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Non-small Cell Lung CancerPhase 1/2NCT06644768

A Study of Valemetostat Tosylate Plus Pembrolizumab Versus Pembrolizumab Alone in First-Line NSCLC Without Actionable Genomic Alterations

A Phase 1/2 study testing valemetostat tosylate and pembrolizumab in people with Non-small Cell Lung Cancer and Lung Cancer, run by Daiichi Sankyo at 35 sites in 5 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 study will compare Valemetostat Tosylate Plus Pembrolizumab vs Pembrolizumab Alone in First-line NSCLC Without Actionable Genomic Alterations Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Non-small Cell Lung Cancer, Lung Cancer
What is being tested?
valemetostat tosylate and pembrolizumab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
137 participants
Where
35 sitesin 5 countries
Study dates
30 Oct 2024to 30 Apr 2030
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Has signed and dated the ICF, prior to the start of any trial-specific qualification procedures.
  • Is an adult ≥18 years of age or the minimum legal age (whichever is greater) at the time of informed consent. (Follow local regulatory requirements if the legal age of adult voluntary consent for trial participation is >18 years old).
  • Has histologically documented NSCLC that meets all of the following criteria:
  • Has no prior systemic therapy for advanced or metastatic disease.
  • Has Stage IIIB or IIIC disease and is not a candidate for surgical resection or definitive chemoradiation, or Stage IV NSCLC disease at the time of enrollment/randomization (based on the American Joint Committee on Cancer, Eighth Edition). Participants with early-stage NSCLC who have relapsed should be restaged during Screening to ensure their eligibility for the trial.
  • Has documented negative test results for EGFR, ALK, and ROS1 actionable genomic alterations based on analysis of tumor tissue. If test results for EGFR, ALK, and ROS1 are not available, participants are required to undergo testing with approved and/or validated tests per local regulations for these genomic alterations.
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  • Participants with squamous NSCLC are only required to undergo EGFR, ALK, and ROS1 testing if they have no history of tobacco smoking or were diagnosed with NSCLC at <40 years of age.
  • Has no known actionable genomic alterations in NTRK, BRAF, RET, MET, or other actionable oncogenic drivers with locally approved therapies (testing for genomic alterations besides EGFR, ALK, and ROS1 is not required prior to enrollment/randomization). Participants whose tumors harbor KRAS mutations are eligible for the trial.
  • Has measurable disease on CT or MRI based on local imaging assessment using RECIST v1.1
  • Has a tumor expressing PD-L1 TPS ≥50% as determined by local testing using 22C3 pharmDx PD-L1 IHC assay. In regions where PD-L1 (TPS ≥50%) testing by 22C3 pharmDx is not considered SOC, PD-L1 expression levels will be determined by central testing (minimum of 6 slides).
  • Has provided an archival formalin-fixed tumor tissue sample for the assessment of biomarkers. If archival tissue is not available, a new pretreatment biopsy is required, if clinically feasible.
  • Has an ECOG PS of 0 or 1 at Screening.

