Phase 3 Clinical Study of AK112 for NSCLC Patients

Last updated: June 24, 2024
Sponsor: Akeso
Overall Status: Active - Not Recruiting

Phase

3

Condition

N/A

Treatment

Placebo Injection

AK112 Injection

Ivonescimab (SMT112 or AK112) Injection

Clinical Study ID

NCT05184712
AK112-301
HARMONi-A
HARMONi
  • Ages 18-75
  • All Genders

Study Summary

A Randomized, Double-blind, Multi-center, Phase III Clinical Study of AK112 or Placebo Combined With Pemetrexed and Carboplatin in Patients With EGFR-mutant Locally Advanced or Metastatic Non-squamous Non-small Cell Lung Cancer Who Have Failed to Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitor (EGFR-TKI) Treatment

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Ability to understand and voluntarily sign a written informed consent form (ICF),which must be signed before the specified study procedures required for the studyare performed.

  2. Males or females aged ≥ 18 to ≤ 75 years at the time of signing informed consent.

  3. Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) 0 or 1.

  4. Life expectancy ≥3 months;

  5. Locally advanced (stage IIIB/IIIC) or metastatic (stage IV) non-squamous NSCLCconfirmed by histology or cytology, inoperable and unable to receive radiotherapyand chemotherapy;

  6. The tumor histology, cytology or hematology confirmed the presence of EGFRactivating mutations before enrollment

  7. Have previously received EGFR-TKI treatment and the treatment has failed

  8. Subjects have at least one measurable non-brain tumor lesion per RECIST v1.1

  9. Major organ function prior to treatment meets the following criteria

  10. Patients of childbearing potential must agree to use effective contraceptivemeasures

Exclusion

Exclusion Criteria:

  1. Histological or cytological pathology confirmed the presence of small cell carcinomacomponents, or the main component is squamous cell carcinoma

  2. There are reports confirming the existence of other driver gene mutations with knowndrug treatments

  3. Subjects who received any prior treatments targeting the mechanism of tumor immunity

  4. The subject has received systemic anti-tumor therapy other than EGFR-TKI

  5. Currently enrolled in any other clinical study

  6. Received EGFR-TKI treatment, palliative local treatment, non-specificimmunomodulatory treatment within 2 weeks prior to the first dose; and Chineseherbal medicine or traditional Chinese medicinal products with anti-tumorindications within 1 weeks prior to the first dose.

  7. Tumor surrounds important blood vessels or has obvious necrosis, cavitation, orinvades surrounding important organs and blood vessels.

  8. Symptomatic central nervous system metastases

  9. Active malignancies within the past 3 years, with the exception of tumors in thisstudy and cured local tumors

  10. Active autoimmune disease requiring systemic treatment within 2 years prior to thestart of study treatment

  11. There is a history of major diseases 1 year prior to the first dose.

  12. .Medical history of gastrointestinal perforation or gastrointestinal fistula within 6 months prior to the first dose

  13. Received chest radiation therapy prior to the first dose

  14. Presence of clinically symptomatic pleural effusion, pericardial effusion, orascites requiring frequent drainage.

  15. Active or previously documented inflammatory bowel disease (e.g., Crohn's disease orulcerative colitis).

Study Design

Total Participants: 322
Treatment Group(s): 3
Primary Treatment: Placebo Injection
Phase: 3
Study Start date:
January 25, 2022
Estimated Completion Date:
November 02, 2025

Study Description

The trial will be performed as a randomized, Double-Blind, Multicenter trial to compare AK112 Plus Pemetrexed and Carboplatin to Placebo Plus Pemetrexed and Carboplatin in Patients with Locally Advanced or Metastatic Non-Squamous Non-Small Cell Lung Cancer (NSCLC) Harboring. Approximately 320 subjects will be randomized to the two treatment at the ratio of 1:1. Each enrolled subject will receive an intravenous infusion of the AK112/Placebo Plus Pemetrexed and Carboplatin (Q3W,up to 4 cycles)in treatment periods per the randomization schedule. Afterward, AK112/ Placebo Plus Pemetrexed will be used for maintenance treatment (administered on Day 1 of each cycle, Q3W) up to 2 years.

