NCT07098338RecruitingPhase 2
A Study of Novel Combinations in Non-Small Cell Lung Cancer (NSCLC)
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)
Source: ClinicalTrials.gov · Last updated 15 Oct 2026
Brief summary (registry, in English)
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.
- Status (registry)
- Recruiting
- Phase (registry)
- Phase 2
- Study type
- Interventional
- Enrollment
- 278 (estimated)
- First submitted
- 4 Jul 2025
- Start date
- 7 Aug 2025
- Primary completion date
- 6 Apr 2029
- Lead sponsor
- AstraZeneca
- Diseases
- Lung cancer
- NCT number
- NCT07098338
- EU CT number
- 2025-524843-11-00
What you commit to
- Study type: Interventional · Phase 2
- Planned participants: 278
- From 7 Aug 2025 to the primary completion date, 6 Apr 2029
- 65 sites in 12 countries
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Prior treatment
- 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.
- Receipt of prior systemic chemotherapy/chemoradiation/immunotherapy for advanced NSCLC for sub-study 1 and sub-study 2.
- Prior exposure to immune-mediated therapy
- Any concurrent anti-cancer treatment.
- Receipt of live, attenuated vaccine within 30 days prior to the first dose of study intervention.
Other illness
- 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
- History of another primary malignancy.
- Active infection, including TB and infections with HIV, HBV (verified by known positive HBsAg result), HCV.
- Uncontrolled or significant cardiac disease
- History of uncontrolled hypertension, and active bleeding diseases, and high risks of bleeding and disorders of coagulation
Other
- 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
Who the study is looking for
- 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
- 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
Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers
Sites (65)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Research Site Coordinator of this site? Confirm its status | Heidelberg | Australia | Not yet recruiting |
| Research Site Coordinator of this site? Confirm its status | Nedlands | Australia | Not yet recruiting |
| Research Site Coordinator of this site? Confirm its status | Woodville | Australia | Not yet recruiting |
| Research Site Coordinator of this site? Confirm its status | Toronto | Canada | Not yet recruiting |
| Research Site Coordinator of this site? Confirm its status | Changsha | China | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Chengdu | China | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Deyang | China | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Dongguan | China | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Fuzhou | China | Withdrawn |
| Research Site Coordinator of this site? Confirm its status | Guangzhou | China | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Hangzhou | China | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Hefei | China | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Linyi | China | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Mianyang | China | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Nanchang | China | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Shantou | China | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Shenyang | China | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Wuhan | China | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Zhengzhou | China | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Zhuhai | China | Recruiting |
| Complexo Hospitalario Universitario A Coruña Coordinator of this site? Confirm its status | A Coruña | Spain | Recruiting |
| Hospital Universitario 12 de Octubre Coordinator of this site? Confirm its status | Madrid | Spain | Recruiting |
| Hospital Universitario Regional de Málaga Coordinator of this site? Confirm its status | Málaga | Spain | Recruiting |
| Althaia Xarxa Assistencial Universitaria De Manresa Fundacio Privada Coordinator of this site? Confirm its status | Manresa | Spain | Recruiting |
| Hospital Universitario Marqués de Valdecilla Coordinator of this site? Confirm its status | Santander | Spain | Recruiting |
| Hospital Clinico Universitario de Valencia Coordinator of this site? Confirm its status | Valencia | Spain | Recruiting |
| Centre Hospitalier d'Avignon Coordinator of this site? Confirm its status | Avignon | France | Recruiting |
| Centre Hospitalier Universitaire de Rennes Coordinator of this site? Confirm its status | Rennes | France | Recruiting |
| Hospital Foch Coordinator of this site? Confirm its status | Suresnes | France | Recruiting |
| Centro di Riferimento Oncologico di Aviano Coordinator of this site? Confirm its status | Aviano | Italy | Recruiting |
| Istituto Romagnolo per lo Studio dei Tumori "Dino Amadori" - IRST S.r.l Coordinator of this site? Confirm its status | Meldola | Italy | Recruiting |
| Istituto Europeo di Oncologia s.r.l Coordinator of this site? Confirm its status | Milan | Italy | Recruiting |
| Azienda Ospedaliero-Universitaria San Luigi Gonzaga Coordinator of this site? Confirm its status | Orbassano | Italy | Recruiting |
| Istituto Oncologico Veneto Coordinator of this site? Confirm its status | Padova | Italy | Recruiting |
| I.F.O. Istituti Fisioterapici Ospitalieri Coordinator of this site? Confirm its status | Rome | Italy | Recruiting |
| Humanitas Mirasole S.p.A. Coordinator of this site? Confirm its status | Rozzano | Italy | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Bunkyō City | Japan | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Fukuyama-shi | Japan | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Kobe | Japan | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Kurume-shi | Japan | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Kyoto | Japan | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Osaka | Japan | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Sakaishi | Japan | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Shinjuku-ku | Japan | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Wakayama | Japan | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Yokohama | Japan | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Cheongju-si | South Korea | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Namdong-gu | South Korea | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Seongnam-si | South Korea | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Seoul | South Korea | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Suwon | South Korea | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Singapore | Singapore | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Bangkok | Thailand | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Banphaeo | Thailand | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Liuying | Taiwan | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Taichung | Taiwan | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Tainan | Taiwan | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Taipei | Taiwan | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Taoyuan | Taiwan | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Atlanta | United States | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Baltimore | United States | Not yet recruiting |
| Research Site Coordinator of this site? Confirm its status | Fairfax | United States | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Houston | United States | Not yet recruiting |
| Research Site Coordinator of this site? Confirm its status | Santa Monica | United States | Recruiting |
| Research Site Coordinator of this site? Confirm its status | Santa Rosa | United States | Not yet recruiting |
This page is information, not medical advice. Discuss any trial with your doctor.