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Phase III study of Pembrolizumab versus Pembrolizumab plus Carboplatin plus Pemetrexed for non-Sq NSCLC with PD-L1 50% or more

A Randomized Phase III study of Pembrolizumab versus Pembrolizumab plus Carboplatin plus Pemetrexed for Locally Advanced or Metastatic non-squamous non-small cell lung cancer with PD-L1 50% or more - NHO-Pembro-NSCLC

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
JPRN
Registry ID
JPRN-jRCTs031200078
Enrollment
290
Registered
2020-08-05
Start date
2020-08-13
Completion date
Unknown
Last updated
2026-06-29

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

Conditions

non-squamous non-small cell lung cancer non-squamous non-small cell lung cancer, pembrolizumab, PD-L1, carboplatin, pemetrexed

Interventions

Group A: 200 mg of Pembro is intravenously infused over 30 minutes and more on day 1. Repeat the administration every 3 weeks as one cycle until the treatment cessation criteria are met. Upper limit o

Sponsors

Kogure Yoshihito
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1) Non-squamous non-small cell lung cancer (NSCLC) confirmed by histology or cytology. 2) Not received prior systemic treatment with stage III not eligible for radical radiotherapy, stage IV, or recurrent NSCLC. 3) PD-L1 TPS of 50% or more with 22C3 antibody. 4) With at least one measurable lesion based on RECIST 1.1. 5) Age of 20 years or older on the day of informed consent. 6) ECOG Performance Status 0-1. 7) Without activating mutation in EGFR or ALK chromosomal translocation. 8) Absence of severe impairments of major organs. 9) Life expectancy of 12 weeks or more from the treatment start date. 10) Prior to the study registration, able to provide written informed consent after a thorough explanation of the study content.

Exclusion criteria

Exclusion criteria: 1) Has symptomatic brainmetastasis with anti-edematic drugs such as steroids (exceeding 5mg prednisolone/day or equivalent) 2) Has a known sensitivity to any component of protocol therapy drug 3) Has symptomatic ascites or pleural effusion 4) Has active autoimmune disease 5) Is on chronic systemic steroids 6) Completed palliative radiotherapy within 7 days of the first dose of the treatment or Received radiation therapy to the lung that exceeds 30 Gy within 6 months of the first dose of the study treatment 7) Has a history of malignancy 8) Has an active infection or severe complications 9) Is expecting to conceive or father children within the projected duration of the study 10) Has known active Hepatitis B or C 11) not eligible in the opinion of the principal investigator

Design outcomes

Primary

MeasureTime frame
progression free survival

Secondary

MeasureTime frame
objective response rate overall survival toxicity

Contacts

Public ContactYoshihito Kogure

NHO Nagoya Medical Center

yo-kogure@umin.ac.jp+81-52-951-1111

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026