Blacksburg

Researchers are evaluating petosemtamab compared with investigators choice monotherapy in patients with incurable metastatic or recurrent head and neck squamous cell carcinoma HNSCC who have previously been treated. This phase 3 open-label, randomized controlled study focuses on patients whose disease has progressed after anti-PD-1 and platinum-containing therapies. It aims to assess effectiveness and safety for second- and third-line treatments in this population. Participants will be randomly assigned to receive either petosemtamab or one of several investigators choice monotherapies, including cetuximab, methotrexate, or docetaxel. The treatments are given as part of a controlled multicenter trial. The study includes follow-up periods to evaluate responses and safety outcomes over time. During the study, participants will undergo regular assessments including radiologic evaluations to measure tumor response according to RECIST criteria, physical performance status checks, and laboratory tests to monitor organ function and adverse events. Researchers will track overall survival for up to approximately three years and evaluate other outcomes such as progression-free survival, response rates, quality of life measures, and treatment safety. The total duration of participation is aligned with treatment and outcome measurement timelines as specified.

Researchers are investigating the effectiveness and safety of combining petosemtamab with pembrolizumab compared to pembrolizumab alone as first-line treatment for recurrent or metastatic PD-L1 positive head and neck squamous cell carcinoma HNSCC. This Phase 3 randomized, open-label study focuses on patients who have not received previous systemic therapy for incurable recurrent or metastatic disease and aims to improve treatment outcomes in this population. Participants will be randomly assigned to receive either the combination of petosemtamab plus pembrolizumab or pembrolizumab alone. The study excludes patients previously treated with anti PD-L1 or anti-EGFR therapies, with some exceptions for local treatments like cetuximab under specific conditions. The treatments will be administered as part of the trial, with researchers comparing the two approaches over the treatment period. During the study, participants will undergo regular evaluations including tumor assessments based on RECIST v1.1 criteria, health-related quality of life questionnaires, and safety monitoring for adverse events. The main outcomes measured include overall survival and objective response rate up to approximately three years. Additional assessments include progression-free survival, duration of response, and pharmacokinetics. These activities aim to provide comprehensive data on how well the treatments work and their safety profiles throughout the study period.

Researchers are evaluating the safety and effectiveness of a drug called EIK1001 given intravenously alongside pembrolizumab and standard chemotherapy for patients with stage 4 non-small cell lung cancer NSCLC. This study includes participants with either squamous or non-squamous NSCLC who have not had prior systemic therapy for advanced disease. The study is a global, multicenter, double-blind, placebo-controlled, randomized adaptive Phase 23 trial conducted in two phases and analyzed in three parts including dose optimization, dose expansion, and confirmatory testing. Participants are randomly assigned to one of three groups a placebo combined with standard care, or one of two doses of EIK1001 combined with standard care. Standard care chemotherapy varies by cancer type and may include combinations like pemetrexed with carboplatin or cisplatin for non-squamous NSCLC, or carboplatin with paclitaxel or nab-paclitaxel for squamous NSCLC. The study drugs are given intravenously and participants receive these treatments along with pembrolizumab. The trial aims to monitor several outcomes over multiple years. Throughout the study, participants undergo regular assessments to track progression-free survival, overall survival, and response to treatment for up to 6 to 10 years. Investigators also monitor adverse events for safety up to 2.5 years. Participants will have tumor tissue tested for PD-L1 expression and meet other health and eligibility criteria before starting treatment. The study includes close monitoring of disease progression and treatment effects through evaluations and follow-up visits during and after treatment.

Researchers are evaluating the safety, pharmacokinetics, and activity of divarasib either alone or combined with other anti-cancer treatments in adults with previously untreated advanced or metastatic non-small cell lung cancer NSCLC that has a KRAS G12C mutation. This study includes participants with locally advanced unresectable or metastatic NSCLC who have not received prior systemic treatment for their advanced disease. The trial is open-label and includes multiple phases to assess different dosing and combinations of therapies. Participants are assigned to different groups to receive divarasib daily by mouth, alone or combined with pembrolizumab given intravenously every three weeks. Some groups also receive a platinum-based chemotherapy carboplatin or cisplatin and pemetrexed alongside divarasib and pembrolizumab. Different dose levels of divarasib are being tested, with some participants randomized during an expansion phase to receive one of two combination dose levels. Treatment cycles last 21 days and treatments are given according to these schedules. Throughout the study, participants undergo regular monitoring for safety and treatment effects, including assessments of adverse events from baseline until 60 days after the last dose or until starting another cancer therapy. Researchers also evaluate response rates, duration of response, progression-free survival, and symptom changes over approximately five years. Tests include patient questionnaires about side effects and quality of life, as well as measurements of divarasib levels in the body. The study aims to identify recommended doses and assess responses, including in the central nervous system, with ongoing safety monitoring during and after treatment.

Researchers are evaluating alisertib as a single treatment in patients with small cell lung cancer SCLC that has progressed after prior therapies. This Phase 2 study focuses on patients who have already received at least one platinum-based chemotherapy and an anti-PD-L1PD-1 immunotherapy, with allowance for up to two prior treatment regimens in total. The study aims to identify specific biomarker groups that may respond best to alisertib and to assess its effectiveness, safety, and how the body processes the drug. Participants will receive alisertib tablets orally in doses of 50 mg, 60 mg, or 70 mg twice daily for seven days within each 21-day treatment cycle. The dosing amount depends on protocol amendments and is given on a schedule of days 1 to 7 of each cycle. This treatment continues under close monitoring to evaluate patient response and side effects. During the study, participants will be regularly evaluated for response to treatment, including measures such as tumor shrinkage and disease control, lasting up to 36 months after the first dose. Researchers will also assess progression-free survival and overall survival within biomarker-defined groups and the overall enrolled population. Safety is monitored by tracking adverse events from the start of treatment through 28 days after the last dose. Patients will be followed for up to three years to gather comprehensive data on treatment outcomes and safety.

