Metastatic Squamous Non-Small Cell Lung CancerPhase 3POD1UM-304NCT04205812
Platinum-Based Chemotherapy With/Without INCMGA00012, an Anti-PD-1 Antibody, in Non-Small Cell Lung Cancer
A Phase 3 study testing Retifanlimab, Pemetrexed and Cisplatin in people with Metastatic Squamous Non-Small Cell Lung Cancer and Metastatic Nonsquamous Non-Small Cell Lung Cancer, run by Incyte Corporation at 140 sites in 17 countries.
Trial summary
The purpose of this study is to assess the efficacy and safety of platinum-based chemotherapy with or without INCMGA00012 in participants with metastatic squamous and nonsquamous non-small cell lung cancer (NSCLC). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Metastatic Squamous Non-Small Cell Lung Cancer, Metastatic Nonsquamous Non-Small Cell Lung Cancer
- What is being tested?
- Retifanlimab, Pemetrexed and Cisplatin
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 583 participants
- Where
- 140 sitesin 17 countries
- Study dates
- 11 Sep 2020to 28 May 2026
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologically or cytologically confirmed NSCLC (either nonsquamous or squamous) that is Stage IV (AJCC v8).
- No prior systemic treatment for the advanced/metastatic NSCLC
- Able to provide a formalin-fixed archival tumor tissue sample during screening, or a fresh tumor biopsy
- Measurable disease per RECIST v1.1.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- Life expectancy of at least 3 months.
- Willingness to avoid pregnancy or fathering children.
- Adequate organ function as indicated by protocol-specified laboratory values. - Has been fully vaccinated against SARS-CoV-2 or is willing and able to be fully vaccinated against SARS-CoV-2 during the study by starting the vaccination process during screening.
Who cannot join
- Clinically significant cardiac disease within 6 months of start of study treatment.
- Any major surgery within 3 weeks of the first dose of study treatment.
- Thoracic radiation therapy of > 30 Gy within 6 months of the first dose of study treatment.
- History of peripheral neuropathy ≥ Grade 2 CTCAE v5 for participants who may receive cisplatin, paclitaxel, or nab-paclitaxel.
- Untreated central nervous system metastases and/or carcinomatous meningitis.
- Evidence or history of interstitial lung disease or noninfectious pneumonitis that required systemic steroids.
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- Active infection requiring systemic therapy or active tuberculosis. Note: If required by country or local regulations to be tested for COVID-19 during screening, a participant should be excluded if they have a positive test result for SARS CoV-2 infection until both the retesting result is negative and clinical recovery is obtained.
- Superficial bladder cancer, squamous cell carcinoma of the skin, in situ cervical cancer, or other in situ cancers.
- Has contraindications to chemotherapy agents used in the study.
- Has an active autoimmune disease that has required systemic treatment in past 2 years.
- Is receiving systemic antibiotics or steroid therapy ≤ 7 days prior to the first dose of study treatment.
- Has received a live vaccine within 30 days before the first dose of study treatment (and until 90 days after last dose of study drug).
- Note: While based on approved SARS-CoV-2 vaccines available worldwide, many vaccines are not live (mRNA and adenovirus vaccines do not contain live virus), if a live vaccine against SARS-CoV-2 is the only available option, prior consultation with the medical monitor should be obtained.
- Has known active HBV or HCV (testing must be performed to determine eligibility)
Trial locations and contacts
140 sites in 17 countries.
