New drug combo aims to extend life in advanced lung cancer
NCT ID NCT06726265
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase 3 trial tests whether adding eftilagimod alfa to standard immunotherapy (pembrolizumab) and chemotherapy helps people with advanced non-small cell lung cancer live longer or keep their cancer from growing. About 756 adults who have not had prior treatment for their advanced disease will receive either the new combination or a placebo plus standard care. The study is active but no longer recruiting new participants.
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 756 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2025
- Expected to finish
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Sep 2029
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 years and older
- 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 Participants may be enrolled if they meet all of the following criteria at screening: 1. Willing to give written informed consent and to comply with the protocol. 2. Histologically- or cytologically-confirmed diagnosis of advanced or metastatic (stage IIIB/C or stage IV) non-small cell lung cancer (NSCLC) not amenable to curative treatment or locally available oncogenic driver mutation-based first-line therapy, treatment naïve for systemic therapy given for advanced/metastatic disease. 3. Archival tumor tissue sample or newly obtained core, or excisional biopsy of a tumor lesion not previously irradiated has been provided. Details pertaining to tumor tissue submission can be found in the Laboratory Manual. 4. Availability of programmed death-ligand 1 (PD-L1) biomarker result from central laboratory, using the Food and Drug Administration (FDA) approved Dako standardized diagnostic test (PD-L1 IHC 22C3 pharmDx). 5. Be ≥ 18 years of age on the day of signing the informed consent. 6. Participants assigned male at birth must follow specific contraception guidelines during and after the trial intervention period. The required contraception duration varies by drug. Participants must refrain from donating sperm and either remain abstinent or use condoms with an additional contraceptive method during intercourse with a nonpregnant partner. Contraceptive measures must adhere to local regulations, with stricter local label requirements taking precedence over the trial's guidelines. 7. A participant of childbearing potential (POCBP) is eligible if they are not pregnant, confirmed by a negative pregnancy test before the first trial dose. They must not breastfeed during the trial or for a defined duration after the last dose of each drug. POCBPs must use highly effective contraception, with low user dependency or long-term abstinence during and after the trial intervention, and refrain from egg donation or storage. The required contraception duration varies by drug. Local contraception regulations must be followed. 8. An Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1 assessed within 7 days before randomization. 9. Expected survival \> 3 months. 10. Evidence of measurable disease as defined by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as determined by site. 11. Participants must have recovered from all AEs due to previous anticancer therapies to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 5.0 ≤ Grade 1 or baseline. Participants with CTCAE ≤ Grade 2 neuropathy, alopecia, and elevated transaminases in case of liver metastases may be eligible. 12. Participants who received major surgery prior to trial start must have recovered adequately from the toxicity and/or complications from the intervention prior to starting trial treatment. 13. Participants who are hepatitis B surface antigen (HBsAg) positive are eligible if they have received hepatitis B virus (HBV) antiviral therapy for at least 4 weeks, and have undetectable HBV viral load prior to randomization. 14. Participants with history of hepatitis C virus (HCV) infection are eligible if HCV viral load is undetectable at screening and have completed curative antiviral therapy at least 4 weeks prior to randomization. 15. Human immunodeficiency virus (HIV) infected participants must be on anti-retroviral therapy (ART) and have a well-controlled HIV infection/disease. 16. Adequate organ function. Exclusion Criteria Participants are to be excluded from the trial at the time of screening for any of the following reasons: 1. Is expected to require any other form of systemic or localized antineoplastic therapy (other than the trial treatment) while on trial (including maintenance therapy with another agent for NSCLC, radiation therapy, and/or surgical resection). 