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CompletedNCT04262856ARC-7Updated Jun 15, 2026

Study to Evaluate Monotherapy and Combination Immunotherapies in Participants With PD-L1 Positive Non-small Cell Lung Cancer

A Phase 2 interventional study of Domvanalimab and Etrumadenant in Non Small Cell Lung Cancer, Nonsquamous Non Small Cell Lung Cancer and Squamous Non Small Cell Lung Cancer, sponsored by Arcus Biosciences, Inc.. Completed at 44 sites in 7 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-15.

Sponsored by Arcus Biosciences, Inc. · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Jul 2025, 1 year 3 months ago, and no results have been posted to the registry; the sponsor requested a delay in submitting them in Jun 2026.
Phase
Phase 2
Study type
Interventional
Enrollment
151
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This randomized phase 2 open-label study will evaluate the safety and efficacy of zimberelimab (AB122) monotherapy, domvanalimab (AB154) in combination with zimberelimab, and domvanalimab in combination with zimberelimab and etrumadenant (AB928) in front-line, PD-L1 positive, metastatic non-small cell lung cancer.

02

Conditions studied

  • Non Small Cell Lung Cancer
  • Nonsquamous Non Small Cell Lung Cancer
  • Squamous Non Small Cell Lung Cancer
  • Lung Cancer

Keywords

  • Non Small Cell Lung Cancer
  • Lung Cancer
  • NSCLC
03

In context

Carcinoma, Non-Small-Cell Lung

6,491 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,633 are open to participants now.

This study's enrollment of 151 is above the median of 62 across 5,216 interventional studies indexed under Carcinoma, Non-Small-Cell Lung.

Browse Carcinoma, Non-Small-Cell Lung studies →

Lead sponsor

Arcus Biosciences, Inc. is the lead sponsor of 32 studies on the registry; 4 are open to participants now.

Of its 20 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Male or female participants; age ≥ 18 years
  • Histologically confirmed, treatment naive, metastatic squamous or non-squamous NSCLC with documented high PD-L1 expression, with no epidermal growth factor receptor (EGFR) or anaplastic lymphoma kinase (ALK) genomic tumor aberrations.
  • Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1
  • Must have at least 1 measurable lesion per RECIST v1.1
  • Adequate organ and marrow function

Exclusion criteria

Exclusion Criteria:

  • Use of any live vaccines against infectious diseases within 28 days of first dose of investigational medicinal products (IMPs)
  • Any gastrointestinal condition that would preclude the use of oral medications (eg, difficulty swallowing, nausea, vomiting, or malabsorption)
  • History of trauma or major surgery within 28 days prior to the first dose of IMP
  • Concurrent medical condition requiring the use of supra-physiologic doses of corticosteroids (> 10 mg/day of oral prednisone or equivalent) or immunosuppressive medications
  • Positive test results for Hepatitis B surface antigen, Hepatitis C virus antibody with presence of Hepatitis C qualitative RNA or human immunodeficiency virus (HIV-1 and/or HIV-2) antibody at screening
  • Any active autoimmune disease or a documented history of autoimmune disease or syndrome that required systemic treatment in the past 2 years (ie, with use of disease-modifying agents, corticosteroids, or immunosuppressive drugs), except for vitiligo or resolved childhood asthma/atopy.
  • Prior malignancy active within the previous 2 years except for locally curable cancers that have been apparently cured, such as basal or squamous cell skin cancer, superficial bladder cancer, or carcinoma in situ of the cervix, breast, or prostate cancer
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
151 participants (actual)

Study arms

  • Experimental
    Arm 1 (zimberelimab monotherapy)

    Participants will receive zimberelimab as an intravenous (IV) infusion.

    Drug: Zimberelimab

  • Experimental
    Arm 2 (domvanalimab and zimberelimab combination therapy)

    Participants will receive domvanalimab IV in combination with zimberelimab IV infusion.

