New drug cocktail aims to outperform standard lung cancer therapy
NCT ID NCT06236438
First seen Jun 27, 2026 · Last updated Sep 15, 2026 · Updated 8 times
Summary
This study tests whether two experimental drugs (livmoniplimab and budigalimab) combined with chemotherapy work better than the current standard treatment (pembrolizumab plus chemo) for people with untreated metastatic non-squamous non-small cell lung cancer. About 840 adults will take part across 200 sites worldwide. The trial has two stages: first to find the best dose, then to compare the new combo against standard care.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- livmoniplimab and budigalimab (investigational drugs) plus chemotherapy (pemetrexed and cisplatin or carboplatin)
- What this could lead to
- If successful, this combination could offer a new first-line treatment option for people with metastatic non-squamous lung cancer, potentially improving response rates and survival.
- What could go wrong
- This is an early-to-mid stage trial; the experimental drugs may not work better than the current standard, and side effects could be more burdensome. Results are years away.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
-
About 840 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Apr 2024
- Expected to finish
-
Oct 2031
An estimate. End dates often move.
- Lead sponsor
-
A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Diagnosis of histologically or cytologically confirmed metastatic nonsquamous non-small cell lung cancer (NSCLC) with no known epidermal growth factor receptor (EGFR), anaplastic lymphoma kinase (ALK) mutation, or other genomic aberration for which a locally approved targeted therapy is available. * Must have at least 1 measurable lesion per response evaluation criteria in solid tumors (RECIST) v1.1 as determined by the local site Investigator/radiology assessment. * Life expectancy of at least 3 months and adequate organ function. Exclusion Criteria: \- Received prior systemic therapy for the treatment of metastatic NSCLC.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Non-small cell lung cancer are added.
Genom att skicka in godkänner du våra Användarvillkor
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
-
The places running it
52 sites in 12 countries. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
-
APHM - Hopital Nord /ID# 261129
RECRUITINGMarseille, Bouches-du-Rhone, 13015, France
-
AZ Maria Middelares /ID# 262313
RECRUITINGGhent, 9000, Belgium
-
Ankara City Hospital /ID# 261785
RECRUITINGAnkara, 06800, Turkey (Türkiye)
-
Atrium-Orbis - Zuyderland Medisch Centrum Heerlen /ID# 261190
RECRUITINGHeerlen, Limburg, 6419 PC, Netherlands
-
Baptist Health Lexington /ID# 261823
RECRUITINGLexington, Kentucky, 40503, United States
-
Bond Clinic /ID# 262611
RECRUITINGWinter Haven, Florida, 33880, United States
-
CHU Grenoble - Hopital Michallon /ID# 261131
RECRUITINGLa Tronche, Isere, 38700, France
-
Canberra Hospital /ID# 261891
RECRUITINGGarran, Australian Capital Territory, 2605, Australia
-
Cancer & Hematology Centers of Western Michigan - East /ID# 261826
RECRUITINGGrand Rapids, Michigan, 49546-7062, United States
-
Centre Hosp Intercommunal de Creteil /ID# 261130
RECRUITINGCréteil, Val-de-Marne, 94000, France
-
Centro de Investigacion y Desarrollo Oncologico /ID# 261800
RECRUITINGTemuco, Araucania, 4810218, Chile
-
Cliniques Universitaires UCL Saint-Luc /ID# 261267
RECRUITINGBrussels, Brussels Capital, 1200, Belgium
-
Complejo Hospitalario Universitario de Santiago /ID# 262723
RECRUITINGSantiago de Compostela, A Coruna, 15706, Spain
-
Cone Health Cancer Center /ID# 262583
COMPLETEDGreensboro, North Carolina, 27403-1109, United States
-
Dr. Suat Seren Gogus Has /ID# 261789
RECRUITINGIzmir, 35110, Turkey (Türkiye)
-
Fundacion Arturo Lopez Perez /ID# 261700
RECRUITINGProvidencia, Santiago Metropolitan, 7500921, Chile
-
Gazi University Medical Faculty /ID# 261786
RECRUITINGAnkara, 06560, Turkey (Türkiye)
-
Groupe Sante CHC - Clinique du MontLegia /ID# 262338
RECRUITINGLiège, Liege, 4000, Belgium
-
Guthrie Robert Packer Hospital /ID# 262758
COMPLETEDSayre, Pennsylvania, 18840, United States
-
Hospices Civils de Lyon - Hopital Louis Pradel /ID# 261644
