Lung Cancer Clinical Trial
Combinations of Cemiplimab (Anti-PD-1 Antibody) and Platinum-based Doublet Chemotherapy in Patients With Lung Cancer
Summary
The primary objectives of this study are:
Part 1: To compare the overall survival (OS) of cemiplimab/chemo-f and cemiplimab/chemo-l/ipi versus platinum-based doublet chemotherapy in the first-line treatment of patients with advanced squamous or nonsquamous non-small cell lung cancer (NSCLC) with tumors expressing PD-L1 in <50% of tumor cells.
Part 2: To compare the OS of cemiplimab/chemo-f with placebo/chemo-f in the first-line treatment of patients with advanced squamous or non-squamous NSCLC irrespective of PD-L1 expression.
The key secondary objectives are:
Part 1: To compare the progression-free survival (PFS) and objective response rate (ORR) of cemiplimab/chemo-f and cemiplimab/chemo-l/ipi versus chemo-f in the first-line treatment of patients with advanced squamous or non-squamous NSCLC and tumors expressing PD-L1 in <50% of tumor cells.
Part 2: To compare the PFS and ORR of cemiplimab/chemo-f versus placebo/chemo-f in the first-line treatment of patients with advanced squamous or non-squamous NSCLC irrespective of PD-L1 expression.
Eligibility Criteria
Key Inclusion Criteria:
Men and women ≥20 years of age for Japanese patients
Patients with histologically or cytologically documented squamous or non-squamous NSCLC with stage IIIB or IIIC disease who are not candidates for treatment with definitive concurrent chemoradiation or patients with stage IV disease if they have not received prior systemic treatment for recurrent or metastatic NSCLC
Availability of an archival (≤5 months) or on-study obtained formalin-fixed, paraffin-embedded tumor tissue sample from a metastatic or recurrent site, which has not previously been irradiated
Part 1 only: Expression of PD-L1 in <50% of tumor cells determined by a commercially available assay performed by the central laboratory
At least 1 radiographically measurable lesion by computed tomography (CT) or magnetic resonance imaging (MRI) per RECIST 1.1 criteria. Target lesions may be located in a previously irradiated field if there is documented (radiographic) disease progression in that site
Eastern Cooperative Oncology Group (ECOG) performance status of ≤1
Anticipated life expectancy of at least 3 months
Key Exclusion Criteria:
Part 1 only: Patients who have never smoked, defined as smoking ≤100 cigarettes in a lifetime
Active or untreated brain metastases or spinal cord compression
Patients with tumors tested positive for Epidermal growth factor receptor (EGFR) gene mutations, Anaplastic lymphoma kinase (ALK) gene translocations, or C-ros oncogene receptor tyrosine kinase(ROS1) fusions
Encephalitis, meningitis, or uncontrolled seizures in the year prior to enrollment
History of interstitial lung disease (eg, idiopathic pulmonary fibrosis or organizing pneumonia), of active, noninfectious pneumonitis that required immune-suppressive doses of glucocorticoids to assist with management, or of pneumonitis within the last 5 years
Ongoing or recent evidence of significant autoimmune disease that required treatment with systemic immunosuppressive treatments, which may suggest risk of immune-related treatment-emergent adverse events (irTEAEs)
Patients with a condition requiring corticosteroid therapy (>10 mg prednisone/day or equivalent) within 14 days of randomization
Note: Other protocol defined Inclusion/Exclusion criteria may apply
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There are 127 Locations for this study
Rancho Mirage California, 92270, United States
Riverside California, 92506, United States
Whittier California, 90603, United States
Orange City Florida, 32763, United States
Saint Petersburg Florida, 33709, United States
Wichita Kansas, 67214, United States