2. Received prior radiotherapy within 2 weeks of start of trial intervention, or has radiation-related toxicities, requiring corticosteroids. 3. Participants whose tumor harbors any of the following actionable molecular alterations: 1. Epidermal growth factor receptor (EGFR)-sensitizing (activating) mutation 2. Anaplastic lymphoma kinase (ALK) gene fusion positive (ALK translocation) 3. c-ROS oncogene 1 (ROS1) translocation 4. For any indication has received any of the following therapies 1. within 3 weeks prior to cycle 1 day 1: systemic cytotoxic chemotherapy, targeted small molecule therapy (e.g. kinase inhibitors), biological therapy, any other systemic cancer therapy or had major surgery; 2. within 4 weeks prior to cycle 1 day 1 has been treated with an investigational agent or has used an investigational device, or is still a participant in the active phase of an investigational trial; 3. within 6 months prior to cycle1 day 1 received lung radiation therapy of \>30 Gray (Gy). 5. Has received any treatment as part of adjuvant, neoadjuvant therapy or definitive chemoradiation for the treatment of NSCLC within 12 months prior to the diagnosis of advanced/metastatic disease. 6. Received prior therapy with an anti-PD-1, anti-PD-L1, or anti-PD-L2 agent or with an agent directed to another stimulatory or coinhibitory T-cell receptor (e.g., cytotoxic T-lymphocyte-associated protein 4 (CTLA-4), OX40, CD137) or Lymphocyte Activation Gene 3 (LAG-3) targeting therapy (e.g., anti-LAG-3 antibodies). Prior treatment with an anti-PD-1, anti-PD-L1, or anti-PD-L2 agent for nonmetastatic resectable NSCLC (e.g. in the neoadjuvant or adjuvant setting) or following definitive chemoradiation, is allowed as long as therapy was completed at least 12 months before diagnosis of metastatic NSCLC. 7. Prior high-dose chemotherapy requiring hematopoietic stem cell rescue. 8. Known active central nervous system (CNS) metastases and/or carcinomatous meningitis. Participants with previously treated brain metastases may participate provided they are radiologically stable (i.e., without evidence of progression) for at least 4 weeks as confirmed by repeat imaging performed during trial screening, are clinically stable and have not required steroid treatment for at least 14 days before the first dose of trial intervention. 9. Active infection requiring parenteral systemic therapy within 4 weeks prior to cycle 1 day 1 and/or significant acute or chronic infection in screening and/or on cycle 1 day 1. 10. Evidence of severe or uncontrolled cardiac disease within 6 months prior to first dose of trial treatment including: myocardial infarction, severe/unstable angina, ongoing cardiac dysrhythmias of NCI CTCAE version 5.0 Grade ≥ 2, atrial fibrillation \> Grade 2 not controlled by a pacemaker, coronary/peripheral artery bypass graft, symptomatic congestive heart failure (New York Heart Association (NYHA) III-IV), cerebrovascular accident including transient ischemic attack, or symptomatic pulmonary embolism. 11. History of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease. 12. Has active autoimmune disease that has required systemic treatment in past 2 years (i.e., with use of disease modifying agents, corticosteroids or immunosuppressive drugs). Replacement therapy (e.g., thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency) is not considered a form of systemic treatment and is allowed. 13. Diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (in dosing exceeding 10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy within 7 days prior to the first dose of trial intervention. 14. Concurrent active Hepatitis B (defined as HBsAg positive and/or detectable HBV DNA) and Hepatitis C virus (defined as anti-HCV Ab positive and detectable HCV RNA) infection. 15. HIV-infected participants with a history of Kaposi sarcoma and/or Multicentric Castleman Disease. 16. History of allogenic tissue/solid organ transplant. 17. Known additional malignancy that is progressing or has required active treatment within the past 3 years. 18. Has hypersensitivity to eftilagimod alfa and/or pembrolizumab (≥Grade 3) and/or any of its excipients. 19. Has hypersensitivity to any component of planned platinum-based doublet chemotherapy and/or any of its excipients. 20. Received a live or live-attenuated vaccine within 30 days before the first dose of trial intervention. Administration of killed vaccines is allowed 21. Has a life-threatening illness unrelated to cancer. 22. Has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the trial, interfere with the participant's participation for the full duration of the trial, or is not in the best interest of the participant to participate, in the opinion of the treating Investigator.
