Carcinoma,Non-Small-Cell LungPhase 3NCT03088540
Study of REGN 2810 Compared to Platinum-Based Chemotherapies in Participants With Metastatic Non-Small Cell Lung Cancer (NSCLC)
A Phase 3 study testing Pemetrexed, Paclitaxel and Gemcitabine in people with Carcinoma,Non-Small-Cell Lung and Lung Carcinomas, Non-Small-Cell, run by Regeneron Pharmaceuticals at 192 sites in 24 countries.
Trial summary
The primary objectives of the study are: To compare the overall survival (OS) of cemiplimab versus standard-of-care platinum-based chemotherapies in the first-line treatment of patients with advanced or metastatic non-small cell lung cancer (NSCLC) whose tumors express PD-L1 in ≥50% of tumor cells To compare the… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Carcinoma,Non-Small-Cell Lung, Lung Carcinomas, Non-Small-Cell, Non-small-cell Lung Carcinoma
- What is being tested?
- Pemetrexed, Paclitaxel and Gemcitabine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 712 participants
- Where
- 192 sitesin 24 countries
- Study dates
- 29 May 2017to 18 Apr 2025
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- A patient must meet the following criteria to be eligible for inclusion in the study:
- Patients with histologically or cytologically documented squamous or non squamous NSCLC with stage IIIB or stage IIIC disease who are not candidates for treatment with definitive concurrent chemoradiation or patients with stage IV disease who received no prior systemic treatment for recurrent or metastatic NSCLC
- Archival or newly obtained formalin-fixed tumor tissue from a metastatic/recurrent site, which has not previously been irradiated
- Tumor cells expressing PD L1 above a specific percentage of tumor cells by IHC performed by the central laboratory
- At least 1 radiographically measureable lesion per RECIST 1.1
- ECOG performance status of ≤1
- Anticipated life expectancy of at least 3 months
- Adequate organ and bone marrow function
Who cannot join
- A patient who meets any of the following criteria will be excluded from the study:
- Patients that have never smoked, defined as smoking <100 cigarettes in a lifetime
- Active or untreated brain metastases or spinal cord compression
- Patients with tumors tested positive for EGFR gene mutations, ALK gene translocations, or ROS1 fusions
- Encephalitis, meningitis, or uncontrolled seizures in the year prior to randomization
- History of interstitial lung disease (eg, idiopathic pulmonary fibrosis, organizing pneumonia) or active, noninfectious pneumonitis that required immune-suppressive doses of glucocorticoids to assist with management. A history of radiation pneumonitis in the radiation field is permitted as long as pneumonitis resolved ≥6 months prior to randomization
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- Patients with active, known, or suspected autoimmune disease that has required systemic therapy in the past 2 years
- Patients with a condition requiring corticosteroid therapy (>10 mg prednisone/day or equivalent) within 14 days of randomization
- Another malignancy that is progressing or requires treatment
- Uncontrolled infection with hepatitis B or hepatitis C or human immunodeficiency virus (HIV) or diagnosis of immunodeficiency
- Active infection requiring systemic therapy within 14 days prior to randomization
- Prior therapy with anti-PD 1 or anti-PD L1
- Treatment-related immune-mediated AEs from immune-modulatory agents
- Receipt of an investigational drug or device within 30 days
- Receipt of a live vaccine within 30 days of planned start of study medication
- Major surgery or significant traumatic injury within 4 weeks prior to first dose
- Documented allergic or acute hypersensitivity reaction attributed to antibody treatments
- Known psychiatric or substance abuse disorder that would interfere with participation with the requirements of the study, including current use of any illicit drugs
- Pregnant or breastfeeding women
- Women of childbearing potential or men who are unwilling to practice highly effective contraception prior to the initial dose/start of the first treatment, during the study, and for at least 6 months after the last dose
- Note: Other protocol defined Inclusion/Exclusion criteria apply.
Trial locations and contacts
192 sites in 24 countries.