Bethesda Maryland, 20817, United States
Farmington New Mexico, 87401, United States
Gettysburg Pennsylvania, 17325, United States
Wien , 1130, Austria
Baoding , 07110, China
Beijing , 10005, China
Changsha , 41001, China
Guangzhou , 51008, China
Hangzhou Shi , 31000, China
Hangzhou , 31000, China
Hangzhou , 31000, China
Hangzhou , 31001, China
Jinan , 25001, China
Linyi City , 27600, China
Nanjing Shi , 21000, China
Shanghai , 20004, China
Shanghai , 20043, China
Shenyang , 11004, China
Xiangyang Shi , 44102, China
Zhengzhou City , 45000, China
Zhengzhou , 45000, China
Bayonne , 64100, France
Creteil , 94010, France
Le Mans , 72000, France
Lille , 59037, France
Lyon , 69310, France
Mont-de-Marsan , 40024, France
Saint Herblain Cedex , 44805, France
Saint-Mandé , 94160, France
Strasbourg , 67091, France
Batumi , 6000, Georgia
Tbilisi , 0112, Georgia
Tbilisi , 0144, Georgia
Tbilisi , 0159, Georgia
Tbilisi , 0159, Georgia
Tbilisi , 0186, Georgia
Thessaloniki Macedonia, 54645, Greece
Athens , 11527, Greece
Kifisia , 14564, Greece
Larissa , 41334, Greece
Pylaia , 57001, Greece
Thessaloniki , 54007, Greece
Dublin , 9, Ireland
Limerick , V94F8, Ireland
Cremona , 26100, Italy
Meldola , 47014, Italy
Milano , 20162, Italy
Monserrato , 09042, Italy
Piacenza , 29121, Italy
Saronno , 21047, Italy
Terni , 05100, Italy
Treviglio , 24047, Italy
Cheongju-si , 28644, Korea, Republic of
Incheon , 21565, Korea, Republic of
Jeonju , 54907, Korea, Republic of
Seongnam-si , 13496, Korea, Republic of
Seongnam-si , 13620, Korea, Republic of
Seoul , 05368, Korea, Republic of
Seoul , 05505, Korea, Republic of
Seoul , 06351, Korea, Republic of
Suwon-si , 16499, Korea, Republic of
Klaipeda , LT-92, Lithuania
Vilnius , LT-08, Lithuania
Kuala Lumpur Wilayah Persekutuan, 59100, Malaysia
Johor Bahru , 81100, Malaysia
Kota Kinabalu , 88996, Malaysia
Kuala Lumpur , 56000, Malaysia
Kuala Lumpur , 59100, Malaysia
Kuantan , 25100, Malaysia
Penang , 10350, Malaysia
Pulau Pinang , 10990, Malaysia
Tanjung Bungah , 11200, Malaysia
Gdynia Pomorskie, 81-51, Poland
Lublin , 20-09, Poland
Olsztyn , 10-35, Poland
Otwock , 05-40, Poland
Poznan , 60-69, Poland
Rzeszow , 35-02, Poland
Torun , 87-10, Poland
Wodzisław Śląski , 44-30, Poland
Łódź , 90-30, Poland
Cluj Napoca , 40000, Romania
Cluj Napoca , 40012, Romania
Craiova , 20009, Romania
Craiova , 20034, Romania
Craiova , 20038, Romania
Ufa Republic Bashkortost, 45005, Russian Federation
Arkhangel'sk , 16304, Russian Federation
Belgorod , 30801, Russian Federation
Chelyabinsk , 45404, Russian Federation
Ekaterinburg , 62003, Russian Federation
Kaluga , 24800, Russian Federation
Kazan , 42002, Russian Federation
Kursk , 30501, Russian Federation
Moscow region , 14344, Russian Federation
Moscow , 11547, Russian Federation
Moscow , 12146, Russian Federation
Omsk , 64401, Russian Federation
Pushkin , 19660, Russian Federation
Pyatigorsk , 35750, Russian Federation
Saint Petersburg , 19110, Russian Federation
Saint Petersburg , 19775, Russian Federation
Saint Petersburg , 19825, Russian Federation
Samara , 44300, Russian Federation
Saransk , 43003, Russian Federation
Sochi , 35405, Russian Federation
Tomsk , 63402, Russian Federation
Tomsk , 63405, Russian Federation
Banka , 92101, Slovakia
Ratchathewi Bangkok, 10400, Thailand
Muang Chiang Rai, 57000, Thailand
A. Mueang Lampang, 52000, Thailand
Muang Phitsanulok, 65000, Thailand
Hat Yai Songkhla, 90110, Thailand
Muang , 15000, Thailand
Ratchathewi , 10400, Thailand
Udonthani , 41330, Thailand
Adana , 01120, Turkey
Ankara , 06100, Turkey
Istanbul , 34000, Turkey
Istanbul , 34093, Turkey
Dnipro , 49102, Ukraine
Kharkiv , 61070, Ukraine
Kiev , 03022, Ukraine
Kirovohrad , 25006, Ukraine
Uzhgorod , 88014, Ukraine
Vinnytsia , 21029, Ukraine
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