A Phase II/III, Randomized, Multicenter, Open-Label Study to Compare Uliledlimab Combined With Toripalimab, Toripalimab Monotherapy, and Pembrolizumab Monotherapy in Patients With Previously Untreated Locally Advanced Unresectable or Metastatic PD-L1- and CD73- Selected Non-Small Cell Lung Cancer

Status: Recruiting
Location: See all (64) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 2/Phase 3
SUMMARY

This is a Phase II/III, randomized, open-label, active-controlled, multicenter study to compare intravenous uliledlimab combined with toripalimab, toripalimab monotherapy, and pembrolizumab monotherapy in patients with previously untreated locally advanced unresectable or metastatic PD-L1-positive (tumor proportion score \[TPS\] ≥ 1%) and CD73-positive (TC/IC \> 30%; TC/IC defined as the higher of either the proportion of CD73-positive tumor cells or the proportion of CD73-positive immune cells at any intensity \[IHC1+ or above\]) NSCLC who are not suitable for targeted therapies such as EGFR, ALK, etc. The number of enrolled subjects with PD-L1 TPS ≥ 50% will be limited to approximately 60% of the total sample size to reflect the natural prevalence of advanced NSCLC. Patients who have received adjuvant or neoadjuvant therapy other than immune checkpoint inhibitor treatments are allowed to participate in this study, provided that such treatments have been completed at least 12 months prior to the occurrence of recurrence or metastasis. During the screening period, tumor samples will be collected in advance and tested by the central laboratory for PD-L1 expression levels using the PD-L1 IHC 22C3 pharmDx assay and CD73 expression levels using the CD73 antibody assay (immunohistochemistry). Previous PD-L1 testing results obtained using the PD-L1 IHC 22C3 pharmDx assay will be accepted. Patients with PD-L1 positive expression (TPS ≥ 1%) and high CD73 expression (TC/IC \> 30%) will meet the inclusion criteria. Patients who do not meet the eligibility criteria as judged by the investigator may be re-screened once. Patients with non-squamous NSCLC will be required to confirm the absence of EGFR-sensitive mutations or ALK fusion; patients with unknown EGFR and ALK expression status will be required to undergo testing and provide clinical laboratory test results prior to study enrollment, and may be enrolled after relevant driver gene mutations are ruled out. Meanwhile, patients with other definite actionable driver gene alterations (such as: ROS1 fusions, RET fusions, NTRK1/2/3 fusions, BRAF V600E mutations, MET14 exon skipping mutations, etc.) will be excluded from this study. Controversial cases with actionable gene mutations will be submitted to the study expert panel for joint decision. This study includes Phase II and Phase III stages. Approximately 150 subjects will be enrolled in the Phase II stage. Based on the evaluation of the efficacy, safety, PK, and PD results of the Phase II study, a decision will be made on whether to proceed to the Phase III study. Approximately 300 subjects will be enrolled in the Phase III stage.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Patients aged ≥ 18 years at the time of signing the ICF

• Patients with histologically or cytologically confirmed stage IIIB, IIIC, or IV NSCLC (according to the American Joint Committee on Cancer Staging System, 8th edition) who are not suitable for radical surgery and/or radiotherapy (with or without chemotherapy).

• Patients who have not received prior systemic therapy for their locally advanced or metastatic diseases.

• Patients with measurable lesions as assessed by the investigator at the study site based on RECIST v1.1. Target lesions located in a previously irradiated region will be considered measurable only if there is documented evidence of disease progression

• Patients with non-squamous NSCLC who are confirmed to have no EGFR-sensitive mutations or ALK fusions.

• Patients with PD-L1 TPS ≥ 1% and CD73 TC/IC \> 30% (IHC1+ or higher). It will be tested by the central laboratory for PD-L1 expression levels using the PD-L1 IHC 22C3 pharmDx assay, and CD73 expression levels using the CD73 antibody assay.

• Patients with a life expectancy of at least 3 months.

• Patients with Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.

• Patients with adequate organ function

⁃ Patients with negative HIV testing at screening.

⁃ Patients with negative hepatitis B virus surface antigen (HBsAg) or inactive hepatitis B (HBsAg positive with HBV-DNA copy number ≤ ULN, ALT ≤ ULN, and no treatment is required in the investigator's opinion) at screening.

⁃ Patients with negative hepatitis C virus (HCV) antibody at screening, or positive HCV antibody and negative HCV RNA at screening.

⁃ For women of childbearing potential: A urine or serum pregnancy test must be negative within 72 hours prior to the first dose of study drug. If the urine pregnancy test result is positive or cannot be confirmed as negative, a serum pregnancy test should be performed.

⁃ For male subjects with female partners of childbearing potential: They must agree to use an effective method of contraception from the first dose of study drug to 180 days after the last dose of study drug.Male subjects with pregnant partners will be required to agree to use condoms; pregnant partners will not be required to use additional methods of contraception.

