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Metastatic Non-Squamous Non-Small Cell Lung CancerPhase 2NCT07246863

Trial Investigating Visugromab and Nivolumab With or Without Docetaxel in 2L Treatment of Participants With Metastatic NSCLC

A Phase 2 study testing Visugromab RDE (recommended dose for expansion), Visugromab 6mg/kg and Nivolumab in people with Metastatic Non-Squamous Non-Small Cell Lung Cancer and Adult Solid Tumor, run by CatalYm GmbH at 36 sites in 7 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 an exploratory, signal-finding, randomized, placebo-controlled, blinded, multi-center phase 2b trial of the anti-GDF-15 antibody Visugromab (CTL-002) at two different dose levels plus Nivolumab with Docetaxel versus Visugromab at the higher dose plus Nivolumab with placebo versus double-placebo with Docetaxel… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Visugromab RDE (recommended dose for expansion), Visugromab 6mg/kg and Nivolumab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
131 participants
Where
36 sitesin 7 countries
Study dates
7 Oct 2025to 1 Oct 2031
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

Main Inclusion Criteria:

  • Participants must have histologically or cytologically confirmed diagnosis of stage IV non-squamous NSCLC.
  • Participants must have demonstrated absence of actionable mutations (e.g. EGFR, ALK, among others) that suggest/require treatment with available targeted agent.
  • Participants must have failed one line of prior systemic treatment for metastatic NSCLC containing an approved anti PD (L)1 checkpoint inhibitor (CPI). The minimum treatment duration on this regimen must have been 12 weeks exposure for the CPI with no documented progression in this period. Failure of the prior line of systemic treatment for metastatic NSCLC must have occurred under ongoing CPI treatment. Discontinuation of the prior CPI and line of treatment due to AEs, or any other reason than progression/relapse does not permit enrollment.
  • Participants must have measurable disease determined by the local site Investigator by their assessment per RECIST v1.1.
  • Participants must have life expectancy of at least 3 months as assessed by the Investigator.
  • Participants must have ECOG performance status ≤1.

Main Exclusion Criteria:

  • Participants must not have received more than one line of prior systemic treatment for advanced/metastatic NSCLC.
  • Participants must not have a prior malignancy requiring treatment.
  • Participants must not have a known or detected clinically active central nervous system (CNS) involvement by NSCLC or other tumors, e.g., with symptomatic metastases and/or carcinomatous meningitis
  • Participants must not have any active autoimmune disease that has required systemic treatment in past 3 months before planned treatment start (i.e., with use of disease modifying agents, corticosteroids, or immunosuppressive drugs).
  • Participants must not have interstitial lung disease or a history of (non-infectious) pneumonitis that required systemic steroids or current pneumonitis.

Trial locations and contacts

36 sites in 7 countries. Contact the study team or a site near you to ask about taking part.

36 sites in 7 countries

Spain13 sites, 13 recruiting
  • Hospital Quiron Dexeus Barcelona

    Barcelona, Barcelona, 08028

    Andres Aguilar Hernandez, Dr, +34 (93) 546 0135, aaguilar@oncorosell.com

    Recruiting
  • Hospital Clinic of Barcelona

    Barcelona, Catalonia, 08036

    Laura Mezquita, Dr, + 34 932275402, lmezquita@clinic.cat

    Recruiting
  • University Hospital of Girona Dr. Josep Trueta

    Girona, Girona, 17007

    Joaquim Bosch Barrera, Dr, +34 972 225 158, jbosch@iconcologia.net

    Recruiting
  • University Hospital of Jaen

    Jaén, Andalusia, 23007

    Jose Lopez Lopez, Dr, +34 (95) 322 0306, Jall92hs@gmail.com

    Recruiting
  • START- Rioja

    Logroño, La Rioja, 26006

    Carme Bistuer Rovira, +34941278760, carme.bistuer@startresearch.com

    Recruiting
  • University Hospital Lucus Augusti (HULA)

    Lugo, 27003

    Sergio Vázquez Estévez, Dr, +34 (98) 229 6028, sergio.vazquez.estevez@sergas.es

    Recruiting
  • Clínica Universidad de Navarra

    Madrid, Madrid, 28027

    Miguel Fernandez de Sanmamed Gutierrez, Dr, +34 (91) 353 1920, msanmamed@unav.es

    Recruiting
  • University Hospital 12 de Octubre

    Madrid, Madrid, 28041

    Luis Paz-Ares Rodríguez, Dr, +34 (91390) 8000, lpazaresr@seom.org

    Recruiting
  • University Hospital HM Sanchinarro

    Madrid, Madrid, 28050

    Gema Garcia Ledo, Dr, +34 (91) 756 7984, gmgarcialedo@hmhospitales.com

    Recruiting
  • Regional University Hospital of Malaga

    Málaga, Andalusia, 29010

    Manuel Cobo Dols, Dr, +34 (95) 130 8130, mangel.cobo.sspa@juntadeandalucia.es

    Recruiting
  • University Clinic of Navarra - Pamplona

    Pamplona, Navarre, 31008

    Miguel Fernandez de Sanmamed Gutierrez, Dr, +34 (91) 353 1920, msanmamed@unav.es

    Recruiting
  • University Hospital Complex of Santiago (CHUS)

    Santiago de Compostela, Galicia, 15706

    Estiban Mendez Barrio, +34 981 955 923, estiban.mendez.barrio@sergas.es

    Recruiting
  • University Hospital Virgen del Rocio (HUVR)

    Seville, Andalusia, 41013

    Amparo Sánchez Gastaldo, Dr, +34 955013068, asanchezgastaldo@gmail.com

    Recruiting

Other trials in Spain

Germany6 sites, 6 recruiting
  • Evangelical Hospital Bethel, Clinic for Internal Medicine, Hematology/Oncology, Palliative Medicine Johannesstift

    Bielefeld, North Rhine-Westphalia, 33611

    Florian Weissinger, Prof., +49 (521) 77275750, florian.weissinger@evkb.de

    Recruiting
  • Clinics Essen-Mitte

    Essen, North Rhine-Westphalia, 45136

    Konstantinos Ferentinos, Dr, +49 (201) 174-24061, K.Ferentinos@kem-med.com

    Recruiting
  • Hospital Esslingen GmbH

    Esslingen am Neckar, Baden-Wurttemberg, 73730

    Martin Faehling, Dr, +49711310382411, m.faehling@klinikum-esslingen.de

    Annika Landmesser, +49711310386510, a.landmesser@klinikum-esslingen.de

    Recruiting
  • Thorax Clinic Heidelberg

    Heidelberg, Baden-Wurttemberg, 69126

    Helge Bischoff, Dr, +49 (6221) 396 8304, helge.bischoff@med.uni-heidelberg.de

    Petra Kettenring, +49 (6221) 396 1359, Petra.Kettenring@med.uni-heidelberg.de"

    Recruiting
  • Foundation Bethanien Moers

    Moers, North Rhine-Westphalia, 47441

    Kato Kambartel, Dr, +49 2841 200 2297, kambartel@bethanienmoers.de

    Sylvia Quabeck, Dr, +49 2841 200 2297, Sylvia.Quabeck@bethanienmoers.de

    Recruiting
  • University Hospital Wuerzburg, Clinic and Polyclinic II for Gastroenterology, Hematology, Internal Oncology, Stem Cell Therapies, Hepatology, Infectiology, Psychosomatics and Rheumatology/ Clinical Immunology

    Würzburg, Bavaria, 97080

    Maria Elisabeth Goebeler, Dr, +49 93120140959, goebeler_m@ukw.de

    Recruiting

Other trials in Germany

Italy6 sites, 6 recruiting
  • Oncology Reference Center

    Aviano, Friuli Venezia Giulia, 33081

    Brigida Stanzione, Dr, +39 0434659314, brigida.stanzione@cro.it

    Recruiting
  • Institute of Cancer Research and Treatment of Candiolo

    Candiolo, Turin, 10060

    Vanesa Gregorc, Dr, +39 0119933915, vanesa.gregorc@inoc.it

    Recruiting
  • Institute of Romagna for Cancer Research "Dino Amadori" - IRCCS IRST

    Forlì, Emilia-Romagna, 47014

    Oriana Nanni, Dr, +39 0543739100, oriana.nanni@irst.emr.it

    Recruiting
  • European Institute of Oncology (IEO), IRCCS

    Milan, Milan, 20141

    Pamela Trillo Aliaga, Dr, +390257489773, Pamela.TrilloAliaga@ieo.it

    Recruiting
  • Local Health Unit of Romagna - Santa Maria delle Croci Hospital of Ravenna, Onco-Hematology Department

    Ravenna, 48121

    Manolo D'Arcangelo, Dr, +39 0544286223, manolo.darcangelo@auslromagna.it

    Recruiting
  • National Cancer Institute Regina Elena, IRCCS

    Rome, Lazio, 00144

    Gabriele Minuti, Dr, +39 06 5266 2205 ext. 06, gabriele.minuti@ifo.it

    Recruiting

Other trials in Italy

United States5 sites, 5 recruiting
  • University of Alabama at Birmingham (O'Neal Comprehensive Cancer Center)

    Birmingham, Alabama, 35294-3300

    Leigh McManus, RN, MSHQS, CCRP, 205-934-4173, lmcmanus@uabmc.edu

    Recruiting
  • Duke University Medical Center

    Durham, North Carolina, 27710

    Alicia Wilkerson, 919-681-4768, Alicia.wilkerson@duke.edu

    Recruiting
  • USC Norris Comprehensive Cancer Center

    Los Angeles, California, 90033

    Sandy Tran, 323-865-3935, Sandy.Tran@med.usc.edu

    Recruiting
  • NYU Langone Hospital - Long Island

    Mineola, New York, 11501

    Rajwanth Veluswamy, Dr, 212-731-5662, rajwanth.veluswamy@nyulangone.org

    David Mangar, 212-404-3628, david.mangar@nyulangone.org

    Recruiting
  • NYU Longone Health

    New York, New York, 10016

    Rajwanth Veluswamy, Dr, 212-731-5662, rajwanth.veluswamy@nyulangone.org

    David Mangar, 212-404-3628, david.mangar@nyulangone.org

    Recruiting

Other trials in United States

Romania3 sites, 3 recruiting
  • Sf. Nectarie Oncology Center

    Craiova, Dolj, 200542

    Michael Schenker, Dr, +40 727 774 974, mike_schenker@yahoo.com

    Augustin Georghe, +40 723 557 512, gusti.gheorghe@yahoo.com

    Recruiting
  • Clinica Polisano S.R.L

    Sibiu, Sibiu County, 55023

    Victor Nimirceag, Dr, +40 (74) 103 3998, Dr.Nimirceag@gmail.com

    Nicoleta Dalbea, +40 (752) 888 592, nicoleta.dalbea@medlife.ro

    Recruiting
  • SC Oncomed SRL

    Timișoara, Timiș County, 300239

    Daniela Sirbu, Dr, +40 (744) 571 617, desirbu@yahoo.com

    Georgeta Negret, Pharm, +40 (728) 963 979, gnegret28@gmail.com

    Recruiting

Other trials in Romania

Switzerland2 sites, 2 recruiting
  • University Hospital Basel

    Basel, 4031

    Benjamin Thiele, Dr, +41 (612) 655 074, Benjamin.Thiele@usb.ch

    Recruiting
  • Cantonal Hospital Saint Gallen, Clinic of Oncology and Hematology

    Sankt Gallen, CH-9007

    Markus Joerger, Dr, +41 (71) 494 1111, markus.joerger@h-och.ch

    Recruiting

Other trials in Switzerland

Poland1 site, 1 recruiting
  • MED-Polonia, Sp. z o.o. (LLC)

    Poznan, Greater Poland Voivodeship, 60693

    Rodrig Ramlau, Dr, +48 513 155 613, badania.kliniczne@medpolonia.com.pl

    Recruiting

Other trials in Poland

About this study

Official title: Ph 2, Randomized, Blinded, Placebo-Controlled Trial Investigating the Efficacy and Safety of Visugromab and Nivolumab With or Without Docetaxel Versus Docetaxel in 2L Treatment of Participants With Metastatic NSCLC (GDFATHER-NSCLC-02)

This is an exploratory, signal-finding, randomized, placebo-controlled, blinded, multi-center phase 2b trial of the anti-GDF-15 antibody Visugromab (CTL-002) at two different dose levels plus Nivolumab with Docetaxel versus Visugromab at the higher dose plus Nivolumab with placebo versus double-placebo with Docetaxel, in participants that receive second-line treatment for non-squamous NSCLC after failure of prior first-line treatment including a CPI (checkpoint inhibitor).

The trial consists of 3 Parts: an open-label Safety Run-in part (Part A) followed by a subsequent randomized phase 2b part with 4 treatment arms. After the treatment of 15 participants with visugromab at the expansion dose, an interim safety and preliminary efficacy analysis will be conducted (Part B), followed by the treatment of the remaining participants (Part C).

Being tested
Visugromab RDE (recommended dose for expansion), Visugromab 6mg/kg, Nivolumab, Placebo Saline Infusion, Docetaxel
Keywords
CTL-002, Visugromab, GDF-15

What participants receive

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

  • Visugromab RDE (recommended dose for expansion)Biological

    Also called CTL-002

    Participants receive Visugromab (RDE) intravenous (IV) on Day 1 of every 21-day cycle (every 3 weeks, or Q3W)

  • Visugromab 6mg/kgBiological

    Also called CTL-002

    Participants receive Visugromab (6mg/kg) intravenous (IV) on Day 1 of every 21-day cycle (every 3 weeks, or Q3W)

  • NivolumabBiological

    Also called OPDIVO®

    Participants receive Nivolumab 360mg intravenous (IV) on Day 1 of every 21-day cycle (every 3 weeks, or Q3W)

  • Placebo Saline InfusionOther

    Also called 0.9% NaCl

    Participants receive Saline intravenous (IV) on Day 1 of every 21-day cycle (every 3 weeks, or Q3W)

  • DocetaxelDrug

    Participants receive Docetaxel 75 mg/m2 intravenous (IV) on Day 1 of every 21-day cycle (every 3 weeks, or Q3W)