140 sites in 17 countries
China19 sites
Hunan Cancer Hospital
Changsha, 410013
The First Affiliated Hospital Sun Yat-Sen University
Guangzhou, 510080
Sir Run Run Shaw Hospital Zhejiang University School of Medicine
Hangzhou, 310001
Hangzhou Cancer Hospital
Hangzhou, 310002
The First Affiliated Hospital of Zhejiang University
Hangzhou, 310003
Zhejiang Cancer Hospital
Hangzhou, 310022
Harbin Medical University Cancer Hospital
Harbin, 150081
University of Science and Technology of China-First Affiliated Hospital (Anhui Provincial Hospital)
Hefei, 230001
The Second Hospital of Anhui Medical University
Hefei, 230601
Jinan Central Hospital
Jinan, 250013
Linyi Cancer Hospital
Linyi, 276001
The Second Affiliated Hospital of Nanchang University
Nanchang, 330006
The First Affiliated Hospital of Guangxi Medical University
Nanning, 530021
Shanghai Chest Hospital
Shanghai, 200030
General Hospital of Tianjin
Tianjing, 300052
The Affiliated Cancer Hospital of Xinjiang Medical University
Ürümqi, 830000
Henan Cancer Hostipal
Zhengzhou, 450003
Henan Provincial Peoples Hospital
Zhengzhou, 450003
The First Affiliated Hospital of Zhengzhou University
Zhengzhou, 450052
Turkey (Türkiye)15 sites
Acibadem Adana Hospital
Adana, 01130
Adana Sehir Hastanesi
Adana, 01230
Hacettepe Universitesi Tip Fakultesi Hastanesi
Ankara, 06100
Dr. Abdurrahman Yurtaslan Onkology Teaching and Research Hospital
Ankara, 06105
Memorial Ankara Hospital
Ankara, 06520
Yildirim Beyazit University Ankara Ataturk Training and Research Hospital
Ankara, 06800
Memorial Antalya Hastanesi
Antalya, 07020
Trakya Universitesi Tip Fakultesi
Edirne, 22030
Gaziantep University Gaziantep Oncology Hospital
Gaziantep, 27310
Istanbul University Cerrahpasa - Cerrahpasa Medical Faculty
Istanbul, 34098
Bakirkoy Dr Sadi Konuk Teaching and Research Hospital
Istanbul, 34147
Medipol University Medical Faculty
Istanbul, 34214
Izmir Medicalpark Hospital
Izmir, 35530
Necmettin Erbakan Universitesi Meram Tip Fakultesi Hastanesi
Konya, 42080
Inonu Universitesi Turgut Ozal Tip Merkezi
Malatya, 44280
Ukraine14 sites
Multifield Clinical Hospital No 4
Dnipro, 49102
Ci Carpathian Clinical Oncological Center
Ivano-Frankivsk, 76018
Communal Non-Profit Enterprise Regional Center of Oncology
Kharkiv, 61070
V.T.Zaycev Institute of General and Urgent Surgery of National Academy Medical Sciences of Ukraine
Kharkiv, 61103
Kherson Regional Oncologic Dispensary
Kherson, 73000
Pp Ppc Acinus Medical and Diagnostic Centre
Kropyvnytskyi, 25006
Mi Kryviy Rih Center of Dnipropetrovsk Regional Council
Kryvyi Rih, 50048
Kyiv City Clinical Oncological Center
Kyiv, 03115
Medical Center Asklepion Llc
Kyiv, 03126
Ci of Krc Kyiv Regional Oncologic Dispensary
Kyiv, 04107
Volyn Regional Oncological Dispensary
Lutsk, 43018
Rmi Sumy Regional Clinical Oncology Dispensary
Sumy, 40022
Cne Ccch of Uzh Cc Oncological Center
Uzhhorod, 88000
Medical Center Oncolife Llc
Zaporizhzhya, 69059
Brazil12 sites
Fundacao Pio Xii Hospital de Cancer de Barretos
Barretos, 14784-400
Incan - Instituto Do Cancer - Hospital Pompeia
Caxias do Sul, 95010-005
Centro Regional Integrado de Oncologia
Fortaleza, 60336-045
Oncosite - Centro de Pesquisa Clinica E Oncologia
Ijuí, 98700-000
Clinica de Neoplasias Litoral Ltda
Itajaí, 88301-220
Hospital Do Cancer de Londrina
Londrina, 86015-520
Instituto Mederi de Pesquisa E Saude
Passo Fundo, 99010-120
Hgb - Hospital Giovanni Battista - Mae de Deus Center
Porto Alegre, 90470-340
Inca - Instituto Nacional de Cancer
Rio de Janeiro, 20230-130
Sao Camilo Oncologia
S?O Paulo, 03102-002
Cepho - Centro de Estudos E Pesquisas de Hematologia E Oncologia
Santo André, 09060-870
Fundacao Faculdade Regional de Medicina de Sao Jose Do Rio Preto
São José, 15090-000
Georgia10 sites
High Technology Hospital Medcenter
Batumi, 06000
Jsc Evex Hospitals
