ClinicalTrials.gg
RecruitingNCT06767514HARMONi-7Updated Sep 18, 2026

Clinical Study of Ivonescimab for First-line Treatment of Metastatic NSCLC Patients With High PD-L1

A Phase 3 interventional study of Ivonescimab Injection and Pembrolizumab Injection in Non-Small Cell Lung Cancer, sponsored by Summit Therapeutics. Recruiting at 285 sites in 17 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-18.

Sponsored by Summit Therapeutics · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Feb 2025; still recruiting 1 year 8 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
780
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Clinical study of ivonescimab for first-line treatment of metastatic NSCLC patients with high PD-L1. Evaluating overall survival and progression free survival.

02

Conditions studied

  • Non-Small Cell Lung Cancer
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 780 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

Summit Therapeutics is the lead sponsor of 13 studies on the registry; 4 are open to participants now.

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

  • Age ≥ 18 years old at the time of enrollment
  • (ECOG) performance status score of 0 - 1
  • Expected ≥ 3 months
  • (Stage IV) NSCLC
  • or cytologically confirmed squamous or non-squamous NSCLC
  • Tumor demonstrates high expression ( TPS>50%) based on a 22C3 immunohistochemistry ( IHC) clinical assay approved / cleared by local health authorities.
  • At least one measurable noncerebral lesion according to 1.1
  • No prior systemic treatment for metastatic NSCLC.

Exclusion criteria

Exclusion Criteria:

  • Histologic or cytopathologic evidence of the presence of small cell lung carcinoma for which approved therapies are indicated. For patients with non-squamous histology, actionable driver mutation testing results are required before randomization.
  • Has received any prior therapy for NSCLC in the setting.
  • Concurrent enrollment in another clinical study, unless patient is enrolled in a non-interventional clinical study or is completing survival follow -up.
  • Known actionable genomic alterations for which first-line approved therapies are indicated
  • Symptomatic , CNS metastasis ≥ 1.5 cm, CNS radiation within 7 days prior to randomization, potential need for CNS radiation within the first cycle, or
  • Other prior (including previously treated NSCLC) unless the patient has undergone curative therapy with no evidence of recurrence of the disease for 3 years prior to randomization
  • Active or lung disease requiring systemic therapy
  • Has pre-existing peripheral neuropathy that is ≥ Grade 2 by version 5
  • Severe infection within 4 weeks prior to randomization
  • Major surgical procedures or serious trauma within 4 weeks prior to randomization
  • History of noninfectious pneumonia requiring systemic , or current interstitial lung disease
Terms in these criteria, in plain language(13)

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.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

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.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

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.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

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.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

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.

05

Study design

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

Study arms

  • Experimental
    Arm A - Ivonescimab

    Subject will receive ivonescimab as an IV injection

    Biological: Ivonescimab Injection

  • Active comparator
    Arm B - Pembrolizumab

    Subject will receive pembrolizumab as an IV injection

    Biological: Pembrolizumab Injection

Interventions

06

What researchers measure

Primary outcomes

  1. Overall Survival (OS)

    Time frame: Up to approximately 36 months

  2. Progression free survival (PFS)

    Time frame: Up to approximately 36 months

Secondary outcomes

  1. Objective response rate (ORR)

    Time frame: Up to approximately 36 months

  2. Disease control rate ( DCR)

    Time frame: Up to approximately 36 months

  3. Duration of response (DoR)

    Time frame: Up to approximately 36 months

  4. Adverse Events (AE): incidence and severity of adverse events (AEs) and clinically significant abnormal laboratory test results

    Time frame: [Time Frame: From the subject signs the ICF to 30 days (AE) and 90 days (SAE related to ivonescimab/pembrolizumab ) after the last dose of study treatment or initiation of other anticancer therapy, whichever occurs first, Up to approximately 24 months.

