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Phase 3Recruiting
View on ClinicalTrials.gov

Comparing Rilvegostomig with Pembrolizumab for non-squamous non-small cell lung cancer

Official title: A Global Phase III Study of Rilvegostomig or Pembrolizumab Plus Chemotherapy for First-Line Treatment of Locally Advanced or Metastatic Non-Squamous NSCLC

A Phase III, Randomized, Double-blind, Multicenter, Global Study of Rilvegostomig or Pembrolizumab in Combination With Platinum-based Chemotherapy for the First-line Treatment of Patients With Locally Advanced or Metastatic Non-squamous Non-small Cell Lung Cancer Whose Tumors Express PD-L1 (ARTEMIDE-Lung03)

Condition: Non-squamous Non-small Cell Lung CancerSponsor: AstraZenecaTarget enrollment: 1160
  • Phase 3
  • 2 groups
  • Sites in Saint John, Sydney and 6 more cities
  • Recruiting
Research Site, Sydney, Nova ScotiaResearch Site, Greater Sudbury, OntarioResearch Site, Saint John, New BrunswickResearch Site, Hamilton, OntarioResearch Site, Kingston, OntarioResearch Site, Sault Ste. Marie, OntarioResearch Site, Montreal, QuebecResearch Site, Montreal, QuebecResearch Site, Saint-Jérôme, Quebec

Interventions (5)

  • Medication

    Rilvegostomig

    Administered as one intravenously (IV) on Day 1 of each 21-day cycle

  • Medication

    Pembrolizumab

    Administered as one intravenously (IV) on Day 1 of each 21-day cycle

  • Medication

    Carboplatin

    Administered as one intravenously (IV) on Day 1 of each 21-day cycle up to 4 cycles

Canadian Sites (9)

7 of 9 recruiting

  • Research Site

    Saint John, New Brunswick

    Recruiting
  • Research Site

    Hamilton, Ontario

    Recruiting
  • Research Site

    Kingston, Ontario

    Recruiting

Eligibility Criteria

See who this study is looking for16 criteria

The trial’s own eligibility text, word for word from the registry. Only the trial site can say who takes part.

Inclusion

  • +Absence of sensitizing EGFR mutations (including, but not limited to, exon 19 deletion and exon 21 L858R, exon 21 L861Q, exon 18 G719X, and exon 20 S768I mutations) and ALK and ROS1 rearrangements.
  • +Histologically or cytologically documented non-squamous NSCLC.
  • +Stage III B/C or IV NSCLC (based on the American Joint Committee on Cancer Edition 8) not amenable to curative treatment.
  • +Absence of documented tumor genomic mutation results from tests conducted as part of standard local practice in any other actionable driver oncogenes for which there are locally approved and available targeted 1L therapies.
  • +Provision of acceptable tumor sample, to confirm tumor PD-L1 expression TC ≥ 1%.
  • +At least one lesion not previously irradiated that qualifies as a RECIST 1.1 TL at baselineBaselineYour starting measurements, taken before treatment begins.Read more → and can be accurately measured at baseline as ≥ 10 mm in the longest diameter (except lymph nodes, which must have short axis ≥ 15 mm) with CT or MRI and is suitable for accurate repeated measurements.
  • +Adequate organ and bone marrow function

Exclusion

  • Presence of small cell and neuroendocrine histology components.
  • Any prior systemic therapy received for NSCLC except in the neoadjuvant or adjuvant setting or definitive chemoradiotherapy with the intent to cure, provided that progression has occurred \> 12 months after the end of systemic therapy treatment.
  • Any prior exposure to an anti-TIGIT therapy or any other anticancer therapy targeting immune-regulatory receptors or mechanisms.
  • Any prior treatment with an anti-PD-1 or anti-PD-L1 agent.
  • History of another primary malignancy except for malignancy treated with curative intent with no known active disease ≥ 2 years before the first dose of study intervention and of low potential risk for recurrence.
  • Active or prior documented autoimmune or inflammatory disorders requiring chronic systemic treatment with the use of disease-modifying agents, corticosteroids, or immunosuppressive drugs.
  • Active primary immunodeficiency/active infectious disease(s).
  • Active tuberculosis infection.
  • Brain metastases unless asymptomatic, stable, and not requiring steroids or anticonvulsants for at least 7 days prior to randomizationRandomisedWhich group you go into is decided by chance, not by you or your doctor.Read more →. A minimum of 2 weeks must have elapsed between the end of local therapy (brain radiotherapy or surgery) and randomization. Participants must have recovered from the acute toxic effect of radiotherapy (eg, dizziness and signs of increased intracranial pressure) or surgery prior to randomization.
5 concepts to explore on this page · up to 1,300 pointsTap any term to learn what it means.

