Non-Small Cell Lung CancerPhase 3NCT05899608
Clinical Study of Ivonescimab for First-line Treatment of Metastatic NSCLC Patients
A Phase 3 study testing Ivonescimab Injection and Pembrolizumab Injection in people with Non-Small Cell Lung Cancer, run by Summit Therapeutics at 260 sites in 17 countries.
Trial summary
This is a Phase 3 Randomized, double-blind, Multiregional Study of Ivonescimab Combined with Chemotherapy Versus Pembrolizumab Combined with Chemotherapy for the First-line Treatment of Metastatic Non-small Cell Lung Cancer. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Non-Small Cell Lung Cancer
- What is being tested?
- Ivonescimab Injection and Pembrolizumab Injection
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,600 participants
- Where
- 260 sitesin 17 countries
- Study dates
- 26 Oct 2023to 31 Dec 2029
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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
- Age ≥ 18 years old at the time of enrollment
- Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1
- Expected life expectancy ≥ 3 months
- Metastatic (Stage IV) NSCLC
- Histologically or cytologically confirmed squamous or non-squamous NSCLC
- Recorded measurement of the Tumor Proportion Score (TPS) or Tumor Cells (TC) for PD-L1 expression, irrespective of the PD-L1 expression, prior to randomization
- At least one measurable noncerebral lesion according to RECIST 1.1
- No prior systemic treatment for metastatic NSCLC
Who cannot join
- Histologic or cytopathologic evidence of the presence of small cell lung carcinoma
- Known actionable genomic alterations (EGFR, ALK, ROS1, and BRAF V600E) or genes for which first-line approved therapies are available.
- For non-squamous histology patients, actionable driver mutation testing results are required before randomization.
- Has received any prior therapy for NSCLC in the metastatic setting
- Tumor invasion, encasement of organs (e.g. pericardium, heart, trachea, esophagus, central bronchi), or major blood vessels (e.g aorta, central veins), if poses a significant increased risk of bleeding.
Trial locations and contacts
260 sites in 17 countries.
260 sites in 17 countries
United States76 sites
LA Cancer Network
Anaheim, California, 92801
University of Michigan
Ann Arbor, Michigan, 48109
Trinity Health
Ann Arbor, Michigan, 48197
Texas Oncology- Austin
Austin, Texas, 78745
Sidney Kimmel Comprehensive Cancer Center
Baltimore, Maryland, 21187
Ascension Saint Agnes Hospital
Baltimore, Maryland, 21229
St. Vincent Cancer Center
Billings, Montana, 59102
Lahey Hospital
Burlington, Massachusetts, 01805
The Oncology Institute of Hope & Innovation
Cerritos, California, 90703
University of North Carolina
Chapel Hill, North Carolina, 27514
Medical University of South Carolina (MUSC)
Charleston, South Carolina, 29425
Levine Center
Charlotte, North Carolina, 28204
Northwestern Memorial Hospital
Chicago, Illinois, 60611
Oncology Hematology Care (OHC), Inc
Cincinnati, Ohio, 45242
University Hospitals Case Medical Center
