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Non-Small-Cell Lung CarcinomaPhase 1/2ARTEMIDE-01NCT04995523

A Study of AZD2936 Anti-TIGIT/Anti-PD-1 Bispecific Antibody in Participants With Advanced or Metastatic NSCLC

A Phase 1/2 study testing AZD2936 in people with Non-Small-Cell Lung Carcinoma, run by AstraZeneca at 40 sites in 16 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

This is a Phase I/II study designed to evaluate if experimental anti-TIGIT/anti-PD-1 bispecific antibody rilvegostomig (AZD2936) is safe, tolerable and efficacious in participants with Advanced or Metastatic Non-small Cell Lung Cancer. Read more about this study

Who is it for?
Ages 18 to 130 years
Conditions the study is for
Non-Small-Cell Lung Carcinoma
What is being tested?
AZD2936
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
212 participants
Where
40 sitesin 16 countries
Study dates
14 Sep 2021to 1 Jun 2028
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

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 to 130 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Written informed consent
  • Aged 18 or above
  • Part A and Part B: Unresectable stage III or stage IV squamous or non-squamous NSCLC not amenable to curative surgery or radiation. Part C and Part D: Stage IV squamous or non-squamous NSCLC not amenable to curative surgery or radiation. Part E: Stage IV squamous NSCLC not amenable to curative surgery or radiation.
  • Documented PD-L1 expression by PD-L1 IHC per local report.
  • Part A and Part B: Confirmed progression during treatment with a CPI-including regimen.
  • Part C and Part D: No prior I/O treatment for metastatic NSCLC.
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  • Part E: No prior treatment for metastatic NSCLC.
  • ECOG performance status of 0 or 1 at enrolment.
  • Life expectancy of ≥ 12 weeks at enrolment.
  • Have at least 1 measurable lesion per RECIST v1.1.
  • Adequate bone marrow, liver and kidney function

Who cannot join

  • Sensitizing epidermal growth factor receptor (EGFR) mutations or anaplastic lymphoma kinase (ALK) fusion
  • Documented test result for any other known genomic alteration for which a targeted therapy is approved in first line per local standard of care (e.g. ROS1, NTRK fusions, BRAF, V600E mutation)
  • Previous treatment with an anti-TIGIT therapy
  • Any concurrent chemotherapy, radiotherapy, investigational, biologic, or hormonal therapy for cancer treatment.
  • Part A and Part B: Primary or secondary resistance after treatment with 2 or more regiments including a CPI.
  • Part C and Part D: Any prior systemic treatment with an immune oncology agent (prior administration of immune-oncology agent for curative intent to treat other invasive malignancy is permitted).
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  • Treatment with one previous systemic chemotherapy will be allowed.
  • Part E: Any prior systemic treatment for metastatic NSCLC, including but not limited to chemotherapy, anti-PD-1, anti-PD-L1, anti-CTLA-4.
  • Symptomatic central nervous system (CNS) metastasis.
  • Thromboembolic event within 3 months prior to enrolment.
  • Other invasive malignancy within 2 years prior to screening.

Trial locations and contacts

40 sites in 16 countries.

