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Trial Title: Study to Evaluate Adverse Events, Optimal Dose, and Change in Disease Activity, With Livmoniplimab in Combination With Budigalimab Plus Chemotherapy Versus IV Infused Pembrolizumab Plus Chemotherapy in Adult Participants With Untreated Metastatic Non-Squamous Non-Small Cell Lung Cancer (NSCLC)

NCT ID: NCT06236438

Condition: Non-Small Cell Lung Cancer

Conditions: Official terms:
Lung Neoplasms
Carcinoma, Non-Small-Cell Lung
Carboplatin
Pembrolizumab
Pemetrexed

Conditions: Keywords:
Non-Small Cell Lung Cancer
Untreated Metastatic Non-Squamous Non-Small Cell Lung Cancer
NSCLC
Livmoniplimab
Budigalimab
Pembrolizumab
Chemotherapy
ABBV-181
ABBV-151

Study type: Interventional

Study phase: Phase 2/Phase 3

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Sequential Assignment

Primary purpose: Treatment

Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

Intervention:

Intervention type: Drug
Intervention name: Livmoniplimab
Description: Intravenously (IV) Infusion
Arm group label: Stage 1 (Cohort 1): Livmoniplimab Dose A
Arm group label: Stage 1 (Cohort 2): Livmoniplimab Dose B
Arm group label: Stage 2 (Arm 1): Livmoniplimab (Dose Optimized)

Other name: ABBV-151

Intervention type: Drug
Intervention name: Budigalimab
Description: IV Infusion
Arm group label: Stage 1 (Cohort 1): Livmoniplimab Dose A
Arm group label: Stage 1 (Cohort 2): Livmoniplimab Dose B
Arm group label: Stage 1 (Cohort 3): Budigalimab
Arm group label: Stage 2 (Arm 1): Livmoniplimab (Dose Optimized)

Other name: ABBV-181

Intervention type: Drug
Intervention name: Pembrolizumab
Description: IV Infusion
Arm group label: Stage 1 (Cohort 4): Pembrolizumab
Arm group label: Stage 2 (Arm 2): Placebo

Intervention type: Drug
Intervention name: Pemetrexed
Description: IV Infusion
Arm group label: Stage 1 (Cohort 1): Livmoniplimab Dose A
Arm group label: Stage 1 (Cohort 2): Livmoniplimab Dose B
Arm group label: Stage 1 (Cohort 3): Budigalimab
Arm group label: Stage 1 (Cohort 4): Pembrolizumab
Arm group label: Stage 2 (Arm 1): Livmoniplimab (Dose Optimized)
Arm group label: Stage 2 (Arm 2): Placebo

Intervention type: Drug
Intervention name: Cisplatin
Description: IV Infusion
Arm group label: Stage 1 (Cohort 1): Livmoniplimab Dose A
Arm group label: Stage 1 (Cohort 2): Livmoniplimab Dose B
Arm group label: Stage 1 (Cohort 3): Budigalimab
Arm group label: Stage 1 (Cohort 4): Pembrolizumab
Arm group label: Stage 2 (Arm 1): Livmoniplimab (Dose Optimized)
Arm group label: Stage 2 (Arm 2): Placebo

Intervention type: Drug
Intervention name: Carboplatin
Description: IV Injection
Arm group label: Stage 1 (Cohort 1): Livmoniplimab Dose A
Arm group label: Stage 1 (Cohort 2): Livmoniplimab Dose B
Arm group label: Stage 1 (Cohort 3): Budigalimab
Arm group label: Stage 1 (Cohort 4): Pembrolizumab
Arm group label: Stage 2 (Arm 1): Livmoniplimab (Dose Optimized)
Arm group label: Stage 2 (Arm 2): Placebo

