A Safety Study of Oral Venetoclax in Combination With Intravenous Pembrolizumab in Adult Participants With Previously Untreated Non-Small Cell Lung Cancer (NSCLC) With High Programmed Cell Death Ligand-1 (PD-L1) Expression

  • STATUS
    Recruiting
  • participants needed
    100
  • sponsor
    AbbVie
Updated on 19 February 2024
cancer
epidermal growth factor receptor
measurable disease
pembrolizumab
lung cancer
solid tumor
growth factor
lymphoma
drug test
stage iv non-small cell lung cancer
epidermal growth factor
blood test
pd-l1
venetoclax
anaplastic lymphoma
metastatic nsclc
non-small cell lung cancer
EGFR
small cell lung cancer
erbb1
egf receptors

Summary

Non-Small Cell Lung Cancer (NSCLC) is a solid tumor, a disease in which cancer cells form in the tissues of the lung. It is the most common form of lung cancer, accounting for around 85% of lung cancers. The purpose of this study is to evaluate the safety and efficacy (how well the study drug works against the disease) of Venetoclax in combination with Pembrolizumab in participants with NSCLC.

Venetoclax is a drug that kills cancer cells by blocking a protein (part of a cell) that allows cancer cells to stay alive. Pembrolizumab is approved drug for the treatment of NSCLC. It works with your immune system to help fight certain cancers. The study is split into two portions - dose escalation and randomization. Participants are assigned one of the three treatment groups to receive pembrolizumab alone or in combination with venetoclax. Each group receives a different treatment. Participants who are at least 18 years of age with a diagnosis of NSCLC will be enrolled. Around 100 participants will be enrolled in the study in approximately 44 sites across United States.

Participants will receive intravenous (IV) infusion of pembrolizumab alone or in combination with oral venetoclax tablets.

There will be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the course of the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.

Details
Condition Non-Small Cell Lung Cancer, Non-Small Cell Lung Cancer, Cancer
Age 18years - 100years
Treatment Pembrolizumab, Venetoclax
Clinical Study IdentifierNCT04274907
SponsorAbbVie
Last Modified on19 February 2024

Eligibility

Yes No Not Sure

Inclusion Criteria

Histologically documented advanced or metastatic NSCLC with no known epidermal growth factor receptor (EGFR) sensitizing (activating) mutation or anaplastic lymphoma kinase (ALK) translocation
At least one measurable lesion as defined by Response Evaluation Criteria in Solid Tumours (RECIST) 1.1
High PD-L1 tumor expression (tumor proportion score >= 50%) as determined by a Food and Drug Administration (FDA)-approved test
Willing to provide tissue biopsy sample prior to start of study and during treatment
Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1

Exclusion Criteria

Received prior systemic treatment for their advanced or metastatic NSCLC. Participants who received adjuvant or neoadjuvant therapy are eligible if the adjuvant/neoadjuvant therapy was completed at least 6 months prior to the diagnosis of metastatic disease
History of or ongoing interstitial lung disease or pneumonitis that required oral or intravenous (IV) steroids
Active autoimmune disease that has required systemic treatment in past 2 years (i.e., with use of disease modifying agents, corticosteroids or immunosuppressive drugs). Replacement therapy (e.g., thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency, etc.) is not considered a form of systemic treatment
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