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TerminatedNCT06173505Updated Mar 13, 2026

Study of Vudalimab or Pembrolizumab in Combination With Chemotherapy as First-line Treatment in Patients With Advanced NSCLC

A Phase 1/2 interventional study of Vudalimab + Carboplatin + Pemetrexed and Pembrolizumab + Carboplatin + Pemetrexed in Nonsquamous Non-small Cell Lung Cancer, sponsored by Xencor, Inc.. Terminated at 17 sites in 8 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-03-13.

Sponsored by Xencor, Inc. · Phase 1/2, Interventional, and Treatment

Why this study was terminated
Business Decision
Phase
Phase 1/2
Study type
Interventional
Enrollment
28
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to identify the recommended dose of vudalimab to be used in combination with chemotherapy (Part 1) and to evaluate the efficacy and safety of vudalimab plus standard of care chemotherapy relative to pembrolizumab plus chemotherapy (Part 2) as first-line treatment in patients with nonsquamous non-small cell lung cancer (NSCLC).

Read the detailed description

This is a Phase 1b/2 study, multicenter, open-label, randomized study in patients with nonsquamous non-small cell lung cancer without prior treatment for metastatic disease. Part 1 is designed to identify the recommended Phase 2 dose (RP2D) of vudalimab, an anti-PD-1/CTLA-4 bispecific antibody, in combination with standard of care (SOC) chemotherapy. Part 2 will evaluate the efficacy and safety vudalimab, at the RP2D, plus SOC relative to pembrolizumab (anti-PD-1) plus SOC chemotherapy.

02

Conditions studied

  • Nonsquamous Non-small Cell Lung Cancer

Keywords

  • Non-small cell lung cancer
  • Nonsquamous
  • XmAb20717
  • vudalimab
  • anti-PD-1 x anti-CTLA-4
  • checkpoint inhibitor
  • chemotherapy
03

In context

Carcinoma, Non-Small-Cell Lung

6,488 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,632 are open to participants now.

This study's enrollment of 28 is below the median of 62 across 5,213 interventional studies indexed under Carcinoma, Non-Small-Cell Lung.

Browse Carcinoma, Non-Small-Cell Lung studies →

Lead sponsor

Xencor, Inc. is the lead sponsor of 29 studies on the registry; 7 are open to participants now.

Of its 14 completed or terminated interventional studies of FDA-regulated products, 2 (14%) have results posted.

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

04

Who can participate

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

Eligibility criteria

Key Inclusion Criteria:

  • Histologically confirmed, locally advanced (unresectable) or metastatic nonsquamous NSCLC
  • Documented absence of tumor activating EGFR mutation, ALK gene and ROS1 rearrangements, and alterations in any actionable driver oncogenes for which there are locally approved targeted first-line therapies
  • PD-L1 IHC testing documenting TPS \< 49%
  • No prior systemic treatment for advanced/metastatic NSCLC.
  • Measurable disease by RECIST 1.1
  • ECOG performance status score of 0 or 1
  • Life expectancy ≥ 3 months
  • Adequate liver, kidney, thyroid and bone marrow function

Key Exclusion Criteria:

  • Have known active central nervous system metastases and/or carcinomatous meningitis. Patients with treated brain metastases may participate, provided they are radiologically stable
  • Active known or suspected autoimmune disease
  • Has any condition requiring systemic treatment with corticosteroids, prednisone equivalents, or other immunosuppressive medications within 14 days prior to first dose of study drug
  • Interstitial lung disease that is symptomatic
  • Known human immunodeficiency virus (HIV) positive with CD4+ T-cell (CD4+) count \< 350 cells/μL, or an HIV viral load greater than 400 copies/mL, or a history of an acquired immunodeficiency syndrome-defining opportunistic infection within the past 12 months, or not on established antiretroviral therapy (ART) for at least 4 weeks prior to initiation of study drug dosing. (HIV positive subjects who do not meet these exclusion criteria are eligible)
  • Positive test for hepatitis C RNA (a patient who is hepatitis C virus [HCV] antibody positive but HCV RNA negative due to documented, curative prior antiviral treatment or natural resolution is eligible)
  • Positive test for hepatitis B surface antigen or hepatitis B core antibody (hBcAb) (a patient whose hBsAg is negative and hBcAb is positive may be enrolled if a hepatitis B virus (HBV) DNA test is negative and the subject is retested for HbsAg and HBV DNA every 2 months)
  • History or evidence of any clinically unstable/uncontrolled disorder, condition, or disease (including, but not limited to, cardiopulmonary, renal, metabolic, hematologic, or psychiatric) other than NSCLC, that, in the opinion of the Investigator, would pose a risk to patient safety or interfere with study evaluations, procedures, or completion

