ClinicalTrials.gg
RecruitingNCT06868277ARTEMIDELung04Updated Sep 25, 2026

A Global Phase III Study of Rilvegostomig or Pembrolizumab Monotherapy for First-Line Treatment of PD-L1-high Metastatic Non-small Cell Lung Cancer

A Phase 3 interventional study of Rilvegostomig and Pembrolizumab in Carcinoma, Non-Small Cell Lung, sponsored by AstraZeneca. Recruiting at 304 sites in 27 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-25.

Sponsored by AstraZeneca · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Apr 2025; still recruiting 1 year 7 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
830
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 209 studies in Carcinoma, Non-Small-Cell Lung by AstraZeneca — 26 open to participants now, 78 under way, 28 of them phase 3. Carcinoma, Non-Small-Cell Lung · AstraZeneca.

Planned enrollment
13th of 137
830 · median 152
Started
2025
with 6 others
Phase 3
44 of 209
6 open now
Primary completion
2030-01
later than 70 of 77 live
Registered
195th of 209
by date

Among the 209 studies in Carcinoma, Non-Small-Cell Lung by AstraZeneca, this one is the 13th largest by planned enrollment of the 137 interventional ones that give a count, is one of 7 that started in 2025, is one of 44 in phase 3, reaches primary completion later than 70 of the 77 other live ones, and was the 195th registered.

Carcinoma, Non-Small-Cell Lung

7,621 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,836 are open to participants now.

Browse Carcinoma, Non-Small-Cell Lung studies →

Open to participants now

26 of the 209 studies in Carcinoma, Non-Small-Cell Lung by AstraZeneca are open now, in 12 countries. Recruiting first, the newest first:

20 more — sign in →

By country, each count listing its studies:

All 26 open studies →

Who these studies take

Of the 1,327 Carcinoma, Non-Small-Cell Lung studies recruiting now, 989 (75%) set no upper age limit and 225 (17%) stop at 75 or younger; 34 take children under 18; 40 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 209 studies in Carcinoma, Non-Small-Cell Lung by AstraZeneca, or all of them as a file.
02

Study summary

The purpose of ARTEMIDE-Lung04 is to assess the efficacy and safety of rilvegostomig compared with pembrolizumab monotherapy as 1L treatment in participants with mNSCLC and whose tumors express 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 as a 1L treatment for patients with mNSCLC whose tumors express PD-L1.

03

Conditions studied

  • Carcinoma, Non-Small Cell Lung

Keywords

  • ARTEMIDE-Lung04
  • Rilvegostomig (AZD2936)
  • Non-small cell lung cancer (NSCLC)
  • Bi-specific antibody
  • T-cell immunoglobulin and immunoreceptor tyrosine-based inhibitory motif domain (TIGIT)
  • EGFR, ALK and ROS1 testing
  • Programmed cell death protein (PD-L1)
  • Pembrolizumab
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 NSCLC (non small lung cancer), including all histological subtypes.
  • Stage IV mNSCLC ( non-small cell lung cancer) (based on the American Joint Committee on Cancer Edition 8) not amenable to curative treatment.
  • Absence of sensitizing EGFR (epidermal growth factor) mutations and ALK (anaplastic lymphoma kinase) and ROS1 (c-ros oncogene 1) rearrangements. Negative assay result is required for all non-squamous histology subtypes.
  • Absence of documented tumor genomic mutation results from tests conducted as part of standard local practice in any other actionable driver oncogenes for which there are locally approved targeted 1L () therapies.
  • WHO (World Health Organization)/ (Eastern Cooperative Oncology Group) performance status of 0 or 1, with no deterioration over the previous 2 weeks prior to baseline at screening and prior to randomization.
  • Minimum of 12 weeks.
  • Provision of acceptable tumor sample for the central testing prior to randomization.
  • At least one lesion not previously irradiated that qualifies as a 1.1 (Response Evaluation Criteria in Solid Tumors, Version 1.1) TL (target lesion) 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 (computed tomography) or MRI (magnetic resonance imaging) and is suitable for accurate repeated measurements.
  • Adequate organ and bone marrow function

