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NCT07158489PHASE2NOT_YET_RECRUITING

Overcoming Resistance to Immunotherapy Combining Gemcitabine With Ivonescimab in Advanced NSCLC

Protocol SAKK 18/ 25 Overcoming Resistance to Immunotherapy Combining Gemcitabine With Ivonescimab in Advanced NSCLC Progressing on Immune Checkpoint Inhibitors: A Multicenter, Single-arm, Open-label Phase II Trial (ORIGIN2)

Sponsor: Swiss Cancer Institute

No open prediction endpoints

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Key Facts

Study type
INTERVENTIONAL
Conditions
NSCLC, NSCLC (Advanced Non-small Cell Lung Cancer)
Interventions
Gemcitabine + Ivonescimab
Enrollment
47 participants
Primary completion
Jul 2028
Study completion
Jul 2029
First posted
Sep 2025
Last updated
Apr 2026

Primary Endpoints (CT.gov)

Objective response rate (ORR) according to RECIST v1.1

Time frame: At the end of trial treatment, up to 2 years from registration.

Secondary Endpoints

Duration of response (DoR) according to RECIST v1.1

Progression-free Survival (PFS) according to RECIST v1.1

Eligibility Criteria

Inclusion Criteria: * Patients fulfilling all of the following inclusion criteria are eligible for the trial: * Written informed consent according to Swiss law and ICH GCP E6 regulations before registration and prior to any trial specific procedures including patient screening. * Confirmed squamous or non-squamous mNSCLC stage IIIB-IV (based on 9th edition Tumor-Node-Metastasis (TNM) classification of lung cancers with disease recurrence or progression during or after one or more prior immunotherapy or CIT regimens for metastatic disease. * Patients with treated and stable central nervous system (CNS) metastases are eligible, if: * Previous CNS-directed therapy has been completed at least 4 weeks prior to treatment start. * No evidence of progression after completion of CNS-directed therapy as ascertained by clinical examination and brain imaging with Magnetic Resonance Imaging (MRI) or CT.25 * Patients with known HIV-infection are eligible, if: * CD4+ T-cell counts are ≥ 350

Read full criteria on CT.gov →

✦ Analyst Commentary

Expert commentary on why this trial matters and what to watch for.

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Source

Open on ClinicalTrials.gov