A Multicenter Open-label Phase II Study of Cemiplimab Plus Chemotherapy, Selected on the Basis of Baseline Cytidine Deaminase Activity, in Advanced Squamous Non-small Cell Lung Cancer

Trial statusNot yet recruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorGruppo Oncologico Italiano di Ricerca Clinica

About this trial

This is a multicenter phase II study enrolling treatment- naïve patients with metastatic or recurrent squamous carcinoma of the lung

Eligibility criteria

Qualifiers

Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol.

Written informed consent and any locally required authorization obtained from the patient/legal representative prior to performing any protocol-related procedures, including screening evaluations.

Age > 18 years at the time of study entry.

Histologically or cytologically (cell blocks only; smears are not acceptable) documented pulmonary squamous carcinoma.

Disqualifiers

Patients with a sensitizing mutation in the epidermal growth factor receptor (EGFR) gene, or with anaplastic lymphoma kinase (EML4-ALK) translocations or with ROS1 proto-oncogene receptor tyrosine kinase (ROS1) translocations. EGFR mutations, ALK and ROS1 translocations will be assessed in never- smoker patients

The patient has no history of intracranial haemorrhage, spinal cord haemorrhage or haemorrhagic intracranial lesions

At least 14 days between the end of stereotactic radiotherapy or whole brain radiotherapy and initiation of study treatment, or at least 28 days between neurosurgical resection and initiation of study treatment

The patient is on a dose of corticosteroids ≤ 10 mg of oral prednisone or equivalent; anticonvulsant therapy at a stable dose is permitted

Trial design

Treatments tested in this trial

  • Cemiplimab 350 mg IV
  • Paclitaxel 200 mg/sqm IV
  • Carboplatin AUC 5 IVa
  • Cisplatin 80 mg/sqm IV
  • Gemcitabine 1000 mg/sqm a
  • Carboplatin AUC 6 IVb
  • Gemcitabine 1200 mg/sqm b

Treatment groups

108 Participants
are divided into 3 treatment groups