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OncoMatch/Clinical Trials/NCT05493566

Low-Dose Interleukin-2 and Pembrolizumab for the Treatment of Stage IV Non-Small Cell Lung Cancer

Is NCT05493566 recruiting? Yes, currently enrolling (May 2026). This Early Phase 1 trial studies multiple treatments including Aldesleukin and Pembrolizumab for lung non-small cell carcinoma.

Early Phase 1RecruitingEmory UniversityNCT05493566Data as of May 2026

Treatment: Aldesleukin · PembrolizumabThis early phase 1 trial will investigate the combination of low-dose interleukin-2 (IL-2) and pembrolizumab in patients with previously untreated stage IV non-small cell lung cancer (NSCLC). Preclinical data demonstrate reinvigoration of exhausted T cells into an effector-like phenotype with improved anti-tumor activity in response to this combination. This study will evaluate T cell function as well as clinical outcomes associated with this combination therapy.

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Extracted eligibility criteria

Cancer type

Non-Small Cell Lung Carcinoma

Biomarker criteria

Required: PD-L1 (CD274) expression ≥1% (≥1%)

Patients must have tumor PD-L1 expression of ≥1% (by 22c3 PD-L1 companion testing); patients whose PD-L1 status could not be determined are also eligible. Patients with known PD-L1 of 0% will be excluded.

Excluded: ALK any targetable driver mutation

Any targetable driver mutation (e.g. ALK, EGFR exon 19 del, etc).

Excluded: EGFR exon 19 deletion

Any targetable driver mutation (e.g. ALK, EGFR exon 19 del, etc).

Disease stage

Required: Stage IV, IVA, IVB (AJCC v8)

Metastatic disease required

Stage IV non-small cell lung cancer (NSCLC), based on the 8th edition of the American Joint Committee on Cancer (AJCC) NSCLC Staging System.

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: chemotherapy

Any prior chemotherapy or immunotherapy for advanced lung cancer.

Cannot have received: immunotherapy

Any prior chemotherapy or immunotherapy for advanced lung cancer.

Cannot have received: anti-PD-1 therapy

Prior treatment with anti-PD-1 or anti-PD-L1 therapies or pathway-targeting agents.

Cannot have received: anti-PD-L1 therapy

Prior treatment with anti-PD-1 or anti-PD-L1 therapies or pathway-targeting agents.

Lab requirements

Blood counts

ANC ≥ 1,500/mcL; Platelet count ≥ 100,000/mcL; Hemoglobin ≥ 9.0 g/dL (patients may be transfused to meet this)

Kidney function

Creatinine Clearance > 60 mL/min

Liver function

AST/ALT ≤ 2.5 x ULN; serum bilirubin ≤ 1.5 x ULN

Patients must have adequate organ and marrow function, including: Absolute neutrophil count (ANC) ≥ 1,500/mcL; Platelet count ≥ 100,000/mcL; Hemoglobin ≥ 9.0 g/dL (patients may be transfused to meet this); AST/ALT ≤ 2.5 x ULN; Serum bilirubin ≤ 1.5 x ULN; Creatinine Clearance > 60 mL/min

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

US trial sites

  • Emory University/Winship Cancer Institute · Atlanta, Georgia

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