Kutaisi, 04600
Archangel St. Michael Multi Profile Clinical Hospital
Tbilisi, 00102
Israel-Georgian Medical Research Clinic Helsicore
Tbilisi, 00112
New Hospitals
Tbilisi, 00114
Medulla Chemotherapy and Immunotherapy Clinic
Tbilisi, 00141
Tbilisi State Medical University First University Clinic
Tbilisi, 00141
High Technology Medical Center, University Clinic
Tbilisi, 00144
Institute of Clinical Oncology Ltd
Tbilisi, 00159
Cancer Research Center Ltd
Tbilisi, 00177
Philippines9 sites
Cebu Doctors University Hospital
Cebu City, 06000
Asian Hospital and Medical Center
City of Muntinlupa, 01781
Davao Doctors Hospital
Davao City, 08000
West Visayas State University Medical Center
Iloilo City, 05000
Makati Medical Center
Makati, 01229
Makati Medical Center
Makati City, 01229
Philippine General Hospital
Manila, 01000
The Medical City
Pasig, 01605
St. Lukes Medical Center
Quezon City, 01102
Russia9 sites
Sbih of Arkhangelsk Region Arkhangelsk Clinical Oncological Dispensary
Arkhangelsk, 163045
Rbih Kursk Regional Clinical Oncology Dispensary of Kursk Region Healthcare Committee
Kursk, 305035
Federal State Institution "Russian Cancer Research Center Named After N.N. Blokhin" Rams
Moscow, 121309
Llc Tonus
Nizniy Novgorod, 603089
Sbhi of Novosibirsk Region Novosibirsk Regional Oncological Dispensary
Novosibirsk, 630108
Bhi of Omsk Region Clinical Oncology Dispensary
Omsk, 644013
Pavlov First Saint Petersburg State Medical University
Saint Petersburg, 197022
N.N. Petrov Research Institute of Oncology
Saint Petersburg, 197758
Sbhi Volgograd Regional Onclogy Dispensary
Volgograd, 400138
Malaysia7 sites
Advanced Medical and Dental Institute Husm
Kepala Batas, 13200
University Malaya Medical Centre
Kuala Lumpur, 59100
Hospital Tengku Ampuan Afzan
Kuantan, 25100
Sarawak General Hospital
Kuching, 93586
Beacon Hospital Sdn Bhd
Petaling Jaya, 46050
Hospital Pulau Pinang
Pulau Pinang, 10990
Institut Kanser Negara - National Cancer Institute
Putrajaya, 62250
Vietnam7 sites
Can Tho Oncology Hospital
Can Tho, 00000
103 Military Hospital
Hanoi, 00000
Bach Mai Hospital
Hanoi, 100000
Hanoi Oncology Hospital
Hanoi, 100000
National Cancer Hospital
Hanoi, 100000
National Lung Hospital
Hanoi, 10000
Hcmc Oncology Hospital
Ho Chi Minh City, 722681
Bulgaria6 sites
Mc Women'S Health-Nadezhda Eood
Sofia, 01330
Acibadem Cityclinica Mhat Tokuda
Sofia, 01407
Umhat Sv. Ivan Rilski Ead
Sofia, 01431
Mhat Serdika Eood
Sofia, 01632
Multiprofile Hospital For Active Treatment Central Onco Hospital Ood
Sofia, 01797
Shatod Dr Marko Marko - Varna Ltd
Varna, 09002
Romania6 sites
S.C Oncopremium Team S.R.L
Baia Mare, 430295
Institutul Oncologic Prof. Dr. Ion Chiricuta Cluj-Napoca
Cluj-Napoca, 400015
Spitalul Clinic Militar de Urgenta Dr. Constantin Papilian Cluj-Napoca
Cluj-Napoca, 400132
Spitalul Clinic Judetean de Urgenta Constanta
Constanța, 900591
S C Oncocenter Oncologie Medicala S R L
Timișoara, 300166
Oncomed Srl
Timișoara, 300239
Serbia6 sites
Clinical Center of Serbia
Belgrade, 11 000
Clinical Center Bezanijska Kosa
Belgrade, 11000
Clinical Center of Serbia
Belgrade, 11000
Oncomed-System
Belgrade, 11000
Institute For Pulmonary Diseases of Vojvodina
Kamenitz, 21204
Clinical Center Kragujevac
Kragujevac, 34000
South Africa6 sites
Cape Town Oncology Trials (Pty) Ltd
Cape Town, 07570
Cancercare Rondebosch Oncology Centre
Cape Town, 07700
Wits Clinical Research
Johannesburg, 02193
Sandton Oncology Centre
Johannesburg, 02196
University of Pretoria Oncology Department
Pretoria, 00002
Mary Potter Oncology Centre
Pretoria, 00181
Poland5 sites
Ko-Med Centra Kliniczne Biala Podlaska
Biała Podlaska, 21-500
Przychodnia Lekarska Komed
Konin, 62-500
Centrum Medyczne Plejady
Krakow, 30-363
Centrum Terapii Wspolczesnej J.M. Jasnorzewska Sp. Komandytowo-Akcyjna
Lodz, 90-242
Przychodnia Med-Polonia Sp. Z O.O.
