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Study of Pegilodecakin (LY3500518) With Pembrolizumab Compared to Pembrolizumab Alone First-line Tx in Participants With Metastatic Non-Small Cell Lung Cancer

A Randomized Phase 2 Trial of AM0010 in Combination With Pembrolizumab vs. Pembrolizumab Alone as First-Line (1L) Therapy in Patients With Stage IV / Metastatic Wild Type (WT) Non-Small Cell Lung Cancer and Tumors With High Expression of PD-L1 (> 50%)

Status
Terminated
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03382899
Acronym
Cypress 1
Enrollment
101
Registered
2017-12-26
Start date
2018-03-19
Completion date
2020-03-05
Last updated
2021-01-20

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

Brief summary

To compare the efficacy of pegilodecakin in combination with pembrolizumab versus pembrolizumab alone in participants with metastatic non-small cell lung cancer as measured by objective response rate.

Detailed description

This is an open-label, multi-center, randomized, Phase 2 study designed to compare the efficacy and safety of pegilodecakin in combination with pembrolizumab versus pembrolizumab alone in participants with stage IV / metastatic wild type non-small cell lung cancer and tumors with high expression of PD-L1 (\> 50%).

Interventions

BIOLOGICALPegilodecakin

Pegilodecakin plus Pembrolizumab

DRUGPembrolizumab

Pembrolizumab Alone

Sponsors

ARMO BioSciences
CollaboratorINDUSTRY
Eli Lilly and Company
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. Participants must have histologically or cytologically confirmed WT NSCLC that is stage IV / metastatic or recurrent 2. Participants with tumor tissue high expression of PD-L1 as defined by Tumor Proportion Score (TPS) ≥ 50% 3. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 4. Participants with measurable disease by spiral CT or MRI per RECIST v.1.1 criteria. 5. Participants that have completed prior radiotherapy or radiosurgery at least 2 weeks prior to randomization. 6. Participants must be naïve to therapy for the advanced stage of the disease. Previous neoadjuvant or adjuvant therapy is allowed for participants who successfully underwent complete radical surgery and ONLY if the last treatment was administered more than 12 months prior to the start of the trial treatment

Exclusion criteria

1. Participants with active central nervous system (CNS) metastases or carcinomatous meningitis 2. Participants with any serious or uncontrolled medical disorder or active infection with the hepatitis virus or the human immunodeficiency virus (HIV) 3. Participants with Grade 1 (NCI-CTCAE v.4.03) toxicities attributed to prior anti-cancer therapy other than alopecia and fatigue prior to randomization 4. Participants that have received pembrolizumab 5. Participants with a history of severe hypersensitivity reactions to monoclonal antibodies 6. Pregnant or lactating women 7. Participants receiving any investigational agent within 28 days of first administration of trial treatment 8. Participants that have received therapy with anti-tumor vaccines or other immunostimulatory antitumor agents 9. Participants that have received therapy with anti-PD-1, anti-PD-L1, anti-PD-L-2, anti-CD-137, and/or anti CTLA-4 antibodies

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Who Achieved an Objective Response Rate (ORR)From Date of Randomization to Progressive Disease, Death from Any cause (Up to 24 Months)ORR defined as the percentage of participants who achieve a CR or PR as assessed by RECIST v.1.1. The ORR is the number of participants with a complete response (CR) or partial response (PR) divided by the number of randomized participants recorded between the date of randomization and the date of objectively documented progression or the date of subsequent anti-cancer therapy, whichever comes first. Complete response (CR) is defined as disappearance of all target (and non-target) lesions, and normalization of tumor marker level. Partial response (PR) is defined as at least a 30% decrease in the sum of longest diameters of target lesions, taking as reference the baseline sum of longest diameters.

