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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/study/NCT04655976




Registration number
NCT04655976
Ethics application status
Date submitted
30/11/2020
Date registered
7/12/2020
Date last updated
5/11/2024

Titles & IDs
Public title
Efficacy Comparison of Cobolimab + Dostarlimab + Docetaxel to Dostarlimab + Docetaxel to Docetaxel Alone in Participants With Advanced Non-small Cell Lung Cancer Who Have Progressed on Prior Anti-PD-(L)1 Therapy and Chemotherapy
Scientific title
A Randomized, Open Label Phase 2/3 Study Comparing Cobolimab + Dostarlimab + Docetaxel To Dostarlimab + Docetaxel To Docetaxel Alone In Participants With Advanced Non-small Cell Lung Cancer Who Have Progressed On Prior Anti-PD-(L)1 Therapy And Chemotherapy (COSTAR Lung)
Secondary ID [1] 0 0
2020-003433-37
Secondary ID [2] 0 0
213410
Universal Trial Number (UTN)
Trial acronym
COSTAR Lung
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Lung Cancer, Non-Small Cell 0 0
Condition category
Condition code
Cancer 0 0 0 0
Lung - Mesothelioma
Cancer 0 0 0 0
Lung - Non small cell
Cancer 0 0 0 0
Lung - Small cell

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Other - Cobolimab
Treatment: Other - Dostarlimab
Treatment: Drugs - Docetaxel

Experimental: Participants receiving cobolimab+ dostarlimab+ docetaxel -

Experimental: Participants receiving dostarlimab+ docetaxel -

Active comparator: Participants receiving docetaxel -


Treatment: Other: Cobolimab
Cobolimab will be administered.

Treatment: Other: Dostarlimab
Dostarlimab will be administered.

Treatment: Drugs: Docetaxel
Docetaxel will be administered.
Intervention code [1] 0 0
Treatment: Other
Intervention code [2] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Overall survival (OS) in participants receiving cobolimab + dostarlimab + docetaxel relative to participants receiving docetaxel alone
Timepoint [1] 0 0
Up to approximately 52 months
Primary outcome [2] 0 0
OS in participants receiving dostarlimab + docetaxel relative to participants receiving docetaxel alone
Timepoint [2] 0 0
Up to approximately 52 months
Secondary outcome [1] 0 0
OS in participants receiving cobolimab + dostarlimab + docetaxel relative to participants receiving dostarlimab + docetaxel
Timepoint [1] 0 0
Up to approximately 52 months
Secondary outcome [2] 0 0
Objective response rate (ORR)
Timepoint [2] 0 0
Up to approximately 52 months
Secondary outcome [3] 0 0
Progression free survival (PFS)
Timepoint [3] 0 0
Up to approximately 52 months
Secondary outcome [4] 0 0
Duration of response (DOR)
Timepoint [4] 0 0
Up to approximately 52 months
Secondary outcome [5] 0 0
Time to deterioration (TTD)
Timepoint [5] 0 0
Up to approximately 52 months
Secondary outcome [6] 0 0
Change from Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire 30 item Core Module (EORTC QLQ-C30) assessment
Timepoint [6] 0 0
Baseline (Day 1) and up to approximately 52 months
Secondary outcome [7] 0 0
Change from Baseline in the EORTC QLQ LC13 assessment
Timepoint [7] 0 0
Baseline (Day 1) and up to approximately 52 months
Secondary outcome [8] 0 0
Number of participants with serious adverse events (SAEs)
Timepoint [8] 0 0
From consent signature (Day -28) until the 90 day post last dose follow-up
Secondary outcome [9] 0 0
Number of participants with treatment-emergent adverse events (TEAEs) and immune related adverse event (irAEs)
Timepoint [9] 0 0
From consent signature (Day -28) until the 30 day post last dose follow-up
Secondary outcome [10] 0 0
Number of participants with TEAEs leading to death
Timepoint [10] 0 0
From consent signature (Day -28) until the 90 day post last dose follow-up
Secondary outcome [11] 0 0
Number of participants with adverse events (AEs) leading to discontinuation
Timepoint [11] 0 0
From consent signature (Day -28) until the 30 day post last dose follow-up
Secondary outcome [12] 0 0
Number of participants with clinically significant changes in hematology, clinical chemistry, thyroid function and urinalysis lab parameters
Timepoint [12] 0 0
From consent signature (Day -28) until the 90 day post last dose follow-up
Secondary outcome [13] 0 0
Number of participants with clinically significant changes in vital signs and Electrocardiogram (ECG) Parameters
Timepoint [13] 0 0
From consent signature (Day -28) until the 90 day post last dose follow-up
Secondary outcome [14] 0 0
Number of participants with indicated Eastern Cooperative Oncology Group (ECOG) performance status
Timepoint [14] 0 0
From consent signature (Day -28) until the 90 day post last dose follow-up
Secondary outcome [15] 0 0
Number of participants with usage of concomitant medications
Timepoint [15] 0 0
From consent signature (Day -28) until the 90 day post last dose follow-up
Secondary outcome [16] 0 0
Number of participants with abnormal physical examinations
Timepoint [16] 0 0
From consent signature (Day -28) until the 90 day post last dose follow-up

