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
- Contact Person Email
- sandrine.hiret@ico.unicancer.fr
- 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
- Contact Person Email
- trials.santoro@cancercenter.humanitas.it
- 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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