    Drug: Domvanalimab · Drug: Zimberelimab

  • Experimental
    Arm 3 (domvanalimab, etrumadenant, and zimberelimab combination therapy)

    Participants will receive oral etrumadenant in combination with domvanalimab IV and zimberelimab IV infusion

    Drug: Domvanalimab · Drug: Etrumadenant · Drug: Zimberelimab

Interventions

  • DrugDomvanalimab

    Domvanalimab is a humanized monoclonal antibody targeting human TIGIT

    Also known as: AB154

  • DrugEtrumadenant

    Etrumadenant is an A2aR and A2bR antagonist

    Also known as: AB928

  • DrugZimberelimab

    Zimberelimab is a fully human anti-PD-1 monoclonal antibody

    Also known as: AB122

06

What researchers measure

Primary outcomes

  1. Objective response rate (ORR)

    ORR as assessed by RECIST v1.1

    Time frame: From randomization until the first documentation of disease progression or death from any cause, whichever occurs first (up to approximately 3-5 years)

  2. Progression-free survival (PFS)

    PFS as assessed by RECIST v1.1

    Time frame: From randomization until the first documentation of disease progression or death from any cause, whichever occurs first (up to approximately 3-5 years)

Secondary outcomes

  1. Duration of response (DoR)

    DoR as assessed by RECIST v1.1

    Time frame: From the date of first occurrence of a documented objective response to first documentation of disease progression or death from any cause, whichever occurs first (up to approximately 3-5 years)

  2. Disease control rate (DCR)

    DCR as assessed by RECIST v1.1

    Time frame: From the date of first occurrence of a documented objective response to first documentation of disease progression or death from any cause, whichever occurs first (up to approximately 3-5 years)

  3. Overall Survival (OS)

    OS as assessed at the time of PFS

    Time frame: From randomization to death from any cause (up to approximately 5 years)

  4. Number of Participants with Treatment Emergent Adverse Events (TEAEs)

    The number and percentage of participants that experience TEAE

    Time frame: From Screening until up to 90-100 days after the last dose (approximately 5 years)

  5. Pharmacokinetics of zimberelimab

    Serum concentration of zimberelimab as determined by validated assays

    Time frame: Collected during all treatment cycles (each cycle is 21 or 28 days), up to 14 days post last dose, 30, 60 and 100 days post last dose (in total, an average of 2 years)

  6. Pharmacokinetics of domvanalimab

    Serum concentration of domvanalimab as determined by validated assays

    Time frame: Collected during all treatment cycles (each cycle is 21 or 28 days), up to 14 days post last dose, 30, 60 and 100 days post last dose (in total, an average of 2 years)

  7. Pharmacokinetics of etrumadenant

    Serum concentration of etrumadenant as determined by validated assays

    Time frame: Collected during all treatment cycles (each cycle is 21 or 28 days), up to 14 days post last dose, 30, 60 and 100 days post last dose (in total, an average of 2 years)

  8. Immunogenicity of zimberelimab

    Percentage of participants who develop treatment-emergent anti-drug antibodies to zimberelimab

    Time frame: Collected during all treatment cycles (each cycle is 21 or 28 days), up to 14 days post last dose, 30, and 100 days post last dose (in total, an average of 2 years).

  9. Immunogenicity of domvanalimab

    Percentage of participants who develop treatment-emergent anti-drug antibodies to domvanalimab

    Time frame: Collected during all treatment cycles (each cycle is 21 or 28 days), up to 14 days post last dose, 30, and 100 days post last dose (in total, an average of 2 years).

