Lung Cancer, Non-Small CellPhase 2/3COSTAR LungNCT04655976
Efficacy Comparison of Cobolimab + Dostarlimab + Docetaxel to Dostarlimab + Docetaxel to Docetaxel Alone in Participants With Advanced Non-small Cell Lung Cancer Who Have Progressed on Prior Anti-PD-(L)1 Therapy and Chemotherapy
A Phase 2/3 study testing Cobolimab, Dostarlimab and Docetaxel in people with Lung Cancer, Non-Small Cell, run by GlaxoSmithKline at 163 sites in 24 countries.
Trial summary
This is a multi-center, parallel group treatment, Phase 2/3 open label study evaluating cobolimab in combination with dostarlimab and docetaxel in participants with advanced non-small cell Lung Cancer (NSCLC) who have progressed on prior anti-PD-(L)1 therapy and chemotherapy. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Lung Cancer, Non-Small Cell
- What is being tested?
- Cobolimab, Dostarlimab and Docetaxel
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 758 participants
- Where
- 163 sitesin 24 countries
- Study dates
- 8 Dec 2020to 30 Mar 2027
- Phase
- Phase 2/3
- 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
- Participant has histologically or cytologically proven advanced or metastatic NSCLC and only squamous or non-squamous cell carcinoma.
- Participant has received no more than 2 prior lines of therapy for advanced or metastatic disease, which must only include a platinum based (e.g., cisplatin, carboplatin) doublet chemotherapy regimen and an anti-PD-1 or an anti-PD-(L)1 antibody.
- Participant has measurable disease.
- Participant has documented radiographic disease progression on prior platinum based chemotherapy and on or after prior anti-PD-(L)1 therapy.
- Participant agrees to submit an archival formalin-fixed paraffin-embedded (FFPE) tumor tissue specimen that was collected on or after diagnosis of metastatic disease. If archival tissue is not available, the participant must undergo biopsy prior to study entry.
- Participant has an ECOG performance status score of 0 or 1.
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- Participant has a life expectancy of at least 3 months.
- Participant has adequate Baseline organ function.
- Participant has recovered from any prior treatment related toxicities.
- Participant agrees to use contraception.
Who cannot join
- Participant has been previously treated with an anti-PD-[L]1 or anti-programmed death-ligand 2 (anti-PD-[L]2) agent that resulted in permanent discontinuation due to an AE.
- Participant has been previously treated with an anti-T cell immunoglobulin and mucin domain containing 3 (anti-TIM-3) or anti-cytotoxic T lymphocyte associated protein 4 (CTLA 4) agent or docetaxel.
- Participant has a documented sensitizing epidermal growth factor receptor (EGFR), anaplastic lymphoma kinase (ALK), or c-ros oncogene 1 (ROS-1) mutation. Participants whose tumors have not been tested for these driver mutations and therefore who have unknown driver mutation status are not eligible. Participants with squamous histology do not need to be tested for these driver mutations.
- Participant had radiological or clinical disease progression (i.e., worsening performance status, clinical symptoms, and laboratory data) <=8 weeks after initiation of prior anti-programmed cell death protein 1 (anti-PD-1) or anti-PD-L1 antibody. The clinical disease progression should have been confirmed by a subsequent radiological scan.
- Participant has received radiation to the lung that is >30 gray (Gy) within 6 months prior to the first dose of study treatment.
- Participant has completed palliative radiotherapy within 7 days prior to the first dose of study treatment.
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- Participant is ineligible if any of the following hepatic characteristics are present: a. Alanine aminotransferase (ALT) >2.5 times upper limit normal (ULN) b. ALT and/or aspartate aminotransferase (AST) >1.5 times ULN concomitant with alkaline phosphatase (ALP) >2.5 times ULN; c. Bilirubin >1 times ULN; d. Current active liver or biliary disease (with the exception of Gilbert's syndrome or asymptomatic gallstones, liver metastases, or otherwise stable chronic liver disease per the Investigator's assessment).
- Participant has known new or progressive brain metastases and/or leptomeningeal metastases. Participants who have received prior therapy for their brain metastases and have radiographically stable central nervous system disease may participate, provided they are neurologically stable for at least 4 weeks before study entry and are off corticosteroids within 3 days prior to the first dose of study treatment.
