New drug duo aims to slow advanced lung cancer in first-line trial
NCT ID NCT06448312
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether adding the experimental drug SKB264 to the standard immunotherapy pembrolizumab works better than pembrolizumab alone for people with advanced non-small cell lung cancer that has a specific marker (PD-L1 positive). About 406 participants who have not had prior treatment for advanced disease will receive either the combination or the standard drug. The main goal is to see if the combination delays cancer growth or improves survival.
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
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 406 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2024
- Expected to finish
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Nov 2026
An estimate. End dates often move.
- Lead sponsor
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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
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18 to 75 years
- Sex
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Anyone
- Healthy volunteers
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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:Key Inclusion Criteria: 1. Histologically or cytologically confirmed NSCLC that is locally advanced (Stage ⅢB/ⅢC) or metastatic (Stage IV) NSCLC that is not amenable to radical surgery and/or radical radiotherapy regardless of concurrent chemotherapy. 2. No prior systemic anti-cancer therapy for locally advanced or metastatic disease. 3. Participants whose tumours are PD-L1 TPS ≥ 1%. 4. At least one measurable lesion per RECIST v1.1. 5. Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1 with no worsening within 7 days prior to randomization. 6. A life expectancy of at least 12 weeks. 7. Adequate organ and bone marrow function. Exclusion Criteria:Key Exclusion Criteria: 1. Active second malignancy. 2. Uncontrolled or clinical significant cardiovascular disease. 3. History of noninfectious pneumonitis/interstitial lung disease (ILD) that required steroids or has current pneumonitis/ILD. 4. Active infection requiring systemic therapy within 2 weeks of randomization. 5. Active hepatitis B or hepatitis C virus infection. 6. Human immunodeficiency virus (HIV) positive or history of acquired immunodeficiency syndrome (AIDS); known active syphilis infection. 7. Known allergy to SKB264 or pembrolizumab or any of its components. 8. Prior treatment with any of the following (including in the context of adjuvant, neoadjuvant therapy): 1. Immune checkpoint inhibitors (e.g., anti-PD-1/L1 antibody, anti-CTLA-4 antibody, etc.), checkpoint agonists (e.g., ICOS, CD40, CD137, GITR, OX40 antibody, etc.), any treatment targeting the immune mechanism of tumors such as immune cell therapy; 2. Therapy targeting TROP2. 3. Any drug therapy that targets topoisomerase I, including antibody-drug conjugates (ADCs). 9. Major surgery within 4 weeks prior to randomization or expected major surgery during the study. 10. Pregnant or lactating women.
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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.
Contacts and locations
Locations
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Affiliated Cancer Hospital and Institute of Guangzhou Medical University
Guangzhou, China
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Affiliated Tumor Hospital of Xinjiang Medical University
Xinjiang, China
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Anhui Provincial Chest Hospital
Hefei, China
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Army Medical Center of PLA (Daping Hospital)
Chongqing, China
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Beijing Chest Hospital. Capital Medical University
Beijing, China
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Beijing Institute for Cancer Research
Beijing, China
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Cancer Hospital Chinese Academy of Medical Sciences
Beijing, China
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Chengdu Fifth People's Hospital
Chengdu, China
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China Medical University First Affiliated Hospital
Shenyang, China
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Chongqing University Cancer Hospital
Chongqing, China
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Dongguan People's Hospital
Dongguan, China
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Fujian Cancer Hospital
Fuzhou, China
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Fujian Medical University Union Hospital
Fuzhou, China
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Gansu Provincial Cancer Hospital
Lanzhou, China
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Guangxi Medical University Cancer Hospital
Nanning, China
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Harbin Medical University Cancer Hospital
Harbin, China
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Hebei University Affiliated Hospital
Baoding, China
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Hubei Cancer Hospital
Wuhan, China
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Hunan Cancer Hospital
Changsha, China
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Jiangsu Province Hospital
Nanjing, China
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Jiangxi Cancer Hospital
Nanchang, China
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Jilin Cancer Hospital
Changchun, China
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Liaoning Cancer Hospital
Shenyang, China
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Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China
Mianyang, China
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People's Hospital of Guangxi Zhuang Autonomous Region
Nanning, China
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Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences
Jinan, China
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Shandong Provincial Hospital
Jinan, China
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Shanghai Chest Hospital
Shanghai, China
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Shanghai East Hospital, Tongji University
Shanghai, China
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Shanghai Pulmonary Hospital
Shanghai, China
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Shanxi Province Cancer Hospital
Taiyuan, China
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Shengjing Hospital, China Medical University
Shenyang, China
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Sichuan Provincial People's Hospital
Chengdu, China
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Sir Run Run Shaw Hospital (SRRSH)
Hangzhou, China
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Subei People's Hospital of Jiangsu province
Yangzhou, China
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Sun Yat-sen Memorial Hospital Sun Yat-sen University
Guangzhou, China
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Sun Yat-sen University Cancer Center
Guangzhou, China
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The 2nd Affiliated Hospital of Harbin Medical University
Harbin, China
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The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital,Henan Academy of Innovations in Medical Science
Zhengzhou, China
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The First Affiliated Hospital Of Xiamen University
Xiamen, China
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The First Affiliated Hospital of Henan University of Science & Technology
Luoyang, China
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The First Affiliated Hospital of Nanchang University
Nanchang, China
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The First Affiliated Hospital of Sun Yat-sen University
Guangzhou, China
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The First Affiliated Hospital of XiAn Jiaotong University
Xi'an, China
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The First Affiliated Hospital of Xinxiang Medical University
Xinxiang, China
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The First Affiliated Hospital of Zhengzhou University
Zhengzhou, China
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The First Hospital of Jilin University
Changchun, China
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The Second Affiliated Hospital Of Anhui Medical University
Hefei, China
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The Second Affiliated Hospital Of Zunyi Medical University
Zunyi, China
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The Second Affiliated Hospital of Dalian Medical University
Dalian, China
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The Second Affiliated Hospital of XiAn Jiaotong University
Xi'an, China
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The Second People's Hospital of Hunan Province(Brain Hospital of Hunan Province)
Changsha, China
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The Southwest Hospital Of AMU
Chongqing, China
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The Third Affiliated Hospital of Kunming Medical University Yunnan Cancer Hospital
Kunming, China
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Tianjin Medical University Cancer Institute and Hospital
Tianjin, China
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Union Hospital Tongji Medical College Huazhong University of Science and Technology
Wuhan, China
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University of Electronic Science and Technology of China, Sichuan Cancer Hospital and Institute & Cancer, The Second People's Hospital of Sichuan Province
Chengdu, China
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West China Hospital of Sichuan University
Chengdu, China
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Xiangya Second Hospital of Central South University
Changsha, China
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Xiangyang Central Hospital
Xiangyang, China
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Yibin Second People's Hospital
Yibin, China
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Yuebei People's Hospital
Shaoguan, China
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Zhejiang Cancer Hospital
Hangzhou, China
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Zhongshan Hospital of Fudan University
Shanghai, China
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