In plain language

Assembled directly from this trial’s registry record. Every sentence traces to a field below — nothing here is generated or interpreted.

Learning 
What this study is

This study is testing a treatment for a condition.

Phase 3Phase 3A large study comparing a treatment against the current standard.Read more → — a large study comparing this against the current standard, usually across many hospitals.

From the trial registry

Built from these fields:

  • designModule.designInfo.primaryPurpose
  • designModule.phases
Who receives what

There are 2 groups in this study.

Group A receives one or more of: Rilvegostomig, Carboplatin, Cisplatin and Pemetrexed.

Registry label: A: Arm A

Group B, the comparison group, receives one or more of: Pembrolizumab, Carboplatin, Cisplatin and Pemetrexed.

Registry label: B: Arm B

From the trial registry

Built from these fields:

  • armsInterventionsModule.armGroups[].label
  • armsInterventionsModule.armGroups[].type
  • armsInterventionsModule.armGroups[].interventionNames
How the study is run

Which group you would be placed in is decided by chance, like a coin flip — not by you and not by your doctor.

You, the study team, the people giving the treatment, and the people analysing the results would all be kept unaware of which group you are in until the study ends.

From the trial registry

Built from these fields:

  • designModule.designInfo.allocation
  • designModule.designInfo.maskingInfo.masking
Is there a placebo?

This study does not list a placeboPlaceboA dummy treatment with no active medicine, used for comparison.Read more → group.

One group receives an existing treatment, so the two can be compared.

From the trial registry

Built from these fields:

  • armsInterventionsModule.armGroups[].type
  • armsInterventionsModule.armGroups[].interventionNames
Who the study is looking for

The study lists a minimum age of 18 years, with no upper limit given.

The study is open to people of any sex.

The study does not accept healthy volunteersHealthy volunteerSomeone without the condition being studied who takes part anyway.Read more →.

These are the criteria the study lists. Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can decide whether someone can take part.

From the trial registry

Built from these fields:

  • eligibilityModule.minimumAge
  • eligibilityModule.sex
  • eligibilityModule.healthyVolunteers
How big and how long

The study aims to enrol about 1,160 people.

The study is currently expected to finish around November 2030.

The main measurement is taken over: Up to approximately 6 years.

From the trial registry

Built from these fields:

  • designModule.enrollmentInfo.count
  • statusModule.completionDateStruct.date
  • outcomesModule.primaryOutcomes[].timeFrame
What the study measures

Overall survival (OS) — measured over Up to approximately 6 years.

Progression-free survival (PFS) — measured over Up to approximately 6 years.

From the trial registry

Built from these fields:

  • outcomesModule.primaryOutcomes[].measure
  • outcomesModule.primaryOutcomes[].timeFrame

Source: NCT06627647 on ClinicalTrials.gov. The full registry text is further down this page — this summary never replaces it.

Not medical advice. What do these terms mean?

What is being tested — in plain terms

About RilvegostomigDrug

Administered as one intravenously (IV) on Day 1 of each 21-day cycle

From the trial registry — its own words, unedited.

What a drug is here: A medicine — a chemical or small-molecule treatment — given as the thing being studied.

Read the full explanation → · in clinical review

About PembrolizumabDrug

Administered as one intravenously (IV) on Day 1 of each 21-day cycle

From the trial registry — its own words, unedited.

What a drug is here: A medicine — a chemical or small-molecule treatment — given as the thing being studied.

Read the full explanation → · in clinical review

About CarboplatinDrug

Administered as one intravenously (IV) on Day 1 of each 21-day cycle up to 4 cycles

From the trial registry — its own words, unedited.

What a drug is here: A medicine — a chemical or small-molecule treatment — given as the thing being studied.

