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An Open-label, Uncontrolled Study of ONO-4578 and ONO-4538 in Combination With Standard-of-care Docetaxel and Ramucirumab as Second-line Therapy in Patients With Advanced or Recurrent Non-small Cell Lung Cancer

Phase 1 Study of ONO-4578 Given as Combinations of ONO-4578, ONO-4538, Docetaxel and Ramucirumab in Subjects With Metastatic Non-small Cell Lung Cancer Who Have Had Disease Progression During or After One Prior First-line Anti-PD-(L) 1 Antibody and Platinum-based Chemotherapy for Advanced/Metastatic Disease

Status
Active, not recruiting
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06542731
Enrollment
42
Registered
2024-08-07
Start date
2021-06-01
Completion date
2026-12-31
Last updated
2024-08-07

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

This study is PhaseⅠstudy to evaluate the tolerability and safety of ONO-4578 and ONO-4538 in combination with standard-of-care docetaxel and ramucirumab as second-line therapy in patients with advanced or recurrent NSCLC who were refractory to a combination therapy containing an anti-PD-(L)1 antibody and a platinum-based drug

Interventions

Specified dose on specified days

Specified dose on specified days

DRUGDocetaxel

Specified dose on specified days

DRUGRamucirumab

Specified dose on specified days

Sponsors

Ono Pharmaceutical Co. Ltd
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

1. Clinical stage III B/ III C with unsuitable for radical irradiation, Clinical stage IV or recurrent non-small cell lung cancer 2. Life expectancy of at least 3 months 3. Patients with ECOG performance status 0 or 1

Exclusion criteria

1. Patients with severe complication 2. Patients with multiple primary cancers

Design outcomes

Primary

MeasureTime frame
Dose-limiting toxicities(DLT)21 days
Adverse event(AE)Up to 28 days after the last dose

Secondary

MeasureTime frame
Progression-free survival (PFS)Up to 2 years
Duration of response (DOR)Up to 2 years
Time to response (TTR)Up to 2 years
Best overall response (BOR)Up to 2 years
Percentage of change in the sum of tumor diameters of target lesionsUp to 2 years
Disease control rate (DCR)Up to 2 years
Changes in tumor markers(CYFRA,CEA,SLX)Up to 2 years
Pharmacokinetics(Plasma concentration of ONO-4578)Up to 28 days after the last dose
Pharmacokinetics(serum concentration of ONO-4538)Up to 28 days after the last dose
Overall response rate (ORR)Up to 2 years
Maximum percentage of change in the sum of tumor diameters of target lesionsUp to 2 years
Overall survival (OS)Up to 2 years

Countries

Japan

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026