Platform Trial of Novel Regimens Versus Standard of Care (SoC) in Participants With Non-small Cell Lung Cancer (NSCLC)

Last updated: December 9, 2024
Sponsor: GlaxoSmithKline
Overall Status: Completed

Phase

2

Condition

Neoplasms

Treatment

Ipilimumab

Docetaxel

GSK4428859A

Clinical Study ID

NCT03739710
205801
2018-001316-29
  • Ages > 18
  • All Genders

Study Summary

This study will compare the clinical activity of novel regimens (in combination or as single agents) to SoC in participants with relapsed/refractory advanced NSCLC. The study will be conducted in two parts. Part 1 is an open-label, optional, non-randomized part based on safety and pharmacokinetics/pharmacodynamics (PK/PD) evaluation intended to generate additional data to qualify novel regimens for the randomized study. Part 2 is a randomized, Phase II open-label part comparing the efficacy and safety of these novel regimens with SoC. Drug name mentioned as GSK4428859A (belrestotug) and EOS884448 are interchangeable for the same compound and will be referred to as GSK4428859A/EOS884448/belrestotug.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Participants capable of giving signed informed consent/assent.

  • Male or female, aged 18 years or older at the time consent is obtained. Participantsin Korea must be age 19 years or older at the time consent is obtained.

  • Participants with histologically or cytologically confirmed diagnosis of NSCLC (squamous or non-squamous) and a) Documented disease progression based on radiographic imaging, during or after amaximum of 2 lines of systemic treatment for locally/regionally advanced recurrent,Stage IIIb/Stage IIIc/Stage IV or metastatic disease. Two components of treatmentmust have been received in the same line or as separate lines of therapy: i) No morethan or less than 1 line of platinum-containing chemotherapy regimen, and ii) Nomore than or less than 1 line of Programmed cell death ligand 1 (PD[L]1) monoclonalantibody (mAb) containing regimen. b) Participants with known BRAF molecular alterations must have had diseaseprogression after receiving the locally available SoC treatment for the molecularalteration. c) Participants who received prior anti-PD(L)1 therapy must fulfill the followingrequirements: i) Have achieved a CR, PR or SD and subsequently had diseaseprogression (per RECIST 1.1 criteria) either on or after completing PD(L)1 therapyii) Have not progressed or recurred within the first 12 weeks of PD(L)1 therapy,either clinically or per RECIST 1.1 criteria

  • Measurable disease, presenting with at least 1 measurable lesion per RECIST 1.1.

  • Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) score of 0 or 1.

  • A tumor tissue sample obtained at any time from the initial diagnosis of NSCLC totime of study entry is mandatory. Although a fresh tumor tissue sample obtainedduring screening is preferred, archival tumor specimen is acceptable.

  • Adequate organ function as defined in the protocol.

  • A male participant must agree to use a highly effective contraception during thetreatment period and for at least 120 days after the last dose of study treatmentand refrain from donating sperm during this period.

  • A female participant is eligible to participate if she is not pregnant, notbreastfeeding, and at least 1 of the following conditions apply: i) Not a woman of childbearing potential (WOCBP) or ii) A WOCBP who agrees to followthe contraceptive guidance during the treatment period and for at least 120 daysafter the last dose of study treatment.

  • Life expectancy of at least 12 weeks.

Exclusion

Exclusion Criteria:

  • Participants who received prior treatment with the following therapies (calculationis based on date of last therapy to date of first dose of study treatment):
  1. Docetaxel at any time.

  2. Any of the investigational agents being tested in the current study.

  3. Systemic approved or investigational anticancer therapy within 30 days or 5half-lives of the drug, whichever is shorter. At least 14 days must haveelapsed between the last dose of prior anticancer agent and the first dose ofstudy drug is administered.

  4. Prior radiation therapy: permissible if at least one non-irradiated measurablelesion is available for assessment per RECIST version 1.1 or if a solitarymeasurable lesion was irradiated, objective progression is documented. A washout of at least 2 weeks before start of study drug for radiation of anyintended use is required.

  • Received greater than (>)2 prior lines of therapy for NSCLC, including participantswith BRAF molecular alternations.