- Participant has tested positive for the following at Screening or within 3 months before the first dose of study treatment: a. Presence of hepatitis B surface antigen. b. Presence of hepatitis C antibody in the absence of a ribonucleic acid (RNA) test for hepatitis C virus. If a confirmatory RNA test is available, a positive test result will exclude a participant, while a negative test result (indicating absence of active infection) will allow the participant to enter into the study.
- Participant has known human immunodeficiency virus (HIV) (positive for HIV 1 or HIV 2 antibodies).
- Participant has active autoimmune disease that required systemic treatment in the past 2 years, is immunocompromised in the opinion of the Investigator, or is receiving systemic immunosuppressive treatment.
- Participant has symptomatic ascites or pleural effusion. A participant who is clinically stable following treatment of these conditions (including therapeutic thoracentesis or paracentesis) is eligible.
- Participant has current interstitial lung disease, current pneumonitis, or a history of pneumonitis that required the use of glucocorticoids to assist with management.
- Participant has pre-existing peripheral neuropathy that is Grade >=2 by National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0 criteria.
- Participant has received a live vaccine within 30 days of the first dose of study treatment. Seasonal flu vaccines that do not contain live virus and Coronavirus Disease 2019 (COVID-19) vaccines.
- Participant is unable to interrupt aspirin or other non-steroidal anti-inflammatory drugs (NSAIDs) for undergoing a biopsy procedure (in cases when a participant does not have an archival biopsy), other than an aspirin dose <=1.3 grams (g) per day, for a 5-day period (8-day) period for long-acting agents, such as piroxicam).
Trial locations and contacts
163 sites in 24 countries.
163 sites in 24 countries
United States17 sites
GSK Investigational Site
Edgewood, Kentucky, 41017
GSK Investigational Site
Fountain Valley, California, 92708
GSK Investigational Site
Fredericksburg, Virginia, 22408
GSK Investigational Site
Honolulu, Hawaii, 96819
GSK Investigational Site
Houston, Texas, 77030
GSK Investigational Site
Iowa City, Iowa, 52242
GSK Investigational Site
Las Vegas, Nevada, 89144
GSK Investigational Site
Mineola, New York, 11501
GSK Investigational Site
New York, New York, 10016
GSK Investigational Site
Norwich, Connecticut, 06360
GSK Investigational Site
Pittsburgh, Pennsylvania, 15224
GSK Investigational Site
Pittsburgh, Pennsylvania, 15232
GSK Investigational Site
Sioux Falls, South Dakota, 57105
GSK Investigational Site
Tacoma, Washington, 98405
GSK Investigational Site
Walnut Creek, California, 94596
GSK Investigational Site
Washington D.C., District of Columbia, 20422
GSK Investigational Site
White Plains, New York, 10601
Germany15 sites
GSK Investigational Site
Augsburg, 86156
GSK Investigational Site
Bad Berka, 99437
GSK Investigational Site
Berlin, 12200
GSK Investigational Site
Bonn, 53113
GSK Investigational Site
Cologne, 51109
GSK Investigational Site
Dresden, 01307
GSK Investigational Site
Essen, 45147
GSK Investigational Site
Frankfurt, 60488
GSK Investigational Site
Frankfurt, 60590
GSK Investigational Site
Halle, 06120
GSK Investigational Site
Heidelberg, 69126
GSK Investigational Site
Karlsruhe, 76137
GSK Investigational Site
München, 80336
GSK Investigational Site
München, 81925
GSK Investigational Site
Oldenburg, 26121
Spain15 sites
GSK Investigational Site
A Coruña, 15006
GSK Investigational Site
Badalona, 08916
GSK Investigational Site
Barcelona, 08035
GSK Investigational Site
Barcelona, 08036
GSK Investigational Site
