A Global Phase III Study of Rilvegostomig or Pembrolizumab Monotherapy for First-Line Treatment of PD-L1-high Metastatic Non-small Cell Lung Cancer

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorAstraZeneca

About this trial

The purpose of ARTEMIDE-Lung04 is to assess the efficacy and safety of rilvegostomig compared with pembrolizumab monotherapy as 1L treatment in participants with mNSCLC and whose tumors express PD-L1.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Histologically or cytologically documented NSCLC (non small lung cancer), including all histological subtypes.

Stage IV mNSCLC (metastatic non-small cell lung cancer) (based on the American Joint Committee on Cancer Edition 8) not amenable to curative treatment.

Absence of sensitizing EGFR (epidermal growth factor) mutations and ALK (anaplastic lymphoma kinase) and ROS1 (c-ros oncogene 1) rearrangements. Negative assay result is required for all non-squamous histology subtypes.

Absence of documented tumor genomic mutation results from tests conducted as part of standard local practice in any other actionable driver oncogenes for which there are locally approved targeted 1L (first line) therapies.

Disqualifiers

As judged by the investigator, any severe or uncontrolled systemic diseases, makes it undesirable for the participant to participate in the study or that would jeopardize compliance with the protocol.

History of organ transplant.

Active or prior documented autoimmune or inflammatory disorders requiring chronic treatment with steroids or other immunosuppressive treatment.

History of another primary malignancy except for malignancy treated with curative intent with no known active disease ≥ 2 years before the first dose of study intervention and of low potential risk for recurrence.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Rilvegostomig

    Biological/Vaccine

    Administered intravenously (IV) on Day 1 of each 21-day cycle

  • Pembrolizumab

    Biological/Vaccine

    Administered intravenously (IV) on Day 1 of each 21-day cycle

Treatment groups

830 Participants
are divided into 2 treatment groups
Group A: Arm AExperimental treatment 1 intervention
Group B: Arm BActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Overall Survival (OS)

OS is defined as the time from randomization until the date of death due to any cause.

Time frame
Up to approximately 5 years
2

Progression-Free Survival (PFS)

PFS is defined as the time from randomization until radiological progression per RECIST 1.1 or death due to any cause (in the absence of progression).

Time frame
Up to approximately 5 years

Secondary outcomes

1

Landmark Overall Survival (OS) rates

OS is defined as the time from randomization until the date of death due to any cause.

Time frame
Up to approximately 5 years
2

Landmark Progression-Free Survival (PFS) rates

PFS is defined as the time from randomization until radiological progression per RECIST 1.1 or death due to any cause (in the absence of progression).

Time frame
Up to approximately 5 years
3

Objective Response Rate (ORR)

ORR is defined as the proportion of participants who have a confirmed CR or confirmed PR, using RECIST 1.1.

Time frame
Up to approximately 5 years
4

Duration of Response (DoR)

DoR is defined as the time from the date of first documented response until the date of documented progression using RECIST 1.1 or death due to any cause (in the absence of progression).

Time frame
Up to approximately 5 years

Other outcomes

Sponsors and contacts

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