About this trial
This is a multicenter Phase II/III study evaluating the efficacy and safety of SCTB41 combined with chemotherapy versus tislelizumab combined with chemotherapy as first-line treatment in patients with driver-negative locally advanced or metastatic non-small cell lung cancer (NSCLC).
The Phase II portion is an open-label safety run-in study enrolling approximately 30-60 patients to evaluate the safety and tolerability of SCTB41 plus chemotherapy. Following confirmation of acceptable safety and preliminary efficacy, the study will proceed to the Phase III portion.
The Phase III portion is a randomized, double-blind, active-controlled study enrolling approximately 350 patients. Eligible participants will be randomized in a 1:1 ratio to receive SCTB41 plus chemotherapy or tislelizumab plus chemotherapy. The primary objective is to compare progression-free survival assessed by blinded independent central review according to RECIST version 1.1.
Eligibility criteria
Qualifiers
Voluntary written informed consent (ICF) signed prior to screening.
Age ≥18 years, male or female.
Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
Expected survival ≥3 months.
Disqualifiers
Known ROS1 fusion-positive, BRAF V600E mutation, or other driver mutations for which guideline-recommended first-line targeted therapies are available.
Prior thoracic radiotherapy.
Symptomatic central nervous system metastases.
Imaging evidence during screening showing tumor invasion of major blood vessels, invasion of critical surrounding organs, or risk of tracheoesophageal fistula or esophagopleural fistula as assessed by the investigator.
Trial design
Treatments tested in this trial
- SCTB41
- Tislelizumab
- Paclitaxel
- Nab-paclitaxel
- Carboplatin
- Cisplatin
- Pemetrexed