Nogapendekin Alfa Inbakicept for Advanced Non-Small Cell Lung Cancer

PHASE3Active, not recruitingINTERVENTIONAL
Enrollment

1,538

Participants

Timeline

Start Date

May 18, 2018

Primary Completion Date

October 31, 2026

Study Completion Date

December 31, 2026

Conditions
Non Small Cell Lung Cancer
Interventions
DRUG

NAI + Pembrolizumab

"This intervention combines Nogapendekin alfa inbakicept (NAI), an immunostimulatory protein complex, with pembrolizumab, an anti-PD-1 immune checkpoint inhibitor, for the treatment of NSCLC in Cohort A of QUILT-2.023.~Nogapendekin Alfa Inbakicept (NAI): A soluble complex consisting of two protein subunits of a human IL-15 variant bound with high affinity to a dimeric human IL-15Ra sushi domain/human IgG1 Fc fusion protein (inbakicept), serving as an immunostimulatory agent.~Dose: 15 µg/kg Route of Administration: Subcutaneously (SC)~Pembrolizumab: A humanized monoclonal antibody that blocks the interaction between PD-1 and its ligands, PD-L1 and PD-L2, thereby unleashing T-cell mediated immune responses against cancer cells.~Dose: 200 mg Route of Administration: Intravenously (IV)"

DRUG

NAI + Nivolumab + Ipilimumab

"Nogapendekin Alfa Inbakicept (NAI): A soluble complex consisting of two protein subunits of a human IL-15 variant bound with high affinity to a dimeric human IL-15Ra sushi domain/human IgG1 Fc fusion protein (inbakicept), serving as an immunostimulatory agent.~Dose: 15 µg/kg Route of Administration: Subcutaneously (SC)~Nivolumab: A PD-1 blocking antibody that enhances T-cell activity against cancer cells.~Dose: 3 mg/kg Route of Administration: Intravenously (IV) Schedule: Days 1, 15, and 29 every 6 weeks~Ipilimumab: A CTLA-4 blocking antibody that promotes T-cell activation and anti-tumor immunity.~Dose: 1 mg/kg Route of Administration: Intravenously (IV) Schedule: Day 1 every 6 weeks"

DRUG

Pembrolizumab

"Drug: Pembrolizumab~The reference treatment will consist of repeated 3-week cycles for a maximum treatment period of 2 years, in accordance with the following dosing regimen:~Day 1, every 3 weeks:~• Pembrolizumab (200 mg IV)"

DRUG

NAI + Pembrolizumab + Carboplatin + Nab-paclitaxel or Paclitaxel

"This intervention combines Nogapendekin alfa inbakicept (NAI), pembrolizumab (an anti-PD-1 immune checkpoint inhibitor), carboplatin (a platinum-based chemotherapy drug), and either nab-paclitaxel or paclitaxel (taxane chemotherapies) for the treatment of squamous NSCLC in Cohort B of the QUILT-2.023 trial.~Detailed Components:~Nogapendekin Alfa Inbakicept (NAI): An immunostimulatory protein complex.~Dose: 15 µg/kg Route of Administration: Subcutaneously (SC) Schedule: Day 1 every 3 weeks~Pembrolizumab: A PD-1 blocking antibody.~Dose: 200 mg Route of Administration: Intravenously (IV) Schedule: Day 1 every 3 weeks~Carboplatin: A platinum-based chemotherapy drug.~Dose: AUC 6 IV Route of Administration: Intravenously (IV) Schedule: Day 1 every 3 weeks for 4 cycles only (Induction phase)~Nab-paclitaxel or Paclitaxel: Taxane chemotherapy drugs. The investigator chooses which one to use"

DRUG

Pembrolizumab + Carboplatin + Nab-paclitaxel or Paclitaxel (Investigator's choice)