Connect with a study center

  • Cross Cancer Institute, University of Alberta, Edmonton AB

    Edmonton, Alberta T6G 172
    Canada

    Site Not Available

  • Research Site

    Edmonton, Alberta T6G 1Z2
    Canada

    Site Not Available

  • BC Cancer

    Vancouver, British Columbia V5Z 1L3
    Canada

    Site Not Available

  • Research Site

    Vancouver, British Columbia V5Z 1L3
    Canada

    Site Not Available

  • Research Site

    Ottawa, Ontario K1H 8L6
    Canada

    Site Not Available

  • The Ottawa Hospital Cancer Centre

    Ottawa, Ontario K1H 8L6
    Canada

    Site Not Available

  • Princess Margaret Cancer Center

    Toronto, Ontario H5G 2M9
    Canada

    Site Not Available

  • Research Site

    Toronto, Ontario M5G 2M9
    Canada

    Site Not Available

  • Hospital Laval

    Québec, Quebec G1V 4G5
    Canada

    Site Not Available

  • Allan Blair Cancer Center

    Regina, Saskatchewan
    Canada

    Site Not Available

  • Research Site

    Québec, V5Z 1H6
    Canada

    Site Not Available

  • Sun Yat-sen University Cancer Center

    Guangzhou, Guangdong 510000
    China

    Site Not Available

  • Service de Pneumologie, CHI Créteil

    Créteil,
    France

    Site Not Available

  • Hopital Bichat-Claude Bernard

    Paris, 75018
    France

    Site Not Available

  • Institut Curie

    Paris,
    France

    Active - Recruiting

  • Research Site

    Paris, 75018
    France

    Site Not Available

  • Campus Bio-Medico University

    Roma,
    Italy

    Site Not Available

  • Research Site

    Roma, 00128
    Italy

    Site Not Available

  • Badalona-Hospital Germans Trias i Pujol

    Barcelona,
    Spain

    Active - Recruiting

  • Institutes Català d'Oncologia, Badalona-Hospital Germans Trias i Pujol

    Barcelona,
    Spain

    Site Not Available

  • Vall d'Hebron Institute of Oncology

    Barcelona,
    Spain

    Active - Recruiting

  • Hospital Teresa Herrera

    Coruña,
    Spain

    Site Not Available

  • Complejo Hospitalario Universitario Insular-Materno Infantil de Gran Canaria, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria

    Las Palmas,
    Spain

    Site Not Available

  • Lucus Augusti University Hospital

    Lugo,
    Spain

    Site Not Available

  • Hospital General Universitario Gregorio Marañón

    Madrid,
    Spain

    Site Not Available

  • Hospital Universitario La Paz

    Madrid,
    Spain

    Active - Recruiting

  • Hospital Universitario Ramón y Cajal

    Madrid,
    Spain

    Active - Recruiting

  • Instituto de Investigación Sanitaria-Fundación Jiménez Díaz

    Madrid,
    Spain

    Active - Recruiting

  • Research Site

    Madrid, 28034
    Spain

    Site Not Available

  • Puerta de Hierro University Hospital, Majadahonda

    Majadahonda,
    Spain

    Site Not Available

  • Hospital Regional Universitario de Malaga

    Málaga,
    Spain

    Site Not Available

  • Hospital Universitario Clínico San Carlos

    San Carlos,
    Spain

    Site Not Available

  • Hospital Universitario Nuestra Señora de Valme

    Sevilla,
    Spain

    Site Not Available

  • Research Site

    Manchester, M20 4BX
    United Kingdom

    Site Not Available

  • CBCC Global Research Inc. at Comprehensive Blood and Cancer Center

    Bakersfield, California 93309
    United States

    Site Not Available

  • UC San Diego

    La Jolla, California 92093
    United States

    Site Not Available

  • Palo Alto Medical Foundation Research Institute

    Los Altos, California 94022
    United States

    Site Not Available

  • Research Site

    Los Angeles, California 90024
    United States

    Site Not Available

  • UCLA Jonsson Comprehensive Cancer Center

    Los Angeles, California 90024
    United States

    Active - Recruiting

  • University of Southern California

    Los Angeles, California 90007
    United States

    Active - Recruiting

  • Valkyrie Clinical Trials

    Los Angeles, California 90067
    United States

    Site Not Available

  • Hematology-Oncology Medical Group of Orange County, Inc

    Orange, California 92868
    United States

    Active - Recruiting

  • Research Site

    Orange, California 92868
    United States

    Site Not Available

  • UC Irvine

    Orange, California 92868
    United States

    Site Not Available

  • Sutter Cancer Center

    Sacramento, California 95816
    United States

    Active - Recruiting

  • UC Davis Comprehensive Cancer Center

    Sacramento, California 95817
    United States

    Site Not Available

  • California Pacific Medical Center

    San Francisco, California 94110
    United States

    Site Not Available

  • Providence Medical Foundation

    Santa Rosa, California 95405
    United States

    Site Not Available

  • Research Site

    Santa Rosa, California 95404
    United States

    Active - Recruiting

  • Presbyterian Intercommunity Hospital (PIH)

    Whittier, California 90602
    United States

    Site Not Available

  • Rocky Mountain Cancer Centers, LLP

    Lone Tree, Colorado 80124
    United States

    Site Not Available

  • University of Miami

    Miami, Florida 33136
    United States

    Site Not Available

  • Florida Cancer Associates-Ocala Oncology

    Ocala, Florida 34474
    United States

    Site Not Available

  • Research Site

    Ocala, Florida 34471
    United States

    Site Not Available

  • BRCR Global

    Plantation, Florida 33322
    United States

    Site Not Available

  • Research Site

    Plantation, Florida 33322
    United States

    Active - Recruiting

  • Florida Cancer Specialists

    Saint Petersburg, Florida 33705
    United States

    Site Not Available

  • BRCR Global

    Tamarac, Florida 33321
    United States

    Site Not Available

  • Florida Cancer Specialists

    West Palm Beach, Florida 33401
    United States

    Site Not Available

  • Research Site

    Chicago, Illinois 92037
    United States

    Site Not Available

  • Sarah Cannon Research Institute (SCRI)/ Hematology/ Oncology Clinic

    Baton Rouge, Louisiana 70809
    United States

    Site Not Available

  • New England Cancer Specialists

    Scarborough, Maine 04074
    United States

    Site Not Available

  • American Oncology Partners

    Bethesda, Maryland 20817
    United States

    Site Not Available

  • Dana-Farber Cancer Institute

    Boston, Massachusetts 02215
    United States

    Site Not Available

  • HealthPartners Cancer Research Center

    Saint Paul, Minnesota 55101
    United States

    Site Not Available

  • NYU Langone-Laura and Isaac Perlmutter Cancer Center

    New York, New York 10016
    United States

    Active - Recruiting

  • USOR - New York Oncology/ Hematology

    New York, New York 12065
    United States

    Site Not Available

  • Sanford Roger Maris Cancer Center

    Fargo, North Dakota 58102
    United States

    Site Not Available

  • OHC USOR (US Oncology Network Site)

    Cincinnati, Ohio 45242
    United States

    Site Not Available

  • Zangmeister Cancer Center

    Columbus, Ohio 43219
    United States

    Site Not Available

  • Willamette Valley Cancer Institute and Research Center

    Eugene, Oregon 97401
    United States

    Site Not Available

  • Kaiser Permanente Northwest Center for Health Research

    Portland, Oregon 97227
    United States

    Site Not Available

  • Hollings Cancer Center, Charleston, SC

    Charleston, South Carolina 29425
    United States

    Site Not Available

  • Texas Oncology

    Austin, Texas 78745
    United States

    Site Not Available

  • Texas Oncology - Baylor Charles A. Sammons Cancer Center

    Dallas, Texas 75246
    United States

    Site Not Available

  • MD Anderson Cancer Center University of Texas

    Houston, Texas 77030
    United States

    Site Not Available

  • Texas Oncology- Webster

    Webster, Texas 77598
    United States

    Site Not Available

  • Virginia Cancer Specialists

    Fairfax, Virginia 22031
    United States

    Site Not Available

  • Compass Oncology

    Vancouver, Washington 98684
    United States

    Active - Recruiting

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