NCT03088540

Brief Summary

The primary objectives of the study are:

  • To compare the overall survival (OS) of cemiplimab versus standard-of-care platinum-based chemotherapies in the first-line treatment of patients with advanced or metastatic non-small cell lung cancer (NSCLC) whose tumors express PD-L1 in ≥50% of tumor cells
  • To compare the progression-free survival (PFS) of cemiplimab versus standard-of-care platinum-based chemotherapies in the first-line treatment of patients with advanced or metastatic NSCLC whose tumors express PD-L1 in ≥50% of tumor cells The key secondary objective of the study is to compare the objective response rate (ORR) of cemiplimab versus platinum-based chemotherapies

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
712

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started May 2017

Longer than P75 for phase_3

Geographic Reach
24 countries

192 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 3, 2017

Completed
20 days until next milestone

First Posted

Study publicly available on registry

March 23, 2017

Completed
2 months until next milestone

Study Start

First participant enrolled

May 29, 2017

Completed
7.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 18, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 18, 2025

Completed
Last Updated

February 23, 2026

Status Verified

February 1, 2026

Enrollment Period

7.9 years

First QC Date

March 3, 2017

Last Update Submit

February 19, 2026

Conditions

Keywords

Previous SmokerCurrent SmokerStage IIIBStage IIICStage IVPD-L1

Outcome Measures

Primary Outcomes (2)

  • Overall survival (OS)

    From date of randomization until the date of death, assessed up to 68 months

  • Progression-free survival (PFS) as assessed by a blinded Independent review committee (IRC) using RECIST 1.1

    PFS as assessed by a blinded IRC using RECIST 1.1.

    From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 68 months

Secondary Outcomes (11)

  • Objective response rates (ORR)

    From date of randomization to the date of the first objectively documented progression or the date of subsequent anti-cancer therapy, whichever comes first, up to 68 months

  • Best overall response (BOR)

    From date of randomization until the date of first documented progression or the date of subsequent anti-cancer therapy, whichever came first, assessed up to 68 months

  • Compare the duration of response (DOR) of cemiplimab versus platinum based chemotherapies

    From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 68 months

  • Change from baseline in quality of life (QoL) scores as assessed by the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30)

    Baseline up to 26 months after treatment

  • Change from baseline in in lung cancer symptom scores as measured by the EORTC Lung Cancer 13 (EORTC QLQ-LC13)

    Baseline up to 26 months after treatment

  • +6 more secondary outcomes

Study Arms (2)

Standard-of-care chemotherapy

ACTIVE COMPARATOR

Standard-of-care chemotherapy will administered from these options: Doses of Paclitaxel + cisplatin OR Doses Paclitaxel + carboplatin OR Doses Gemcitabine + cisplatin or Doses Gemcitabine + carboplatin OR Doses Pemetrexed + cisplatin followed by optional pemetrexed maintenance OR Doses Pemetrexed + carboplatin followed by optional pemetrexed maintenance

Drug: PemetrexedDrug: PaclitaxelDrug: GemcitabineDrug: CisplatinDrug: Carboplatin

cemiplimab

EXPERIMENTAL

cemiplimab regimen as monotherapy as per study protocol

Drug: cemiplimab

Interventions

Patients will be administered pemetrexed chemotherapy as per protocol with either cisplatin or carboplatin

Standard-of-care chemotherapy

Patients will be administered paclitaxel chemotherapy as per protocol with either cisplatin or carboplatin

Standard-of-care chemotherapy

Patients will be administered gemcitabine chemotherapy as per protocol with either cisplatin or carboplatin

Standard-of-care chemotherapy

Administered with either Pemetrexed, Paclitaxel or gemcitabine.

Standard-of-care chemotherapy

Administered with either Pemetrexed, Paclitaxel or gemcitabine.

Standard-of-care chemotherapy

Patients will be administered cemiplimab as per protocol.

