Clinical Trial of N-803 Plus Tislelizumab or Prior Failed Immune Checkpoint Inhibitor and Docetaxel Versus Docetaxel Monotherapy in Participants With Advanced or Metastatic Non-Small Cell Lung Cancer Who Have Acquired Resistance to Immune Checkpoint In

Part of paid clinical trials in Springdale, Arkansas.

Sponsor
ImmunityBio, Inc.
Study ID
NCT06745908
Phase
PHASE3
Status
Recruiting

Conditions

  • NSCLC Stage IV

Eligibility Criteria

Sex
ALL
Age
18 Years - 90 Years
Healthy Volunteers
Not accepted

Interventions

  • N-803 — DRUG
    N-803 1.2 mg SC
  • Tislelizumab — DRUG
    Tislelizumab 200 mg IV
  • Docetaxel — DRUG
    Docetaxel 75 mg/m2 IV
  • Prior failed checkpoint inhibitor — DRUG
    Previously failed checkpoint inhibitor

Study Details

This is a randomized, two-cohort, open-label, phase 3, clinical trial to compare the efficacy and safety of N-803 plus tislelizumab and docetaxel (cohort A) or prior failed Health Authority-approved antiprogrammed death-1 (PD-1) or anti-programmed death-ligand 1 (PD-L1) CPI and docetaxel (cohort B) versus docetaxel monotherapy (cohorts A and B). For each cohort, enrolled participants will be randomized 2:1 to treatment in the experimental arm or the control arm. For cohort A, the randomization will be stratified by geographical region (North America vs Europe vs Asia vs Other), NSCLC histology (squamous vs nonsquamous), and actionable genomic alteration (AGA) (epidermal growth factor receptor \[EGFR\]/anaplastic lymphoma kinase \[ALK\]/ROS proto-oncogene 1, receptor tyrosine kinase \[ROS1\] vs Other AGA vs No AGA). For cohort B, the randomization will be stratified by geographical region (Americas vs Asia Pacific \[PAC\] vs Other), NSCLC histology (squamous vs nonsquamous), and actionable genomic alteration (AGA) (Yes vs No).

Key Dates

Start date
Oct 1, 2025
Status verified
Oct 2025
Primary completion
Sep 30, 2028
Completion
Jan 31, 2029

Study Design

Enrollment
507 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Experimental: Cohort A: Experimental Arm
    3-week cycles. N803, Tislelizumab, and Docetaxel will be administered on Cycle 1 and 2. N803 and Tislelizumab will be administered on Cycle 3 and onward until end of study.
  • Active Comparator: Cohort A: Control Arm
    The control arm treatment regimen will consist of repeated 3-week cycles with a ± 3-day window for each visit of Docetaxel 75 mg/m2 IV.
  • Experimental: Cohort B: Experimental Arm
    3-week cycles. N803, prior failed checkpoint inhibitor, and Docetaxel will be administered on Cycle 1 and 2. N803 and prior failed checkpoint inhibitor will be administered on Cycle 3 and onward until end of study.
  • Active Comparator: Cohort B: Control Arm
    The control arm treatment regimen will consist of repeated 3-week cycles with a ± 3-day window for each visit of Docetaxel 75 mg/m2 IV.

Primary Outcome Measure

Compare Overall Survival between the experimental and control arms [ Time Frame: Approximately 12 months ]

Central Contacts

Locations (19)

FacilityCityStateZIPSite coordinators
Highlands Oncology GroupSpringdaleArkansas72762
Amber Hixon
479-313-6810
Eric Schaefer, MD (PRINCIPAL_INVESTIGATOR)
Chan Soon-Shiong Institute for MedicineEl SegundoCalifornia90245
Jaya Gill
215-266-5600
Tara Seery, MD (PRINCIPAL_INVESTIGATOR)
MemorialCare - Orange Coast Medical CenterFountain ValleyCalifornia92708
Alexis Wilson
Amol Rao (PRINCIPAL_INVESTIGATOR)
OPN Healthcare INCGlendaleCalifornia91203
Heather Lyon
818-254-2526
Anthony Lam (PRINCIPAL_INVESTIGATOR)
OPN Healthcare INC/ Cancer and Blood Specialty ClinicLos AlamitosCalifornia90720
Heather Lyon
818-254-2526
Vu Phan (PRINCIPAL_INVESTIGATOR)
Holy Cross HospitalFort LauderdaleFlorida33308
Georges Azzi, MD (PRINCIPAL_INVESTIGATOR)
The Oncology Institute of Hope and InnovationFort LauderdaleFlorida33316
kylee charlemagne
Edward S Santos, MD (PRINCIPAL_INVESTIGATOR)
Moffit Cancer CenterTampaFlorida33612-9497
Erika Gonzalez
Andreas Saltos, MD (PRINCIPAL_INVESTIGATOR)
Emory University - Winship Cancer InstituteAtlantaGeorgia30322
Ryan Hanula
404-778-5141
Jennifer Carlisle, MD (PRINCIPAL_INVESTIGATOR)
Barnes-Jewish Hospital - Siteman Cancer Center (Washington University - St. Louis)St LouisMissouri63110
Skye Anderson-Gierse
314-273-6693
Daniel Morgensztern (PRINCIPAL_INVESTIGATOR)
Carolina Oncology SpecialistsHickoryNorth Carolina28602
Justin Favaro, MD (PRINCIPAL_INVESTIGATOR)
University of Cincinnati Medical CenterCincinnatiOhio45267
Kerri McGovern, MD (PRINCIPAL_INVESTIGATOR)
University Hospitals Cleveland Medical CenterClevelandOhio44106
Mary Patton
513-584-7698
Matthew Mirsky, MD (PRINCIPAL_INVESTIGATOR)
Medical University of South CarolinaCharlestonSouth Carolina29425
Clinical Trials Office
843-792-9321
Mariam Alexander, MD (PRINCIPAL_INVESTIGATOR)
Tennessee OncologyNashvilleTennessee37203
Wade Iams, MDD (PRINCIPAL_INVESTIGATOR)
Vanderbilt - Ingram Cancer CenterNashvilleTennessee37232
Vanderbilt-Ingram Cancer Center Clinical Trials Office (CTO)
Shuai Wang, MD (PRINCIPAL_INVESTIGATOR)
Virginia Cancer SpecialistsFairfaxVirginia22031
Alexander Spira, MD (PRINCIPAL_INVESTIGATOR)
Virginia Commonwealth UniversityRichmondVirginia23219
Massey CTO Lung Team
804-628-6430
Jonathan Berkman, MD (PRINCIPAL_INVESTIGATOR)
Medical Oncology Associates - Summit Cancer CentersSpokaneWashington99208
Arvind Chaudhry, MD (PRINCIPAL_INVESTIGATOR)

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