ClinicalTrials.gg
RecruitingNCT06692738Updated Oct 29, 2026

A Global Phase III Study of Rilvegostomig or Pembrolizumab Plus Chemotherapy for First-Line Treatment of Locally Advanced or Metastatic Squamous Non-small Cell Lung Cancer (NSCLC)

A Phase 3 interventional study of Rilvegostomig and Pembrolizumab in Non-small Cell Lung Cancer, sponsored by AstraZeneca. Recruiting at 333 sites in 26 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-29.

Sponsored by AstraZeneca · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Nov 2024; still recruiting 1 year 11 months later.
Updated Oct 29, 2026Site recruiting status changed6 sites added+1 moreGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
1,160
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of ARTEMIDE-Lung02 is to assess the efficacy and safety of rilvegostomig in combination with platinum-based chemotherapy for the first-line (1L) treatment of patients with locally advanced or metastatic squamous non-small cell lung cancer (mNSCLC) whose tumors express programmed death-ligand 1 (PD-L1).

Read the detailed description

This is a Phase III, two-arm, randomized, double-blind, global, multicenter study assessing the efficacy and safety of rilvegostomig compared to pembrolizumab, both in combination with platinum-based doublet chemotherapy, as a first-line (1L) treatment for patients with squamous locally advanced or metastatic non-small cell lung cancer (mNSCLC) whose tumors express PD-L1 (tumor cells (TC) ≥ 1%).

02

Conditions studied

  • Non-small Cell Lung Cancer

Keywords

  • ARTEMIDE-Lung02
  • Rilvegostomig (AZD2936)
  • Non-small cell lung cancer (NSCLC)
  • Bi-specific antibody
  • T-cell immunoglobulin and immunoreceptor tyrosine-based inhibitory motif domain (TIGIT)
  • Programmed death-ligand 1 (PD-L1)
  • Pembrolizumab
  • Carboplatin
  • Paclitaxel
  • Nab-paclitaxel
03

In context

Carcinoma, Non-Small-Cell Lung

7,620 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,838 are open to participants now.

This study's planned enrollment of 1,160 is above the median of 62 across 6,019 interventional studies indexed under Carcinoma, Non-Small-Cell Lung.

Browse Carcinoma, Non-Small-Cell Lung studies →

Lead sponsor

AstraZeneca is the lead sponsor of 3,499 studies on the registry; 270 are open to participants now.

Of its 368 completed or terminated interventional studies of FDA-regulated products, 178 (48%) 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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • or cytologically documented squamous NSCLC.
  • Stage III B/C or IV mNSCLC (based on the American Joint Committee on Cancer Edition 8) not amenable to curative treatment.
  • Absence of documented tumor genomic mutation results from tests conducted as part of standard local practice in any actionable driver oncogenes for which there are locally approved and available targeted 1L therapies.
  • Provision of acceptable tumor sample to confirm tumor expression TC ≥ 1%.
  • At least one lesion not previously irradiated that qualifies as a 1.1 TL at baseline and can be accurately measured at baseline as ≥ 10 mm in the longest diameter (except lymph nodes, which must have short axis ≥ 15 mm) with CT or MRI and is suitable for accurate repeated measurements.
  • Adequate organ and bone marrow function.

Exclusion criteria

Exclusion Criteria:

  • Presence of small cell and neuroendocrine histology components.
  • unless asymptomatic, stable, and not requiring or anticonvulsants for at least 7 days prior to randomization. A minimum of 2 weeks must have elapsed between the end of local therapy (brain radiotherapy or surgery) and randomization. Participants must have recovered from the acute toxic effect of radiotherapy (eg, dizziness and signs of increased intracranial pressure) or surgery prior to randomization.
  • Any prior systemic, non-curative therapy received for NSCLC.
  • Any prior treatment with an or anti-PD-L1 agent.
  • Any prior exposure to an anti-TIGIT therapy or any other anticancer therapy targeting immune-regulatory receptors or mechanisms.
  • History of another primary except for malignancy treated with curative intent with no known active disease ≥ 2 years before the first dose of study intervention and of low potential risk for recurrence.
  • Active or prior documented or inflammatory disorders requiring chronic systemic treatment with the use of disease-modifying agents or other drugs.
  • Active primary immunodeficiency/active infectious disease(s).
  • Active tuberculosis infection.
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

