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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT04738487
Other study ID # 7684A-003
Secondary ID MK-7684A-003jRCT
Status Recruiting
Phase Phase 3
First received
Last updated
Start date April 7, 2021
Est. completion date June 5, 2028

Study information

Verified date June 2024
Source Merck Sharp & Dohme LLC
Contact Toll Free Number
Phone 1-888-577-8839
Email Trialsites@merck.com
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The primary hypotheses are that coformulated pembrolizumab/vibostolimab is superior to pembrolizumab alone with respect to (1) overall survival (OS) in participants with programmed cell death 1 ligand 1 (PD-L1) tumor proportion score (TPS) ≥50%, TPS ≥1% and TPS 1% to 49%; and (2) progression-free survival (PFS) per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 by blinded independent central review (BICR), in participants with PD-L1 TPS ≥1% and TPS ≥50%.


Recruitment information / eligibility

Status Recruiting
Enrollment 1246
Est. completion date June 5, 2028
Est. primary completion date April 21, 2026
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Has a histologically or cytologically confirmed diagnosis of Stage IV: M1a, M1b, or M1c non-small cell lung cancer (NSCLC) per the American Joint Committee on Cancer (AJCC) Staging Manual, version 8 - Has measurable disease based on Response Evaluation Criteria in Solid Tumors (RECIST) 1.1, as determined by the local site assessment - Has confirmation that epidermal growth factor receptor (EGFR)-, anaplastic lymphoma kinase (ALK)-, or reactive oxygen species proto-oncogene 1 (ROS1)-directed therapy is not indicated as primary therapy and absence of ALK and ROS1 gene rearrangements - Has provided tumor tissue that demonstrates Programmed Cell Death 1 Ligand 1 (PD-L1) expression in =1% of tumor cells as assessed by immunohistochemistry (IHC) at a central laboratory - Has an Eastern Cooperative Oncology Group (ECOG) performance score of 0 or 1 assessed within 7 days prior to randomization - Has a life expectancy of at least 3 months - A female participant is eligible to participate if she is not pregnant or breastfeeding, and at least one of the following conditions applies: - Is not a woman of childbearing potential (WOCBP) - Is a WOCBP and using a contraceptive method that is highly effective (with a failure rate of <1% per year), with low user dependency or be abstinent from heterosexual intercourse as their preferred and usual lifestyle (abstinent on a long term and persistent basis), during the intervention period and for at least 120 days after the last dose of study intervention - Has adequate organ function Exclusion Criteria: - Has a known history of an additional malignancy, except if the participant has undergone potentially curative therapy with no evidence of that disease recurrence for at least 3 years since initiation of that therapy - Has received prior systemic chemotherapy or other targeted or biological antineoplastic therapy for their metastatic NSCLC. - Prior treatment with chemotherapy and/or radiation as part of neoadjuvant/adjuvant or chemoradiation therapy for nonmetastatic NSCLC is allowed as long as therapy was completed at least 6 months before the diagnosis of metastatic NSCLC. - Participants must have recovered from all AEs due to previous therapies to Grade =1 or baseline. Participants with Grade =2 neuropathy may be eligible. Participants with endocrine-related AEs Grade =2 requiring treatment or hormone replacement may be eligible. - Has received prior therapy with an anti-programmed cell death receptor 1 (PD-1), anti-programmed cell death receptor ligand 1 (PD-L1), or anti-programmed cell death receptor ligand 2 (PD-L2) agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor (eg, cytotoxic T-lymphocyte-associated protein 4 (CTLA-4), OX-40, CD137) - Has received previous treatment with another agent targeting the T cell immunoreceptor with immunoglobulin (Ig) and immunoreceptor tyrosine-based inhibition motif (ITIM) domains (TIGIT) receptor pathway - Has received radiotherapy within 2 weeks of start of study intervention. Participants must have recovered from all radiation-related toxicities, not require corticosteroids, and not have had radiation pneumonitis. A 1-week washout is permitted for palliative radiation (=2 weeks of radiotherapy) to non-central nervous system (CNS) disease - Has received a live or live-attenuated vaccine within 30 days prior to the first dose of study intervention. Administration of killed vaccines is allowed. - Any licensed COVID-19 vaccine (including for Emergency Use) in a particular country is allowed in the study as long as they are mRNA vaccines, adenoviral vaccines, or inactivated vaccines. These vaccines will be treated just as any other concomitant therapy. - Investigational vaccines (i.e., those not licensed or approved for Emergency Use) are not allowed. - Is currently participating in or has participated in a study of an investigational agent or has used an investigational device within 4 weeks prior to the first dose of study intervention - Has known active or untreated CNS metastases and/or carcinomatous meningitis. Participants with previously treated brain metastases may participate provided they are radiologically stable for at least 4 weeks by repeat imaging, clinically stable, and without requirement of steroid treatment for at least 14 days prior to first dose of study intervention - Has severe hypersensitivity (=Grade 3) to pembrolizumab/vibostolimab or pembrolizumab and/or any of its excipients - Has an active autoimmune disease that has required systemic treatment in past 2 years (ie, with use of disease modifying agents, corticosteroids, or immunosuppressive drugs). Replacement therapy (eg, thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency) is not considered a form of systemic treatment and is allowed. - Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (in dosing exceeding 10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy within 7 days prior to the first dose of study intervention - Has a history of (non-infectious) pneumonitis that required steroids or has current pneumonitis - Has a known history of interstitial lung disease. Lymphangitic spread of the NSCLC is not exclusionary. - Has an active infection requiring systemic therapy - Has a known history of human immunodeficiency virus (HIV) infection. No HIV testing is required unless mandated by local health authority - Has a known history of Hepatitis B or known active Hepatitis C virus infection - Has a history or current evidence of any condition, therapy, or laboratory abnormality that prevents the participant from receiving platinum-doublet chemotherapy for first line NSCLC, or that might confound the results of the study, interfere with the participant's participation for the full duration of the study, or is not in the best interest of the participant to participate, in the opinion of the treating investigator. - Has a known psychiatric or substance abuse disorder that would interfere with the participant's ability to cooperate with the requirements of the study

Study Design


Intervention

Biological:
Pembrolizumab/Vibostolimab
Coformulation of pembrolizumab (MK-3475) 200mg and vibostolimab (MK-7684) 200mg. Participants receive the coformulation by intravenous (IV) infusion every 3 weeks (Q3W) for up to 35 administrations (up to ~2 years).
Pembrolizumab
Participants receive 200 mg of pembrolizumab by intravenous (IV) infusion every 3 weeks (Q3W) for up to 35 administrations (up to ~2 years).