Eligibility
Key inclusion criteria
* Participant has histologically or cytologically proven advanced or metastatic NSCLC and only squamous or non-squamous cell carcinoma.
* Participant has received no more than 2 prior lines of therapy for advanced or metastatic disease, which must only include a platinum based (e.g., cisplatin, carboplatin) doublet chemotherapy regimen and an anti-PD-1 or an anti-PD-(L)1 antibody.
* Participant has measurable disease.
* Participant has documented radiographic disease progression on prior platinum based chemotherapy and on or after prior anti-PD-(L)1 therapy.
* Participant agrees to submit an archival formalin-fixed paraffin-embedded (FFPE) tumor tissue specimen that was collected on or after diagnosis of metastatic disease. If archival tissue is not available, the participant must undergo biopsy prior to study entry.
* Participant has an ECOG performance status score of 0 or 1.
* Participant has a life expectancy of at least 3 months.
* Participant has adequate Baseline organ function.
* Participant has recovered from any prior treatment related toxicities.
* Participant agrees to use contraception.
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
* Participant has been previously treated with an anti-PD-[L]1 or anti-programmed death-ligand 2 (anti-PD-[L]2) agent that resulted in permanent discontinuation due to an AE.
* Participant has been previously treated with an anti-T cell immunoglobulin and mucin domain containing 3 (anti-TIM-3) or anti-cytotoxic T lymphocyte associated protein 4 (CTLA 4) agent or docetaxel.
* Participant has a documented sensitizing epidermal growth factor receptor (EGFR), anaplastic lymphoma kinase (ALK), or c-ros oncogene 1 (ROS-1) mutation. Participants whose tumors have not been tested for these driver mutations and therefore who have unknown driver mutation status are not eligible. Participants with squamous histology do not need to be tested for these driver mutations.
* Participant had radiological or clinical disease progression (i.e., worsening performance status, clinical symptoms, and laboratory data) <=8 weeks after initiation of prior anti-programmed cell death protein 1 (anti-PD-1) or anti-PD-L1 antibody. The clinical disease progression should have been confirmed by a subsequent radiological scan.
* Participant has received radiation to the lung that is >30 gray (Gy) within 6 months prior to the first dose of study treatment.
* Participant has completed palliative radiotherapy within 7 days prior to the first dose of study treatment.
* Participant is ineligible if any of the following hepatic characteristics are present: a. Alanine aminotransferase (ALT) >2.5 times upper limit normal (ULN) b. ALT and/or aspartate aminotransferase (AST) >1.5 times ULN concomitant with alkaline phosphatase (ALP) >2.5 times ULN; c. Bilirubin >1 times ULN; d. Current active liver or biliary disease (with the exception of Gilbert's syndrome or asymptomatic gallstones, liver metastases, or otherwise stable chronic liver disease per the Investigator's assessment).
* Participant has known new or progressive brain metastases and/or leptomeningeal metastases. Participants who have received prior therapy for their brain metastases and have radiographically stable central nervous system disease may participate, provided they are neurologically stable for at least 4 weeks before study entry and are off corticosteroids within 3 days prior to the first dose of study treatment.
* Participant has tested positive for the following at Screening or within 3 months before the first dose of study treatment: a. Presence of hepatitis B surface antigen. b. Presence of hepatitis C antibody in the absence of a ribonucleic acid (RNA) test for hepatitis C virus. If a confirmatory RNA test is available, a positive test result will exclude a participant, while a negative test result (indicating absence of active infection) will allow the participant to enter into the study.
* Participant has known human immunodeficiency virus (HIV) (positive for HIV 1 or HIV 2 antibodies).
* Participant has active autoimmune disease that required systemic treatment in the past 2 years, is immunocompromised in the opinion of the Investigator, or is receiving systemic immunosuppressive treatment.
* Participant has symptomatic ascites or pleural effusion. A participant who is clinically stable following treatment of these conditions (including therapeutic thoracentesis or paracentesis) is eligible.
* Participant has current interstitial lung disease, current pneumonitis, or a history of pneumonitis that required the use of glucocorticoids to assist with management.
* Participant has pre-existing peripheral neuropathy that is Grade >=2 by National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0 criteria.
* Participant has received a live vaccine within 30 days of the first dose of study treatment. Seasonal flu vaccines that do not contain live virus and Coronavirus Disease 2019 (COVID-19) vaccines.
* Participant is unable to interrupt aspirin or other non-steroidal anti-inflammatory drugs (NSAIDs) for undergoing a biopsy procedure (in cases when a participant does not have an archival biopsy), other than an aspirin dose <=1.3 grams (g) per day, for a 5-day period (8-day) period for long-acting agents, such as piroxicam).

