Lung Cancer, Non-Small CellPhase 2NCT05565378
A Platform Study of Novel Immunotherapy Combinations in Participants With Previously Untreated, Advanced/Metastatic Non-Small-Cell Lung Cancer
A Phase 2 study testing Pembrolizumab, Dostarlimab and Belrestotug in people with Lung Cancer, Non-Small Cell, run by GlaxoSmithKline at 99 sites in 22 countries.
Trial summary
This study will monitor the safety of novel immunotherapy combinations in participants with Programmed death ligand-1 (PD L-1) high (Tumor cells [TC]/ Tumor proportion score [TPS] >= 50%), previously untreated, unresectable, locally advanced or metastatic non-small cell lung cancer (NSCLC). 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?
- Pembrolizumab, Dostarlimab and Belrestotug
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 351 participants
- Where
- 99 sitesin 22 countries
- Study dates
- 14 Oct 2022to 6 Dec 2027
- Phase
- Phase 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologically or cytologically confirmed diagnosis of locally advanced unresectable NSCLC not eligible for curative surgery and/or definitive radiotherapy with or without chemotherapy or metastatic NSCLC (squamous or non squamous)
- No prior systemic therapy for their locally advanced or metastatic NSCLC
- Provides a fresh tumor tissue sample or archival sample collected within 2 years prior to screening
- PD-L1-high (TC/TPS >= 50%) tumor
- Measurable disease based on RECIST 1.1, as determined by the investigator
- Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0 or 1
- Adequate Baseline organ function
- Female participants of childbearing potential must use adequate contraception
Who cannot join
- Has NSCLC with a tumor that harbors any of the following molecular alterations: EGFR and /or ALK translocations mutations that are sensitive to available targeted inhibitor therapy, Any other known genomic aberrations or oncogenic driver mutations for which a locally approved targeted therapy is available for first-line treatment of locally advanced or metastatic NSCLC.
- Had major surgery within 4 weeks or lung radiation of >30 Gy therapy within 6 months prior to the first dose of study intervention
- Received prior therapy with any immune checkpoint inhibitors
- Never smoked, defined as smoking <100 tobacco cigarettes in a lifetime
- Has an invasive malignancy or history of invasive malignancy other than the disease under study within the last 5 years (clinical exceptions apply as per protocol)
- Symptomatic, untreated, or actively progressing, brain metastases or any leptomeningeal disease (regardless of symptomatology, treatment status, or stability)
Show all 17Show fewer
- Autoimmune disease or syndrome that required systemic treatment within the past 2 years
- Receiving systemic steroid therapy <= 3 days prior to first dose of study intervention or any form of immunosuppressive medication
- Received any live vaccine <= 30 days prior to first dose of study intervention
- Any history of idiopathic pulmonary fibrosis, organizing pneumonia, drug induced pneumonitis, idiopathic pneumonitis, or evidence of active pneumonitis
- History or evidence of cardiac abnormalities
- Current unstable liver or biliary disease
- Severe infection within 4 weeks prior to the first dose of study intervention
- Positive for tuberculosis, human immunodeficiency virus (HIV) infection, hepatitis B surface antigen, or hepatitis C
- Has advanced, symptomatic, or visceral spread and is considered to be at imminent risk of life-threatening complications (including, but not limited to, massive uncontrolled effusions [e.g., pleural, pericardial, peritoneal])
- Is currently participating in or has participated in a study of an investigational therapy within 4 weeks prior to the first dose of study intervention
- Has a history of allogeneic tissue/stem cell transplant or solid organ transplant
Trial locations and contacts
99 sites in 22 countries.
