Clinical trial • Phase II • Oncology

RILVEGOSTOMIG for Non-small cell lung cancer

Phase II trial of RILVEGOSTOMIG for Non-small cell lung cancer. open-label, none/not specified-controlled. 174 participants.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Non-small cell lung cancer
Trial Stage
Phase II
Drug Modality
Bispecific antibody | Monoclonal antibody | Small molecule

Key dates

Initial CTIS Submission Date
20-01-2026
First CTIS Authorization Date
06-05-2026

Trial design

open-label, none/not specified-controlled Phase II trial in France, Italy.

Open Label
Yes
Comparator
None/Not specified
Biomarker Stratified
True, biomarker: PD-L1 tumour cell (TC) expression with strata: TC ≥50% (sub-study 1), TC 1-49% (sub-study 2), TC ≥1%
Single Multiple Or Escalation Dose Combined
Yes
Target Sample Size
174

Eligibility

Recruits 174 adults.

Inclusion criteria

  • {"criterion_text":"- Participant must be ≥ 18 years of age at the time of signing the ICF"}
  • {"criterion_text":"- WHO/ECOG performance status of 0 or 1"}
  • {"criterion_text":"- At least 1 lesion that qualifies as a RECIST 1.1 Target Lesion (TL) at baseline."}
  • {"criterion_text":"- Adequate bone marrow and organ function"}
  • {"criterion_text":"- Life expectancy ≥ 12 weeks"}
  • {"criterion_text":"- Provision of acceptable tumour tissue"}
  • {"criterion_text":"- Specific for Sub-Study 1 and Sub-Study 2: Histologically or cytologically documented advanced or metastatic NSCLC"}
  • {"criterion_text":"- Specific for Sub-Study 1 and Sub-Study 2: PD-L1 TC ≥ 1% (TC≥ 50% for sub-study 1, 1-49% for sub-study 2)"}
  • {"criterion_text":"- Specific for Sub-Study 1 and Sub-Study 2: Absence of sensitizing EGFR mutations or ALK rearrangements. No known other Actionable Genomic Alterations(AGAs)"}

Exclusion criteria

  • {"criterion_text":"- As judged by the investigator, any severe or uncontrolled systemic diseases, in the investigator's opinion, makes it undesirable for the participant to participate in the study or that would jeopardise compliance with the protocol"}
  • {"criterion_text":"- Prior exposure to immune-mediated therapy"}
  • {"criterion_text":"- History of uncontrolled hypertension, and active bleeding diseases, and high risks of bleeding and disorders of coagulation"}
  • {"criterion_text":"- Any concurrent anti-cancer treatment."}
  • {"criterion_text":"- Receipt of live, attenuated vaccine within 30 days prior to the first dose of study intervention."}
  • {"criterion_text":"- Active or prior documented autoimmune or inflammatory disorders"}
  • {"criterion_text":"- Persistent toxicities (CTCAE Grade ≥ 2) (NCI CTCAE v5.0) caused by previous anti cancer therapy, excluding alopecia."}
  • {"criterion_text":"- Spinal cord compression or leptomeningeal carcinomatosis for sub-study 1 and sub-study 2."}
  • {"criterion_text":"- Unstable brain metastases"}
  • {"criterion_text":"- History of another primary malignancy."}
  • {"criterion_text":"- Active infection, including TB and infections with HIV, HBV (verified by known positive HBsAg result), HCV."}
  • {"criterion_text":"- Uncontrolled or significant cardiac disease"}
  • {"criterion_text":"- Receipt of prior systemic chemotherapy/chemoradiation/immunotherapy for advanced NSCLC for sub-study 1 and sub-study 2."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Number of participants with adverse events (AE) and serious adverse events (SAE)","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Objective response rate (ORR)","definition_or_measurement_approach":""}

Secondary endpoints

  • {"endpoint_text":"- Best Overall Response(BOR)","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Change in Target Lesion Tumor Size","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Progression free survival (PFS)","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Disease Control Rate(DCR) at 12 Weeks","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Duration Of Response (DoR)","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Overall Survival(OS)","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Serum concentration","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Maximum plasma drug concentration (Cmax)","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Immunogenicity of study interventions in participants receiving treatment","definition_or_measurement_approach":""}

Recruitment

Planned Sample Size
174
Recruitment Window Months
34
Consent Approach
Participants must provide informed consent; inclusion criterion states participants must be ≥ 18 years of age and sign the ICF. Country-specific informed consent form documents are present for France (French) and Italy (Italian); sponsor contact for study information: AstraZeneca Clinical Study Information Center (information.center@astrazeneca.com). No assent process for minors is applicable because minimum age is 18.