Read the full explanation → · in clinical review

About CisplatinDrug

Administered as one intravenously (IV) on Day 1 of each 21-day cycle up to 4 cycles

From the trial registry — its own words, unedited.

What a drug is here: A medicine — a chemical or small-molecule treatment — given as the thing being studied.

Read the full explanation → · in clinical review

About PemetrexedDrug

Administered as one intravenously (IV) on Day 1 of each 21-day cycle

From the trial registry — its own words, unedited.

What a drug is here: A medicine — a chemical or small-molecule treatment — given as the thing being studied.

Read the full explanation → · in clinical review

Common questions

Answered from this trial’s registry record. Where the record doesn’t say, these answers say so rather than filling the gap.

Am I eligible for this trial?

Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can decide whether someone can take part. Concord cannot make that determination, and neither can any tool that has not examined you.

What the study lists: a minimum age of 18 years.

The full inclusionInclusion criteriaThe things you must have or be for a study to consider you.Read more → and exclusion criteriaExclusion criteriaThe things that would prevent someone from taking part.Read more → are published on this page, exactly as the study team wrote them.

The useful next step is to bring this trial to your doctor. Answering a few questions first gives them something concrete to review.

From the trial registry
  • eligibilityModule.minimumAge
  • eligibilityModule.eligibilityCriteria
Is there a placebo?

This study does not list a placeboPlaceboA dummy treatment with no active medicine, used for comparison.Read more → group.

One group receives an existing treatment so the two can be compared.

From the trial registry
  • armsInterventionsModule.armGroups[].type
Would I know which treatment I am getting?

You, the study team, the people giving the treatment, and the people analysing the results would all be kept unaware of which group you are in until the study ends.

Which group you would be placed in is decided by chance, like a coin flip — not by you and not by your doctor.

From the trial registry
  • designModule.designInfo.maskingInfo.masking
  • designModule.designInfo.allocation
Who can join?

The study lists a minimum age of 18 years, with no upper limit given.

It is open to people of any sex.

It does not accept healthy volunteersHealthy volunteerSomeone without the condition being studied who takes part anyway.Read more →.

Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can confirm whether a particular person can take part.

From the trial registry
  • eligibilityModule.minimumAge
  • eligibilityModule.sex
  • eligibilityModule.healthyVolunteers
How long would this take?

The study's main measurement is taken over: Up to approximately 6 years.

The study as a whole is currently expected to finish around 2030-11-18.

How long any one person takes part can differ from the study length. The study team can tell you what the schedule looks like in practice.

From the trial registry
  • outcomesModule.primaryOutcomes[].timeFrame
  • statusModule.completionDateStruct.date
How many people are taking part?

The study aims to enrol about 1,160 people.

From the trial registry
  • designModule.enrollmentInfo.count
Where is this happening?

This study lists 19 locations, including: Saint John, New Brunswick, Canada; Sydney, Nova Scotia, Canada; Greater Sudbury, Ontario, Canada; Hamilton, Ontario, Canada; Kingston, Ontario, Canada; Sault Ste. Marie, Ontario, Canada, and 13 more.

Sites can open and close during a study, so confirm with the team before travelling.

From the trial registry
  • trial_locations

About This Trial

The purpose of ARTEMIDE-Lung03 is to evaluate the efficacy and safety of rilvegostomig compared to pembrolizumab, both in combination with platinum-based doublet chemotherapy, as a first-line treatment of patients with locally advanced or metastatic non-squamous NSCLC whose tumors express PD-L1.

Other Sites (12)

Research Site

Grand Rapids, Michigan, United States

Research Site

Duluth, Minnesota, United States

Research Site

Rochester, Minnesota, United States

Research Site

Saint Paul, Minnesota, United States

Research Site

Buffalo, New York, United States

Research Site

Westbury, New York, United States

Research Site

Seattle, Washington, United States

Research Site

Seattle, Washington, United States

Research Site

Silverdale, Washington, United States

Research Site

Spokane, Washington, United States

Research Site

Tacoma, Washington, United States

Research Site

Wenatchee, Washington, United States

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This page is for informational purposes only and does not constitute medical advice. Clinical trial eligibility can only be determined by the trial site after proper screening. Trial information is sourced from ClinicalTrials.gov and may not reflect the most current status. Always consult your healthcare provider before making decisions about clinical trial participation.