Burgos, 09006
GSK Investigational Site
Córdoba, 140044
GSK Investigational Site
Las Palmas de Gran Canar, 35016
GSK Investigational Site
Madrid, 28007
GSK Investigational Site
Madrid, 28034
GSK Investigational Site
Madrid, 28041
GSK Investigational Site
Madrid, 28046
GSK Investigational Site
Madrid, 28050
GSK Investigational Site
Madrid, 28222
GSK Investigational Site
Málaga, 29010
GSK Investigational Site
Valencia, 46026
Italy10 sites
GSK Investigational Site
Ancona, 60126
GSK Investigational Site
Avellino, 83100
GSK Investigational Site
Florence, 50134
GSK Investigational Site
Milan, 20132
GSK Investigational Site
Milan, 20133
GSK Investigational Site
Monza, 20900
GSK Investigational Site
Naples, 80131
GSK Investigational Site
Orbassano to, 10043
GSK Investigational Site
Perugia, 06156
GSK Investigational Site
Siena, 53100
South Korea10 sites
GSK Investigational Site
Cheongju Chungcheongbuk-do, 28644
GSK Investigational Site
Daegu, 42601
GSK Investigational Site
Gyeonggi-do, 10408
GSK Investigational Site
Pusan, 49241
GSK Investigational Site
Seongnam-si Gyeonggi-do, 13620
GSK Investigational Site
Seoul, 03722
GSK Investigational Site
Seoul, 05505
GSK Investigational Site
Seoul, 06351
GSK Investigational Site
Seoul, 08308
GSK Investigational Site
Suwon Kyunggi-do, 443-721
Greece9 sites
GSK Investigational Site
Athens, 115 27
GSK Investigational Site
Athens, 11526
GSK Investigational Site
Athens, 11528
GSK Investigational Site
Athens, 12462
GSK Investigational Site
Larissa, 41100
GSK Investigational Site
Pylaia Thessaloniki, 570 01
GSK Investigational Site
Rio Patras, 26504
GSK Investigational Site
Thessaloniki, 55236
GSK Investigational Site
Thessaloniki, 57010
Argentina8 sites
GSK Investigational Site
Buenos Aires, C1426ABP
GSK Investigational Site
Cipoletti Rio Negro, R8324CVE
GSK Investigational Site
Ciudad Autonoma de Buenos Aire, 1425
GSK Investigational Site
Florida, 1602
GSK Investigational Site
La Rioja, F5300COE
GSK Investigational Site
Pergamino, B2700CPM
GSK Investigational Site
Rosario, S2000DBS
GSK Investigational Site
Viedma, R8500ACE
Brazil7 sites
GSK Investigational Site
Blumenau, 89010340
GSK Investigational Site
Fortaleza, 60336-232
GSK Investigational Site
Porto Alegre, 90610000
GSK Investigational Site
Rio de Janeiro, 22061080
GSK Investigational Site
Rio de Janeiro, 22250-905
GSK Investigational Site
Salvador, 40170-110
GSK Investigational Site
São Paulo, 04014-002
France7 sites
GSK Investigational Site
Créteil, 94010
GSK Investigational Site
Grenoble, 38043
GSK Investigational Site
Marseille, 13009
GSK Investigational Site
Nice, 06189
GSK Investigational Site
Quimper, 29107
GSK Investigational Site
Rennes, 35033
GSK Investigational Site
Tours, 37044
Mexico7 sites
GSK Investigational Site
Guadajalara, 44280
GSK Investigational Site
Mexico City, 03100
GSK Investigational Site
Mexico City, 03810
GSK Investigational Site
Mexico City, 06700
GSK Investigational Site
Mexico City, CP 14080
GSK Investigational Site
Monterrey, 64460
GSK Investigational Site
Puebla Puebla, 72560
Netherlands7 sites
GSK Investigational Site
Amersfoort, 3813 TZ
GSK Investigational Site
Enschede, 7512 KZ
GSK Investigational Site
Groningen, 9713 GZ
GSK Investigational Site
Harderwijk, 3844 DG
GSK Investigational Site
Nijmegen, 6525 GA
GSK Investigational Site
Utrecht, 3543 AZ
GSK Investigational Site
Zwolle, 8025 AB
Australia6 sites
GSK Investigational Site
Ashford, South Australia, 5037
GSK Investigational Site
Ballarat, Victoria, 3350
GSK Investigational Site
Hobart, Tasmania, 7000
GSK Investigational Site
Melbourne, Victoria, 3004
GSK Investigational Site
Mount Waverley, Victoria, 3350
GSK Investigational Site
South Brisbane, Queensland, 4101