Secondary

MeasureTime frameDescription
Overall Survival (OS)From Date of Randomization to Death Due to Any Cause (Up to 24 Months)OS is defined as the time from date of randomization to death due to any cause. Participants who were alive at the end of the follow-up period or lost to follow-up were censored on the last date the participant was known to be alive.
Progression Free Survival (PFS)From Date of Randomization to Progressive Disease (PD) or Death Due to Any Cause (Up to 24 Months)PFS is defined as the time from date of randomization to the earlier of first documentation of disease progression or death due to any cause. Progressive disease (PD) is defined by at least a 20% increase in the sum of longest diameters of target lesions, taking as reference the baseline sum of longest diameters or the presence of one or more new lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered progression determined by scans. Participants who did not progress, who discontinued treatment for toxicity or a reason other than documented progression, or who were lost to follow up before documented progression and death or were censored at the date of last adequate tumor assessment, participants or new anticancer therapy started and not tumor progression or death were censored at the last adequate tumor assessment before the start of new anticancer therapy.
Percentage of Participants Who Achieved a Disease Control Rate (DCR)From Date of Randomization to Objective Progressive Disease or Start of New Anti-Cancer Therapy (Up to 24 Months)DCR is defined as the percentage of participants in the analysis population who have achieved a complete response (CR), partial response (PR) or stable disease (SD) response prior to disease progression. CR is defined as disappearance of all target (and non-target) lesions, and normalization of tumor marker level. PR is defined as at least a 30% decrease in the sum of longest diameters of target lesions, taking as reference the baseline sum of longest diameters. SD is defined as neither sufficient shrinkage of target lesions to qualify for partial response, nor sufficient increase to qualify for progressive disease, taking as reference the baseline sum of longest diameters.
Duration of Response (DOR)From Date of Response to Death Due to Any Cause (Up to 24 Months)DOR is defined as the time from the earliest date of qualifying response until earliest date of disease progression per RECIST v1.1 or death from any cause, whichever comes first. Duration of response was analyzed in participants who had CR or PR. Duration of response was censored on the date of the last tumor assessment on trial for participants who did not have objective tumor progression and who did not die due to any cause while on trial. For participants who discontinued participation in the trial or discontinued from tumor scan assessments before disease progression, the duration of response was censored at the date of the last tumor assessment.

Countries

United States

Participant flow

Pre-assignment details

Participants that had a recorded death on study or are alive and being followed at the end of the trial but off treatment are considered as completed group

Participants by arm

ArmCount
Pegilodecakin + Pembrolizumab
Participants received pegilodecakin SQ at 0.8 mg (≤80 kg body weight) or 1.6 mg (\>80 kg body weight) QD in the abdomen, thigh or back of upper arm. Pembrolizumab administered as an IV infusion at 200 mg on Day 1 of a 21-day cycle.
51
Pebrolizumab
Participants received pembrolizumab as an IV infusion at 200 mg on Day 1 of a 21-day cycle.
50
Total101

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyIneligibility Determined01
Overall StudyLost to Follow-up01
Overall StudySponsor's decision3128
Overall StudyWithdrawal by Subject05

Baseline characteristics

CharacteristicPegilodecakin + PembrolizumabTotalPebrolizumab
Age, Continuous67.5 Years
STANDARD_DEVIATION 7.7
67.3 Years
STANDARD_DEVIATION 8.3
67.1 Years
STANDARD_DEVIATION 9
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants5 Participants2 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
40 Participants87 Participants47 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
8 Participants9 Participants1 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants3 Participants3 Participants
Race (NIH/OMB)
Black or African American
6 Participants10 Participants4 Participants
Race (NIH/OMB)
More than one race
3 Participants7 Participants4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants4 Participants1 Participants
Race (NIH/OMB)
White
39 Participants77 Participants38 Participants
Region of Enrollment
United States
51 Participants101 Participants50 Participants
Sex: Female, Male
Female
23 Participants41 Participants18 Participants
Sex: Female, Male
Male
28 Participants60 Participants32 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
19 / 5013 / 48
other
Total, other adverse events
48 / 5048 / 48
serious
Total, serious adverse events
28 / 5025 / 48

Outcome results

Primary

Percentage of Participants Who Achieved an Objective Response Rate (ORR)

ORR defined as the percentage of participants who achieve a CR or PR as assessed by RECIST v.1.1. The ORR is the number of participants with a complete response (CR) or partial response (PR) divided by the number of randomized participants recorded between the date of randomization and the date of objectively documented progression or the date of subsequent anti-cancer therapy, whichever comes first. Complete response (CR) is defined as disappearance of all target (and non-target) lesions, and normalization of tumor marker level. Partial response (PR) is defined as at least a 30% decrease in the sum of longest diameters of target lesions, taking as reference the baseline sum of longest diameters.

Time frame: From Date of Randomization to Progressive Disease, Death from Any cause (Up to 24 Months)

Population: All randomized participants who had adequate baseline and at least 1 post-baseline tumor assessments.