  • Invasive malignancy or history of invasive malignancy other than disease under studywithin the last 2 years, except

  • Any other invasive malignancy for which the participant was definitivelytreated, has been disease-free for at least 2 years and in the opinion of theprincipal investigator and GlaxoSmithKline Medical Monitor will not affect theevaluation of the effects of the study treatment on the currently targetedmalignancy, may be included in this clinical trial.

  • Curatively treated non-melanoma skin cancer or successfully treated in situcarcinoma.

  • Carcinomatous meningitis (regardless of clinical status) and uncontrolled orsymptomatic Central nervous system (CNS) metastases.

  • Major surgery less than or equal to (<=) 28 days of first dose of study treatment.

  • Autoimmune disease (current or history) or syndrome that required systemic treatmentwithin the past 2 years. Replacement therapies which include physiological doses ofcorticosteroids for treatment of endocrinopathies (for example, adrenalinsufficiency) are not considered systemic treatments.

  • Receiving systemic steroids (>10 milligrams [mg]) oral prednisone or equivalent) orother immunosuppressive agents within 7 days prior to first dose of study treatment.

  • Prior allogeneic/autologous bone marrow or solid organ transplantation.

  • Receipt of any live vaccine within 30 days prior to first dose of study treatment.

  • Toxicity from previous anticancer treatment that includes:

  1. Greater than or equal to (>=) Grade 3 toxicity considered related to priorimmunotherapy and that led to treatment discontinuation.

  2. History of myocarditis of any grade during a previous treatment withimmunotherapy

  3. Toxicity related to prior treatment that has not resolved to <= Grade 1 (exceptalopecia, hearing loss, endocrinopathy managed with replacement therapy, andperipheral neuropathy which must be <= Grade 2).

  • History (current and past) of idiopathic pulmonary fibrosis, pneumonitis (for past-pneumonitis exclusion only if steroids were required for treatment), interstitiallung disease, or organizing pneumonia.

  • Recent history (within the past 6 months) of uncontrolled symptomatic ascites,pleural or pericardial effusions.

  • Recent history (within the past 6 months) of gastrointestinal obstruction thatrequired surgery, acute diverticulitis, inflammatory bowel disease, orintra-abdominal abscess.

  • History or evidence of cardiac abnormalities within the 6 months prior to enrollmentwhich include

  1. Serious, uncontrolled cardiac arrhythmia or clinically significantelectrocardiogram abnormalities including second degree (Type II) or thirddegree atrioventricular block.

  2. Cardiomyopathy, myocardial infarction, acute coronary syndromes (includingunstable angina pectoris), coronary angioplasty, stenting or bypass grafting.

  3. Symptomatic pericarditis.

  • Current unstable liver or biliary disease per investigator assessment defined by thepresence of ascites, encephalopathy, coagulopathy, hypo-albuminemia, esophageal orgastric varices, persistent jaundice, or cirrhosis.

  • Active infection requiring systemic therapy <=7 days prior to first dose of studytreatment.

  • Participants with known human immunodeficiency virus infection.

  • Participants with history of severe hypersensitivity to mAb or hypersensitivity toany of the study treatment(s) or their excipients.

  • Participants requiring ongoing therapy with a medication that is a strong inhibitoror inducer of the cytochrome P 3A4 (CYP3A4) enzymes.

  • Any serious and/or unstable pre-existing medical (aside from malignancy),psychiatric disorder, or other condition that could interfere with participant'ssafety, obtaining informed consent, or compliance to the study procedures in theopinion of the investigator.

  • Pregnant or lactating female participants.

  • Participant who is currently participating in or has participated in a study of aninvestigational device within 4 weeks prior to the first dose of study treatment.

  • Participants with presence of hepatitis B surface antigen (HBsAg) at screening orwithin 3 months prior to first dose of study intervention.

  • Participants with positive hepatitis C antibody test result at screening or within 3months prior to first dose of study intervention.

  • Participants with positive hepatitis C ribonucleic acid (RNA) test result atscreening or within 3 months prior to first dose of study treatment.

  • Receipt of transfusion of blood products (including platelets or red blood cells) oradministration of colony-stimulating factors (including granulocyte colonystimulating factor [G-CSF], granulocyte-macrophage colony-stimulating factor, andrecombinant erythropoietin) within 14 days before the first dose of studyintervention.