Who cannot join

  • Has received prior treatment with any of the following, including in the adjuvant/neoadjuvant setting:
  • Any anti-PD-1, anti-PD-L1, or anti-PD-L2 agent or an agent directed to another stimulatory or co-inhibitory T-cell receptor (eg, CTLA-4, OX40, or CD137).
  • Has previously been treated with any enhancer of zeste homolog inhibitors.
  • Participants who received adjuvant or neoadjuvant therapy other than those listed in the exclusion criterion above are eligible if the adjuvant/neoadjuvant therapy was completed at least 6 months prior to the current diagnosis of advanced or metastatic disease.
  • Has received a live vaccine or live attenuated vaccine within 30 days prior to the first dose of trial intervention. Examples of live vaccines include, but are not limited to, the following: measles, mumps, rubella, varicella/zoster (chicken pox), yellow fever, rabies, Bacillus Calmette-Guérin, and typhoid vaccines. Note: Administration of killed vaccines is allowed.
  • Has an active, known, or suspected autoimmune disease that has required systemic treatment in the past 2 years- except for Replacement therapy (eg, thyroxine, insulin, or physiologic corticosteroid).
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  • Inhaled, intranasal, intraocular, intra-articular, or topical steroids and adrenal replacement steroids are permitted in the absence of active autoimmune disease.
  • Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (at doses exceeding 10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy within 7 days prior to the first dose of trial intervention. Note: Short-course systemic corticosteroids (eg, prevention of/treatment for transfusion reaction) or steroid use for a noncancer indication (eg, adrenal replacement) is permissible.
  • Has a known active or untreated CNS metastases and/or carcinomatous meningitis. Participants with previously treated brain metastases may participate, provided they are radiologically stable (ie, without evidence of progression) for at least 4 weeks by repeat imaging (note: repeat imaging should be performed during trial screening), clinically stable, and without requirement of steroid treatment for at least 14 days before the first dose of trial intervention. Note: A CT scan or MRI scan of the brain at Baseline is required for all participants. For participants in whom CNS metastases are first discovered at Screening, the treating investigator should delay trial intervention to complete any necessary treatment followed by a proper washout period and document the stability of CNS metastases with repeat imaging at least 4 weeks later (in which case repetition of all screening activities may be required).
  • Has uncontrolled or significant cardiovascular disease, including the following:
  • Mean QT interval corrected for heart rate using Fridericia's formula >470 ms (based on the average of screening triplicate 12-lead ECG determinations)
  • Myocardial infarction within 6 months prior to Screening
  • Uncontrolled angina pectoris within 6 months prior to Screening
  • New York Heart Association Class 3 or 4 congestive heart failure
  • Uncontrolled hypertension (resting systolic blood pressure >160 mmHg or diastolic blood pressure >100 mmHg)
  • Has a history of (noninfectious) ILD/pneumonitis that required steroids, has current ILD/pneumonitis, or where suspected ILD/pneumonitis cannot be ruled out by imaging at Screening.
  • Has a history of radiation pneumonitis.
  • Has had an allogenic tissue/solid organ transplant.

Trial locations and contacts

35 sites in 5 countries.

35 sites in 5 countries

United States11 sites
  • Virginia Cancer Specialist

    Fairfax, Virginia, 22031

  • Mayo Clinic Hospital

    Jacksonville, Florida, 32224

  • University of California San Diego (Ucsd)-Moores Cancer Center

    La Jolla, California, 92037

  • University of Kentucky Medical Center

    Lexington, Kentucky, 40536

  • California Research Institute

    Los Angeles, California, 90027

  • Valkyrie Clinical Trials

    Los Angeles, California, 90067

  • Columbia University Irving Medical Center

    New York, New York, 10032

  • Thomas Jefferson University, Sidney Kimmel Cancer Center

    Philadelphia, Pennsylvania, 19107

  • Pikeville Medical Center

    Pikeville, Kentucky, 41501

  • BRCR Global

    Plantation, Florida, 33322-5426

  • Mayo Clinic - Rochester

    Rochester, Minnesota, 55904

Other trials in United States

China7 sites
  • Jilin Cancer Hospital

    Changchun, 130000

  • Sir Run Run Shaw Hospital, Zhejiang University, School of Medicine

    Hangzhou, 242332

  • Harbin Medical University Cancer Hospital

    Harbin, 150081

  • Jiamusi Cancer Hospital

    Jiamusi, 154007

  • Shanghai East Hospital

    Shanghai, 200120

  • Tianjin Medical University Cancer Institute & Hospital

    Tiyuan, 300060

  • Henan Cancer Hospital

    Zhengzhou, 450003

Other trials in China

Argentina6 sites
  • Hospital Italiano de Buenos Aires

    Buenos Aires, 1199

  • Instituto Alexander Fleming

    Buenos Aires, 1426

  • Sanatorio Allende

    Córdoba, X5000JHQ

  • Fundacion Ars Medica

    N Salvador de Jujuy, 4600

  • Instituto Medico de La Fundacion Estudios Clinicos

    Rosario, 2000

  • Clinica Viedma S.A.

    Viedma, R8500ACE

Other trials in Argentina

Brazil6 sites
  • Centro de Pesquisas Clinica Reichow

    Blumenau, 89010-340

  • Clínica de Neoplasias Litoral Ltda.

