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Trial ยท NCT03631199

Study of Efficacy and Safety of Pembrolizumab Plus Platinum-based Doublet Chemotherapy With or Without Canakinumab in Previously Untreated Locally Advanced or Metastatic Non-squamous and Squamous NSCLC Subjects

NCT03631199, Phase 3, Terminated, Novartis Pharmaceuticals; results first posted 2024-10-08

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study of Efficacy and Safety of Pembrolizumab Plus Platinum-based Doublet Chemotherapy With or Without Canakinumab in Previously Untreated Locally Advanced or Metastatic Non-squamous and Squamous NSCLC Subjects. Trials, record NCT03631199. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03631199

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study of Efficacy and Safety of Pembrolizumab Plus Platinum-based Doublet Chemotherapy With or Without Canakinumab in Previously Untreated Locally Advanced or Metastatic Non-squamous and Squamous NSCLC Subjects
NCT number
NCT03631199
Status
Terminated
Phases
Phase 3
Enrollment
673 participants, actual
Lead sponsor
Novartis Pharmaceuticals
Conditions
Non-small Cell Lung Cancer
Interventions
canakinumab, canakinumab-matching placebo, pembrolizumab, carboplatin, cisplatin, paclitaxel, nab-paclitaxel, pemetrexed
First posted
2018-08-15
Last updated
2026-06-17
Results first posted
2024-10-08

Source ClinicalTrials.gov

Registered outcomes31

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPart 1 (Safety Run-in): Number of Participants With Dose-limiting Toxicities (DLTs)During the first 42 days of dosing
A DLT was defined as an adverse event or abnormal laboratory value assessed as unrelated to disease progression, inter-current illness, or concomitant medications that met certain criteria as defined in the protocol.
PrimaryPart 2 (Double-blind, Randomized, Placebo-controlled): Progression-free Survival (PFS) Per Investigator Assessment Using RECIST v1.118 months
Progression free survival was defined as the time from randomization to the date of the first documented radiological progression using RECIST 1.1 (Response evaluation criteria in solid tumor) or death due to any cause.
PrimaryPart 2 (Double-blind, Randomized, Placebo-controlled): Overall Survival (OS) Per Investigator Assessment Using RECIST v1.1Up to approximately 32 monthsOverall survival is defined as the time from date of randomization to date of death due to any cause.
SecondaryPart 1 (Safety Run-in): Overall Response Rate (ORR) Per Investigator Assessment Using RECIST v1.1Up to approximately 14 months
ORR was defined as the percentage of participants with confirmed best overall response of complete response (CR) or partial response (PR), as per investigator's assessment by RECIST 1.1. CR=Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm; PR= At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters.
SecondaryPart 2 (Double-blind, Randomized, Placebo-controlled): Overall Response Rate (ORR) Per Investigator Assessment Using RECIST v1.1Up to approximately 26 months
ORR was defined as the percentage of participants with confirmed best overall response of complete response (CR) or partial response (PR), as per investigator's assessment by RECIST 1.1. CR=Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm; PR= At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters.
SecondaryPart 1 (Safety run-in): Disease Control Rate (DCR) Per Investigator Assessment Using RECIST v1.1Up to approximately 14 months
Disease control rate was defined as the percentage of participants with complete response (CR) or partial response (PR) or participants with stable disease (SD) as per investigator assessment according to RECIST 1.1 criteria. CR=Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm; PR= At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters; SD=Neither sufficient shrinkage to qualify for PR or CR nor an increase in lesions which would qualify for progressive disease.
SecondaryPart 2 (Double-blind, Randomized, Placebo-controlled): Disease Control Rate (DCR) Per Investigator Assessment Using RECIST v1.1Up to approximately 26 months
Disease control rate was defined as the percentage of participants with complete response (CR) or partial response (PR) or participants with stable disease (SD) as per investigator assessment according to RECIST 1.1 criteria. CR=Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm; PR= At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters; SD=Neither sufficient shrinkage to qualify for PR or CR nor an increase in lesions which would qualify for progressive disease.
SecondaryPart 1 (Safety run-in): Duration of Response (DOR) Per Investigator Assessment Using RECIST v1.1Up to approximately 25 months
Duration of response was defined as the time from first documented response of CR or PR to date of first documented progression or death due to any cause, according to RECIST 1.1 criteria. DOR only applied to participants whose best overall response was CR or PR based on tumor response data per local review. If a participant did not have an event, DOR was censored at the date of last adequate tumor assessment. CR=Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm; PR= At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters.
SecondaryPart 2 (Double-blind, Randomized, Placebo-controlled): Duration of Response (DOR) Per Investigator Assessment Using RECIST v1.1Up to approximately 26 months
Duration of response was defined as the time from first documented response of CR or PR to date of first documented progression or death due to any cause, according to RECIST 1.1 criteria. DOR only applied to participants whose best overall response was CR or PR based on tumor response data per local review. If a participant did not have an event, DOR was censored at the date of last adequate tumor assessment. CR=Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm; PR= At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters.
SecondaryPart 2 (Double-blind, Randomized, Placebo-controlled): Time to Response (TTR) Per Investigator Assessment Using RECIST v1.1Up to approximately 26 months
Time to response (TTR) was defined as duration of time between the date of randomization and the date of first documented response of either CR or PR, according to RECIST 1.1 criteria. Duration of response was defined as the time from first documented response of CR or PR to date of first documented progression or death due to any cause, according to RECIST 1.1 criteria. CR=Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm; PR= At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters.