99 sites in 22 countries
Spain12 sites
GSK Investigational Site
Badajoz, 06080
GSK Investigational Site
Badalona, 08916
GSK Investigational Site
Barcelona, 08035
GSK Investigational Site
Barcelona, 08907
GSK Investigational Site
Las Palmas de Gran Canar, 35016
GSK Investigational Site
Madrid, 28027
GSK Investigational Site
Madrid, 28041
GSK Investigational Site
Madrid, 28046
GSK Investigational Site
Málaga, 29010
GSK Investigational Site
PamplonaNavarra, 28027
GSK Investigational Site
Valencia, 46009
GSK Investigational Site
Valencia, 46026
Argentina8 sites
GSK Investigational Site
Buenos Aires, C1426ABP
GSK Investigational Site
Cipoletti Rio Negro, R8324CVE
GSK Investigational Site
Ciudad Autonoma de Buenos Aire, C1414DRK
GSK Investigational Site
Ciudad Autonoma de Buenos Aire, C1426AGE
GSK Investigational Site
Florida, 1602
GSK Investigational Site
Mar del Plata, 7600
GSK Investigational Site
San Juan, J5402DIL
GSK Investigational Site
Santa Fe, 3000
Greece7 sites
GSK Investigational Site
Athens, 11528
GSK Investigational Site
Haidari - Athens, 12462
GSK Investigational Site
Larissa, 41110
GSK Investigational Site
PapagosAthens, 115 27
GSK Investigational Site
Pylaia Thessaloniki, 57001
GSK Investigational Site
Thessaloniki, 54645
GSK Investigational Site
Thessaloniki, 57010
Japan6 sites
GSK Investigational Site
Chiba, 277-8577
GSK Investigational Site
Fukuoka, 812-8582
GSK Investigational Site
Hyōgo, 673-8558
GSK Investigational Site
Kanagawa, 241-8515
GSK Investigational Site
Osaka, 590-0197
GSK Investigational Site
Saitama, 350-1298
France5 sites
GSK Investigational Site
Bordeaux, 33076
GSK Investigational Site
Caen, 14033
GSK Investigational Site
Marseille, 13009
GSK Investigational Site
Quimper, 29107
GSK Investigational Site
Strasbourg, 67091
Germany5 sites
GSK Investigational Site
Berlin, 13125
GSK Investigational Site
Essen, 45147
GSK Investigational Site
Großhansdorf, 22927
GSK Investigational Site
Heidelberg, 69126
GSK Investigational Site
Jena, 07747
Italy5 sites
GSK Investigational Site
Avellino, 83100
GSK Investigational Site
Bergamo, 24125
GSK Investigational Site
Genova, 16132
GSK Investigational Site
Pisa, 57124
GSK Investigational Site
Verona, 37045
Portugal5 sites
GSK Investigational Site
Gaia, 4434-502
GSK Investigational Site
Guimarães, 4835-044
GSK Investigational Site
Lisbon, 1500-650
GSK Investigational Site
Lisbon, 1998-018
GSK Investigational Site
Porto, 4200-072
Thailand5 sites
GSK Investigational Site
Bangkok, 10210
GSK Investigational Site
Chiang Mai, 50200
GSK Investigational Site
Kho Hong Hat Yai, 90110
GSK Investigational Site
Khon Kaen, 40002
GSK Investigational Site
Pathum Thani, 12120
Turkey (Türkiye)5 sites
GSK Investigational Site
Ankara, 06680
GSK Investigational Site
Ankara, 06800
GSK Investigational Site
Antalya, 07070
GSK Investigational Site
Istanbul, 34214
GSK Investigational Site
Samsun, Atakum, 55200
United States4 sites
GSK Investigational Site
Albuquerque, New Mexico, 87131
GSK Investigational Site
Chattanooga, Tennessee, 37404
GSK Investigational Site
Morgantown, West Virginia, 26506
GSK Investigational Site
Plantation, Florida, 33322
Brazil4 sites
GSK Investigational Site
Barretos, 14784-400
GSK Investigational Site
Porto Alegre, 90610-000
GSK Investigational Site
São Paulo, 01246-000
GSK Investigational Site
Vitória, 29043-260
Finland4 sites
GSK Investigational Site
Oulu, 90220
GSK Investigational Site
Tampere, 33520
GSK Investigational Site
Turku, 20520
GSK Investigational Site
Vaasa, 65130
Netherlands4 sites
GSK Investigational Site
Enschede, 7512 KZ
GSK Investigational Site
Groningen, 9728 NZ
GSK Investigational Site
Leeuwarden, 8934 AD
GSK Investigational Site
Utrecht, 3543 AZ
South Korea4 sites
GSK Investigational Site
Incheon, 21565
GSK Investigational Site
Seoul, 03080
GSK Investigational Site
Seoul, 03722
GSK Investigational Site
Suwon Gyeonggi-do, 442-723
Hungary3 sites
GSK Investigational Site
Budapest, H-1121
GSK Investigational Site
Gyöngyös, 3200
GSK Investigational Site
Tatabánya, 2800
Poland3 sites
GSK Investigational Site
Lublin, 20-954
GSK Investigational Site
Prabuty, 82-550
GSK Investigational Site
Siedlce, 08-110
United Kingdom3 sites
GSK Investigational Site
Middlesbrough, TS4 3BW
GSK Investigational Site
Middlesex, HA6 2RN
GSK Investigational Site
Wolverhampton, WV10 0QP
Mexico2 sites
GSK Investigational Site
Guadajalara, 44280
GSK Investigational Site
San Luis Potosí City, 78209
South Africa2 sites
GSK Investigational Site
Cape Town, 7570
GSK Investigational Site
Parktown, 2193
United Arab Emirates2 sites
GSK Investigational Site
Abu Dhabi, 51900
GSK Investigational Site
Abu Dhabi
About this study
Official title: A Phase 2, Randomized, Open-label, Platform Study Utilizing a Master Protocol to Evaluate Novel Immunotherapy Combinations in Participants With Previously Untreated, Locally Advanced/Metastatic, Programmed Death Ligand 1-Selected Non-Small-Cell Lung Cancer
This study will monitor the safety of novel immunotherapy combinations in participants with Programmed death ligand-1 (PD L-1) high (Tumor cells [TC]/ Tumor proportion score [TPS] >= 50%), previously untreated, unresectable, locally advanced or metastatic non-small cell lung cancer (NSCLC). Drug name mentioned as Belrestotug, GSK4428859A, and EOS884448 are all interchangeable for the same compound. In the rest of the document, the drug will be referred to as Belrestotug.
