NCT06162572

Brief 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.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
100

participants targeted

Target at P75+ for phase_1

Timeline
14mo left

Started Aug 2024

Typical duration for phase_1

Geographic Reach
13 countries

60 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 Progress60%
Aug 2024Jul 2027

First Submitted

Initial submission to the registry

November 29, 2023

Completed
9 days until next milestone

First Posted

Study publicly available on registry

December 8, 2023

Completed
8 months until next milestone

Study Start

First participant enrolled

August 7, 2024

Completed
2.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2027

Expected
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2027

Last Updated

March 13, 2026

Status Verified

March 1, 2026

Enrollment Period

2.6 years

First QC Date

November 29, 2023

Last Update Submit

March 12, 2026

Conditions

Keywords

Non-small Cell Lung Carcinoma

Outcome Measures

Primary Outcomes (6)

  • Incidence and severity of dose-limiting toxicities (DLTs) during the first 2 cycles of combination treatment

    Part A

    Through the end of the Cycle 2 (each cycle is 21 days)

  • Incidence and severity of adverse events (AEs)

    Part A

    From the signed informed consent form (ICF) to 30 days after the last dose

  • Incidence and severity of serious adverse events (SAEs)

    Part A

    From the signed ICF to 120 days after the last dose

  • Adverse Events (AEs) Leading to Dose Interruption, Modification, or Delays

    Part A

    From signed ICF through treatment discontinuation (up to 108 weeks of treatment)

  • Adverse Events (AEs) Leading to Permanent Treatment Discontinuation

    Part A

    From signed ICF through treatment discontinuation (up to 108 weeks of treatment)

  • Objective Response (OR)

    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.

    Until study termination (approximately 2 years)

Secondary Outcomes (16)

  • Objective Response (OR)

    Until study termination (approximately 3 years)

  • Best Overall Response (BOR)

    Until study termination (approximately 3 years)

  • Duration of Response (DoR)

    Until study termination (approximately 3 years)

  • Disease Control (DC)

    Until study termination (approximately 3 years)

  • 6-month Durable Response (6-month DR)

    Until study termination (approximately 3 years)

  • +11 more secondary outcomes

Study Arms (7)

S095018 (anti-TIM3 antibody) in combination with cemiplimab

EXPERIMENTAL

Part A: Combination-therapy safety lead-in

Drug: S095018Drug: Cemiplimab

S095024 (anti-CD73 antibody) in combination with cemiplimab

EXPERIMENTAL

Part A: Combination-therapy safety lead-in

Drug: S095024Drug: Cemiplimab

S095029 (anti-NKG2A antibody) in combination with cemiplimab

EXPERIMENTAL

Part A: Combination-therapy safety lead-in

Drug: S095029Drug: Cemiplimab

S095018 (anti-TIM3 antibody) RDE in combination with cemiplimab

EXPERIMENTAL

Part B: Randomized dose expansion

Drug: S095018 Recommended Dose Expansion (RDE)Drug: Cemiplimab

S095024 (anti-CD73 antibody) RDE in combination with cemiplimab

EXPERIMENTAL

Part B: Randomized dose expansion

Drug: S095024 RDEDrug: Cemiplimab

S095029 (anti-NKG2A antibody) RDE in combination with cemiplimab

EXPERIMENTAL

Part B: Randomized dose expansion

Drug: S095029 RDEDrug: Cemiplimab

Cemiplimab (control arm)