Poland6 sites
GSK Investigational Site
Bydgoszcz, 85-796
GSK Investigational Site
Gdynia, 81-519
GSK Investigational Site
Lodz, 90-338
GSK Investigational Site
Olsztyn, 10-357
GSK Investigational Site
Piła, 64-920
GSK Investigational Site
Poznan, 60-693
Canada5 sites
GSK Investigational Site
Greater Sudbury, Ontario, P3E 5J1
GSK Investigational Site
Greenfield Park, Quebec, J4V 2H1
GSK Investigational Site
Kingston, Ontario, K7L 2V7
GSK Investigational Site
Montreal, Quebec, H3T 1E2
GSK Investigational Site
Oshawa, Ontario, L1G 2B9
Romania5 sites
GSK Investigational Site
Bucharest, 013812
GSK Investigational Site
Craiova, 200347
GSK Investigational Site
Craiova Dolj, 200385
GSK Investigational Site
Otopeni, 075100
GSK Investigational Site
Timișoara, 300239
United Kingdom5 sites
GSK Investigational Site
Cardiff, CF14 2TL
GSK Investigational Site
Edinburgh, EH4 2XU
GSK Investigational Site
London, SE1 9RT
GSK Investigational Site
London, W1G 6AD
GSK Investigational Site
Manchester, M20 4BX
Japan4 sites
GSK Investigational Site
Kyoto, 612-8555
GSK Investigational Site
Miyagi, 981-1293
GSK Investigational Site
Osaka, 591-8555
GSK Investigational Site
Yamaguchi, 755-0241
Russia4 sites
GSK Investigational Site
Chelyabinsk, 454048
GSK Investigational Site
Moscow Region, 143423
GSK Investigational Site
Pushkin, 196603
GSK Investigational Site
Saint Petersburg, 197022
Thailand4 sites
GSK Investigational Site
Dusit, 10300
GSK Investigational Site
Kho Hong Hat Yai, 90110
GSK Investigational Site
Khon Kaen, 40002
GSK Investigational Site
Pathum Thani, 12120
Belgium3 sites
GSK Investigational Site
Aalst, 9300
GSK Investigational Site
Hasselt, 3500
GSK Investigational Site
Kortrijk, 8500
Sweden3 sites
GSK Investigational Site
Gävle, SE-801 87
GSK Investigational Site
Stockholm, 171 64
GSK Investigational Site
Uppsala, SE-751 85
Turkey (Türkiye)3 sites
GSK Investigational Site
Adana, 1120
GSK Investigational Site
Antalya, 07020
GSK Investigational Site
Izmir, 35600
Finland2 sites
GSK Investigational Site
Helsinki, 00180
GSK Investigational Site
Kuopio, 70210
About this study
Official title: A Randomized, Open Label Phase 2/3 Study Comparing Cobolimab + Dostarlimab + Docetaxel To Dostarlimab + Docetaxel To Docetaxel Alone In Participants With Advanced Non-small Cell Lung Cancer Who Have Progressed On Prior Anti-PD-(L)1 Therapy And Chemotherapy (COSTAR Lung)
This is a multi-center, parallel group treatment, Phase 2/3 open label study evaluating cobolimab in combination with dostarlimab and docetaxel in participants with advanced non-small cell Lung Cancer (NSCLC) who have progressed on prior anti-PD-(L)1 therapy and chemotherapy.
- Conditions
- Lung Cancer, Non-Small Cell
- Being tested
- Cobolimab, Dostarlimab, Docetaxel
- Keywords
- GSK4069889A, GSK4057190A, Cobolimab, Dostarlimab, Docetaxel, Chemotherapy
- 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.
CobolimabBiological
Cobolimab will be administered.
DostarlimabBiological
Dostarlimab will be administered.
DocetaxelDrug
Docetaxel will be administered.
| Study group | Role | What they receive |
|---|---|---|
| Participants receiving cobolimab+ dostarlimab+ docetaxel | Experimental | Not described Receives: Biological: Cobolimab; Biological: Dostarlimab; Drug: Docetaxel |
| Participants receiving dostarlimab+ docetaxel | Experimental | Not described Receives: Biological: Dostarlimab; Drug: Docetaxel |
| Participants receiving docetaxel | Active comparator | Not described Receives: Drug: Docetaxel |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival (OS) (Arm A Versus Arm C)
OS is defined as the time from the date of randomization to the date of death due to any cause.
