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

Sponsors and collaborators

Montefiore Medical Center

Lead sponsor

Regeneron Pharmaceuticals

Collaborator

Henry Ford Health System

Collaborator

NYU Langone Health

Collaborator

University of Michigan

Collaborator