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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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Adana Medical Park Seyhan Hospital
Adana, Turkey (Türkiye)
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Adana Sehir Training and Research Hospital
Adana, Turkey (Türkiye)
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Agaplesion Medizinisches Versorgungszentrum - Frankfurt gGmbH
Frankfurt, Germany
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Algemeen Ziekenhuis Maria Middelares
Ghent, Belgium
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All India Institute of Medical Sciences (AIIMS) - Bhubaneswar
Bhubaneswar, India
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Ankara Universitesi Tip Fakultesi Hastaneleri - Cebeci Hastanesi
Ankara, Turkey (Türkiye)
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Antwerp University Hospital
Antwerp, Belgium
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Arcispedale Santa Maria Nuova
Reggio Emilia, Italy
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Ascension Seton Infusion Center
Austin, Texas, 78712, United States
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Asklepios Fachkliniken München-Gauting
Gauting, Germany
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Azienda Ospedaliera San Giuseppe Moscati
Avellino, Italy
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Azienda Ospedaliera Santa Maria di Terni
Terni, Italy
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Azienda Ospedaliera di Perugia - Ospedale Santa Maria della Misericordia
Perugia, Italy
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Bahcelievler Memorial Hospital
Istanbul, Turkey (Türkiye)
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Beaumont Hospital
Dublin, Ireland
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Bioclinic of Thessaloniki
Thessaloniki, Greece
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Brampton Civic Hospital
Brampton, Canada
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Calvary Mater Newcastle
Waratah, Australia
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Cancer Care Wollongong Pty Limited
Wollongong, Australia
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Centro Integrado de Oncologia de Curitiba - CIONC
Curitiba, Brazil
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Centro de Endocrinologia y Diabetes Dr. Raul A. Gutman SRL
Buenos Aires, Argentina
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Centro de Oncologia de Precision
Las Condes, Chile
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Centro di Riferimento Oncologico (CRO)
Aviano, Italy
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Centrul Medical Medicover Victoria
Bucharest, Romania
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Cetus Oncologia Hospital Dia - Belo Horizonte
Horizonte, Brazil
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Chittaranjan National Cancer Institute
Kolkata, India
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Clinica Viedma
Viedma, Argentina
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Clinique et Maternité Sainte-Elisabeth
Namur, Belgium
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Complex Oncology Center Ruse
Rousse, Bulgaria
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Cork University Hospital
Cork, Ireland
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Debreceni Egyetem Klinikai Központ
Debrecen, Hungary
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Evangelische Lungenklinik Berlin
Berlin, Germany
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Facharztzentrum Eppendorf
Hamburg, Germany
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Facultad Odontología Unipac
Santiago, Chile
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Faculty of Medicine Vajira Hospital
Dusit, Thailand
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Fondazione IRCCS Istituto Nazionale dei Tumori
Milan, Italy
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Fundacion Respirar
Buenos Aires, Argentina
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Gemeinschaftspraxis für Hämatologie und Onkologie
Münster, Germany
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General Hospital of Athens "Laiko"
Athens, Greece
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Geri Care Hospital T.Nagar
Chennai, India
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Gleneagles Medical Centre - Penang
Pulau Pinang, Malaysia
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Greenslopes Private Hospital
Greenslopes, Australia
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Gulhane Egitim ve Arastirma Hastanesi
Ankara, Turkey (Türkiye)
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HCG Cancer Centre - Double Road (Bangalore Institute of Oncology (BIO))
Bangalore, India
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HELIOS Klinikum Bad Saarow
Bad Saarow, Germany
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HM Universitario Sanchinarro
Madrid, Spain
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Hacettepe Universitesi Kanser Enstitusu (Hacettepe University Cancer Institute)
Ankara, Turkey (Türkiye)
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High Technology Medical Center, University Clinic
Tbilisi, Georgia
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High-tech Hospital Med Center
Batumi, Georgia
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Hospital Beneficencia Portuguesa - Mirante
São Paulo, Brazil
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Hospital Británico de Buenos Aires
Buenos Aires, Argentina
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Hospital CUF Descobertas
Lisbon, Portugal