Exclusion criteria

Exclusion Criteria:

  • As judged by the investigator, any severe or uncontrolled systemic diseases, makes it undesirable for the participant to participate in the study or that would jeopardize compliance with the protocol.
  • History of organ transplant.
  • Active or prior documented or inflammatory disorders requiring chronic treatment with or other treatment.
  • 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.
  • Presence of small cell and neuroendocrine histology components.
  • unless asymptomatic, stable, and not requiring steroids or anticonvulsants for at least 4 weeks prior to start of study intervention.
  • Active primary immunodeficiency/active infectious disease(s)
  • Active tuberculosis infection
  • Any prior systemic therapy received for advanced or mNSCLC ( non-small cell lung cancer).
  • Any prior exposure to an anti-TIGIT (T-cell immunoglobulin and immunoreceptor tyrosine-based inhibitory motif domain) therapy or any other anticancer therapy targeting immune-regulatory receptors or mechanisms.
  • Any prior treatment with an (programmed cell death protein 1) or anti-PD-L1 (anti-programmed death-ligand 1) agent.
Terms in these criteria, in plain language(12)

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.

Metastases

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

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.

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.

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.

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.

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.

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.

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.

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.

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.

05

Study design

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

Study arms

  • Experimental
    Arm A

    Drug: rilvegostomig

    Biological: Rilvegostomig

  • Active comparator
    Arm B

    Drug: Pembrolizumab

    Biological: Pembrolizumab

Interventions

  • BiologicalRilvegostomig

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

    Also known as: AZD2936

  • BiologicalPembrolizumab

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

    Also known as: KEYTRUDA

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 5 years

  2. Progression-Free Survival (PFS)

    PFS is defined as the time from randomization until radiological progression per RECIST 1.1 or death due to any cause (in the absence of progression).

    Time frame: Up to approximately 5 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 5 years

  2. Landmark Progression-Free Survival (PFS) rates

    PFS is defined as the time from randomization until radiological progression per RECIST 1.1 or death due to any cause (in the absence of progression).

    Time frame: Up to approximately 5 years

  3. Objective Response Rate (ORR)

    ORR is defined as the proportion of participants who have a confirmed CR or confirmed PR, using RECIST 1.1.

    Time frame: Up to approximately 5 years

  4. Duration of Response (DoR)

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

    Time frame: Up to approximately 5 years

  5. 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 investigator-assessed progression event), after the start of the first subsequent therapy, or death from any cause, whichever occurs first.

    Time frame: Up to approximately 5 years

  6. Pharmakokinetics (PK) of rilvegostomig

    Concentration of rilvegostomig in serum

    Time frame: Up to approximately 5 years

  7. Immunogenicity of rilvegostomig

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

    Time frame: Up to approximately 5 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 5 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.

    Time frame: Up to approximately 5 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 5 years

