Thoracic Radiotherapy and Inhibition of PD-1 and LAG-3 for Locally Advanced Non-Small Cell Lung Cancer

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorMontefiore Medical Center

About this trial

Determine anti-tumor efficacy by characterizing response rates on positron emission tomography (PET) following three cycles of induction immunotherapy with cemiplimab and fianlimab without chemotherapy for locally advanced non-small cell lung cancer (LA-NSCLC).

Eligibility criteria

Qualifiers

Previously untreated and biopsy-proven NSCLC, with measurable disease (at least 1 unidimensional, radiographically measurable lesion based on RECIST v1.1) and one of the following stages: (prior resection or stereotactic radiotherapy for early-stage disease is allowed)

AJCC version 8 Stage II disease, medically or technically unresectable

AJCC version 8 Stage III disease, eligible for non-surgical treatment

Determination of PD-L1 expression on pretreatment tumor specimen using a clinically validated assay

Disqualifiers

Not a woman of childbearing potential (WOCBP) as defined in the Appendix

A WOCBP who agrees to follow the contraceptive guidance in the Appendix during the treatment period and for at least 6 months (180 days) after the last dose of study treatment with cemiplimab and fianlimab

A WOCBP who agrees to follow the contraceptive guidance in the Appendix and for at least 6 months after the last dose of chemotherapy or as specified in FDA prescribing labels (e.g. 14 months after the last dose of cisplatin)

A male participant must agree to use contraception during the treatment period and for at least 6 months after the last dose of study treatment and refrain from donating sperm during this period

Trial design

Treatments tested in this trial

  • Cemiplimab
  • Fianlimab
  • Radiotherapy
  • Platinum Doublet Chemotherapy (PDC)

Treatment groups

76 Participants
are divided into 2 treatment groups

Locations

1
Montefiore Einstein Comprehensive Cancer Center (MECCC)10461, The BronxNew York, United States

Sponsors and collaborators

Montefiore Medical Center

Lead sponsor

Regeneron Pharmaceuticals

Collaborator

Henry Ford Health System

Collaborator

NYU Langone Health

Collaborator

University of Michigan

Collaborator