PD-1, PD-L1 and checkpoint inhibitors

PD-1, PD-L1 and CTLA-4 are proteins that act as brakes on the immune system. Checkpoint inhibitors, such as pembrolizumab or nivolumab, block them so the immune system can attack a cancer.

PD-L1 can also be measured in a tumour sample. Some scores count stained tumour cells only (TPS); others also count certain immune cells (CPS). The study names the score and the minimum it uses.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
1,160 participants (estimated)

Study arms

  • Experimental
    Arm A

    Rilvegostomig in combination with carboplatin and paclitaxel or nab-paclitaxel followed by rilvegostomig

    Drug: Rilvegostomig · Drug: Carboplatin · Drug: Paclitaxel · Drug: Nab-paclitaxel

  • Active comparator
    Arm B

    Pembrolizumab in combination with carboplatin and paclitaxel or nab-paclitaxel followed by pembrolizumab

    Drug: Pembrolizumab · Drug: Carboplatin · Drug: Paclitaxel · Drug: Nab-paclitaxel

Interventions

  • Administered intravenously (IV) on Day 1 of each 21-day cycle

    Also known as: AZD2936

  • Administered intravenously (IV) on Day 1 of each 21-day cycle

    Also known as: Keytruda

  • Administered intravenously (IV) on Day 1 of each 21-day cycle up to 4 cycles

  • Administered intravenously (IV) on Day 1 of each 21-day cycle up to 4 cycles

  • Administered intravenously (IV) on Days 1, 8, and 15 of each 21-day cycle up to 4 cycles

06

What researchers measure

Primary outcomes

  1. Overall survival (OS)

    OS is defined as the time from randomization until the date of death due to any cause.

    Time frame: Up to approximately 6 years

  2. Progression-free survival (PFS)

    PFS is defined as the time from randomization until radiological progression per Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST 1.1) or death due to any cause (in the absence of progression).

    Time frame: Up to approximately 6 years

Secondary outcomes

  1. Landmark overall survival (OS) rates

    OS is defined as the time from randomization until the date of death due to any cause.

    Time frame: Up to approximately 6 years

  2. Landmark progression-free survival (PFS) rates

    PFS is defined as the time from randomization until radiological progression per Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST 1.1) or death due to any cause (in the absence of progression).

    Time frame: Up to approximately 6 years

  3. Time to second progression or death (PFS2)

    PFS2 is defined as the time from randomization until the earliest of the progression event (following the initial progression event), after the start of the first subsequent therapy, or death from any cause, whichever occurs first. The date of the second progression will be recorded by the investigator in the electronic Case Report Form (eCRF) and defined according to local standard clinical practice.

    Time frame: Up to approximately 6 years

  4. Overall response rate (ORR)

    ORR is defined as the proportion of participants who have a confirmed complete response (CR) or confirmed partial response (PR), by using Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST 1.1).

    Time frame: Up to approximately 6 years

  5. Duration of response (DoR)

    DoR is defined as the time from the date of first documented response until the date of documented progression using Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST 1.1) or death due to any cause (in the absence of progression).

    Time frame: Up to approximately 6 years

  6. Pharmacokinetic (PK) of rilvegostomig

    Concentration of rilvegostomig in serum.

    Time frame: Up to approximately 6 years

  7. Immunogenicity of rilvegostomig

    Presence of antidrug antibodies (ADAs), titer, and neutralizing antibodies for rilvegostomig.