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?



Intervention assignment
Parallel
Other design features
Phase
Phase 3
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Active, not recruiting
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
8/12/2020
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
31/10/2025
Actual
Sample size
Target
Accrual to date
Final
758
Recruitment in Australia
Recruitment state(s)
QLD,SA,TAS,VIC
Recruitment hospital [1] 0 0
GSK Investigational Site - South Brisbane
Recruitment hospital [2] 0 0
GSK Investigational Site - Ashford
Recruitment hospital [3] 0 0
GSK Investigational Site - Hobart
Recruitment hospital [4] 0 0
GSK Investigational Site - Ballarat
Recruitment hospital [5] 0 0
GSK Investigational Site - Melbourne
Recruitment hospital [6] 0 0
GSK Investigational Site - Mount Waverley
Recruitment postcode(s) [1] 0 0
4101 - South Brisbane
Recruitment postcode(s) [2] 0 0
5037 - Ashford
Recruitment postcode(s) [3] 0 0
7000 - Hobart
Recruitment postcode(s) [4] 0 0
3350 - Ballarat
Recruitment postcode(s) [5] 0 0
3004 - Melbourne
Recruitment postcode(s) [6] 0 0
3350 - Mount Waverley
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
California
Country [2] 0 0
United States of America
State/province [2] 0 0
Connecticut
Country [3] 0 0
United States of America
State/province [3] 0 0
District of Columbia
Country [4] 0 0
United States of America
State/province [4] 0 0
Hawaii
Country [5] 0 0
United States of America
State/province [5] 0 0
Iowa
Country [6] 0 0
United States of America
State/province [6] 0 0
Kentucky
Country [7] 0 0
United States of America
State/province [7] 0 0
Nevada
Country [8] 0 0
United States of America
State/province [8] 0 0
New York
Country [9] 0 0
United States of America
State/province [9] 0 0
Pennsylvania
Country [10] 0 0
United States of America
State/province [10] 0 0
South Dakota
Country [11] 0 0
United States of America
State/province [11] 0 0
Texas
Country [12] 0 0
United States of America
State/province [12] 0 0
Virginia
Country [13] 0 0
United States of America
State/province [13] 0 0
Washington
Country [14] 0 0
Argentina
State/province [14] 0 0
Buenos Aires
Country [15] 0 0
Argentina
State/province [15] 0 0
Cipoletti Rio Negro
Country [16] 0 0
Argentina
State/province [16] 0 0
Ciudad Autonoma de Buenos Aire
Country [17] 0 0
Argentina
State/province [17] 0 0
Florida
Country [18] 0 0
Argentina
State/province [18] 0 0
La Rioja
Country [19] 0 0
Argentina
State/province [19] 0 0
Pergamino
Country [20] 0 0
Argentina
State/province [20] 0 0
Rosario
Country [21] 0 0
Argentina
State/province [21] 0 0
Viedma
Country [22] 0 0
Belgium
State/province [22] 0 0
Aalst
Country [23] 0 0
Belgium
State/province [23] 0 0
Hasselt
Country [24] 0 0
Belgium
State/province [24] 0 0
Kortrijk
Country [25] 0 0
Brazil
State/province [25] 0 0
Blumenau
Country [26] 0 0
Brazil
State/province [26] 0 0
Fortaleza
Country [27] 0 0
Brazil
State/province [27] 0 0
Porto Alegre
Country [28] 0 0
Brazil
State/province [28] 0 0
Rio de Janeiro
Country [29] 0 0
Brazil
State/province [29] 0 0
Salvador
Country [30] 0 0
Brazil
State/province [30] 0 0
SAo Paulo
Country [31] 0 0
Canada
State/province [31] 0 0
Ontario
Country [32] 0 0
Canada
State/province [32] 0 0
Quebec
Country [33] 0 0
Finland
State/province [33] 0 0
Helsinki
Country [34] 0 0