Measured: Up to approximately 234 weeks
Overall Survival (OS) (Arm B Versus Arm C)
OS is defined as the time from the date of randomization to the date of death due to any cause.
Measured: Up to approximately 234 weeks
Secondary outcomes (19)
Overall Survival (OS) (Arm A Versus Arm B)
OS is defined as the time from the date of randomization to the date of death due to any cause.
Measured: Up to approximately 234 weeks
Overall Response Rate (ORR)
ORR is defined as the percentage of participants who have achieved confirmed complete response (CR) or confirmed partial response (PR) as the best overall response based on Investigator assessment, evaluated using Response Evaluation Criteria in Solid Tumors Criteria (RECIST) version 1.1 . PR: at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters. CR: disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (<)10 millimeters (mm).
Measured: Up to approximately 234 weeks
Progression Free Survival (PFS)
PFS is defined as the length of time from randomization to the earliest date of assessment of disease progression based on RECIST v1.1 by Investigator assessment or death by any cause, whichever occurs first. Progressive Disease is defined as at least a 20% increase in the sum of the diameters of target lesions, taking as a reference, the smallest sum of diameters recorded since the treatment started (e.g. percent change from nadir, where nadir is defined as the smallest sum of diameters recorded since treatment start. In addition, the sum has an absolute increase from nadir of 5 mm.)
Measured: Up to approximately 234 weeks
Duration of Response (DOR)
DOR is defined as the time from first documented response (CR/PR) until the time of first documentation of disease progression based on RECIST version 1.1 by Investigator assessment or death, whichever occurs first. PR: at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters. CR: disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (<)10 millimeters (mm). Progressive Disease is defined as at least a 20% increase in the sum of the diameters of target lesions, taking as a reference, the smallest sum of diameters recorded since the treatment started (e.g. percent change from nadir, where nadir is defined as the smallest sum of diameters recorded since treatment start).
Measured: Up to approximately 234 weeks
Time to Deterioration (TTD) in Lung Cancer
TTD in lung cancer is defined as time from randomization to meaningful deterioration on a composite endpoint of dyspnea, chest pain, and cough, from the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire 13 item Lung Cancer Module (EORTC-QLQ-LC13).
Measured: Up to approximately 234 weeks
Change From Baseline (CFB) in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire 30-item Core Module (EORTC QLQ-C30) Score
The EORTC QLQ-C30 includes 30-items with single and multi-item scales. These include five functional scales (physical functioning [PF], role functioning [RF], emotional functioning [EF] cognitive functioning [CF] and social functioning [SF]), three symptom scales (fatigue, nausea/vomiting [N/V] and pain), a global health status (GHS)/ Quality-of-Life (QoL) scale, and six single items (dyspnea, insomnia, appetite loss [AL], constipation, diarrhea and financial difficulties [FD]). Response options are 1 (Not at all) to 4 (Very much). Scores were averaged and transformed to 0 to 100, a high score for functional scales/ GHS/QoL represent better functioning ability or health-related quality-of-life (HRQoL), whereas a high score for symptom scales/ single items represent significant symptomatology. Baseline is defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits.
Measured: Baseline [Day(D) -1],D1 on Cycle(C)(s) 2,3,4,5,6,9,12,15,18,22,26,30,34,38,42,46,50,54, 58,62,66, End of treatment (EoT- up to approximately(~) 216 weeks), Safety follow up (SFU) at D30 after EOT (~ 220 weeks) & at D90 after EOT (~ 229 weeks)
Change From Baseline in the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire 13 Item Lung Cancer Module (EORTC-QLQ-LC13) Assessment
The QLQ-LC13 questionnaire comprises 13 questions assessing lung cancer-associated symptoms (cough, hemoptysis, dyspnea and site-specific pain which includes pain in chest, pain in arm or shoulder and pain in other parts), and treatment-related side effects (sore mouth [SM], dysphagia, peripheral neuropathy [PN] and alopecia). Response options are 1 (Not at all) to 4 (Very much). Scores were averaged and transformed to 0 to 100. Higher scores represent increasing symptom levels. Baseline is defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits.