192 sites in 24 countries
Russia25 sites
Clinical Study Site
Arkhangelsk
Clinical Study Site
Belgorod
Clinical Study Site
Chelyabinsk
Clinical Study Site
Kaluga
Clinical Study Site
Kazan'
Clinical Study Site
Kemerovo
Clinical Study Site
Kislino
Clinical Study Site
Kursk
Clinical Study Site 1
Moscow
Clinical Study Site 2
Moscow
Clinical Study Site 3
Moscow
Clinical Study Site
Omsk
Clinical Study Site
Pushkin, Sankt-Peterburg
Clinical Study Site
Pyatigorsk
Clinical Study Site 1
Saint Petersburg
Clinical Study Site 2
Saint Petersburg
Clinical Study Site 3
Saint Petersburg
Clinical Study Site 4
Saint Petersburg
Clinical Study Site
Samara
Clinical Study Site
Saransk
Clinical Study Site
Sochi
Clinical Study Site 1
Tomsk
Clinical Study Site 2
Tomsk
Clinical Study Site
Ufa, Republic Bashkortost
Clinical Study Site
Yekaterinburg
Brazil19 sites
Clinical Study Site
Barretos
Clinical Study Site
Curitiba
Clinical Study Site
Joinville
Clinical Study Site
Lajeado
Clinical Study Site
Mogi das Cruzes
Clinical Study Site
Passo Fundo
Clinical Study Site
Pelotas
Clinical Study Site 1
Porto Alegre, Rio Grande do Sul
Clinical Study Site 2
Porto Alegre
Clinical Study Site 3
Porto Alegre
Clinical Study Site
Recife
Clinical Study Site
Rio de Janeiro
Clinical Study Site
Salvador
Clinical Study Site
Santa Cecília
Clinical Study Site
São José do Rio Preto
Clinical Study Site #3
São Paulo
Clinical Study Site #4
São Paulo
Clinical Study Site 1
São Paulo
Clinical Study Site 2
São Paulo
Turkey (Türkiye)16 sites
Clinical Study Site 1
Adana
Clinical Study Site 2
Adana
Clinical Study Site 1
Ankara
Clinical Study Site 2
Ankara
Clinical Study Site 3
Ankara
Clinical Study Site 4
Ankara
Clinical Study Site 5
Ankara
Clinical Study Site
Edirne
Clinical Study Site 1
Istanbul
Clinical Study Site 2
Istanbul
Clinical Study Site 3
Istanbul
Clinical Study Site 4
Istanbul
Clinical Study Site 1
Izmir
Clinical Study Site 2
Izmir
Clinical Study Site 3
Izmir
Clinical Study Site
Samsun
Poland12 sites
Clinical Study Site
Dąbrowa Górnicza
Clinical Study Site
Gdynia
Clinical Study Site
Krakow
Clinical Study Site
Lodz
Clinical Study Site
Olsztyn
Clinical Study Site
Poznan
Clinical Study Site
Prabuty
Clinical Study Site
Radom
Clinical Study Site
Rzeszów
Clinical Study Site
Torun
Clinical Study Site
Warsaw
Clinical Study Site
Wodzisław Śląski
Ukraine12 sites
Clinical Study Site
Dnipro
Clinical Study Site
Ivano-Frankivsk
Clinical Study Site
Kharkiv
Clinical Study Site
Kherson
Clinical Study Site 1
Kiev
Clinical Study Site 2
Kiev
Clinical Study Site
Kirovohrad
Clinical Study Site 1
Kyiv
Clinical Study Site 2
Kyiv
Clinical Study Site
Uzhhorod
Clinical Study Site
Vinnytsia
Clinical Study Site
Zaporizhzhya
Taiwan11 sites
Clinical Study Site
Chang-hua
Clinical Study Site
Hualien City
Clinical Study Site 1
Kaohsiung City
Clinical Study Site 2
Kaohsiung City
Clinical Study Site 1
New Taipei City
Clinical Study Site 2
New Taipei City
Clinical Study Site 1
Taichung
Clinical Study Site 2
Taichung
Clinical Study Site 1
Taipei
Clinical Study Site 2
Taipei
Clinical Study Site 3
Taipei
China10 sites
Clinical Study Site
Guangdong
Clinical Study Site
Harbin
Clinical Study Site
Lanshan, Shandong
Clinical Study Site
Linyi
Clinical Study Site 1
Shanghai
Clinical Study Site 2
Shanghai
Clinical Study Site 1
Tianjin
Clinical Study Site 2
Tianjin
Clinical Study Site
Xuzhou
Clinical Study Site
Zhejiang
Greece10 sites
Clinical Study Site 1
Athens
Clinical Study Site 2
Athens
Clinical Study Site 3
Athens
Clinical Study Site
Cholargós, Attica
Clinical Study Site
Larissa
Clinical Study Site
Pátrai, Achaia
Clinical Study Site