- Conditions
- Lung Cancer, Non-Small Cell
- Being tested
- Pembrolizumab, Dostarlimab, Belrestotug, Nelistotug
- Keywords
- Belrestotug, Dostarlimab, EOS884448, GSK6097608, GSK4428859A, Nelistotug, Non-small-cell lung cancer, Pembrolizumab, Programmed death ligand 1, Programmed death protein 1 Inhibitor, Immunotherapy
- 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.
PembrolizumabDrug
Pembrolizumab will be administered.
DostarlimabDrug
Also called GSK4057190
Dostarlimab will be administered
BelrestotugDrug
Also called EOS884448, GSK4428859A
Belrestotug will be administered.
NelistotugDrug
Also called GSK6097608
Nelistotug will be administered.
| Study group | Role | What they receive |
|---|---|---|
| Pembrolizumab Monotherapy | Active comparator | Participants will be administered with pembrolizumab as monotherapy in a fixed dose. Receives: Drug: Pembrolizumab |
| Dostarlimab Monotherapy | Experimental | Participants will be administered with dostarlimab as monotherapy in a fixed dose. Receives: Drug: Dostarlimab |
| Substudy 1A | Experimental | Participants will be administered with dostarlimab in a fixed dose followed by belrestotug in a fixed dose (Dose A). Receives: Drug: Dostarlimab; Drug: Belrestotug |
| Substudy 1B | Experimental | Participants will be administered with dostarlimab in a fixed dose followed by belrestotug in a fixed dose (Dose B). Receives: Drug: Dostarlimab; Drug: Belrestotug |
| Substudy 1C | Experimental | Participants will be administered with dostarlimab in a fixed dose followed by belrestotug in a fixed dose (Dose C). Receives: Drug: Dostarlimab; Drug: Belrestotug |
| Substudy 2A | Experimental | Participants will be administered with dostarlimab, fixed dose belrestotug, and fixed dose nelistotug Receives: Drug: Dostarlimab; Drug: Belrestotug; Drug: Nelistotug |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants with Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Measured: Up to 228 weeks
Number of Participants with TEAEs or SAEs leading to dose modifications or treatment discontinuation
Measured: Up to 228 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Oct 2022
- Study start14 Oct 2022
- Primary completion9 Nov 2026 (estimated)
- Study completion6 Dec 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- 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
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 351 participants (actual)
Sponsor and investigators
- Lead sponsor
- GlaxoSmithKline
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- iTeos Therapeutics
- Responsible party
- Sponsor
- Investigators
- GSK Clinical Trials, Study director, GlaxoSmithKline
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05565378
- Sponsor's protocol ID
- 213824
- Other IDs
- 2021-005115-32, GALAXIES LUNG-201
- Status last verified
- Jun 2026
- First submitted
- 30 Sep 2022
- Last updated
- 15 Jun 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Qualified researchers may request access to anonymized individual patient-level data (IPD) and related study documents of the eligible studies via the Data Sharing Portal. Details on GSK's data sharing criteria can be found at: https://www.gsk.com/en-gb/innovation/trials/data-transparency/
Study at a glance
From the registry record, last updated by the sponsor on 15 Jun 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2, Randomized, Open-label, Platform Study Utilizing a Master Protocol to Evaluate Novel Immunotherapy Combinations in Participants With Previously Untreated, Locally Advanced/Metastatic, Programmed Death Ligand 1-Selected Non-Small-Cell Lung Cancer
- ClinicalTrials.gov ID
- NCT05565378
- Acronym / sponsor ID
- 213824
- Conditions
- Lung Cancer, Non-Small Cell
- Keywords
- Belrestotug, Dostarlimab, EOS884448, GSK6097608, GSK4428859A, Nelistotug, Non-small-cell lung cancer, Pembrolizumab
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 351 participants (actual)
- Lead sponsor
- GlaxoSmithKlineIndustry (pharma, biotech, devices)
- Collaborators
- iTeos Therapeutics
- Study start
- 14 Oct 2022 (actual)
- Primary completion
- 9 Nov 2026 (estimated)
- Study completion
- 6 Dec 2027 (estimated)
- First posted
- 4 Oct 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will monitor the safety of novel immunotherapy combinations in participants with Programmed death ligand-1 (PD L-1) high (Tumor cells [TC]/ Tumor proportion score [TPS] >= 50%), previously untreated, unresectable, locally advanced or metastatic non-small cell lung cancer (NSCLC). Drug name mentioned as Belrestotug, GSK4428859A, and EOS884448 are all interchangeable for the same compound. In the rest of the document, the drug will be referred to as Belrestotug.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| Pembrolizumab Monotherapy | Active comparator | Drug: PembrolizumabParticipants will be administered with pembrolizumab as monotherapy in a fixed dose. |
