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OncoMatch/Clinical Trials/NCT06616584

Adding the Immunotherapy Drug Cemiplimab to Usual Treatment for People With Advanced Non-Small Cell Lung Cancer Who Had Previous Treatment With Platinum Chemotherapy and Immunotherapy (An Expanded Lung-MAP Treatment Trial)

Is NCT06616584 recruiting? Yes, currently enrolling (May 2026). This Phase 2/3 trial studies multiple treatments including Cemiplimab and Ramucirumab for recurrent lung non-small cell carcinoma.

Phase 2/3RecruitingSWOG Cancer Research NetworkNCT06616584Data as of May 2026

Treatment: Cemiplimab · Dexamethasone · Docetaxel · RamucirumabThis phase II/III Expanded Lung-MAP treatment trial compares the effect of adding cemiplimab to docetaxel and ramucirumab versus docetaxel and ramucirumab alone in treating patients with non-small cell lung cancer that is stage IV or that has come back after a period of improvement (recurrent). Cemiplimab is a monoclonal antibody that stimulates the immune system by blocking the PD-1 pathway. Tumors use the PD-1 pathway to escape attacks from the immune system. By blocking the PD-1 pathway, cemiplimab may help the immune system recognize and attack tumor cells. Docetaxel is in a class of medications called taxanes. It stops tumor cells from growing and dividing and may kill them. Ramucirumab is a monoclonal antibody that may prevent the growth of new blood vessels that tumors need to grow. Adding cemiplimab to usual treatment, docetaxel and ramucirumab, may kill more tumor cells compared to docetaxel and ramucirumab alone in treating patients with stage IV or recurrent non-small cell lung cancer.

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Extracted eligibility criteria

Cancer type

Non-Small Cell Lung Carcinoma

Biomarker criteria

Allowed: ALK fusion

Allowed: BRAF sensitizing mutation

Allowed: EGFR sensitizing mutation

Allowed: HER2 (ERBB2) sensitizing mutation

Allowed: KRAS sensitizing mutation

Allowed: MET sensitizing mutation

Allowed: NTRK1 fusion

Allowed: NTRK2 fusion

Allowed: NTRK3 fusion

Allowed: RET fusion

Allowed: ROS1 fusion

Disease stage

Required: Stage IV (AJCC v8)

Stage IV Lung Cancer AJCC v8

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Min 2 prior lines

Must have received: anti-PD-1 therapy — advanced disease (stage IV or recurrent disease, or stage I-III disease in certain circumstances)

Participants must have received exactly one anti-PD-1 or anti-PD-L1 therapy for advanced disease (stage IV or recurrent disease, or stage I-III disease in certain circumstances outlined below)... Participants must have experienced disease progression (in the opinion of the treating investigator) more than (>) 84 days following initiation (cycle 1 day 1) of their most recent anti-PD-1 or anti-PD-L1 therapy

Must have received: anti-PD-L1 therapy — advanced disease (stage IV or recurrent disease, or stage I-III disease in certain circumstances)

Participants must have received exactly one anti-PD-1 or anti-PD-L1 therapy for advanced disease (stage IV or recurrent disease, or stage I-III disease in certain circumstances outlined below)... Participants must have experienced disease progression (in the opinion of the treating investigator) more than (>) 84 days following initiation (cycle 1 day 1) of their most recent anti-PD-1 or anti-PD-L1 therapy

Must have received: platinum-based chemotherapy

Participants must have received platinum-based chemotherapy and experienced disease progression (in the opinion of the treating investigator) during or after this regimen

Cannot have received: docetaxel (docetaxel)

Participants must not have received prior therapy with docetaxel for this disease

Lab requirements

Blood counts

Absolute neutrophil count ≥ 1.5 x 10^3/uL; Hemoglobin ≥ 9.0 g/dL; Platelets ≥ 100 x 10^3/uL

Kidney function

creatinine ≤ institutional ULN or calculated creatinine clearance ≥ 50 mL/min

Liver function

Total bilirubin ≤ 1.5 x institutional ULN (unless history of Gilbert's disease, then ≤ 5 x ULN); AST and ALT ≤ 3 x institutional ULN (≤ 5 x ULN with liver metastasis)

Absolute neutrophil count ≥ 1.5 x 10^3/uL (within 28 days prior to randomization) Hemoglobin ≥ 9.0 g/dL (within 28 days prior to randomization) Platelets ≥ 100 x 10^3/uL (within 28 days prior to randomization) Total bilirubin ≤ 1.5 x institutional upper limit of normal (ULN) (within 28 days prior to randomization) unless history of Gilbert's disease. Participants with history of Gilbert's disease must have total bilirubin ≤ 5 x institutional ULN Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 3 x institutional ULN (within 28 days prior to randomization). Participants with history of liver metastasis must have AST and ALT ≤ 5 x ULN Participants must have a creatinine ≤ the institutional (I)ULN or calculated creatinine clearance ≥ 50 mL/min

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

US trial sites

  • Gulf Health Hospitals Inc/Infirmary Cancer Care - Malbis · Daphne, Alabama
  • Thomas Hospital · Fairhope, Alabama
  • Mobile Infirmary Medical Center · Mobile, Alabama
  • Gulf Health Hospitals Inc/Infirmary Cancer Care - Saraland · Saraland, Alabama
  • Katmai Oncology Group · Anchorage, Alaska

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