Patologia: Neoplasie del polmone
Osservazionale-Sperimentale: Sperimentale
Monocentrico-Multicentrico: Multicentrico
Randomizzato: Sì
Fase di studio: II, III
Linee di trattamento: Prima linea
Criteri di inclusione:
- Have systemic treatment naive, histologically or cytologically confirmed diagnosis of Stage IIIB or IIIC (who are not amenable to curative surgery or radiotherapy) or Stage IV NSCLC per the Union Internationale contre le Cancer/American Joint Committee on Cancer staging system, 9th edition.
- Have at least one measurable lesion as the targeted lesion based on RECIST v1.1. Lesions treated after prior local treatment (radiotherapy, ablation, interventional procedures, etc.) are generally not considered as target lesions. If the lesion with prior local treatment is the only targeted lesion, evidence-based radiology must be provided to demonstrate disease progression (the single bone metastasis or the single central nervous system metastasis should not be considered as a measurable lesion).
E- astern Cooperative Oncology Group Performance Status of 0 or 1.
- Adequate organ function.
Criteri di esclusione:
- Have histologically or cytologically confirmed NSCLC with small-cell lung cancer histologic or neuroendocrine component.
- Have received any of the following therapies or drugs within the noted time intervals prior to study treatment:
- Previous chemotherapy (platinum-based) or PD(L)-1 for treating NSCLC in either neo-adjuvant/adjuvant or locally advanced/metastatic setting.
- Participants who received prior treatment with anti-VEGF monoclonal antibody, or PD(L)-1/VEGF bispecific antibody
- Have received systemic corticosteroids (at a dosage greater than 10 mg/day of prednisone or an equivalent dose of other corticosteroids) within 7 days prior to the initiation of study treatment. Note: local, intranasal, intraocular, intra-articular or inhaled corticosteroids, short-term use (<=7 days) of corticosteroids for prophylaxis (e.g., prevention of contrast agent allergy) or treatment of non-autoimmune conditions (e.g., delayed hypersensitivity reactions caused by exposure to allergens) are allowed.
- Have uncontrolled hypertension or poorly controlled diabetic conditions prior to study treatment.
- Have a serious or non-healing wound, or (incompletely healed) bone fracture. This includes history (within 6 months prior to study entry) or risk of abdominal fistula, tracheoesophageal fistula, gastrointestinal perforation, or intra-abdominal abscess or esophageal and gastric varices. In addition, the participant must have undergone correction (or spontaneous healing) of the perforation/fistula and/or the underlying process causing fistula/perforation.
- Participants with significant risk of hemorrhage (per investigator clinical judgment).
- Have superior vena cava syndrome or symptoms of spinal cord compression.
NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
Trattamento sperimentale:
- Substudy A Phase 2 - Pumitamig Dose 1 + Carboplatin + Pemetrexed
- Substudy A Phase 2 - Pumitamig Dose 2 + Carboplatin + Pemetrexed
- Substudy A Phase 3 - Pumitamig + Carboplatin + Pemetrexed
Pumitamig dose 3 for Phase 3
- Substudy B Phase 2 - Pumitamig Dose 1 + Carboplatin + Paclitaxel
- Substudy B Phase 3 - Pumitamig + Carboplatin + Paclitaxel
Pumitamig dose 3 for Phase 3
Trattamento di controllo:
- Substudy A Phase 3 - Pembrolizumab + Carboplatin + Pemetrexed
- Substudy B Phase 3 - Pembrolizumab + Carboplatin + Paclitaxel
Ospedale Papa Giovanni XXIII Bergamo
Piazza OMS 1 - 24127 Bergamo - BG
Ospedale S.Orsola Malpighi, Università di Bologna
Via Pietro Albertoni 15 - 40138 Bologna - BO
ASST di Cremona
Viale Concordia 1 - 26100 Cremona - CR
Azienda Ospedaliero Universitaria di Ferrara
Via Aldo Moro 8 - 44124 Cona - FE
IRCCS - IRST Meldola Dino Amadori
Via P. Maroncelli 40 - 47014 Meldola - FC
Ospedale San Raffaele di Milano
Via Olgettina 60 - 20132 Milano - MI
Centro di Riferimento Oncologico
Via Franco Gallini 2 - 33081 Aviano - PN
Casa di Cura P. Pederzoli
Via Monte Baldo 24 - 37019 Peschiera del Garda - VR
Ospedale San Luca
Via Guglielmo Lippi Francesconi - 55100 Lucca - LU
Istituto Nazionale Tumori “Regina Elena”
Via Elio Chianesi 53 - 00144 Roma - RM
I.F.O. Istituti Fisioterapici Ospitalieri
Ospedale San Giovanni Calibita Fatebenefratelli
Via di Ponte Quattro Capi 39 - 00186 Roma - RM
Ospedale Isola Tiberina - Gemelli Isola
Università Campus Bio-medico
Via Álvaro del Portillo 200 - 00128 Roma - RM
Azienda Ospedaliera Universitaria Senese
Viale Bracci 16 - 53100 Siena - SI
Policlinico Santa Maria alle Scotte
A.O.S.G. Moscati
Contrada Amoretta - 83100 Avellino - AV
AOU degli studi della Campania Luigi Vanvitelli
Piazza Luigi Miraglia 2 - 80138 Napoli - NA
Numero di iscrizione a registro: 2024-515764-31-00 - NCT06712316
Data di inserimento: 08.07.2026
BioNTech SE
Riferimento: Dr. - -
Telefono: 00000
Email: na@na.it
Localita: -