07

Study locations

285 of 285 sites recruiting
  • Clinical Study Site
    Chandler, Arizona 85224, United States
    Recruiting
  • Clinical Study Site
    Phoenix, Arizona 85006, United States
    Recruiting
  • Clinical Study Site
    Hot Springs, Arkansas 71913, United States
    Recruiting
  • Clinical Study Sites
    Jonesboro, Arkansas 72401, United States
    Recruiting
  • Clinical Study Site
    Alameda, California 90720, United States
    Recruiting
  • Clinical Study Site
    Anaheim, California 92805, United States
    Recruiting
  • Clinical Study Site
    Beverly Hills, California 90211, United States
    Recruiting
  • Clinical Study Site
    Cerritos, California 90703, United States
    Recruiting
  • Clinical Study Site
    Los Angeles, California 90034, United States
    Recruiting
  • Clinical Study Site
    Los Angeles, California 90067, United States
    Recruiting
  • Clinical Study Site
    Orange, California 92868, United States
    Recruiting
  • Clinical Study Site
    Oxnard, California 93030, United States
    Recruiting
  • Clinical Study Site
    San Diego, California 92123, United States
    Recruiting
  • Clinical Study Site
    Sunnyvale, California 94086, United States
    Recruiting
  • Clinical Study Site
    Torrance, California 90505, United States
    Recruiting
  • Clinical Study Site
    Aurora, Colorado 80045, United States
    Recruiting
  • Clinical Study Site
    Denver, Colorado 80210, United States
    Recruiting
  • Clinical Study Site
    Grand Junction, Colorado 81505, United States
    Recruiting
  • Clinical Study Site
    Lone Tree, Colorado 80124, United States
    Recruiting
  • Clinical Study Site
    Loveland, Colorado 80538, United States
    Recruiting
  • Clinical Study Sites
    Fort Lauderdale, Florida 33308, United States
    Recruiting
  • Clinical Study Site
    Fort Lauderdale, Florida 33317, United States
    Recruiting
  • Clinical Study Site
    Jacksonville, Florida 32207, United States
    Recruiting
  • Clinical Study Site
    Jacksonville Beach, Florida 32256, United States
    Recruiting
  • Clinical Study Site
    North Venice, Florida 34275, United States
    Recruiting
  • Clinical Study Site
    Ocala, Florida 34474, United States
    Recruiting
  • Clinical Study Site
    Orlando, Florida 32822, United States
    Recruiting
  • Clinical Study Site
    Pensacola, Florida 32504, United States
    Recruiting
  • Clinical Study Site
    Plantation, Florida 33323, United States
    Recruiting
  • Clinical Study Site
    St. Petersburg, Florida 33709, United States
    Recruiting
  • Clinical Study Site
    Tallahassee, Florida 32308, United States
    Recruiting
  • Clinical Study Site
    Tamarac, Florida 33321, United States
    Recruiting
  • Clinical Study Site
    West Palm Beach, Florida 33401, United States
    Recruiting
  • Clinical Study Site
    Atlanta, Georgia 30318, United States
    Recruiting
  • Clinical Study Site
    Warner Robins, Georgia 31088, United States
    Recruiting
  • Clinical Study Site
    Carterville, Illinois 62918, United States
    Recruiting
  • Clinical Study Site
    Chicago, Illinois 60611, United States
    Recruiting
  • Clinical Study Site
    Chicago, Illinois 60612, United States
    Recruiting
  • Clinical Study Site
    Evanston, Illinois 60201, United States
    Recruiting
  • Clinical Study Site
    Indianapolis, Indiana 46237, United States
    Recruiting
  • Clinical Study Site
    Waukee, Iowa 50263, United States
    Recruiting
  • Clinical Study Site
    Lexington, Kentucky 40503, United States
    Recruiting
  • Clinical Study Site
    Covington, Louisiana 70433, United States
    Recruiting
  • Clinical Study Site
    Baltimore, Maryland 21229, United States
    Recruiting
  • Clinical Study Site
    Boston, Massachusetts 02215, United States
    Recruiting
  • Clinical Study Site
    Brighton, Massachusetts 21350, United States
    Recruiting
  • Clinical Study Site
    Foxborough, Massachusetts 02035, United States
    Recruiting
  • Clinical Study Site
    Methuen, Massachusetts 01844, United States
    Recruiting
  • Clinical Study Site
    Milford, Massachusetts 01757, United States
    Recruiting
  • Clinical Study Site
    Weymouth, Massachusetts 02190, United States
    Recruiting
  • Clinical Study Site
    Worcester, Massachusetts 01655, United States
    Recruiting
  • Clinical Study Site
    Ann Arbor, Michigan 48109, United States
    Recruiting
  • Clinical Study Site
    Detroit, Michigan 48201, United States
    Recruiting
  • Clinical Study Sites
    Detroit, Michigan 48202, United States
    Recruiting
  • Clinical Study Sites
    Duluth, Minnesota 55805, United States
    Recruiting
  • Clinical Study Site
    Minneapolis, Minnesota 55455, United States
    Recruiting
  • Clinical Study Site
    Saint Paul, Minnesota 55101, United States
    Recruiting
  • Clinical Study Site
    Hattiesburg, Mississippi 39401, United States
    Recruiting