Finland
State/province [34] 0 0
Kuopio
Country [35] 0 0
France
State/province [35] 0 0
CrEteil cedex
Country [36] 0 0
France
State/province [36] 0 0
Grenoble cedex 9
Country [37] 0 0
France
State/province [37] 0 0
Marseille
Country [38] 0 0
France
State/province [38] 0 0
Nice Cedex 2
Country [39] 0 0
France
State/province [39] 0 0
Quimper cedex
Country [40] 0 0
France
State/province [40] 0 0
Rennes
Country [41] 0 0
France
State/province [41] 0 0
Tours cedex 9
Country [42] 0 0
Germany
State/province [42] 0 0
Augsburg
Country [43] 0 0
Germany
State/province [43] 0 0
Bad Berka
Country [44] 0 0
Germany
State/province [44] 0 0
Berlin
Country [45] 0 0
Germany
State/province [45] 0 0
Bonn
Country [46] 0 0
Germany
State/province [46] 0 0
Dresden
Country [47] 0 0
Germany
State/province [47] 0 0
Essen
Country [48] 0 0
Germany
State/province [48] 0 0
Frankfurt
Country [49] 0 0
Germany
State/province [49] 0 0
Halle
Country [50] 0 0
Germany
State/province [50] 0 0
Heidelberg
Country [51] 0 0
Germany
State/province [51] 0 0
Karlsruhe
Country [52] 0 0
Germany
State/province [52] 0 0
Koeln
Country [53] 0 0
Germany
State/province [53] 0 0
Muenchen
Country [54] 0 0
Germany
State/province [54] 0 0
MUnchen
Country [55] 0 0
Germany
State/province [55] 0 0
Oldenburg
Country [56] 0 0
Greece
State/province [56] 0 0
Athens
Country [57] 0 0
Greece
State/province [57] 0 0
Larissa
Country [58] 0 0
Greece
State/province [58] 0 0
Pylaia Thessaloniki
Country [59] 0 0
Greece
State/province [59] 0 0
Rio Patras
Country [60] 0 0
Greece
State/province [60] 0 0
Thessaloniki
Country [61] 0 0
Italy
State/province [61] 0 0
Ancona
Country [62] 0 0
Italy
State/province [62] 0 0
Avellino
Country [63] 0 0
Italy
State/province [63] 0 0
Firenze
Country [64] 0 0
Italy
State/province [64] 0 0
Milano
Country [65] 0 0
Italy
State/province [65] 0 0
Monza
Country [66] 0 0
Italy
State/province [66] 0 0
Napoli
Country [67] 0 0
Italy
State/province [67] 0 0
Orbassano TO
Country [68] 0 0
Italy
State/province [68] 0 0
Perugia
Country [69] 0 0
Italy
State/province [69] 0 0
Siena
Country [70] 0 0
Japan
State/province [70] 0 0
Kyoto
Country [71] 0 0
Japan
State/province [71] 0 0
Miyagi
Country [72] 0 0
Japan
State/province [72] 0 0
Osaka
Country [73] 0 0
Japan
State/province [73] 0 0
Yamaguchi
Country [74] 0 0
Korea, Republic of
State/province [74] 0 0
Cheongju Chungcheongbuk-do
Country [75] 0 0
Korea, Republic of
State/province [75] 0 0
Daegu
Country [76] 0 0
Korea, Republic of
State/province [76] 0 0
Gyeonggi-do
Country [77] 0 0
Korea, Republic of
State/province [77] 0 0
Pusan
Country [78] 0 0
Korea, Republic of
State/province [78] 0 0
Seongnam-si Gyeonggi-do
Country [79] 0 0
Korea, Republic of
State/province [79] 0 0
Seoul
Country [80] 0 0
Korea, Republic of
State/province [80] 0 0
Suwon Kyunggi-do
Country [81] 0 0
Mexico
State/province [81] 0 0
Guadalajara
Country [82] 0 0
Mexico
State/province [82] 0 0
Mexico City
Country [83] 0 0
Mexico
State/province [83] 0 0
Monterrey
Country [84] 0 0
Mexico
State/province [84] 0 0
Puebla Puebla
Country [85] 0 0
Netherlands
State/province [85] 0 0
Amersfoort
Country [86] 0 0
Netherlands
State/province [86] 0 0
Enschede
Country [87] 0 0
Netherlands
State/province [87] 0 0
Groningen
Country [88] 0 0
Netherlands
State/province [88] 0 0
Harderwijk
Country [89] 0 0
Netherlands