"This intervention combines pembrolizumab, a PD-1 inhibitor, with carboplatin, and either nab-paclitaxel or paclitaxel (investigator's choice), for the treatment of squamous NSCLC in the control arm of the QUILT-2.023 trial for cohort B.~Detailed Components:~Pembrolizumab: A PD-1 blocking antibody.~Dose: 200 mg Route of Administration: Intravenously (IV) Schedule: Day 1, every 3 weeks Carboplatin: Chemotherapy agent.~Dose: AUC 6 IV Route of Administration: Intravenously (IV) Schedule: Day 1, every 3 weeks for 4 cycles only (Induction phase)~Nab-paclitaxel or Paclitaxel: Chemotherapy agents. The investigator chooses which one to use.~Nab-paclitaxel Dose: 100 mg/m²~Route of Administration: Intravenously (IV) Schedule: Day 1 and Days 8 and 15, every 3 weeks for 4 cycles (Induction phase)~Paclitaxel Dose: 200 mg/m²~Route of Administration: Intravenously (IV) Schedule: Day 1, every 3 weeks for 4 cycles (Induction phase)"

DRUG

Cisplatin/carboplatin and pemetrexed plus pembrolizumab.

"Brief Description: Chemoimmunotherapy regimen to treat nonsquamous NSCLC in the experimental or control groups of Cohort C in the QUILT-2.023 study.~Detailed Components:~Cisplatin or Carboplatin:~Cisplatin Dosing: 75 mg/m2, intravenously Route: Intravenously (IV) Schedule: Day 1 every 3 weeks for 4 cycles (Induction Phase) OR~Carboplatin: Dosing at AUC 6 IV, intravenously Route: Intravenously (IV) Schedule: Day 1 every 3 weeks for 4 cycles (Induction Phase)~Pemetrexed:~Dosing at 500 mg/m2, intravenously Route: Intravenously (IV) Schedule: Day 1 every 3 weeks~Pembrolizumab:~Dosing at 200 mg Route: Intravenously (IV) Schedule: Day 1 every 3 weeks"

DRUG

Cisplatin/carboplatin and pemetrexed plus atezolizumab.

"This is a chemoimmunotherapy regimen to treat nonsquamous NSCLC in the experimental or control groups of Cohort C in the QUILT-2.023 study~Detailed Components:~Cisplatin or Carboplatin: Chemotherapy agents, the Investigator's choice between one or the other.~Cisplatin Dosing: 75 mg/m2, intravenously Route: Intravenously (IV) Schedule: Day 1 every 3 weeks for 4 cycles (Induction Phase) Carboplatin Dosing at AUC 6 IV Route: Intravenously (IV) Schedule: Day 1 every 3 weeks for 4 cycles (Induction Phase)~Pemetrexed:~Dosing at 500 mg/m2, intravenously Route: Intravenously (IV) Schedule: Day 1 every 3 weeks~Atezolizumab:~Dosing at 1200 mg Route: Intravenously (IV) Schedule: Day 1 every 3 weeks"

DRUG

Carboplatin and paclitaxel plus atezolizumab and bevacizumab.

"This regimen combines chemotherapy agents with checkpoint and VEGF inhibitors to treat nonsquamous NSCLC in experimental and control groups of Cohort C in QUILT-2.023 trial.~Detailed Components:~Carboplatin:~Dosing at AUC 6 IV Route: Intravenously (IV) Schedule: Day 1 every 3 weeks for 4 cycles (Induction Phase)~Paclitaxel:~Dosing at 175 or 200 mg/m², intravenously (Investigator's Choice) Route: Intravenously (IV) Schedule: Day 1 every 3 weeks for 4 cycles (Induction Phase)~Atezolizumab:~Dosing at 1200 mg, intravenously Route: Intravenously (IV) Schedule: Day 1 every 3 weeks~Bevacizumab:~Dosing at 15mg/kg Route: Intravenously (IV) Schedule: Day 1 every 3 weeks"

DRUG

Carboplatin and nab-paclitaxel plus atezolizumab.

