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NCT07535437PHASE1, PHASE2RECRUITING

A Study of Ivonescimab in Combination With Dato-DXd or Osimertinib in People With Non-Small Cell Lung Cancer

A Phase 1/2 Trial of Ivonescimab With Dato-DXd or Osimertinib in Patients With Metastatic EGFR-mutant Non-small Cell Lung Cancer That Progressed on EGFR TKI Therapy

Sponsor: Memorial Sloan Kettering Cancer Center + Summit Therapeutics

No open prediction endpoints

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Key Facts

Study type
INTERVENTIONAL
Conditions
Non-Small Cell Lung Cancer
Interventions
Ivonescimab, Dato-DXd, Osimertinib
Enrollment
66 participants
Primary completion
Apr 2028
Study completion
Apr 2028
First posted
Apr 2026
Last updated
Apr 2026

Primary Endpoints (CT.gov)

determine the maximum tolerated dose (MTD) (phase I)

Time frame: 1 year

progression free survival (phase I)

Time frame: 6 months

measure objective response rate (ORR) (phase II)

Time frame: 1 year

Eligibility Criteria

Inclusion Criteria: * Written informed consent by participant * Biopsy-proven metastatic non-small cell lung cancer * Somatic activating mutation in EGFR in pre-treatment tumor biopsy or cfDNA (including all mutations with sensitivity to osimertinib) by any CLIA certified assay. * Prior treatment with 3rd-generation EGFR TKI therapy and platinum-based chemotherapy (or ineligible for platinum-based chemotherapy) * At least one measurable (RECIST 1.1) indicator lesion not previously irradiated * ECOG PS 0-1 * Age ≥18 years old * Ability to swallow oral medications (Study Cohort B only) * Adequate organ function * AST, ALT ≤ 2.5 x ULN; For patients with liver metastases, AST and ALT ≤ 5 × ULN * Total bilirubin ≤ 1.5x ULN; For patients with liver metastases or confirmed/suspected Gilbert syndrome, TBIL ≤3 × ULN Creatinine clearance (CrCl) ≥ 50 mL/min using the Cockcroft-Gault formula or estimated glomerular filtration rate (eGFR) value ≥50 mL/min using the Chronic Kidney Disease Epid

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