  • Clinical Study Site
    Kansas City, Missouri 64132, United States
    Recruiting
  • Clinical Study Site
    St Louis, Missouri 63128, United States
    Recruiting
  • Clinical Study Site
    St Louis, Missouri 63141, United States
    Recruiting
  • Clinical Study Site
    Lebanon, New Hampshire 03756, United States
    Recruiting
  • Clinical Study Site
    Mullica Hill, New Jersey 08062, United States
    Recruiting
  • Clinical Study Site
    New Brunswick, New Jersey 08901, United States
    Recruiting
  • Clinical Study Site
    New York, New York 10065, United States
    Recruiting
  • Clinical Study Site
    Syracuse, New York 13210, United States
    Recruiting
  • Clinical Site
    The Bronx, New York 10461, United States
    Recruiting
  • Clinical Study Site
    Chapel Hill, North Carolina 27514, United States
    Recruiting
  • Clinical Study Site
    Durham, North Carolina 27708, United States
    Recruiting
  • Clinical Study Site
    Pinehurst, North Carolina 28374, United States
    Recruiting
  • Clinical Study Sites
    Cincinnati, Ohio 45220, United States
    Recruiting
  • Clinical Study Site
    Cleveland, Ohio 44195, United States
    Recruiting
  • Clinical Study Sites
    Columbus, Ohio 43210, United States
    Recruiting
  • Clinical Study Site
    Columbus, Ohio 43219, United States
    Recruiting
  • Clinical Study Site
    Oklahoma City, Oklahoma 73102, United States
    Recruiting
  • Clinical Study Site
    Eugene, Oregon 97401, United States
    Recruiting
  • Clinical Study Site
    Portland, Oregon 97239, United States
    Recruiting
  • Clinical Study Site
    Philadelphia, Pennsylvania 19111, United States
    Recruiting
  • Clinical Study Site
    Pittsburgh, Pennsylvania 15232, United States
    Recruiting
  • Clinical Study Site
    Greenville, South Carolina 29605, United States
    Recruiting
  • Clinical Study Sites
    Nashville, Tennessee 37203, United States
    Recruiting
  • Clinical Study Site
    Nashville, Tennessee 37235, United States
    Recruiting
  • Clinical Study Site
    Abilene, Texas 79601, United States
    Recruiting
  • Clinical Study Site
    Austin, Texas 78745, United States
    Recruiting
  • Clinical Study Site
    Dallas, Texas 75246, United States
    Recruiting
  • Clinical Study Site
    Fort Worth, Texas 76104, United States
    Recruiting
  • Clinical Study Site
    Houston, Texas 77030, United States
    Recruiting
  • Clinical Study Site
    Tyler, Texas 75708, United States
    Recruiting
  • Clinical Study Site
    Webster, Texas 77598, United States
    Recruiting
  • Clinical Study Site
    Salt Lake City, Utah 84106, United States
    Recruiting
  • Clinical Study Site
    Blacksburg, Virginia 24061, United States
    Recruiting
  • Clinical Study Site
    Charlottesville, Virginia 22908, United States
    Recruiting
  • Clinical Study Site
    Fairfax, Virginia 22031, United States
    Recruiting
  • Clinical Study Site
    Richmond, Virginia 23229, United States
    Recruiting
  • Clinical Study Site
    Richmond, Virginia 23298, United States
    Recruiting
  • Clinical Study Site
    Seattle, Washington 98109, United States
    Recruiting
  • Clinical Study Site
    Vancouver, Washington 98684, United States
    Recruiting
  • Clinical Study Site
    Mons, Hainaut 07000, Belgium
    Recruiting
  • Clinical Study Site
    Charleroi, 09600, Belgium
    Recruiting
  • Clinical Study Site
    Ghent, 09000, Belgium
    Recruiting

Showing the first 100 of 285 sites across 17 countries. Choose a country and city above to see the rest.

08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Feb 2025 (actual). Primary completion is estimated for Apr 2028, 38 months after the start.

Of 314 industry-sponsored phase 3 interventional studies under Carcinoma, Non-Small-Cell Lung, half reached primary completion within 39 months of starting (the median), counting those still running; a quarter within 27 and three quarters within 57. This study's planned 38 months is close to that.

Counting every sponsor, half of 423 studies reached it within 45 months; a quarter within 30 and three quarters within 69.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 3, 2025
First posted
Jan 10, 2025
StartActual
Feb 27, 2025
Primary completionEst.
Apr 2028
CompletionEst.
Jun 2029
Last update
Sep 18, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06767514
Lead sponsor
Summit Therapeutics
Responsible party
Sponsor
First posted
Jan 10, 2025
Start date
Feb 27, 2025
Primary completion
Apr 2028 (estimated)
Completion
Jun 2029 (estimated)
Last update
Sep 18, 2026

Study contacts

Summit Clinical Trial Information
Contact
medicalinformation@smmttx.com
1-833-256-0522

Oversight

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

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Discussion

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Studies of the drug tested here: Ivonescimab

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