Phase III Study of AK112 for NSCLC Patients
This important study, called HARMONi, is investigating a new treatment for a specific type of lung cancer called non-squamous non-small cell lung cancer. It's designed for patients whose cancer has advanced despite trying earlier targeted therapies. The study will compare whether a new experimental injection, AK112, combined with standard chemotherapy (pemetrexed and carboplatin) works better than the standard chemotherapy alone (with a dummy injection, called a placebo). Doctors want to find out if this new combination can help control the cancer for longer and improve patients' lives. This is a "Phase III" study, meaning it's a large trial to confirm the effectiveness and safety of a new treatment before it can become widely available.
At a glance
What is this study about?
This research study, known as HARMONi, is looking for a new approach to treat a specific type of lung cancer. This particular cancer is called non-squamous non-small cell lung cancer, and it's for patients whose cancer has grown even after previous targeted treatments designed to block certain growth signals.
The study aims to see if combining a new experimental drug, AK112, with standard chemotherapy (which includes pemetrexed and carboplatin) is more effective than just receiving the standard chemotherapy alongside a dummy injection (called a placebo). A placebo looks just like the real drug but contains no active medicine. By comparing these two groups, doctors can clearly see if the new drug makes a difference. This is a common and trusted way to test new medicines.
This is a "Phase III" study, which means it's a a large-scale trial involving many patients. The goal is to confirm whether the new treatment is safe and effective enough to potentially be approved for general use. Finding new and better treatments for lung cancer is crucial, and studies like HARMONi help advance our understanding and offer new hope.
Key takeaways
- Tests a new drug (AK112) for a type of lung cancer.
- For patients whose cancer has progressed after targeted therapy.
- Compares the new drug plus chemotherapy to chemotherapy alone.
- It's a large-scale study (Phase III) to check effectiveness and safety.
- You might receive the new drug or a dummy injection (placebo).
Who may be eligible?
To join this study, you would generally need to be between 18 and 75 years old, although in North America and Europe, there's no upper age limit. Your lung cancer must be a specific type called non-squamous non-small cell lung cancer, and it needs to be locally advanced or have spread (metastatic). Importantly, your cancer must have a specific genetic change (called an EGFR mutation), and it must have progressed or worsened after you've already received a type of targeted therapy for this mutation.
You'll also need to be well enough to take part, meaning you should have a good level of physical activity and an expected survival of at least three months. Doctors will check your general health and organ function through tests to make sure it's safe for you to participate.
Could this study suit you?
Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.
- Are you between 18 and 75? (No upper age limit for North America/Europe)
- Do you have advanced non-squamous non-small cell lung cancer?
- Does your cancer have an EGFR mutation?
- Has your cancer progressed after previous targeted EGFR treatment?
- Are you generally well enough for treatment, with good organ function?
- If you are a woman who could get pregnant, are you using effective birth control?
What does participation involve?
If you join this study, you'll be randomly assigned to one of two groups, like flipping a coin. You'll either receive the new drug AK112 plus the standard chemotherapy, or a dummy injection (placebo) plus the standard chemotherapy. Neither you nor your doctor will know which group you are in – this helps ensure the study results are fair.
The initial treatment will involve injections given every three weeks for up to four cycles. After these first cycles, you will continue with maintenance treatment, which means you'll receive either AK112 or the placebo plus one of the chemotherapy drugs (pemetrexed) every three weeks for up to two years, or until your cancer progresses or you need to stop for other reasons. Throughout the study, you'll have regular hospital visits for infusions, check-ups, and tests to monitor your health and how the treatment is working. We don't have exact details on the number of visits, but it will be regular over the treatment period.
Potential risks and benefits
Locations (74)
- CBCC Global ResearchVerified postcodeBakersfield, United States
- UC San DiegoVerified postcodeLa Jolla, United States
- University of Southern CaliforniaVerified postcodeLos Angeles, United States
- Valkyrie Clinical TrialsVerified postcodeLos Angeles, United States
- UCLA Department of Medicine - Hematology/OncologyVerified postcodeLos Angeles, United States
- Palo Alto Medical Foundation Research InstituteVerified postcodeMountain View, United States
- Providence St. JosephVerified postcodeOrange, United States
- UC IrvineVerified postcodeOrange, United States
- Sutter Cancer centerVerified postcodeSacramento, United States
- UC DAVIS Comprehensive Cancer CenterVerified postcodeSacramento, United States
- Sharp Memorial HospitalVerified postcodeSan Diego, United States
- California Pacific Medical CenterVerified postcodeSan Francisco, United States
Common questions
What is non-small cell lung cancer?
It's the most common type of lung cancer. This study focuses on a subtype called non-squamous non-small cell lung cancer, which is treated differently.
What is an EGFR mutation?
It's a specific genetic change in cancer cells that can make them grow. Some targeted medicines work by blocking these changes.
What does 'placebo' mean?
A placebo is a dummy treatment that looks just like the real drug but contains no active medicine. It helps researchers compare the true effect of the new drug.
Will I know if I'm getting the new drug or the placebo?
No, neither you nor your doctor will know which treatment you are receiving. This is called 'double-blind' and makes the study results more reliable.
How long would I be in the study?
The initial treatment phase is up to 4 cycles (about 3 months). After that, maintenance treatment can continue for up to 2 years, or until your cancer progresses.
How to find out more
Always speak to your GP or specialist before deciding to take part in a study.
Discussion
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