Locations

Country Name City State
Brazil CEPEN - Centro de Pesquisa e Ensino em Oncologia de Santa Catarina ( Site 0209) Florianópolis Santa Catarina
Brazil Hospital São Carlos-Oncocentro Ce ( Site 0208) Fortaleza Ceara
Brazil ONCOSITE - Centro de Pesquisa Clinica em Oncologia ( Site 0206) Ijui Rio Grande Do Sul
Brazil Liga Norte Riograndense Contra o Câncer-Centro de Pesquisa Clínica ( Site 0201) Natal Rio Grande Do Norte
Brazil Irmandade da Santa Casa de Misericórdia de Porto Alegre-Centro de Pesquisa Novos Tratamentos em Cân Porto Alegre Rio Grande Do Sul
Brazil Instituto Nacional de Câncer José Alencar Gomes da Silva - INCA ( Site 0204) Rio de Janeiro
Brazil Núcleo de Pesquisa Clínica da Rede São Camilo ( Site 0207) Sao Paulo
Brazil ICESP - INSTITUTO DO CÂNCER DO ESTADO DE SÃO PAULO-Pesquisa Clinica ( Site 0200) São Paulo Sao Paulo
Canada Hamilton Health Sciences-Juravinski Cancer Centre ( Site 0104) Hamilton Ontario
Canada Kingston Health Sciences Centre-Kingston General Hospital Site ( Site 0102) Kingston Ontario
Canada Centre Intégré de Santé et de Services Sociaux (CISSS) de La-Centre intégré de cancérologie de Lava Laval Quebec
Canada Lakeridge Health ( Site 0106) Oshawa Ontario
Canada BC Cancer Victoria-Clinical Trials Unit ( Site 0107) Victoria British Columbia
Chile Bradford Hill Norte ( Site 0708) Antofagasta
Chile IC La Serena Research ( Site 0710) La Serena Coquimbo
Chile FALP ( Site 0702) Providencia Region M. De Santiago
Chile Clínica Puerto Montt ( Site 0713) Puerto Montt Los Lagos
Chile Bradfordhill ( Site 0701) Santiago Region M. De Santiago
Chile Centro de Estudios Clínicos SAGA-CECSAGA ( Site 0712) Santiago Region M. De Santiago
Chile Orlandi Oncologia ( Site 0700) Santiago Region M. De Santiago
Chile Clinica Universidad Catolica del Maule-Oncology ( Site 0703) Talca Maule
Chile CIDO SpA-Oncology ( Site 0707) Temuco Araucania
Chile James Lind Centro de Investigación del Cáncer ( Site 0711) Temuco Araucania
Chile Oncocentro Valdivia ( Site 0715) Valdivia Los Rios
China Beijing Cancer hospital-intrathoratic deparmtment II ( Site 2001) Beijing Beijing
China Beijing Cancer hospital-Thoracic Cancer Department A ( Site 2003) Beijing Beijing
China Beijing Chest Hospital,Capital Medical University ( Site 2020) Beijing Beijing
China Beijing Peking Union Medical College Hospital-pneumology department ( Site 2009) Beijing Beijing
China Cancer Hospital Chinese Academy of Medical Science-Oncology ( Site 2030) Beijing Beijing
China Jilin Cancer Hospital-oncology department ( Site 2000) Changchun Jilin
China Hunan Cancer Hospital-thoracic oncology II ( Site 2013) Changsha Hunan
China Xiangya Hospital Central South University-Respiratory -Asthma&COPD ( Site 2026) Changsha Hunan
China West China Hospital Sichuan University-respiratory ( Site 2018) Cheng Du Sichuan
China Army Medical Center of People's Liberation Army-respiratory ( Site 2025) Chongqing Chongqing
China Chongqing Cancer Hospital-Medical Oncology ( Site 2028) Chongqing Chongqing
China Fujian Provincial Cancer Hospital-oncology department ( Site 2023) Fuzhou Fujian
China Fuzhou General hospital of Nanjing Military Command-Oncology Department ( Site 2029) Fuzhou Fujian
China Southern Medical University Nanfang Hospital-Depatrment of Respiratory and Critical Care Medicine ( Guangzhou Guangdong
China Hangzhou Cancer Hospital-Medical Oncology ( Site 2039) Hangzhou Zhejiang
China The Second Affiliated hospital of Zhejiang University school of medicine-Respiratory Medicine ( Site Hangzhou Zhejiang
China The Second Affiliated hospital of Zhejiang University school of medicine-Respiratory Medicine ( Site Hangzhou Zhejiang
China Zhejiang Cancer Hospital-Breast Oncology ( Site 2008) Hangzhou Zhejiang
China Harbin Medical University Cancer Hospital ( Site 2006) Harbin Heilongjiang
China Anhui Provincil Hospital South District-Respiratory Medicine Dept ( Site 2017) Hefei Anhui
China The First Affiliated Hospital of Anhui Medical University ( Site 2022) Hefei Anhui
China Taizhou Hospital of Zhejiang Province-Respiratory ( Site 2027) Linhai Zhejiang
China LinYi Cancer Hospital ( Site 2034) Linyi Shandong
China Linyi People's Hospital-Oncology ( Site 2035) Linyi Shandong
China Fudan University Shanghai Cancer Center ( Site 2032) Shanghai Shanghai
China The First Affiliated Hospital of Wenzhou Medical University-Respiratory department ( Site 2031) Wenzhou Zhejiang
China Wuhan Union Hospital-Medical Oncology ( Site 2019) Wuhan Hubei
China Tang Du Hospital ( Site 2004) Xi'an Shaanxi
China The First Affiliated Hospital of Xian Jiaotong University wa-Oncology ( Site 2012) Xi'an Shaanxi
China Northern Jiangsu People's Hospital-General Surgery Department ( Site 2016) Yangzhou Jiangsu
China Henan Cancer Hospital ( Site 2015) Zhengzhou Henan
Dominican Republic CEMDOE - Centro Médico de Diabetes, Obesidad y Especialidades ( Site 2301) Santo Domingo Distrito Nacional
Dominican Republic Instituto de Oncologia ( Site 2300) Santo Domingo Distrito Nacional
Guatemala CELAN,S.A ( Site 0304) Guatemala
Guatemala Gastrosoluciones ( Site 0302) Guatemala
Guatemala Grupo Medico Angeles ( Site 3007) Guatemala
Guatemala INTEGRA Cancer Institute ( Site 0303) Guatemala
Guatemala Oncomedica-Guatemala ( Site 0301) Guatemala
Guatemala Onco Go, S.A ( Site 0306) Guatemala City
Hong Kong Hong Kong Integrated Oncology Centre ( Site 1301) Central
Hong Kong Queen Mary Hospital ( Site 1303) Hksar
