Actively Recruiting

Phase 1
Phase 2
Age: 18Years +
All Genders
NCT06996782

A Platform Study in Non-Small Cell Lung Cancer (NSCLC)

Led by AstraZeneca · Updated on 2026-05-01

152

Participants Needed

104

Research Sites

169 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The purpose of this study is to assess the safety and efficacy of multiple study interventions including novel-novel combinations or novel agents in combination with standard therapy for the treatment of metastatic NSCLC.

CONDITIONS

Official Title

A Platform Study in Non-Small Cell Lung Cancer (NSCLC)

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Confirmed squamous or non-squamous NSCLC with current Stage IV metastatic disease
  • Provide acceptable archival tumor tissue or fresh biopsy if archival tissue is unavailable
  • Measurable disease with at least one lesion 10 mm or larger
  • Life expectancy of at least 12 weeks as judged by the investigator
  • Adequate organ and bone marrow function
  • Use contraception according to local regulations during the study
  • For Sub-study 2: PD-L1 tumor proportion score of 1% or higher
  • For Sub-study 2: Adequate coagulation and urinalysis
  • For Sub-study 2: Minimum body weight of 30 kg
Not Eligible

You will not qualify if you...

  • Known EGFR mutations, ALK fusions, or other genomic alterations with approved first-line targeted therapy
  • Presence of small cell or neuroendocrine tumor components
  • Severe or uncontrolled systemic diseases, active infections, interstitial lung disease, or symptomatic venous thromboembolism
  • Previous stem cell, bone marrow, allogenic tissue, or solid organ transplant
  • Active autoimmune disease requiring systemic treatment within the last 5 years
  • Significant heart conditions such as arrhythmias, cardiomyopathy, or symptomatic heart failure
  • Other primary malignancies unless treated with curative intent and no active disease for 2 years or more
  • Persistent toxicities of grade 2 or higher from prior cancer therapy, except hair loss
  • Spinal cord compression or symptomatic brain metastases
  • Treatment with other anti-cancer agents or immunosuppressants
  • Recent palliative radiotherapy to large bone marrow areas
  • For Sub-study 2: Active hepatitis A or B, or active hepatitis C infection
  • Uncontrolled high blood pressure (systolic ≥150 mm Hg or diastolic ≥100 mm Hg)
  • Evidence of major blood vessel or airway invasion by cancer or tumor cavitation
  • History of major arterial thrombotic events, severe bleeding, or gross hemoptysis
  • Significant bleeding disorders or serious non-healing wounds
  • Bowel obstruction, inflammatory bowel disease, or extensive intestinal surgery
  • Cirrhosis at Child-Pugh B level or worse, or with related complications
  • Prior exposure to certain immune therapies or anti-vascular endothelial growth factor therapies
  • Medical contraindication to platinum doublet chemotherapy or ramucirumab
  • Known allergy or hypersensitivity to study drugs or their components