ACTIVE COMPARATOR

Part B: Randomized dose expansion

Drug: Cemiplimab

Interventions

Via IV infusion on Day 1 of each 21-day cycle

S095018 (anti-TIM3 antibody) in combination with cemiplimab

Via IV infusion on Day 1 of each 21-day cycle

S095024 (anti-CD73 antibody) in combination with cemiplimab

Via IV infusion on Day 1 of each 21-day cycle

S095018 (anti-TIM3 antibody) RDE in combination with cemiplimab

Via IV infusion on Day 1 of each 21-day cycle

S095024 (anti-CD73 antibody) RDE in combination with cemiplimab

Via IV infusion on Day 1 of each 21-day cycle

S095029 (anti-NKG2A antibody) in combination with cemiplimab

Via IV infusion on Day 1 of each 21-day cycle

S095029 (anti-NKG2A antibody) RDE in combination with cemiplimab

350 mg via IV infusion on Day 1 of each 21-day cycle

Cemiplimab (control arm)S095018 (anti-TIM3 antibody) RDE in combination with cemiplimabS095018 (anti-TIM3 antibody) in combination with cemiplimabS095024 (anti-CD73 antibody) RDE in combination with cemiplimabS095024 (anti-CD73 antibody) in combination with cemiplimabS095029 (anti-NKG2A antibody) RDE in combination with cemiplimabS095029 (anti-NKG2A antibody) in combination with cemiplimab

Eligibility Criteria

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

You may qualify if:

  • 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

You may not qualify if:

  • 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

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (63)

Loma Linda University

Loma Linda, California, 92354, United States

Location

Henry Ford Health

Detroit, Michigan, 48202, United States

Location

Comprehensive Cancer Center of Nevada

Las Vegas, Nevada, 89119, United States

Location

Gabrail Cancer Center

Canton, Ohio, 44718, United States

Location

Ohio State University Comprehensive Cancer Center

Columbus, Ohio, 43210, United States

Location

Virginia Cancer Specialists, P.C.

Fairfax, Virginia, 22031, United States

Location

Instituto Médico Especializado Alexander Fleming

Buenos Aires, Argentina

Location

Sanatorio Parque S.A.