Other protocol defined inclusion/exclusion criteria apply.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
28 participants (actual)

Study arms

  • Experimental
    Vudalimab + Carboplatin + Pemetrexed

    Combination Product: Vudalimab + Carboplatin + Pemetrexed

  • Active comparator
    Pembrolizumab + Carboplatin + Pemetrexed

    Combination Product: Pembrolizumab + Carboplatin + Pemetrexed

Interventions

  • Combination productVudalimab + Carboplatin + Pemetrexed

    Vudalimab intravenous + carboplatin intravenous + pemetrexed intravenous

  • Combination productPembrolizumab + Carboplatin + Pemetrexed

    Pembrolizumab intravenous + carboplatin intravenous + pemetrexed intravenous

06

What researchers measure

Primary outcomes

  1. Part 1: Recommended Phase 2 dose of vudalimab in combination with chemotherapy

    Incidence of treatment-emergent adverse events and treatment-related adverse events leading to discontinuation of treatment

    Time frame: Day 1 to Day 21

  2. Part 2: Progression free survival

    Progressive disease per RECIST 1.1 or death, whichever comes first

    Time frame: Day 1 to 2.5 years

Secondary outcomes

  1. Antitumor activity

    Objective response rate as determined by investigator, duration of response (Part 1 and Part 2)

    Time frame: Day 1 to 1.4 years

  2. Changes in circulating tumor DNA (ctDNA)

    Examine ctDNA changes as a surrogate marker for disease burden (Part 1 and Part 2)

    Time frame: Day 1 to 1.4 years

  3. Maximum Serum Drug Concentration (Cmax)

    (Part 1 and Part 2)

    Time frame: Day 1 to 1.4 years

  4. Trough Serum Drug Concentration (Ctrough)

    (Part 1 and Part 2)

    Time frame: Day 1 to 1.4 years

  5. Area Under the Concentration-time Curve (AUC)

    (Part 1 and Part 2)

    Time frame: Day 1 to 1.4 years

  6. Overall survival

    Time to death from any cause (Part 2)

    Time frame: Day 1 to 2.5 years

  7. Incidence of treatment-emergent adverse events

    Time frame: Time Frame: Day 1 to 1.4 years]

07

Study locations

17 sites
  • Palo Verde Cancer Specialists
    Glendale, Arizona 85304, United States
  • Eastern Connecticut Hematology and Oncology Associates
    Norwich, Connecticut 06360, United States
  • Hematology Associates of Fredericksburg
    Fredericksburg, Virginia 22408, United States
  • Jessa Ziekenhuis - Campus Virga Jesse
    Hasselt, 3500, Belgium
  • St. Lukes (Agios Loucas) Hospital
    Thessaloniki, 552 36, Greece
  • Hospital Sultan Ismail
    Johor Bahru, 81100, Malaysia
  • Hospital Umum Sarawak
    Kuching, 93586, Malaysia
  • Institut Kanser Negara
    Putrajaya, 62250, Malaysia
  • The Netherlands Cancer Institute - Antoni van Leeuwenhoek
    Amsterdam, North Holland 1066 CX, Netherlands
  • ULS do Alto Ave, EPE - Hospital da Senhora da Oliveira Guimarães
    Guimarães, 4835-044, Portugal
  • NEXT Oncology-Hospital Quirónsalud Barcelona
    Barcelona, 08023, Spain
  • Hospital Clinic i Provincial de Barcelona
    Barcelona, 08036, Spain
  • Institut Català d'Oncolgia de Girona
    Girona, 17007, Spain
  • Hospital Clínico San Carlos
    Madrid, 28040, Spain
  • Hospital Universitario La Paz
    Madrid, 28046, Spain
  • Changhua Christian Hospital
    Changhua, 500, Taiwan
  • Kaohsiung Medical University Chung-Ho Memorial Hospital
    Kaohsiung City, 807, Taiwan
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06173505
Lead sponsor
Xencor, Inc.
Responsible party
Sponsor
First posted
Dec 15, 2023
Start date
Dec 27, 2023
Primary completion
Dec 24, 2025
Completion
Dec 29, 2025
Last update
Mar 13, 2026

Study contacts

Jolene Shorr
study director · Executive Director, Clinical Development

Oversight

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

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This study is terminated, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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