⁃ Patients who voluntarily agree to participate in the study and sign a written ICF

Locations
Other Locations
China
Anyang Tumour Hospital
RECRUITING
Anyang
Beijing Chest Hospital, Capital Medical University
RECRUITING
Beijing
Bejing Chao-Yang Hospital, Capital Medical University
RECRUITING
Beijing
The First Affiliated Hospital of Bengbu Medical University
RECRUITING
Bengbu
Binzhou Medical University Hospital
RECRUITING
Binzhou
The Third Xiangya Hospital of Central South University
RECRUITING
Changsha
Xiangya Hospital of Central South University
RECRUITING
Changsha
Army characteristic Hospital Center( Daping Hospital of the Third Military Medical University)
RECRUITING
Chongqing
Chongqing University Cancer Hospital
RECRUITING
Chongqing
Chongqing University Three Gorges Hospital
RECRUITING
Chongqing
The People's Hospital of Dongguan
RECRUITING
Dongguan
The first people's hospital of Foshan
RECRUITING
Foshan
First Affiliated Hospital of Gannan Meidcal University
RECRUITING
Ganzhou
Ganzhou People's Hospital
RECRUITING
Ganzhou
Guangdong Provincial People's Hospital
RECRUITING
Guangzhou
Guizhou Provincial People's Hospital
RECRUITING
Guiyang
Harbin Medical university cancer hospital
RECRUITING
Ha’erbin
The Second Affiliated Hospital of Hainan Medical University
RECRUITING
Haikou
Anhui provincial cancer hospital
RECRUITING
Hefei
The First Affiliated Hospital of Anhui Medical University
RECRUITING
Hefei
Jiamusi Tumour Hospital
RECRUITING
Jiamusi
Jiangmen Central hospital
RECRUITING
Jiangmen
Jinan Central Hospital
RECRUITING
Jinan
Affiliated Hospital of Jining Medical University
RECRUITING
Jining
Linyi People's Hospital
RECRUITING
Linyi
Lishui Central Hospital
RECRUITING
Lishui
Liuzhou Central Hospital
RECRUITING
Liuzhou
Longyan First Hospital
RECRUITING
Longyan
Jiangxi Cancer Hospital
RECRUITING
Nanchang
The First Affiliated Hospital Of Nanchang University
RECRUITING
Nanchang
Nanchong Central Hospital
RECRUITING
Nanchong
Jiangsu Province Hospital
RECRUITING
Nanjing
Guangxi Medical University Cancer Hospital
RECRUITING
Nanning
The First Affiliated Hospital of Guangxi Medical University
RECRUITING
Nanning
Nantong Tumor Hospital
RECRUITING
Nantong
Nanyang Cenreal Hospital
RECRUITING
Nanyang
The Second People's Hospital of Neijiang
RECRUITING
Neijiang
Qingdao Central Hospital
RECRUITING
Qingdao
The First People's Hospital Of Qujing
RECRUITING
Qujing
Yuebei People's Hospital
RECRUITING
Shaoguan
China Shenyang the Tenth People's Hospital(China Shenyang Chest Hospital)
RECRUITING
Shenyang
The Fourth Hospital Of Hebei Medical University
RECRUITING
Shijia Zhuang
Suining Central Hospital
RECRUITING
Suining
First Hospital of Shanxi Medical University
RECRUITING
Taiyuan
Taizhou Hospital of Zhejiang Province
RECRUITING
Taizhou
Tianjin Medical University Cancer Institute & Hospital
RECRUITING
Tianjin
Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology
RECRUITING
Wuhan
The First Affiliated Hospital of Xi'an Jiaotong University
RECRUITING
Xi'an
The Second Affiliated Hospital Of Xi'an Jiaotong University
RECRUITING
Xi'an
Xi'an Chest Hospital
RECRUITING
Xi'an
Fujian Provincial Cancer Hospital
RECRUITING
Xiamen
The First Affiliated Hospital Of Xiamen University
RECRUITING
Xiamen
The Second Affiliated Hospital of Xiamen Medical College
RECRUITING
Xiamen
Xiangyang Central Hospital
RECRUITING
Xiangyang
Northern Jiangsu People's Hospital
RECRUITING
Yangzhou
The Second People's Hospital Of Yibin
RECRUITING
Yibin
Yichang Central People's Hospital
RECRUITING
Yichang
Shanxi Yuncheng Central hospital
RECRUITING
Yuncheng
The First Affiliated Hospital Of Henan University Of Science & Technology
RECRUITING
Zhengzhou
The First Affiliated Hospital Of Zhengzhou University
RECRUITING
Zhengzhou
Zhoukou Central hospital
RECRUITING
Zhoukou
Zhujiang hospital of Southern Medical University
RECRUITING
Zhujiang
Zibo Municipal Hospital
RECRUITING
Zibo
The first people's hospital of Zunyi
RECRUITING
Zunyi
Contact Information
Primary
Mei Huang
mei.huang@tjbio.com
159 8926 8985
Backup
Liting Liu
liting.liu@tjbio.com
15026781022
Time Frame
Start Date: 2024-03-28
Estimated Completion Date: 2028-09-30
Participants
Target number of participants: 450
Treatments
Experimental: Group A
Active_comparator: Group B
Sham_comparator: Group C
Sponsors
Leads: TJ Biopharma Co., Ltd.

This content was sourced from clinicaltrials.gov

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