Intervention type: Drug
Intervention name: Carboplatin
Description: IV Infusion
Arm group label: Stage 1 (Cohort 1): Livmoniplimab Dose A
Arm group label: Stage 1 (Cohort 2): Livmoniplimab Dose B
Arm group label: Stage 1 (Cohort 3): Budigalimab
Arm group label: Stage 1 (Cohort 4): Pembrolizumab
Arm group label: Stage 2 (Arm 1): Livmoniplimab (Dose Optimized)
Arm group label: Stage 2 (Arm 2): Placebo

Summary: Non-Squamous Non-Small Cell Lung Cancer (NSCLC) remains a leading cause of cancer mortality worldwide, with poor survival prospects for metastatic disease. The purpose of this study is to evaluate the optimized dose, adverse events, and efficacy of livmoniplimab in combination with budigalimab plus chemotherapy versus pembrolizumab plus chemotherapy in participants with untreated metastatic non-squamous non-small cell lung cancer. Livmoniplimab is an investigational drug being developed for the treatment of NSCLC. There are 2 stages to this study. In Stage 1, there are 4 treatment arms. Participants will either receive livmoniplimab (at different doses) in combination with budigalimab (another investigational drug) + chemotherapy, budigalimab +chemotherapy, or pembrolizumab +chemotherapy. In Stage 2, there are 2 treatments arms. Participants will either receive livmoniplimab (optimized dose) in combination with budigalimab +chemotherapy or placebo in combination with pembrolizumab +chemotherapy. Chemotherapy consists of IV Infused pemetrexed + IV infused cisplatin or IV infused or injected carboplatin. Approximately 840 adult participants will be enrolled in the study across 200 sites worldwide. Stage 1: In cohort 1, participants will receive intravenously (IV) infused livmoniplimab (dose A)+ IV infused budigalimab, + chemotherapy for 4 cycles followed by livmoniplimab + budigalimab + IV Infused pemetrexed. In cohort 2, participants will receive livmoniplimab (dose B) + budigalimab + chemotherapy for 4 cycles followed by livmoniplimab + budigalimab + pemetrexed. In cohort 3, participants will receive budigalimab + chemotherapy for 4 cycles followed by budigalimab + pemetrexed . In cohort 4, participants will receive IV Infused pembrolizumab + chemotherapy for 4 cycles followed by pembrolizumab + pemetrexed. Stage 2: In arm 1, participants will receive livmoniplimab (dose optimized) + budigalimab + chemotherapy for 4 cycles followed by livmoniplimab + budigalimab + pemetrexed. In arm 2, participants will receive IV Infused placebo + pembrolizumab + chemotherapy for 4 cycles followed by pembrolizumab + pemetrexed. The estimated study duration is 55 months. There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic and may require frequent medical assessments, blood tests, questionnaires, and scans.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Diagnosis of histologically or cytologically confirmed metastatic nonsquamous non-small cell lung cancer (NSCLC) with no known epidermal growth factor receptor (EGFR), anaplastic lymphoma kinase (ALK) mutation, or other genomic aberration for which a locally approved targeted therapy is available. - Must have at least 1 measurable lesion per response evaluation criteria in solid tumors (RECIST) v1.1 as determined by the local site Investigator/radiology assessment. - Life expectancy of at least 3 months and adequate organ function. Exclusion Criteria: - Received prior systemic therapy for the treatment of metastatic NSCLC.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Memorial Hospital West /ID# 262221

Address:
City: Pembroke Pines
Zip: 33028
Country: United States

Status: Recruiting

Facility:
Name: Bond Clinic /ID# 262611

Address:
City: Winter Haven
Zip: 33880
Country: United States

Status: Recruiting

Contact:
Last name: Site Coordinator

Phone: 863-293-1191 ex 3790

Facility:
Name: University Cancer & Blood Cent /ID# 261824

Address:
City: Athens
Zip: 30607
Country: United States

Status: Recruiting

Facility:
Name: Baptist Health Lexington /ID# 261823

Address:
City: Lexington
Zip: 40503
Country: United States

Status: Recruiting

Facility:
Name: Cancer & Hematology Centers of Western Michigan - East /ID# 261826

