Phase 1b/2 Platform Study of Select Immunotherapy Combinations in Participants With Advanced Non-small Cell Lung Cancer (NSCLC)
A Phase 1b/2, Multicenter, Open-label Platform Study of Select Immunotherapy Combinations in Adult Participants With Previously Untreated Advanced Non-small Cell Lung Cancer (NSCLC) With High PD-L1 Expression
1 other identifier
interventional
100
13 countries
60
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Aug 2024
Typical duration for phase_1
60 active sites
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
November 29, 2023
CompletedFirst Posted
Study publicly available on registry
December 8, 2023
CompletedStudy Start
First participant enrolled
August 7, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
July 1, 2027
March 13, 2026
March 1, 2026
2.6 years
November 29, 2023
March 12, 2026
Conditions
Keywords
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
EXPERIMENTALPart A: Combination-therapy safety lead-in
S095024 (anti-CD73 antibody) in combination with cemiplimab
EXPERIMENTALPart A: Combination-therapy safety lead-in
S095029 (anti-NKG2A antibody) in combination with cemiplimab
EXPERIMENTALPart A: Combination-therapy safety lead-in
S095018 (anti-TIM3 antibody) RDE in combination with cemiplimab
EXPERIMENTALPart B: Randomized dose expansion
S095024 (anti-CD73 antibody) RDE in combination with cemiplimab
EXPERIMENTALPart B: Randomized dose expansion
S095029 (anti-NKG2A antibody) RDE in combination with cemiplimab
EXPERIMENTALPart B: Randomized dose expansion
Cemiplimab (control arm)
ACTIVE COMPARATORPart B: Randomized dose expansion
Interventions
Via IV infusion on Day 1 of each 21-day cycle
Via IV infusion on Day 1 of each 21-day cycle
Via IV infusion on Day 1 of each 21-day cycle
Via IV infusion on Day 1 of each 21-day cycle
Via IV infusion on Day 1 of each 21-day cycle
Via IV infusion on Day 1 of each 21-day cycle
350 mg via IV infusion on Day 1 of each 21-day cycle
Eligibility Criteria
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
- Servier Bio-Innovation LLClead
- Institut de Recherches Internationales Serviercollaborator
- Regeneron Pharmaceuticalscollaborator
Study Sites (63)
Loma Linda University
Loma Linda, California, 92354, United States
Henry Ford Health
Detroit, Michigan, 48202, United States
Comprehensive Cancer Center of Nevada
Las Vegas, Nevada, 89119, United States
Gabrail Cancer Center
Canton, Ohio, 44718, United States
Ohio State University Comprehensive Cancer Center
Columbus, Ohio, 43210, United States
Virginia Cancer Specialists, P.C.
Fairfax, Virginia, 22031, United States
Instituto Médico Especializado Alexander Fleming
Buenos Aires, Argentina
Sanatorio Parque S.A.
Santa Fe, Argentina
Border Medical Oncology Research Unit
Albury, 2640, Australia
Flinders Medical Centre
Bedford Park, 5042, Australia
Sunshine Hospital
St Albans, 3021, Australia
Latrobe Regional Health
Traralgon, 3844, Australia
Ordensklinikum Linz Elisabethinen
Linz, 4020, Austria
Universitatsklinikum St. Poelten
Sankt Pölten, 3100, Austria
Medical University of Vienna - Akh
Vienna, 1090, Austria
Jessa Ziekenhuis
Hasselt, 3500, Belgium
Uz Leuven Campus Gasthuisberg
Leuven, 3500, Belgium
Hospital de Amor - Barretos
Barretos, 14784-400, Brazil
Supera Oncologia
Chapecó, 89812618, Brazil
CIONC
Curitiba, 80810-050, Brazil
Liga Contra O Cancer - Natal
Natal, 59035-055, Brazil
Santa Casa de Porto Alegre
Porto Alegre, 90020-090, Brazil
Hospital São Lucas Da Pucrs
Porto Alegre, 90619-900, Brazil
Oncoclinicas Rj
Rio de Janeiro, 22250-905, Brazil
Hospital A C Camargo
São Paulo, 01509-010, Brazil
Hospital São Camilo
São Paulo, 03102-002, Brazil
Oncoclinicas Sp
São Paulo, 04538-132, Brazil
Hospital Albert Einstein
São Paulo, 05652-900, Brazil
Centre Georges Francois Leclerc
Dijon, 21079, France
Chu Grenoble Alpes
Grenoble, 38043, France
Institut Paoli Calmette
Marseille, 13009, France
Centre René Gauducheau/Inst de Cancér. de L'Ouest
Saint-Herblain, 44805, France
Institut Gustave Roussy
Villejuif, 94805, France
Hong Kong United Onology Centre
Hong Kong, Hong Kong
Prince of Wales Hospital
Hong Kong, Hong Kong
Queen Mary Hospital
Hong Kong, Hong Kong
Farkasgyepu Tudogyogyintezet
Farkasgyepű, 8582, Hungary
Bugat Pal Hospital
Gyöngyös, 3200, Hungary
Pecsi Tudomanyegyetem, Klinikai Kozpont
Pécs, 7624, Hungary
Centro Di Riferimento Oncologico
Aviano, 33081, Italy
Inst. Romagnolo Per Lo Studio E La Cura Dei Tumori
Meldola, 47014, Italy
Irccs Fondazione Istituto Nazionale Dei Tumori
Milan, 20133, Italy
Istituto Europeo Di Oncologia
Milan, 20141, Italy
ASST Grande Ospedale Metropolitano Niguarda
Milan, 20162, Italy
Ist. Nazionale Tumori Irccs Fondazione G Pascale
Naples, 80131, Italy
Azienda Ospedaliera S. Maria Della Misericordia
Perugia, 06132, Italy
Istituto Nazionale Tumori Regina Elena
Roma, 00144, Italy
Istituto Clinico Humanitas I.R.C.C.S
Rozzano, 20089, Italy
Inst Oncologic "Prof Dr I Chiricuta" Cluj Napoca
Cluj-Napoca, Romania
Ploiesti Municipal Hospital
Ploieşti, Romania
Vall D' Hebron Institute of Oncology (Vhio), University Hospital
Barcelona, 08035, Spain
Hospital General Universitario Gregorio Marañón
Madrid, 28007, Spain
Clinica Universitaria de Navarra (Madrid)
Madrid, 28027, Spain
Hospital Univ. Hm Sanchinarro Start Ciocc Early Phase
Madrid, 28050, Spain
Hospital Universitario Virgen de La Victoria
Málaga, 29010, Spain
Clinica Universitaria de Navarra (Pamplona)
Pamplona, 31008, Spain
Hospital Virgen Del Rocío
Seville, 41013, Spain
Hospital Universitario Y Politecnico La Fe
Valencia, 46026, Spain
National Taiwan University Hospital
Taipei, 100225, Taiwan
Tri-Service General Hospital
Taipei, 114202, Taiwan
The Royal Marsden in Sutton
London, SM2 5PT, United Kingdom
The Royal Marsden in Chelsea
London, SW3 6JJ, United Kingdom
The Christie Nhs Foundation Foundation Trust
Manchester, M20 4BX, United Kingdom
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
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
- 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.
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.