Poznan, 60-693
Czechia4 sites
University Hospital Hradec Kralove
Hradec Králové, 50333
Fakultni Nemocnice Olomouc
Olomouc, 775 20
Nemocnice Agel Ostrava - Vitkovice A.S
Ostrava - Vitkovice, 703 84
Fakultni Nemocnice V Motole
Prague, 150 06
United States3 sites
Pacific Cancer Medical Center
Anaheim, California, 92801
Reading Hospital and Medical Center
Reading, Pennsylvania, 19612
Innovative Clinical Research Institute
Whittier, California, 90603
Hungary2 sites
Orszagos Koranyi Tbc Es Pulmonological Intezet
Budapest, 01121
Bacs Kiskun Megyei Oktatokorhaz
Kecskemét, 06000
About this study
Official title: A Randomized, Double Blind, Phase 3 Study of Platinum-Based Chemotherapy With or Without INCMGA00012 in First-Line Metastatic Squamous and Nonsquamous Non-Small Cell Lung Cancer (POD1UM-304)
The purpose of this study is to assess the efficacy and safety of platinum-based chemotherapy with or without INCMGA00012 in participants with metastatic squamous and nonsquamous non-small cell lung cancer (NSCLC).
- Conditions
- Metastatic Squamous Non-Small Cell Lung Cancer, Metastatic Nonsquamous Non-Small Cell Lung Cancer
- Being tested
- Retifanlimab, Placebo, Pemetrexed, Cisplatin, Carboplatin
- Keywords
- Metastatic, non-small cell lung cancer, nonsquamous, squamous, PD-1, PD-L1
- Medical subject headings
- Neoplasm Metastasis, Carcinoma, Non-Small-Cell Lung
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RetifanlimabDrug
Also called INCMGA00012
INCMGA00012 administered intravenously every 3 weeks on Day 1 of each cycle for up to 35 cycles.
PlaceboDrug
Placebo administered intravenously every 3 weeks on Day 1 of each cycle for up to 35 cycles.
PemetrexedDrug
Pemetrexed administered intravenously every 3 weeks on Day 1 of each cycle.
CisplatinDrug
Cisplatin administered intravenously every 3 weeks on Day 1 of each cycle for 4 cycles.
CarboplatinDrug
Carboplatin administered intravenously every 3 weeks on Day 1 of each cycle for 4 cycles.
PaclitaxelDrug
Paclitaxel administered intravenously every 3 weeks on Day 1 of each cycle for 4 cycles.
nab-PaclitaxelDrug
nab-Paclitaxel administered intravenously every 3 weeks on Days 1, 8, and 15 of each cycle for 4 cycles.