Pylaia
Clinical Study Site 1
Thessaloniki
Clinical Study Site 2
Thessaloniki
Clinical Study Site 3
Thessaloniki
Thailand10 sites
Clinical Study Site #1
Bangkok
Clinical Study Site #2
Bangkok
Clinical Study Site
Chiang Rai
Clinical Study Site
Hat Yai, Changwat Songkhla
Clinical Study Site
Khon Kaen
Clinical Study Site
Lampang
Clinical Study Site
Lopburi, Muang
Clinical Study Site
Phitsanulok
Clinical Study Site
Ratchathewi
Clinical Study Site
Udon Thani
Mexico9 sites
Clinical Study Site
Coahuila
Clinical Study Site
Cuautitlán
Clinical Study Site
Jalisco
Clinical Study Site
León
Clinical Study Site 1
Monterrey
Clinical Study Site 2
Monterrey
Clinical Study Site 3
Monterrey
Clinical Study Site
Oaxaca City
Clinical Study Site
San Luis Potosí City
Philippines9 sites
Clinical Study Site
Bacolod City
Clinical Study Site
Batangas
Clinical Study Site
Cebu
Clinical Study Site
City of Taguig
Clinical Study Site
Davao City
Clinical Study Site 1
Manila
Clinical Study Site 2
Manila
Clinical Study Site #1
Quezon City
Clinical Study Site #2
Quezon City
Georgia7 sites
Clinical Study Site
Batumi
Clinical Study Site #6
Tbilisi
Clinical Study Site 1
Tbilisi
Clinical Study Site 2
Tbilisi
Clinical Study Site 3
Tbilisi
Clinical Study Site 4
Tbilisi
Clinical Study Site 5
Tbilisi
Hungary6 sites
Clinical Study Site
Budapest
Clinical Study Site
Debrecen
Clinical Study Site
Farkasgyepű, Veszprém megye
Clinical Study Site
Gyula, Bekes County
Clinical Study Site
Tatabánya, Komárom-Esztergom
Clinical Study Site
Zalaegerszeg
Malaysia6 sites
Clinical Study Site
Kampung Baharu Nilai
Clinical Study Site #1
Kuala Lumpur
Clinical Study Site #2
Kuala Lumpur
Clinical Study Site
Kuching
Clinical Study Site
Pulau Pinang
Clinical Study Site
Tanjong Bungah
Romania5 sites
Clinical Study Site 1
Craiova
Clinical Study Site 2
Craiova
Clinical Study Site
Floreşti
Clinical Study Site
Ploieşti
Clinical Study Site
Timișoara
Chile4 sites
Clinical Study Site
Recoleta
Clinical Study Site
Santiago
Clinical Study Site
Temuco
Clincial Study Site
Viña del Mar
Australia3 sites
Clinical Study Site
Albury, New South Wales
Clinical Study Site
Fitzroy
Clinical Study Site
Wollongong, New South Wales
Colombia3 sites
Clinical Study Site
Barranquilla
Clinical Study Site
Bogotá
Clinical Study Site
Floridablanca
Czechia3 sites
Clinical Study Site
Nový Jičín
Clinical Study Site
Pelhřimov
Clinical Study Site
Prague
Lebanon3 sites
Clinical Study Site
Bsalîm
Clinical Study Site
Mazraat ech Choûf
Clinical Study Site
Sidon
Spain3 sites
Clinical Study Site
Barcelona
Clinical Study Site
Manresa, Barcelona
Clinical Study Site
Pamplona
About this study
Official title: A Global, Randomised, Phase 3, Open-label Study of REGN2810 (ANTI-PD 1 Antibody) Versus Platinum Based Chemotherapy in First Line Treatment of Patients With Advanced or Metastatic PD L1+Non-small Cell Lung Cancer
The primary objectives of the study are:
- To compare the overall survival (OS) of cemiplimab versus standard-of-care platinum-based chemotherapies in the first-line treatment of patients with advanced or metastatic non-small cell lung cancer (NSCLC) whose tumors express PD-L1 in ≥50% of tumor cells
- To compare the progression-free survival (PFS) of cemiplimab versus standard-of-care platinum-based chemotherapies in the first-line treatment of patients with advanced or metastatic NSCLC whose tumors express PD-L1 in ≥50% of tumor cells
The key secondary objective of the study is to compare the objective response rate (ORR) of cemiplimab versus platinum-based chemotherapies
Read the detailed description
There is option to join genomics sub-study.