Hong Kong Hong Kong United Oncology Centre ( Site 1302) Jordan
Hong Kong Princess Margaret Hospital ( Site 1304) Lai Chi Kok
Hungary Országos Korányi Pulmonológiai Intézet-XIV. Tüdöbelgyógyászat ( Site 1204) Budapest Pest
Hungary Semmelweis University-Pulmonológiai Klinika ( Site 1209) Budapest
Hungary Petz Aladar Egyetemi Oktato Korhaz-Pulmonológia ( Site 1205) Gyor Gyor-Moson-Sopron
Hungary Békés Megyei Központi Kórház Pándy Kálmán Tagkórház-Megyei Onkológiai Centrum ( Site 1207) Gyula Bekes
Hungary Bacs-Kiskun Megyei Korhaz-Onkoradiologiai Kozpont ( Site 1201) Kecskemét Bacs-Kiskun
Hungary Mátrai Gyógyintézet ( Site 1214) Kékesteto Heves
Hungary Jász-Nagykun-Szolnok Megyei Hetényi Géza Kórház-Onkologiai Kozpont ( Site 1200) Szolnok Jasz-Nagykun-Szolnok
Hungary Reformatus Pulmonologiai Centrum-Onkopulmonologiai Jarobeteg Centrum ( Site 1208) Torokbalint Pest
Hungary Zala Megyei Szent Rafael Kórház-Pulmonológia ( Site 1202) Zalaegerszeg Zala
India Artemis hospital ( Site 2401) Gurugram Haryana
India All India Institute of Medical Sciences ( Site 2403) New Delhi Delhi
India Rajiv Gandhi Cancer Institute And Research Centre ( Site 2400) New Delhi Delhi
Japan Chiba University Hospital-Medical Oncology ( Site 1926) Chiba
Japan Kansai Medical University Hospital ( Site 1914) Hirakata Osaka
Japan Kurume University Hospital ( Site 1912) Kurume Fukuoka
Japan Shizuoka Cancer Center ( Site 1905) Nagaizumi Shizuoka
Japan National Hospital Organization Nagoya Medical Center ( Site 1920) Nagoya Aichi
Japan Niigata Cancer Center Hospital ( Site 1904) Niigata-shi Niigata
Japan Hyogo College of Medicine-Respiratory Medicine and Hematology ( Site 1922) Nishinomiya Hyogo
Japan Okayama University Hospital ( Site 1913) Okayama
Japan Osaka International Cancer Institute ( Site 1915) Osaka
Japan Kindai University Hospital- Osakasayama Campus ( Site 1907) Osaka-sayama Osaka
Japan Gunma Prefectural Cancer Center ( Site 1925) Otashi Gunma
Japan National Hospital Organization Kinki-chuo Chest Medical Center-Department of Thoracic Oncology ( Sit Sakai Osaka
Japan National Hospital Organization Hokkaido Cancer Center ( Site 1923) Sapporo Hokkaido
Japan Sendai Kousei Hospital ( Site 1900) Sendai Miyagi
Japan Takarazuka City Hospital ( Site 1924) Takarazuka Hyogo
Japan Osaka Medical and Pharmaceutical University Hospital ( Site 1908) Takatsuki Osaka
Japan Tokushima University Hospital ( Site 1917) Tokushima
Japan Japanese Foundation for Cancer Research ( Site 1901) Tokyo
Japan Juntendo University Hospital ( Site 1902) Tokyo
Japan Ehime University Hospital ( Site 1911) Toon Ehime
Japan Fujita Health University ( Site 1906) Toyoake Aichi
Japan Tochigi Cancer Center ( Site 1927) Utsunomiya Tochigi
Japan Wakayama Medical University Hospital ( Site 1910) Wakayama
Japan Kanagawa cancer center ( Site 1916) Yokohama Kanagawa
Japan Kanagawa Cardiovascular and Respiratory Center ( Site 1921) Yokohama Kanagawa
Korea, Republic of Chungbuk National University Hospital-Internal medicine ( Site 1406) Cheongju-si Chungbuk
Korea, Republic of National Cancer Center-Lung Cancer Center ( Site 1407) Goyang-si Kyonggi-do
Korea, Republic of Seoul National University Bundang Hospital ( Site 1403) Seongnam Kyonggi-do
Korea, Republic of Asan Medical Center ( Site 1400) Seoul
Korea, Republic of Kangbuk Samsung Hospital ( Site 1409) Seoul
Korea, Republic of Seoul National University Hospital ( Site 1401) Seoul
Korea, Republic of Severance Hospital, Yonsei University Health System ( Site 1402) Seoul
Korea, Republic of The Catholic Univ. of Korea Seoul St. Mary's Hospital-Medical Oncology ( Site 1408) Seoul
Korea, Republic of The Catholic University of Korea, Eunpyeong St. Mary's Hospital-Cancer center ( Site 1410) Seoul
Korea, Republic of The Catholic University Of Korea St. Vincent's Hospital-Medical Oncology ( Site 1405) Suwon-si Kyonggi-do
Malaysia Gleneagles Penang Medical Center-Clinical Research Center (CRC) ( Site 1503) George Town Pulau Pinang
Malaysia Hospital Pulau Pinang ( Site 1501) George Town Pulau Pinang
Malaysia Hospital Tengku Ampuan Afzan ( Site 1502) Kuantan Pahang
Malaysia University Malaya Medical Centre ( Site 1504) Lembah Pantai Kuala Lumpur
Malaysia National Cancer Institute ( Site 1505) Putrajaya Wilayah Persekutuan Putrajaya
Mexico Centro Oncologico de Chihuahua-Unidad de Investigacion Clinica ( Site 0402) Chihuahua
Mexico Actualidad Basada en la Investigación del Cáncer-Lung Cancer ( Site 0411) Guadalajara Jalisco
Mexico Medical Care and Research SA de CV ( Site 0409) Merida Yucatan
Mexico Arké SMO S.A. de C.V. ( Site 0417) Mexico Distrito Federal
Mexico Human Science Research Trials ( Site 0406) Mexico city
Mexico iCan Oncology Center Centro Medico AVE ( Site 0405) Monterrey Nuevo Leon
Mexico Centro de Investigacion Clinica Chapultepec ( Site 0400) Morelia Michoacan
Mexico Oaxaca Site Management Organization ( Site 0403) Oaxaca
Mexico Hospital H+ Queretaro ( Site 0416) Santiago de Queretaro Queretaro
Peru UNIDAD DE ONCOLOGIA HOSPITAL NACIONAL ADOLFO GUEVARA VELASCO ESSSALUD CUSCO ( Site 0504) Cusco Qusqu
Peru Clínica Internacional - Sede San Borja ( Site 0506) Lima
Peru Hospital Guillermo Almenara Irigoyen-Oncology ( Site 0508) Lima
Peru Hospital Militar Central Luis Arias Schereiber ( Site 0502) Lima
Peru INSTITUTO NACIONAL DE ENFERMEDADES NEOPLASICAS ( Site 0500) Lima
Peru IPOR Instituto Peruano de Oncología & Radioterapia ( Site 0507) Lima