| Study group | Role | What they receive |
|---|---|---|
| INCMGA00012 + chemotherapy (nonsquamous NSCLC) | Experimental | INCMGA00012 with pemetrexed + cisplatin OR carboplatin followed by INCMGA00012 plus pemetrexed until progression. Receives: Drug: Retifanlimab; Drug: Pemetrexed; Drug: Cisplatin; Drug: Carboplatin |
| Placebo + chemotherapy (nonsquamous NSCLC) | Active comparator | Placebo with pemetrexed + cisplatin OR carboplatin followed by placebo plus pemetrexed until progression. Participants assigned to placebo + chemotherapy will have the option of receiving open-label monotherapy INCMGA00012 in a crossover period after documentation of progressive disease. Receives: Drug: Placebo; Drug: Pemetrexed; Drug: Cisplatin; Drug: Carboplatin |
| INCMGA00012 + chemotherapy (squamous NSCLC) | Experimental | INCMGA00012 with carboplatin + paclitaxel OR nab-paclitaxel followed by INCMGA00012 until progression. Receives: Drug: Retifanlimab; Drug: Carboplatin; Drug: Paclitaxel; Drug: nab-Paclitaxel |
| Placebo + chemotherapy (squamous NSCLC) | Active comparator | Placebo with carboplatin + paclitaxel OR nab-paclitaxel followed by placebo until progression. Participants assigned to placebo + chemotherapy will have the option of receiving open-label monotherapy INCMGA00012 in a crossover period after documentation of progressive disease. Receives: Drug: Placebo; Drug: Carboplatin; Drug: Paclitaxel; Drug: nab-Paclitaxel |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival
Overall survival was defined as the time between the date of randomization and the date of death due to any cause.
Measured: up to 39.1 months
Secondary outcomes (11)
Progression-free Survival (PFS)
PFS was defined as the length of time from the date of randomization until the earliest date of disease progression by Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1), as determined by blinded independent central review (BICR), or death due to any cause, if occurring sooner than progression.
Measured: up to 35.8 months
Objective Response Rate
Objective response rate was defined as the percentage of participants who had a confirmed complete response (CR) or partial response (PR) per RECIST v1.1 based on BICR at any post-Baseline visit until the first progressive disease or new anticancer therapy. CR: disappearance of all target and non-target lesions and no appearance of any new lesions. Any pathological lymph nodes (whether target or non-target) must have a reduction in the short axis to <10 millimeters (mm). PR: complete disappearance or at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference the baseline sum diameters, no new lesions, and no progression of non-target lesions.
Measured: up to 35.78 months
Duration of Response
Duration of response was defined as the time from the earliest date of documented response until the earliest date of disease progression or death from any cause, whichever comes first, per RECIST v1.1 based on BICR. CR: disappearance of all target and non-target lesions and no appearance of any new lesions. Any pathological lymph nodes (whether target or non-target) must have a reduction in the short axis to <10 mm. PR: complete disappearance or at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference the baseline sum diameters, no new lesions, and no progression of non-target lesions. PD: progression of a target or non-target lesion or presence of a new lesion.
Measured: up to 34.3 months
Number of Participants With Any Treatment-emergent Adverse Event (TEAE) in the Randomized Treatment Period
An adverse event (AE) was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. An AE could therefore have been any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study treatment. TEAEs were defined as any AEs either reported for the first time or the worsening of pre-existing events after the first dose of retifanlimab/placebo and within 90 days of the last administration of the randomized period. AEs that occurred after new anticancer therapy (including monotherapy treatment) were to be excluded.
Measured: up to approximately 39 months
Number of Participants Who Discontinued Study Drug Due to TEAEs in the Randomized Treatment Period
An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. An AE could therefore have been any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study treatment. TEAEs were defined as any AEs either reported for the first time or the worsening of pre-existing events after the first dose of retifanlimab/placebo and within 90 days of the last administration of the randomized period. AEs that occurred after new anticancer therapy (including monotherapy treatment) were to be excluded.
Measured: up to approximately 39 months
Number of Participants With Any TEAE in the Monotherapy Treatment Period
An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. An AE could therefore have been any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study treatment. TEAEs were defined as any AEs either reported for the first time or the worsening of pre-existing events after the first dose of retifanlimab/placebo and within 90 days of the last administration of the randomized period. AEs that occurred after new anticancer therapy (including monotherapy treatment) were to be excluded.
Measured: up to approximately 27 months
Number of Participants Who Discontinued Study Drug Due to TEAEs in the Monotherapy Treatment Period
An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. An AE could therefore have been any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study treatment. TEAEs were defined as any AEs either reported for the first time or the worsening of pre-existing events after the first dose of retifanlimab/placebo and within 90 days of the last administration of the randomized period. AEs that occurred after new anticancer therapy (including monotherapy treatment) were to be excluded.
