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

Recruiting now · Phase 3

Conditions studied: Carcinoma, Non-Small Cell Lung

In brief

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.

Key facts

Study ID

NCT06868277

Run by

AstraZeneca

People needed

830

Starts

2025-04-10

Expected to finish

2030-12-02

Last updated by the study team

2026-08-03

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Histologically or cytologically documented NSCLC (non small lung cancer), including all histological subtypes.
• Stage IV mNSCLC (metastatic 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 (first line) therapies.
• WHO (World Health Organization)/ECOG (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 life expectancy 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 RECIST 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

You may not qualify if…

• 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 autoimmune or inflammatory disorders requiring chronic treatment with steroids or other immunosuppressive treatment.
• History of another primary malignancy 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.
• Brain metastases 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 (metastatic 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 anti-PD-1 (programmed cell death protein 1) or anti-PD-L1 (anti-programmed death-ligand 1) agent.

Where it is running

• Research Site — Fresh Meadows, New York, United States (enrolling)
• Research Site — Philadelphia, Pennsylvania, United States (enrolling)
• Research Site — Bay Pines, Florida, United States (enrolling)
• Research Site — East Syracuse, New York, United States (enrolling)
• Research Site — Westbury, New York, United States (enrolling)
• Research Site — Fountain Hill, Pennsylvania, United States (enrolling)
• Research Site — Marietta, Georgia, United States (enrolling)
• Research Site — Chicago, Illinois, United States (enrolling)
• Research Site — Clearwater, Florida, United States (enrolling)
• Research Site — Des Moines, Iowa, United States (enrolling)
• Research Site — Newark, Delaware, United States (enrolling)
• Research Site — Leawood, Kansas, United States (enrolling)
• Research Site — St. Petersburg, Florida, United States (enrolling)
• Research Site — Owensboro, Kentucky, United States (enrolling)
• Research Site — Bethesda, Maryland, United States (enrolling)
• Research Site — Frederick, Maryland, United States (enrolling)
• Research Site — Silver Spring, Maryland, United States (enrolling)
• Research Site — Towson, Maryland, United States (enrolling)
• Research Site — Decatur, Illinois, United States (enrolling)
• Research Site — Bridgeton, Missouri, United States (enrolling)
• Research Site — Lincoln, Nebraska, United States (enrolling)
• Research Site — Reno, Nevada, United States (enrolling)
• Research Site — Gainesville, Florida, United States (enrolling)
• Research Site — Buffalo, New York, United States (enrolling)
• Research Site — Aberdeen, Washington, United States (enrolling)

Full record on ClinicalTrials.gov

Trial information comes from ClinicalTrials.gov and is refreshed daily. TrialsForMe does not provide medical care and does not run the studies it lists.