"This regimen combines chemotherapy agents with a checkpoint inhibitor to treat nonsquamous NSCLC in experimental and control groups of Cohort C in QUILT-2.023 trial.~Detailed Components:~Carboplatin: Chemotherapy agent.~Dosing at AUC 6 IV~Route: Intravenously (IV)~Schedule: Day 1 every 3 weeks for 4 cycles (Induction Phase)~Nab-paclitaxel: Chemotherapy agent.~Dosing at 100 mg/m², intravenously~Route: Intravenously (IV)~Schedule: Days 1, 8, and 15 every 3 weeks for 4 cycles (Induction Phase)~Atezolizumab: Immunotherapy drug.~Dosing at 1200 mg~Route: Intravenously (IV)~Schedule: Day 1 every 3 weeks"

DRUG

NAI + Nivolumab + Ipilimumab + Carboplatin + Nab-paclitaxel

"This intervention combines Nogapendekin alfa inbakicept (NAI) with the checkpoint inhibitors nivolumab and ipilimumab, carboplatin (a chemotherapy agent), and nab-paclitaxel, and is being explored in NSCLC patients of Cohort D in the QUILT-2.023 trial.~Detailed Components:~Nogapendekin alfa inbakicept (NAI): Immunomodulatory agent. Dose: 1.2 mg Route of Administration: Subcutaneously (SC) Schedule: Days 1, 15, and 29 of each 6-week cycle~Nivolumab: Checkpoint inhibitor. Dose: 360 mg Route of Administration: Intravenously (IV) Schedule: Days 1 and 22 of each cycle~Ipilimumab: Checkpoint inhibitor. Dose: 1 mg/kg Route of Administration: Intravenously (IV) Schedule: Day 1 of each cycle~Carboplatin: Chemotherapy agent. Dose: AUC 6 Route of Administration: Intravenously (IV) Schedule: Days 1 and 22 (Cycle 1 only)~Nab-paclitaxel: Chemotherapy agent. Dose: 100 mg/m2 Route of Administration: Intravenously (IV) Schedule: Days 1, 8, 15, 22, 29, and 36 (Cycle 1 only)"

Trial Locations (31)

11794

Stony Brooke Medicine, Stony Brook

14642

University of Rochester, Rochester

17325

Gettysburg Cancer Center, Gettysburg

18103

LeHigh Valley, Allentown

23114

Bon Secours Richmond, Richmond

29425

Medical University of South Carolina (MUSC) - Hollings Cancer Center (HCC), Charleston

29607

Saint Francis Cancer Center/Bon Secours St. Francis Health System, Greenville

33021

Memorial Healthcare, Hollywood

33176

Baptist Health South Florida - Miami Cancer Institute, Miami

37920

University of Tennessee Medical Center, Knoxville

38120

Baptist Cancer Center, Memphis

40503

Baptist Health - Lexington, Lexington

Baptist Health Louisville, Louisville

48201

Karmanos Cancer Center, Detroit

57105

Avera Cancer Institute, Sioux Falls

59102

St. Vincent Frontier Cancer Center, Billings

60487

Healthcare Research Network, Tinley Park

64804

Mercy Research Joplin, Joplin

71913

Genesis Cancer Center, Hot Springs

73120

Mercy Research Oklahoma City, Oklahoma City

76002

Texas Oncology-Bedford, Bedford

77030

Oncology Consultants, PA, Houston

78745

Texas Oncology-Austin, Austin

90033

Adventist Health White Memorial, Los Angeles

90245

Chan Soon-Shiong Institute for Medicine, El Segundo

90806

MemorialCare Health System, Long Beach

92106

Adventist Health Glendale, Glendale

92270

Desert Hematology Oncology Medical Group, Rancho Mirage

92663

Hoag Memorial Hospital, Newport Beach

99503

Alaska Urological Institute - Alaska Clinical Research Center, Anchorage

08816

Astera Cancer Care, East Brunswick

Sponsors

Lead Sponsor

All Listed Sponsors
lead

ImmunityBio, Inc.

INDUSTRY

NCT03520686 - Nogapendekin Alfa Inbakicept for Advanced Non-Small Cell Lung Cancer | Biotech Hunter | Biotech Hunter