40 sites in 16 countries

Brazil5 sites
  • Research Site

    Florianópolis, 88034-000

  • Research Site

    Natal, 59075-740

  • Research Site

    Porto Alegre, 90035903

  • Research Site

    Rio de Janeiro, 20231-050

  • Research Site

    São Paulo, 01246-000

Other trials in Brazil

Japan4 sites
  • Research Site

    Kashiwa, 227-8577

  • Research Site

    Niigata, 951-8566

  • Research Site

    Sendai, 981-0914

  • Research Site

    Tokyo, 104-0045

Other trials in Japan

Taiwan4 sites
  • Research Site

    Taichung, 40201

  • Research Site

    Taichung, 40705

  • Research Site

    Tainan, 70403

  • Research Site

    Taipei, 110

Other trials in Taiwan

United States3 sites
  • Research Site

    Chicago, Illinois, 60637

  • Research Site

    Fairfax, Virginia, 22031

  • Research Site

    Rochester, Minnesota, 55905

Other trials in United States

Netherlands3 sites
  • Research Site

    Groningen, 9713 GZ

  • Research Site

    Leiden, 2333 ZA

  • Research Site

    Utrecht, 3584 CX

Other trials in Netherlands

South Korea3 sites
  • Research Site

    Seoul, 03082

  • Research Site

    Seoul, 03722

  • Research Site

    Seoul, 05505

Other trials in South Korea

Spain3 sites
  • Research Site

    Barcelona, 08035

  • Research Site

    Madrid, 28027

  • Research Site

    Madrid, 28041

Other trials in Spain

Thailand3 sites
  • Research Site

    Bangkok, 10700

  • Research Site

    Chanthaburi, 22000

  • Research Site

    Muang, 50200

Other trials in Thailand

Belgium2 sites
  • Research Site

    Anderlecht, 1070

  • Research Site

    Leuven, 3000

Other trials in Belgium

China2 sites
  • Research Site

    Chengdu, 610041

  • Research Site

    Chongqing, 400030

Other trials in China

France2 sites
  • Research Site

    Dijon, 21079

  • Research Site

    Toulouse, 31059

Other trials in France

Malaysia2 sites
  • Research Site

    Kuala Lumpur, 59100

  • Research Site

    Kuching, 93586

Other trials in Malaysia

Australia1 site
  • Research Site

    Melbourne, 3000

Other trials in Australia

Denmark1 site
  • Research Site

    Copenhagen, 2100

Other trials in Denmark

Georgia1 site
  • Research Site

    Tbilisi, 0112

Other trials in Georgia

Moldova1 site
  • Research Site

    Chisinau, MD-2025

Other trials in Moldova

About this study

Official title: Phase I/II, Open-label, Dose Escalation and Dose Expansion Study to Evaluate Safety, Pharmacokinetics, Pharmacodynamics and Efficacy of AZD2936 Anti-TIGIT/Anti-PD-1 Bispecific Antibody in Participants With Advanced or Metastatic NSCLC

This is a Phase I/II study designed to evaluate if experimental anti-TIGIT/anti-PD-1 bispecific antibody rilvegostomig (AZD2936) is safe, tolerable and efficacious in participants with Advanced or Metastatic Non-small Cell Lung Cancer.

Read the detailed description

This is a first-time-in-human (FTIH), open-label, multicenter, multi-part, dose-escalation and dose-expansion study to evaluate the safety, pharmacokinetics (PK), pharmacodynamics, and efficacy of rilvegostomig (AZD2936) in adult participants with stage III unresectable or stage IV NSCLC. The study includes 4 parts: Part A (dose escalation) and Parts B-E (dose expansion).

Being tested
AZD2936
Keywords
TIGIT, Anti-TIGIT, PD-1, Anti-PD-1, NSCLC, Non-small Cell Lung Cancer, Advanced, Metastatic, Solid Tumor, Solid Tumour, Stage 3 NSCLC, Stage III NSCLC, Stage 4 NSCLC, Stage IV NSCLC, PD L1+ tumors
Medical subject headings
Carcinoma, Non-Small-Cell Lung, Parkinson Disease 4, Autosomal Dominant Lewy Body, Neoplasm Metastasis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AZD2936Drug

    Also called Rilvegostomig

    Anti-TIGIT/Anti-PD-1 Bispecific Antibody

Study groups in NCT04995523
Study groupRoleWhat they receive
Dose Escalation Part A: Checkpoint inhibitor (CPI) experienced Non-small Cell Lung Cancer (NSCLC)ExperimentalRilvegostomig Intravenous (IV) monotherapy
Receives: Drug: AZD2936
Dose Expansion Part B: CPI experienced NSCLCExperimentalRilvegostomig IV monotherapy
Receives: Drug: AZD2936
Dose Expansion Part C: CPI Naive NSCLCExperimentalRilvegostomig IV monotherapy
Receives: Drug: AZD2936
Dose Expansion Part D: CPI Naive NSCLCExperimentalRilvegostomig IV monotherapy
Receives: Drug: AZD2936
Dose Expansion Part E: treatment Naive Squamous NSCLCExperimentalRilvegostomig IV monotherapy
Receives: Drug: AZD2936

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of participants with adverse events (AEs) and immune mediated AEs (imAEs), serious AEs (SAEs), dose limiting toxicities (DLTs), vital signs, and abnormal laboratory parameters

    A DLT is a toxicity defined by the study protocol that occurs from the first dose of study intervention up to the end of the DLT evaluation period that is assessed as clearly unrelated to the primary disease or intercurrent illness.

    Measured: Part A, B, C, D and E: From the time of informed consent until 90 days after the last dose of rilvegostomig

  2. Rate of rilvegostomig discontinuation due to toxicity

    Percentage of participants with AEs leading to discontinuation of rilvegostomig

    Measured: Part A, B, C, D and E: From first dose to the last dose of rilvegostomig (an average of 6 months)

  3. Objective Response Rate (ORR)

    Percentage of participants with a confirmed Complete Response (CR) or Partial Response (PR) according to RECIST v1.1

    Measured: Part B, C, D and E: From first dose of rilvegostomig to progressive disease (PD) or death in the absence of disease progression (approximately 2 years)

Secondary outcomes (11)
  1. ORR

    Percentage of participants with a confirmed CR or PR according to RECIST v1.1

    Measured: Part A: From first dose of rilvegostomig to PD or death in the absence of disease progression (approximately 2 years).