Cleveland, Ohio, 44106
Cleveland Clinic
Cleveland, Ohio, 44195
Texas Oncology-Dallas
Dallas, Texas, 75246
UT Southwestern Medical Center
Dallas, Texas, 75390
Karmanos Cancer Insitute
Detroit, Michigan, 48201
Henry Ford Hospital
Detroit, Michigan, 48202
Willamette Valley Cancer Institute and Research Center (WVCI)
Eugene, Oregon, 97401
Florida Cancer Specialists & Research Institute (FCS)-East
Fort Myers, Florida, 33901
Prisma Health-Upstate
Greenville, South Carolina, 29605
Hartford Hospital
Hartford, Connecticut, 06053
BioResearch Partner- Hialeah Hospital
Hialeah, Florida, 33013
Memorial Healthcare System
Hollywood, Florida, 33021
Genesis Cancer and Blood Institute
Hot Springs, Arkansas, 71913
Houston Methodist Hospital
Houston, Texas, 77030
MD Anderson Cancer Center
Houston, Texas, 77030
Mayo Clinic
Jacksonville, Florida, 32224
Cancer Specialists of North Florida
Jacksonville, Florida, 32256
American Oncology Partners, PA
Kansas City, Missouri, 64132
Dartmouth-Hitchcock Medical Center
Lebanon, New Hampshire, 03756
Baptist Health
Lexington, Kentucky, 40503
University of Arkansas
Little Rock, Arkansas, 72205
Rocky Mountain Cancer
Lone Tree, Colorado, 80124
University of Southern California (USC)
Los Angeles, California, 90033
Cedar Sinai Medical Center
Los Angeles, California, 90048
Valkyrie Clinical Trials
Los Angeles, California, 90067
Banner MD Anderson Cancer Center at North Colorado Medical Center
Loveland, Colorado, 80538
Central Georgia Cancer Care
Macon, Georgia, 31210
Carbone Cancer Center
Madison, Wisconsin, 53792
West Cancer Center
Memphis, Tennessee, 38138
SCRI-Nashville
Nashville, Tennessee, 37203
Yale University
New Haven, Connecticut, 06510
Mount Sinai
New York, New York, 10029
Memorial Sloan Kettering
New York, New York, 10065
Virginia Oncology Associates
Norfolk, Virginia, 23502
Ocala Oncology
Ocala, Florida, 34474
University of Nebraska Medical Center (UNMC)
Omaha, Nebraska, 68105
Cancer Care of Brevard
Palm Bay, Florida, 32901
Ascension Sacred Heart Health System
Pensacola, Florida, 32504
Illinois Cancer Care P.C.
Peoria, Illinois, 61615
Exigent Network
Petersburg, Florida, 33709
Banner University Medical Center
Phoenix, Arizona, 85006
BRCR Medical Center Inc
Plantation, Florida, 33322
Virginia Cancer
Reston, Virginia, 20190
Mayo Clinic
Rochester, Minnesota, 55905
Sutter Institute for Medical Research
Sacramento, California, 95816
UC Davis Medical Center
Sacramento, California, 95817
Park Nicollet Institute
Saint Paul, Minnesota, 55101
Texas Oncology-San Antonio
San Antonio, Texas, 78216
University of California Los Angeles (UCLA)
Santa Monica, California, 90404
Providence Medical Foundation
Santa Rosa, California, 95403
Swedish Cancer Institute
Seattle, Washington, 98103
Cancer Care NW Centers
Spokane, Washington, 99202
Washington University St.Louis
St Louis, Missouri, 63110
Florida Cancer Specialists & Research Institute (FCS) - North
St. Petersburg, Florida, 33705
SUNY Upstate Medical University
Syracuse, New York, 13210
BRCR Medical Center Inc.
