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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 (Jun 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 Jun 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

Treatments studied

Immunotherapy

Pembrolizumab

Other

Aldesleukin

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

Showing up to 5 US sites.

See all sites on ClinicalTrials.gov →

Frequently asked questions

Is NCT05493566 currently recruiting?

Yes, this trial is currently recruiting patients.

Can patients have received prior systemic therapy?

No. This trial requires treatment-naive patients — prior systemic therapy is an exclusion criterion.

Does this trial require CD274?

Yes, CD274 expression ≥1% is a required biomarker for enrollment.

Are patients with ALK alterations eligible?

No. ALK any targetable driver mutation is an exclusion criterion.

Are patients with EGFR alterations eligible?

No. EGFR exon 19 deletion is an exclusion criterion.

What disease stage is eligible?

Stage IV or IVA or IVB is required (metastatic disease required).

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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