- Conditions
- Carcinoma,Non-Small-Cell Lung, Lung Carcinomas, Non-Small-Cell, Non-small-cell Lung Carcinoma, Nonsmall Cell Lung Cancer
- Being tested
- Pemetrexed, Paclitaxel, Gemcitabine, Cisplatin, Carboplatin
- Keywords
- Previous Smoker, Current Smoker, Stage IIIB, Stage IIIC, Stage IV, PD-L1
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PemetrexedDrug
Patients will be administered pemetrexed chemotherapy as per protocol with either cisplatin or carboplatin
PaclitaxelDrug
Patients will be administered paclitaxel chemotherapy as per protocol with either cisplatin or carboplatin
GemcitabineDrug
Patients will be administered gemcitabine chemotherapy as per protocol with either cisplatin or carboplatin
CisplatinDrug
Administered with either Pemetrexed, Paclitaxel or gemcitabine.
CarboplatinDrug
Administered with either Pemetrexed, Paclitaxel or gemcitabine.
cemiplimabDrug
Also called REGN2810, Libtayo
Patients will be administered cemiplimab as per protocol.
| Study group | Role | What they receive |
|---|---|---|
| Standard-of-care chemotherapy | Active comparator | Standard-of-care chemotherapy will administered from these options:
Doses of Paclitaxel + cisplatin OR Doses Paclitaxel + carboplatin OR Doses Gemcitabine + cisplatin or Doses Gemcitabine + carboplatin OR Doses Pemetrexed + cisplatin followed by optional pemetrexed maintenance OR Doses Pemetrexed + carboplatin followed by optional pemetrexed maintenance Receives: Drug: Pemetrexed; Drug: Paclitaxel; Drug: Gemcitabine; Drug: Cisplatin; Drug: Carboplatin |
| cemiplimab | Experimental | cemiplimab regimen as monotherapy as per study protocol Receives: Drug: cemiplimab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival (OS)
OS was defined as the time from randomization to the date of death due to any cause.
Measured: Up to 94 months
Progression-free Survival (PFS) Per Blinded IRC
PFS as assessed by blinded IRC per RECIST 1.1 was defined as the time from randomization to the date of the first documented tumor progression, or death due to any cause, whichever occurred earlier.
Measured: Up to 94 months
Secondary outcomes (13)
Objective Response Rate (ORR) Per IRC
ORR was defined as the percentage of participants with a best overall response (BOR) of confirmed complete response (CR) or partial response (PR) as assessed by IRC per RECIST 1.1.
Measured: Up to 73.5 months
Best Overall Response (BOR) Per IRC
BOR was defined as the best overall response as determined by the IRC per RECIST 1.1, between the date of randomization and the date of first documented tumor progression or the date of subsequent anti-cancer therapy, whichever occurred earlier.
Measured: Up to 73.5 months
Duration of Response (DoR) Per IRC
DoR was defined as the time from date of first documented response of CR or PR to the date of first documented PD (per RECIST 1.1) or death due to any cause, whichever occurred earlier.
Measured: Up to 73.5 months
Change From Baseline in Global Health Status/Quality of Life (QoL) Scores as Assessed by the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30)
The EORTC QLQ-C30 is a 30-item questionnaire used to assess the overall QoL in cancer participants. It consists of 15 domains: 1 Global Health Status (GHS)/QoL scale, 5 functional scales (physical, role, cognitive, emotional, social), 9 symptom scales/items (fatigue, nausea and vomiting, pain, dyspnea, sleep disturbance, appetite loss, constipation, diarrhea, financial impact). Reported here are the EORTC QLQ-C30 GHS/QoL scores only. GHS/QoL is derived from two items: "How would you rate your overall health during the past week?" and "How would you rate your overall quality of life during the past week?" Each scored from 1 (very poor) to 7 (excellent). The average of these two items is linearly transformed to a score ranging from 0 to 100; higher scores indicate better overall quality of life, and a positive change from baseline reflects improvement.
Measured: Baseline, Day 1 of 21-Day Cycles 2, 3, 4, 5, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39
Change From Baseline in Coughing Scores as Assessed by the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Lung Cancer 13 (EORTC QLQ-LC13)
EORTC QLQ-LC13 is a 13-item questionnaire used in clinical research to assess health-related quality of life in lung cancer patients. The QLQ-LC13 includes questions assessing lung cancer-associated symptoms (coughing, haemoptysis, dyspnoea and site-specific pain), treatment-related side effects (sore mouth, dysphagia, peripheral neuropathy and alopecia). Reported here are the EORTC lung cancer coughing scores only. Scores were calculated and transformed to a range from 0 to 100, with a higher score representing a higher level of symptoms/problems and a negative change from baseline value indicating reduction (i.e. improvement) in symptoms.
