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OncoMatch/Clinical Trials/NCT06918132

Cemiplimab and Fianlimab Before Surgery for the Treatment of Stage IB-IIIB Non-Small Cell Lung Cancer

Is NCT06918132 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Cemiplimab and Fianlimab for lung non-small cell carcinoma.

Phase 2RecruitingMayo ClinicNCT06918132Data as of May 2026

Treatment: Cemiplimab · FianlimabThis phase II trial tests how well a fixed dose combination (FDC) of cemiplimab and fianlimab before surgery (neoadjuvant) works in treating patients with stage IB-IIIB non-small cell lung cancer (NSCLC). The current standard of care (SOC) for NSCLC is to give chemotherapy and immunotherapy before going to surgery to have the cancer removed (neoadjuvant therapy). Immunotherapy with monoclonal antibodies, such as cemiplimab and fianlimab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. Giving a FDC of cemiplimab and fianlimab before surgery may kill more tumor cells in treating patients with stage IB-IIIB NSCLC.

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Extracted eligibility criteria

Cancer type

Non-Small Cell Lung Carcinoma

Biomarker criteria

Required: PD-L1 (CD274) expression ≥ 1% by tumor proportion score (TPS) using immunohistochemistry (IHC) (≥ 1% TPS)

PD-L1 expression ≥ 1% by tumor proportion score (TPS) using immunohistochemistry (IHC)

Excluded: EGFR targetable alteration

Presence of targetable alterations [Epiderman Growth Factor Receptor (EGFR), anaplastic lymphoma kinase (ALK), receptor tyrosine kinase (ROS1)] in tumor

Excluded: ALK targetable alteration

Presence of targetable alterations [Epiderman Growth Factor Receptor (EGFR), anaplastic lymphoma kinase (ALK), receptor tyrosine kinase (ROS1)] in tumor

Excluded: ROS1 targetable alteration

Presence of targetable alterations [Epiderman Growth Factor Receptor (EGFR), anaplastic lymphoma kinase (ALK), receptor tyrosine kinase (ROS1)] in tumor

Disease stage

Required: Stage IB, II, IIIA, IIIB

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

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

Cannot have received: systemic anti-cancer therapy

Prior systemic anti-cancer therapy or radiation therapy for the same cancer being studied in this protocol

Cannot have received: radiation therapy

Prior systemic anti-cancer therapy or radiation therapy for the same cancer being studied in this protocol

Lab requirements

Blood counts

Hemoglobin ≥ 8.0 g/dL; Absolute neutrophil count (ANC) ≥ 1500/mm^3; Platelet count ≥ 100,000/mm^3

Kidney function

Calculated creatinine clearance ≥ 45 ml/min using the Cockroft-Gault formula

Liver function

Total bilirubin ≤ 1.5 x upper limit of normal (ULN); ALT and AST ≤ 3 x ULN

Hemoglobin ≥ 8.0 g/dL (obtained ≤ 15 days prior to registration); Absolute neutrophil count (ANC) ≥ 1500/mm^3 (obtained ≤ 15 days prior to registration); Platelet count ≥ 100,000/mm^3 (obtained ≤ 15 days prior to registration); Total bilirubin ≤ 1.5 x upper limit of normal (ULN) (obtained ≤ 15 days prior to registration); Alanine aminotransferase (ALT) and aspartate transaminase (AST) ≤ 3 x ULN (obtained ≤ 15 days prior to registration); Calculated creatinine clearance ≥ 45 ml/min using the Cockroft-Gault formula (obtained ≤ 15 days prior to registration)

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

US trial sites

  • Mayo Clinic in Rochester · Rochester, Minnesota

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