NCT06448754

Brief Summary

Purpose of this study is to assess the safety, tolerability, pharmacokinetics, immunogenicity, and antitumor activity of volrustomig in combination with other anticancer drugs in participants with specified solid tumors.

Trial Health

88
On Track

Trial Health Score

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

Enrollment
180

participants targeted

Target at P75+ for phase_2 nonsmall-cell-lung-cancer

Timeline
15mo left

Started Aug 2024

Geographic Reach
15 countries

77 active sites

Status
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 Progress58%
Aug 2024Jul 2027

First Submitted

Initial submission to the registry

June 4, 2024

Completed
3 days until next milestone

First Posted

Study publicly available on registry

June 7, 2024

Completed
3 months until next milestone

Study Start

First participant enrolled

August 27, 2024

Completed
2.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 30, 2027

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 30, 2027

Last Updated

April 13, 2026

Status Verified

April 1, 2026

Enrollment Period

2.9 years

First QC Date

June 4, 2024

Last Update Submit

April 9, 2026

Conditions

Keywords

Solid TumorProgrammed cell death-ligand-1Tumor proportion score

Outcome Measures

Primary Outcomes (2)

  • Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)

    The safety and tolerability of volrustomig in combination with other anticancer drugs in participants with specified solid tumors will be assessed.

    From screening (Days -28 to Day -1) up to 2 year 10 months

  • Confirmed Objective Response rate (ORR)

    ORR is defined as the percentage of participants who have a confirmed complete response (CR) or confirmed partial response (PR), as per Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST 1.1).

    Up to 2 year 10 months

Secondary Outcomes (9)

  • Disease Control Rate (DCR)

    Up to 2 year 10 months

  • Duration of Response (DOR)

    Up to 2 year 10 months

  • Progression Free Survival (PFS)

    Up to 2 year 10 months

  • Overall Survival (OS)

    Up to 2 year 10 months

  • Serum Concentration of Volrustomig

    Up to 2 year 10 months

  • +4 more secondary outcomes

Study Arms (3)

Substudy 1: Arm 1A: Volrustomig dose regimen 1 + Carboplatin and Pemetrexed

EXPERIMENTAL

Volrustomig priming dose followed by volrustomig dosing regimen 1 in combination with carboplatin and pemetrexed.

Drug: VolrustomigDrug: CarboplatinDrug: Pemetrexed

Substudy 1: Arm 1B: Volrustomig dose regimen 2 + Carboplatin and Pemetrexed

EXPERIMENTAL

Volrustomig priming dose followed by volrustomig dosing regimen 2 in combination with carboplatin and pemetrexed.

Drug: VolrustomigDrug: CarboplatinDrug: Pemetrexed

Substudy 2: Arm 2A: Volrustomig dose regimen 2 +Ramucirumab + Carboplatin + Pemetrexed or Paclitaxel

EXPERIMENTAL

Volrustomig priming dose followed by volrustomig dosing regimen 2 in combination with ramucirumab and histology-specific chemotherapy (carboplatin+ either pemetrexed or paclitaxel).

Drug: VolrustomigDrug: CarboplatinDrug: PemetrexedDrug: RamucirumabDrug: Paclitaxel

Interventions

Participants will receive pemetrexed via IV infusion.

Substudy 1: Arm 1A: Volrustomig dose regimen 1 + Carboplatin and PemetrexedSubstudy 1: Arm 1B: Volrustomig dose regimen 2 + Carboplatin and PemetrexedSubstudy 2: Arm 2A: Volrustomig dose regimen 2 +Ramucirumab + Carboplatin + Pemetrexed or Paclitaxel

Participants will receive ramucirumab via IV infusion.

Substudy 2: Arm 2A: Volrustomig dose regimen 2 +Ramucirumab + Carboplatin + Pemetrexed or Paclitaxel

Participants will receive paclitaxel via IV infusion.

Substudy 2: Arm 2A: Volrustomig dose regimen 2 +Ramucirumab + Carboplatin + Pemetrexed or Paclitaxel

Participants will receive volrustomig via intravenous (IV) infusion.

Also known as: MEDI5752
Substudy 1: Arm 1A: Volrustomig dose regimen 1 + Carboplatin and PemetrexedSubstudy 1: Arm 1B: Volrustomig dose regimen 2 + Carboplatin and PemetrexedSubstudy 2: Arm 2A: Volrustomig dose regimen 2 +Ramucirumab + Carboplatin + Pemetrexed or Paclitaxel

Participants will receive carboplatin via IV infusion.