Philippines East Avenue Medical Center-Department of Medicine ( Site 1605) Quezon City National Capital Region
Philippines Veterans Memorial Medical Center-Section of Oncology ( Site 1608) Quezon City National Capital Region
Philippines CARDINAL SANTOS MEDICAL CENTER ( Site 1606) San Juan City, Metro Manila National Capital Region
Romania Cardiomed SRL Cluj-Napoca ( Site 2201) Cluj-Napoca Cluj
Romania Centrul de Oncologie "Sfântul Nectarie"-Medical Oncology ( Site 2202) Craiova Dolj
Romania SC Medical Center Gral SRL ( Site 2203) Ploiesti Prahova
Russian Federation Moscow Regional Oncological Dispensary ( Site 0812) Balashikha Moskovskaya Oblast
Russian Federation Republican Clinical Oncology Dispensary ( Site 0805) Kazan Tatarstan, Respublika
Russian Federation Central Clinical Hospital of the Presidential Administrative Department ( Site 0802) Moscow Moskva
Russian Federation Hadassah Medical-Oncology department ( Site 0814) Moscow Moskovskaya Oblast
Russian Federation Nizhegorodsky Regional Oncology Dispensary, Branch #2-chemotherapy ( Site 0809) Nizhniy Novgorod Nizhegorodskaya Oblast
Russian Federation GBUZ LOKB-Oncology department #1 ( Site 0804) Saint-Petersburg Sankt-Peterburg
Russian Federation Scientific research institution of oncology named after N.N. Petrov-Thoracic oncology ( Site 0803) Sankt-Peterburg
South Africa Cape Town Oncology Trials ( Site 0903) Cape Town Western Cape
South Africa The Oncology Centre ( Site 0905) Durban Kwazulu-Natal
South Africa Medical Oncology Centre of Rosebank ( Site 0906) Johannesburg Gauteng
South Africa Wits Clinical Research ( Site 0900) Johannesburg Gauteng
South Africa LIFE GROENKLOOF-Mary Potter Cancer Centre ( Site 0901) Pretoria Gauteng
South Africa Abraham Oncology ( Site 0907) Richards Bay Kwazulu-Natal
South Africa Sandton Oncology Medical Group (Pty) Ltd-Research ( Site 0902) Sandton Gauteng
South Africa Wits Clinical Research-Wits Clinical Research Bara ( Site 0908) Soweto Gauteng
Taiwan Changhua Christian Hospital ( Site 1711) Changhua County Changhua
Taiwan National Taiwan University Hospital - Hsinchu branch ( Site 1704) Hsinchu
Taiwan Chang Gung Memorial Hospital at Kaohsiung ( Site 1702) Kaohsiung Niao Sung Dist Kaohsiung
Taiwan Taichung Veterans General Hospital-Chest ( Site 1707) Taichung
Taiwan NATIONAL CHENG-KUNG UNI. HOSP.-clinical trial center ( Site 1705) Tainan
Taiwan Mackay Memorial Hospital-Chest Medicine ( Site 1703) Taipei
Taiwan National Taiwan University Hospital-Oncology ( Site 1706) Taipei
Taiwan Taipei Medical University Hospital ( Site 1712) Taipei
Taiwan Taipei Veterans General Hospital ( Site 1709) Taipei
Taiwan Tri-Service General Hospital-hematology&oncology ( Site 1710) Taipei City Taipei
Taiwan Chang Gung Medical Foundation-Linkou Branch ( Site 1708) Taoyuan
Thailand Chulalongkorn University ( Site 1802) Bangkok Krung Thep Maha Nakhon
Thailand Faculty of Medicine Siriraj Hospital ( Site 1800) Bangkok Krung Thep Maha Nakhon
Thailand Ramathibodi Clinical Research Centre ( Site 1801) Bangkok Krung Thep Maha Nakhon
Turkey Gazi Universitesi-Oncology ( Site 1003) Ankara
Turkey Hacettepe Universitesi-oncology hospital ( Site 1001) Ankara
Turkey Memorial Ankara Hastanesi-Medical Oncology ( Site 1002) Ankara
Turkey Acibadem Maslak Hastanesi ( Site 1008) Istanbul
Turkey Istanbul Universitesi Cerrahpasa-Medical Oncology ( Site 1000) Istanbul
Turkey Samsun Medical Park Hastanesi-medical oncology ( Site 1005) Samsun
Turkey Erciyes University Medical Oncology Department ( Site 1007) Talas Kayseri
Ukraine Cherkasy Regional Oncology Dispensary ( Site 1110) Cherkassy Cherkaska Oblast
Ukraine Chernihiv Medical Center of Modern Oncology-Clinical oncology and gynecology department ( Site 1113) Chernihiv Chernihivska Oblast
Ukraine Municipal Non-profit Enterprise City Clinical Hospital #4 of Dnipro City Council ( Site 1100) Dnipro Dnipropetrovska Oblast
Ukraine Communal Non-Commercial Enterprise Prykarpatski Clinical Oncological Center of Ivano-Frankivsk Regio Ivano-Frankivsk Ivano-Frankivska Oblast
Ukraine Institute of General and Emergency Surgery named after V.T. Zaitsev NAMS of Ukraine ( Site 1119) Kharkiv Kharkivska Oblast
Ukraine MI Kryvyi Rih Oncology Dispensary of Dnipropetrovsk Regional-Chemotherapy department ( Site 1104) Kryvyi Rih Dnipropetrovska Oblast
Ukraine National Cancer Institute ( Site 1114) Kyiv Kyivska Oblast
Ukraine Uzhgorod Central City Clinical Hospital-City oncology center ( Site 1120) Uzhhorod Zakarpatska Oblast
Ukraine Vinnytsia Regional Clinical Oncological Hospital ( Site 1102) Vinnytsia Vinnytska Oblast
Ukraine Oncolife LLC-day-stay department ( Site 1107) Zaporizhzhia Zaporizka Oblast
Ukraine Zhytomyr Regional Oncology Center-Chemotherapy Department ( Site 1103) Zhytomyr Zhytomyrska Oblast
United States Boca Raton Regional Hospital ( Site 0004) Boca Raton Florida
United States Perlmutter Cancer Center at NYU Langone Hospital - Long Island ( Site 0022) Mineola New York
United States Memorial Sloan Kettering Cancer Center ( Site 0013) New York New York
United States Illinois Cancer Care ( Site 0026) Peoria Illinois
United States Fox Chase Cancer Center-Hematology/Oncology ( Site 0030) Philadelphia Pennsylvania
United States Mercy Research - David C. Pratt Cancer Center ( Site 0025) Saint Louis Missouri
United States Mercy Research - Cancer and Hematology Center ( Site 0032) Springfield Missouri