07

Study locations

247 of 304 sites recruiting
  • Research Site
    La Mesa, California 91942, United States
    Not yet recruiting
  • Research Site
    Los Alamitos, California 90720, United States
    Not yet recruiting
  • Research Site
    Newark, Delaware 19713, United States
    Recruiting
  • Research Site
    Bay Pines, Florida 33744, United States
    Recruiting
  • Research Site
    Clearwater, Florida 33756, United States
    Recruiting
  • Research Site
    Gainesville, Florida 32610, United States
    Recruiting
  • Research Site
    St. Petersburg, Florida 33705, United States
    Recruiting
  • Research Site
    Marietta, Georgia 30060, United States
    Recruiting
  • Research Site
    Chicago, Illinois 60612, United States
    Recruiting
  • Research Site
    Decatur, Illinois 62526, United States
    Recruiting
  • Research Site
    Des Moines, Iowa 50309, United States
    Recruiting
  • Research Site
    Waterloo, Iowa 50702, United States
    Not yet recruiting
  • Research Site
    Leawood, Kansas 66209, United States
    Recruiting
  • Research Site
    Lexington, Kentucky 40536, United States
    Not yet recruiting
  • Research Site
    Owensboro, Kentucky 42303, United States
    Recruiting
  • Research Site
    Bethesda, Maryland 20817, United States
    Recruiting
  • Research Site
    Frederick, Maryland 21702, United States
    Recruiting
  • Research Site
    Silver Spring, Maryland 20910, United States
    Recruiting
  • Research Site
    Towson, Maryland 21204, United States
    Recruiting
  • Research Site
    Saginaw, Michigan 48602, United States
    Not yet recruiting
  • Research Site
    Bridgeton, Missouri 63044, United States
    Recruiting
  • Research Site
    Lincoln, Nebraska 68506, United States
    Recruiting
  • Research Site
    Reno, Nevada 89511, United States
    Recruiting
  • Research Site
    Paramus, New Jersey 07652, United States
    Not yet recruiting
  • Research Site
    Buffalo, New York 14215, United States
    Recruiting
  • Research Site
    East Syracuse, New York 13057, United States
    Recruiting
  • Research Site
    Fresh Meadows, New York 11366, United States
    Recruiting
  • Research Site
    Rochester, New York 14642, United States
    Not yet recruiting
  • Research Site
    Westbury, New York 11590, United States
    Recruiting
  • Research Site
    Canton, Ohio 44718, United States
    Not yet recruiting
  • Research Site
    Fountain Hill, Pennsylvania 18015, United States
    Recruiting
  • Research Site
    Kittanning, Pennsylvania 16201, United States
    Not yet recruiting
  • Research Site
    Philadelphia, Pennsylvania 19104, United States
    Recruiting
  • Research Site
    Round Rock, Texas 78665, United States
    Not yet recruiting
  • Research Site
    Aberdeen, Washington 98520, United States
    Recruiting
  • Research Site
    Renton, Washington 98055, United States
    Not yet recruiting
  • Research Site
    Charleston, West Virginia 25304, United States
    Recruiting
  • Research Site
    Morgantown, West Virginia 26506, United States
    Recruiting
  • Research Site
    Schofield, Wisconsin 54476, United States
    Not yet recruiting
  • Research Site
    CABA, 1425, Argentina
    Recruiting
  • Research Site
    Córdoba, 5000, Argentina
    Recruiting
  • Research Site
    Pilar, B1629AHJ, Argentina
    Recruiting
  • Research Site
    Rosario, 2000, Argentina
    Recruiting
  • Research Site
    Rosario, S2000CVB, Argentina
    Recruiting
  • Research Site
    Viedma, R8500ACE, Argentina
    Recruiting
  • Research Site
    Hobart, 7000, Australia
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Woolloongabba, 4102, Australia
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Edegem, 2650, Belgium
    Recruiting
  • Research Site
    Jette, 1090, Belgium
    Recruiting
  • Research Site
    Libramont-Chevigny, 6800, Belgium
    Recruiting
  • Research Site
    Liège, 4000, Belgium
    Recruiting
  • Research Site
    Mechelen, 2800, Belgium
    Recruiting
  • Research Site
    Roeselaere, 8800, Belgium
    Recruiting
  • Research Site
    Blumenau, 89010-340, Brazil
    Recruiting
  • Research Site
    Fortaleza, 60336-550, Brazil
    Recruiting
  • Research Site
    Ijuí, 98700-000, Brazil
    Recruiting
  • Research Site
    Itajaí, 88301-220, Brazil
    Recruiting
  • Research Site
    Londrina, 86015-520, Brazil