Substudy 1: Arm 1A: Volrustomig dose regimen 1 + Carboplatin and PemetrexedSubstudy 1: Arm 1B: Volrustomig dose regimen 2 + Carboplatin and PemetrexedSubstudy 2: Arm 2A: Volrustomig dose regimen 2 +Ramucirumab + Carboplatin + Pemetrexed or Paclitaxel

Eligibility Criteria

Age18 Years - 130 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 with no deterioration.
  • Life expectancy greater than or equal to (\>=) 12 weeks.
  • Adequate organ and bone marrow function.
  • Body weight greater than (\>) 35 kilograms (kg) at screening and at randomization.
  • Histologically or cytologically documented NSQ NSCLC in substudy 1 and SQ or NSQ mNSCLC in substudy 2.
  • Absence of sensitizing epidermal growth factor receptor (EGFR) mutations.
  • Absence of documented tumor genomic alteration results from tests conducted as part of standard local practice in any other actionable driver oncogenes for which there are locally approved targeted 1L therapies.
  • At least one measurable lesion not previously irradiated that can be accurately measured at baseline as \>= 10 millimeter (mm) in the longest diameter.

You may not qualify if:

  • Spinal cord compression.
  • History of primary active immunodeficiency.
  • Active or prior documented autoimmune or inflammatory disorders.
  • Mixed small-cell lung cancer and NSCLC histology or sarcomatoid variant.
  • Brain metastases unless asymptomatic, stable, and not requiring steroids for at least 14 days prior to start of study intervention. A minimum of 2 weeks must have elapsed between the end of radiation therapy and study enrollment.
  • Prior chemotherapy or any other systemic therapy for Stage IV NSCLC. Participants who have received prior platinum-containing adjuvant, neoadjuvant, or definitive chemoradiation for local disease are eligible, provided that progression has occurred greater (\>) 12 months from end of last therapy.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (77)