Sponsors (1)

Lead Sponsor Collaborator
Merck Sharp & Dohme LLC

Countries where clinical trial is conducted

United States,  Brazil,  Canada,  Chile,  China,  Dominican Republic,  Guatemala,  Hong Kong,  Hungary,  India,  Japan,  Korea, Republic of,  Malaysia,  Mexico,  Peru,  Philippines,  Romania,  Russian Federation,  South Africa,  Taiwan,  Thailand,  Turkey,  Ukraine, 

Outcome

Type Measure Description Time frame Safety issue
Primary Overall Survival (OS) in Participants With Programmed Cell Death Ligand 1 (PD-L1) Tumor Proportion Score (TPS) =50% OS is defined as the time from randomization to death due to any cause. Up to ~59 months
Primary OS in Participants With PD-L1 TPS =1% OS is defined as the time from randomization to death due to any cause. Up to ~59 months
Primary OS in Participants With PD-L1 TPS 1% to 49% OS is defined as the time from randomization to death due to any cause. Up to ~59 months
Primary Progression-Free Survival (PFS) in Participants With PD-L1 TPS =1% PFS is defined as the time from randomization to the first documented progressive disease (PD) or death due to any cause, whichever occurs first. Per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1, PD is defined as =20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of =5 mm. The appearance of one or more new lesions is also considered PD. PFS as assessed by blinded independent central review will be presented. Up to ~51 months
Primary PFS in Participants With PD-L1 TPS =50% PFS is defined as the time from randomization to the first documented progressive disease (PD) or death due to any cause, whichever occurs first. Per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1, PD is defined as =20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of =5 mm. The appearance of one or more new lesions is also considered PD. PFS as assessed by blinded independent central review will be presented. Up to ~51 months
Secondary Objective Response Rate (ORR) in Participants With PD-L1 TPS =1% ORR is defined as the percentage of participants who have a Complete Response (CR: Disappearance of all target lesions) or a Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions) per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1. The percentage of participants who experience a CR or PR as assessed by blinded independent central review based on RECIST 1.1 will be presented. Up to ~ 2 years
Secondary PFS in Participants With PD-L1 TPS 1% to 49% PFS is defined as the time from randomization to the first documented progressive disease (PD) or death due to any cause, whichever occurs first. Per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1, PD is defined as =20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of =5 mm. The appearance of one or more new lesions is also considered PD. PFS as assessed by blinded independent central review will be presented. Up to ~51 months
Secondary ORR in Participants With PD-L1 TPS =50% ORR is defined as the percentage of participants who have a Complete Response (CR: Disappearance of all target lesions) or a Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions) per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1. The percentage of participants who experience a CR or PR as assessed by blinded independent central review based on RECIST 1.1 will be presented. Up to ~ 2 years
Secondary ORR in Participants With PD-L1 TPS 1% to 49% ORR is defined as the percentage of participants who have a Complete Response (CR: Disappearance of all target lesions) or a Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions) per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1. The percentage of participants who experience a CR or PR as assessed by blinded independent central review based on RECIST 1.1 will be presented. Up to ~ 2 years
Secondary Duration of Response (DOR) in Participants With PD-L1 TPS =50% For participants who demonstrate a Complete Response (CR: Disappearance of all target lesions) or Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions) per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1, DOR is defined as the time from first documented evidence of CR or PR until progressive disease (PD) or death. Per RECIST 1.1, PD is defined as =20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered PD. The DOR as assessed by blinded independent central review will be presented. Up to ~59 months
Secondary DOR in Participants With PD-L1 TPS 1% to 49% For participants who demonstrate a Complete Response (CR: Disappearance of all target lesions) or Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions) per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1, DOR is defined as the time from first documented evidence of CR or PR until progressive disease (PD) or death. Per RECIST 1.1, PD is defined as =20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered PD. The DOR as assessed by blinded independent central review will be presented. Up to ~59 months
Secondary DOR in Participants With PD-L1 TPS =1% For participants who demonstrate a Complete Response (CR: Disappearance of all target lesions) or Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions) per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1, DOR is defined as the time from first documented evidence of CR or PR until progressive disease (PD) or death. Per RECIST 1.1, PD is defined as =20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered PD. The DOR as assessed by blinded independent central review will be presented. Up to ~59 months
Secondary Change from Baseline in Global Health Status/Quality of Life (QoL) (Items 29, 30) Combined Score on the European Organization for Research and Treatment of Cancer QoL Questionnaire-Core 30 (EORTC QLQ-C30) in Participants With PD-L1 TPS =50% Change from baseline in the score of EORTC QLQ-C30 Items 29 and 30 will be presented. The EORTC-QLQ-C30 is a 30-item questionnaire developed to assess the quality of life of cancer patients. Participant responses to Items 29 and 30 ("How would you rate your overall health during the past week?" and "How would you rate your overall quality of life during the past week?") are scored on a 7-point scale (1=Very Poor to 7=Excellent). A higher score indicates a better overall outcome. Baseline and up to ~107 weeks
Secondary Change from Baseline in Global Health Status/QoL (Items 29, 30) Combined Score on the EORTC QLQ-C30 in Participants With PD-L1 TPS 1% to 49% Change from baseline in the score of EORTC QLQ-C30 Items 29 and 30 will be presented. The EORTC-QLQ-C30 is a 30-item questionnaire developed to assess the quality of life of cancer patients. Participant responses to Items 29 and 30 ("How would you rate your overall health during the past week?" and "How would you rate your overall quality of life during the past week?") are scored on a 7-point scale (1=Very Poor to 7=Excellent). A higher score indicates a better overall outcome. Baseline and up to ~107 weeks
