NCT05676931

Brief Summary

The purpose of this study is to assess the objective response rate (ORR) of immunotherapy-based combination therapy and to assess the safety and tolerability of immunotherapy-based combination therapy.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
400

participants targeted

Target at P75+ for phase_2

Timeline
19mo left

Started Feb 2023

Longer than P75 for phase_2

Geographic Reach
10 countries

51 active sites

Status
active not recruiting

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

Study Progress67%
Feb 2023Dec 2027

First Submitted

Initial submission to the registry

December 9, 2022

Completed
1 month until next milestone

First Posted

Study publicly available on registry

January 9, 2023

Completed
1 month until next milestone

Study Start

First participant enrolled

February 21, 2023

Completed
4.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2027

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2027

Last Updated

October 2, 2025

Status Verified

September 1, 2025

Enrollment Period

4.8 years

First QC Date

December 9, 2022

Last Update Submit

September 29, 2025

Conditions

Keywords

Advanced Non-Small Cell Lung CancerDomvanalimabZimberelimabQuemliclustatAnti-TIGIT antibodyAnti-PD-1 antibody

Outcome Measures

Primary Outcomes (2)

  • Objective response rate (ORR) as measured by Response Evaluation Criteria in Solid Tumors (RECIST v1.1)

    Up to 58 months

  • The incidence and severity of adverse events (AEs) and serious adverse events (SAEs)

    Up to 58 months

Secondary Outcomes (8)

  • Overall Survival (OS)

    From date of first dose until the date of death due to any cause (approximately 58 months)

  • Progression-free Survival (PFS) as determined by the Investigator according to RECIST v1.1

    Up to 58 months

  • Disease Control Rate (DCR)

    Up to 58 months

  • Duration of response (DoR) as determined by the Investigator according to RECIST v1.1

    Up to 58 months

  • Investigational study treatments peak plasma or serum concentration (Cmax)

    Up to 58 months

  • +3 more secondary outcomes

Study Arms (10)

A1: Domvanalimab + Zimberelimab

EXPERIMENTAL

Domvanalimab and Zimberelimab, both administered by IV infusion

Drug: DomvanalimabDrug: Zimberelimab

A2: Domvanalimab + Zimberelimab

EXPERIMENTAL

Domvanalimab and Zimberelimab, both administered by IV infusion

Drug: DomvanalimabDrug: Zimberelimab

A3: Quemliclustat + Zimberelimab

EXPERIMENTAL

Quemliclustat and Zimberelimab, both administered by IV infusion

Drug: QuemliclustatDrug: Zimberelimab

B1: Quemliclustat + Zimberelimab + Platinum Doublet Chemotherapy

EXPERIMENTAL

Quemliclustat, zimberelimab, and platinum doublet chemotherapy, all administered by IV infusion

Drug: QuemliclustatDrug: ZimberelimabDrug: Platinum-Based Doublet

B2: Domvanalimab + Zimberelimab + Platinum Doublet Chemotherapy

EXPERIMENTAL

Domvanalimab, Zimberelimab, and platinum doublet chemotherapy, all administered by IV infusion

Drug: DomvanalimabDrug: ZimberelimabDrug: Platinum-Based Doublet

B3: Domvanalimab + Quemliclustat + Zimberelimab + Platinum Doublet Chemotherapy

EXPERIMENTAL

Domvanalimab, Quemliclustat, Zimberelimab, and platinum doublet chemotherapy, all administered by IV infusion

Drug: DomvanalimabDrug: QuemliclustatDrug: ZimberelimabDrug: Platinum-Based Doublet

B4: Domvanalimab + Zimberelimab + Platinum Doublet Chemotherapy

EXPERIMENTAL

Domvanalimab, Zimberelimab, and platinum doublet chemotherapy, all administered by IV infusion

Drug: DomvanalimabDrug: ZimberelimabDrug: Platinum-Based Doublet

B5: Domvanalimab + Zimberelimab + Platinum Doublet Chemotherapy

EXPERIMENTAL

Domvanalimab, Zimberelimab, and platinum doublet chemotherapy, all administered by IV infusion