    ItajaĂ-, 88301-220

  • CINPAM Centro Integrado De Pesquisa Da Amazonia

    Manaus, 69005-080

  • Liga Norte-Rio-Grandense Contra o Câncer

    Natal, 59062-000

  • Hospital Nossa Senhora da Conceicao

    Porto Alegre, 91350-280

  • Fundacao Faculdade Regional de Medicina de Sao Jose Do Rio Preto

    Sao Jose Rio Preto, 15090-000

Other trials in Brazil

Japan5 sites
  • Kyushu University Hospital

    Fukuoka, 812-8582

  • National Cancer Center Hospital East

    Kashiwa, 277-8577

  • Cancer Institute Hospital of JFCR

    Kōtoku, 135-8550

  • NHO Nagoya Medical Center

    Nagoya, 460-0001

  • Kitasato University Hospital

    Sagamihara-shi, 252-0375

Other trials in Japan

About this study

Official title: A Multicenter, Randomized, Open-Label, Phase 1b/2 Trial Of Valemetostat Tosylate Plus Pembrolizumab Vs Pembrolizumab Alone in Participants With Advanced or Metastatic Non-Small Cell Lung Cancer Whose Tumors Express PD-L1 With Tumor Proportion Score ≥50% Without Actionable Genomic Alterations

This study will compare Valemetostat Tosylate Plus Pembrolizumab vs Pembrolizumab Alone in First-line NSCLC Without Actionable Genomic Alterations

Read the detailed description

This trial will evaluate the safety and efficacy of valemetostat tosylate (DS-3201b) in combination with fixed-dose pembrolizumab versus pembrolizumab alone in participants with advanced or metastatic NSCLC without actionable genomic alterations, whose tumor has PD-L1 TPS ≥50%, and who have not received prior systemic therapy for advanced or metastatic NSCLC. The trial will be in 2 phases, dose escalation and dose expansion phases.

Being tested
valemetostat tosylate, pembrolizumab
Keywords
NSCLC, Tumor, pembrolizumab, valemetostat tosylate, DS-3201b, Immune checkpoint inhibitor, Programmed Cell Death 1 Ligand 1, MK-3475, EZH inhibitor
Medical subject headings
Carcinoma, Non-Small-Cell Lung, Lung Neoplasms, Neoplasms

What participants receive

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

  • valemetostat tosylateDrug

    Also called DS-3201b, valemetostat

    Valemetostat will be administered orally once daily until RP2D of valemetostat is determined.

  • pembrolizumabDrug

    Also called MK-3475, KEYTRUDA®

    One IV infusion Q3W on D1 of each 21-day cycle for a maximum of 35 cycles.

Study groups in NCT06644768
Study groupRoleWhat they receive
Phase 1b: Pembrolizumab + Valemetostat TosylateExperimentalParticipants will be provided with pembrolizumab at standard dose of 200 mg intravenously (IV) Q3W, and valemetostat will be provided per a dose escalation schedule, with an initial starting dose of 150 mg by mouth once daily.
Receives: Drug: valemetostat tosylate; Drug: pembrolizumab
Phase 2: Pembrolizumab + Valemetostat TosylateExperimentalParticipants will be provided with pembrolizumab at standard dose of 200 mg IV Q3W, and valemetostat will be provided per recommended phase 2 dose (RP2D)
Receives: Drug: valemetostat tosylate; Drug: pembrolizumab
Phase 2: PembrolizumabActive comparatorParticipants will be provided with pembrolizumab at standard dose of 200 mg IV Q3W
Receives: Drug: pembrolizumab

What is being measured

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

  1. Phase 1b: Number of Participants with Dose-Limiting Toxicities

    Total number of participants with A Dose-Limiting Toxicity (DLT) at each dose level of valemetostat in combination with pembrolizumab per National Cancer Institute - Common Terminology Criteria for Adverse Events version 5.0.

