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This trial is a Phase III study. All patients are stage IIIB/C (unsuitable for radical therapy) or IV non-small cell lung cancer(NSCLC), Eastern Cooperative Oncology Group (ECOG) performance status 0-1. The purpose of this study is to evaluate the efficacy and safety of AK112 comparing Pembrolizumab in subjects with advanced NSCLC whose tumors have a programmed cell death-ligand 1 (PD-L1) Tumor Proportion Score (TPS) greater than or equal to 1%.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AK112 | Experimental | Subjects receive AK112 monotherapy intravenously (IV), selected dose. |
|
| Pembrolizumab | Active Comparator | Subjects receive Pembrolizumab monotherapy intravenously (IV), 200mg q3w. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AK112 | Drug | Subjects receive AK112 intravenously. |
| |
| Pembrolizumab |
| Measure | Description | Time Frame |
|---|---|---|
| PFS assessed by IRRC per RECIST v1.1 | Progression-free survival (PFS) is defined as the time from the date of randomization till the first documentation of disease progression (per RECIST v1.1 criteria) assessed by the blinded IRRC or death due to any cause (whichever occurs first). | Up to 2 approximately years |
| Measure | Description | Time Frame |
|---|---|---|
| OS | Overall Survival (OS) is defined as the time from the start of treatment with AK112 until death due to any cause. | Up to 2 approximately years |
| ORR assessed by IRRC per RECIST v1.1 | ORR is the proportion of subjects with complete response(CR) or partial response(PR) , based on RECIST v1.1. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shanghai Pulmonary Hospital | Shanghai | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41457351 | Derived | Wang L, Yao W, Shen H, Xie C, Chen H, Chen K, Su W, Gan X, Zhuo M, Chen E, Xu Z, Zhang Y, Wang M, Ma R, Wu H, Zhang Z, Ye F, Moore AC, Zhou C. Plain language summary: comparing ivonescimab with pembrolizumab in people with PD-L1-positive non-small cell lung cancer in the HARMONi-2 study. Future Oncol. 2026 Jan;22(1):27-36. doi: 10.1080/14796694.2025.2601138. Epub 2025 Dec 28. | |
| 40057343 |
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| ID | Term |
|---|---|
| C582435 | pembrolizumab |
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| Drug |
Subjects receive Pembrolizumab intravenously. |
|
| Up to 2 approximately years |
| DoR assessed by IRRC per RECIST v1.1 | Duration of response (DoR) assessed according to RECIST v1.1. | Up to 2 approximately years |
| DCR assessed by IRRC per RECIST v1.1 | Disease control rate (DCR) assessed according to RECIST v1.1. | Up to 2 approximately years |
| TTR assessed by IRRC per RECIST v1.1 | Time to response (TTR) is defined as the time to response base on RECIST v1.1. | Up to 2 approximately years |
| PFS assessed by investigator per RECIST v1.1 | Progression-free survival (PFS) is defined as the time from the date of randomization till the first documentation of disease progression assessed by the investigator or death due to any cause (whichever occurs first). | Up to 2 approximately years |
| ORR assessed by the investigator per RECIST v1.1 | ORR is the proportion of subjects with complete response(CR) or partial response(PR) , based on RECIST v1.1. | Up to 2 approximately years |
| DoR assessed by the investigator per RECIST v1.1 | Duration of response (DoR) assessed according to RECIST v1.1. | Up to 2 approximately years |
| DCR assessed by the investigator per RECIST v1.1 | Disease control rate (DCR) assessed according to RECIST v1.1. | Up to 2 approximately years |
| TTR assessed by the investigator per RECIST v1.1 | Time to response (TTR) is defined as the time to response base on RECIST v1.1. | Up to 2 approximately years |
| AE | An AE is any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. | Up to 2 approximately years |
| ADA | Number of subjects with detectable anti-drug antibodies (ADA). | Up to 2 approximately years |
| PD-L1 expression | The correlationship between PD-L1 expression and AK112 anti-tumor activity. | Up to 2 approximately years |
| Derived |
| Xiong A, Wang L, Chen J, Wu L, Liu B, Yao J, Zhong H, Li J, Cheng Y, Sun Y, Ge H, Yao J, Shi Q, Zhou M, Chen B, Han Z, Wang J, Bu Q, Zhao Y, Chen J, Nie L, Li G, Li X, Yu X, Ji Y, Sun D, Ai X, Chu Q, Lin Y, Hao J, Huang D, Zhou C, Shan J, Yang H, Liu X, Wang J, Shang Y, Mei X, Yang J, Lu D, Hu M, Wang ZM, Li B, Xia M, Zhou C. Ivonescimab versus pembrolizumab for PD-L1-positive non-small cell lung cancer (HARMONi-2): a randomised, double-blind, phase 3 study in China. Lancet. 2025 Mar 8;405(10481):839-849. doi: 10.1016/S0140-6736(24)02722-3. |