Drug: DomvanalimabDrug: ZimberelimabDrug: Platinum-Based Doublet

C1: Quemliclustat + Zimberelimab + Docetaxel

EXPERIMENTAL

Quemliclustat, Zimberelimab, and Docetaxel, all administered by IV infusion

Drug: QuemliclustatDrug: ZimberelimabDrug: Docetaxel

C2: Domvanalimab + Zimberelimab + Docetaxel

EXPERIMENTAL

Domvanalimab, Zimberelimab, and Docetaxel, all administered by IV infusion

Drug: DomvanalimabDrug: ZimberelimabDrug: Docetaxel

Interventions

Administered as specified in the treatment arm

A1: Domvanalimab + ZimberelimabA2: Domvanalimab + ZimberelimabB2: Domvanalimab + Zimberelimab + Platinum Doublet ChemotherapyB3: Domvanalimab + Quemliclustat + Zimberelimab + Platinum Doublet ChemotherapyB4: Domvanalimab + Zimberelimab + Platinum Doublet ChemotherapyB5: Domvanalimab + Zimberelimab + Platinum Doublet ChemotherapyC2: Domvanalimab + Zimberelimab + Docetaxel

Administered as specified in the treatment arm

A3: Quemliclustat + ZimberelimabB1: Quemliclustat + Zimberelimab + Platinum Doublet ChemotherapyB3: Domvanalimab + Quemliclustat + Zimberelimab + Platinum Doublet ChemotherapyC1: Quemliclustat + Zimberelimab + Docetaxel

Administered as specified in the treatment arm

A1: Domvanalimab + ZimberelimabA2: Domvanalimab + ZimberelimabA3: Quemliclustat + ZimberelimabB1: Quemliclustat + Zimberelimab + Platinum Doublet ChemotherapyB2: Domvanalimab + Zimberelimab + Platinum Doublet ChemotherapyB3: Domvanalimab + Quemliclustat + Zimberelimab + Platinum Doublet ChemotherapyB4: Domvanalimab + Zimberelimab + Platinum Doublet ChemotherapyB5: Domvanalimab + Zimberelimab + Platinum Doublet ChemotherapyC1: Quemliclustat + Zimberelimab + DocetaxelC2: Domvanalimab + Zimberelimab + Docetaxel

Administered as specified in the treatment arm

C1: Quemliclustat + Zimberelimab + DocetaxelC2: Domvanalimab + Zimberelimab + Docetaxel

Administered as specified in the treatment arm

B1: Quemliclustat + Zimberelimab + Platinum Doublet ChemotherapyB2: Domvanalimab + Zimberelimab + Platinum Doublet ChemotherapyB3: Domvanalimab + Quemliclustat + Zimberelimab + Platinum Doublet ChemotherapyB4: Domvanalimab + Zimberelimab + Platinum Doublet ChemotherapyB5: Domvanalimab + Zimberelimab + Platinum Doublet Chemotherapy

Eligibility Criteria

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

You may qualify if:

  • Histologically or cytologically documented Stage IV metastatic, NSCLC
  • Eastern Cooperative Oncology Group performance status (ECOG PS) of 0 to 1
  • At least one measurable target lesion per RECIST v1.1.
  • Adequate organ function
  • Participants must be willing to provide adequate tumor tissue

You may not qualify if:

  • Underlying medical conditions that, in the Investigator's or Sponsor's opinion, will make the administration of Investigational Product(s) (IPs) hazardous
  • Use of any live vaccines against infectious diseases within 28 days of first dose of IP(s).
  • Use of supra-physiologic doses of corticosteroids (\> 10 mg/day of oral prednisone or equivalent) or immunosuppressive medications ≤ 14 days before the initiation of study treatment (absorbable topical corticosteroids are not excluded).
  • Has known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the trial.
  • Any active autoimmune disease or a documented history of autoimmune disease or syndrome that required systemic treatment in the past 2 years (ie, with use of disease-modifying agents, corticosteroids, or immunosuppressive drugs), except for vitiligo or resolved childhood asthma/atopy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (51)

University of Alabama at Birmingham (UAB)

Birmingham, Alabama, 35294, United States

Location

University of California San Diego (UCSD)

La Jolla, California, 92093, United States

Location

Memorial Cancer Institute at Memorial Regional Hospital

Hollywood, Florida, 33021, United States

Location

Hematology Oncology Associates Of The Treasure Coast

Port Saint Lucie, Florida, 34952, United States

Location

Florida Cancer Specialists (Administration and Drug Shipment)

The Villages, Florida, 32163, United States

Location

Northwestern Memorial Hospital

Chicago, Illinois, 60611, United States

Location

Ochsner Clinic Foundation

Jefferson, Louisiana, 70121, United States

Location

Henry Ford Hospital

Detroit, Michigan, 48202, United States

Location

Medical Oncology Associated, PS (dba Summit Cancer Centers)