Measured: Baseline (D -1),D1 on Cycle(C)(s) 2,3,4,5,6,9,12,15,18,22,26,30,34,38,42,46,50,54, 58,62,66, End of treatment (EoT- up to approximately(~) 216 weeks), Safety follow up (SFU) at D30 after EOT (~ 220 weeks) & at D90 after EOT (~ 229 weeks)
Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG) Findings
ECGs were recorded after the participants were in a supine or semi-recumbent position (about 30 degrees of elevation) and rested for approximately 2 minutes. ECG findings are summarized as clinically significant change from baseline worst case hierarchy: Yes > No > Not Applicable (NA).
Measured: Baseline (Day-1) up to Cycle 1 Day 1
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious AEs (SAEs) and Immune-mediate AEs (imAEs)
A TEAE is any event that was not present prior to the initiation of study treatment or any event already present that worsens in either intensity or frequency following exposure to study treatment. SAE is defined as any untoward medical occurrence that, at any dose resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent disability/incapacity, or is a congenital anomaly/birth defect, other situations which involved medical or scientific judgment or is associated with liver injury and impaired liver function. SAEs are subset of AEs. AEs will be coded using the Medical Dictionary for Regulatory Activities (MedDRA dictionary).
Measured: Up to 329 weeks
Number of Participants With TEAEs Leading to Death and Treatment Discontinuation
A TEAE is any event that was not present prior to the initiation of study treatment or any event already present that worsens in either intensity or frequency following exposure to study treatment.
Measured: Up to 329 weeks
Number of Participants Using Concomitant Medications
Number of participants using concomitant medications will be presented.
Measured: Up to 329 weeks
Number of Participants With Worst Case Hematology Results Relative to Normal Range Post-Baseline Relative to Baseline
Blood samples will be collected for the analysis of hematology parameters.
Measured: Up to 329 weeks
Number of Participants With Worst Case Clinical Chemistry Results by Maximum Grade Increase Post-Baseline Relative to Baseline
Blood samples will be collected for the analysis of Clinical Chemistry parameters.
Measured: Up to 329 weeks
Number of Participants With Worst Case Thyroid Function Results by Maximum Grade Increase Post-Baseline Relative to Baseline
Blood samples will be collected for the analysis of thyroid function
Measured: Up to 329 weeks
Number of Participants With Worst Case Urinalysis Results Relative to Normal Range Post-Baseline Relative to Baseline
Urine samples will be collected to analyze urine specific gravity.
Measured: Up to 329 weeks
Number of Participants With Worst Case Vital Signs Results Relative to Normal Range Post-Baseline Relative to Baseline
Vital signs will be assessed
Measured: Up to 329 weeks
Number of Participants With Maximum Grade Increase Post-Baseline Relative to Baseline in Vital Signs
Vital signs will be assessed and presented
Measured: Baseline (Day -1) and Up to 281 weeks
Number of Participants With Indicated Eastern Cooperative Oncology Group (ECOG) Performance Status
Performance status will be assessed using the ECOG performance status scale.
Measured: Up to 329 weeks
Number of Participants With Abnormal Physical Examinations
Number of participants with abnormal physical examinations will be presented
Measured: Up to approximately 234 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Dec 2020
- Study start8 Dec 2020
- Primary completion5 Jun 2025
- Study completion30 Mar 2027 (estimated)
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.
- Other trials for Lung Cancer, Non-Small CellStudies of the same condition, open and under way.
- More trials run by GlaxoSmithKlineThe 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 2/3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 758 participants (actual)
Sponsor and investigators
- Lead sponsor
- GlaxoSmithKline
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- GSK Clinical Trials, Study director, GlaxoSmithKline
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04655976
- Sponsor's protocol ID
- 213410
- Other IDs
- 2020-003433-37
- Acronym
- COSTAR Lung
- Status last verified
- Jun 2026
- First submitted
- 30 Nov 2020
- Last updated
- 1 Jul 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: IPD for this study will be made available via the Clinical Study Data Request site.