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 104 locations

1

Research Site

Phoenix, Arizona, United States, 85054

Actively Recruiting

2

Research Site

Santa Rosa, California, United States, 95403

Actively Recruiting

3

Research Site

Jacksonville, Florida, United States, 32224

Actively Recruiting

4

Research Site

Baltimore, Maryland, United States, 21201

Not Yet Recruiting

5

Research Site

Detroit, Michigan, United States, 48202

Not Yet Recruiting

6

Research Site

Rochester, Minnesota, United States, 55905

Actively Recruiting

7

Research Site

Cleveland, Ohio, United States, 44106

Actively Recruiting

8

Research Site

Providence, Rhode Island, United States, 02903

Actively Recruiting

9

Research Site

Providence, Rhode Island, United States, 02906

Withdrawn

10

Research Site

Tyler, Texas, United States, 75708

Actively Recruiting

11

Research Site

Anderlecht, Belgium, 1070

Not Yet Recruiting

12

Research Site

Hasselt, Belgium, 3500

Not Yet Recruiting

13

Research Site

Leuven, Belgium, 3000

Not Yet Recruiting

14

Research Site

Barretos, Brazil, 14784-400

Not Yet Recruiting

15

Research Site

Fortaleza, Brazil, 60336-232

Not Yet Recruiting

16

Research Site

Natal, Brazil, 59075-740

Not Yet Recruiting

17

Research Site

Pelotas, Brazil, 096015-280

Not Yet Recruiting

18

Research Site

Porto Alegre, Brazil, 90035-903

Not Yet Recruiting

19

Research Site

São Paulo, Brazil, 01246-000

Not Yet Recruiting

20

Research Site

São Paulo, Brazil, 05651-901

Not Yet Recruiting

21

Research Site

Chengdu, China, 610041

Not Yet Recruiting

22

Research Site

Chongqing, China, 400072

Not Yet Recruiting

23

Research Site

Deyang, China, 618000

Not Yet Recruiting

24

Research Site

Fuzhou, China, 350014

Not Yet Recruiting

25

Research Site

Guangzhou, China, 510405

Not Yet Recruiting

26

Research Site

Jinan, China, 250013

Not Yet Recruiting

27

Research Site

Shanghai, China, 200433

Not Yet Recruiting

28

Research Site

Shanghai, China, 201114

Not Yet Recruiting

29

Research Site

Shenyang, China, 110015

Not Yet Recruiting

30

Research Site

Shenzhen, China, 518116

Not Yet Recruiting

31

Research Site

Wuhan, China, 430022

Not Yet Recruiting

32

Research Site

Wuhan, China, 430060

Not Yet Recruiting

33

Research Site

Bordeaux, France, 33076

Not Yet Recruiting

34

Research Site

Dijon, France, 21079

Not Yet Recruiting

35

Research Site

Limoges, France, 87000

Not Yet Recruiting

36

Research Site

Marseille, France, 13015

Not Yet Recruiting

37

Research Site

Nantes, France, 44093

Not Yet Recruiting

38

Research Site

Nice, France, 06189

Not Yet Recruiting

39

Research Site

Paris, France, 75005

Not Yet Recruiting

40

Research Site

Batumi, Georgia, 6010

Not Yet Recruiting

41

Research Site

Tbilisi, Georgia, 0112

Not Yet Recruiting

42

Research Site

Tbilisi, Georgia, 0112

Actively Recruiting

43

Research Site

Tbilisi, Georgia, 0114

Not Yet Recruiting

44

Research Site

Tbilisi, Georgia, 0144

Not Yet Recruiting

45

Research Site

Tbilisi, Georgia, 0186

Withdrawn

46

Research Site

München, Germany, 81675

Not Yet Recruiting

47

Research Site

Münster, Germany, 48149

Withdrawn

48

Research Site

Oldenburg, Germany, 26121

Withdrawn

49

Research Site

Regensburg, Germany, 93053

Not Yet Recruiting

50

Research Site

Würzburg, Germany, 97080

Not Yet Recruiting

51

Research Site

Milan, Italy, 20141

Not Yet Recruiting

52

Research Site

Milan, Italy, 20162

Not Yet Recruiting

53

Research Site

Orbassano, Italy, 10043

Not Yet Recruiting

54

Research Site

Pavia, Italy, 27100

Not Yet Recruiting

55

Research Site

Roma, Italy, 00168

Not Yet Recruiting

56

Research Site

Bunkyō City, Japan, 113-8431

Actively Recruiting

57

Research Site

Bunkyō City, Japan, 113-8677

Actively Recruiting

58

Research Site

Kashiwa, Japan, 277-8577

Actively Recruiting

59

Research Site

Kurume-shi, Japan, 830-0011

Actively Recruiting

60

Research Site

Kyoto, Japan, 602-8566

Actively Recruiting

61

Research Site

Niigata, Japan, 951-8566

Actively Recruiting

62

Research Site

Shinjuku-ku, Japan, 162-8655

Actively Recruiting

63

Research Site

Toyoake-shi, Japan, 470-1192

Actively Recruiting

64

Research Site

Kuala Lumpur, Malaysia, 59100

Actively Recruiting

65

Research Site

Kuala Selangor, Malaysia, 62250

Actively Recruiting

66

Research Site

Kuching, Malaysia, 93586

Actively Recruiting

67

Research Site

Singapore, Malaysia, 329563

Actively Recruiting

68

Research Site

Chisinau, Moldova, MD-2025

Actively Recruiting

69

Research Site

Amsterdam, Netherlands, 1066CX

Not Yet Recruiting

70

Research Site

Groningen, Netherlands, 9713 GZ

Not Yet Recruiting

71

Research Site

Leiden, Netherlands, 2333 ZA

Not Yet Recruiting

72

Research Site

Lima, Peru, 15036

Withdrawn

73

Research Site

Koszalin, Poland, 75-581

Not Yet Recruiting

74

Research Site

Lodz, Poland, 93-338

Not Yet Recruiting

75

Research Site

Olsztyn, Poland, 10-357

Not Yet Recruiting

76

Research Site

Belgrade, Serbia, 11000

Withdrawn

77

Research Site

Kragujevac, Serbia, 34000

Withdrawn

78

Research Site

Niš, Serbia, 18000

Withdrawn

79

Research Site

Seongbuk-Gu, South Korea, 2841

Actively Recruiting

80

Research Site

Seoul, South Korea, 03080

Actively Recruiting

81

Research Site

Seoul, South Korea, 05505

Actively Recruiting

82

Research Site

Seoul, South Korea, 3722

Actively Recruiting

83

Research Site

Seoul, South Korea, 6351

Actively Recruiting

84

Research Site

Barcelona, Spain, 08035

Not Yet Recruiting

85

Research Site

Barcelona, Spain, 08036

Not Yet Recruiting

86

Research Site

L'Hospitalet de Llobregat, Spain, 08908

Not Yet Recruiting

87

Research Site

Madrid, Spain, 28034

Not Yet Recruiting

88

Research Site

Madrid, Spain, 28041

Not Yet Recruiting

89

Research Site

Pamplona, Spain, 31008

Not Yet Recruiting

90

Research Site

Pozuelo de Alarcón, Spain, 28223

Not Yet Recruiting

91

Research Site

Valencia, Spain, 46009

Not Yet Recruiting

92

Research Site

Valencia, Spain, 46010

Not Yet Recruiting

93

Research Site

Taichung, Taiwan, 40201

Actively Recruiting

94

Research Site

Taipei, Taiwan, 110

Actively Recruiting

95

Research Site

Taipei, Taiwan, 11696

Actively Recruiting

96

Research Site

Bangkok, Thailand, 10700

Actively Recruiting

97

Research Site

Chanthaburi, Thailand, 22000

Actively Recruiting

98

Research Site

Hat Yai, Thailand, 90110

Actively Recruiting

99

Research Site

Khon Kaen, Thailand, 40002

Actively Recruiting

100

Research Site

Rachathewi, Thailand, 10400

Actively Recruiting

101

Research Site

Ankara, Turkey (Türkiye), 06230

Not Yet Recruiting

102

Research Site

Ankara, Turkey (Türkiye), 6200

Not Yet Recruiting

103

Research Site

Fatih, Turkey (Türkiye), 34093

Not Yet Recruiting

104

Research Site

Istanbul, Turkey (Türkiye), 34752

Withdrawn

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Research Team

A

AstraZeneca Clinical Study Information Center

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

2

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A Platform Study in Non-Small Cell Lung Cancer (NSCLC) | DecenTrialz