- •Has a known additional malignancy that is progressing or requires systemic treatment. Exceptions include basal cell carcinoma of the skin, squamous cell carcinoma of the skin that has undergone potentially curative therapy or in situ cervical cancer.
- •Has known active central nervous system (CNS) metastases.
- •Has an active autoimmune disease that has required systemic treatment in the past 2 years (i.e. with use of disease modifying agents, corticosteroids or immunosuppressive drugs).
- •Has an active infection requiring systemic therapy.
- •Has known active Hepatitis B (e.g., HBsAg reactive) or Hepatitis C (e.g., HCV RNA [qualitative] is detected).
- •History of myocardial infarction, unstable angina, congestive heart failure within 12 months prior to day 1 of study treatment.
- •Has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the study, interfere with the subject's participation for the full duration of the study, or is not in the best interest of this subject to participate, in the opinion of the treating investigator.
- •Has known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the study.
- •Has received a live virus vaccine within 30 days of the planned first dose of study therapy.
- •Is pregnant, breastfeeding, or expecting to conceive or father a child within the projected duration of the study including 120 days following the last dose of study treatment.
- •Has any concurrent medical condition that, in the opinion of the Investigator, would complicate or compromise compliance with the study or the well-being of the subject.
研究组 & 干预措施
AK112
Experimental
Subjects receive AK112 monotherapy intravenously (IV), selected dose.
干预措施: AK112 (Drug)
Pembrolizumab
Active Comparator
Subjects receive Pembrolizumab monotherapy intravenously (IV), 200mg q3w.
干预措施: Pembrolizumab (Drug)
结局指标
主要结局
PFS assessed by IRRC per RECIST v1.1
时间窗: Up to 2 approximately years
Progression-free survival (PFS) is defined as the time from the date of randomization till the first documentation of disease progression (per RECIST v1.1 criteria) assessed by the blinded IRRC or death due to any cause (whichever occurs first).
次要结局
- DoR assessed by the investigator per RECIST v1.1(Up to 2 approximately years)
- TTR assessed by the investigator per RECIST v1.1(Up to 2 approximately years)
- ORR assessed by IRRC per RECIST v1.1(Up to 2 approximately years)
- ORR assessed by the investigator per RECIST v1.1(Up to 2 approximately years)
- OS(Up to 2 approximately years)
- DoR assessed by IRRC per RECIST v1.1(Up to 2 approximately years)
- DCR assessed by IRRC per RECIST v1.1(Up to 2 approximately years)
- TTR assessed by IRRC per RECIST v1.1(Up to 2 approximately years)
- PFS assessed by investigator per RECIST v1.1(Up to 2 approximately years)
- AE(Up to 2 approximately years)
- ADA(Up to 2 approximately years)
- PD-L1 expression(Up to 2 approximately years)
- DCR assessed by the investigator per RECIST v1.1(Up to 2 approximately years)
研究者
研究点 (1)
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