Spokane, Washington, 99208, United States

Location

The Border Cancer Hospital

Albury, New South Wales, Australia

Location

Pindara Private Hospital

Benowa, Queensland, 4217, Australia

Location

Cancer Research SA Pty Ltd

Adelaide, South Australia, 5000, Australia

Location

Sir Charles Gairdner Hospital

Nedlands, Western Australia, 6009, Australia

Location

CHU Bordeaux Centre Francois Magendie Hôpital du Haut Lévèque

Bordeaux, 33604, France

Location

Hospices Civils de Lyon Centre Hospitalier Lyon Sud

Lyon, 69495, France

Location

Institut De Cancerologie Strasbourg Europe ICANS

Strasboug, 67033, France

Location

Hopital FOCH

Suresnes, France

Location

LTD High Technology Hospital Medcenter

Batumi, Georgia

Location

Caucasus Medical Center

Tbilisi, Georgia

Location

Israel Georgian Medical Research Clinic Healthycore

Tbilisi, Georgia

Location

JSC K. Eristavi National Center of Experimental and Clinical Surgery

Tbilisi, Georgia

Location

Ltd Pineo Medical Ecosystem

Tbilisi, Georgia

Location

Istituto Romagnolo per lo Studio dei Tumori-Dino Amadori - IRST

Meldola, Italy

Location

stituto Nazionale per lo Studio e la Cura dei Tumori

Milan, Italy

Location

Istituto Oncologico Veneto IRCCS

Padua, 35128, Italy

Location

Azienda Sanitaria Territoriale Pesaro Urbino (AST PU)

Pesaro, Italy

Location

Fondazione IRCCS Istituto Nazionale dei tumori di Milano

Rome, Italy

Location

Szpitale Pomorskie sp. z o.o

Gdynia, Poland

Location

Uniwersyteckie Centrum Kliniczne, im. prof. K. Gibińskiego

Katowice, Poland

Location

Medpolonia Sp. Z.o.o.

Poznan, Poland

Location

Centrum Onkologii - Instytut im. Marii Sk?odowskiej-Curie

Warsaw, Poland

Location

Samsung Changwon Hospital

Changwon-Si, South Korea

Location

Chungbuk National University Hospital

Cheongju-si, 28644, South Korea

Location

Chonam National University Hwasun Hospital

Hwasun-gun, 58128, South Korea

Location

Korea University Guro Hospital

Seoul, 08308, South Korea

Location

Asan Medical Center

Seoul, 138-736, South Korea

Location

Hospital de la Santa Creu i Sant Pau

Barcelona, 8041, Spain

Location

Hospital Universitari Mutua Terrassa

Barcelona, 8221, Spain

Location

UOMI Cancer Centre

Barcelona, Spain

Location

Complejo Hospitalario Universitario Insular Materno Infantil De Gran Canaria

Las Palmas de Gran Canaria, 35016, Spain

Location

Hospital Universitario Lucus Augusti

Lugo, Spain

Location

Hospital Quirónsalud Málaga

Málaga, Spain

Location

Hospital Universitario De La Virgen De Valme

Seville, 41001, Spain

Location

Hospital Universitario Virgen Macarena

Seville, 41009, Spain

Location

Hospital 9 de Octubre Vithas Valencia

Valencia, 46015, Spain

Location

Hospital Universitario y Politécnico la Fe

Valencia, 46026, Spain

Location

E-DA Healthcare Group E-DA Hospital

Kaoshiung, 970, Taiwan

Location

Taipei Medical University - Shuang Ho Hospital, Ministry of Health and Welfare

New Taipei City, 23561, Taiwan

Location

Mackey Memorial Hospital

Taipei, 104, Taiwan

Location

National Taiwan University Hospital Yumlin Branch

Yunlin County, Taiwan

Location

Barts Health NHS Trust St Bartholomew's Hospital

London, W1G 6AF, United Kingdom

Location

MeSH Terms

Interventions

quemliclustatzimberelimabDocetaxel

Intervention Hierarchy (Ancestors)

TaxoidsCyclodecanesCycloparaffinsHydrocarbons, AlicyclicHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsDiterpenesTerpenes

Study Officials

  • Gilead Study Director

    Gilead Sciences

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SEQUENTIAL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 9, 2022

First Posted

January 9, 2023

Study Start

February 21, 2023

Primary Completion (Estimated)

December 1, 2027

Study Completion (Estimated)

December 1, 2027

Last Updated

October 2, 2025

Record last verified: 2025-09

Data Sharing

IPD Sharing
Will not share

Locations