Study at a glance
From the registry record, last updated by the sponsor on 1 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Open Label Phase 2/3 Study Comparing Cobolimab + Dostarlimab + Docetaxel To Dostarlimab + Docetaxel To Docetaxel Alone In Participants With Advanced Non-small Cell Lung Cancer Who Have Progressed On Prior Anti-PD-(L)1 Therapy And Chemotherapy (COSTAR Lung)
- ClinicalTrials.gov ID
- NCT04655976
- Acronym / sponsor ID
- COSTAR Lung / 213410
- Conditions
- Lung Cancer, Non-Small Cell
- Keywords
- GSK4069889A, GSK4057190A, Cobolimab, Dostarlimab, Docetaxel, Chemotherapy
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 758 participants (actual)
- Lead sponsor
- GlaxoSmithKlineIndustry (pharma, biotech, devices)
- Study start
- 8 Dec 2020 (actual)
- Primary completion
- 5 Jun 2025 (actual)
- Study completion
- 30 Mar 2027 (estimated)
- First posted
- 7 Dec 2020 (actual)
- Results
- Posted 1 Jul 2026
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a multi-center, parallel group treatment, Phase 2/3 open label study evaluating cobolimab in combination with dostarlimab and docetaxel in participants with advanced non-small cell Lung Cancer (NSCLC) who have progressed on prior anti-PD-(L)1 therapy and chemotherapy.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Participants receiving cobolimab+ dostarlimab+ docetaxel | Experimental | Biological: Cobolimab, Biological: Dostarlimab, Drug: Docetaxel |
| Participants receiving dostarlimab+ docetaxel | Experimental | Biological: Dostarlimab, Drug: Docetaxel |
| Participants receiving docetaxel | Active comparator | Drug: Docetaxel |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Participant has histologically or cytologically proven advanced or metastatic NSCLC and only squamous or non-squamous cell carcinoma.
- Participant has received no more than 2 prior lines of therapy for advanced or metastatic disease, which must only include a platinum based (e.g., cisplatin, carboplatin) doublet chemotherapy regimen and an anti-PD-1 or an anti-PD-(L)1 antibody.
- Participant has measurable disease.
- Participant has documented radiographic disease progression on prior platinum based chemotherapy and on or after prior anti-PD-(L)1 therapy.
- Participant agrees to submit an archival formalin-fixed paraffin-embedded (FFPE) tumor tissue specimen that was collected on or after diagnosis of metastatic disease. If archival tissue is not available, the participant must undergo biopsy prior to study entry.
Key exclusion criteria (16 listed)
- Participant has been previously treated with an anti-PD-[L]1 or anti-programmed death-ligand 2 (anti-PD-[L]2) agent that resulted in permanent discontinuation due to an AE.
- Participant has been previously treated with an anti-T cell immunoglobulin and mucin domain containing 3 (anti-TIM-3) or anti-cytotoxic T lymphocyte associated protein 4 (CTLA 4) agent or docetaxel.
- Participant has a documented sensitizing epidermal growth factor receptor (EGFR), anaplastic lymphoma kinase (ALK), or c-ros oncogene 1 (ROS-1) mutation. Participants whose tumors have not been tested for these driver mutations and therefore who have unknown driver mutation status are not eligible. Participants with squamous histology do not need to be tested for these driver mutations.
- Participant had radiological or clinical disease progression (i.e., worsening performance status, clinical symptoms, and laboratory data) <=8 weeks after initiation of prior anti-programmed cell death protein 1 (anti-PD-1) or anti-PD-L1 antibody. The clinical disease progression should have been confirmed by a subsequent radiological scan.
- Participant has received radiation to the lung that is >30 gray (Gy) within 6 months prior to the first dose of study treatment.
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 |
|---|---|---|
| CobolimabCobolimab will be administered. | Biological | Participants receiving cobolimab+ dostarlimab+ docetaxel |
| DostarlimabDostarlimab will be administered. | Biological | Participants receiving cobolimab+ dostarlimab+ docetaxel, Participants receiving dostarlimab+ docetaxel |
| DocetaxelDocetaxel will be administered. | Drug | Participants receiving cobolimab+ dostarlimab+ docetaxel, Participants receiving docetaxel, Participants receiving dostarlimab+ docetaxel |
Primary outcome
Overall Survival (OS) (Arm A Versus Arm C)
Time frame: Up to approximately 234 weeks
OS is defined as the time from the date of randomization to the date of death due to any cause.
