Phase 3 Study of Nogapendekin Alfa Inbakicept Plus Standard of Care vs Standard of Care in First-Line Advanced or Metastatic NSCLC
NCT07524257 · Status: NOT_YET_RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 494
Last updated 2026-05-04
Summary
This is a randomized, open-label, phase 3 study evaluating nogapendekin alfa inbakicept (NAI) plus chemoimmunotherapy containing pembrolizumab and platinum-based chemotherapy versus chemoimmunotherapy alone as first-line treatment in patients with stage IV squamous or nonsquamous non-small cell lung cancer (NSCLC) without actionable genomic alterations. Primary endpoint is progression-free survival by RECIST v1.1 based on blinded independent central review.
Conditions
- NSCLC (Advanced Non-small Cell Lung Cancer)
- Metastatic NSCLC
Interventions
- DRUG
-
Drug: Nogapendekin alfa inbakicept (NAI)
1.2 mg SC q3 weeks (15 μg/kg SC if ≥100 kg), up to 35 cycles.
- DRUG
-
200 mg IV q3 weeks.
- DRUG
-
Cisplatin or Carboplatin
Cisplatin 75 mg/m² IV q3w OR carboplatin AUC 5-6 IV q3w (per label).
- DRUG
-
Nab-paclitaxel (squamous) OR Pemetrexed (nonsquamous)
Squamous: nab-paclitaxel 100 mg/m² IV on Days 1, 8, 15 of cycles 1-4. Nonsquamous: pemetrexed 500 mg/m² IV Day 1 q3w, up to 35 cycles.
- DRUG
-
Nab-paclitaxel OR Paclitaxel OR Docetaxel (squamous)
Nab-paclitaxel 100 mg/m² IV D1, 8, 15 or paclitaxel 175 mg/m² IV D1 or docetaxel 75 mg/m² IV D1 (per RHA label/local guidelines) for cycles 1-4 in squamous participants.
- DRUG
-
Pemetrexed (nonsquamous)
First-line standard-of-care chemoimmunotherapy per pembrolizumab + platinum doublet regimens, histology-specific.
Sponsors & Collaborators
-
ImmunityBio, Inc.
lead INDUSTRY
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-05-29
- Primary Completion
- 2029-05-15
- Completion
- 2029-12-30
- FDA Drug
- Yes
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