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OncoMatch/Clinical Trials/NCT02998567

Combination Study of Guadecitabine/ASTX727 and Pembrolizumab

Is NCT02998567 recruiting? Yes, currently enrolling (May 2026). This Phase 1 trial studies multiple treatments including Guadecitabine and Pembrolizumab for non small cell lung cancer.

Phase 1RecruitingRoyal Marsden NHS Foundation TrustNCT02998567Data as of May 2026

Treatment: Guadecitabine · Pembrolizumab · ASTX727HyPeR is a multi-centre Phase 1 Dose Escalation Study of Guadecitabine (SGI-110)/ASTX727 a Second Generation Hypo-Methylating Agent in Combination with Pembrolizumab (MK3475) in Patients with Refractory Solid Tumours. The investigators will be investigating the safety and toxicity of the combination.

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Extracted eligibility criteria

Cancer type

Small Cell Lung Cancer

Biomarker criteria

Required: PD-L1 (CD274) any tested (testing required; no eligibility threshold specified)

Disease stage

Required: Stage IV

evaluable or measurable disease as assessed by RECIST 1.1

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Min 1 prior line

Must have received: anti-PD-1/PD-L1 therapy — advanced or metastatic disease

NSCLC previously treated with PD-1 or PD-L1 inhibitor for advanced or metastatic disease

Cannot have received: radiotherapy

Exception: brief course for palliative reasons

Radiotherapy (except brief course for palliative reasons)...during the previous four weeks

Cannot have received: endocrine therapy

Exception: hormonal therapy with LHRH analogues for medical castration in patients with CRPC, which are permitted

endocrine therapy...during the previous four weeks...except for hormonal therapy with luteinizing hormone-releasing hormone (LHRH) analogues for medical castration in patients with CRPC, which are permitted

Cannot have received: immunotherapy

immunotherapy...during the previous four weeks

Cannot have received: chemotherapy

chemotherapy during the previous four weeks (six weeks for nitrosoureas, Mitomycin-C and 4 weeks for investigational medicinal products) before treatment

Lab requirements

Blood counts

Haemoglobin (Hb) ≥ 9.0 g/dL; Absolute neutrophil count ≥ 1.5 x 10^9/L; Platelet count ≥ 100 x 10^9/L; INR ≤ 1.5x ULN or prothrombin time ≤ 1.5x ULN

Kidney function

Calculated creatinine clearance (per institutional standard) ≥ 50 mL/min

Liver function

Serum bilirubin ≤1.5x ULN or direct bilirubin (for patients with total bilirubin >1.5x ULN) ≤ 1.5x ULN; ALT and AST ≤ 2.5x ULN (for patients with liver metastases ≤ 5x ULN is permissible)

Cardiac function

Mean resting QTc > 470 msec (excluded); significant ECG abnormalities; risk factors for QTc prolongation or arrhythmic events; LVEF below institutional lower limit of normal; uncontrolled hypertension (Systolic BP >160mmHg and/or diastolic BP >100mmHg)

Haematological and biochemical indices within the ranges shown below...cardiac criteria: Mean resting QTc > 470 msec...LVEF below institutional lower limit of normal...uncontrolled hypertension

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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