Santa Fe, Argentina

Location

Border Medical Oncology Research Unit

Albury, 2640, Australia

Location

Flinders Medical Centre

Bedford Park, 5042, Australia

Location

Sunshine Hospital

St Albans, 3021, Australia

Location

Latrobe Regional Health

Traralgon, 3844, Australia

Location

Ordensklinikum Linz Elisabethinen

Linz, 4020, Austria

Location

Universitatsklinikum St. Poelten

Sankt Pölten, 3100, Austria

Location

Medical University of Vienna - Akh

Vienna, 1090, Austria

Location

Jessa Ziekenhuis

Hasselt, 3500, Belgium

Location

Uz Leuven Campus Gasthuisberg

Leuven, 3500, Belgium

Location

Hospital de Amor - Barretos

Barretos, 14784-400, Brazil

Location

Supera Oncologia

Chapecó, 89812618, Brazil

Location

CIONC

Curitiba, 80810-050, Brazil

Location

Liga Contra O Cancer - Natal

Natal, 59035-055, Brazil

Location

Santa Casa de Porto Alegre

Porto Alegre, 90020-090, Brazil

Location

Hospital São Lucas Da Pucrs

Porto Alegre, 90619-900, Brazil

Location

Oncoclinicas Rj

Rio de Janeiro, 22250-905, Brazil

Location

Hospital A C Camargo

São Paulo, 01509-010, Brazil

Location

Hospital São Camilo

São Paulo, 03102-002, Brazil

Location

Oncoclinicas Sp

São Paulo, 04538-132, Brazil

Location

Hospital Albert Einstein

São Paulo, 05652-900, Brazil

Location

Centre Georges Francois Leclerc

Dijon, 21079, France

Location

Chu Grenoble Alpes

Grenoble, 38043, France

Location

Institut Paoli Calmette

Marseille, 13009, France

Location

Centre René Gauducheau/Inst de Cancér. de L'Ouest

Saint-Herblain, 44805, France

Location

Institut Gustave Roussy

Villejuif, 94805, France

Location

Hong Kong United Onology Centre

Hong Kong, Hong Kong

Location

Prince of Wales Hospital

Hong Kong, Hong Kong

Location

Queen Mary Hospital

Hong Kong, Hong Kong

Location

Farkasgyepu Tudogyogyintezet

Farkasgyepű, 8582, Hungary

Location

Bugat Pal Hospital

Gyöngyös, 3200, Hungary

Location

Pecsi Tudomanyegyetem, Klinikai Kozpont

Pécs, 7624, Hungary

Location

Centro Di Riferimento Oncologico

Aviano, 33081, Italy

Location

Inst. Romagnolo Per Lo Studio E La Cura Dei Tumori

Meldola, 47014, Italy

Location

Irccs Fondazione Istituto Nazionale Dei Tumori

Milan, 20133, Italy

Location

Istituto Europeo Di Oncologia

Milan, 20141, Italy

Location

ASST Grande Ospedale Metropolitano Niguarda

Milan, 20162, Italy

Location

Ist. Nazionale Tumori Irccs Fondazione G Pascale

Naples, 80131, Italy

Location

Azienda Ospedaliera S. Maria Della Misericordia

Perugia, 06132, Italy

Location

Istituto Nazionale Tumori Regina Elena

Roma, 00144, Italy

Location

Istituto Clinico Humanitas I.R.C.C.S

Rozzano, 20089, Italy

Location

Inst Oncologic "Prof Dr I Chiricuta" Cluj Napoca

Cluj-Napoca, Romania

Location

Ploiesti Municipal Hospital

Ploieşti, Romania

Location

Vall D' Hebron Institute of Oncology (Vhio), University Hospital

Barcelona, 08035, Spain

Location

Hospital General Universitario Gregorio Marañón

Madrid, 28007, Spain

Location

Clinica Universitaria de Navarra (Madrid)

Madrid, 28027, Spain

Location

Hospital Univ. Hm Sanchinarro Start Ciocc Early Phase

Madrid, 28050, Spain

Location

Hospital Universitario Virgen de La Victoria

Málaga, 29010, Spain

Location

Clinica Universitaria de Navarra (Pamplona)

Pamplona, 31008, Spain

Location

Hospital Virgen Del Rocío

Seville, 41013, Spain

Location

Hospital Universitario Y Politecnico La Fe

Valencia, 46026, Spain

Location

National Taiwan University Hospital

Taipei, 100225, Taiwan

Location

Tri-Service General Hospital

Taipei, 114202, Taiwan

Location

The Royal Marsden in Sutton

London, SM2 5PT, United Kingdom

Location

The Royal Marsden in Chelsea

London, SW3 6JJ, United Kingdom

Location

The Christie Nhs Foundation Foundation Trust

Manchester, M20 4BX, United Kingdom

Location

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell Lung

Interventions

cemiplimab

Condition Hierarchy (Ancestors)

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

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 29, 2023

First Posted

December 8, 2023

Study Start

August 7, 2024

Primary Completion (Estimated)

April 1, 2027

Study Completion (Estimated)

July 1, 2027

Last Updated

March 13, 2026

Record last verified: 2026-03

Data Sharing

IPD Sharing
Will share

Qualified scientific and medical researchers can request access to anonymized patient-level and study-level clinical trial data. Access can be requested for all interventional clinical studies: * used for Marketing Authorization (MA) of medicines and new indications approved after 1 January 2014 in the European Economic Area (EEA) or the United States (US). * where Servier is the Marketing Authorization Holder (MAH). The date of the first MA of the new medicine (or the new indication) in one of the EEA Member States will be considered for this scope. In addition, access can be requested for all interventional clinical studies in patients: * sponsored by Servier * with a first patient enrolled as of 1 January 2004 onwards * for New Chemical Entity or New Biological Entity (new pharmaceutical form excluded) for which development has been terminated before any Marketing authorization (MA) approval.

Shared Documents
STUDY PROTOCOL, SAP, ICF, CSR
Time Frame
After Marketing Authorization in EEA or US if the study is used for the approval.
Access Criteria
Researchers should register on Servier Data Portal and fill in the research proposal form. This form in four parts should be fully documented. The Research Proposal Form will not be reviewed until all mandatory fields are completed.
More information

Locations