Measured: Baseline, Day 1 of 21-Day Cycles 2, 3, 4, 5, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
TEAEs were AEs that developed or worsened during the on-treatment period and any treatment-related AEs that occurred during the post-treatment period but prior to start of another anti-cancer systemic therapy. A summary of all Serious Adverse Events and Other Adverse Events (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section.
Measured: Up to 94 months
Number of Participants With Serious TEAEs
Serious TEAEs were defined as medically significant but not immediately life-threatening AEs that developed or worsened during the on-treatment period and any treatment-related AEs that occurred during the post-treatment period but prior to start of another anti-cancer systemic therapy.
Measured: Up to 94 months
Number of Deaths During the On-Treatment Period
The on-treatment period was defined as the day from the first dose of study drug to the day of the last dose of study drug plus 90 days or 1 day before participants receive their first dose of new anti-cancer systemic therapy, whichever is earlier.
Measured: Up to approximately 28 months
Number of Participants With Laboratory Abnormalities
Reported here is the number of participants with at least one laboratory abnormality of any grade in measurements for hematology, electrolytes, liver function, chemistry, and coagulation.
Measured: Up to approximately 28 months
Trough Concentration (Ctrough) of Cemiplimab in Serum
Measured: Up to 73.5 months
Maximum Plasma Concentration (Cmax) of Cemiplimab in Serum
Measured: Up to 73.5 months
Number of Participants With Anti-Cemiplimab Antibodies (ADA)
The ADA status of each participant was classified as one of the following:
- Pre-existing - If the baseline sample is positive and all post baseline ADA titers are reported as less than 9-fold the baseline titer value
- Negative - If all samples are found to be negative in the ADA assay
- Treatment-emergent response
Measured: Up to 73.5 months
Number of Participants With Neutralizing Antibodies (NAb)
The NAb status of each participant was categorized as follows:
- Negative - Samples that tested negative in the ADA assay, or samples positive in the ADA assay but tested negative in the NAb assay
- Positive
Measured: Up to 73.5 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Mar 2017
- Study start29 May 2017
- Primary completion18 Apr 2025
- Study completion18 Apr 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (6)Papers the sponsor has linked to this study.
- Other trials for Carcinoma,Non-Small-Cell LungStudies of the same condition, open and under way.
- More trials run by Regeneron PharmaceuticalsThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- None (open label)
- Enrolment
- 712 participants (actual)
Sponsor and investigators
- Lead sponsor
- Regeneron Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Sanofi
- Responsible party
- Sponsor
- Investigators
- Clinical Trial Management, Study director, Regeneron Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03088540
- Sponsor's protocol ID
- R2810-ONC-1624
- Other IDs
- 2016-004407-31, 2024-515052-20-00, 2016
- Status last verified
- May 2026
- First submitted
- 3 Mar 2017
- Last updated
- 25 Jun 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing
Publications
Gandara DR, Gumus M, Kilickap S, Sezer A, Bondarenko I, Ozguroglu M, Gogishvili M, Yan E, Jia X, Kim E, Seebach F, Quek RGW. Review of patient-reported outcomes in EMPOWER-Lung 1 in patients with advanced non-small cell lung cancer treated with cemiplimab versus chemotherapy. Cancer. 2026 Mar 15;132(6):e70339. doi: 10.1002/cncr.70339.
PubMed 41808570Perez J, Kerr KM, Baker B, Fang F, Li J, McDonald J, Li S, Gao B, Pouliot JF, Seebach F, Lowy I, Gullo G, Herman G, Hamilton J, Rietschel P, McGuire K. Clinical Interchangeability of PD-L1 Immunohistochemistry Assays in First-Line Non-Small Cell Lung Cancer Management With Cemiplimab. JCO Precis Oncol. 2025 Sep;9:e2500177. doi: 10.1200/PO-25-00177. Epub 2025 Sep 24.
PubMed 40991883Kilickap S, Baramidze A, Sezer A, Ozguroglu M, Gumus M, Bondarenko I, Gogishvili M, Nechaeva M, Schenker M, Cicin I, Fuang HG, Kulyaba Y, Zyuhal K, Scheusan RI, Garassino MC, Li Y, Zhu C, Kaul M, Perez J, Seebach F, Lowy I, Pouliot JF, Kim E, Magnan H. Cemiplimab Monotherapy for First-Line Treatment of Patients with Advanced NSCLC With PD-L1 Expression of 50% or Higher: Five-Year Outcomes of EMPOWER-Lung 1. J Thorac Oncol. 2025 Jul;20(7):941-954. doi: 10.1016/j.jtho.2025.03.033. Epub 2025 Mar 19.