    Recruiting
  • Research Site
    Passo Fundo, 99010-260, Brazil
    Recruiting
  • Research Site
    Porto Alegre, 90035-903, Brazil
    Recruiting
  • Research Site
    Porto Alegre, 90610-000, Brazil
    Recruiting
  • Research Site
    Porto Velho, 76834-899, Brazil
    Recruiting
  • Research Site
    Salvador, 41253-190, Brazil
    Recruiting
  • Research Site
    Salvador, 41950-640, Brazil
    Recruiting
  • Research Site
    Santo André, 09060-650, Brazil
    Recruiting
  • Research Site
    São Paulo, 01246-000, Brazil
    Recruiting
  • Research Site
    São Paulo, 04501-000, Brazil
    Recruiting
  • Research Site
    Teresina, 64049-200, Brazil
    Recruiting
  • Research Site
    Burgas, 8000, Bulgaria
    Recruiting
  • Research Site
    Panagyurishte, 4500, Bulgaria
    Recruiting
  • Research Site
    Sofia, 1407, Bulgaria
    Recruiting
  • Research Site
    Sofia, 1618, Bulgaria
    Recruiting
  • Research Site
    Sofia, 1756, Bulgaria
    Recruiting
  • Research Site
    Varna, 9010, Bulgaria
    Not yet recruiting
  • Research Site
    Edmonton, Alberta T6G 1Z2, Canada
    Recruiting
  • Research Site
    Kelowna, British Columbia V1Y 5L3, Canada
    Not yet recruiting
  • Research Site
    Cambridge, Ontario N1R 3G2, Canada
    Not yet recruiting
  • Research Site
    Newmarket, Ontario L3Y 2P9, Canada
    Not yet recruiting
  • Research Site
    Toronto, Ontario M4N 3M5, Canada
    Recruiting
  • Research Site
    Québec, Quebec G1V 4G5, Canada
    Not yet recruiting
  • Research Site
    Saint-Jérôme, Quebec J7Z 5T3, Canada
    Not yet recruiting
  • Research Site
    Conception, 4070196, Chile
    Recruiting
  • Research Site
    Santiago, 7500653, Chile
    Recruiting
  • Research Site
    Santiago, 7500713, Chile
    Recruiting
  • Research Site
    Santiago, 8420383, Chile
    Recruiting
  • Research Site
    Baoding, 071000, China
    Not yet recruiting
  • Research Site
    Beijing, 100021, China
    Recruiting
  • Research Site
    Beijing, 100142, China
    Not yet recruiting
  • Research Site
    Beijing, 101149, China
    Not yet recruiting
  • Research Site
    Bengbu, 233004, China
    Recruiting
  • Research Site
    Changchun, 130000, China
    Not yet recruiting
  • Research Site
    Changchun, 130033, China
    Recruiting
  • Research Site
    Changsha, 410008, China
    Not yet recruiting
  • Research Site
    Changsha, 410013, China
    Not yet recruiting
  • Research Site
    Chengdu, 610041, China
    Recruiting
  • Research Site
    Chongqing, 400030, China
    Not yet recruiting
  • Research Site
    Chongqing, 400042, China
    Not yet recruiting
  • Research Site
    Fuzhou, 350001, China
    Recruiting
  • Research Site
    Fuzhou, 350014, China
    Not yet recruiting
  • Research Site
    Guangzhou, 510080, China
    Recruiting

Showing the first 100 of 304 sites across 27 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 participant-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. 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 IPD, but this does not mean all requests will be shared.

Supporting information: Study protocol, Statistical analysis plan

Time frame: AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma 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

Timeline

1 registry update 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 Apr 2025 (actual). Primary completion is estimated for Jan 2030, 57 months after the start.

Of 315 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 57 months is above that.

Counting every sponsor, half of 424 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
Mar 7, 2025
First posted
Mar 10, 2025
StartActual
Apr 10, 2025
Primary completionEst.
Jan 17, 2030
CompletionEst.
Dec 2, 2030
Last update
Sep 25, 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.
Minor edits
Nothing that changes what the study is or who can join. Edited: verification date
1 update, last Sep 25, 2026
Show all 1 update
  1. Sep 25, 2026
    Minor edits only
    + 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
NCT06868277
Lead sponsor
AstraZeneca
Responsible party
Sponsor
First posted
Mar 10, 2025
Start date
Apr 10, 2025
Primary completion
Jan 17, 2030 (estimated)
Completion
Dec 2, 2030 (estimated)
Last update
Sep 25, 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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