ArmMeasureValue (NUMBER)
Pegilodecakin + PembrolizumabPercentage of Participants Who Achieved an Objective Response Rate (ORR)47.1 percentage of participants
PembrolizumabPercentage of Participants Who Achieved an Objective Response Rate (ORR)44.0 percentage of participants
p-value: 0.762695% CI: [0.5, 2.5]Cochran-Mantel-Haenszel
Secondary

Duration of Response (DOR)

DOR is defined as the time from the earliest date of qualifying response until earliest date of disease progression per RECIST v1.1 or death from any cause, whichever comes first. Duration of response was analyzed in participants who had CR or PR. Duration of response was censored on the date of the last tumor assessment on trial for participants who did not have objective tumor progression and who did not die due to any cause while on trial. For participants who discontinued participation in the trial or discontinued from tumor scan assessments before disease progression, the duration of response was censored at the date of the last tumor assessment.

Time frame: From Date of Response to Death Due to Any Cause (Up to 24 Months)

Population: All randomized participants.

ArmMeasureValue (MEDIAN)
Pegilodecakin + PembrolizumabDuration of Response (DOR)14.23 Months
PembrolizumabDuration of Response (DOR)NA Months
p-value: 0.831295% CI: [0.384, 3.289]Log Rank
Secondary

Overall Survival (OS)

OS is defined as the time from date of randomization to death due to any cause. Participants who were alive at the end of the follow-up period or lost to follow-up were censored on the last date the participant was known to be alive.

Time frame: From Date of Randomization to Death Due to Any Cause (Up to 24 Months)

Population: All randomized participants. Censored participants in the Pegilodecakin + Pembrolizumab arm is 32 and the Pembrolizumab arm is 39.

ArmMeasureValue (MEDIAN)
Pegilodecakin + PembrolizumabOverall Survival (OS)16.33 Months
PembrolizumabOverall Survival (OS)NA Months
p-value: 0.26395% CI: [0.722, 3.243]Log Rank
Secondary

Percentage of Participants Who Achieved a Disease Control Rate (DCR)

DCR is defined as the percentage of participants in the analysis population who have achieved a complete response (CR), partial response (PR) or stable disease (SD) response prior to disease progression. CR is defined as disappearance of all target (and non-target) lesions, and normalization of tumor marker level. PR is defined as at least a 30% decrease in the sum of longest diameters of target lesions, taking as reference the baseline sum of longest diameters. SD is defined as neither sufficient shrinkage of target lesions to qualify for partial response, nor sufficient increase to qualify for progressive disease, taking as reference the baseline sum of longest diameters.

Time frame: From Date of Randomization to Objective Progressive Disease or Start of New Anti-Cancer Therapy (Up to 24 Months)

Population: All randomized participants.

ArmMeasureValue (NUMBER)
Pegilodecakin + PembrolizumabPercentage of Participants Who Achieved a Disease Control Rate (DCR)62.7 percentage of participants
PembrolizumabPercentage of Participants Who Achieved a Disease Control Rate (DCR)62.0 percentage of participants
p-value: 0.941895% CI: [0.5, 2.3]Cochran-Mantel-Haenszel
Secondary

Progression Free Survival (PFS)

PFS is defined as the time from date of randomization to the earlier of first documentation of disease progression or death due to any cause. Progressive disease (PD) is defined by at least a 20% increase in the sum of longest diameters of target lesions, taking as reference the baseline sum of longest diameters or the presence of one or more new lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered progression determined by scans. Participants who did not progress, who discontinued treatment for toxicity or a reason other than documented progression, or who were lost to follow up before documented progression and death or were censored at the date of last adequate tumor assessment, participants or new anticancer therapy started and not tumor progression or death were censored at the last adequate tumor assessment before the start of new anticancer therapy.

Time frame: From Date of Randomization to Progressive Disease (PD) or Death Due to Any Cause (Up to 24 Months)

Population: All randomized participants. Censored participants in the Pegilodecakin + Pembrolizumab arm is 24 and Pembrolizumab arm is 22.

ArmMeasureValue (MEDIAN)
Pegilodecakin + PembrolizumabProgression Free Survival (PFS)6.28 Months
PembrolizumabProgression Free Survival (PFS)6.08 Months
p-value: 0.295% CI: [0.571, 1.663]Log Rank

Source: ClinicalTrials.gov · Data processed: Feb 18, 2026