Study Design

Total Participants: 176
Treatment Group(s): 6
Primary Treatment: Ipilimumab
Phase: 2
Study Start date:
January 24, 2019
Estimated Completion Date:
May 02, 2024

Connect with a study center

  • GSK Investigational Site

    Camperdown, New South Wales 2050
    Australia

    Site Not Available

  • GSK Investigational Site

    Gosford, New South Wales 2250
    Australia

    Site Not Available

  • GSK Investigational Site

    Wollongong, New South Wales 2500
    Australia

    Site Not Available

  • GSK Investigational Site

    Hobart, Tasmania 7000
    Australia

    Site Not Available

  • GSK Investigational Site

    Ballarat, Victoria 3350
    Australia

    Site Not Available

  • GSK Investigational Site

    Clayton, Victoria 3168
    Australia

    Site Not Available

  • GSK Investigational Site

    Frankston, Victoria 3199
    Australia

    Site Not Available

  • GSK Investigational Site

    Melbourne, Victoria 3004
    Australia

    Site Not Available

  • GSK Investigational Site

    Shepparton, Victoria 3630
    Australia

    Site Not Available

  • GSK Investigational Site

    Edmonton, Alberta T6G 1Z2
    Canada

    Site Not Available

  • GSK Investigational Site

    Saint John, New Brunswick E2L 4L
    Canada

    Site Not Available

  • GSK Investigational Site

    Brampton, Ontario L6R 3J7
    Canada

    Site Not Available

  • GSK Investigational Site

    Ottawa, Ontario K1H 8L
    Canada

    Site Not Available

  • GSK Investigational Site

    Toronto, Ontario M5G 2M9
    Canada

    Site Not Available

  • GSK Investigational Site

    Montreal, Quebec H4A 3J
    Canada

    Site Not Available

  • GSK Investigational Site

    Hillerød, 3400
    Denmark

    Site Not Available

  • GSK Investigational Site

    Købenavn Ø, 2100
    Denmark

    Site Not Available

  • GSK Investigational Site

    Næstved, 4700
    Denmark

    Site Not Available

  • GSK Investigational Site

    Bordeaux, 33076
    France

    Site Not Available

  • GSK Investigational Site

    Bordeaux Cedex, 33076
    France

    Site Not Available

  • GSK Investigational Site

    Bron cedex, 69677
    France

    Site Not Available

  • GSK Investigational Site

    Caen Cedex 9, 14033
    France

    Site Not Available

  • GSK Investigational Site

    Grenoble cedex 9, 38043
    France

    Site Not Available

  • GSK Investigational Site

    Lille, 59000
    France

    Site Not Available

  • GSK Investigational Site

    Nantes cedex 1, 44093
    France

    Site Not Available

  • GSK Investigational Site

    Paris, 75248
    France

    Site Not Available

  • GSK Investigational Site

    Paris Cedex 05, 75248
    France

    Site Not Available

  • GSK Investigational Site

    Saint-Herblain, 44093
    France

    Site Not Available

  • GSK Investigational Site

    Villejuif Cedex, 94805
    France

    Site Not Available

  • GSK Investigational Site

    Halle, Sachsen-Anhalt 06120
    Germany

    Site Not Available

  • GSK Investigational Site

    Berlin, 14165
    Germany

    Site Not Available

  • GSK Investigational Site

    Gauting, 82131
    Germany

    Site Not Available

  • GSK Investigational Site

    Grosshansdorf, 22927
    Germany

    Site Not Available

  • GSK Investigational Site

    Heidelberg, 69126
    Germany

    Site Not Available

  • GSK Investigational Site

    Immenhausen, 34376
    Germany

    Site Not Available

  • GSK Investigational Site

    Kassel, 34125
    Germany

    Site Not Available

  • GSK Investigational Site

    Leipzig, 04357
    Germany

    Site Not Available

  • GSK Investigational Site

    Meldola (FC), Emilia-Romagna 47014
    Italy

    Site Not Available

  • GSK Investigational Site

    Parma, Emilia-Romagna 43100
    Italy

    Site Not Available

  • GSK Investigational Site

    Roma, Lazio 00128
    Italy

    Site Not Available

  • GSK Investigational Site

    Rozzano (MI), Lombardia 20089
    Italy

    Site Not Available

  • GSK Investigational Site

    Orbassano (TO), Piemonte 10043
    Italy

    Site Not Available

  • GSK Investigational Site

    Lucca, Toscana 55100
    Italy

    Site Not Available

  • GSK Investigational Site

    Meldola FC, 47014
    Italy