Tamarac, Florida, 33321
TMC Healthcare
Tucson, Arizona, 85711
Texas Oncology-Tyler
Tyler, Texas, 75702
University of Texas at Tyler
Tyler, Texas, 75708
Kaiser Permanente
Vallejo, California, 94589
Florida Cancer Specialists & Research Institute (FCS)-South
West Palm Beach, Florida, 33401
University of Kansas Cancer Center
Westwood, Kansas, 66205
China46 sites
Henan University of Science and Technology Affiliated Anyang Cancer Hospital
Anyang, Henan, 471023
Cancer Hospital Chinese Academy of Medical Science
Beijing, 100021
Peking University People's Hospital
Beijing, 100044
The Fifth Medical Center of the General Hospital of the Chinese People's Liberation Army
Beijing, 100853
Xiangya Hospital of Central South University
Changsha, Hunan, 410000
Hunan Cancer Hospital Thoracic Medicine 1
Changsha, Hunan, 410013
Hunan Cancer Hospital Thoracic Medicine 2
Changsha, 410013
Fujian Cancer Hospital
Fuzhou, Fujian, 350014
First Affiliated Hospital of Gannan Medical University
Ganzhou, Jiangxi, 341000
Guangxi Medical University Cancer Hospital
Guangxi, 530021
Fujian Cancer Hospital
Guangzhou, Guangdong, 510230
Hainan General Hospital
Haikou, Hainan, 190000
The First Affiliated Hospital,Zhejiang University
Hanzhou, Zhejiang, 310003
Zhejiang Cancer Hospital
Hanzhou, Zhejiang, 310022
Harbin Medical University Cancer Hospital
Harbin, Heilongjiang, 150081
The First Affiliated Hospital Of University Of South China
Hengyang, Hunan, 421001
Shandong Cancer Hospital
Jinan, Shandong, 250117
The First Affiliated Hospital of Yangtze University
Jingzhou, Hubei, 434023
Jinhua Municipal Central Hospital
Jinhua, Zhejiang, 321000
Yunnan Cancer Hospital
Kunming, Yunnan, 650118
Gansu Provincial Cancer Hospital
Lanzhou, Gansu, 730013
Linyi People's Hospital
Linyi, Shandong, 276001
Mianyang Central Hospital
Mianyang, Sichuan, 621099
The First Affiliated Hospital of Nanchang University
Nanchang, Jiangxi, 330006
Jiangxi Cancer Hospital
Nanchang, Jiangxi, 330209
The First Affiliated Hospital of Guangxi Medical University
Nanning, Guangxi, 530000
Nanyang Central Hospital
Nanyang, Henan, 473001
Ningbo Medical Center Lihuili Hospital
Ningbo, Zhejiang, 315010
Qingdao Central Hospital
Qingdao, Shandong, 266042
Shengjing Hospital Of China Medical University
Shenyang, Liaoning, 110004
The Fourth Hospital of Hebei Medical University
Shijiazhuang, Hebei, 050011
Shanxi Provincial Cancer Hospital
Taiyuan, Shanxi, 030013
TaiZhou Hospital Of Zhejiang Province
Taizhou, Zhejiang, 31700
Beijing Chest Hospital
Tongzhou, Beijing Municipality, 101125
Cancer Hospital Affiliated to Xinjiang Medical University
Ürümqi, Xinjiang, 830011
The Second Affiliated Hospital of AFMU
Xi'an, Shaanxi, 710004
The first affiliated Hospital of xi'an jiao tong university
Xi'an, Shaanxi, 710049
Xiangyang Central Hospital
Xiangyang, Hubei, 441100
Fudan University Shanghai Cancer Center
Xuhui, Shanghai Municipality, 200032
Shanghai Chest Hospital
Xuhui, Shanghai Municipality, 200940
The Affiliated Hospital of Xuzhou Medical University
Xuzhou, Jiangsu, 2210000
The Affiliated Hospital of Xuzhou Medical University
Xuzhou, Jiangsu, 221006
Shanghai Pulmonary Hospital
Yangpu, Shanghai Municipality, 200433
Fu Yang People's Hospital
Yangzhou, Anhui, 236010
The Second Affiliated Hospital Zhejiang University School of Medicine
Zhejiang, 310009
Henan Cancer Hospital
Zhengzhou, Henan, 450003
Spain19 sites
Hospital Universitario de Badajoz