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Hospital Clinico Universitario de Valencia
Valencia, Spain
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Hospital Clínico Universitario "Lozano Blesa"
Zaragoza, Spain
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Hospital Garcia de Orta, EPE
Almada, Portugal
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Hospital Lusíadas Lisboa
Lisbon, Portugal
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Hospital Nossa Senhora da Conceicao (HNSC)
Porto Alegre, Brazil
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Hospital Pulau Pinang
Pulau Pinang, Malaysia
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Hospital Regional Universitario de Málaga - Hospital General
Málaga, Spain
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Hospital Santa Rita - Vitoria
Vitória, Brazil
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Hospital Tengku Ampuan Afzan
Kuantan, Malaysia
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Hospital Umum Sarawak - Clinical Research Centre
Kuching, Malaysia
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Hospital Universitari Germans Trias i Pujol
Badalona, Spain
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Hospital Universitario Central de Asturias
Oviedo, Spain
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Hospital Universitario Fundacion Jimenez Diaz
Madrid, Spain
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Hospital Universitario Ramón y Cajal
Madrid, Spain
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Hospital Universitario Reina Sofía
Córdoba, Spain
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Hospital Universitario Vall d'Hebron
Barcelona, Spain
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Hospital Universitario Virgen Macarena
Seville, Spain
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Hospital de la Santa Creu i Sant Pau
Barcelona, Spain
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Hospital of Lithuanian University of Health Sciences Kauno Klinikos
Kaunas, Lithuania
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IP Clinic Sp. z o.o.
Lodz, Poland
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Institute of Clinical Oncology
Tbilisi, Georgia
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Instituto Oncologico Dr. Rosell - Hospital Universitari Quiron Dexeus Location
Barcelona, Spain
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Instituto Português Oncologia do Porto Francisco Gentil, EPE
Porto, Portugal
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Instytut Medyczny Santa Familia Sp. z o. o. w Łodzi
Lodz, Poland
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Interbalkan Medical Center of Thessaloniki
Thessaloniki, Greece
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Istanbul Oncology Hospital
Cevizli, Turkey (Türkiye)
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Istituto Nazionale Tumori (INT) "Fondazione G. Pascale" di Napoli
Naples, Italy
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Istituto per la Ricerca e la Cura del Cancro (IRCC) - Istituto di Candiolo
Candiolo, Italy
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Klinicka Bolnica Centar - Sestre Milosrdnice - Klinika Za Tumore (University Hospital for Tumors)
Zagreb, Croatia
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Klinikum Augsburg
Augsburg, Germany
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Klinikum St. Marien
Amberg, Germany
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Klinički Bolnički Centar Osijek
Osijek, Croatia
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Klinički Bolnički Centar Sestre Milosrdnice
Zagreb, Croatia
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Klinički Bolnički Centar Zagreb - Klinika Za Plućne Bolesti Jordanovac
Zagreb, Croatia
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Krankenhaus Martha-Maria Halle-Dölau
Halle, Germany
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Krankenhaus Nordwest
Frankfurt am Main, Germany
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Landeskrankenhaus-Universitätsklinikum Graz, KLinische Abteilung für Pulmonologie
Graz, Austria
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Latvian Oncology Center
Riga, Latvia
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Lyell McEwin Hospital
Elizabeth Vale, Australia
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MHAT Uni Hospital OOD
Panagyurishte, Bulgaria
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Mardaleishvili Medical Centre
Tbilisi, Georgia
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Mater Misericordiae University Hospital
Dublin, Ireland
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Maulana Azad Medical College
New Delhi, India
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McGill University - Jewish General Hospital (JGH) - Lady Davis Institute for Medical Research
Montreal, Canada
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Metropolitan Hospital, Department of Oncology
Piraeus, Greece
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Multiprofile Hospital For Active Treatment "Dr. Tota Venkova" AD
Gabrovo, Bulgaria
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Multiprofile Hospital for Active Treatment - Dobrich AD
Dobrich, Bulgaria
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Multiprofile Hospital for Active Treatment Serdika EOOD
Sofia, Bulgaria
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Nacionalinis Vezio Institutas
Vilnius, Lithuania
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Narodowy Instytut Onkologii im. Marii Skłodowskiej-Curie
Warsaw, Poland
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New Mexico Oncology Hematology Consultants, Ltd.