    Site Not Available

  • GSK Investigational Site

    Milano, 20133
    Italy

    Site Not Available

  • GSK Investigational Site

    Napoli, 80131
    Italy

    Site Not Available

  • GSK Investigational Site

    Orbassano TO, 10043
    Italy

    Site Not Available

  • GSK Investigational Site

    Ravenna, 48121
    Italy

    Site Not Available

  • GSK Investigational Site

    Siena, 53100
    Italy

    Site Not Available

  • GSK Investigational Site

    Cheongju Chungcheongbuk-do, 28644
    Korea, Republic of

    Site Not Available

  • GSK Investigational Site

    Cheongju-si, Chungcheongbuk-do, 28644
    Korea, Republic of

    Site Not Available

  • GSK Investigational Site

    Gyeonggi-do, 10408
    Korea, Republic of

    Site Not Available

  • GSK Investigational Site

    Seongnam, 13620
    Korea, Republic of

    Site Not Available

  • GSK Investigational Site

    Seongnam-si Gyeonggi-do, 13620
    Korea, Republic of

    Site Not Available

  • GSK Investigational Site

    Seoul, 05505
    Korea, Republic of

    Site Not Available

  • GSK Investigational Site

    Amsterdam, 1081 HV
    Netherlands

    Site Not Available

  • GSK Investigational Site

    Maastricht, 6229 HX
    Netherlands

    Site Not Available

  • GSK Investigational Site

    Rotterdam, 3015 G
    Netherlands

    Site Not Available

  • GSK Investigational Site

    Biala Podlaska, 21-500
    Poland

    Site Not Available

  • GSK Investigational Site

    Bydgoszcz, 85-796
    Poland

    Site Not Available

  • GSK Investigational Site

    Gdansk, 80-211
    Poland

    Site Not Available

  • GSK Investigational Site

    Konin, 62-500
    Poland

    Site Not Available

  • GSK Investigational Site

    Lodz, 93-513
    Poland

    Site Not Available

  • GSK Investigational Site

    Otwock, 05-400
    Poland

    Site Not Available

  • GSK Investigational Site

    Poznan, 60-569
    Poland

    Site Not Available

  • GSK Investigational Site

    Warszawa, 02-781
    Poland

    Site Not Available

  • GSK Investigational Site

    Zakopane, 34-500
    Poland

    Site Not Available

  • GSK Investigational Site

    Bucharest, 020142
    Romania

    Site Not Available

  • GSK Investigational Site

    Bucuresti, 010991
    Romania

    Site Not Available

  • GSK Investigational Site

    Cluj Napoca, 400006
    Romania

    Site Not Available

  • GSK Investigational Site

    Cluj-Napoca, 400641
    Romania

    Site Not Available

  • GSK Investigational Site

    Craiova, 200347
    Romania

    Site Not Available

  • GSK Investigational Site

    Floresti, 407280
    Romania

    Site Not Available

  • GSK Investigational Site

    Otopeni, 075100
    Romania

    Site Not Available

  • GSK Investigational Site

    Timisoara, 300166
    Romania

    Site Not Available

  • GSK Investigational Site

    Chelyabinsk, 454048
    Russian Federation

    Site Not Available

  • GSK Investigational Site

    Moscow, 115478
    Russian Federation

    Site Not Available

  • GSK Investigational Site

    Saint-Petersburg, 197183
    Russian Federation

    Site Not Available

  • GSK Investigational Site

    St-Petersburg, 194291
    Russian Federation

    Site Not Available

  • GSK Investigational Site

    Badajoz, 06080
    Spain

    Site Not Available

  • GSK Investigational Site

    Barcelona, 08035
    Spain

    Site Not Available

  • GSK Investigational Site

    Madrid, 28034
    Spain

    Site Not Available

  • GSK Investigational Site

    Malaga, 29010
    Spain

    Site Not Available

  • GSK Investigational Site

    Málaga, 29010
    Spain

    Site Not Available

  • GSK Investigational Site

    Santander, 39008
    Spain

    Site Not Available

  • GSK Investigational Site

    Sevilla, 41009
    Spain

    Site Not Available

  • GSK Investigational Site

    Lund, SE-221
    Sweden

    Site Not Available

  • GSK Investigational Site

    Solna, SE-171 64
    Sweden

    Site Not Available

  • GSK Investigational Site

    Stockholm, SE-171 64
    Sweden

    Site Not Available

  • GSK Investigational Site

    Uppsala, SE- 75 185
    Sweden

    Site Not Available

  • GSK Investigational Site

    Fayetteville, Arkansas 72703