Badajoz, 06080
Hospital Universitari Germans Trias i Pujol
Badalona, 08916
Instituto Oncologico Baselga (IOB)
Barcelona, 08003
Hospital de la Santa Creu i de Sant Pau
Barcelona, 08025
Hospital Universitari Dexeus
Barcelona, 08028
Vall d'Hebron University
Barcelona, 08035
Mi Tres Torres
Barcelona, 08107
Institut d'Investigacio Biomedica de Girona Dr. Josep Trueta
Girona, 17007
Hospital Universitario de Jaén
Jaén, 23007
Universidad de Las Palmas de Gran Canaria
Las Palmas de Gran Canaria, 35016
Hospital Universitario Lucus Augusti (HULA)
Lugo, 27003
Universidad Autonoma de Madrid (UAM)
Madrid, 28040
Hospital Universitario La Paz
Madrid, 28046
Hospital Regional Universitario de Málaga
Málaga, 29011
Clinica Universidad de Navarra (CUN) - Pamplona
Pamplona, 31008
H Universitario Virgen Del Rocio
Seville, 41013
Hospital Clinico Universitario de Valencia (CHUV)
Valencia, 46010
Hospital La Fe Bulevar Sur
Valencia, 46206
Hospital Alvaro Cunqueiro (HAC)
Vigo, 36312
Japan18 sites
Fujita Health University Hospital
Aichi, 470-1192
National Hospital Organization Kyusyu Medical Center
Fukuoka, 810-8563
Hirosaki University Hospital
Hirosaki, 036-8563
Hiroshima University Hospital
Hiroshima, 734-8551
National Hospital Organization - Hokkaido Cancer Center
Hokkaido, 003-0804
Hakodate Goryoukaku Hospital
Hokkaido, 040-8611
Nara Medical University Hospital
Kashihara, 634-8522
Shinshu University Hospital
Matsumoto, 390-8621
Sendai Kousei Hospital
Miyagi, 981-0914
Okayama University Hospital
Okayama, 700-8558
Osaka Medical and Pharmaceutical University Hospital (OMPU Hp)
Osaka, 569-8686
Kansai Medical University Hospital
Osaka, 573-1191
Shizuoka Cancer Center (SCC)
Shizuoka, 411-8777
National Cancer Center Hospital (NCCH)
Tokyo, 104-0045
The Cancer institute Hospital of JFCR
Tokyo, 135-8550
National Hospital Organization Yamaguchi Ube Medical Center
Yamaguchi, 755-0241
Kanagawa Cancer Center
Yokohama, 241-8515
Tottori University Hospital
Yonago, 683-8504
Italy16 sites
Azienda Ospedaliero Universitaria delle Marche
Ancona, 60126
Centro di Riferimento Oncologico di Aviano
Aviano, 33081
Azienda Ospedaliera "Istituti Ospitalieri" di Cremona
Cremona, 26100
Istituto Europeo di Oncologia (IEO)
Genova, 16149
Ospedale San Luca
Lucca, 55100
Azienda Socio Sanitaria Territorilae de Mantova (ASST Mantova)
Mantua, 46100
Fondazione IRCCS - Istituto Nazionale dei Tumori - Milano
Milan, 20133
Istituto Europeo di Oncologia (IEO)
Milan, 20133
Fondazione IRCCS San Gerardo dei Tintori
Monza, 20900
Universita degli Studi della Campania "Luigi Vanvitelli"
Naples, 80131
Fondazione IRCCS Policlinico San Matteo
Pavia, 27100
Azienda Sanitaria Territoriale Pesaro Urbino (AST PU)
Pesaro, 61122
Ospedale P. Pederzoli
Peschiera del Garda, 37019
Istituti Fisioterapici Ospitalieri (IFO)
Roma, 00144
Azienda Ospedaliera Universitaria Senese - Istituto Toscano Tumori
Siena, 53100
Ospedale G.B. Rossi Borgo Roma
Verona, 37134
Turkey (Türkiye)16 sites
SBU Gulhane Egitim ve Arastirma Hastanesi
Ankara, 06010
Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research
Ankara, 06200
Gazi University Medicine Faculty Hospital
Ankara, 06590
Ankara University Medical Oncology
Ankara, 06620
Memorial Ankara Hospital
Ankara, 06620
Ege Universitesi Tip Fakultesi Hastanesi
Bornova, İzmir, 35100
Medical Point Gaziantep Hospital
Gaziantep, 27584
İstanbul University Cerrahpasa Medical
Istanbul, 34098