  2. Disease control rate (DCR)

    Percentage of participants who have a best objective response of confirmed CR or PR or who have SD lasting for at least a certain time of period after start of treatment

    Measured: Part A, B, C, E: From first dose of rilvegostomig to PD or death in the absence of disease progression (approximately 2 years). Part D: From randomization to PD or death in the absence of disease progression (approximately 2 years).

  3. Duration of response (DoR)

    The time from first response according to RECIST v1.1 until progression or death in the absence of disease progression

    Measured: Part A, B, C, D and E: From first dose of rilvegostomig to PD or death in the absence of disease progression (approximately 2 years).

  4. Durable response rate (DRR)

    The percentage of participants according to RECIST v1.1 with a confirmed CR or PR lasting 6 months or more

    Measured: Part A, B, C, D and E: From first dose of rilvegostomig to PD or death in the absence of disease progression (approximately 2 years).

  5. Progression-free survival (PFS)

    The time from first dose of study intervention until the date of objective disease progression or death in the absence of disease progression

    Measured: Part B, C, E: From first dose of rilvegostomig to PD or death in the absence of disease progression (approximately 2 years). Part D: From randomization to PD or death in the absence of disease progression (approximately 2 years).

  6. Measure the receptor occupancy (RO) of TIGIT and PD-1 on peripheral blood

    Evaluation of the target engagement of rilvegostomig in peripheral blood

    Measured: Part A, B: From first dose of study intervention, at predefined intervals throughout the administration of rilvegostomig (approximately 2 years). The predefined intervals for Part A will be different from Part B.

  7. PK of rilvegostomig: Maximum plasma concentration of the study drug (Cmax)

    Maximum observed plasma concentration of rilvegostomig

    Measured: From first dose of study intervention, at predefined intervals throughout the administration of rilvegostomig (approximately 2 years). The predefined intervals for Part A will be different from Part B, C, D and E.

  8. PK of rilvegostomig: Area under the concentration-time curve (AUC)

    Area under the plasma concentration-time curve

    Measured: From first dose of study intervention, at predefined intervals throughout the administration of rilvegostomig (approximately 2 years). The predefined intervals for Part A will be different from Part B, C, D and E.

  9. PK of rilvegostomig: Clearance

    A pharmacokinetic measurement of the volume of plasma from which the study intervention is completely removed per unit time.

    Measured: From first dose of study intervention, at predefined intervals throughout the administration of rilvegostomig (approximately 2 years). The predefined intervals for Part A will be different from Part B, C, D and E.

  10. PK of rilvegostomig: Terminal elimination half-life (t 1/2)

    Terminal elimination half life

    Measured: From first dose of study intervention, at predefined intervals throughout the administration of rilvegostomig (approximately 2 years). The predefined intervals for Part A will be different from Part B, C, D and E.

  11. Incidence of anti-drug antibodies (ADA) against rilvegostomig in serum

    Immunogenicity of rilvegostomig

    Measured: From first dose of study intervention, at predefined intervals throughout the administration of rilvegostomig (approximately 2 years). The predefined intervals for Part A will be different from Part B, C, D and E.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Aug 2021
  2. Study start14 Sep 2021
  3. Primary completion28 Aug 2026 (estimated)
  4. Study completion1 Jun 2028 (estimated)

Resources

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 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Model description
The study includes 5 parts: Part A: Dose escalation; B \& C \& E: Dose expansion non-randomized; D: Randomized RP2D \& alternative dose.
Masking
None (open label)
Enrolment
212 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04995523
Sponsor's protocol ID
D7020C00001
Other IDs
2023-508262-15-00, 2021-000857-23, 2023
Acronym
ARTEMIDE-01
Status last verified
Jul 2026
First submitted
16 Jul 2021
Last updated
14 Jul 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing AZD2936 in people with Non-Small-Cell Lung Carcinoma, run by AstraZeneca at 40 sites in 16 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 11 inclusion and 11 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 14 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 40 sites in Brazil, Japan, Taiwan, United States, Netherlands and 11 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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?

Percentage of participants with adverse events (AEs) and immune mediated AEs (imAEs), serious AEs (SAEs), dose limiting toxicities (DLTs), vital signs, and abnormal laboratory parameters (time frame: Part A, B, C, D and E: From the time of informed consent until 90 days after the last dose of rilvegostomig). The study lists 3 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 14 Jul 2026.

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