Secondary Change from Baseline in Global Health Status/QoL (Items 29, 30) Combined Score on the EORTC QLQ-C30 in Participants With PD-L1 TPS =1% Change from baseline in the score of EORTC QLQ-C30 Items 29 and 30 will be presented. The EORTC-QLQ-C30 is a 30-item questionnaire developed to assess the quality of life of cancer patients. Participant responses to Items 29 and 30 ("How would you rate your overall health during the past week?" and "How would you rate your overall quality of life during the past week?") are scored on a 7-point scale (1=Very Poor to 7=Excellent). A higher score indicates a better overall outcome. Baseline and up to ~107 weeks
Secondary Change from Baseline in Physical Functioning (Items 1-5) Combined Score on the EORTC QLQ-C30 in Participants With PD-L1 TPS =50% Change from baseline in the score of EORTC QLQ-C30 Items 1-5 will be presented. The EORTC QLQ-C30 is a cancer specific health-related quality-of life (QoL) questionnaire. Participant responses to 5 questions about their physical functioning are scored on a 4-point scale (1=Not at All to 4=Very Much). Higher scores indicate a worse level of function. Baseline and up to ~107 weeks
Secondary Change from Baseline in Physical Functioning (Items 1-5) Combined Score on the EORTC QLQ-C30 in Participants With PD-L1 TPS 1% to 49% Change from baseline in the score of EORTC QLQ-C30 Items 1-5 will be presented. The EORTC QLQ-C30 is a cancer specific health-related quality-of life (QoL) questionnaire. Participant responses to 5 questions about their physical functioning are scored on a 4-point scale (1=Not at All to 4=Very Much). Higher scores indicate a worse level of function. Baseline and up to ~107 weeks
Secondary Change from Baseline in Physical Functioning (Items 1-5) Combined Score on the EORTC QLQ-C30 in Participants With PD-L1 TPS =1% Change from baseline in the score of EORTC QLQ-C30 Items 1-5 will be presented. The EORTC QLQ-C30 is a cancer specific health-related quality-of life (QoL) questionnaire. Participant responses to 5 questions about their physical functioning are scored on a 4-point scale (1=Not at All to 4=Very Much). Higher scores indicate a worse level of function. Baseline and up to ~107 weeks
Secondary Change from Baseline in Role Functioning (Items 6, 7) Combined Score on the EORTC QLQ-C30 in Participants With PD-L1 TPS =50% Change from baseline in the score of EORTC QLQ-C30 Items 6-7 will be presented. The EORTC QLQ-C30 is a cancer specific health-related quality-of life (QoL) questionnaire. Participant responses to questions about their role functioning are scored on a 4-point scale (1=Not at All to 4=Very Much). Higher scores indicate a worse level of function. Baseline and up to ~107 weeks
Secondary Change from Baseline in Role Functioning (Items 6, 7) Combined Score on the EORTC QLQ-C30 in Participants With PD-L1 TPS 1% to 49% Change from baseline in the score of EORTC QLQ-C30 Items 6-7 will be presented. The EORTC QLQ-C30 is a cancer specific health-related quality-of life (QoL) questionnaire. Participant responses to questions about their role functioning are scored on a 4-point scale (1=Not at All to 4=Very Much). Higher scores indicate a worse level of function. Baseline and up to ~107 weeks
Secondary Change from Baseline in Role Functioning (Items 6, 7) Combined Score on the EORTC QLQ-C30 in Participants With PD-L1 TPS =1% Change from baseline in the score of EORTC QLQ-C30 Items 6-7 will be presented. The EORTC QLQ-C30 is a cancer specific health-related quality-of life (QoL) questionnaire. Participant responses to questions about their role functioning are scored on a 4-point scale (1=Not at All to 4=Very Much). Higher scores indicate a worse level of function. Baseline and up to ~107 weeks
Secondary Change from Baseline in Dyspnea Score (Item 8) on the EORTC QLQ-C30 in Participants With PD-L1 TPS =50% Change from baseline in the score of EORTC QLQ-C30 Item 8 will be presented. The EORTC QLQ-C30 is a cancer specific health-related quality-of life (QoL) questionnaire. Participant response to the question "Were you short of breath?" is scored on a 4-point scale (1=Not at All to 4=Very Much). A higher score indicates a worse level of dyspnea. Baseline and up to ~107 weeks
Secondary Change from Baseline in Dyspnea Score (Item 8) on the EORTC QLQ-C30 in Participants With PD-L1 TPS 1% to 49% Change from baseline in the score of EORTC QLQ-C30 Item 8 will be presented. The EORTC QLQ-C30 is a cancer specific health-related quality-of life (QoL) questionnaire. Participant response to the question "Were you short of breath?" is scored on a 4-point scale (1=Not at All to 4=Very Much). A higher score indicates a worse level of dyspnea. Baseline and up to ~107 weeks
Secondary Change from Baseline in Dyspnea Score (Item 8) on the EORTC QLQ-C30 in Participants With PD-L1 TPS =1% Change from baseline in the score of EORTC QLQ-C30 Item 8 will be presented. The EORTC QLQ-C30 is a cancer specific health-related quality-of life (QoL) questionnaire. Participant response to the question "Were you short of breath?" is scored on a 4-point scale (1=Not at All to 4=Very Much). A higher score indicates a worse level of dyspnea. Baseline and up to ~107 weeks
Secondary Change from Baseline in Cough Score (Item 31) on the European Organization for Research and Treatment of Cancer Quality of Life Lung Cancer-Specific Questionnaire Module (EORTC QLQ-LC13) in Participants With PD-L1 TPS =50% Change from baseline in the score of EORTC QLQ-LC13 Item 31 will be presented. The EORTC QLQ-LC13 is a lung cancer specific health-related quality-of life (QoL) questionnaire. Participant response to the question "Have you coughed?" is scored on a 4-point scale (1=Not at All to 4=Very Much). A higher score indicates more frequent coughing Baseline and up to ~107 weeks
Secondary Change from Baseline in Cough Score (Item 31) on the EORTC QLQ-LC13 in Participants With PD-L1 TPS 1% to 49% Change from baseline in the score of EORTC QLQ-LC13 Item 31 will be presented. The EORTC QLQ-LC13 is a lung cancer specific health-related quality-of life (QoL) questionnaire. Participant response to the question "Have you coughed?" is scored on a 4-point scale (1=Not at All to 4=Very Much). A higher score indicates more frequent coughing. Baseline and up to ~107 weeks
Secondary Change from Baseline in Cough Score (Item 31) on the EORTC QLQ-LC13 in Participants With PD-L1 TPS =1% Change from baseline in the score of EORTC QLQ-LC13 Item 31 will be presented. The EORTC QLQ-LC13 is a lung cancer specific health-related quality-of life (QoL) questionnaire. Participant response to the question "Have you coughed?" is scored on a 4-point scale (1=Not at All to 4=Very Much). A higher score indicates more frequent coughing. Baseline and up to ~107 weeks
Secondary Change from Baseline in Chest Pain Score (Item 40) on the EORTC QLQ-LC13 in Participants With PD-L1 TPS =50% Change from baseline in the score of EORTC QLQ-LC13 Item 40 will be presented. The EORTC QLQ-LC13 is a lung cancer specific health-related quality-of life (QoL) questionnaire. Participant response to the question "Have you had pain in your chest?" is scored on a 4-point scale (1=Not at All to 4=Very Much). A higher score indicates a worse level of chest pain. Baseline and up to ~107 weeks