Also known as: REGN2810, Libtayo
cemiplimab

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients with histologically or cytologically documented squamous or non squamous NSCLC with stage IIIB or stage IIIC disease who are not candidates for treatment with definitive concurrent chemoradiation or patients with stage IV disease who received no prior systemic treatment for recurrent or metastatic NSCLC
  • Archival or newly obtained formalin-fixed tumor tissue from a metastatic/recurrent site, which has not previously been irradiated
  • Tumor cells expressing PD L1 above a specific percentage of tumor cells by IHC performed by the central laboratory
  • At least 1 radiographically measureable lesion per RECIST 1.1
  • ECOG performance status of ≤1
  • Anticipated life expectancy of at least 3 months
  • Adequate organ and bone marrow function

You may not qualify if:

  • A patient who meets any of the following criteria will be excluded from the study:
  • Patients that 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 EGFR gene mutations, ALK gene translocations, or ROS1 fusions
  • Encephalitis, meningitis, or uncontrolled seizures in the year prior to randomization
  • History of interstitial lung disease (eg, idiopathic pulmonary fibrosis, organizing pneumonia) or active, noninfectious pneumonitis that required immune-suppressive doses of glucocorticoids to assist with management. A history of radiation pneumonitis in the radiation field is permitted as long as pneumonitis resolved ≥6 months prior to randomization
  • Patients with active, known, or suspected autoimmune disease that has required systemic therapy in the past 2 years
  • Patients with a condition requiring corticosteroid therapy (\>10 mg prednisone/day or equivalent) within 14 days of randomization
  • Another malignancy that is progressing or requires treatment
  • Uncontrolled infection with hepatitis B or hepatitis C or human immunodeficiency virus (HIV) or diagnosis of immunodeficiency
  • Active infection requiring systemic therapy within 14 days prior to randomization
  • Prior therapy with anti-PD 1 or anti-PD L1
  • Treatment-related immune-mediated AEs from immune-modulatory agents
  • Receipt of an investigational drug or device within 30 days
  • Receipt of a live vaccine within 30 days of planned start of study medication
  • +5 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (192)