PubMed 40118215Ozguroglu M, Kilickap S, Sezer A, Gumus M, Bondarenko I, Gogishvili M, Nechaeva M, Schenker M, Cicin I, Ho GF, Kulyaba Y, Zyuhal K, Scheusan RI, Garassino MC, He X, Kaul M, Okoye E, Li Y, Li S, Pouliot JF, Seebach F, Lowy I, Gullo G, Rietschel P. First-line cemiplimab monotherapy and continued cemiplimab beyond progression plus chemotherapy for advanced non-small-cell lung cancer with PD-L1 50% or more (EMPOWER-Lung 1): 35-month follow-up from a mutlicentre, open-label, randomised, phase 3 trial. Lancet Oncol. 2023 Sep;24(9):989-1001. doi: 10.1016/S1470-2045(23)00329-7. Epub 2023 Aug 14.
PubMed 37591293Gumus M, Chen CI, Ivanescu C, Kilickap S, Bondarenko I, Ozguroglu M, Gogishvili M, Turk HM, Cicin I, Harnett J, Mastey V, Naumann U, Reaney M, Konidaris G, Sasane M, Brady KJS, Li S, Gullo G, Rietschel P, Sezer A. Patient-reported outcomes with cemiplimab monotherapy for first-line treatment of advanced non-small cell lung cancer with PD-L1 of >/=50%: The EMPOWER-Lung 1 study. Cancer. 2023 Jan 1;129(1):118-129. doi: 10.1002/cncr.34477. Epub 2022 Oct 29.
PubMed 36308296Sezer A, Kilickap S, Gumus M, Bondarenko I, Ozguroglu M, Gogishvili M, Turk HM, Cicin I, Bentsion D, Gladkov O, Clingan P, Sriuranpong V, Rizvi N, Gao B, Li S, Lee S, McGuire K, Chen CI, Makharadze T, Paydas S, Nechaeva M, Seebach F, Weinreich DM, Yancopoulos GD, Gullo G, Lowy I, Rietschel P. Cemiplimab monotherapy for first-line treatment of advanced non-small-cell lung cancer with PD-L1 of at least 50%: a multicentre, open-label, global, phase 3, randomised, controlled trial. Lancet. 2021 Feb 13;397(10274):592-604. doi: 10.1016/S0140-6736(21)00228-2.
PubMed 33581821
Study at a glance
From the registry record, last updated by the sponsor on 25 Jun 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Global, Randomised, Phase 3, Open-label Study of REGN2810 (ANTI-PD 1 Antibody) Versus Platinum Based Chemotherapy in First Line Treatment of Patients With Advanced or Metastatic PD L1+Non-small Cell Lung Cancer
- ClinicalTrials.gov ID
- NCT03088540
- Acronym / sponsor ID
- R2810-ONC-1624
- Conditions
- Carcinoma,Non-Small-Cell Lung, Lung Carcinomas, Non-Small-Cell, Non-small-cell Lung Carcinoma, Nonsmall Cell Lung Cancer
- Keywords
- Previous Smoker, Current Smoker, Stage IIIB, Stage IIIC, Stage IV, PD-L1
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 712 participants (actual)
- Lead sponsor
- Regeneron PharmaceuticalsIndustry (pharma, biotech, devices)
- Collaborators
- Sanofi
- Study start
- 29 May 2017 (actual)
- Primary completion
- 18 Apr 2025 (actual)
- Study completion
- 18 Apr 2025 (actual)
- First posted
- 23 Mar 2017 (actual)
- Results
- Posted 25 Jun 2026
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objectives of the study are:
- To compare the overall survival (OS) of cemiplimab versus standard-of-care platinum-based chemotherapies in the first-line treatment of patients with advanced or metastatic non-small cell lung cancer (NSCLC) whose tumors express PD-L1 in ≥50% of tumor cells
- To compare the progression-free survival (PFS) of cemiplimab versus standard-of-care platinum-based chemotherapies in the first-line treatment of patients with advanced or metastatic NSCLC whose tumors express PD-L1 in ≥50% of tumor cells
The key secondary objective of the study is to compare the objective response rate (ORR) of cemiplimab versus platinum-based chemotherapies
Detailed description
There is option to join genomics sub-study.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Standard-of-care chemotherapy | Active comparator | Drug: Pemetrexed, Drug: Paclitaxel, Drug: Gemcitabine, Drug: Cisplatin, Drug: CarboplatinStandard-of-care chemotherapy will administered from these options: Doses of Paclitaxel + cisplatin OR Doses Paclitaxel + carboplatin OR Doses Gemcitabine + cisplatin or Doses Gemcitabine + carboplatin OR Doses Pemetrexed + cisplatin followed by optional pemetrexed maintenance OR Doses Pemetrexed + carboplatin followed by optional pemetrexed maintenance |
| cemiplimab | Experimental | Drug: cemiplimabcemiplimab regimen as monotherapy as per study protocol |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Patients with histologically or cytologically documented squamous or non squamous NSCLC with stage IIIB or stage IIIC disease who are not candidates for treatment with definitive concurrent chemoradiation or patients with stage IV disease who received no prior systemic treatment for recurrent or metastatic NSCLC