Memorial Saglik Grubu Bahçelievler Hospital
Istanbul, 34180
Istinye University Bahceshir Liv Hospital
Istanbul, 34460
Istanbul Medeniyet University Prof Dr. Suleyman Yalcin City Hospital
Istanbul, 34722
Izmir Economy University Medical Point İzmir Hospital
Izmir, 35575
Kocaeli University Hospital
İzmit, Kocaeli, 41380
Erciyes University Medical Faculty
Kayseri, 28039
Necmettin Erbakan University Meram Medical Faculty Hospital
Meram, Konya, 42080
Dicle University
Sur, Diyarbakır, 21280
France15 sites
Centre Hospitalier Regional Universitaire (CHRU) Brest
Brest, 29200
Centre Hospitalier Universitaire (CHU) de Caen
Caen, 14033
Unicancer - Centre François Baclesse (CFB)
Caen, 14059
Centre Hospitalier Intercommunal de Creteil (CHIC
Créteil, 94010
Centre de Cancérologie de la Sarthe
Le Mans, 72000
Hopital Nord
Marseille, 13915
Centre Hospitalier Universitaire de Montpellier (CHU Montpellier)
Montpellier, 34295
Institut Curie
Paris, 75000
Centre Hospitalier Lyon-Sud
Pierre-Bénite, 69495
Centre Hospitalier (Intercommunal) De Cornouaille Quimper
Quimper, 29107
Centre Hospitalier Universitaire (CHU) de Rennes
Rennes, 35033
Institut de Cancérologie de l'Ouest
Saint-Herblain, 44805
Institut de cancérologie Strasbourg Europe (ICANS)
Strasbourg, 67033
Centre Hospitalier Regional et Universitaire de Tours
Tours, 37044
Gustave Roussy Oncologie Médical
Villejuif, 94800
Mexico11 sites
Panamerican Clinical Research S.A de C.V.
Guadalajara, 44670
Actualidad Basada en Investigación del Cáncer
Guadalajara, 44680
Renati Innovation S.A.P.I. DE C.V.
Guadalajara, 44680
Centro de Atención Oncológica Viva
La Paz, 23040
Health Pharma Professional Research S.A. de C.V.
Mexico City, 03100
Centro de Investigación Clínica GRAMEL
Mexico City, 03720
Arke SMO S.A DE C.V
Mexico City, 06700
Centro de Atención Oncológica Viva
Mexico City, 06760
Althian Clinical Research
Monterrey, 64060
Hospital Universitario "Dr. José Eleuterio González"
Monterrey, 64460
I Can Oncology Center
Monterrey, 64710
Germany9 sites
Klinikum Esslingen GmbH
Esslingen am Neckar, 73730
Krankenhaus Nordwest GmbH
Frankfurt, 60488
Asklepios Klinik Gauting GmbH
Gauting, 82131
Universitaetsklinikum Giessen und Marburg
Giesen, 35392
Universitaetsklinikum Heidelberg (UKHD)
Heidelberg, 69126
Universitaetsklinikum Jena
Jena, 07747
Klinikverbund Allgaeu - Klinikum Kempte
Kempten, 87435
Universitätsklinikum Schleswig-Holstein
Lübeck, 23538
München Klinik gGmbH
Munich, 81975
Greece9 sites
Henry Dunant Hospital Center
Athens, 11526
General Hospital of Athens
Athens, 11527
General Hospital of Athens Alexandra
Athens, 11528
Metropolitan General Hospital
Athens, 15562
Interbalkan Medical Center of Thessaloniki
Athens, 57010
Olympion Hospital
Pátrai, 26443
University General Hospital of Patras
Pátrai, 26504
Galenos General Clinic
Thessaloniki, 54622
"George Papanikolaou" General Hospital of Thessaloniki
Thessaloniki, 57010
Serbia7 sites
Acibadem Bel Medic General Hospital
Belgrade, 11000
Klinicki Centar Srbije
Belgrade, 11000
Vojnomedicinska Akademija (VMA)
Belgrade, 11040
Klinicko Bolnicki Centar (KBC) Bezanijska Kosa
Belgrade, 11080
Institut Za Plucne Bolesti Vojvodine Klinika za pulmolosku onkologiju
Kamenica, 21204
Univerzitetski Klinicki Centar Kragujevac
Kragujevac, 34000
University Clinical Center Niš
Niš, 18000
Poland5 sites
Centrum Onkologii im. prof. F. Lukaszczyka w Bydgoszczy
Bydgoszcz, 85796
Instytut Msf Sp. z o.o.
