drugset / Trial / NCT07139041

Iparomlimab and Tuvonralimab Plus Chemotherapy for Inducing Conversion to Resectability in Initially Unresectable Stage III NSCLC

NCT07139041

Phase 2 Not yet recruiting 69 enrolled Chang Chen
NaSingle-groupOpen-labelTreatment

Summary

This is a single-arm, multicenter Phase II clinical study designed to observe and evaluate the efficacy and safety of Iparomlimab and tuvonralimab plus chemotherapy in initially unresectable Stage III NSCLC. The study plans to enroll 69 Stage III NSCLC patients judged unresectable by a MDT team, with the R0 resection rate as the primary endpoint. After completing 2-4 cycles of conversion therapy, the MDT team reassesses resectability. Subjects deemed suitable for surgical resection undergo surgery within 6 weeks after the last dose of conversion therapy. Subjects deemed unsuitable for surgery receive radical chemoradiotherapy, starting within 6 weeks after the last conversion therapy dose. Subjects unsuitable for both surgery and chemoradiotherapy will have their subsequent treatment decided by the project team. Adjuvant therapy consists of Iparomlimab and tuvonralimab monotherapy (Q3W) for up to 16 cycles.

Timeline

Start
2025-10
Primary completion
2027-04
Completion
2029-06

Drugs

EvaluationDrugModalityDoseRoute
Subject Iparomlimab Monoclonal antibody 5 mg/kg
Subject Tuvonralimab Monoclonal antibody 5 mg/kg
Background Carboplatin Small molecule 5 unknown
Background Cisplatin Other / unclassified 30 mg/m2
Background Docetaxel Small molecule
Background Paclitaxel Small molecule 100 mg/m2
Background Paclitaxel Small molecule 130 mg/m2
Background Paclitaxel Small molecule 260 mg/m2
Background Pemetrexed Small molecule 500 mg/m2