S095018: Via IV infusion on Day 1 of each 21-day cycle
S095024: Via IV infusion on Day 1 of each 21-day cycle
S095029: Via IV infusion on Day 1 of each 21-day cycle
S095018 Recommended Dose Expansion (RDE): Via IV infusion on Day 1 of each 21-day cycle
S095024 RDE: Via IV infusion on Day 1 of each 21-day cycle
S095029 RDE: Via IV infusion on Day 1 of each 21-day cycle
Cemiplimab: 350 mg via IV infusion on Day 1 of each 21-day cycle
Study summary
This is a Phase 1b/2 study evaluating the anti-PD1 antibody, cemiplimab, in combination with either S095018 (anti-TIM3 antibody), S095024 (anti-CD73 antibody), or S095029 (anti-NKG2A antibody) in adult participants with previously untreated advanced/metastatic non-small cell lung cancer (NSCLC) with high PD-L1 expression. The study includes two parts: part A, the combination-therapy safety lead-in phase to determine the recommended dose for expansion (RDE) for S095018, S095024, and S095029 in combination with cemiplimab and part B, the randomized dose expansion phase to assess the efficacy of S095018, S095024, or S095029 in combination with cemiplimab. Study treatment will be administered for a maximum of 108 weeks, or until confirmed disease progression per iRECIST and/ or until meeting other treatment discontinuation criteria.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Adult patient aged ≥ 18 years
* Written informed consent
* Histologically (squamous or non-squamous) or cytologically documented locally advanced NSCLC not eligible for surgical resection and/or definitive chemoradiation, or metastatic NSCLC
* No prior systemic treatment for locally advanced or metastatic NSCLC
* High tumor cell PD-L1 expression \[Tumor Proportion Score (TPS) ≥50%\] based on documented status as determined by an approved test
* Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
* Measurable disease as determined by RECIST v1.1
Exclusion Criteria:
* Tumors harboring driver mutations/genetic aberrations for which targeted therapies are approved as frontline treatment (e.g. EGFR mutation, ALK fusion oncogene, ROS1 aberrations)
* Prior immune checkpoint inhibitor therapy
* Active brain metastases
* Participants with active and uncontrolled hepatitis B virus (HBV) or hepatitis C virus (HCV) infection
* Uncontrolled HIV infection. Participants with HIV who have controlled infection (undetectable viral load and CD4 count above 350 either spontaneously or on a stable antiviral regimen) are allowed to enroll
* Active, known or suspected autoimmune disease or immune deficiency
* History of hypersensitivity reactions to any ingredient of the investigational medicinal product (IMP) and other monoclonal antibody (mAbs) and/or their excipients
* History of interstitial lung disease, idiopathic pulmonary fibrosis, drug-induced pneumonitis, idiopathic pneumonitis or active pneumonitis ≥ grade 2
* History of inflammatory bowel disease or colitis ≥ grade 2
* History of hemophagocytic lymphohistiocytosis.
* Systemic chronic steroid therapy (\>10mg/d prednisone or equivalent)
* Clinically significant infection, as assessed by the investigator
* Pregnant or breast-feeding (lactating) women
* Participants with a history of allogeneic organ transplantation (e.g., stem cell or solid organ transplant)
* Any medical condition that would in the investigator's judgement prevent the participant's participation in the clinical study
Primary outcome measure(s)
Incidence and severity of dose-limiting toxicities (DLTs) during the first 2 cycles of combination treatment — Through the end of the Cycle 2 (each cycle is 21 days) Part A
Incidence and severity of adverse events (AEs) — From the signed informed consent form (ICF) to 30 days after the last dose Part A
Incidence and severity of serious adverse events (SAEs) — From the signed ICF to 120 days after the last dose Part A
Adverse Events (AEs) Leading to Dose Interruption, Modification, or Delays — From signed ICF through treatment discontinuation (up to 108 weeks of treatment) Part A
Adverse Events (AEs) Leading to Permanent Treatment Discontinuation — From signed ICF through treatment discontinuation (up to 108 weeks of treatment) Part A
Objective Response (OR) — Until study termination (approximately 2 years) Part B: Participants who achieve complete response (CR) or partial response (PR), as per investigator assessment using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
Trial sites (56)
Facility
City
Region
Status
Henry Ford Health
Detroit
Michigan
Gabrail Cancer Center
Canton
Ohio
Ohio State University Comprehensive Cancer Center
Columbus
Ohio
Instituto Médico Especializado Alexander Fleming
Buenos Aires
Argentina
Sanatorio Parque S.A.
Santa Fe
Argentina
Border Medical Oncology Research Unit
Albury
Australia
Flinders Medical Centre
Bedford Park
Australia
Sunshine Hospital
St Albans
Australia
Latrobe Regional Health
Traralgon
Australia
Ordensklinikum Linz Elisabethinen
Linz
Austria
Universitatsklinikum St. Poelten
Sankt Pölten
Austria
Medical University of Vienna - Akh
Vienna
Austria
Jessa Ziekenhuis
Hasselt
Belgium
Uz Leuven Campus Gasthuisberg
Leuven
Belgium
Hospital de Amor - Barretos
Barretos
Brazil
Supera Oncologia
Chapecó
Brazil
CIONC
Curitiba
Brazil
Liga Contra O Cancer - Natal
Natal
Brazil
Santa Casa de Porto Alegre
Porto Alegre
Brazil
Hospital São Lucas Da Pucrs
Porto Alegre
Brazil
Oncoclinicas Rj
Rio de Janeiro
Brazil
Hospital A C Camargo
São Paulo
Brazil
Hospital São Camilo
São Paulo
Brazil
Oncoclinicas Sp
São Paulo
Brazil
Hospital Albert Einstein
São Paulo
Brazil
Centre Georges Francois Leclerc
Dijon
France
Chu Grenoble Alpes
Grenoble
France
Institut Paoli Calmette
Marseille
France
Centre René Gauducheau/Inst de Cancér. de L'Ouest
Saint-Herblain
France
Institut Gustave Roussy
Villejuif
France
Queen Mary Hospital
Hong Kong
Hong Kong
Farkasgyepu Tudogyogyintezet
Farkasgyepű
Hungary
Bugat Pal Hospital
Gyöngyös
Hungary
Pecsi Tudomanyegyetem, Klinikai Kozpont
Pécs
Hungary
Centro Di Riferimento Oncologico
Aviano
Italy
Inst. Romagnolo Per Lo Studio E La Cura Dei Tumori
Meldola
Italy
Irccs Fondazione Istituto Nazionale Dei Tumori
Milan
Italy
Istituto Europeo Di Oncologia
Milan
Italy
ASST Grande Ospedale Metropolitano Niguarda
Milan
Italy
Ist. Nazionale Tumori Irccs Fondazione G Pascale
Naples
Italy
+ 16 more sites — see the full list on the official registry below.
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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