| Dostarlimab Monotherapy | Experimental | Drug: DostarlimabParticipants will be administered with dostarlimab as monotherapy in a fixed dose. |
| Substudy 1A | Experimental | Drug: Dostarlimab, Drug: BelrestotugParticipants will be administered with dostarlimab in a fixed dose followed by belrestotug in a fixed dose (Dose A). |
| Substudy 1B | Experimental | Drug: Dostarlimab, Drug: BelrestotugParticipants will be administered with dostarlimab in a fixed dose followed by belrestotug in a fixed dose (Dose B). |
| Substudy 1C | Experimental | Drug: Dostarlimab, Drug: BelrestotugParticipants will be administered with dostarlimab in a fixed dose followed by belrestotug in a fixed dose (Dose C). |
| Substudy 2A | Experimental | Drug: Dostarlimab, Drug: Belrestotug, Drug: NelistotugParticipants will be administered with dostarlimab, fixed dose belrestotug, and fixed dose nelistotug |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Histologically or cytologically confirmed diagnosis of locally advanced unresectable NSCLC not eligible for curative surgery and/or definitive radiotherapy with or without chemotherapy or metastatic NSCLC (squamous or non squamous)
- No prior systemic therapy for their locally advanced or metastatic NSCLC
- Provides a fresh tumor tissue sample or archival sample collected within 2 years prior to screening
- PD-L1-high (TC/TPS >= 50%) tumor
- Measurable disease based on RECIST 1.1, as determined by the investigator
Key exclusion criteria (17 listed)
- Has NSCLC with a tumor that harbors any of the following molecular alterations: EGFR and /or ALK translocations mutations that are sensitive to available targeted inhibitor therapy, Any other known genomic aberrations or oncogenic driver mutations for which a locally approved targeted therapy is available for first-line treatment of locally advanced or metastatic NSCLC.
- Had major surgery within 4 weeks or lung radiation of >30 Gy therapy within 6 months prior to the first dose of study intervention
- Received prior therapy with any immune checkpoint inhibitors
- Never smoked, defined as smoking <100 tobacco cigarettes in a lifetime
- Has an invasive malignancy or history of invasive malignancy other than the disease under study within the last 5 years (clinical exceptions apply as per protocol)
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 |
|---|---|---|
| PembrolizumabPembrolizumab will be administered. | Drug | Pembrolizumab Monotherapy |
| DostarlimabAlso: GSK4057190Dostarlimab will be administered | Drug | Dostarlimab Monotherapy, Substudy 1A, Substudy 1B, Substudy 1C, Substudy 2A |
| BelrestotugAlso: EOS884448, GSK4428859ABelrestotug will be administered. | Drug | Substudy 1A, Substudy 1B, Substudy 1C, Substudy 2A |
| NelistotugAlso: GSK6097608Nelistotug will be administered. | Drug | Substudy 2A |
Primary outcome
Number of Participants with Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Time frame: Up to 228 weeks
Number of Participants with TEAEs or SAEs leading to dose modifications or treatment discontinuation
Time frame: Up to 228 weeks
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Jun 2026.
- Individual participant dataSharing planned: Yes. Qualified researchers may request access to anonymized individual patient-level data (IPD) and related study documents of the eligible studies via the Data Sharing Portal. Details on GSK's data sharing criteria can be found at: https://www.gsk.com/en-gb/innovation/trials/data-transparency/
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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
99 sites in 22 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Pembrolizumab, Dostarlimab and Belrestotug in people with Lung Cancer, Non-Small Cell, run by GlaxoSmithKline at 99 sites in 22 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 17 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 15 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 99 sites in Spain, Argentina, Greece, Japan, France and 17 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 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?
Number of Participants with Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) (time frame: Up to 228 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 15 Jun 2026.