RECRUITINGBron, Rhone, 69500, France
-
Hospital Clinico Universidad De Los Andes /ID# 262665
COMPLETEDSantiago, 7501504, Chile
-
Hospital Clinico Universitario de Valencia /ID# 262115
RECRUITINGValencia, 46010, Spain
-
Hospital General Universitario Gregorio Maranon /ID# 262114
RECRUITINGMadrid, 28007, Spain
-
Hospital La Louviere Site Jolimont - Helora /ID# 261269
COMPLETEDLa Louvière, Hainaut, 7100, Belgium
-
Hospital Universitario 12 de Octubre /ID# 262112
RECRUITINGMadrid, 28041, Spain
-
Hospital Universitario Vall de Hebron /ID# 262113
RECRUITINGBarcelona, 08035, Spain
-
Houston Methodist Hospital /ID# 262722
RECRUITINGHouston, Texas, 77030, United States
-
Institut Catala dOncologia - LHospitalet /ID# 262118
RECRUITINGL'Hospitalet de Llobregat, Barcelona, 08907, Spain
-
Institut Curie /ID# 261127
RECRUITINGParis, Paris, 75248, France
-
Isala /ID# 262458
RECRUITINGZwolle, Overijssel, 8025 AB, Netherlands
-
Linkou Chang Gung Memorial Hospital /ID# 262535
RECRUITINGTaoyuan City, 333, Taiwan
-
Mackay Memorial Hospital /ID# 262534
RECRUITINGTaipei, 104, Taiwan
-
Memorial Hospital West /ID# 262221
COMPLETEDPembroke Pines, Florida, 33028, United States
-
National Cancer Center Hospital /ID# 261925
RECRUITINGChuo-ku, Tokyo, 104-0045, Japan
-
National Cancer Center Hospital East /ID# 261923
RECRUITINGKashiwa-shi, Chiba, 277-8577, Japan
-
National Cheng Kung University Hospital /ID# 262016
RECRUITINGTainan, 704, Taiwan
-
Nepean Hospital /ID# 262157
RECRUITINGKingswood, New South Wales, 2747, Australia
-
Oncology Hematology Care, Inc - Blue Ash /ID# 262733
RECRUITINGCincinnati, Ohio, 45252, United States
-
Oncored /Id# 261801
RECRUITINGVitacura, Region Metropolitana Santiago, 7650027, Chile
-
Pan American Center for Oncology Trials - Rio Piedras /ID# 269666
RECRUITINGRio Piedras, 00935, Puerto Rico
-
Rambam Health Care Campus /ID# 262431
RECRUITINGHaifa, 3109601, Israel
-
Renovatio Clinical /ID# 261999
COMPLETEDThe Woodlands, Texas, 77380-3181, United States
-
Renovatio clinical /ID# 262000
COMPLETEDEl Paso, Texas, 79915-1803, United States
-
Saitama Prefectural Cancer Center /ID# 262703
RECRUITINGKitaadachi-gun, Saitama, 362-0806, Japan
-
Shaare Zedek Medical Center /ID# 262432
RECRUITINGJerusalem, Jerusalem, 91031, Israel
-
Sociedad Cem-Cancer Spa /Id# 262316
RECRUITINGViña del Mar, Valparaiso, 2520598, Chile
-
Stony Brook Cancer Center /ID# 261954
COMPLETEDStony Brook, New York, 11794-0001, United States
-
Taipei Medical University Hospital /ID# 262020
RECRUITINGTaipei, 11031, Taiwan
-
Texas Oncology - Plano East /ID# 264356
RECRUITINGPlano, Texas, 75075, United States
-
Texas Oncology - San Antonio Medical Center - Research Drive /ID# 264311
RECRUITINGSan Antonio, Texas, 78240, United States
-
The University of Chicago Medical Center /ID# 262259
RECRUITINGChicago, Illinois, 60637-1443, United States
-
UC San Diego Health - Moores Cancer Center /ID# 267782
COMPLETEDLa Jolla, California, 92037, United States
-
UCL Namur University Hospital, Site Sainte-Elisabeth /ID# 262557
RECRUITINGNamur, 5000, Belgium
-
UOMi Cancer Center - Clinica Tres Torres /ID# 262116
RECRUITINGBarcelona, 08017, Spain
-
Universitair Ziekenhuis Antwerpen /ID# 261270
RECRUITINGEdegem, Antwerpen, 2650, Belgium
-
University Cancer and Blood Cent /ID# 261824
RECRUITINGAthens, Georgia, 30607, United States
-
University of Kansas Medical Center /ID# 263196
RECRUITINGWestwood, Kansas, 66205, United States
-
Vista Oncology - East Olympia /ID# 262303
RECRUITINGOlympia, Washington, 98506-5028, United States
-
Washington University-School of Medicine /ID# 262759
RECRUITINGSt Louis, Missouri, 63110, United States
-
Westmead Hospital /ID# 261894
RECRUITINGWestmead, New South Wales, 2145, Australia
-
Ziekenhuis St. Jansdal /ID# 261193
RECRUITINGHarderwijk, Gelderland, 3844 DG, Netherlands
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Two-Drug combo targets stubborn KRAS lung cancer
- Smaller chest drain may speed recovery after lung cancer surgery
- Gut bacteria may hold clues to why some cancer treatments work better
- Breath-Tracking sensor aims to sharpen lung cancer scans
- Can PET scan signals predict who beats lung cancer with immunotherapy?
- Two-Drug combo takes aim at Hard-to-Treat lung cancer