NCT04984811

Brief Summary

This is a multicenter, open-label, single-arm Phase II study to evaluate anti-tumor efficacy and safety of NT-I7 in combination with atezolizumab in subjects with PD-L1-expressing (TPS ≥ 1%), metastatic (Stage IV) or locally advanced squamous or non-squamous NSCLC who have not received prior systemic therapy in the metastatic or locally advanced setting. Eligible subjects must have measurable disease according to RECIST 1.1. This Phase II study will enroll up to 83 subjects.

Trial Health

57
Monitor

Trial Health Score

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

Enrollment
33

participants targeted

Target at P25-P50 for phase_2

Timeline
Completed

Started Nov 2021

Typical duration for phase_2

Geographic Reach
1 country

22 active sites

Status
terminated

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

July 14, 2021

Completed
19 days until next milestone

First Posted

Study publicly available on registry

August 2, 2021

Completed
4 months until next milestone

Study Start

First participant enrolled

November 15, 2021

Completed
2.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 28, 2024

Completed
22 days until next milestone

Study Completion

Last participant's last visit for all outcomes

September 19, 2024

Completed
1.7 years until next milestone

Results Posted

Study results publicly available

June 11, 2026

Completed
Last Updated

June 11, 2026

Status Verified

May 1, 2026

Enrollment Period

2.8 years

First QC Date

July 14, 2021

Results QC Date

November 17, 2025

Last Update Submit

May 15, 2026

Conditions

Keywords

AdvancedMetastaticNSCLCPD-L1AtezolizumabNT-I7Non Small Cell Lung CancerNon-small Cell Lung CancerNon-Small Cell Lung CarcinomaNonsmall Cell Lung Cancerefineptakin alfaefineptakin

Outcome Measures

Primary Outcomes (1)

  • Objective Response Rate (ORR)

    The percentage of subjects with a best overall response (BOR) of a complete response (CR) or partial response (PR), per RECIST 1.1 and iRECIST as determined by the investigator. Per RECIST v1.1, Complete Response (CR): Disappearance of all target lesions; Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters; Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition, the sum must also demonstrate an absolute increase of at least 5 mm. Furthermore, the appearance of one or more new lesions is also considered progression). Under iRECIST, tumor response is classified as immune Complete Response (iCR) or immune Partial Response (iPR) using the same size thresholds as RECIST 1.1.

    The first on-study imaging assessment were performed every 6 weeks for the first 6 months and every 9 weeks, or more frequently if clinically indicated, until disease progression or treatment discontinuation (up to 2 years).

Secondary Outcomes (4)

  • Duration of Response (DoR)

    The first on-study imaging assessment were performed every 6 weeks for the first 6 months and every 9 weeks, or more frequently if clinically indicated, until disease progression or treatment discontinuation (up to 2 years).

  • Disease Control Rate (DCR)

    The first on-study imaging assessment were performed every 6 weeks for the first 6 months and every 9 weeks, or more frequently if clinically indicated, until disease progression or treatment discontinuation (up to 2 years).

  • Progression Free Survival (PFS)

    The first on-study imaging assessment were performed every 6 weeks for the first 6 months and every 9 weeks, or more frequently if clinically indicated, until disease progression or treatment discontinuation (up to 2 years).

  • Overall Survival (OS)

    Up to 2 years

Study Arms (1)

NT-I7 and atezolizumab

EXPERIMENTAL

Participants with no prior systemic therapy for advanced NSCLC will receive 1200 μg/kg NT-I7 IM on Day 1 and every 6 weeks and atezolizumab IV 1200 mg every 3 weeks until disease progression.

Drug: efineptakin alfaDrug: Atezolizumab

Interventions

1200 μg/kg NT-I7 administered intramuscularly (IM) once every 6 weeks (Q6W) starting on Cycle 1. The treatment will be continued up to a maximum of 35 cycles (approximately 2 years).

Also known as: NT-I7
NT-I7 and atezolizumab

1200 mg atezolizumab administered intravenously (IV) once every 3 weeks (Q3W) starting on Cycle 1. The treatment will be continued up to a maximum of 35 cycles (approximately 2 years).

Also known as: Tecentriq
NT-I7 and atezolizumab

Eligibility Criteria

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

You may qualify if:

  • Have histologically or cytologically confirmed metastatic or locally advanced NSCLC, and have not received prior systemic therapy. Subjects with locally advanced disease must have Stage III NSCLC and are not candidates for surgical resection or definitive chemoradiation
  • Tumor PD-L1 expression (TPS≥1%) as determined by PD-L1 22C3 immunohistochemistry local or central assay.
  • Have measurable disease
  • Agree to provide screening biopsy (or archival tissue) at screening to assess PD-L1
  • ECOG 0-1
  • Adequate hematologic and end organ function

You may not qualify if:

  • Prior systemic anti-cancer therapy
  • NSCLC with EGFR, or ALK, or BRAF or ROS or RED or other genomic tumor aberrations which have available therapy
  • Prior radiotherapy within 2 weeks of start of study treatment
  • Known active CNS metastasis or carcinomatous meningitis
  • Severe reactions to mAbs or IV immunoglobulin preparations
  • Autoimmune disease history in past two years

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (22)

University of South Alabama

Mobile, Alabama, 36604, United States

Location

TOI Clinical Research

Cerritos, California, 90703, United States

Location

Eastern CT Hematology & Oncology Associates

Norwich, Connecticut, 06360, United States

Location

Florida Cancer Specialists - South Research Office

Fort Myers, Florida, 33916, United States

Location

BRCR Medical Center

Plantation, Florida, 33322, United States

Location

Florida Cancer Specialists - North Research Office

St. Petersburg, Florida, 33705, United States

Location

Florida Cancer Specialists - East Research Office

West Palm Beach, Florida, 33401, United States

Location

University Cancer and Blood Center

Athens, Georgia, 30607, United States

Location

Goshen Center for Cancer Care

Goshen, Indiana, 46526, United States

Location

Norton Cancer Institute

Louisville, Kentucky, 40217, United States

Location

Pikeville Medical Center, Inc.

Pikeville, Kentucky, 41501, United States

Location

MaineHealth Cancer Care

South Portland, Maine, 04106, United States

Location

TidalHealth Peninsula Regional, Inc.

Salisbury, Maryland, 21801, United States

Location

Summit Health Medical Center

Florham Park, New Jersey, 07932, United States

Location

East Carolina University

Greenville, North Carolina, 27834, United States

Location

Zangmeister Cancer Center

Columbus, Ohio, 43219, United States

Location

OHSU Knight Cancer Institute

Portland, Oregon, 97239, United States

Location

Tennessee Oncology - Chattanooga

Chattanooga, Tennessee, 37404, United States

Location

Thompson Cancer Survival Center

Knoxville, Tennessee, 37916, United States

Location

Tennessee Oncology - Nashville

Nashville, Tennessee, 37203, United States

Location

Renovatio Clinical - El Paso

El Paso, Texas, 79915, United States

Location

Renovatio Clinical - The Woodlands

The Woodlands, Texas, 77380, United States

Location

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell LungNeoplasm Metastasis

Interventions

efineptakin alfaatezolizumab

Condition Hierarchy (Ancestors)

Carcinoma, BronchogenicBronchial NeoplasmsLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteNeoplasmsLung DiseasesRespiratory Tract DiseasesNeoplastic ProcessesPathologic ProcessesPathological Conditions, Signs and Symptoms

Results Point of Contact

Title
Young Joo (Paul) Kim
Organization
NeoImmuneTech, Inc.

Study Officials

  • Donghoon Choi, PhD

    NeoImmuneTech

    STUDY CHAIR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 14, 2021

First Posted

August 2, 2021

Study Start

November 15, 2021

Primary Completion

August 28, 2024

Study Completion

September 19, 2024

Last Updated

June 11, 2026

Results First Posted

June 11, 2026

Record last verified: 2026-05

Locations