Secondary Change from Baseline in Chest Pain Score (Item 40) on the EORTC QLQ-LC13 in Participants With PD-L1 TPS 1% to 49% Change from baseline in the score of EORTC QLQ-LC13 Item 40 will be presented. The EORTC QLQ-LC13 is a lung cancer specific health-related quality-of life (QoL) questionnaire. Participant response to the question "Have you had pain in your chest?" is scored on a 4-point scale (1=Not at All to 4=Very Much). A higher score indicates a worse level of chest pain. Baseline and up to ~107 weeks
Secondary Change from Baseline in Chest Pain Score (Item 40) on the EORTC QLQ-LC13 in Participants With PD-L1 TPS =1% Change from baseline in the score of EORTC QLQ-LC13 Item 40 will be presented. The EORTC QLQ-LC13 is a lung cancer specific health-related quality-of life (QoL) questionnaire. Participant response to the question "Have you had pain in your chest?" is scored on a 4-point scale (1=Not at All to 4=Very Much). A higher score indicates a worse level of chest pain. Baseline and up to ~107 weeks
Secondary Time to Deterioration (TTD) in Global Health Status/QoL (Items 29, 30) Combined Score on the EORTC QLQ-C30 in Participants With PD-L1 TPS =50% TTD in the score of EORTC QLQ-C30 Items 29 and 30 will be presented. The EORTC-QLQ-C30 is a 30-item questionnaire developed to assess the quality of life of cancer patients. Participant responses to Items 29 and 30 ("How would you rate your overall health during the past week?" and "How would you rate your overall quality of life during the past week?") are scored on a 7-point scale (1=Very Poor to 7=Excellent). A higher score indicates a better overall outcome. TTD is defined as the time to first onset of 10 or more (out of 100) deterioration from baseline and confirmed by a second adjacent 10 or more deterioration from baseline. Baseline and up to ~107 weeks
Secondary TTD in Global Health Status/QoL (Items 29, 30) Combined Score on the EORTC QLQ-C30 in Participants With PD-L1 TPS 1% to 49% TTD in the score of EORTC QLQ-C30 Items 29 and 30 will be presented. The EORTC-QLQ-C30 is a 30-item questionnaire developed to assess the quality of life of cancer patients. Participant responses to Items 29 and 30 ("How would you rate your overall health during the past week?" and "How would you rate your overall quality of life during the past week?") are scored on a 7-point scale (1=Very Poor to 7=Excellent). A higher score indicates a better overall outcome. TTD is defined as the time to first onset of 10 or more (out of 100) deterioration from baseline and confirmed by a second adjacent 10 or more deterioration from baseline. Baseline and up to ~107 weeks
Secondary TTD in Global Health Status/QoL (Items 29, 30) Combined Score on the EORTC QLQ-C30 in Participants With PD-L1 TPS =1% TTD in the score of EORTC QLQ-C30 Items 29 and 30 will be presented. The EORTC-QLQ-C30 is a 30-item questionnaire developed to assess the quality of life of cancer patients. Participant responses to Items 29 and 30 ("How would you rate your overall health during the past week?" and "How would you rate your overall quality of life during the past week?") are scored on a 7-point scale (1=Very Poor to 7=Excellent). A higher score indicates a better overall outcome. TTD is defined as the time to first onset of 10 or more (out of 100) deterioration from baseline and confirmed by a second adjacent 10 or more deterioration from baseline. Baseline and up to ~107 weeks
Secondary TTD in Physical Functioning (Items 1-5) Combined Score on the EORTC QLQ-C30 in Participants With PD-L1 TPS =50% TTD in the score of EORTC QLQ-C30 Items 1-5 will be presented. The EORTC QLQ-C30 is a cancer specific health-related quality-of life (QoL) questionnaire. Participant responses to 5 questions about their physical functioning are scored on a 4-point scale (1=Not at All to 4=Very Much). Higher scores indicate a worse level of function. TTD is defined as the time to first onset of 10 or more (out of 100) deterioration from baseline and confirmed by a second adjacent 10 or more deterioration from baseline. Baseline and up to ~107 weeks
Secondary TTD in Physical Functioning (Items 1-5) Combined Score on the EORTC QLQ-C30 in Participants With PD-L1 TPS =1% to 49% TTD in the score of EORTC QLQ-C30 Items 1-5 will be presented. The EORTC QLQ-C30 is a cancer specific health-related quality-of life (QoL) questionnaire. Participant responses to 5 questions about their physical functioning are scored on a 4-point scale (1=Not at All to 4=Very Much). Higher scores indicate a worse level of function. TTD is defined as the time to first onset of 10 or more (out of 100) deterioration from baseline and confirmed by a second adjacent 10 or more deterioration from baseline. Baseline and up to ~107 weeks
Secondary TTD in Physical Functioning (Items 1-5) Combined Score on the EORTC QLQ-C30 in Participants With PD-L1 TPS =1% TTD in the score of EORTC QLQ-C30 Items 1-5 will be presented. The EORTC QLQ-C30 is a cancer specific health-related quality-of life (QoL) questionnaire. Participant responses to 5 questions about their physical functioning are scored on a 4-point scale (1=Not at All to 4=Very Much). Higher scores indicate a worse level of function. TTD is defined as the time to first onset of 10 or more (out of 100) deterioration from baseline and confirmed by a second adjacent 10 or more deterioration from baseline. Baseline and up to ~107 weeks
Secondary TTD in Role Functioning (Items 6, 7) Combined Score on the EORTC QLQ-C30 in Participants With PD-L1 TPS =50% TTD in the score of EORTC QLQ-C30 Items 6-7 will be presented. The EORTC QLQ-C30 is a cancer specific health-related quality-of life (QoL) questionnaire. Participant responses to questions about their role functioning are scored on a 4-point scale (1=Not at All to 4=Very Much). Higher scores indicate a worse level of function. TTD is defined as the time to first onset of 10 or more (out of 100) deterioration from baseline and confirmed by a second adjacent 10 or more deterioration from baseline. Baseline and up to ~107 weeks
Secondary TTD in Role Functioning (Items 6, 7) Combined Score on the EORTC QLQ-C30 in Participants With PD-L1 TPS 1% to 49% TTD in the score of EORTC QLQ-C30 Items 6-7 will be presented. The EORTC QLQ-C30 is a cancer specific health-related quality-of life (QoL) questionnaire. Participant responses to questions about their role functioning are scored on a 4-point scale (1=Not at All to 4=Very Much). Higher scores indicate a worse level of function. TTD is defined as the time to first onset of 10 or more (out of 100) deterioration from baseline and confirmed by a second adjacent 10 or more deterioration from baseline. Baseline and up to ~107 weeks
