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Hyperprogression upon cemiplimab alone or with chemotherapy in PD-L1 ≥ 50% NSCLC: a biomarker guided phase 2 trial – HYPERBOLIC study

Status
Not yet recruiting
Phases
Phase 2
Study type
Interventional
Source
EU CTIS
Registry ID
CTIS2025-521583-35-00
Enrollment
700
Registered
2026-02-10
Start date
Unknown
Completion date
Unknown
Last updated
2026-02-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

non-small cell lung cancer (NSCLC)

Brief summary

HPD and ED rate, defined as the proportion of patients with a delta of TGR ≥50% or a TGR ratio ≥2 at 7 weeks ± 5 days from randomization or who died before with no scan performed from treatment start

Detailed description

(related to activity-efficacy secondary objective) HPD rate, defined as the proportion of patients with a delta of TGR ≥50% and/or a TGR ratio ≥2 at 5 weeks ± 5 days from treatment start., (related to activity-efficacy secondary objective) Objective Response Rate (ORR), defined as the percentage of patients with an objective response as determined by RECIST 1.1., (related to activity-efficacy secondary objective) Progression free survival (PFS), defined as the time from randomization to the date of first progression or death from any cause, whichever comes first. Data from patients who have not had an event at the time of data analysis will be censored on the date on which they are last known to be alive and event free., (related to activity-efficacy secondary objective) Overall survival (OS), defined as the time from randomization until the date of death from any cause. Data from patients who are still alive at the time of data analysis will be censored on the date on which they are last known to be alive., (related to safety and tolerability secondary objective) Summary of adverse events (AE), with a focus on TRAEs coded based upon the Medical Dictionary for Regulatory Activities (MedDRA) and graded based upon CTCAE, ver. 5.0., (related to exploratory objective) Characterization of clinical, radiological, and biological patients’ features correlated with HPD occurrence. - Dynamic assessment of circulating and tissue features of HPD according to treatment type (cemiplimab alone or cemiplimab + PCT) - HPD rate among patients not meeting inclusion criterion 7 (circulating CD10- LDNs >30.5% at screening).

Interventions

DRUGCISPLATIN
DRUGCARBOPLATIN
DRUGPACLITAXEL
DRUGPEMETREXED
DRUGLIBTAYO 350 mg concentrate for solution for infusion.

Sponsors

Universita' Vita-salute S. Raffaele
Lead SponsorOTHER

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Design outcomes

Primary

MeasureTime frame
HPD and ED rate, defined as the proportion of patients with a delta of TGR ≥50% or a TGR ratio ≥2 at 7 weeks ± 5 days from randomization or who died before with no scan performed from treatment start

Secondary

MeasureTime frame
(related to activity-efficacy secondary objective) HPD rate, defined as the proportion of patients with a delta of TGR ≥50% and/or a TGR ratio ≥2 at 5 weeks ± 5 days from treatment start., (related to activity-efficacy secondary objective) Objective Response Rate (ORR), defined as the percentage of patients with an objective response as determined by RECIST 1.1., (related to activity-efficacy secondary objective) Progression free survival (PFS), defined as the time from randomization to the date of first progression or death from any cause, whichever comes first. Data from patients who have not had an event at the time of data analysis will be censored on the date on which they are last known to be alive and event free., (related to activity-efficacy secondary objective) Overall survival (OS), defined as the time from randomization until the date of death from any cause. Data from patients who are still alive at the time of data analysis will be censored on the date on which they are

Outcome results

None listed

Source: EU CTIS · Data processed: Feb 11, 2026