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Active, not recruitingNCT06348199Updated Jul 7, 2026

A Study to Compare the Efficacy, Safety, Pharmacokinetics, and Immunogenicity Between SB27 and Keytruda in Subjects With Metastatic Non-squamous Non-small Cell Lung Cancer

A Phase 3 interventional study of SB27 and Keytruda in Non-small Cell Lung Cancer Stage IV, sponsored by Samsung Bioepis Co., Ltd.. Active, not recruiting at 93 sites in 14 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-07.

Sponsored by Samsung Bioepis Co., Ltd. · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
555
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to confirm that SB27 works in the same way as Keytruda in metastatic non-squamous non-small cell lung cancer (NSCLC) patients. The main question it aims to answer is:

  • How effective the study drug is Participants will receive either investigational product (SB27 or Keytruda) and chemotherapy every 3 weeks.

Researchers will compare SB27 and Keytruda to see if SB27 works in the same way as Keytruda.

02

Conditions studied

  • Non-small Cell Lung Cancer Stage IV
03

Who can participate

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

Inclusion criteria

  • Male or female ≥ 18 years of age
  • Have been diagnosed with stage IV non-squamous NSCLC
  • Have not received any prior systemic anti-cancer therapy for metastatic NSCLC
  • Agree to use adequate methods of contraception

Exclusion criteria

Exclusion Criteria:

  • Unable or unwilling to take folic acid and vitamin B12 supplementation
  • Severe hypersensitivity to treatment with another monoclonal antibody, any ingredient contained in SB27 or Keytruda, or any component of platinum-containing compounds or pemetrexed.
04

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
555 participants (actual)

Study arms

  • Experimental
    SB27

    SB27 will be administered followed by Pemetrexed and Carboplatin (Carboplatin will be administered for the first 4 cycles).

    Drug: SB27

  • Active comparator
    Keytruda

    Keytruda will be administered followed by Pemetrexed and Carboplatin (Carboplatin will be administered for the first 4 cycles).

    Drug: Keytruda

Interventions

  • DrugSB27

    Will be administered intravenously at a fixed dose of 200 mg every 3 weeks

  • DrugKeytruda

    Will be administered intravenously at a fixed dose of 200 mg every 3 weeks

05

What researchers measure

Primary outcomes

  1. Objective response rate (ORR) at Week 24

    Defined as the proportion of subjects achieving a complete response (CR) or partial response (PR) at Week 24 according to RECIST v1.1