    Time frame: Up to approximately 6 years

  8. Patient-reported physical functioning

    Proportion of participants with maintained or improved physical functioning as measured by Patient-Reported Outcomes Measurement Information System Physical Function - Short Form 8c - 7 day (PROMIS PF-SF 8c - 7 day) at each time point.

    Time frame: Up to approximately 6 years

  9. Patient-reported global health status (GHS)/quality of life (QoL)

    Time to deterioration (TTD) of GHS/QoL as measured by the European Organization for Research and Treatment of Cancer Item Library 172 (EORTC IL172). TTD is defined as time from randomization to the date of first deterioration. Deterioration is defined as a worsening change from baseline that reaches a clinically meaningful change threshold.

    Time frame: Up to approximately 6 years

  10. Patient-reported lung cancer symptoms of non-small cell lung cancer (NSCLC)

    Time to deterioration (TTD) in pulmonary symptoms as measured by the Non-Small Cell Lung Cancer Symptom Assessment Questionnaire (NSCLC-SAQ). TTD is defined as time from randomization to the date of first deterioration.

    Time frame: Up to approximately 6 years

07

Study locations

269 of 333 sites recruiting
  • Research Site
    Tucson, Arizona 85724, United States
    Recruiting
  • Research Site
    Springdale, Arkansas 72762, United States
    Recruiting
  • Research Site
    Anaheim, California 92801, United States
    Recruiting
  • Research Site
    Beverly Hills, California 90211, United States
    Recruiting
  • Research Site
    Loma Linda, California 92354, United States
    Recruiting
  • Research Site
    Los Alamitos, California 90720, United States
    Recruiting
  • Research Site
    Redlands, California 92373, United States
    Recruiting
  • Research Site
    San Francisco, California 94121, United States
    Recruiting
  • Research Site
    Walnut Creek, California 94598, United States
    Recruiting
  • Research Site
    West Haven, Connecticut 06516, United States
    Recruiting
  • Research Site
    Newark, Delaware 19713, United States
    Recruiting
  • Research Site
    Bay Pines, Florida 33744, United States
    Recruiting
  • Research Site
    Fort Lauderdale, Florida 33308, United States
    Recruiting
  • Research Site
    Gainesville, Florida 32608, United States
    Recruiting
  • Research Site
    Gainesville, Florida 32610, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Jacksonville, Florida 32224, United States
    Recruiting
  • Research Site
    Athens, Georgia 30607, United States
    Recruiting
  • Research Site
    Atlanta, Georgia 30341, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Savannah, Georgia 31404, United States
    Not yet recruiting
  • Research Site
    Boise, Idaho 83712, United States
    Recruiting
  • Research Site
    Chicago, Illinois 60637, United States
    Recruiting
  • Research Site
    Decatur, Illinois 62526, United States
    Recruiting
  • Research Site
    Hinsdale, Illinois 60521, United States
    Recruiting
  • Research Site
    Quincy, Illinois 62301, United States
    Recruiting
  • Research Site
    Rockford, Illinois 61114, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Fort Wayne, Indiana 46845, United States
    Not yet recruiting
  • Research Site
    Waterloo, Iowa 50702, United States
    Recruiting
  • Research Site
    Lexington, Kentucky 40509, United States
    Recruiting
  • Research Site
    Lexington, Kentucky 40536, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Louisville, Kentucky 40202, United States
    Recruiting
  • Research Site
    Louisville, Kentucky 40207, United States
    Recruiting
  • Research Site
    Alexandria, Louisiana 71301, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Baton Rouge, Louisiana 70808, United States
    Recruiting
  • Research Site
    Covington, Louisiana 70433, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Shreveport, Louisiana 71103, United States
    Recruiting
  • Research Site
    Shreveport, Louisiana 71105, United States
    Recruiting
  • Research Site
    Scarborough, Maine 04074, United States
    Recruiting
  • Research Site
    Baltimore, Maryland 21202, United States
    Completed

    Not enrolling at this site — choose another above.