Secondary TTD in Role Functioning (Items 6, 7) Combined Score on the EORTC QLQ-C30 in Participants With PD-L1 TPS =1% TTD in the score of EORTC QLQ-C30 Items 6-7 will be presented. The EORTC QLQ-C30 is a cancer specific health-related quality-of life (QoL) questionnaire. Participant responses to questions about their role functioning are scored on a 4-point scale (1=Not at All to 4=Very Much). Higher scores indicate a worse level of function. TTD is defined as the time to first onset of 10 or more (out of 100) deterioration from baseline and confirmed by a second adjacent 10 or more deterioration from baseline. Baseline and up to ~107 weeks
Secondary TTD in Dyspnea Score (Item 8) on the EORTC QLQ-C30 in Participants With PD-L1 TPS =50% TTD in the score of EORTC QLQ-C30 Item 8 will be presented. The EORTC QLQ-C30 is a cancer specific health-related quality-of life (QoL) questionnaire. Participant response to the question "Were you short of breath?" is scored on a 4-point scale (1=Not at All to 4=Very Much). A higher score indicates a worse level of dyspnea. TTD is defined as the time to first onset of 10 or more (out of 100) deterioration from baseline and confirmed by a second adjacent 10 or more deterioration from baseline. Baseline and up to ~107 weeks
Secondary TTD in Dyspnea Score (Item 8) on the EORTC QLQ-C30 in Participants With PD-L1 TPS 1% to 49% TTD in the score of EORTC QLQ-C30 Item 8 will be presented. The EORTC QLQ-C30 is a cancer specific health-related quality-of life (QoL) questionnaire. Participant response to the question "Were you short of breath?" is scored on a 4-point scale (1=Not at All to 4=Very Much). A higher score indicates a worse level of dyspnea. TTD is defined as the time to first onset of 10 or more (out of 100) deterioration from baseline and confirmed by a second adjacent 10 or more deterioration from baseline. Baseline and up to ~107 weeks
Secondary TTD in Dyspnea Score (Item 8) on the EORTC QLQ-C30 in Participants With PD-L1 TPS =1% TTD in the score of EORTC QLQ-C30 Item 8 will be presented. The EORTC QLQ-C30 is a cancer specific health-related quality-of life (QoL) questionnaire. Participant response to the question "Were you short of breath?" is scored on a 4-point scale (1=Not at All to 4=Very Much). A higher score indicates a worse level of dyspnea. TTD is defined as the time to first onset of 10 or more (out of 100) deterioration from baseline and confirmed by a second adjacent 10 or more deterioration from baseline. Baseline and up to ~107 weeks
Secondary TTD in Cough Score (Item 31) on the EORTC QLQ-LC13 in Participants With PD-L1 TPS =50% TTD in the score of EORTC QLQ-LC13 Item 31 will be presented. The EORTC QLQ-LC13 is a lung cancer specific health-related quality-of life (QoL) questionnaire. Participant response to the question "Have you coughed?" is scored on a 4-point scale (1=Not at All to 4=Very Much). A higher score indicates more frequent coughing. TTD is defined as the time to first onset of 10 or more (out of 100) deterioration from baseline and confirmed by a second adjacent 10 or more deterioration from baseline. Baseline and up to ~107 weeks
Secondary TTD in Cough Score (Item 31) on the EORTC QLQ-LC13 in Participants With PD-L1 TPS 1% to 49% TTD in the score of EORTC QLQ-LC13 Item 31 will be presented. The EORTC QLQ-LC13 is a lung cancer specific health-related quality-of life (QoL) questionnaire. Participant response to the question "Have you coughed?" is scored on a 4-point scale (1=Not at All to 4=Very Much). A higher score indicates more frequent coughing. TTD is defined as the time to first onset of 10 or more (out of 100) deterioration from baseline and confirmed by a second adjacent 10 or more deterioration from baseline. Baseline and up to ~107 weeks
Secondary TTD in Cough Score (Item 31) on the EORTC QLQ-LC13 in Participants With PD-L1 TPS =1% TTD in the score of EORTC QLQ-LC13 Item 31 will be presented. The EORTC QLQ-LC13 is a lung cancer specific health-related quality-of life (QoL) questionnaire. Participant response to the question "Have you coughed?" is scored on a 4-point scale (1=Not at All to 4=Very Much). A higher score indicates more frequent coughing. TTD is defined as the time to first onset of 10 or more (out of 100) deterioration from baseline and confirmed by a second adjacent 10 or more deterioration from baseline. Baseline and up to ~107 weeks
Secondary TTD in in Chest Pain Score (Item 40) on the EORTC QLQ-LC13 in Participants With PD-L1 TPS =50% TTD in the score of EORTC QLQ-LC13 Item 40 will be presented. The EORTC QLQ-LC13 is a lung cancer specific health-related quality-of life (QoL) questionnaire. Participant response to the question "Have you had pain in your chest?" is scored on a 4-point scale (1=Not at All to 4=Very Much). A higher score indicates a worse level of chest pain. TTD is defined as the time to first onset of 10 or more (out of 100) deterioration from baseline and confirmed by a second adjacent 10 or more deterioration from baseline. Baseline and up to ~107 weeks
Secondary TTD in in Chest Pain Score (Item 40) on the EORTC QLQ-LC13 in Participants With PD-L1 TPS 1% to 49% TTD in the score of EORTC QLQ-LC13 Item 40 will be presented. The EORTC QLQ-LC13 is a lung cancer specific health-related quality-of life (QoL) questionnaire. Participant response to the question "Have you had pain in your chest?" is scored on a 4-point scale (1=Not at All to 4=Very Much). A higher score indicates a worse level of chest pain. TTD is defined as the time to first onset of 10 or more (out of 100) deterioration from baseline and confirmed by a second adjacent 10 or more deterioration from baseline. Baseline and up to ~107 weeks
Secondary TTD in in Chest Pain Score (Item 40) on the EORTC QLQ-LC13 in Participants With PD-L1 TPS =1% TTD in the score of EORTC QLQ-LC13 Item 40 will be presented. The EORTC QLQ-LC13 is a lung cancer specific health-related quality-of life (QoL) questionnaire. Participant response to the question "Have you had pain in your chest?" is scored on a 4-point scale (1=Not at All to 4=Very Much). A higher score indicates a worse level of chest pain. TTD is defined as the time to first onset of 10 or more (out of 100) deterioration from baseline and confirmed by a second adjacent 10 or more deterioration from baseline. Baseline and up to ~107 weeks
Secondary Number of Participants Who Experienced One or More Adverse Events (AEs) The number of participants who experienced an adverse event (AE) will be presented. An AE is defined as any untoward medical occurrence in a participant administered study treatment and which did not necessarily have to have a causal relationship with this treatment. Up to ~115 weeks
Secondary Number of Participants Who Discontinued Study Intervention Due to an Adverse Event (AE) The number of participants who discontinue study intervention due to an adverse event (AE) will be presented. An AE is defined as any untoward medical occurrence in a participant administered study treatment and which did not necessarily have to have a causal relationship with this treatment. Up to ~103 weeks
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