Outcomes32

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPart 1 (Safety Run-in): Number of Participants With Dose-limiting Toxicities (DLTs)During the first 42 days of dosing
The dose-determining set (DDS) included all participants from the safety set who met the minimum exposure criterion and had sufficient safety evaluations, or experienced a dose-limiting toxicity (DLT) during the first 42 days (6 weeks) of dosing. Data are reported for Part 1 only.
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYPart 2 (Double-blind, Randomized, Placebo-controlled): Progression-free Survival (PFS) Per Investigator Assessment Using RECIST v1.118 monthsThe full analysis set (FAS) comprised all participants to whom study treatment was assigned and who received at least one dose of the study treatment. Data are reported for Part 2 only.monthsMEDIAN
PRIMARYPart 2 (Double-blind, Randomized, Placebo-controlled): Overall Survival (OS) Per Investigator Assessment Using RECIST v1.1Up to approximately 32 monthsThe full analysis set (FAS) comprised all participants to whom study treatment was assigned and who received at least one dose of the study treatment. Data are reported for Part 2 only.monthsMEDIAN
SECONDARYPart 1 (Safety Run-in): Overall Response Rate (ORR) Per Investigator Assessment Using RECIST v1.1Up to approximately 14 monthsThe full analysis set (FAS) comprised all participants to whom study treatment was assigned and who received at least one dose of the study treatment. Data are reported for Part 1 only.percentage of participantsNUMBER
SECONDARYPart 2 (Double-blind, Randomized, Placebo-controlled): Overall Response Rate (ORR) Per Investigator Assessment Using RECIST v1.1Up to approximately 26 monthsThe full analysis set (FAS) comprised all participants to whom study treatment was assigned and who received at least one dose of the study treatment. Data are reported for Part 2 only.percentage of participantsNUMBER
SECONDARYPart 1 (Safety run-in): Disease Control Rate (DCR) Per Investigator Assessment Using RECIST v1.1Up to approximately 14 monthsThe full analysis set (FAS) comprised all participants to whom study treatment was assigned and who received at least one dose of the study treatment. Data are reported for Part 1 only.percentage of participantsNUMBER
SECONDARYPart 2 (Double-blind, Randomized, Placebo-controlled): Disease Control Rate (DCR) Per Investigator Assessment Using RECIST v1.1Up to approximately 26 monthsThe full analysis set (FAS) comprised all participants to whom study treatment was assigned and who received at least one dose of the study treatment. Data are reported for Part 2 only.percentage of participantsNUMBER
SECONDARYPart 1 (Safety run-in): Duration of Response (DOR) Per Investigator Assessment Using RECIST v1.1Up to approximately 25 months
The full analysis set (FAS) comprised all participants to whom study treatment was assigned and who received at least one dose of the study treatment. Participants who never achieved a best overall response of CR or PR were excluded from the analysis. Data are reported for responders in Part 1 only.
monthsMEDIAN
SECONDARYPart 2 (Double-blind, Randomized, Placebo-controlled): Duration of Response (DOR) Per Investigator Assessment Using RECIST v1.1Up to approximately 26 months
The full analysis set (FAS) comprised all participants to whom study treatment was assigned and who received at least one dose of the study treatment. Participants who never achieved a best overall response of CR or PR were excluded from the analysis. Data are reported for responders in Part 2 only.
monthsMEDIAN
SECONDARYPart 2 (Double-blind, Randomized, Placebo-controlled): Time to Response (TTR) Per Investigator Assessment Using RECIST v1.1Up to approximately 26 monthsThe full analysis set (FAS) comprised all participants to whom study treatment was assigned and who received at least one dose of the study treatment. Data are reported for responders in Part 2 only.monthsMEDIAN