Clinical Study Site

Albury, New South Wales, Australia

Location

Clinical Study Site

Wollongong, New South Wales, Australia

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Clinical Study Site

Fitzroy, Australia

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Clinical Study Site

Minsk, Belarus

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Clinical Study Site

Mogilev, Belarus

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Clinical Study Site 1

Porto Alegre, Rio Grande do Sul, Brazil

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Clinical Study Site

Barretos, Brazil

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Clinical Study Site

Curitiba, Brazil

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Clinical Study Site

Joinville, Brazil

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Clinical Study Site

Lajeado, Brazil

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Clinical Study Site

Mogi das Cruzes, Brazil

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Clinical Study Site

Passo Fundo, Brazil

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Clinical Study Site

Pelotas, Brazil

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Clinical Study Site 2

Porto Alegre, Brazil

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Clinical Study Site 3

Porto Alegre, Brazil

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Clinical Study Site

Recife, Brazil

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Clinical Study Site

Rio de Janeiro, Brazil

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Clinical Study Site

Salvador, Brazil

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Clinical Study Site

Santa Cecília, Brazil

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Clinical Study Site

São José do Rio Preto, Brazil

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Clinical Study Site #3

São Paulo, Brazil

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Clinical Study Site #4

São Paulo, Brazil

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Clinical Study Site 1

São Paulo, Brazil

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Clinical Study Site 2

São Paulo, Brazil

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Clinical Study Site

Dobrich, Bulgaria

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Gabrovo, Bulgaria

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Recoleta, Chile

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Santiago, Chile

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Temuco, Chile

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Clincial Study Site

Viña del Mar, Chile

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Lanshan, Shandong, China

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Guangdong, China

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Harbin, China

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Clinical Study Site

Linyi, China

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Clinical Study Site 1

Shanghai, China

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Clinical Study Site 2

Shanghai, China

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Clinical Study Site 1

Tianjin, China

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Clinical Study Site 2

Tianjin, China

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Clinical Study Site

Xuzhou, China

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Clinical Study Site

Zhejiang, China

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Clinical Study Site

Barranquilla, Colombia

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Bogotá, Colombia

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Floridablanca, Colombia

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Nový Jičín, Czechia

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Pelhřimov, Czechia

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Prague, Czechia

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Clinical Study Site

Batumi, Georgia

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Clinical Study Site #6

Tbilisi, Georgia

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Clinical Study Site 1

Tbilisi, Georgia

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Clinical Study Site 2

Tbilisi, Georgia

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Clinical Study Site 3

Tbilisi, Georgia

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Clinical Study Site 4

Tbilisi, Georgia

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Clinical Study Site 5

Tbilisi, Georgia

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Clinical Study Site

Pátrai, Achaia, Greece

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Clinical Study Site

Cholargós, Attica, Greece

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Clinical Study Site 1

Athens, Greece

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Clinical Study Site 2

Athens, Greece

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Clinical Study Site 3

Athens, Greece

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Clinical Study Site

Larissa, Greece

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Clinical Study Site

Pylaia, Greece

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Clinical Study Site 1

Thessaloniki, Greece

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Clinical Study Site 2

Thessaloniki, Greece

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Clinical Study Site 3

Thessaloniki, Greece

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Clinical Study Site

Gyula, Bekes County, Hungary

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Clinical Study Site

Tatabánya, Komárom-Esztergom, Hungary

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Clinical Study Site

Farkasgyepű, Veszprém megye, Hungary

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Budapest, Hungary

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Debrecen, Hungary

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Zalaegerszeg, Hungary

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Clinical Study Site

Amman, Jordan

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Irbid, Jordan

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Bsalîm, Lebanon

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Clinical Study Site

Mazraat ech Choûf, Lebanon

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Clinical Study Site

Sidon, Lebanon

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Clinical Study Site

Kampung Baharu Nilai, Malaysia

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Clinical Study Site #1

Kuala Lumpur, Malaysia

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Clinical Study Site #2

Kuala Lumpur, Malaysia

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Clinical Study Site

Kuching, Malaysia

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Clinical Study Site

Pulau Pinang, Malaysia

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Clinical Study Site

Tanjong Bungah, Malaysia

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Clinical Study Site

Coahuila, Mexico

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Cuautitlán, Mexico

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Jalisco, Mexico

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León, Mexico

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Clinical Study Site 1

Monterrey, Mexico

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Clinical Study Site 2

Monterrey, Mexico

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Clinical Study Site 3

Monterrey, Mexico

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Oaxaca City, Mexico

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San Luis Potosí City, Mexico

