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NCT Number: NCT06617416

A Study of AK104 in Subjects With Unresectable Locally Advanced NSCLC

This study compares the efficacy and safety of AK104 versus Sugemalimab as consolidation therapy in patients with unresectable, locally advanced NSCLC who have not progressed following concurrent or sequential chemoradiotherapy.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Subjects must sign the written informed consent form (ICF) voluntarily.
  • Age ≥18 years.
  • Histologically or cytologically confirmed unresectable locally advanced (Stage III) NSCLC.
  • Absence of known EGFR sensitive mutations and negative for ALK and ROS1 fusions.
  • Concurrent or sequential chemoradiotherapy completed 1 to 42 days prior to the first dose.
  • Chemotherapy regimens should be in accordance with current clinical guidelines.
  • Consolidation chemotherapy is not allowed after radiotherapy.
  • Total dose of radiotherapy is 60Gy±10% (54Gy-66Gy).
  • No disease progression after concurrent or sequential chemoradiotherapy.
  • ECOG performance status score of 0-1.
  • Expected survival of over 3 months.
  • Adequate organ and bone marrow function.

Exclusion criteria

  • The histopathology contains any component of small cell lung cancer.
  • Currently participating in another interventional clinical study.
  • Previously received immunotherapy, biotherapy, anti-angiogenic drugs, or small molecule targeted drugs.
  • Patients with clinically significant cardio-cerebrovascular or venous thromboembolic diseases.
  • Prior malignancy active within the previous 3 years except for the locally curable cancers that have been apparently cured.
  • Tumor invades important vessels or organs.
  • Experienced acute exacerbation of chronic obstructive pulmonary disease or asthma within 4 weeks prior to the first dose.
  • Presence of interstitial lung disease that requires treatment.
  • Toxicities of prior anticancer therapy have not resolved to ≤ Grade 1 (NCI-CTCAE version 5.0).
  • Experienced severe infection within 4 weeks prior to the first dose.
  • Underwent major surgery or experienced severe trauma within 4 weeks prior to the first dose.
  • Any condition that required systemic treatment with corticosteroids (> 10 mg daily prednisone or equivalent) or other immunosuppressive agents within 14 days prior to the first dose.
  • Active autoimmune diseases or history of autoimmune diseases that may relapse.
  • Previous history of severe hypersensitivity reactions to other monoclonal antibodies.
  • Previous organ transplantation or allogeneic hematopoietic stem cell transplantation.

Treatment and study plan

Cadonilimab (AK104)

Drug

AK104 ivgtt Q3W

Sugemalimab

Drug

1200mg Q3W

Primary outcomes

  1. Progression-free survival (PFS) assessed by INV

    Time frame: 3 years

    PFS is defined as the time from randomization until the first documentation of disease progression or death due to any cause, whichever occurs first (based on RECIST Version 1.1).

Secondary outcomes

  1. OS

    Time frame: 5 years

    Time from randomization to death

  2. 6-month PFS rate assessed by INV

    Time frame: 3 years

    PFS rate at 6 months

  3. AEs

    Time frame: 3 years

    Adverse events incidence and severity, clinically significant abnormal laboratory test results.

Study contacts

Contact information is provided by the study sponsor or research team.

Ting Liu, MD

CONTACT

[email protected]

+86-0760-89873925

Sponsors and collaborators

Lead sponsor

Akeso

Industry

Registry information

Official study title

A Randomized, Double-blind, Multicenter Phase III Study to Evaluate the Consolidation Therapy of AK104 Versus Sugemalimab in Patients With Unresectable Locally Advanced Non-Small Cell Lung Cancer Who Have Not Progressed After Concurrent or Sequential Chemoradiotherapy

Important dates

Study start
2024
Primary completion
2026
Study completion
2028
First posted
Sep 27, 2024
Registry last updated
Mar 12, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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