Lodz, 90-302
Med Polonia Sp. z o.o. NSZOZ
Poznan, 60-693
Szpital Specjalistyczny w Prabutach
Prabuty, 82-550
Wojskowy Instytut Medczny
Warsaw, 04-141
Canada3 sites
London Regional (LRCP)
London, Ontario, N6A5W9
Ottawa Cancer Center
Ottawa, Ontario, K1H8L6
Saskatchewan Cancer
Regina, Saskatchewan, S4T7T1
Ireland3 sites
St. James's Hospital (SJH)
Dublin, D08 NHY1
Beaumont Hospital
Dublin, D09V2N0
Galway Univeristy Hospitals
Galway, H91 YR71
United Kingdom3 sites
Leeds Teaching Hospitals NHS
Leeds, LS2 9JT
St. Bartholomew's hospital
London, EC1A 7BE
The Christie NHS Foundation Trust
Manchester, M20 4BX
Sweden2 sites
Karolinska University Hospital
Stockholm, 141 86
Region Gävleborg Gävle Sjukhus Gävle Sjukhus
Uppsala, 803 24
About this study
Official title: A Randomized, Double-blind, Multiregional Phase 3 Study of Ivonescimab Combined With Chemotherapy Versus Pembrolizumab Combined With Chemotherapy for the First-line Treatment of Metastatic Non-small Cell Lung Cancer (HARMONi-3)
This is a Phase 3 Randomized, double-blind, Multiregional Study of Ivonescimab Combined with Chemotherapy Versus Pembrolizumab Combined with Chemotherapy for the First-line Treatment of Metastatic Non-small Cell Lung Cancer. The primary endpoint is overall survival and progression free survival assessed by investigator. The key secondary endpoints include response and safety.
Read the detailed description
This study consists of two distinct NSCLC histology cohorts: squamous (N=600) and non-squamous (N=1000), approximately 1600 patients in total. Within each cohort, subjects are randomized in a 1:1 ratio into one of two treatment groups, receiving either ivonescimab or pembrolizumab combined with platinum-doublet chemotherapy. The two histology cohorts will be analyzed independently
- Conditions
- Non-Small Cell Lung Cancer
- Being tested
- Ivonescimab Injection, Pembrolizumab Injection
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Ivonescimab InjectionBiological
Subject will receive ivonescimab and chemotherapy as an IV injection
Pembrolizumab InjectionBiological
Subject will receive pembrolizumab and chemotherapy as an IV injection
| Study group | Role | What they receive |
|---|---|---|
| Arm A - Ivonescimab and chemotherapy | Experimental | Subject will receive ivonescimab and chemotherapy Receives: Biological: Ivonescimab Injection |
| Arm B - Pembrolizumab and chemotherapy | Active comparator | Subject will receive pembrolizumab and chemotherapy Receives: Biological: Pembrolizumab Injection |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival (OS)
Overall Survival (OS) in the ITT population
Measured: approximately 4 years
Progression Free Survival (PFS)
Progression Free Survival (PFS) assessed by investigator based on RECIST V1.1
Measured: approximately 3 years
Secondary outcomes (1)
Adverse Event (AE)
incidence and severity of adverse events (AEs) and clinically significant abnormal laboratory test results
Measured: 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 2 years.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Jun 2023
- Study start26 Oct 2023
- Primary completion31 Dec 2028 (estimated)
- Study completion31 Dec 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Non-Small Cell Lung CancerStudies of the same condition, open and under way.