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Bacolod City, Philippines

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Clinical Study Site

Batangas, Philippines

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Clinical Study Site

Cebu, Philippines

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Clinical Study Site

City of Taguig, Philippines

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Clinical Study Site

Davao City, Philippines

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Clinical Study Site 1

Manila, Philippines

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Clinical Study Site 2

Manila, Philippines

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Clinical Study Site #1

Quezon City, Philippines

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Clinical Study Site #2

Quezon City, Philippines

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Clinical Study Site

Dąbrowa Górnicza, Poland

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Clinical Study Site

Gdynia, Poland

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Krakow, Poland

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Lodz, Poland

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Olsztyn, Poland

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Poznan, Poland

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Prabuty, Poland

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Radom, Poland

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Rzeszów, Poland

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Torun, Poland

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Warsaw, Poland

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Wodzisław Śląski, Poland

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Clinical Study Site 1

Craiova, Romania

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Clinical Study Site 2

Craiova, Romania

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Clinical Study Site

Floreşti, Romania

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Clinical Study Site

Ploieşti, Romania

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Clinical Study Site

Timișoara, Romania

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Clinical Study Site

Ufa, Republic Bashkortost, Russia

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Clinical Study Site

Pushkin, Sankt-Peterburg, Russia

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Arkhangelsk, Russia

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Belgorod, Russia

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Chelyabinsk, Russia

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Kaluga, Russia

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Kazan', Russia

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Kemerovo, Russia

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Clinical Study Site

Kislino, Russia

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Clinical Study Site

Kursk, Russia

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Clinical Study Site 1

Moscow, Russia

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Clinical Study Site 2

Moscow, Russia

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Clinical Study Site 3

Moscow, Russia

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Clinical Study Site

Omsk, Russia

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Clinical Study Site

Pyatigorsk, Russia

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Clinical Study Site 1

Saint Petersburg, Russia

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Clinical Study Site 2

Saint Petersburg, Russia

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Clinical Study Site 3

Saint Petersburg, Russia

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Clinical Study Site 4

Saint Petersburg, Russia

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Clinical Study Site

Samara, Russia

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Clinical Study Site

Saransk, Russia

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Clinical Study Site

Sochi, Russia

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Clinical Study Site 1

Tomsk, Russia

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Clinical Study Site 2

Tomsk, Russia

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Clinical Study Site

Yekaterinburg, Russia

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Clinical Study Site

Manresa, Barcelona, Spain

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Clinical Study Site

Barcelona, Spain

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Clinical Study Site

Pamplona, Spain

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Clinical Study Site

Chang-hua, Taiwan

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Clinical Study Site

Hualien City, Taiwan

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Clinical Study Site 1

Kaohsiung City, Taiwan

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Clinical Study Site 2

Kaohsiung City, Taiwan

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Clinical Study Site 1

New Taipei City, Taiwan

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Clinical Study Site 2

New Taipei City, Taiwan

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Clinical Study Site 1

Taichung, Taiwan

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Clinical Study Site 2

Taichung, Taiwan

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Clinical Study Site 1

Taipei, Taiwan

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Clinical Study Site 2

Taipei, Taiwan

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Clinical Study Site 3

Taipei, Taiwan

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Clinical Study Site

Hat Yai, Changwat Songkhla, Thailand

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Clinical Study Site

Lopburi, Muang, Thailand

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Clinical Study Site #1

Bangkok, Thailand

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Clinical Study Site #2

Bangkok, Thailand

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Clinical Study Site

Chiang Rai, Thailand

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Clinical Study Site

Khon Kaen, Thailand

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Clinical Study Site

Lampang, Thailand

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Clinical Study Site

Phitsanulok, Thailand

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Clinical Study Site

Ratchathewi, Thailand

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Clinical Study Site

Udon Thani, Thailand

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Clinical Study Site 1

Adana, Turkey (Türkiye)

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Clinical Study Site 2

Adana, Turkey (Türkiye)

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Clinical Study Site 1

Ankara, Turkey (Türkiye)

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Clinical Study Site 2

Ankara, Turkey (Türkiye)

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Clinical Study Site 3

Ankara, Turkey (Türkiye)

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Clinical Study Site 4

Ankara, Turkey (Türkiye)

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Clinical Study Site 5

Ankara, Turkey (Türkiye)

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Clinical Study Site

Edirne, Turkey (Türkiye)

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Clinical Study Site 1

Istanbul, Turkey (Türkiye)

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Clinical Study Site 2

Istanbul, Turkey (Türkiye)

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Clinical Study Site 3

Istanbul, Turkey (Türkiye)

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Clinical Study Site 4

Istanbul, Turkey (Türkiye)

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Clinical Study Site 1

Izmir, Turkey (Türkiye)

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Clinical Study Site 2

Izmir, Turkey (Türkiye)

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Clinical Study Site 3

Izmir, Turkey (Türkiye)

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Clinical Study Site

Samsun, Turkey (Türkiye)

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Clinical Study Site

Dnipro, Ukraine

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Clinical Study Site

Ivano-Frankivsk, Ukraine

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Clinical Study Site

Kharkiv, Ukraine

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Clinical Study Site

Kherson, Ukraine

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Clinical Study Site 1

Kiev, Ukraine

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Clinical Study Site 2

Kiev, Ukraine

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Clinical Study Site

Kirovohrad, Ukraine

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Clinical Study Site 1

Kyiv, Ukraine

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Clinical Study Site 2

Kyiv, Ukraine

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Clinical Study Site

Uzhhorod, Ukraine

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Clinical Study Site

Vinnytsia, Ukraine

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Clinical Study Site

Zaporizhzhya, Ukraine

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Related Publications (5)

  • Gandara DR, Gumus M, Kilickap S, Sezer A, Bondarenko I, Ozguroglu M, Gogishvili M, Yan E, Jia X, Kim E, Seebach F, Quek RGW. Review of patient-reported outcomes in EMPOWER-Lung 1 in patients with advanced non-small cell lung cancer treated with cemiplimab versus chemotherapy. Cancer. 2026 Mar 15;132(6):e70339. doi: 10.1002/cncr.70339.

  • Perez J, Kerr KM, Baker B, Fang F, Li J, McDonald J, Li S, Gao B, Pouliot JF, Seebach F, Lowy I, Gullo G, Herman G, Hamilton J, Rietschel P, McGuire K. Clinical Interchangeability of PD-L1 Immunohistochemistry Assays in First-Line Non-Small Cell Lung Cancer Management With Cemiplimab. JCO Precis Oncol. 2025 Sep;9:e2500177. doi: 10.1200/PO-25-00177. Epub 2025 Sep 24.