Research Site

Los Angeles, California, 90067, United States

RECRUITING

Research Site

Grand Junction, Colorado, 81501, United States

RECRUITING

Research Site

Wheat Ridge, Colorado, 80033, United States

RECRUITING

Research Site

Baltimore, Maryland, 21231, United States

WITHDRAWN

Research Site

Detroit, Michigan, 48202, United States

WITHDRAWN

Research Site

Chapel Hill, North Carolina, 27514, United States

RECRUITING

Research Site

Tacoma, Washington, 98405, United States

WITHDRAWN

Research Site

Montreal, Quebec, H4A 3J1, Canada

WITHDRAWN

Research Site

Beijing, 100730, China

RECRUITING

Research Site

Hangzhou, 310014, China

RECRUITING

Research Site

Jinan, 250013, China

RECRUITING

Research Site

Yantai, 264000, China

RECRUITING

Research Site

Zhengzhou, 450000, China

RECRUITING

Research Site

Bois-Guillaume, 76031, France

RECRUITING

Research Site

Caen, 14076, France

RECRUITING

Research Site

Créteil, 94000, France

WITHDRAWN

Research Site

Dijon, 21079, France

RECRUITING

Research Site

Montpellier, 34070, France

RECRUITING

Research Site

Batumi, 6010, Georgia

RECRUITING

Research Site

Tbilisi, '0159, Georgia

RECRUITING

Research Site

Tbilisi, 0112, Georgia

RECRUITING

Research Site

Tbilisi, 0114, Georgia

RECRUITING

Research Site

Tbilisi, 0144, Georgia

RECRUITING

Research Site

Tbilisi, 186, Georgia

RECRUITING

Research Site

Athens, 115 27, Greece

NOT YET RECRUITING

Research Site

Athens, 12462, Greece

RECRUITING

Research Site

Elaiones, 546 23, Greece

RECRUITING

Research Site

Piraeus, 185 47, Greece

RECRUITING

Research Site

Thessaloniki, 57001, Greece

RECRUITING

Research Site

Genoa, 16132, Italy

RECRUITING

Research Site

Meldola, 47014, Italy

RECRUITING

Research Site

Milan, 20133, Italy

RECRUITING

Research Site

Naples, 80131, Italy

RECRUITING

Research Site

Orbassano, 10043, Italy

RECRUITING

Research Site

Perugia, 06132, Italy

RECRUITING

Research Site

Rozzano, 20089, Italy

RECRUITING

Research Site

Udine, 33100, Italy

RECRUITING

Research Site

Verona, 37134, Italy

RECRUITING

Research Site

Kuala Lumpur, 59100, Malaysia

RECRUITING

Research Site

Kuching, 93586, Malaysia

RECRUITING

Research Site

Perai, 13700, Malaysia

RECRUITING

Research Site

Lisbon, 1169-050, Portugal

RECRUITING

Research Site

Lisbon, 1400-038, Portugal

RECRUITING

Research Site

Lisbon, 1500-458, Portugal

WITHDRAWN

Research Site

Lisbon, 1649-035, Portugal

RECRUITING

Research Site

Porto, 4099-001, Portugal

RECRUITING

Research Site

Porto, 4100-180, Portugal

WITHDRAWN

Research Site

Cluj-Napoca, 400641, Romania

RECRUITING

Research Site

Craiova, 200542, Romania

RECRUITING

Research Site

Floreşti, 407280, Romania

RECRUITING

Research Site

Belgrade, 11000, Serbia

WITHDRAWN

Research Site

Belgrade, 11000, Serbia

RECRUITING

Research Site

Kamenitz, 21204, Serbia

RECRUITING

Research Site

Kragujevac, 34000, Serbia

RECRUITING

Research Site

Seongnam, 13620, South Korea

COMPLETED

Research Site

Seoul, 03722, South Korea

RECRUITING

Research Site

Seoul, 06591, South Korea

WITHDRAWN

Research Site

Suwon, 16247, South Korea

RECRUITING

Research Site

A Coruña, 15009, Spain

RECRUITING

Research Site

Alcorcón, 28922, Spain

RECRUITING

Research Site

Barcelona, 08041, Spain

RECRUITING

Research Site

Madrid, 28041, Spain

RECRUITING

Research Site

Málaga, 29004, Spain

RECRUITING

Research Site

Pamplona, 31008, Spain

RECRUITING

Research Site

Santander, 39008, Spain

RECRUITING

Research Site

Santiago de Compostela, 15706, Spain

RECRUITING

Research Site

Valencia, 46015, Spain

RECRUITING

Research Site

Valencia, 46026, Spain

RECRUITING

Research Site

Basel, 4031, Switzerland

WITHDRAWN

Research Site

Geneva, 1205, Switzerland

RECRUITING

Research Site

Lausanne, 1011, Switzerland

RECRUITING

Research Site

Winterthur, 8401, Switzerland

RECRUITING

Research Site

Zurich, 8091, Switzerland

RECRUITING

Research Site

Changhua, 50006, Taiwan

RECRUITING

Research Site

New Taipei City, 23561, Taiwan

RECRUITING

Research Site

Taipei, 106, Taiwan

RECRUITING

Research Site

Taipei, 110, Taiwan

RECRUITING

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell Lung

Interventions

CarboplatinPemetrexedRamucirumabPaclitaxel

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Coordination ComplexesOrganic ChemicalsGuanineHypoxanthinesPurinonesPurinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsGlutamatesAmino Acids, AcidicAmino AcidsAmino Acids, Peptides, and ProteinsAmino Acids, DicarboxylicAntibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsSerum GlobulinsGlobulinsTaxoidsCyclodecanesCycloparaffinsHydrocarbons, AlicyclicHydrocarbons, CyclicHydrocarbonsDiterpenesTerpenes

Central Study Contacts

AstraZeneca Clinical Study Information Center

CONTACT

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: This platform study includes 2 substudies: Substudy 1 is randomized and Substudy 2 is non-randomized.
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 4, 2024

First Posted

June 7, 2024

Study Start

August 27, 2024

Primary Completion (Estimated)

July 30, 2027

Study Completion (Estimated)

July 30, 2027

Last Updated

April 13, 2026

Record last verified: 2026-04

Data Sharing

IPD Sharing
Will share

Qualified researchers can request access to anonymized individual patient-leveldata from AstraZeneca group of companies sponsored clinical trials via therequest portal Vivli.org. All requests will be evaluated as per the AZ disclosurecommitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure."Yes",indicates that AZ are accepting requests for IPD, but this does not mean allrequests will be approved.

Shared Documents
STUDY PROTOCOL, SAP
Time Frame
AstraZeneca will meet or exceed data availability as per the commitment smade to the EFPIA/PhRMA Data-Sharing Principles. For details of our timelines, please refer to our disclosure commitment athttps://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
Access Criteria
When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure researchenvironmentVivli.org. A Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.
More information

Locations