Results by group510

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Part 1 (Safety Run-in): Number of Participants With Dose-limiting Toxicities (DLTs)Part 1: Cohort A0Participants
Part 1 (Safety Run-in): Number of Participants With Dose-limiting Toxicities (DLTs)Part 1: Cohort B0Participants
Part 1 (Safety Run-in): Number of Participants With Dose-limiting Toxicities (DLTs)Part 1: Cohort C1Participants
Part 2 (Double-blind, Randomized, Placebo-controlled): Progression-free Survival (PFS) Per Investigator Assessment Using RECIST v1.1Part 2: Canakinumab+Pembro+CTx6.7795% Confidence Interval 5.62 to 7.75months
Part 2 (Double-blind, Randomized, Placebo-controlled): Progression-free Survival (PFS) Per Investigator Assessment Using RECIST v1.1Part 2: Placebo+Pembro+CTx6.7795% Confidence Interval 5.52 to 6.93months
Part 2 (Double-blind, Randomized, Placebo-controlled): Overall Survival (OS) Per Investigator Assessment Using RECIST v1.1Part 2: Canakinumab+Pembro+CTx20.8395% Confidence Interval 16.26 to NAmonths
Part 2 (Double-blind, Randomized, Placebo-controlled): Overall Survival (OS) Per Investigator Assessment Using RECIST v1.1Part 2: Placebo+Pembro+CTx20.1795% Confidence Interval 16.23 to 22.37months
Part 1 (Safety Run-in): Overall Response Rate (ORR) Per Investigator Assessment Using RECIST v1.1Part 1: Cohort A20.095% Confidence Interval 2.5 to 55.6percentage of participants
Part 1 (Safety Run-in): Overall Response Rate (ORR) Per Investigator Assessment Using RECIST v1.1Part 1: Cohort B72.795% Confidence Interval 39.0 to 94.0percentage of participants
Part 1 (Safety Run-in): Overall Response Rate (ORR) Per Investigator Assessment Using RECIST v1.1Part 1: Cohort C44.495% Confidence Interval 13.7 to 78.8percentage of participants

Participant flow15

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPart 1: Cohort A10
Overall StudySTARTEDPart 1: Cohort B11
Overall StudySTARTEDPart 1: Cohort C9
Overall StudySTARTEDPart 2: Canakinumab+Pembro+CTx320
Overall StudySTARTEDPart 2: Placebo+Pembro+CTx323
Overall StudyCOMPLETEDPart 1: Cohort A0
Overall StudyCOMPLETEDPart 1: Cohort B0
Overall StudyCOMPLETEDPart 1: Cohort C0
Overall StudyCOMPLETEDPart 2: Canakinumab+Pembro+CTx0
Overall StudyCOMPLETEDPart 2: Placebo+Pembro+CTx0

Adverse events4,180

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersPart 1: Cohort A (On-treatment)310
otherAnaemiaBlood and lymphatic system disordersPart 1: Cohort B (On-treatment)311
otherAnaemiaBlood and lymphatic system disordersPart 1: Cohort C (On-treatment)39
otherAnaemiaBlood and lymphatic system disordersPart 2: Canakinumab+Pembro+CTx (On-treatment)153320
otherAnaemiaBlood and lymphatic system disordersPart 2: Placebo+Pembro+CTx (On-treatment)148322
otherAnaemiaBlood and lymphatic system disordersPart 1: Cohort A (Post-treatment Survival Follow-up)0
otherAnaemiaBlood and lymphatic system disordersPart 1: Cohort B (Post-treatment Survival Follow-up)0
otherAnaemiaBlood and lymphatic system disordersPart 1: Cohort C (Post-treatment Survival Follow-up)0
otherAnaemiaBlood and lymphatic system disordersPart 2: Canakinumab+Pembro+CTx (Post-treatment Survival Follow-up)0
otherAnaemiaBlood and lymphatic system disordersPart 2: Placebo+Pembro+CTx (Post-treatment Survival Follow-up)0

Adverse event totals30

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPart 1: Cohort A (On-treatment)410
Total, all-cause mortalityPart 1: Cohort B (On-treatment)111
Total, all-cause mortalityPart 1: Cohort C (On-treatment)49
Total, all-cause mortalityPart 2: Canakinumab+Pembro+CTx (On-treatment)97320
Total, all-cause mortalityPart 2: Placebo+Pembro+CTx (On-treatment)102323
Total, all-cause mortalityPart 1: Cohort A (Post-treatment Survival Follow-up)26
Total, all-cause mortalityPart 1: Cohort B (Post-treatment Survival Follow-up)510
Total, all-cause mortalityPart 1: Cohort C (Post-treatment Survival Follow-up)35
Total, all-cause mortalityPart 2: Canakinumab+Pembro+CTx (Post-treatment Survival Follow-up)50223
Total, all-cause mortalityPart 2: Placebo+Pembro+CTx (Post-treatment Survival Follow-up)57220

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
38039427DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03631199

GET https://conductscience.org/api/trials/v1/NCT03631199/registered?page=2