Lung cancer trial tests cocktail of new drugs against standard care
NCT ID NCT05633667
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase 2 study tests several new drug combinations in people with non-small-cell lung cancer. It includes three substudies: one for untreated advanced cancer, one for cancer that has progressed after prior treatment, and one for early-stage cancer that can be surgically removed. The goal is to see if these combinations shrink tumors or eliminate cancer cells better than current standard treatments.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Zimberelimab, domvanalimab, sacituzumab govitecan-hziy, etrumadenant, and standard chemotherapies (carboplatin, cisplatin, pemetrexed, paclitaxel, nab-paclitaxel)
- What this could lead to
- If successful, this could point toward more effective treatment combinations for lung cancer, potentially improving response rates and survival.
- What could go wrong
- This is a phase 2 trial with only 192 participants, so results may not apply to everyone. The combinations may cause side effects and might not outperform standard care.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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192 people
The number who actually took part.
- Started
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Mar 2023
- 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.
Key Inclusion Criteria: All Substudies: * Histologically or cytologically documented non-small-cell lung cancer (NSCLC). * No known actionable genomic alterations for which targeted therapies are available. * Eastern cooperative oncology group (ECOG) performance status score of 0 or 1. * Measurable disease per response evaluation criteria in solid tumors. * Adequate hematologic and end-organ function. * Individuals of childbearing potential who engage in heterosexual intercourse must agree to use specified method(s) of contraception. Substudy 01: All Experimental arms * Stage IV NSCLC. * For individuals with nonsquamous histology: Epidermal growth factor receptor (EGFR) or anaplastic lymphoma kinase (ALK) alteration negative. * PD-L1 status by central confirmation. * No prior systemic treatment for metastatic NSCLC. Substudy 02: All Experimental arms * Stage IV NSCLC. * In individuals with nonsquamous histology and actionable EGFR, ALK, or other known genomic alterations must have received treatment with at least 1 targeted therapy to the appropriate genomic alteration. Substudy 03: All Experimental arms * Previously untreated individuals with resectable (Stage II, IIIA, IIIB (T\[3-4\]N2) NSCLC (per American Joint Committee on Cancer (AJCC) Edition 8). * Planned surgery must comprise of lobectomy, sleeve lobectomy, or bi-lobectomy. * PD-L1 status by central confirmation. * For individuals with nonsquamous histology: Epidermal growth factor receptor (EGFR) or anaplastic lymphoma kinase (ALK) alteration negative. Key Exclusion Criteria: All Substudies: * Mixed small-cell lung cancer and NSCLC histology. * Active second malignancy. * Active autoimmune disease. * History of or current non-infectious pneumonitis/interstitial lung disease. * Active serious infection within 4 weeks prior to study treatment. Substudy 01 and 02 * Known active central nervous system (CNS) metastases and/or carcinomatous meningitis. * Received previous anticancer therapy within 4 weeks prior to enrollment. Substudy 03: All Experimental arms * NSCLC previously treated with systemic therapy or radiotherapy. * Received prior treatment with any anti-PD-(L)-1 or other immune checkpoint inhibitors (CPIs). Note: Other protocol defined inclusion/exclusion criteria may apply
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Get notified about this study
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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 City Training and Research Hospital,Substudy-01
Adana, 01120, Turkey (Türkiye)
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Arizona Oncology Associates,Substudy-02
Tucson, Arizona, 85711, United States
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Asan Medical Center,Substudy-02
Seoul, 05505, South Korea
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Asan Medical Center,Substudy-03
Seoul, 05505, South Korea
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Asan Medical Centre,Substudy-01
Seoul, 05505, South Korea
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BP-A Beneficencia Portuguesa De Sao Paulo,Substudy-01
São Paulo, 1509, Brazil
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Baptist Health Lexington,Substudy-03
Lexington, Kentucky, 40503, United States
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Birmingham Heartlands Hospital,Substudy-03
Birmingham, B9 5SS, United Kingdom
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Centro Gaúcho Integrado de Oncologia Hematologia, Ensino e Pesquisa Ltda./Hospital Mãe de Deus,Substudy-03
Porto Alegre, 90110-270, Brazil
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Changhua Christian Hospital,Substudy-01
Changhua, 500-06, Taiwan
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Changhua Christian Hospital,Substudy-02
Changhua, 500-06, Taiwan
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Changhua Christian Hospital,Substudy-03
