Similar Efficacy, Safety, and Immunogenicity of FYB206 in Comparison to Keytruda As Add-on to Chemotherapy in Patients with Non-squamous Non-small Cell Lung Cancer (NSCLC)

Last updated: December 11, 2024
Sponsor: Formycon AG
Overall Status: Active - Recruiting

Phase

3

Condition

N/A

Treatment

FYB206

Keytruda

Clinical Study ID

NCT06643117
FYB206-C3-02
2023-509766-37-00
  • Ages > 18
  • All Genders

Study Summary

NSCLC is the most common type of lung cancer. Metastatic cancers are cancers that start to spread to other parts of the body. NSCLC is treated by radiation therapy, with medicines, surgery, or immunotherapy. Immunotherapy is a type of treatment that helps the immune system fight cancer.

The immune system helps the body fight infections and disease. Pembrolizumab is an anti-cancer therapy that works with the immune system to fight cancer cells. Some cancer cells develop a way to hide from the body's immune system and, thus, allow the cancer cells to spread and grow. Pembrolizumab helps the immune system recognize and kill these cancer cells that want to hide. Pembrolizumab is a biologic drug (produced by living organisms) available in the market under the brand name Keytruda. Keytruda is approved globally for the treatment of a variety of cancers and as an addon or after therapy to primary cancer treatment like surgery. This helps prevent the cancer from returning, improving overall survival.

FYB206 is a proposed biosimilar to Keytruda. A biosimilar is not identical, but very similar to its original biologic. Biosimilars are expected to have a similar effect and safety to the original biologic. This clinical trial is intended to demonstrate the comparable effectiveness and safety of FYB206 to Keytruda as an add-on treatment to chemotherapy in patients with metastatic NSCLC who have not received previous anti-cancer treatment that is given directly into the blood.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Histologically confirmed or cytologically confirmed diagnosis of Stage IVnon-squamous NSCLC.

  • Confirmation that epidermal growth factor receptor (EGFR) or anaplastic lymphomakinase (ALK)-directed therapy is not indicated (ie, documentation of absence oftumor-activating/sensitizing EGFR mutations AND absence of ALK gene rearrangements).

  • No prior systemic treatment for metastatic non-squamous NSCLC. Patients who receivedadjuvant or neoadjuvant therapy are eligible if the adjuvant/neoadjuvant therapy wascompleted at least 12 months prior to the development of metastatic disease.

  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.

Exclusion

Exclusion Criteria:

  • Small cell lung cancer (SCLC) or combination of SCLC and NSCLC. Squamous cell tumorsand mixed adenosquamous carcinomas of predominantly squamous nature.

  • Known one of the mutations listed below:

  • ROS1 fusion gene

  • BRAF-V600E

  • RET fusion

  • MET Exon 14

  • Known active central nervous system metastases and/or carcinomatous meningitis.Patients with previously treated brain metastases may participate provided they areclinically stable for at least 2 weeks and have no evidence of new or enlargingbrain metastases and are also off steroids 3 days prior to dosing with trialtreatment. Stable brain metastases by this definition should be established prior tothe first dose of trial treatment. Patients with known untreated, asymptomatic brainmetastases (ie, no neurological symptoms, no requirements for corticosteroids, no orminimal surrounding edema, and no lesion >1.5 cm) may participate but will requireregular imaging of the brain as a site of disease.

  • Prior treatment with any anti-programmed cell death 1, PD-L1, or programmed celldeath ligand 2 agent or an antibody targeting other immuno-regulatory receptors ormechanisms. Examples of such antibodies include (but are not limited to) antibodiesagainst indoleamine 2, 3-dioxygenase, PD-L1, interleukin 2 receptor, orglucocorticoid-induced tumor necrosis factor receptor-related protein.

Study Design

Total Participants: 524
Treatment Group(s): 2
Primary Treatment: FYB206
Phase: 3
Study Start date:
October 03, 2024
Estimated Completion Date:
February 28, 2028

Connect with a study center

  • Formycon Investigative Site

    Kutaisi,
    Georgia

    Active - Recruiting

  • Formycon Investigative Site

    Tbilisi,
    Georgia

    Active - Recruiting

  • Formycon Investigative Site

    Georgetown,
    Malaysia

    Active - Recruiting

  • Formycon Investigative Site

    Kuala Lumpur,
    Malaysia

    Active - Recruiting

  • Formycon Investigative Site

    Kuching,
    Malaysia

    Active - Recruiting

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