The study will first determine the optimal dose of inupadenant to be given in combination with carboplatin and pemetrexed to patients that progressed after receiving first line anti-PD(L)1 treatment for locally advanced or metastatic non-small cell lung cancer. The efficacy and safety of the combination is then compared to standard of care carboplatin and pemetrexed in the same populations.
The study is composed of two parts. Part 1 follows an open-label, dose-finding design where individual cohorts are treated with various dose levels of inupadenant combined with standard of care dosing of carboplatin and pemetrexed. The recommended phase 2 dose is determined prior to initiation of Part 2 which then compares inupadenant to placebo with both arms treated in combination with standard of care carboplatin and pemetrexed. Participants in both parts are enrolled from two populations of patients with nonsquamous NSCLC that have progressed after first line treatment as follows: non-resectable patients treated with chemoradiotherapy followed by anti-PD-(L)1 or metastatic patients treated with anti-PD-(L)1 therapy without chemotherapy. Imaging, safety and PRO assessments are performed during the treatment and follow-up phase as well as pharmacokinetic and other exploratory analyses.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
36
Adenosine 2a receptor antagonist
matched placebo capsule to inupadenant
standard of care chemotherapeutic, alkylating agent
standard of care chemotherapeutic, anti-metabolite
Highlands Oncology Group
Fayetteville, Arkansas, United States
H. Lee Moffitt Cancer Center and Research Institute
Tampa, Florida, United States
Algemeen Ziekenhuis Sint-Lucas
Ghent, Belgium
Jessa Ziekenhuis
Hasselt, Belgium
AZ Delta
Roeselare, Belgium
William Osler Health System
Brampton, Ontario, Canada
Vseobecna Fakultni Nemocnice
Prague, Czechia
CHU de Caen
Caen, France
Hopital de la Timone Centre d'Essais Précoces en Cancérologie de Marseille (CEPCM)
Marseille, France
CHU Nantes
Nantes, France
...and 11 more locations
Dose-finding to determine recommended Phase 2 dose
Incidence of dose-limiting toxicities
Time frame: At the end of Cycle 1 (each cycle is 21 days)
Incidence of treatment-emergent adverse events [Safety and Tolerability]
Incidence of adverse events (AEs), serious adverse events, AEs leading to discontinuation, deaths, and clinically significant laboratory abnormalities.
Time frame: Duration of intervention (up to 24 months) plus 30 days follow-up or up to database lock
Progression-free survival [Efficacy]
Time from first dose to the date of first documented radiologic progression per RECIST v1.1 or time of death, whichever comes first
Time frame: From randomization to first-documented radiological progression or date of death from any cause, whichever comes first, assessed up to 24 months.
Overall Response Rate [Efficacy]
Proportion of participants with a best overall response of complete (CR) or partial (PR) response as assessed by RECIST v1.1
Time frame: From randomization to first-documented radiological improvement, if applicable, assessed up to 24 months or up to database lock.
Duration of Response [Efficacy]
Time from first CR or PR to first documented progression or death from any cause, per RECIST v1.1
Time frame: From first-documented CR or PR to first radiological progression or date of death, whichever comes first, assessed up to 24 months or up to database lock.
Percent Change in Tumor Size [Efficacy]
Change in sum of size of target tumors from baseline, per RECIST v1.1
Time frame: From randomization to the documented radiological assessment with the smallest tumor size sum, assessed up to 24 months or up to database lock.
Disease Control Rate [Efficacy]
Proportion of participants with CR, PR, or stable disease (SD) sustained over at least 2 consecutive tumor assessments, per RECIST v1.1
Time frame: From randomization to second-documented radiological CR, PR or SD, if applicable, assessed up to 24 months or up to database lock.
Overall Survival [Efficacy]
Time from randomization to date of death due to any cause.
Time frame: From randomization to death due to any cause, assessed up to 24 months or up to database lock.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.