    Time frame: At Week 24

06

Study locations

93 sites
  • SB Investigative Site
    Banja Luka, Bosnia and Herzegovina
  • SB Investigative Site
    Mostar, Bosnia and Herzegovina
  • SB Investigative Site
    Sarajevo, Bosnia and Herzegovina
  • SB Investigative Site
    Curitiba, Brazil
  • SB Investigative Site
    Florianópolis, Brazil
  • SB Investigative Site
    Ijuí, Brazil
  • SB Investigative Site
    Natal, Brazil
  • SB Investigative Site
    Pelotas, Brazil
  • SB Investigative Site 1
    Porto Alegre, Brazil
  • SB Investigative Site 2
    Porto Alegre, Brazil
  • SB Investigative Site
    Rio de Janeiro, Brazil
  • SB Investigative Site
    Santo André, Brazil
  • SB Investigative Site
    Batumi, Georgia
  • SB Investigative Site 1
    Tbilisi, Georgia
  • SB Investigative Site 2
    Tbilisi, Georgia
  • SB Investigative Site 3
    Tbilisi, Georgia
  • SB Investigative Site 4
    Tbilisi, Georgia
  • SB Investigative Site 5
    Tbilisi, Georgia
  • SB Investigative Site 6
    Tbilisi, Georgia
  • SB Investigative Site
    Düsseldorf, Germany
  • SB Investigative Site
    Halle, Germany
  • SB Investigative Site
    Moers, Germany
  • SB Investigative Site
    Neuss, Germany
  • SB Investigative Site
    Bangalore, India
  • SB Investigative Site
    Bhubaneswar, India
  • SB Investigative Site
    Erandwane, India
  • SB Investigative Site
    Hyderabad, India
  • SB Investigative Site 1
    Jaipur, India
  • SB Investigative Site 2
    Jaipur, India
  • SB Investigative Site
    Mumbai, India
  • SB Investigative Site
    Sūrat, India
  • SB Investigative Site
    Udaipur, India
  • SB Investigative Site
    Himeji, Japan
  • SB Investigative Site
    Iwakuni, Japan
  • SB Investigative Site
    Izumi, Japan
  • SB Investigative Site
    Kawachi-Nagano, Japan
  • SB Investigative Site
    Kobe, Japan
  • SB Investigative Site
    Kochi, Japan
  • SB Investigative Site
    Sagamihara, Japan
  • SB Investigative Site
    Tachikawa, Japan
  • SB Investigative Site
    Takarazuka, Japan
  • SB Investigative Site
    Toyonaka, Japan
  • SB Investigative Site
    George Town, Malaysia
  • SB Investigative Site
    Johor Bahru, Malaysia
  • SB Investigative Site
    Kota Bharu, Malaysia
  • SB Investigative Site
    Kuantan, Malaysia
  • SB Investigative Site
    Lembah Pantai, Malaysia
  • SB Investigative Site
    Putrajaya, Malaysia
  • SB Investigative Site
    Aguascalientes, Mexico
  • SB Investigative Site
    Guadalajara, Mexico
  • SB Investigative Site
    Mexico City, Mexico
  • SB Investigative Site
    Davao City, Philippines
  • SB Investigative Site
    Makati City, Philippines
  • SB Investigative Site
    Manila, Philippines
  • SB Investigative Site
    Quezon City, Philippines
  • SB Investigative Site
    San Juan City, Philippines
  • SB Investigative Site
    Cluj-Napoca, Romania
  • SB Investigative Site 1
    Craiova, Romania
  • SB Investigative Site 2
    Craiova, Romania
  • SB Investigative Site
    Craiova, Romania
  • SB Investigative Site
    Iași, Romania
  • SB Investigative Site
    Oradea, Romania
  • SB Investigative Site
    Sibiu, Romania
  • SB Investigative Site
    Suceava, Romania
  • SB Investigative Site 1
    Belgrade, Serbia
  • SB Investigative Site 2
    Belgrade, Serbia
  • SB Investigative Site
    Kamenitz, Serbia
  • SB Investigative Site
    Kragujevac, Serbia
  • SB Investigative Site
    Niš, Serbia
  • SB Investigative Site
    Leganés, Spain
  • SB Investigative Site
    Málaga, Spain
  • SB Investigative Site
    Ourense, Spain
  • SB Investigative Site
    Oviedo, Spain
  • SB Investigative Site
    Santiago de Compostela, Spain
  • SB Investigative Site
    Seville, Spain
  • SB Investigative Site
    Valencia, Spain
  • SB Investigative Site 1
    Bangkok, Thailand
  • SB Investigative Site 2
    Bangkok, Thailand
  • SB Investigative Site
    Bangkok Noi, Thailand
  • SB Investigative Site
    Khon Kaen, Thailand
  • SB Investigative Site
    Adapazarı, Turkey (Türkiye)
  • SB Investigative Site 1
    Ankara, Turkey (Türkiye)
  • SB Investigative Site 2
    Ankara, Turkey (Türkiye)
  • SB Investigative Site
    Bağcılar, Turkey (Türkiye)
  • SB Investigative Site
    Balgat, Turkey (Türkiye)
  • SB Investigative Site
    Çubuk, Turkey (Türkiye)
  • SB Investigative Site
    Istanbul, Turkey (Türkiye)
  • SB Investigative Site
    İzmit, Turkey (Türkiye)
  • SB Investigative Site
    Kavaklıdere, Turkey (Türkiye)
  • SB Investigative Site
    Konak, Turkey (Türkiye)
  • SB Investigative Site
    Maltepe, Turkey (Türkiye)
  • SB Investigative Site
    Seyhan, Turkey (Türkiye)
  • SB Investigative Site
    Sivas, Turkey (Türkiye)
07

Registry details

Key details

Study ID
NCT06348199
Lead sponsor
Samsung Bioepis Co., Ltd.
Responsible party
Sponsor
First posted
Apr 4, 2024
Start date
Mar 12, 2024
Primary completion
Mar 10, 2026
Completion
Sep 2026 (estimated)
Last update
Jul 7, 2026

Oversight

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

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