    United States

    Site Not Available

  • GSK Investigational Site

    Little Rock, Arkansas 72205
    United States

    Site Not Available

  • GSK Investigational Site

    La Jolla, California 92093
    United States

    Site Not Available

  • GSK Investigational Site

    Los Angeles, California 90025
    United States

    Site Not Available

  • GSK Investigational Site

    Sacramento, California 95816
    United States

    Site Not Available

  • GSK Investigational Site

    Washington, District of Columbia 20007
    United States

    Site Not Available

  • GSK Investigational Site

    Jacksonville, Florida 32209
    United States

    Site Not Available

  • GSK Investigational Site

    Tampa, Florida 33612
    United States

    Site Not Available

  • GSK Investigational Site

    Atlanta, Georgia 30322
    United States

    Site Not Available

  • GSK Investigational Site

    Urbana, Illinois 61801
    United States

    Site Not Available

  • GSK Investigational Site

    Baltimore, Maryland 21231
    United States

    Site Not Available

  • GSK Investigational Site

    Boston, Massachusetts 02215
    United States

    Site Not Available

  • GSK Investigational Site

    Southfield, Michigan 48075
    United States

    Site Not Available

  • GSK Investigational Site

    Minneapolis, Minnesota 55407-
    United States

    Site Not Available

  • GSK Investigational Site

    Kansas City, Missouri 64132
    United States

    Site Not Available

  • GSK Investigational Site

    Saint Louis, Missouri 63110-1093
    United States

    Site Not Available

  • GSK Investigational Site

    Hackensack, New Jersey 07601
    United States

    Site Not Available

  • GSK Investigational Site

    Bronx, New York 10461-2375
    United States

    Site Not Available

  • GSK Investigational Site

    Johnson City, New York 13790
    United States

    Site Not Available

  • GSK Investigational Site

    Mount Kisco, New York 10549
    United States

    Site Not Available

  • GSK Investigational Site

    New York, New York 10065
    United States

    Site Not Available

  • GSK Investigational Site

    Syracuse, New York 13210
    United States

    Site Not Available

  • GSK Investigational Site

    Chapel Hill, North Carolina 27599
    United States

    Site Not Available

  • GSK Investigational Site

    Durham, North Carolina 27710
    United States

    Site Not Available

  • GSK Investigational Site

    Pinehurst, North Carolina 28374
    United States

    Site Not Available

  • GSK Investigational Site

    Oklahoma City, Oklahoma 73104
    United States

    Site Not Available

  • GSK Investigational Site

    Philadelphia, Pennsylvania 19111
    United States

    Site Not Available

  • GSK Investigational Site

    Pittsburgh, Pennsylvania 15232
    United States

    Site Not Available

  • GSK Investigational Site

    Wynnewood, Pennsylvania 19096
    United States

    Site Not Available

  • GSK Investigational Site

    Chattanooga, Tennessee 37404
    United States

    Site Not Available

  • GSK Investigational Site

    Nashville, Tennessee 37203
    United States

    Site Not Available

  • GSK Investigational Site

    Dallas, Texas 75230
    United States

    Site Not Available

  • GSK Investigational Site

    Houston, Texas 77030
    United States

    Site Not Available

  • GSK Investigational Site

    Temple, Texas 76508
    United States

    Site Not Available

  • GSK Investigational Site

    Waco, Texas 76712
    United States

    Site Not Available

  • GSK Investigational Site

    Salt Lake City, Utah 84112-
    United States

    Site Not Available

  • GSK Investigational Site

    Fairfax, Virginia 22031
    United States

    Site Not Available

  • GSK Investigational Site

    Bellevue, Washington 98004
    United States

    Site Not Available

  • GSK Investigational Site

    Seattle, Washington 98109
    United States

    Site Not Available

  • GSK Investigational Site

    Tacoma, Washington 98405
    United States

    Site Not Available

  • GSK Investigational Site

    Morgantown, West Virginia 26506-
    United States

    Site Not Available

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