Measured: up to approximately 27 months
Cmax1 of Retifanlimab When Administered With Chemotherapy
Cmax1 was defined as the first-dose maximum serum concentration of retifanlimab.
Measured: Cycle 1 Day 1: pre-infusion and immediately after infusion
AUC1 of Retifanlimab When Administered With Chemotherapy
AUC1 was defined as the first-dose area under the serum concentration versus time curve.
Measured: Cycle 1 Day 1: pre-infusion and immediately after infusion
Cmaxss of Retifanlimab When Administered With Chemotherapy
Cmaxss was defined as the maximum serum concentration of retifanlimab at steady state.
Measured: Cycle 1 Day 1 (C1D1): pre-infusion and immediately after infusion (IAI). C2D1: pre-infusion. C4D1: pre-infusion and IAI. C6D11: pre-infusion. C8D1, and every 4 cycles thereafter: pre-infusion. End of treatment visit and 30-day safety follow-up visit.
AUCss of Retifanlimab When Administered With Chemotherapy
AUCss was defined as the area under the serum concentration versus time curve at steady state.
Measured: Cycle 1 Day 1 (C1D1): pre-infusion and immediately after infusion (IAI). C2D1: pre-infusion. C4D1: pre-infusion and IAI. C6D11: pre-infusion. C8D1, and every 4 cycles thereafter: pre-infusion. End of treatment visit and 30-day safety follow-up visit.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Dec 2019
- Study start11 Sep 2020
- Primary completion15 Dec 2023
- Study completion28 May 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Metastatic Squamous Non-Small Cell Lung CancerStudies of the same condition, open and under way.
- More trials run by Incyte CorporationThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 583 participants (actual)
Sponsor and investigators
- Lead sponsor
- Incyte Corporation
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Incyte Medical Monitor, Study director, Incyte Corporation
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04205812
- Sponsor's protocol ID
- INCMGA 0012-304
- Other IDs
- 2022-501987-16-00, 2019-003372-39, 2019
- Acronym
- POD1UM-304
- Status last verified
- May 2026
- First submitted
- 18 Dec 2019
- Last updated
- 6 Jul 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Incyte shares data with qualified external researchers after a research proposal is submitted. These requests are reviewed and approved by a review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. The trial data availability is according to the criteria and process described on https://www.incyte.com/our-company/compliance-and-transparency
- Expanded access
- Available
Publications
Lu S, Vynnychenko O, Kulyaba Y, Kuchava V, Ibrahim A, Moiseenko F, Arslan C, Nguyen DT, Petrovic M, Cicin I, Bibichadze K, Cil T, Shi J, Olmez OF, Gogishvili M, Artac M, Nguyen HG, Cornfeld M, Tian C, Munteanu MC, Sette CVM, Bondarenko I; POD1UM-304 Study Team. Retifanlimab versus placebo in combination with platinum-based chemotherapy in patients with first-line non-squamous or squamous metastatic non-small-cell lung cancer (POD1UM-304): a phase 3, multiregional, placebo-controlled, double-blind, randomised study. Lancet Respir Med. 2025 Dec;13(12):1096-1107. doi: 10.1016/S2213-2600(25)00209-7. Epub 2025 Sep 19.