- 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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,600 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Summit Therapeutics
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Indu Lal, Study director, Summit Therapeutics, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05899608
- Sponsor's protocol ID
- SMT112-3003
- Status last verified
- Oct 2026
- First submitted
- 1 Jun 2023
- Last updated
- 8 Oct 2026
- Results posted
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 8 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Multiregional Phase 3 Study of Ivonescimab Combined With Chemotherapy Versus Pembrolizumab Combined With Chemotherapy for the First-line Treatment of Metastatic Non-small Cell Lung Cancer (HARMONi-3)
- ClinicalTrials.gov ID
- NCT05899608
- Acronym / sponsor ID
- SMT112-3003
- Conditions
- Non-Small Cell Lung Cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 1,600 participants (estimated)
- Lead sponsor
- Summit TherapeuticsIndustry (pharma, biotech, devices)
- Study start
- 26 Oct 2023 (actual)
- Primary completion
- 31 Dec 2028 (estimated)
- Study completion
- 31 Dec 2029 (estimated)
- First posted
- 12 Jun 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a Phase 3 Randomized, double-blind, Multiregional Study of Ivonescimab Combined with Chemotherapy Versus Pembrolizumab Combined with Chemotherapy for the First-line Treatment of Metastatic Non-small Cell Lung Cancer. The primary endpoint is overall survival and progression free survival assessed by investigator. The key secondary endpoints include response and safety.
Detailed description
This study consists of two distinct NSCLC histology cohorts: squamous (N=600) and non-squamous (N=1000), approximately 1600 patients in total. Within each cohort, subjects are randomized in a 1:1 ratio into one of two treatment groups, receiving either ivonescimab or pembrolizumab combined with platinum-doublet chemotherapy. The two histology cohorts will be analyzed independently
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Arm A - Ivonescimab and chemotherapy | Experimental | Biological: Ivonescimab InjectionSubject will receive ivonescimab and chemotherapy |
| Arm B - Pembrolizumab and chemotherapy | Active comparator | Biological: Pembrolizumab InjectionSubject will receive pembrolizumab and chemotherapy |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Age ≥ 18 years old at the time of enrollment
- Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1
- Expected life expectancy ≥ 3 months
- Metastatic (Stage IV) NSCLC
- Histologically or cytologically confirmed squamous or non-squamous NSCLC
Key exclusion criteria (5 listed)
- Histologic or cytopathologic evidence of the presence of small cell lung carcinoma
- Known actionable genomic alterations (EGFR, ALK, ROS1, and BRAF V600E) or genes for which first-line approved therapies are available.
- Has received any prior therapy for NSCLC in the metastatic setting
- Tumor invasion, encasement of organs (e.g. pericardium, heart, trachea, esophagus, central bronchi), or major blood vessels (e.g aorta, central veins), if poses a significant increased risk of bleeding.
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 |
|---|---|---|
| Ivonescimab InjectionSubject will receive ivonescimab and chemotherapy as an IV injection | Biological | Arm A - Ivonescimab and chemotherapy |
| Pembrolizumab InjectionSubject will receive pembrolizumab and chemotherapy as an IV injection | Biological | Arm B - Pembrolizumab and chemotherapy |
Primary outcome
Overall Survival (OS)
Time frame: approximately 4 years
Overall Survival (OS) in the ITT population
Progression Free Survival (PFS)
Time frame: approximately 3 years
Progression Free Survival (PFS) assessed by investigator based on RECIST V1.1
1 secondary outcome
Adverse Event (AE)
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 2 years.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Oct 2026.
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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.
Indu Lal study director
Summit Therapeutics, Inc.
260 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 Ivonescimab Injection and Pembrolizumab Injection in people with Non-Small Cell Lung Cancer, run by Summit Therapeutics at 260 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 5 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: under way, not looking for participants, as of the sponsor's last update on 8 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 260 sites in United States, China, Spain, Japan, Italy 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?
This study is still under way. Results are not available in the source record yet.
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 (OS) (time frame: approximately 4 years). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 8 Oct 2026.