  • Research Site
    Bethesda, Maryland 20817, United States
    Recruiting
  • Research Site
    Bethesda, Maryland 20889, United States
    Not yet recruiting
  • Research Site
    Detroit, Michigan 48202, United States
    Recruiting
  • Research Site
    Grand Rapids, Michigan 49503, United States
    Recruiting
  • Research Site
    Saginaw, Michigan 48602, United States
    Not yet recruiting
  • Research Site
    Duluth, Minnesota 55802, United States
    Recruiting
  • Research Site
    Rochester, Minnesota 55905, United States
    Recruiting
  • Research Site
    Bridgeton, Missouri 63044, United States
    Recruiting
  • Research Site
    Columbia, Missouri 65212, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Kansas City, Missouri 64108, United States
    Recruiting
  • Research Site
    Lincoln, Nebraska 68506, United States
    Recruiting
  • Research Site
    Camden, New Jersey 08103, United States
    Recruiting
  • Research Site
    Buffalo, New York 14221, United States
    Recruiting
  • Research Site
    East Syracuse, New York 13057, United States
    Recruiting
  • Research Site
    Westbury, New York 11590, United States
    Recruiting
  • Research Site
    Wilson, North Carolina 27893, United States
    Recruiting
  • Research Site
    Grand Forks, North Dakota 58201, United States
    Recruiting
  • Research Site
    Cincinnati, Ohio 45267, United States
    Recruiting
  • Research Site
    Bend, Oregon 97701, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Medford, Oregon 97504, United States
    Recruiting
  • Research Site
    Salem, Oregon 97301, United States
    Recruiting
  • Research Site
    Hershey, Pennsylvania 17033, United States
    Recruiting
  • Research Site
    York, Pennsylvania 17403, United States
    Recruiting
  • Research Site
    Sioux Falls, South Dakota 57105, United States
    Recruiting
  • Research Site
    Chattanooga, Tennessee 37404, United States
    Recruiting
  • Research Site
    Nashville, Tennessee 37203, United States
    Recruiting
  • Research Site
    Fort Worth, Texas 76104, United States
    Recruiting
  • Research Site
    Houston, Texas 77090, United States
    Completed

    Not enrolling at this site — choose another above.

  • Research Site
    Kingwood, Texas 77339, United States
    Recruiting
  • Research Site
    Lubbock, Texas 79410, United States
    Recruiting
  • Research Site
    Round Rock, Texas 78665, United States
    Recruiting
  • Research Site
    Fairfax, Virginia 22031, United States
    Recruiting
  • Research Site
    Fredericksburg, Virginia 22408, United States
    Recruiting
  • Research Site
    Olympia, Washington 98506, United States
    Recruiting
  • Research Site
    Seattle, Washington 98101, United States
    Recruiting
  • Research Site
    Silverdale, Washington 98383, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Spokane, Washington 99208, United States
    Recruiting
  • Research Site
    Tacoma, Washington 98405, United States
    Recruiting
  • Research Site
    Wenatchee, Washington 98801, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Buenos Aires, C1431FWO, Argentina
    Recruiting
  • Research Site
    CABA, 1425, Argentina
    Recruiting
  • Research Site
    La Plata, 1900, Argentina
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Pilar, B1629ODT, Argentina
    Recruiting
  • Research Site
    Rosario, S2000DEJ, Argentina
    Recruiting
  • Research Site
    Darlinghurst, 2010, Australia
    Recruiting
  • Research Site
    Hyde Park, 4812, Australia
    Recruiting
  • Research Site
    Southport, 4215, Australia
    Recruiting
  • Research Site
    Wollongong, 2500, Australia
    Recruiting
  • Research Site
    Innsbruck, 6020, Austria
    Recruiting
  • Research Site
    Krems, 3500, Austria
    Recruiting
  • Research Site
    Rankweil, 6830, Austria
    Recruiting
  • Research Site
    Vienna, 1160, Austria
    Recruiting
  • Research Site
    Vienna, 1210, Austria
    Recruiting
  • Research Site
    Anderlecht, 1070, Belgium
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Brussels, 1160, Belgium
    Recruiting
  • Research Site
    Charleroi, 6060, Belgium
    Recruiting
  • Research Site
    Kortrijk, 8500, Belgium
    Recruiting
  • Research Site
    Ottignies, 1340, Belgium
    Recruiting
  • Research Site
    Sint-Niklaas, 9100, Belgium
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Barretos, 14784-400, Brazil
    Recruiting
  • Research Site
    Florianópolis, 88034-000, Brazil
    Recruiting
  • Research Site
    Ijuí, 98700-000, Brazil
    Recruiting

