Clinical Study of Ivonescimab for First-line Treatment of Metastatic NSCLC Patients
Sponsor: Summit Therapeutics
ClinicalTrials ID:NCT05899608
This Phase 3 study evaluates ivonescimab with chemotherapy versus pembrolizumab with chemotherapy for metastatic squamous NSCLC. Eligible participants are adults with ECOG 0-1, Stage IV squamous NSCLC, and no prior systemic treatment. Interventions include IV injections of ivonescimab or pembrolizumab combined with chemotherapy. Primary endpoint is overall survival.
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Program Overview
This is a Phase 3 Randomized, double-blind, Multiregional Study of Ivonescimab Combined with Chemotherapy Versus Pembrolizumab Combined with Chemotherapy for the First-line Treatment of Metastatic Non-small Cell Lung Cancer. The primary endpoint is overall survival and progression free survival assessed by investigator. The key secondary endpoints include response and safety.
Eligibility Criteria
Inclusion Criteria
- Age ≥ 18 years old at the time of enrollment
- Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1
- Expected life expectancy ≥ 3 months
- Metastatic (Stage IV) NSCLC
- Histologically or cytologically confirmed squamous or non-squamous NSCLC
- Recorded measurement of the Tumor Proportion Score (TPS) for PD-L1 expression, irrespective of the PD-L1 expression, prior to randomization
- At least one measurable noncerebral lesion according to RECIST 1.1
- No prior systemic treatment for metastatic NSCLC
Exclusion Criteria
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Histologic or cytopathologic evidence of the presence of small cell lung carcinoma
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Known actionable genomic alterations (EGFR, ALK, ROS1, and BRAF V600E) or genes for which first-line approved therapies are available.
- For non-squamous histology patients, actionable driver mutation testing results are required before randomization.
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Has received any prior therapy for NSCLC in the metastatic setting
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Tumor invasion, encasement of organs (e.g. heart, trachea, esophagus, central bronchi), or major blood vessels (e.g aorta, central veins), if poses a significant increased risk of bleeding.
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