- Archival or newly obtained formalin-fixed tumor tissue from a metastatic/recurrent site, which has not previously been irradiated
- Tumor cells expressing PD L1 above a specific percentage of tumor cells by IHC performed by the central laboratory
- At least 1 radiographically measureable lesion per RECIST 1.1
- ECOG performance status of ≤1
Key exclusion criteria (21 listed)
- Patients that have never smoked, defined as smoking <100 cigarettes in a lifetime
- Active or untreated brain metastases or spinal cord compression
- Patients with tumors tested positive for EGFR gene mutations, ALK gene translocations, or ROS1 fusions
- Encephalitis, meningitis, or uncontrolled seizures in the year prior to randomization
- History of interstitial lung disease (eg, idiopathic pulmonary fibrosis, organizing pneumonia) or active, noninfectious pneumonitis that required immune-suppressive doses of glucocorticoids to assist with management. A history of radiation pneumonitis in the radiation field is permitted as long as pneumonitis resolved ≥6 months prior to randomization
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PemetrexedPatients will be administered pemetrexed chemotherapy as per protocol with either cisplatin or carboplatin | Drug | Standard-of-care chemotherapy |
| PaclitaxelPatients will be administered paclitaxel chemotherapy as per protocol with either cisplatin or carboplatin | Drug | Standard-of-care chemotherapy |
| GemcitabinePatients will be administered gemcitabine chemotherapy as per protocol with either cisplatin or carboplatin | Drug | Standard-of-care chemotherapy |
| CisplatinAdministered with either Pemetrexed, Paclitaxel or gemcitabine. | Drug | Standard-of-care chemotherapy |
| CarboplatinAdministered with either Pemetrexed, Paclitaxel or gemcitabine. | Drug | Standard-of-care chemotherapy |
| cemiplimabAlso: REGN2810, LibtayoPatients will be administered cemiplimab as per protocol. | Drug | cemiplimab |
Primary outcome
Overall Survival (OS)
Time frame: Up to 94 months
OS was defined as the time from randomization to the date of death due to any cause.
Progression-free Survival (PFS) Per Blinded IRC
Time frame: Up to 94 months
PFS as assessed by blinded IRC per RECIST 1.1 was defined as the time from randomization to the date of the first documented tumor progression, or death due to any cause, whichever occurred earlier.
13 secondary outcomes
Objective Response Rate (ORR) Per IRC
Time frame: Up to 73.5 months
Best Overall Response (BOR) Per IRC
Time frame: Up to 73.5 months
Duration of Response (DoR) Per IRC
Time frame: Up to 73.5 months
Change From Baseline in Global Health Status/Quality of Life (QoL) Scores as Assessed by the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30)
Time frame: Baseline, Day 1 of 21-Day Cycles 2, 3, 4, 5, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39
Change From Baseline in Coughing Scores as Assessed by the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Lung Cancer 13 (EORTC QLQ-LC13)
Time frame: Baseline, Day 1 of 21-Day Cycles 2, 3, 4, 5, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
Time frame: Up to 94 months
Number of Participants With Serious TEAEs
Time frame: Up to 94 months
Number of Deaths During the On-Treatment Period
Time frame: Up to approximately 28 months
Number of Participants With Laboratory Abnormalities
Time frame: Up to approximately 28 months
Trough Concentration (Ctrough) of Cemiplimab in Serum
Time frame: Up to 73.5 months
Maximum Plasma Concentration (Cmax) of Cemiplimab in Serum
Time frame: Up to 73.5 months
Number of Participants With Anti-Cemiplimab Antibodies (ADA)
Time frame: Up to 73.5 months
Number of Participants With Neutralizing Antibodies (NAb)
Time frame: Up to 73.5 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Jun 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 41808570Gandara DR, Gumus M, Kilickap S, Sezer A, Bondarenko I, Ozguroglu M, Gogishvili M, Yan E, Jia X, Kim E, Seebach F, Quek RGW. Review of patient-reported outcomes in EMPOWER-Lung 1 in patients with advanced non-small cell lung cancer treated with cemiplimab versus chemotherapy. Cancer. 2026 Mar 15;132(6):e70339. doi: 10.1002/cncr.70339.
