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NCT06561386From ClinicalTrials.govRecruiting

A Study to Compare the Efficacy of Nivolumab and Relatlimab Plus Chemotherapy vs Pembrolizumab Plus Chemotherapy for Stage IV/Recurrent Non-squamous Non-small Cell Lung Cancer With PD-L1 Expression ≥ 1%

A Phase 3, Randomized, Open-label Study of Nivolumab + Relatlimab Fixed-dose Combination With Chemotherapy Versus Pembrolizumab With Chemotherapy as First-line Treatment for Participants With Non-squamous (NSQ), Stage IV or Recurrent Non-small Cell Lung Cancer and With Tumor Cell PD-L1 Expression ≥ 1%

  • Non-small Cell Lung Cancer

At a glance

Phase
Phase 3
Study type
Interventional
Sponsor
Bristol-Myers Squibb
Enrolment target
1,000
Started
7 October 2024
Main results due
30 July 2030
Study sites
327
Registry updated
23 September 2026

Can you take part?

  • Aged 18 years and over.
  • Open to any sex.
  • You need the condition being studied — healthy volunteers are not accepted.

These are the headline rules only. Every study has a longer list, and whether you are eligible is decided by the research team at the site — never by this page.

Read the full eligibility criteria
Inclusion Criteria

* Participants must have histologically confirmed Stage IV or recurrent Non-small Cell Lung Cancer (NSCLC) of non-squamous (NSQ) histology with no prior systemic anti-cancer therapy given as primary therapy for advanced or metastatic disease.
* Participants must have measurable PD-L1 ≥ 1% Tumor Cell (TC) score by the investigational PD-L1 immunohistochemistry (IHC) assay VENTANA PD-L1 (SP263) CDx Assay conducted by central laboratory during the screening period prior to randomization.
* Participants must have measurable disease by computed tomography (CT) or magnetic resonance imaging (MRI) per RECIST v1.1 criteria.
* Participants must have an Easter Cooperative Oncology Group (ECOG) performance status of ≤ 1 at screening.
* Participants must have a life expectancy of at least 3 months at the time of randomization.

Exclusion Criteria

* Participants must not be pregnant and/or breastfeeding.
* Participants with epidermal growth factor receptor (EGFR), anaplastic lymphoma kinase (ALK), or ROS-1 mutations that are sensitive to available targeted inhibitor therapy. Participants with unknown EGFR, ALK, or ROS-1 status are excluded.
* Participants with known BRAFV600E mutations, that are sensitive to available targeted inhibitor therapy; participants with known activating rearranged during transfection (RET) mutations or neurotrophic tyrosine receptor kinase (NTRK) fusion gene alterations are excluded. Participants with unknown or indeterminate BRAF mutation, activating RET mutations or NTRK fusion gene alterations are eligible.
* Participants must not have untreated central nervous system (CNS) metastases.
* Participants must not have leptomeningeal metastases (carcinomatous meningitis).
* Participants must not have concurrent malignancy requiring treatment.
* Participants must not have an active autoimmune disease.
* Participants must not have history of interstitial lung disease or pneumonitis that required oral or intravenous (IV) glucocorticoids to assist with management.
* Participants must not have a history of myocarditis.
* Participants must not have had prior treatment with an anti-PD-1, anti-PD-L1, anti-PD-L2, or anti-CTLA-4 antibody, or other antibody or drug targeting T-cell co-stimulation or checkpoint pathways.
* Other protocol-defined Inclusion/Exclusion criteria apply.

What this study is about

In the sponsor’s own words, from the registry.

The purpose of this study is to compare the efficacy of Nivolumab and Relatlimab in combination with chemotherapy to Pembrolizumab with Chemotherapy in participants with stage IV or recurrent Non-squamous Non-small Cell Lung Cancer with PD-L1 expression ≥ 1%

Study sites(327)

  • Local Institution - 0487

    Mobile, Alabama, United States

    Not yet recruiting

  • Southern Arizona VA Health Care System

    Tucson, Arizona, United States

    Recruiting

  • Local Institution - 0112

    Los Angeles, California, United States

    Withdrawn

  • University of California Davis (UC Davis) Comprehensive Cancer Center

    Sacramento, California, United States

    Recruiting

  • Local Institution - 0159

    San Francisco, California, United States

    Completed

  • UCLA Hematology/Oncology - Santa Monica

    Santa Monica, California, United States

    Recruiting

  • Local Institution - 0500

    Grand Junction, Colorado, United States

    Not yet recruiting

  • Local Institution - 0472

    Westminster, Colorado, United States

    Not yet recruiting

  • Local Institution - 0206

    Miami, Florida, United States

    Completed

  • Memorial Hospital West

    Pembroke Pines, Florida, United States

    Recruiting

  • Florida Cancer Specialists - North

    St. Petersburg, Florida, United States

    Recruiting

  • Florida Clinical Trials Group.

