Addition of Platinum-based Chemotherapy to Tislelizumab in PD-L1high Metastatic Non-small Cell Lung Cancer With a High Tumor Burden

Trial statusNot yet recruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorAIO-Studien-gGmbH

About this trial

AIO-TRK/YMO-0425 (High Five) is a phase III, open-label randomized-controlled, multicenter study to evaluate the progression-free survival by the addition of platinum-based chemotherapy to immunotherapy (IO) compared to IO monotherapy in patients with PD-L1high mNSCLC featuring a high tumor burden.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Written informed consent obtained from subject and ability for subject to comply with the requirements of the study

Histologically confirmed and treatment-naïve non-small cell lung cancer UICC 9th stage IV

PD-L1 ≥ 50%

High Tumor Burden defined as the longest diameter of the tumor or at least one metastasis ≥ 50mm and no eligibility for a curative treatment approach

Disqualifiers

Presence of a condition, disease or abnormality that in the opinion of the Investigator would compromise the safety of the patient, the patient's ability to comply with the study procedures (e.g., dementia) or the quality of the data. Specifically, the presence of any preexisting autoimmune disease that prohibits dosing of IMP as per treatment modification guidelines in the current IB/SmPC

Concurrent enrolment in another clinical study, unless it is an observational (non-interventional) clinical study, or during the follow-up period of an interventional study

Concurrent malignancy other than NSCLC requiring active treatment

Has known hypersensitivity to the IMPs or to any component of the planned regimen, their metabolites, or formulation excipients, or any other contraindication to any component of the planned study regimen according to the tislelizumab IB and the relevant SmPCs

Trial design

Design model

Parallel

Treatments tested in this trial

  • Tislelizumab

    Drug

    Tislelizumab monotherapy 200 mg i.v. q3w

  • Tislelizumab Combined With Chemotherapy

    Drug

    Non-squamous NSCLC: tislelizumab 200 mg i.v. + platinum-based chemotherapy (cisplatin 75 mg/m2 i.v. or carboplatin AUC 5-6 i.v.) + pemetrexed 500 mg/m2 i.v.; squamous NSCLC: tislelizumab 200 mg i.v. + carboplatin AUC 5-6 i.v. + (nab)paclitaxel (nab-paclitaxel 100 mg/m2 i.v., paclitaxel 175 or 200 mg/m2 i.v.

  • Pembrolizumab

    Drug

    Pembrolizumab monotherapy 200 mg i.v. q3w

Treatment groups

230 Participants
are divided into 2 treatment groups
Group A: Immune-monotherapyActive comparator 2 interventions
Group B: Tislelizumab + platinum-based doublet chemotherapyExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Progression-free survival

time from randomization to the date of first objective disease progression (according to RECIST V1.1) or death of any cause, whichever occurs first.

Time frame
max. 50 months

Secondary outcomes

1

Overall survival

Time frame
max. 50 months
2

Objective response rate

rate of patients with complete response (CR) or partial response (PR) as best response

Time frame
max. 50 months
3

Duration of response

Time frame
max. 50 months
4

Disease control rate

Time frame
max. 50 months

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

AIO-Studien-gGmbH

Lead sponsor

BeOne Medicines

Collaborator

This trial is not recruiting at the moment. You can still explore other options: