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Non-Small Cell Lung CancerPhase 2LIBRANCT07098338

A Study of Novel Combinations in Non-Small Cell Lung Cancer (NSCLC)

A Phase 2 study testing Rilvegostomig, Ramucirumab and Dato-DXd in people with Non-Small Cell Lung Cancer, run by AstraZeneca at 83 sites in 12 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This is a Phase II, multi-center, open-label platform study evaluating novel combination treatment options in participants with locally advanced or metastatic NSCLC. The study will consist of several sub-studies, each evaluating the safety, tolerability, and preliminary antitumour activity of various treatment… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Non-Small Cell Lung Cancer
What is being tested?
Rilvegostomig, Ramucirumab and Dato-DXd
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
278 participants
Where
83 sitesin 12 countries
Study dates
7 Aug 2025to 6 Apr 2029
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

  • Participant must be ≥ 18 years of age at the time of signing the ICF
  • WHO/ECOG performance status of 0 or 1
  • At least 1 lesion that qualifies as a RECIST 1.1 Target Lesion (TL) at baseline.
  • Adequate bone marrow and organ function
  • Life expectancy ≥ 12 weeks
  • Provision of acceptable tumour tissue
Show all 13Show fewer
  • Specific Inclusion Criteria for Sub-Study 1 and Sub-Study 2:
  • Histologically or cytologically documented advanced or metastatic NSCLC
  • PD-L1 TC ≥ 1% (TC≥ 50% for sub-study 1, 1-49% for sub-study 2)
  • Absence of sensitizing EGFR mutations or ALK rearrangements. No known other Actionable Genomic Alterations(AGAs)
  • Specific Inclusion Criteria for Sub-Study 3:
  • Histologically or cytologically documented advanced or metastatic non-squamous NSCLC
  • Documented positive AGA and had progressed on prior targeted therapy

Who cannot join

  • As judged by the investigator, any severe or uncontrolled systemic diseases, in the investigator's opinion, makes it undesirable for the participant to participate in the study or that would jeopardise compliance with the protocol
  • Active or prior documented autoimmune or inflammatory disorders
  • Persistent toxicities (CTCAE Grade ≥ 2) (NCI CTCAE v5.0) caused by previous anti cancer therapy, excluding alopecia.
  • Spinal cord compression or leptomeningeal carcinomatosis for sub-study 1 and sub-study 2. Unstable spinal cord compression for sub-study 3
  • Unstable brain metastases
  • History of another primary malignancy.
Show all 13Show fewer
  • Active infection, including TB and infections with HIV, HBV (verified by known positive HBsAg result), HCV.
  • Uncontrolled or significant cardiac disease
  • Receipt of prior systemic chemotherapy/chemoradiation/immunotherapy for advanced NSCLC for sub-study 1 and sub-study 2.
  • Prior exposure to immune-mediated therapy
  • History of uncontrolled hypertension, and active bleeding diseases, and high risks of bleeding and disorders of coagulation
  • Any concurrent anti-cancer treatment.
  • Receipt of live, attenuated vaccine within 30 days prior to the first dose of study intervention.

Trial locations and contacts

83 sites in 12 countries. Contact the study team or a site near you to ask about taking part.

AstraZeneca Clinical Study Information Center contact

1-877-240-9479

information.center@astrazeneca.com

83 sites in 12 countries

China19 sites, 18 recruiting
  • Research Site

    Changsha, 410013

    Recruiting
  • Research Site

    Chengdu, 610041

    Recruiting
  • Research Site

    Deyang, 618000

    Recruiting
  • Research Site

    Dongguan, 523059

    Recruiting
  • Research Site

    Fuzhou, 350014

    Withdrawn
  • Research Site

    Guangzhou, 510080

    Recruiting
  • Research Site

    Guangzhou, 510100

    Recruiting
  • Research Site

    Hangzhou, 310014

    Recruiting
  • Research Site

    Hefei, 230022

    Recruiting
  • Research Site

    Linyi, 276001

    Recruiting
  • Research Site

    Mianyang, 621000

    Recruiting
  • Research Site

    Nanchang, 330000

    Recruiting
  • Research Site

    Nanchang, 330006

    Recruiting
  • Research Site

    Shantou

    Recruiting
  • Research Site

    Shenyang, 110042

    Recruiting
  • Research Site

    Wuhan, 430022

    Recruiting
  • Research Site

    Zhengzhou, 450000

    Recruiting
  • Research Site

    Zhengzhou, 450008

    Recruiting
  • Research Site

    Zhuhai, 519000

    Recruiting

Other trials in China

Japan11 sites, 11 recruiting
  • Research Site

    Bunkyō City, 113-8677

    Recruiting
  • Research Site

    Fukuyama-shi, 722-0001

    Recruiting
  • Research Site

    Kobe, 650-0047

    Recruiting
  • Research Site

    Kurume-shi, 830-0011

    Recruiting
  • Research Site

    Kyoto, 602-8566

    Recruiting
  • Research Site

    Kyoto, 606-8507

    Recruiting
  • Research Site

    Osaka, 541-8567

    Recruiting
  • Research Site

    Sakaishi, 591-8555

    Recruiting
  • Research Site

    Shinjuku-ku, 162-8655

    Recruiting
  • Research Site

    Wakayama, 641-8510

    Recruiting
  • Research Site

    Yokohama, 236-0051

    Recruiting

Other trials in Japan

South Korea9 sites, 9 recruiting
  • Research Site

    Cheongju-si, 28644

    Recruiting
  • Research Site

    Namdong-gu, 21565

    Recruiting
  • Research Site

    Seongnam-si, 13496

    Recruiting
  • Research Site

    Seoul, 03080

    Recruiting
  • Research Site

    Seoul, 06351

    Recruiting
  • Research Site

    Seoul, 3722

    Recruiting
  • Research Site

    Seoul, 5505

    Recruiting
  • Research Site

    Suwon, 16247

    Recruiting
  • Research Site

    Suwon, 16499

    Recruiting

Other trials in South Korea

Taiwan9 sites, 9 recruiting
  • Research Site

    Liuying, 736

    Recruiting
  • Research Site

    Taichung, 402

    Recruiting
  • Research Site

    Taichung, 40447

    Recruiting
  • Research Site

    Tainan, 70403

    Recruiting
  • Research Site

    Tainan, 710

    Recruiting
  • Research Site

    Taipei, 100

    Recruiting
  • Research Site

    Taipei, 110

    Recruiting
  • Research Site

    Taipei, 11217

    Recruiting
  • Research Site

    Taoyuan, 00333

    Recruiting

Other trials in Taiwan

Italy8 sites, 8 recruiting
  • Research Site

    Aviano, 33081

    Not yet recruiting
  • Research Site

    Catania, 95123

    Not yet recruiting
  • Research Site

    Meldola, 47014

    Not yet recruiting
  • Research Site

    Milan, 20141

    Not yet recruiting
  • Research Site

    Milan, 35128

    Not yet recruiting
  • Research Site

    Orbassano, 10043

    Not yet recruiting
  • Research Site

    Roma, 00144

    Not yet recruiting
  • Research Site

    Rozzano, 20089

    Not yet recruiting

Other trials in Italy

United States6 sites, 6 recruiting
  • Research Site

    Atlanta, Georgia, 30318

    Recruiting
  • Research Site

    Baltimore, Maryland, 21231

    Not yet recruiting
  • Research Site

    Fairfax, Virginia, 22031

    Recruiting
  • Research Site

    Houston, Texas, 77090

    Not yet recruiting
  • Research Site

    Santa Monica, California, 90404

    Recruiting
  • Research Site

    Santa Rosa, California, 95403

    Not yet recruiting

Other trials in United States

Spain6 sites, 6 recruiting
  • Research Site

    A Coruña, 15006

    Not yet recruiting
  • Research Site

    Madrid, 28041

    Not yet recruiting
  • Research Site

    Málaga, 29009

    Recruiting
  • Research Site

    Manresa, 08243

    Recruiting
  • Research Site

    Santander, 39008

    Recruiting
  • Research Site

    Valencia, 46010

    Not yet recruiting

Other trials in Spain

France5 sites, 5 recruiting
  • Research Site

    Avignon, 84902

    Not yet recruiting
  • Research Site

    Paris, 75005

    Not yet recruiting
  • Research Site

    Rennes, 35000

    Not yet recruiting
  • Research Site

    Saint-Herblain, 44805

    Not yet recruiting
  • Research Site

    Suresnes, 92150

    Recruiting

Other trials in France

Thailand4 sites, 4 recruiting
  • Research Site

    Bangkok, 10330

    Recruiting
  • Research Site

    Bangkok, 10400

    Not yet recruiting
  • Research Site

    Bangkok, 10700

    Not yet recruiting
  • Research Site

    Banphaeo, 74120

    Recruiting

Other trials in Thailand

Australia3 sites, 3 recruiting
  • Research Site

    Heidelberg, 3084

    Not yet recruiting
  • Research Site

    Nedlands, 6009

    Not yet recruiting
  • Research Site

    Woodville, 5011

    Not yet recruiting

Other trials in Australia

Singapore2 sites, 2 recruiting
  • Research Site

    Singapore, 119082

    Recruiting
  • Research Site

    Singapore, 168583

    Recruiting

Other trials in Singapore

Canada1 site, 1 recruiting
  • Research Site

    Toronto, Ontario, M5G 2M9

    Not yet recruiting

Other trials in Canada

About this study

Official title: An Open-Label, Multi-Drug, Multi-Centre, Phase II Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Immunogenicity, and Antitumour Activity of Novel Combinations in Participants With Locally Advanced or Metastatic Non-Small Cell Lung Cancer (LIBRA)

This is a Phase II, multi-center, open-label platform study evaluating novel combination treatment options in participants with locally advanced or metastatic NSCLC. The study will consist of several sub-studies, each evaluating the safety, tolerability, and preliminary antitumour activity of various treatment combinations. This study will be conducted in approximately 80 centers globally across 10 countries.

Read the detailed description

The master protocol will include 3 sub-studies, each focused on a specific disease population.

  • Sub-study 1 will investigate rilvegostomig± ramucirumab in 1L non-actionable genomic alterations (AGA) NSCLC with PD-L1 ≥50%.
  • Sub-study 2 will investigate rilvegostomig + ramucirumab in 1L non-actionable genomic alterations (AGA) NSCLC with PD-L1 1-49%.
  • Sub-study 3 will investigate Dato-DXd + ramucirumab ± rilvegostomig in 2/3L AGA+

Each sub-study may include 2 parts (unless stated in the individual sub study protocols): Part A: one or more Safety Run-in cohort(s), and Part B: one or more Dose Expansion cohort(s).

Being tested
Rilvegostomig, Ramucirumab, Dato-DXd
Keywords
Non-Small Cell Lung Cancer(NSCLC), Antibody-Drug Conjugates (ADCs), T-cell immunoreceptor with Ig and Immunoreceptor Tyrosine-based Inhibition Motif (ITIM) domains (TIGIT), Programmed death-ligand 1 (PD-L1)
Medical subject headings
Carcinoma, Non-Small-Cell Lung

What participants receive

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

  • RilvegostomigDrug

    Also called AZD2936

    Rilvegostomig will be administered as IV infusion.

  • RamucirumabDrug

    Also called Cyramza

    Ramucirumab will be administered as IV infusion.

  • Dato-DXdDrug

    Also called DS-1062

    Dato-DXd will be administered as IV infusion.

Study groups in NCT07098338
Study groupRoleWhat they receive
Sub-study 1, investigate rilvegostomig± ramucirumab in 1L non-AGA NSCLC with PD-L1 ≥50%ExperimentalParticipants will receive rilvegostomig ± ramucirumab until RECIST 1.1-defined radiological progression, unacceptable toxicity, withdrawal of consent, or other discontinuation criterion
Receives: Drug: Rilvegostomig; Drug: Ramucirumab
Sub-study 2, investigate rilvegostomig + ramucirumab in 1L non-AGA NSCLC with PD-L1 1-49%ExperimentalParticipants will receive rilvegostomig + ramucirumab until RECIST 1.1-defined radiological progression, unacceptable toxicity, withdrawal of consent, or other discontinuation criterion
Receives: Drug: Rilvegostomig; Drug: Ramucirumab
Sub-study 3, investigate Dato-DXd + ramucirumab ± rilvegostomig in 2/3L AGA+ NSCLCExperimentalParticipants will receive Dato-DXd + ramucirumab ± rilvegostomig until RECIST 1.1-defined radiological progression, unacceptable toxicity, withdrawal of consent, or other discontinuation criterion
Receives: Drug: Rilvegostomig; Drug: Ramucirumab; Drug: Dato-DXd

What is being measured

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

  1. Number of participants with adverse events (AE) and serious adverse events (SAE)

    To assess the safety and tolerability

    Measured: Through study completion, an average of 3 years

  2. Objective response rate (ORR)

    ORR is defined as the proportion of participants who have a confirmed CR (complete response) or confirmed PR (partial response) per RECIST 1.1

    Measured: Through study completion, an average of 3 years

Secondary outcomes (9)
  1. Best Overall Response(BOR)

    BOR is the best response a participant has had following randomisation/start of dosing, but prior to starting any subsequent cancer therapy and up to and including RECIST progression or the last evaluable assessment in the absence of RECIST progression

    Measured: Through study completion, an average of 3 years

  2. Change in Target Lesion Tumor Size

    The best percentage change from baseline in Target Lesion tumour size is the largest decrease (or smallest increase) from baseline for a participant, using RECIST 1.1 assessments

    Measured: Through study completion, an average of 3 years

  3. Progression free survival (PFS)

    PFS is defined as the time from the start of treatment until the date of objective disease progression or death (by any cause in the absence of progression) per RECIST 1.1.

    Measured: Through study completion, an average of 3 years

  4. Disease Control Rate(DCR) at 12 Weeks

    DCR at 12 weeks is defined as the percentage of participants who have a best objective response of confirmed CR or PR or who have SD for at least 11 weeks after start of treatment (to allow for an early assessment within the assessment window).

    Measured: From Day 1 pre-dose to 12 weeks

  5. Duration Of Response (DoR)

    The DoR is defined as the time from the date of first documented objective response (which is subsequently confirmed) until date of first documented disease progression or death (by any cause in the absence of disease progression).

    Measured: Through study completion, an average of 3 years

  6. Overall Survival(OS)

    OS is defined as the time from the start of treatment until death due to any cause.

    Measured: Through study completion, an average of 3 years

  7. Serum concentration

    To assess the serum concentration of the novel anti-cancer agents in combination.

    Measured: Through study completion, an average of 3 years

  8. Maximum plasma drug concentration (Cmax)

    To assess the Cmax of the novel anti-cancer agents in combination.

    Measured: Through study completion, an average of 3 years

  9. Immunogenicity of study interventions in participants receiving treatment

    Presence of Anti Drug Antibodies(ADAs) for study interventions in serum/plasma

    Measured: Through study completion, an average of 3 years

Timeline

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

  1. First posted1 Aug 2025
  2. Study start7 Aug 2025
  3. Primary completion6 Apr 2029 (estimated)
  4. Study completion6 Apr 2029 (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 2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
278 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07098338
Sponsor's protocol ID
D6187C00001
Acronym
LIBRA
Status last verified
Oct 2026
First submitted
4 Jul 2025
Last updated
15 Oct 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 Vivli.org. All requests 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 2 study testing Rilvegostomig, Ramucirumab and Dato-DXd in people with Non-Small Cell Lung Cancer, run by AstraZeneca at 83 sites in 12 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 13 inclusion and 13 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: looking for participants now, as of the sponsor's last update on 15 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 83 sites in China, Japan, South Korea, Taiwan, Italy and 7 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?

Contact AstraZeneca Clinical Study Information Center (1-877-240-9479, information.center@astrazeneca.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of participants with adverse events (AE) and serious adverse events (SAE) (time frame: Through study completion, an average of 3 years). 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 Oct 2026.

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