    Tamarac, Florida, United States

    Recruiting

  • Florida Cancer Specialists - East

    West Palm Beach, Florida, United States

    Recruiting

  • Local Institution - 0509

    Coeur d'Alene, Idaho, United States

    Not yet recruiting

  • Affiliated Oncologists, LLC

    Chicago Ridge, Illinois, United States

    Recruiting

  • Cancer Center of Kansas

    Wichita, Kansas, United States

    Recruiting

  • Saint Elizabeth Medical Center Edgewood

    Edgewood, Kentucky, United States

    Recruiting

  • Baptist Health Lexington

    Lexington, Kentucky, United States

    Recruiting

  • Local Institution - 0502

    Paducah, Kentucky, United States

    Not yet recruiting

  • Local Institution - 0505

    Annapolis, Maryland, United States

    Not yet recruiting

  • Profound Research LLC - MHP MedOnc Royal Oak - Oakland Medical Group Location

    Royal Oak, Michigan, United States

    Recruiting

  • Hattiesburg Clinic Hematology/Oncology

    Hattiesburg, Mississippi, United States

    Recruiting

  • Local Institution - 0498

    Kansas City, Missouri, United States

    Not yet recruiting

  • Local Institution - 0308

    Bozeman, Montana, United States

    Completed

  • Renown Regional Medical Center

    Reno, Nevada, United States

    Recruiting

  • Local Institution - 0507

    Morristown, New Jersey, United States

    Not yet recruiting

  • Local Institution - 0346

    Paterson, New Jersey, United States

    Completed

  • Local Institution - 0381

    Albuquerque, New Mexico, United States

    Completed

  • Local Institution - 0356

    Hawthorne, New York, United States

    Completed

  • Veterans Affairs New York Harbor Healthcare System

    New York, New York, United States

    Recruiting

  • Local Institution - 0380

    Northport, New York, United States

    Withdrawn

  • University of Rochester Medical Center

    Rochester, New York, United States

    Recruiting

  • Local Institution - 0511

    Schenectady, New York, United States

    Not yet recruiting

  • SUNY Upstate Medical University

    Syracuse, New York, United States

    Recruiting

  • Local Institution - 0357

    The Bronx, New York, United States

    Withdrawn

  • Local Institution - 0352

    Asheville, North Carolina, United States

    Completed

  • East Carolina University

    Greenville, North Carolina, United States

    Recruiting

  • Local Institution - 0369

    Canton, Ohio, United States

    Withdrawn

  • Local Institution - 0486

    Centerville, Ohio, United States

    Not yet recruiting

  • University of Cincinnati Medical Center

    Cincinnati, Ohio, United States

    Recruiting

  • Local Institution - 0199

    Cleveland, Ohio, United States

    Completed

  • Local Institution - 0519

    Elyria, Ohio, United States

    Not yet recruiting

  • Local Institution - 0366

    Massillon, Ohio, United States

    Withdrawn

  • Local Institution - 0512

    Zanesville, Ohio, United States

    Not yet recruiting

  • Lancaster General Hospital - Ann B Barshinger Cancer Institute

    Lancaster, Pennsylvania, United States

    Recruiting

  • Local Institution - 0504

    Philadelphia, Pennsylvania, United States

    Not yet recruiting

  • Texas Oncology - West Texas

    Abilene, Texas, United States

    Recruiting

  • Local Institution - 0305

    Harlingen, Texas, United States

    Withdrawn

  • University of Texas MD Anderson Cancer Center

    Houston, Texas, United States

    Recruiting

  • Local Institution - 0517

    Houston, Texas, United States

    Not yet recruiting

  • The University of Texas Health Science Center at Tyler dba UT Health East Texas HOPE Cancer Center

    Tyler, Texas, United States

    Recruiting

  • Local Institution - 0302

    Salt Lake City, Utah, United States

    Not yet recruiting

  • Local Institution - 0515

    Edmonds, Washington, United States

    Not yet recruiting

  • Local Institution - 0516

    Issaquah, Washington, United States

    Withdrawn

  • Local Institution - 0499

    Lacey, Washington, United States

    Not yet recruiting

  • Local Institution - 0508

    Seattle, Washington, United States

    Not yet recruiting

  • Hospital Británico de Buenos Aires

    Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina

    Recruiting

  • Instituto Alexander Fleming

    Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina

    Recruiting

  • Hospital Italiano de Buenos Aires

    ABB, Buenos Aires F.D., Argentina

    Recruiting

  • Instituto Médico Río Cuarto

    Río Cuarto, Córdoba Province, Argentina

    Recruiting

Showing 60 of 327 sites — filter to narrow it down. 233 of the 327 sites on this study are recruiting right now — a site can stop enrolling while the study as a whole is still open.

Source: ClinicalTrials.gov record NCT06561386. Trialion does not run this study, is not paid to refer anyone to it, and cannot enrol you. Eligibility is always decided by the research team at the site.

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A Study to Compare the Efficacy of Nivolumab and Relatlimab Plus Chemotherapy vs Pembrolizumab Plus Chemothera | Trialion