Researchers are evaluating treatments for adults with early-stage stage II-IIIB non-small cell lung cancer who are scheduled for surgery. The study compares an investigational treatment combining the immunotherapy drug cemiplimab, chemotherapy, and a third drug, REGN7075, against cemiplimab plus chemotherapy without the additional drug. The study also investigates side effects, effects on surgery type, drug levels in blood, and the bodys antibody response to the drugs. Participants are randomly assigned to one of two study groups one group receives cemiplimab plus chemotherapy, and the other group receives cemiplimab plus chemotherapy plus REGN7075. All drugs are given by intravenous infusion. The study focuses on the period leading up to surgery and includes up to 12 weeks for assessing major pathologic response and other tumor-related outcomes. During the study, participants will undergo medical evaluations including tumor measurements using pathology review, blood tests to monitor drug levels and antibodies, and assessments of side effects. Researchers will track event-free and overall survival outcomes for up to 5 years and monitor adverse events for up to 76 weeks. The total study duration may extend to several years for long-term monitoring of treatment effects and safety.

Researchers are evaluating the safety and effects of disitamab vedotin for treating adults with advanced breast cancer that is difficult to treat and has spread in the body. The study focuses on patients whose tumors express HER2 and who have previously received treatment for their advanced breast cancer. This open-label, non-randomized study is sponsored by Pfizer and includes multiple groups based on HER2 and hormone receptor status. All participants will receive disitamab vedotin as an intravenous infusion every two weeks at the study clinic. The treatment continues until either the participant or doctor decides to stop, which may be due to cancer progression, side effects, or personal choice. After stopping treatment, participants will have follow-up visits about every six weeks, followed by phone calls every twelve weeks to monitor their health. During the study, participants will attend visits every two weeks for treatment and assessments. Researchers will evaluate tumor response, duration of response, disease control, progression-free survival, overall survival, and drug levels in the blood. Safety will be monitored for up to two years, and participants can expect regular checkups and tests throughout the study period, which may last up to three years.

Researchers are evaluating whether combining tucatinib with trastuzumab and mFOLFOX6 works better than standard treatments for people with HER2 positive colorectal cancer that has spread or cannot be removed by surgery. This Phase 3 study also aims to learn about the side effects that may occur when taking this combination of drugs. Participants have metastatic or unresectable colorectal cancer and are randomly assigned to different treatment groups. Participants are randomly placed in one of two study groups. One group receives tucatinib taken orally twice daily along with trastuzumab given intravenously every 3 weeks and mFOLFOX6 chemotherapy every 2 weeks. The other group receives standard care, which may be mFOLFOX6 alone or combined with bevacizumab or cetuximab, both given intravenously on different schedules. Tissue samples and biopsies are collected before treatment to confirm HER2 positivity and other markers. During the study, participants will have regular evaluations including imaging scans to measure cancer progression, blood tests, and assessments of side effects and quality of life. Progression-free survival is the primary outcome measured for up to about 3 years, with other outcomes like overall survival and response rate also tracked. Safety monitoring continues for about one year after the last treatment. The study lasts several years, with ongoing follow-up to understand long-term effects and benefits.

Researchers are evaluating the combination of atebimetinib with a modified schedule of gemcitabine and nab-paclitaxel compared to the standard gemcitabine and nab-paclitaxel regimen in patients with metastatic pancreatic adenocarcinoma. This Phase 3, global, randomized, open-label study aims to determine if the new combination improves overall survival when used as a first-line treatment. The study focuses on patients who have not received prior systemic anti-cancer therapy and have measurable disease. Participants will be randomly assigned to one of two groups one group will receive atebimetinib daily by mouth along with biweekly intravenous infusions of gemcitabine and nab-paclitaxel modified dosing, while the other group will receive the standard regimen of weekly intravenous infusions of gemcitabine and nab-paclitaxel for three weeks followed by one week without treatment. Treatment continues as per the study protocol to compare these approaches. Throughout the study, participants will undergo assessments including measurements of overall survival, progression-free survival, response rates, disease control, adverse events, and quality of life using a standardized questionnaire. These evaluations will be conducted for up to approximately two years. Safety and treatment effects will be closely monitored during this time, with the entire study expected to complete by early 2029.

Researchers are evaluating ivonescimab as a first-line treatment for patients with metastatic non-small cell lung cancer NSCLC whose tumors show high PD-L1 expression. This phase 3 study compares ivonescimab to pembrolizumab, focusing on overall survival and progression-free survival to understand which treatment may better support patients with this condition. Participants will be randomly assigned to receive either ivonescimab or pembrolizumab through intravenous injection. The study is double-blinded and multiregional, involving continuous treatment and monitoring for up to approximately 36 months. Both groups receive their assigned treatment regularly during this period, with careful observation of treatment responses and side effects. During the trial, participants will undergo evaluations including scans to measure tumor size, laboratory tests, and assessments of adverse events. Researchers will track overall survival, progression-free survival, response rates, disease control, and duration of response. Safety monitoring will continue for up to 24 months after the last dose. The total study period extends until June 2029, allowing long-term data collection on treatment effects and safety.