Study groups in NCT07246863
Study groupRoleWhat they receive
Arm AExperimentalVisugromab (RDE) + Nivolumab (360 mg) + Docetaxel (75 mg/m2), intravenous (IV) on Day 1 of every 21-day cycle every 3 weeks (Q3W)
Receives: Biological: Visugromab RDE (recommended dose for expansion); Biological: Nivolumab; Drug: Docetaxel
Arm BExperimentalVisugromab (6mg/kg) + Nivolumab (360 mg) + Docetaxel (75 mg/m2), intravenous (IV) on Day 1 of every 21-day cycle every 3 weeks (Q3W)
Receives: Biological: Visugromab 6mg/kg; Biological: Nivolumab; Drug: Docetaxel
Arm CExperimentalVisugromab (RDE) + Nivolumab (360 mg) + Placebo (Saline) intravenous (IV) on Day 1 of every 21-day cycle every 3 weeks (Q3W)
Receives: Biological: Visugromab RDE (recommended dose for expansion); Biological: Nivolumab
Arm DActive comparatorDouble Placebo (Saline) + Docetaxel (75 mg/m2), intravenous (IV) on Day 1 of every 21-day cycle (every 3 weeks, or Q3W)
Receives: Other: Placebo Saline Infusion; Drug: Docetaxel

What is being measured

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

  1. Objective Response Rate (ORR)

    Percentage of participants with a best overall response (BOR) of complete response (CR) or partial response (PR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 as assessed by the Investigator at any time during the core trial period

    Measured: up to 36 months

Secondary outcomes (12)
  1. Adverse Events

    Incidence, type and severity of adverse events, treatment emergent adverse events, treatment-related adverse events and serious adverse events

    Measured: up to 60 months

  2. CR rate

    Complete response rate

    Measured: up to 36 months

  3. PR rate

    Partial response rate

    Measured: up to 36 months

  4. ORR rate

    Overall response rate

    Measured: up to 36 months

  5. DOR

    Duration of response

    Measured: up to 36 months

  6. TTR

    Time-to-respond

    Measured: up to 36 months

  7. PFS

    Progression-free survival

    Measured: up to 60 months

  8. OS

    Overall survival

    Measured: up to 60 months

  9. Participant weight course over time

    Participant weight course over time

    Measured: up to 39 months

  10. Maximum Concentration (Cmax) of visugromab

    Cmax is the maximum observed serum concentration of visugromab.

    Measured: up to 36 months

  11. Minimum Concentration (Cmin) visugromab

    Cmin is the minimum observed serum concentration of visugromab

    Measured: up to 36 months

  12. Participants' subjective well-being as assessed by Non-Small Cell Lung Cancer Symptom Assessment Questionnaire (NSCLC-SAQ)

    NSCLC-SAQ is a participant reported outcome with seven (7) items assessing five (5) symptom domains of NSCLC: cough, fatigue, pain, dyspnea, and appetite. Each item is scored individually from 0 ("None/Never") to 4 ("Severe/Always").

    The total score is calculated by summing domain scores, which are derived as follows: single-item domains (cough, dyspnea, appetite) use the item score; fatigue uses the mean of two items (or one if only one is answered); pain uses the highest score of two items (or one if only one is answered). The total score ranges from 0-20, with higher scores indicating more severe symptoms. If any domain score is missing, a total score is not computed

    Measured: up to 39 months

Timeline

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

  1. First posted24 Nov 2025
  2. Study start7 Oct 2025
  3. Primary completion1 Oct 2029 (estimated)
  4. Study completion1 Oct 2031 (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
Randomised
Intervention model
Parallel groups
Model description
Part A: Safety Run-In Part B and C: Randomized Part consists of 4 Arms: Arm A: Visugromab at the recommended dose for expansion (RDE) with Nivolumab and Docetaxel, Arm B: Visugromab 6 mg/kg with Nivolumab and Docetaxel, Arm C: Visugromab at the RDE with Nivolumab Arm D: Double Placebo (saline) and Docetaxel Participants will be allocated in 2:1:1:1 ratio to treatment arms A, B, C, or D
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
131 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07246863
Sponsor's protocol ID
CTL-002-004
Other IDs
2024-516794-70-00
Status last verified
Oct 2026
First submitted
19 Nov 2025
Last updated
26 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Visugromab RDE (recommended dose for expansion), Visugromab 6mg/kg and Nivolumab in people with Metastatic Non-Squamous Non-Small Cell Lung Cancer and Adult Solid Tumor, run by CatalYm GmbH at 36 sites in 7 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

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 26 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 36 sites in Spain, Germany, Italy, United States, Romania and 2 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 Lena Lemke, MD (+49 89 200066440, regulatory-004@catalym.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Objective Response Rate (ORR) (time frame: up to 36 months). 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 26 Oct 2026.

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