About this trial
This is a multicentre, randomized, double-blind, parallel-controlled integrated phase I/III clinical study to evaluate the similarity in efficacy, safety, PK profile, and immunogenicity of HLX17 vs. Keytruda®( US- and EU-sourced) in the first-line treatment of advanced non-squamous non-small cell lung cancer.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Histologically or cytologically confirmed diagnosis of stage IV inoperable to surgery or radiotherapy (AJCC 8th edition) non-squamous NSCLC.
Without any tumor activating EGFR mutation or ALK or ROS1 gene rearrangement.
Have not received prior systemic treatment for their advanced/metastatic NSCLC.
At least one measurable lesion as assessed by IRRC based on RECIST v1.1.
Disqualifiers
Subjects with NSCLC of other histopathological types, such as mixed adenosquamous carcinoma, and subjects with small cell lung cancer or neuroendocrine carcinoma.
Subjects with other active malignancies within 5 years or at the same time prior to screening.
Active central nervous system metastases.
Known interstitial pneumonia, pneumoconiosis, radiation pneumonitis, drug-related pneumonitis, and severe lung function abnormalities that may impede the investigators' diagnosis and management of drug-related pulmonary toxicity.
Trial design
Parallel
Treatments tested in this trial
HLX17
DrugHLX17 will be administered as IV infusion at a dose of 200mg on Day 1 of each 21-day cycle in combination with Carboplatin and Pemetrexed until loss of clinical benefit or up to 1 year.
US-sourced Keytruda®
DrugUS-sourced Keytruda® will be administered as IV infusion at a dose of 200mg on Day 1 of each 21-day cycle in combination with Carboplatin and Pemetrexed. After 24 weeks, all subjects in the US-Keytruda® group will receive HLX17 in combination with Pemetrexed until loss of clinical benefit or up to 1 year.
EU-sourced Keytruda®
DrugEU-sourced Keytruda® will be administered as IV infusion at a dose of 200mg on Day 1 of each 21-day cycle in combination with Carboplatin and Pemetrexed until loss of clinical benefit or up to 1 year.
Treatment groups
Trial outcomes
Primary outcomes
Area under the serum concentration-time curve from time 0 to 21 days (AUC0-21d)
Area under the serum concentration-time curve within a dosing interval at steady state (AUCss)
Best Objective Response Rate (BORR) assessed by Independent Radiology Review Committee (IRRC) based on RECIST v1.1
Secondary outcomes
Maximum serum drug concentration (Cmax) after the first dose
Trough serum drug concentration (Ctrough) after the first dose
Area under the serum concentration-time curve from time 0 to infinity (AUC0-inf) after the first dose
Area under the serum concentration-time curve extrapolated from time t to infinity as a percentage of total AUC (%AUCex) after the first dose
Locations
Sponsors and contacts
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