Showing the first 100 of 333 sites across 26 countries. Choose a country and city above to see the rest.

08

References and documents

Individual participant data

Plan to share: Yes — Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca (AZ) group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. "Yes", indicates that AZ are accepting requests for Important Protocol Deviation (IPD), but this does not mean all requests will be approved.

Supporting information: Study protocol, Statistical analysis plan

Time frame: AstraZeneca will meet or exceed data availability as per the commitments made to the European Federation of Pharmaceutical Industries and Associations (EFPIA)/Pharmaceutical Research and Manufacturers of America (PhRMA) Data-Sharing Principles. For details of our timelines, please refer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure

Access criteria: When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure research environment Vivli.org. A Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.

Data sharing details ↗ · vivli.org

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Sites
6 sites added, 1 site removed. 5 sites changed recruiting status (3 now recruiting, 1 now not yet recruiting, …)
Show 5 sites
  • Research Site · Cologne, GermanyRecruiting→Not yet recruiting
  • Research Site · Frankfurt am Main, GermanyNot yet recruiting→Recruiting
  • Research Site · München, GermanyNot yet recruiting→Recruiting
  • Research Site · Székesfehérvár, HungaryNot yet recruiting→Suspended
  • Research Site · JinJoo, South KoreaNot yet recruiting→Recruiting
Show 6 added (3 Germany, 2 India, 1 Spain)
  • Research Site · Cologne, Germany
  • Research Site · Hamburg, Germany
  • Research Site · Oldenburg i.H., Germany
  • Research Site · Gūrgaon, India
  • Research Site · Nagpur, India
  • Research Site · Almería, Spain
Show 1 removed
  • Research Site · Gurgaon, India
Oct 29, 2026
Show all 1 update
  1. Oct 29, 2026
    6 sites added, 1 site removed. 5 sites changed recruiting status (3 now recruiting, 1 now not yet recruiting, …)
    Show 5 sites
    • Research Site · Cologne, GermanyRecruiting→Not yet recruiting
    • Research Site · Frankfurt am Main, GermanyNot yet recruiting→Recruiting
    • Research Site · München, GermanyNot yet recruiting→Recruiting
    • Research Site · Székesfehérvár, HungaryNot yet recruiting→Suspended
    • Research Site · JinJoo, South KoreaNot yet recruiting→Recruiting
    Show 6 added (3 Germany, 2 India, 1 Spain)
    • Research Site · Cologne, Germany
    • Research Site · Hamburg, Germany
    • Research Site · Oldenburg i.H., Germany
    • Research Site · Gūrgaon, India
    • Research Site · Nagpur, India
    • Research Site · Almería, Spain
    Show 1 removed
    • Research Site · Gurgaon, India
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06692738
Lead sponsor
AstraZeneca
Responsible party
Sponsor
First posted
Nov 18, 2024
Start date
Nov 18, 2024
Primary completion
Jul 1, 2030 (estimated)
Completion
Jul 1, 2030 (estimated)
Last update
Oct 29, 2026

Study contacts

AstraZeneca Clinical Study Information Center
Contact
information.center@astrazeneca.com
1-877-240-9479

Oversight

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

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Studies of the drug tested here: Rilvegostomig

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