Albuquerque, New Mexico, 87109, United States
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Norton Cancer Institute - Audubon
Louisville, Kentucky, 40217, United States
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Onco Clinic Consult SA
Craiova, Romania
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OncoLab
Craiova, Romania
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Oncosite - Centro de Pesquisa Clinica Em Oncologia Ltda
Ijuí, Brazil
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Ovidius Clinical Hospital S.R.L.
Ovidiu, Romania
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Parc Tauli Hospital Universitari
Sabadell, Spain
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Paula Stradiņa Klīniskā Universitātes Slimnīca
Riga, Latvia
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Phramongkutklao Hospital
Bangkok, Thailand
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Prince of Songkhla University
Hat Yai, Thailand
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Przychodnia Lekarska "KOMED"
Konin, Poland
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Regional Cancer Centre Thiruvananthapuram
Thiruvananthapuram, India
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Robert-Bosch-Krankenhaus
Stuttgart, Germany
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Royal Darwin Hospital
Tiwi, Australia
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Sakarya Universitesi Tıp Fakultesi Dekanligi
Sakarya, Turkey (Türkiye)
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Sanatorio Parque - Rosario
Rosario, Argentina
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Santa Casa de Misericórdia de Porto Alegre
Porto Alegre, Brazil
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Sotiria Chest Diseases Hospital
Athens, Greece
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Spitalul Memorial Healthcare International
Bucharest, Romania
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St John of God Subiaco Hospital
Subiaco, Australia
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St. Luke's Hospital S.A.
Thessaloniki, Greece
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Sunact Cancer Institute Pvt. Ltd.
Thane, India
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Szpital Morski im. PCK (Maritime Hospital) (Gdynskie Centrum Onkologii)
Gdynia, Poland
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T.C. S.B. Prof. Dr. Suleyman Yalcin Sehir Hastanesi
Istanbul, Turkey (Türkiye)
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Tallaght University Hospital
Dublin, Ireland
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Tasman Oncology Research Ltd
Southport, Australia
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Tata Memorial Centre - Mahamana Pandit Madan Mohan Malaviya Cancer Centre
Varanasi, India
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The Alfred Hospital
Melbourne, Australia
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The Christie NHS Foundation Trust - Christie Hospital
Manchester, United Kingdom
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The Royal Surrey County Hospital NHS Foundation Trust
Guildford, United Kingdom
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Tolna Vármegyei Balassa János Kórház
Szekszárd, Hungary
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Trakya Universitesi Saglik Arastirma ve Uygulama Merkezi Hastane
Edirne, Turkey (Türkiye)
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Uludağ Üniversitesi Tıp Fakültesi
Bursa, Turkey (Türkiye)
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Unidade Local de Saude de Loures - Odivelas, E. P. E.
Loures, Portugal
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Unidade Local de Saude de Santa Maria, EPE - Hospital Pulido Valente
Lisbon, Portugal
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Unite de recherche clinique du CISSS des Laurentides
Saint-Jérôme, Canada
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Universidade de Caxias do Sul
Caxias do Sul, Brazil
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University Hospitals Birmingham NHS Foundation Trust - New Queen Elizabeth Hospital Birmingham
Birmingham, United Kingdom
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University of Patras - Rio Regional University Hospital
Pátrai, Greece
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University of Thessaly- General University Hospital of Larissa
Larissa, Greece
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Universitätsklinikum Frankfurt
Frankfurt, Germany
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Universitätsklinikum Köln
Cologne, Germany
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Victoria Hospital - Centrul de Oncologie Euroclinic SRL
Iași, Romania
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Vienna General Hospital
Vienna, Austria
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Voluntary Health Services Hospital
Chennai, India
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