Address:
City: Grand Rapids
Zip: 49546-7062
Country: United States

Status: Recruiting

Contact:
Last name: Site Coordinator

Phone: 616-975-3065

Facility:
Name: Washington University-School of Medicine /ID# 262759

Address:
City: Saint Louis
Zip: 63110
Country: United States

Status: Recruiting

Facility:
Name: Oncology Hematology Care, Inc - Blue Ash /ID# 262733

Address:
City: Cincinnati
Zip: 45252
Country: United States

Status: Recruiting

Facility:
Name: Guthrie Robert Packer Hospital /ID# 262758

Address:
City: Sayre
Zip: 18840
Country: United States

Status: Recruiting

Facility:
Name: Renovatio clinical /ID# 262000

Address:
City: El Paso
Zip: 79915-1803
Country: United States

Status: Recruiting

Facility:
Name: Texas Oncology - Plano East /ID# 264356

Address:
City: Plano
Zip: 75075
Country: United States

Status: Recruiting

Facility:
Name: Texas Oncology, P. A. /ID# 264311

Address:
City: San Antonio
Zip: 78240-5251
Country: United States

Status: Recruiting

Facility:
Name: Renovatio Clinical /ID# 261999

Address:
City: The Woodlands
Zip: 77380-3181
Country: United States

Status: Recruiting

Facility:
Name: Vista Oncology - East Olympia /ID# 262303

Address:
City: Olympia
Zip: 98506-5028
Country: United States

Status: Recruiting

Facility:
Name: The Canberra Hospital /ID# 261891

Address:
City: Garran
Zip: 2605
Country: Australia

Status: Recruiting

Facility:
Name: Nepean Hospital /ID# 262157

Address:
City: Kingswood
Zip: 2747
Country: Australia

Status: Recruiting

Facility:
Name: Westmead Hospital /ID# 261894

Address:
City: Westmead
Zip: 2145
Country: Australia

Status: Recruiting

Facility:
Name: Rambam Health Care Campus /ID# 262431

Address:
City: Haifa
Zip: 3109601
Country: Israel

Status: Recruiting

Facility:
Name: Shaare Zedek Medical Center /ID# 262432

Address:
City: Jerusalem
Zip: 91031
Country: Israel

Status: Recruiting

Facility:
Name: National Cancer Center Hospital East /ID# 261923

Address:
City: Kashiwa-shi
Zip: 277-8577
Country: Japan

Status: Recruiting

Facility:
Name: Saitama Cancer Center /ID# 262703

Address:
City: Kitaadachi-gun
Zip: 362-0806
Country: Japan

Status: Recruiting

Facility:
Name: National Cancer Center Hospital /ID# 261925

Address:
City: Chuo-ku
Zip: 104-0045
Country: Japan

Status: Recruiting

Facility:
Name: Pan American Center for Oncology Trials /ID# 269666

Address:
City: Rio Piedras
Zip: 00935
Country: Puerto Rico

Status: Recruiting

Facility:
Name: National Cheng Kung University Hospital /ID# 262016

Address:
City: Tainan
Zip: 704
Country: Taiwan

Status: Recruiting

Facility:
Name: Mackay Memorial Hospital /ID# 262534

Address:
City: Taipei City
Zip: 104
Country: Taiwan

Status: Recruiting

Facility:
Name: Taipei Medical University Hospital /ID# 262020

Address:
City: Taipei City
Zip: 11031
Country: Taiwan

Status: Recruiting

Facility:
Name: Linkou Chang Gung Memorial Hospital /ID# 262535

Address:
City: Taoyuan City
Zip: 333
Country: Taiwan

Status: Recruiting

Start date: April 10, 2024

Completion date: October 8, 2031

Lead sponsor:
Agency: AbbVie
Agency class: Industry

Source: AbbVie

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06236438
https://www.abbvieclinicaltrials.com/study/?id=M23-721

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