Changhua, 500-06, Taiwan
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Chonnam National University Hwasun Hospital,Substudy-01
Gwangju, 61469, South Korea
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Chonnam National University Hwasun Hospital,Substudy-03
Gwangju, 61469, South Korea
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Chungbuk National University Hospital,Substudy-01
Cheongju-si, 28644, South Korea
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Chungbuk National University Hospital,Substudy-02
Cheongju-si, 28644, South Korea
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Dicle University Medical Faculty,Substudy-03
Diyarbakır, 21280, Turkey (Türkiye)
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Dicle University,Substudy-01
Diyarbakır, 21100, Turkey (Türkiye)
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Fort Wayne Medical Oncology and Hematology, Inc.,Substudy-03
Fort Wayne, Indiana, 46845, United States
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Fundação Antonio Prudente - Hospital do Câncer AC Camargo,Substudy-01
São Paulo, 1509, Brazil
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Fundação Antonio Prudente/A.C. Camargo Cancer Center,Substudy-03
São Paulo, 1509, Brazil
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Fundação Pio XII - Hospital de Amor,Substudy-01
Barretos, 14784-400, Brazil
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Gazi University Medical Faculty,Substudy-01
Yenimahalle, Turkey (Türkiye)
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Gazi University Medical Faculty,Substudy-03
Yenimahalle, Turkey (Türkiye)
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Hadassah Medical Center,Substudy-01
Jerusalem, 91120, Israel
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Hadassah University Medical Center,Substudy-03
Jerusalem, 91120, Israel
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Hospital Mae de Deus
Porto Alegre, 90110-270, Brazil
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Hospital Mae de Deus,Substudy-01
Porto Alegre, 90110-270, Brazil
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Hospital Sao Lucas da PUC Rio Grande do Sul,Substudy-01
Porto Alegre, 90610001, Brazil
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Hospital Sao Lucas da PUC Rio Grande do Sul,Substudy-03
Porto Alegre, 90610001, Brazil
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Kaohsiung Chang Gung Memorial Hospital,Substudy-01
Kaohsiung City, 83301, Taiwan
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Kaohsiung Chang Gung Memorial Hospital,Substudy-02
Kaohsiung City, 83301, Taiwan
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Kaohsiung Chang Gung Memorial Hospital,Substudy-03
Kaohsiung City, 83301, Taiwan
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Kaohsiung Medical University Chung-Ho Memorial Hospital,Substudy-01
Kaohsiung City, 80756, Taiwan
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Kaohsiung Medical University Chung-Ho Memorial Hospital,Substudy-02
Kaohsiung City, 80756, Taiwan
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Kaohsiung Medical University Chung-Ho Memorial Hospital,Substudy-03
Kaohsiung City, 80756, Taiwan
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Korea University Guro Hospital,Substudy-01
Seoul, 8308, South Korea
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Korea University Guro Hospital,Substudy-03
Seoul, 8308, South Korea
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Kosin University Gospel Hospital,Substudy-01
Seogu, 49267, South Korea
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Kosin University Gospel Hospital,Substudy-03
Seogu, 49267, South Korea
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Medical Park Samsun,Substudy-01
Atakum, 55200, Turkey (Türkiye)
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Memorial Ankara Hastanesi,Substudy-01
Ankara, 06520, Turkey (Türkiye)
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Memorial Ankara Hospital,Substudy-03
Ankara, 06520, Turkey (Türkiye)
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National Cancer Center,Substudy-01
Goyang, 410769, South Korea
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National Cancer Center,Substudy-02
Goyang, 410769, South Korea
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National Cancer Center,Substudy-03
Goyang, 410769, South Korea
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National Taiwan University Hospital,Substudy-01
Taipei, 100, Taiwan
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National Taiwan University Hospital,Substudy-02
Taipei, 100, Taiwan
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Necmettin Erbakan Universitesi,Substudy-03
Meram Konya, 42080, Turkey (Türkiye)
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Necmettin Erbakan University Meram Faculty of Medicine,Substudy-01
Konya, 42080, Turkey (Türkiye)
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Oncology Associates of Oregon, PC,Substudy-01
Eugene, Oregon, 97401, United States
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Oncology Associates of Oregon, PC,Substudy-02
Eugene, Oregon, 97401, United States
