Study to Evaluate Adverse Events and Efficacy of Intravenous (IV) Telisotuzumab Adizutecan in Combination With a PD-1 Immune Checkpoint Inhibitor in Adult Participants With Advanced or Metastatic Non-Squamous NSCLC With No Prior Treatment for Advanced Disease, and No Actionable Genomic Alterations
Purpose
Non small cell lung carcinoma (NSCLC) is the most frequently occurring histologic subtype of lung cancer and is the leading cause of cancer-related deaths worldwide. The purpose of this study is to assess adverse events and change in disease activity when Telisotuzumab Adizutecan (ABBV-400) is given in combination with a programmed cell death receptor 1 (PD1) immune checkpoint inhibitor to adult participants to treat NSCLC. Telisotuzumab Adizutecan (ABBV-400) and budigalimab are investigational drugs being developed for the treatment of NSCLC. This study will be divided into two stages, with the first stage treating participants with several doses of telisotuzumab adizutecan in combination with budigalimab within the dose escalation regimen until the dose reached is tolerable and expected to be efficacious. In Stage 2 there will be 3 treatment groups. Two groups will receive pembrolizumab with different optimized doses of telisotuzumab adizutecan (to allow for the best dose to be studied in the future). One group will receive the standard of care (SOC) - pembrolizumab, pemetrexed, and investigator's choice of carboplatin or cisplatin, followed by pembrolizumab and pemetrexed. Approximately 252 adult participants with NSCLC will be enrolled in the study in 132 sites worldwide. In the dose escalation stage participants will be treated with increasing intravenous (IV) doses of Telisotuzumab Adizutecan in combination with budigalimab until the dose of Telisotuzumab Adizutecan reached is tolerable and expected to be efficacious. In the dose optimization stage participants will be receive IV optimized doses of Telisotuzumab Adizutecan in combination with IV pembrolizumab, or IV SOC - pembrolizumab, pemetrexed, and investigator's choice of carboplatin or cisplatin, followed by pembrolizumab and pemetrexed. The study will run for a duration of approximately 33 months. There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at an approved institution (hospital or clinic). The effect of the treatment will be frequently checked by medical assessments, blood tests, questionnaires and side effects.
Condition
- Non Small Cell Lung Carcinoma
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Must have histologically documented non-squamous (NSq) non small cell lung carcinoma (NSCLC) that is locally advanced or metastatic will be enrolled into the study. - Must have measurable disease per response evaluation criteria in solid tumors (RECIST) v1.1. - For Part 1, participants must have had no more than 1 systemic therapy for advanced disease including platinum-based chemotherapy or an immune checkpoint inhibitor (as monotherapy or in combination with chemotherapy), or appropriate targeted therapy for an actionable gene alteration, if applicable, for epidermal growth factor receptor (EGFR) wild-type (WT) NSq NSCLC. - For Part 2, participants must have no prior systemic therapy for advanced disease, no known actionable genomic alteration. - Must have documented programmed death ligand 1 (PD-L1) status. - For Part 2, participant must have evaluable c-Met immunohistochemistry (IHC) result per central testing prior to randomization. - Must have adequate organ function.
Exclusion Criteria
- Known uncontrolled metastases to the central nervous system. - History of interstitial lung disease (ILD) or pneumonitis that required treatment with systemic steroids, or any evidence of active ILD or pneumonitis on screening chest computed tomography (CT) scan.
Study Design
- Phase
- Phase 1/Phase 2
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Sequential Assignment
- Primary Purpose
- Treatment
- Masking
- None (Open Label)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental Part 1: Telisotuzumab Adizutecan + Budigalimab |
Participants will receive several doses of telisotuzumab adizutecan in combination with budigalimab, as part of the 33 month study duration. |
|
|
Experimental Part 2 Arm 1: Telisotuzumab Adizutecan + Pembrolizumab |
Participants will receive telisotuzumab adizutecan dose A in combination with pembrolizumab, as part of the 33 month study duration. |
|
|
Experimental Part 2 Arm 2: Telisotuzumab Adizutecan + Pembrolizumab |
Participants will receive telisotuzumab adizutecan dose B in combination with pembrolizumab, as part of the 33 month study duration. |
|
|
Experimental Part 2: Standard of Care |
Participants will receive pembrolizumab, pemetrexed, and investigator's choice of carboplatin or cisplatin, followed by pembrolizumab and pemetrexed, as part of the 33 month study duration. |
|
Recruiting Locations
Fullerton 5351247, California 5332921 92835
Oxnard 5380184, California 5332921 93030
Santa Monica 5393212, California 5332921 90404
Aurora 5412347, Colorado 5417618 80045
Lone Tree 5429208, Colorado 5417618 80124
Orange City 4167055, Florida 4155751 32763
Hinsdale 4896012, Illinois 4896861 60521
Indianapolis 4259418, Indiana 4921868 46202
East Brunswick 5097402, New Jersey 5101760 08816-4096
New York 5128581, New York 5128638 10028
Cleveland 5150529, Ohio 5165418 44106
Columbus 4509177, Ohio 5165418 43219
Easton 5188140, Pennsylvania 6254927 18045
Site Coordinator
610-813-2087
Salt Lake City 5780993, Utah 5549030 84112
Olympia 5805687, Washington 5815135 98506
Tacoma 5812944, Washington 5815135 98405
Rio Piedras 4829037, Puerto Rico 00935
More Details
- NCT ID
- NCT06772623
- Status
- Recruiting
- Sponsor
- AbbVie