PubMed 40983066
Study at a glance
From the registry record, last updated by the sponsor on 6 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double Blind, Phase 3 Study of Platinum-Based Chemotherapy With or Without INCMGA00012 in First-Line Metastatic Squamous and Nonsquamous Non-Small Cell Lung Cancer (POD1UM-304)
- ClinicalTrials.gov ID
- NCT04205812
- Acronym / sponsor ID
- POD1UM-304 / INCMGA 0012-304
- Conditions
- Metastatic Squamous Non-Small Cell Lung Cancer, Metastatic Nonsquamous Non-Small Cell Lung Cancer
- Keywords
- Metastatic, non-small cell lung cancer, nonsquamous, squamous, PD-1, PD-L1
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 583 participants (actual)
- Lead sponsor
- Incyte CorporationIndustry (pharma, biotech, devices)
- Study start
- 11 Sep 2020 (actual)
- Primary completion
- 15 Dec 2023 (actual)
- Study completion
- 28 May 2026 (actual)
- First posted
- 19 Dec 2019 (actual)
- Results
- Posted 6 Feb 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to assess the efficacy and safety of platinum-based chemotherapy with or without INCMGA00012 in participants with metastatic squamous and nonsquamous non-small cell lung cancer (NSCLC).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| INCMGA00012 + chemotherapy (nonsquamous NSCLC) | Experimental | Drug: Retifanlimab, Drug: Pemetrexed, Drug: Cisplatin, Drug: CarboplatinINCMGA00012 with pemetrexed + cisplatin OR carboplatin followed by INCMGA00012 plus pemetrexed until progression. |
| Placebo + chemotherapy (nonsquamous NSCLC) | Active comparator | Drug: Placebo, Drug: Pemetrexed, Drug: Cisplatin, Drug: CarboplatinPlacebo with pemetrexed + cisplatin OR carboplatin followed by placebo plus pemetrexed until progression. Participants assigned to placebo + chemotherapy will have the option of receiving open-label monotherapy INCMGA00012 in a crossover period after documentation of progressive disease. |
| INCMGA00012 + chemotherapy (squamous NSCLC) | Experimental | Drug: Retifanlimab, Drug: Carboplatin, Drug: Paclitaxel, Drug: nab-PaclitaxelINCMGA00012 with carboplatin + paclitaxel OR nab-paclitaxel followed by INCMGA00012 until progression. |
| Placebo + chemotherapy (squamous NSCLC) | Active comparator | Drug: Placebo, Drug: Carboplatin, Drug: Paclitaxel, Drug: nab-PaclitaxelPlacebo with carboplatin + paclitaxel OR nab-paclitaxel followed by placebo until progression. Participants assigned to placebo + chemotherapy will have the option of receiving open-label monotherapy INCMGA00012 in a crossover period after documentation of progressive disease. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Histologically or cytologically confirmed NSCLC (either nonsquamous or squamous) that is Stage IV (AJCC v8).
- No prior systemic treatment for the advanced/metastatic NSCLC
- Able to provide a formalin-fixed archival tumor tissue sample during screening, or a fresh tumor biopsy
- Measurable disease per RECIST v1.1.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
Key exclusion criteria (14 listed)
- Clinically significant cardiac disease within 6 months of start of study treatment.
- Any major surgery within 3 weeks of the first dose of study treatment.
- Thoracic radiation therapy of > 30 Gy within 6 months of the first dose of study treatment.
- History of peripheral neuropathy ≥ Grade 2 CTCAE v5 for participants who may receive cisplatin, paclitaxel, or nab-paclitaxel.
- Untreated central nervous system metastases and/or carcinomatous meningitis.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| RetifanlimabAlso: INCMGA00012INCMGA00012 administered intravenously every 3 weeks on Day 1 of each cycle for up to 35 cycles. | Drug | INCMGA00012 + chemotherapy (nonsquamous NSCLC), INCMGA00012 + chemotherapy (squamous NSCLC) |
| PlaceboPlacebo administered intravenously every 3 weeks on Day 1 of each cycle for up to 35 cycles. | Drug | Placebo + chemotherapy (nonsquamous NSCLC), Placebo + chemotherapy (squamous NSCLC) |
| PemetrexedPemetrexed administered intravenously every 3 weeks on Day 1 of each cycle. | Drug | INCMGA00012 + chemotherapy (nonsquamous NSCLC), Placebo + chemotherapy (nonsquamous NSCLC) |
| CisplatinCisplatin administered intravenously every 3 weeks on Day 1 of each cycle for 4 cycles. | Drug | INCMGA00012 + chemotherapy (nonsquamous NSCLC), Placebo + chemotherapy (nonsquamous NSCLC) |
| CarboplatinCarboplatin administered intravenously every 3 weeks on Day 1 of each cycle for 4 cycles. | Drug | INCMGA00012 + chemotherapy (nonsquamous NSCLC), INCMGA00012 + chemotherapy (squamous NSCLC), Placebo + chemotherapy (nonsquamous NSCLC), Placebo + chemotherapy (squamous NSCLC) |
| PaclitaxelPaclitaxel administered intravenously every 3 weeks on Day 1 of each cycle for 4 cycles. | Drug | INCMGA00012 + chemotherapy (squamous NSCLC), Placebo + chemotherapy (squamous NSCLC) |
| nab-Paclitaxelnab-Paclitaxel administered intravenously every 3 weeks on Days 1, 8, and 15 of each cycle for 4 cycles. | Drug | INCMGA00012 + chemotherapy (squamous NSCLC), Placebo + chemotherapy (squamous NSCLC) |
Primary outcome
Overall Survival
Time frame: up to 39.1 months
Overall survival was defined as the time between the date of randomization and the date of death due to any cause.
