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Clinical Trials List

Protocol NumberM23-721
Active

2024-05-01 - 2032-02-29

Phase II

Recruiting4

ICD-10C34.90

Malignant neoplasm of unspecified part of unspecified bronchus or lung

ICD-10C34.91

Malignant neoplasm of unspecified part of right bronchus or lung

ICD-10C34.92

Malignant neoplasm of unspecified part of left bronchus or lung

ICD-10C7A.090

Malignant carcinoid tumor of the bronchus and lung

ICD-10Z51.12

Encounter for antineoplastic immunotherapy

ICD-9162.9

Malignant neoplasm of bronchus and lung, unspecified

A Randomized, Phase 2/3 Study to Evaluate the Optimal Dose, Safety, and Efficacy of Livmoniplimab in Combination with Budigalimab Plus Chemotherapy Versus Pembrolizumab Plus Chemotherapy in Untreated Metastatic Non-Squamous Non-Small Cell Lung Cancer (NSCLC) – LIVIGNO-4

  • Trial Applicant

    AbbVie

  • Sponsor

    AbbVie

  • Trial scale

    Multi-Regional Multi-Center

  • Update

    2026/02/01

Investigators and Locations

Principal Investigator 蘇健 Division of Thoracic Medicine

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator Wen-Cheng Chang Division of Hematology & Oncology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator Chien-Chung Lin Division of General Internal Medicine

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

The Actual Total Number of Participants Enrolled

0 Recruiting

Condition/Disease

Non-Small Cell Lung Cancer (NSCLC)

Objectives

The primary objective of Stage 1 is to assess the safety and efficacy of livmoniplimab and budigalimab in combination with platinum doublet chemotherapy and to select the RP3D for livmoniplimab. The secondary objectives of Stage 1 are to assess the tolerability, immunogenicity, PK, and efficacy of livmoniplimab and budigalimab in combination with platinum doublet chemotherapy and to assess the contribution of livmoniplimab to the treatment combination.

Test Drug

N/A
N/A

Active Ingredient

Budigalimab (ABBV-181)
Livmoniplimab (ABBV-151)

Dosage Form

N/A
N/A

Dosage

N/A
N/A

Endpoints

Primary Endpoint:
Best overall response (BOR): Defined as achieving complete response (CR) or
partial response (PR) according to RECIST 1.1 as determined by the investigator
at any time prior to subsequent anticancer therapy.
Secondary Endpoints:
Progression-free survival (PFS) as determined by investigator, duration of
response (DOR) as determined by investigator, and overall survival (OS).

Inclution Criteria

Subjects must meet all the following criteria in order to be included in the study.
Consent
1. Subjects or their legally authorized representative must voluntarily sign and date an informed
consent, approved by an independent ethics committee (IEC)/institutional review board (IRB),
prior to the initiation of any screening or study-specific procedures.



Demography and Laboratory Assessments
2. Subject is willing to comply with procedures required in this protocol.
3. Subject must be at least 18 years old.
4. Laboratory values meeting the following criteria within the screening period prior to the first
dose of study drug:
• Serum AST and ALT < 2.5 times upper limit of normal (ULN) OR 5 times ULN for subjects with
liver metastases/tumor infiltration.
• Bilirubin < 1.5 times ULN OR direct bilirubin ≤ULN for subjects with total bilirubin levels
> 1.5 × ULN
• Absolute neutrophil count ≥ 1000/mm3 with exception for groups with benign ethnic
neutropenia,10 then > 700/mm3

Exclusion Criteria

Subjects will NOT be eligible for study participation if they meet any of the following criteria.
Subject History
1. Has predominantly squamous cell histology NSCLC. Mixed tumors will be categorized by the
predominant cell type and the subject would be eligible only if the standard of care regimen is
based on non-squamous histology; if small cell elements are present, the subject is ineligible.
2. History of additional malignancy or history of prior malignancy, except for adequately treated
basal or squamous skin cancer, cervical carcinoma in situ, or bladder carcinoma in situ without
evidence of disease, or malignancy treated with curative intent and with no evidence of disease
recurrence for 5-years since the initiation of that therapy.
3. History of clinically significant medical conditions or any other reason that the investigator
determines would interfere with the subject's participation in this study or would make the
subject an unsuitable candidate to receive study drug.
4. Prior allogeneic stem cell or solid organ transplantation.
5. History of an allergic reaction or significant sensitivity to constituents of the study drug (and
its excipients) and/or other products in the same class
6. History of severe allergic anaphylactic reactions to chimeric or humanized antibodies or fusion
proteins.
7. Known hypersensitivity to Chinese hamster ovary cell products or to any component of the
budigalimab or livmoniplimab formulation.
8. Subject is currently enrolled in another interventional clinical study or was previously enrolled
in this study.
9. Active infection requiring systemic therapy within 1 week prior to the anticipated first dose of
study treatment.
• Controlled HIV. Subjects infected with HIV may be enrolled if the following criteria are met:
CD4 count is >100 cells/µL. (If CD4 count is < 200 cells/µL, a CD4 to CD8 ratio > 0.4 is
required.) Subject has been receiving effective ART for at least 4 weeks with an HIV viral
load of less than 200 copies/mL, and subject has no symptomatic AEs higher than Grade 1
attributed to ART.
10. Active or prior documented history of positive test result(s) for hepatitis B (HBV) surface
antigen or for hepatitis C (HCV) antibody. NOTE: subjects who have a positive HCV antibody test
are eligible if HCV RNA is undetectable at screening.

The Estimated Number of Participants

  • Taiwan

    36 participants

  • Global

    840 participants