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Oncology Hematology Care Clinical Trials, LLC,Substudy-01
Cincinnati, Ohio, 45242, United States
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Oncology Hematology Care Clinical Trials, LLC,Substudy-02
Cincinnati, Ohio, 45242, United States
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Prince of Wales Hospital,Substudy-01
New Territories, Hong Kong
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Prince of Wales Hospital,Substudy-02
New Territories, Hong Kong
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Queen Elizabeth Hospital,Substudy-01
Hong Kong, Hong Kong
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Queen Elizabeth Hospital,Substudy-02
Hong Kong, Hong Kong
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Queen Mary Hospital,Substudy-01
Hong Kong, 999077, Hong Kong
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Queen Mary Hospital,Substudy-02
Hong Kong, 999077, Hong Kong
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Rambam Health Care Campus,Substudy-01
Haifa, 3525408, Israel
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Rambam Health Care Campus,Substudy-02
Haifa, 3525408, Israel
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Rambam Health Care Campus,Substudy-03
Haifa, 3525408, Israel
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Real e Benemérita Associação Portuguesa de Beneficência/Hospital Beneficência Portuguesa de São Paulo (Hospital BP),Substudy-03
São Paulo, 1509, Brazil
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Samsung Medical Center,Substudy-01
Seoul, 06351, South Korea
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Samsung Medical Center,Substudy-02
Seoul, 06351, South Korea
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Samsung Medical Center,Substudy-03
Seoul, 06351, South Korea
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Seoul National University Bundang Hospital,Substudy-01
Gyeonggi-do, 463-707, South Korea
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Seoul National University Bundang Hospital,Substudy-03
Gyeonggi-do, 463-707, South Korea
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Seoul National University,Substudy-02
Seoul, 463-707, South Korea
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Severance Hospital, Yonsei University Health System,Substudy-01
Seoul, 120-752, South Korea
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Severance Hospital, Yonsei University Health System,Substudy-02
Seoul, 120-752, South Korea
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Severance Hospital, Yonsei University Health System,Substudy-03
Seoul, 03722, South Korea
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Shaare Zedek Medical Center,Substudy-01
Jerusalem, 9103102, Israel
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Shaare Zedek Medical Center,Substudy-02
Jerusalem, 9103102, Israel
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Shaare Zedek Medical Center,Substudy-03
Jerusalem, 9103102, Israel
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St James University Hospital,,Substudy-01
Leeds, LS9 7TF, United Kingdom
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St. Bartholomew's Hospital,Substudy-01
London, E1 1BB, United Kingdom
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St. Bartholomew's Hospital,Substudy-02
London, E1 1BB, United Kingdom
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St. Bartholomew's Hospital,Substudy-03
London, E1 1BB, United Kingdom
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Tel Aviv Sourasky Medical Center,Substudy-01
Tel Aviv, 64239, Israel
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Tel Aviv Sourasky Medical Center,Substudy-02
Tel Aviv, 64239, Israel
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Tel-Aviv Sourasky Medical Center,Substudy-03
Tel Aviv, 64239, Israel
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University Hospitals Birmingham NHS Trust,Substudy-01
Birmingham, B9 5SS, United Kingdom
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University Hospitals Birmingham NHS Trust,Substudy-02
Birmingham, B9 5SS, United Kingdom
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Washington University School of Medicine - Siteman Cancer Center
St Louis, Missouri, 63110, United States
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Washington University School of Medicine - Siteman Cancer Center,Substudy-01
St Louis, Missouri, 63110, United States
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Washington University School of Medicine - Siteman Cancer Center,Substudy-02
St Louis, Missouri, 63110, United States
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Washington University School of Medicine - Siteman Cancer Center,Substudy-03
St Louis, Missouri, 63110, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Surgeons could freeze lung tumors from miles away using 5G robots
- Can AI make lung cancer scans easier to read?
- Two-Drug combo targets Treatment-Resistant lung cancer
- Can an Anti-Fibrotic drug shield lungs from radiation after immunotherapy?
- App aims to catch a hidden radiotherapy side effect
- Which nerve block wins for lung surgery pain?