- Derived from this study: PubMed 40991883Perez J, Kerr KM, Baker B, Fang F, Li J, McDonald J, Li S, Gao B, Pouliot JF, Seebach F, Lowy I, Gullo G, Herman G, Hamilton J, Rietschel P, McGuire K. Clinical Interchangeability of PD-L1 Immunohistochemistry Assays in First-Line Non-Small Cell Lung Cancer Management With Cemiplimab. JCO Precis Oncol. 2025 Sep;9:e2500177. doi: 10.1200/PO-25-00177. Epub 2025 Sep 24.
- Derived from this study: PubMed 40118215Kilickap S, Baramidze A, Sezer A, Ozguroglu M, Gumus M, Bondarenko I, Gogishvili M, Nechaeva M, Schenker M, Cicin I, Fuang HG, Kulyaba Y, Zyuhal K, Scheusan RI, Garassino MC, Li Y, Zhu C, Kaul M, Perez J, Seebach F, Lowy I, Pouliot JF, Kim E, Magnan H. Cemiplimab Monotherapy for First-Line Treatment of Patients with Advanced NSCLC With PD-L1 Expression of 50% or Higher: Five-Year Outcomes of EMPOWER-Lung 1. J Thorac Oncol. 2025 Jul;20(7):941-954. doi: 10.1016/j.jtho.2025.03.033. Epub 2025 Mar 19.
- Derived from this study: PubMed 37591293Ozguroglu M, Kilickap S, Sezer A, Gumus M, Bondarenko I, Gogishvili M, Nechaeva M, Schenker M, Cicin I, Ho GF, Kulyaba Y, Zyuhal K, Scheusan RI, Garassino MC, He X, Kaul M, Okoye E, Li Y, Li S, Pouliot JF, Seebach F, Lowy I, Gullo G, Rietschel P. First-line cemiplimab monotherapy and continued cemiplimab beyond progression plus chemotherapy for advanced non-small-cell lung cancer with PD-L1 50% or more (EMPOWER-Lung 1): 35-month follow-up from a mutlicentre, open-label, randomised, phase 3 trial. Lancet Oncol. 2023 Sep;24(9):989-1001. doi: 10.1016/S1470-2045(23)00329-7. Epub 2023 Aug 14.
- Derived from this study: PubMed 36308296Gumus M, Chen CI, Ivanescu C, Kilickap S, Bondarenko I, Ozguroglu M, Gogishvili M, Turk HM, Cicin I, Harnett J, Mastey V, Naumann U, Reaney M, Konidaris G, Sasane M, Brady KJS, Li S, Gullo G, Rietschel P, Sezer A. Patient-reported outcomes with cemiplimab monotherapy for first-line treatment of advanced non-small cell lung cancer with PD-L1 of >/=50%: The EMPOWER-Lung 1 study. Cancer. 2023 Jan 1;129(1):118-129. doi: 10.1002/cncr.34477. Epub 2022 Oct 29.
- Derived from this study: PubMed 33581821Sezer A, Kilickap S, Gumus M, Bondarenko I, Ozguroglu M, Gogishvili M, Turk HM, Cicin I, Bentsion D, Gladkov O, Clingan P, Sriuranpong V, Rizvi N, Gao B, Li S, Lee S, McGuire K, Chen CI, Makharadze T, Paydas S, Nechaeva M, Seebach F, Weinreich DM, Yancopoulos GD, Gullo G, Lowy I, Rietschel P. Cemiplimab monotherapy for first-line treatment of advanced non-small-cell lung cancer with PD-L1 of at least 50%: a multicentre, open-label, global, phase 3, randomised, controlled trial. Lancet. 2021 Feb 13;397(10274):592-604. doi: 10.1016/S0140-6736(21)00228-2.
- Individual participant dataSharing planned: Yes. All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Trial Management study director
Regeneron Pharmaceuticals
192 sites in 24 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Pemetrexed, Paclitaxel and Gemcitabine in people with Carcinoma,Non-Small-Cell Lung and Lung Carcinomas, Non-Small-Cell, run by Regeneron Pharmaceuticals at 192 sites in 24 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 21 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 25 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 192 sites in Russia, Brazil, Turkey (Türkiye), Poland, Ukraine and 19 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 25 Jun 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Overall Survival (OS) (time frame: Up to 94 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03088540, which also lists 6 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Jun 2026.