    Measured: From day of first dose on Day 1 to Day 21 in Cycle 1 (21 days), or before the administration of Cycle 2, up to 24 days

  2. Phase 1b: Number of Participants with Treatment-Emergent Adverse Events

    Incidence of TEAEs, Grade 3 or 4 TEAEs, deaths, TESAEs, TEAEs leading to dose modifications (including interruption, reduction, and discontinuation), and AESIs using the National Cancer Institute - Common Terminology Criteria for Adverse Events version 5.0

    Measured: From date of first dose to 30 days after last dose, up to approximately 31 months

  3. Phase 2: Progression-Free Survival by BICR

    PFS is the time from the date of randomization to the date of radiographic disease progression as assessed by blinded independent central review (BICR) per RECIST v1.1 or death from any cause, whichever occurs first.

    Measured: From date of randomization to the date of radiographic disease progression, or death from any cause, whichever occurs first, up to approximately 31 months

Secondary outcomes (6)
  1. Phase 2: Objective Response Rate

    Objective Response Rate (ORR) is the proportion of participants with a best overall response (BOR) of confirmed complete response (CR) or confirmed partial response (PR) assessed by BICR.

    Measured: From date of randomization to the date of radiographic disease progression, or death from any cause, whichever occurs first, up to approximately 31 months

  2. Phase 2: Duration of Response

    Duration of Response (DoR) is the time from the date of first documentation of objective tumor response (CR or PR) that is subsequently confirmed to the date of the first documentation of objective tumor progression or to death from any cause, whichever occurs first, assessed by BICR.

    Measured: From date of randomization to the date of radiographic disease progression, or death from any cause, whichever occurs first, up to approximately 31 months

  3. Phase 2: Disease Control Rate

    Disease control rate (DCR) is the proportion of participants who achieved a BOR of confirmed CR, confirmed PR, or stable disease (SD), assessed by BICR.

    Measured: From date of randomization up to approximately 31 months

  4. Phase 2: Overall Survival

    Overall Survival (OS ) is the time from the date of randomization to the date of death from any cause.

    Measured: From date of randomization the date of death from any cause, up to approximately 31 months

  5. Phase 2: Progression-Free Survival by Investigator

    PFS is the time from the date of randomization to the date of radiographic disease progression as assessed by the investigator per RECIST v1.1 or death from any cause, whichever occurs first.

    Measured: From date of randomization to the date of radiographic disease progression, or death from any cause, whichever occurs first, up to approximately 31 months

  6. Phase 1 and 2: Total and Unbound Plasma Concentration of Valemetostat

    Measured: Cycle 1: Day 1- Pre-dose, 2, 4, 5 hrs post-dose, Day 8- Pre-dose, Day 15- Pre-dose and post-dose. Cycles 2- 5: Day 1- Pre-dose

Timeline

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

  1. First posted16 Oct 2024
  2. Study start30 Oct 2024
  3. Primary completion30 Mar 2028 (estimated)
  4. Study completion30 Apr 2030 (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
Randomised
Intervention model
Parallel groups
Model description
This is an open-label study.
Masking
None (open label)
Enrolment
137 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06644768
Sponsor's protocol ID
DS3201-330
Other IDs
MK-3475-F85, KEYNOTE-F85, 2024-519671-26-00, jRCT2031240572
Status last verified
Jul 2026
First submitted
1 Oct 2024
Last updated
28 Jul 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: De-identified individual participant data (IPD) on completed studies and applicable supporting clinical trial documents may be available upon request at https://vivli.org/. In cases where clinical trial data and supporting documents are provided pursuant to our company policies and procedures, Daiichi Sankyo will continue to protect the privacy of our clinical trial participants. Details on data sharing criteria and the procedure for requesting access can be found at this web address: https://vivli.org/ourmember/daiichi-sankyo/

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing valemetostat tosylate and pembrolizumab in people with Non-small Cell Lung Cancer and Lung Cancer, run by Daiichi Sankyo at 35 sites in 5 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 12 inclusion and 18 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 28 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 35 sites in United States, China, Argentina, Brazil, Japan. 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?

Phase 1b: Number of Participants with Dose-Limiting Toxicities (time frame: From day of first dose on Day 1 to Day 21 in Cycle 1 (21 days), or before the administration of Cycle 2, up to 24 days). 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 28 Jul 2026.

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