  • Ozguroglu M, Kilickap S, Sezer A, Gumus M, Bondarenko I, Gogishvili M, Nechaeva M, Schenker M, Cicin I, Ho GF, Kulyaba Y, Zyuhal K, Scheusan RI, Garassino MC, He X, Kaul M, Okoye E, Li Y, Li S, Pouliot JF, Seebach F, Lowy I, Gullo G, Rietschel P. First-line cemiplimab monotherapy and continued cemiplimab beyond progression plus chemotherapy for advanced non-small-cell lung cancer with PD-L1 50% or more (EMPOWER-Lung 1): 35-month follow-up from a mutlicentre, open-label, randomised, phase 3 trial. Lancet Oncol. 2023 Sep;24(9):989-1001. doi: 10.1016/S1470-2045(23)00329-7. Epub 2023 Aug 14.

  • Gumus M, Chen CI, Ivanescu C, Kilickap S, Bondarenko I, Ozguroglu M, Gogishvili M, Turk HM, Cicin I, Harnett J, Mastey V, Naumann U, Reaney M, Konidaris G, Sasane M, Brady KJS, Li S, Gullo G, Rietschel P, Sezer A. Patient-reported outcomes with cemiplimab monotherapy for first-line treatment of advanced non-small cell lung cancer with PD-L1 of >/=50%: The EMPOWER-Lung 1 study. Cancer. 2023 Jan 1;129(1):118-129. doi: 10.1002/cncr.34477. Epub 2022 Oct 29.

  • Sezer A, Kilickap S, Gumus M, Bondarenko I, Ozguroglu M, Gogishvili M, Turk HM, Cicin I, Bentsion D, Gladkov O, Clingan P, Sriuranpong V, Rizvi N, Gao B, Li S, Lee S, McGuire K, Chen CI, Makharadze T, Paydas S, Nechaeva M, Seebach F, Weinreich DM, Yancopoulos GD, Gullo G, Lowy I, Rietschel P. Cemiplimab monotherapy for first-line treatment of advanced non-small-cell lung cancer with PD-L1 of at least 50%: a multicentre, open-label, global, phase 3, randomised, controlled trial. Lancet. 2021 Feb 13;397(10274):592-604. doi: 10.1016/S0140-6736(21)00228-2.

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell Lung

Interventions

PemetrexedPaclitaxelGemcitabineCisplatinCarboplatincemiplimab

Condition Hierarchy (Ancestors)

Carcinoma, BronchogenicBronchial NeoplasmsLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteNeoplasmsLung DiseasesRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

GuanineHypoxanthinesPurinonesPurinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsGlutamatesAmino Acids, AcidicAmino AcidsAmino Acids, Peptides, and ProteinsAmino Acids, DicarboxylicTaxoidsCyclodecanesCycloparaffinsHydrocarbons, AlicyclicHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsDiterpenesTerpenesDeoxycytidineCytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-RingChlorine CompoundsInorganic ChemicalsNitrogen CompoundsPlatinum CompoundsCoordination Complexes

Study Officials

  • Clinical Trial Management

    Regeneron Pharmaceuticals

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
CROSSOVER
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 3, 2017

First Posted

March 23, 2017

Study Start

May 29, 2017

Primary Completion

April 18, 2025

Study Completion

April 18, 2025

Last Updated

February 23, 2026

Record last verified: 2026-02

Data Sharing

IPD Sharing
Will share

All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing

Shared Documents
STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
Time Frame
When Regeneron has: * received marketing authorization from major health authorities (e.g., FDA, European Medicines Agency (EMA), Pharmaceuticals and Medical Devices Agency (PMDA), etc.) for the product and indication or has globally discontinued development of the product for all indications on or after April 2020 and has no plans for future development * made the study results publicly available (e.g., scientific publication, scientific conference, clinical trial registry) * the legal authority to share the data, and * ensured the ability to protect participant privacy
Access Criteria
Qualified researchers can submit a proposal for access to individual patient or aggregate level data from a Regeneron-sponsored clinical trial through Vivli. Regeneron's Independent Research Request Evaluation Criteria can be found at: https://www.regeneron.com/sites/default/files/Regeneron-External-Data-Sharing-Policy-and-Independent-Research-Request-Evaluation-Criteria.pdf
More information

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