Geography

Total Number Of Sites
13
Total Number Of Participants
40

France

Earliest CTIS Part Ii Submission Date
31-03-2026
Latest Decision Or Authorization Date
07-05-2026
Processing Time Days
37
Number Of Sites
5
Number Of Participants
20

Sites

Site Name
Centre Hospitalier Universitaire De Rennes
Department Name
2305: Pulmonology
Contact Person Name
Charles Ricordel
Contact Person Email
charles.ricordel@chu-rennes.fr
Site Name
Centre Hospitalier D Avignon
Department Name
2301: Service d’oncologie médicale et d’hématologie clinique
Contact Person Name
Nicolas Cloarec
Contact Person Email
cloarec.nicolas@ch-avignon.fr
Site Name
Institut De Cancerologie De L Ouest
Department Name
2304: Medical Oncology
Contact Person Name
Sandrine Hiret
Site Name
Hospital Foch
Department Name
2302: Oncologie
Contact Person Name
Jaafar Bennouna-Louridi
Contact Person Email
j.bennouna@hopital-foch.com
Site Name
Institut Curie
Department Name
2303: Service de pneumologie
Contact Person Name
Nicolas Girard
Contact Person Email
nicolas.girard2@curie.fr

Italy

Earliest CTIS Part Ii Submission Date
02-04-2026
Latest Decision Or Authorization Date
06-05-2026
Processing Time Days
34
Number Of Sites
8
Number Of Participants
20

Sites

Site Name
Centro Di Riferimento Oncologico Di Aviano
Department Name
4104: Oncologia Medica C
Contact Person Name
Alessandra Bearz
Contact Person Email
abearz@cro.it
Site Name
Azienda Ospedaliero-Universitaria San Luigi Gonzaga
Department Name
4107: Oncologia Medica
Contact Person Name
Silvia Novello
Contact Person Email
silvia.novello@unito.it
Site Name
Humanitas Mirasole S.p.A.
Department Name
4102: Medical Oncology and Hematology Unit
Contact Person Name
Armando Santoro
Site Name
Istituto Romagnolo Per Lo Studio Dei Tumori Dino Amadori IRST S.r.l.
Department Name
4105: SSDB Gruppo di Patologia Toracica
Contact Person Name
Angelo Delmonte
Contact Person Email
angelo.delmonte@irst.emr.it
Site Name
I.F.O. Istituti Fisioterapici Ospitalieri
Department Name
4103: Oncologia Medica 2
Contact Person Name
Maristella Giammaruco
Contact Person Email
maristella.giammaruco@ifo.it
Site Name
Istituto Oncologico Veneto
Department Name
4101: Oncologia Medica 2
Contact Person Name
Laura Bonanno
Contact Person Email
laura.bonanno@iov.veneto.it
Site Name
Azienda Ospedaliero-Universitaria Policlinico G. Rodolico-San Marco Di Catania
Department Name
4106: Oncologia Medica
Contact Person Name
Hector Jose Soto Parra
Contact Person Email
hsotoparra.ctu@gmail.com
Site Name
Istituto Oncologico Veneto (duplicate entry not indicated elsewhere)
Department Name
4101: Oncologia Medica 2

Sponsor

Primary sponsor

Full Name
AstraZeneca AB
Organisation Type
Pharmaceutical company
Country Of Registered Address
Sweden

Contract research organisations

Name
Parexel International (IRL) Limited
Responsibilities
Sponsor duties codes: 1,10,11,12,13,14,15 (Logistic management),2,3,4,5,6,7,8,9; contact: Clinicaltrial.Enquiries@parexel.com

Third parties

  • {"country":"Ireland","full_name":"Parexel International (IRL) Limited","duties_or_roles":"Sponsor duties codes: 1,10,11,12,13,14,15 (Logistic management),2,3,4,5,6,7,8,9","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
Rilvegostomig
Active Substance
RILVEGOSTOMIG
Modality
Bispecific antibody
Routes Of Administration
IV INFUSION
Route
IV INFUSION
Maximum Dose
999 mg (maxDailyDoseAmount 999 mg)
Investigational Product Name
RAMUCIRUMAB
Active Substance
RAMUCIRUMAB
Modality
Monoclonal antibody
Routes Of Administration
IV INFUSION
Route
IV INFUSION
Maximum Dose
10 mg/kg (maxDailyDoseAmount 10 mg/kg)
Investigational Product Name
MYCOPHENOLATE MOFETIL
Active Substance
MYCOPHENOLATE MOFETIL
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Maximum Dose
3 g daily (maxDailyDoseAmount 3 g)
Investigational Product Name
INFLIXIMAB
Active Substance
INFLIXIMAB
Modality
Monoclonal antibody
Routes Of Administration
IV INFUSION
Route
IV INFUSION
Maximum Dose
5 mg/kg (maxDailyDoseAmount 5 mg/kg)
Combination Treatment
Yes

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