07

Study locations

44 sites
  • University of Alabama at Birmingham
    Birmingham, Alabama 35294, United States
  • Innovative Clinical Research Institute (ICRI)
    Whittier, California 90603, United States
  • Florida Cancer Specialists
    Englewood, Florida 34223, United States
  • Florida Cancer Specialists
    Gainesville, Florida 32605, United States
  • Florida Cancer Specialists - Panhandle
    Tallahassee, Florida 32308, United States
  • Florida Cancer Specialists - East
    West Palm Beach, Florida 33401, United States
  • Baptist Health Lexington
    Lexington, Kentucky 40503, United States
  • Norton Cancer Institute
    Louisville, Kentucky 40202, United States
  • Ochsner Clinic Foundation
    New Orleans, Louisiana 70121, United States
  • The Valley Hospital - Valley Health System - The Robert and Audrey Luckow Pavilion
    Ridgewood, New Jersey 07450, United States
  • Clinical Research Alliance
    Lake Success, New York 11042, United States
  • Northwell Health Cancer Institute
    Lake Success, New York 11042, United States
  • Wake Forest Baptist Health
    Winston-Salem, North Carolina 27157, United States
  • Allegheny General Hospital (AGH)-Alleghney Singer Research Institute
    Pittsburgh, Pennsylvania 15224, United States
  • Sarah Cannon Research Institute
    Nashville, Tennessee 37203, United States
  • The Center For Cancer And Blood Disorders (Texas Cancer Care)
    Fort Worth, Texas 76104, United States
  • Millennium Oncology
    Houston, Texas 77339, United States
  • Oncology and Hematology Associates of Southwest Virginia, Inc., DBA Blue Ridge Cancer Care
    Blacksburg, Virginia 24060, United States
  • Virginia Cancer Specialists
    Fairfax, Virginia 22031, United States
  • Border Medical Oncology
    Albury, Australia
  • Coffs Harbour Health Campus
    Coffs Harbour, Australia
  • Adelaide Cancer Centre
    Elizabeth Vale, Australia
  • Shoalhaven Cancer Care Centre
    Nowra, Australia
  • McGill University Health Centre (MUHC) - The Montreal Children's Hospital (MCH)
    Montreal, Canada
  • Hong Kong United Oncology Centre
    Hong Kong, Hong Kong
  • Queen Elizabeth Hospital (Hong Kong)
    Hong Kong, Hong Kong
  • Curie Oncology
    Singapore, Singapore
  • Kosin University Gospel Hospital
    Busan, South Korea
  • Chungbuk National University Hospital (CBNUH)
    Cheongju-si, South Korea
  • Chonnam University Hospital
    Hwasun, South Korea
  • Gachon University Gil Medical Center
    Incheon, South Korea
  • Chonbuk National University Hospital
    Jeonju, South Korea
  • Seoul National University Bundang Hospital
    Seongnam-si, South Korea
  • Asan Medical Center
    Seoul, South Korea
  • Kangbuk Samsung Hospital
    Seoul, South Korea
  • Korea University Anam Hospital
    Seoul, South Korea
  • St Vincent Hospital of the Catholic University of Korea
    Suwon, South Korea
  • Catholic University of Korea, Uijeongbu St. Mary's Hospital
    Uijeongbu-si, South Korea
  • Taipei Medical University - Shuang Ho Hospital
    New Taipei City, Taiwan
  • Chi Mei Hospital
    Tainan, Taiwan
  • National Cheng Kung University Hospital
    Tainan, Taiwan
  • National Taiwan University Hospital
    Taipei, Taiwan
  • Taipei Medical University Hospital
    Taipei, Taiwan
  • Chang Gung Memorial Hospital at Linkou
    Taoyuan, Taiwan
08

References and documents

Individual participant data

Plan to share: Yes — Arcus will provide access to individual de-identified participant data and related study documents (e.g., protocol, Statistical Analysis Plan \[SAP\], Clinical Study Report \[CSR\]) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. For more information, please visit our website.

Supporting information: Study protocol, Sap, Csr

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 15, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04262856
Lead sponsor
Arcus Biosciences, Inc.
Collaborators
Gilead Sciences
Responsible party
Sponsor
First posted
Feb 10, 2020
Start date
May 28, 2020
Primary completion
Jul 9, 2025
Completion
Jul 9, 2025
Last update
Jun 15, 2026

Study contacts

Medical Director
study director · Arcus Biosciences, Inc.

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2024. You cannot join it, but the record below documents what was studied.

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