11 secondary outcomes
Progression-free Survival (PFS)
Time frame: up to 35.8 months
Objective Response Rate
Time frame: up to 35.78 months
Duration of Response
Time frame: up to 34.3 months
Number of Participants With Any Treatment-emergent Adverse Event (TEAE) in the Randomized Treatment Period
Time frame: up to approximately 39 months
Number of Participants Who Discontinued Study Drug Due to TEAEs in the Randomized Treatment Period
Time frame: up to approximately 39 months
Number of Participants With Any TEAE in the Monotherapy Treatment Period
Time frame: up to approximately 27 months
Number of Participants Who Discontinued Study Drug Due to TEAEs in the Monotherapy Treatment Period
Time frame: up to approximately 27 months
Cmax1 of Retifanlimab When Administered With Chemotherapy
Time frame: Cycle 1 Day 1: pre-infusion and immediately after infusion
AUC1 of Retifanlimab When Administered With Chemotherapy
Time frame: Cycle 1 Day 1: pre-infusion and immediately after infusion
Cmaxss of Retifanlimab When Administered With Chemotherapy
Time frame: Cycle 1 Day 1 (C1D1): pre-infusion and immediately after infusion (IAI). C2D1: pre-infusion. C4D1: pre-infusion and IAI. C6D11: pre-infusion. C8D1, and every 4 cycles thereafter: pre-infusion. End of treatment visit and 30-day safety follow-up visit.
AUCss of Retifanlimab When Administered With Chemotherapy
Time frame: Cycle 1 Day 1 (C1D1): pre-infusion and immediately after infusion (IAI). C2D1: pre-infusion. C4D1: pre-infusion and IAI. C6D11: pre-infusion. C8D1, and every 4 cycles thereafter: pre-infusion. End of treatment visit and 30-day safety follow-up visit.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Jul 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 40983066Lu S, Vynnychenko O, Kulyaba Y, Kuchava V, Ibrahim A, Moiseenko F, Arslan C, Nguyen DT, Petrovic M, Cicin I, Bibichadze K, Cil T, Shi J, Olmez OF, Gogishvili M, Artac M, Nguyen HG, Cornfeld M, Tian C, Munteanu MC, Sette CVM, Bondarenko I; POD1UM-304 Study Team. Retifanlimab versus placebo in combination with platinum-based chemotherapy in patients with first-line non-squamous or squamous metastatic non-small-cell lung cancer (POD1UM-304): a phase 3, multiregional, placebo-controlled, double-blind, randomised study. Lancet Respir Med. 2025 Dec;13(12):1096-1107. doi: 10.1016/S2213-2600(25)00209-7. Epub 2025 Sep 19.
- Platinum-Based Chemotherapy With/Without INCMGA00012, an Anti-PD-1 Antibody, in Non-Small Cell Lung CancerLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. Incyte shares data with qualified external researchers after a research proposal is submitted. These requests are reviewed and approved by a review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. The trial data availability is according to the criteria and process described on https://www.incyte.com/our-company/compliance-and-transparency
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Incyte Medical Monitor study director
Incyte Corporation
140 sites in 17 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Retifanlimab, Pemetrexed and Cisplatin in people with Metastatic Squamous Non-Small Cell Lung Cancer and Metastatic Nonsquamous Non-Small Cell Lung Cancer, run by Incyte Corporation at 140 sites in 17 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 6 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 140 sites in China, Turkey (Türkiye), Ukraine, Brazil, Georgia and 12 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 6 Feb 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Overall Survival (time frame: up to 39.1 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04205812, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Jul 2026.