Ivonescimab + Chemotherapy for NSCLC

Not yet recruiting at 2 trial locations
JJ
Overseen ByJessica J. Lin, MD
Age: 18+
Sex: Any
Trial Phase: Phase 2
Sponsor: Massachusetts General Hospital
Must be taking: Targeted therapies
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

The goal of this clinical trial is to assess the efficacy of ivonescimab monotherapy in patients with advanced non-small cell lung cancer harboring actionable genomic alterations who have received prior targeted therapies and chemotherapy. This clinical trial also aims to assess the efficacy of ivonescimab plus carboplatin/pemetrexed chemotherapy in patients with advanced non-small cell lung cancer harboring actionable genomic alterations other than epidermal growth factor receptor mutations who have received prior targeted therapies but no chemotherapy. The main questions it aims to answer are:

* Will ivonescimab alone or together with carboplatin/pemetrexed chemotherapy shrink tumors in the clinical trial's patients?

* Will ivonescimab alone or together with carboplatin/pemetrexed chemotherapy effectively influence if the patients' cancer grows, how long the treatment takes to start working, how long the treatment keeps working after it first starts to help, how long the treatment keeps the cancer from getting worse, and overall survival of patients?

* How many patients receiving ivonescimab alone or together with carboplatin/pemetrexed chemotherapy will experience treatment-emergent, treatment-related, immune-related, and especially interesting side effects? Patients receiving ivonescimab alone will receive an intravenous infusion of ivonescimab every 3 weeks for up to 24 months. Patients receiving ivonescimab together with carboplatin/pemetrexed chemotherapy will receive separate intravenous infusions of ivonescimab, pemetrexed, and carboplatin every 3 weeks for 4 cycles (each cycle is 21 days). These patients will continue to receive infusions of ivonescimab and pemetrexed every 3 weeks for up to 24 total months.

Who Is on the Research Team?

JJ

Jessics J Lin, MD

Principal Investigator

Massachusetts General Hospital

Are You a Good Fit for This Trial?

Adults (18+) with advanced non-squamous NSCLC, specific genomic alterations, and prior targeted therapy can join. Those for ivonescimab monotherapy must have had platinum/pemetrexed chemo; those for the combo treatment shouldn't have had chemo but must've tried certain TKIs. Participants need a measurable tumor, may have stable brain metastases, good performance status (ECOG 0 or 1), and adequate organ function.

Inclusion Criteria

Ivonescimab monotherapy: Tumor harboring classical EGFR sensitizing mutation (i.e., L858R, exon 19 deletion), or ALK, ROS1, RET, or NTRK1-3 fusion, per local testing. Note: The number of patients with EGFR mutation-positive NSCLC enrolled will be capped at maximum of 10 (in order to ensure the assessment of non-EGFR disease subsets). Ivonescimab plus carboplatin/pemetrexed: Tumor harboring ALK, ROS1, RET, or NTRK1-3 fusion, per local testing.
I am 18 years old or older.
I can carry out all my usual activities without help.
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Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive ivonescimab monotherapy or ivonescimab with carboplatin/pemetrexed chemotherapy every 3 weeks

Up to 24 months
Every 3 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

Up to 2 years

What Are the Treatments Tested in This Trial?

Interventions

  • Carboplatin
  • Ivonescimab
  • Pemetrexed

Trial Overview

The trial is testing if ivonescimab alone or combined with carboplatin/pemetrexed chemotherapy can shrink tumors in NSCLC patients with certain genomic changes. It looks at cancer progression, response duration, time to effect onset, disease control period, and overall survival rates.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Group I: Ivonescimab plus Carboplatin/PemetrexedExperimental Treatment3 Interventions
Group II: Ivonescimab MonotherapyExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Massachusetts General Hospital

Lead Sponsor

Trials
3,066
Recruited
13,430,000+

Summit Therapeutics

Industry Sponsor

Trials
18
Recruited
4,500+