Overall Survival (OS) (Arm B Versus Arm C)
Time frame: Up to approximately 234 weeks
OS is defined as the time from the date of randomization to the date of death due to any cause.
19 secondary outcomes
Overall Survival (OS) (Arm A Versus Arm B)
Time frame: Up to approximately 234 weeks
Overall Response Rate (ORR)
Time frame: Up to approximately 234 weeks
Progression Free Survival (PFS)
Time frame: Up to approximately 234 weeks
Duration of Response (DOR)
Time frame: Up to approximately 234 weeks
Time to Deterioration (TTD) in Lung Cancer
Time frame: Up to approximately 234 weeks
Change From Baseline (CFB) in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire 30-item Core Module (EORTC QLQ-C30) Score
Time frame: Baseline [Day(D) -1],D1 on Cycle(C)(s) 2,3,4,5,6,9,12,15,18,22,26,30,34,38,42,46,50,54, 58,62,66, End of treatment (EoT- up to approximately(~) 216 weeks), Safety follow up (SFU) at D30 after EOT (~ 220 weeks) & at D90 after EOT (~ 229 weeks)
Change From Baseline in the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire 13 Item Lung Cancer Module (EORTC-QLQ-LC13) Assessment
Time frame: Baseline (D -1),D1 on Cycle(C)(s) 2,3,4,5,6,9,12,15,18,22,26,30,34,38,42,46,50,54, 58,62,66, End of treatment (EoT- up to approximately(~) 216 weeks), Safety follow up (SFU) at D30 after EOT (~ 220 weeks) & at D90 after EOT (~ 229 weeks)
Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG) Findings
Time frame: Baseline (Day-1) up to Cycle 1 Day 1
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious AEs (SAEs) and Immune-mediate AEs (imAEs)
Time frame: Up to 329 weeks
Number of Participants With TEAEs Leading to Death and Treatment Discontinuation
Time frame: Up to 329 weeks
Number of Participants Using Concomitant Medications
Time frame: Up to 329 weeks
Number of Participants With Worst Case Hematology Results Relative to Normal Range Post-Baseline Relative to Baseline
Time frame: Up to 329 weeks
Number of Participants With Worst Case Clinical Chemistry Results by Maximum Grade Increase Post-Baseline Relative to Baseline
Time frame: Up to 329 weeks
Number of Participants With Worst Case Thyroid Function Results by Maximum Grade Increase Post-Baseline Relative to Baseline
Time frame: Up to 329 weeks
Number of Participants With Worst Case Urinalysis Results Relative to Normal Range Post-Baseline Relative to Baseline
Time frame: Up to 329 weeks
Number of Participants With Worst Case Vital Signs Results Relative to Normal Range Post-Baseline Relative to Baseline
Time frame: Up to 329 weeks
Number of Participants With Maximum Grade Increase Post-Baseline Relative to Baseline in Vital Signs
Time frame: Baseline (Day -1) and Up to 281 weeks
Number of Participants With Indicated Eastern Cooperative Oncology Group (ECOG) Performance Status
Time frame: Up to 329 weeks
Number of Participants With Abnormal Physical Examinations
Time frame: Up to approximately 234 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Jul 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: Yes. IPD for this study will be made available via the Clinical Study Data Request site.
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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.
GSK Clinical Trials study director
GlaxoSmithKline
163 sites in 24 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2/3 study testing Cobolimab, Dostarlimab and Docetaxel in people with Lung Cancer, Non-Small Cell, run by GlaxoSmithKline at 163 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 10 inclusion and 16 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: under way, not looking for participants, as of the sponsor's last update on 1 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 163 sites in United States, Germany, Spain, Italy, South Korea 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 combined phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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 1 Jul 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) (Arm A Versus Arm C) (time frame: Up to approximately 234 weeks). 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?
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 1 Jul 2026; AzTrials last refreshed its copy on 26 Oct 2026.