State/province [89] 0 0
Nijmegen
Country [90] 0 0
Netherlands
State/province [90] 0 0
Utrecht
Country [91] 0 0
Netherlands
State/province [91] 0 0
Zwolle
Country [92] 0 0
Poland
State/province [92] 0 0
Bydgoszcz
Country [93] 0 0
Poland
State/province [93] 0 0
Gdynia
Country [94] 0 0
Poland
State/province [94] 0 0
Lodz
Country [95] 0 0
Poland
State/province [95] 0 0
Olsztyn
Country [96] 0 0
Poland
State/province [96] 0 0
Pila
Country [97] 0 0
Poland
State/province [97] 0 0
Poznan
Country [98] 0 0
Romania
State/province [98] 0 0
Bucuresti
Country [99] 0 0
Romania
State/province [99] 0 0
Craiova Dolj
Country [100] 0 0
Romania
State/province [100] 0 0
Craiova
Country [101] 0 0
Romania
State/province [101] 0 0
Otopeni
Country [102] 0 0
Romania
State/province [102] 0 0
Timisoara
Country [103] 0 0
Russian Federation
State/province [103] 0 0
Chelyabinsk
Country [104] 0 0
Russian Federation
State/province [104] 0 0
Moscow Region
Country [105] 0 0
Russian Federation
State/province [105] 0 0
Pushkin
Country [106] 0 0
Russian Federation
State/province [106] 0 0
Saint-Petersburg
Country [107] 0 0
Spain
State/province [107] 0 0
A CoruNa
Country [108] 0 0
Spain
State/province [108] 0 0
Badalona
Country [109] 0 0
Spain
State/province [109] 0 0
Barcelona
Country [110] 0 0
Spain
State/province [110] 0 0
Burgos
Country [111] 0 0
Spain
State/province [111] 0 0
Cordoba
Country [112] 0 0
Spain
State/province [112] 0 0
Las Palmas De Gran Canar
Country [113] 0 0
Spain
State/province [113] 0 0
Madrid
Country [114] 0 0
Spain
State/province [114] 0 0
Malaga
Country [115] 0 0
Spain
State/province [115] 0 0
Valencia
Country [116] 0 0
Sweden
State/province [116] 0 0
Gavle
Country [117] 0 0
Sweden
State/province [117] 0 0
Stockholm
Country [118] 0 0
Sweden
State/province [118] 0 0
Uppsala
Country [119] 0 0
Taiwan
State/province [119] 0 0
HsinChu
Country [120] 0 0
Taiwan
State/province [120] 0 0
Taichung
Country [121] 0 0
Taiwan
State/province [121] 0 0
Taipei
Country [122] 0 0
Thailand
State/province [122] 0 0
Bangkok
Country [123] 0 0
Thailand
State/province [123] 0 0
Dusit
Country [124] 0 0
Thailand
State/province [124] 0 0
Kho Hong Hat Yai
Country [125] 0 0
Thailand
State/province [125] 0 0
Khon Kaen
Country [126] 0 0
Thailand
State/province [126] 0 0
Pathumthani
Country [127] 0 0
Turkey
State/province [127] 0 0
Adana
Country [128] 0 0
Turkey
State/province [128] 0 0
Antalya
Country [129] 0 0
Turkey
State/province [129] 0 0
Izmir
Country [130] 0 0
United Kingdom
State/province [130] 0 0
Cardiff
Country [131] 0 0
United Kingdom
State/province [131] 0 0
Edinburgh
Country [132] 0 0
United Kingdom
State/province [132] 0 0
London
Country [133] 0 0
United Kingdom
State/province [133] 0 0
Manchester

Funding & Sponsors
Primary sponsor type
Commercial sector/industry
Name
GlaxoSmithKline
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
Trial website
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
GSK Clinical Trials
Address 0 0
GlaxoSmithKline
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries

Data sharing statement


What supporting documents are/will be available?

No Supporting Document Provided


Results publications and other study-related documents

No documents have been uploaded by study researchers.

Results not provided in https://clinicaltrials.gov/study/NCT04655976