RecruitingPhase 3NCT06931717

A Clinical Study to Assess the Efficacy of Adjuvant Immunotherapy With Cemiplimab in Patients With Surgically Removed Non-small Cell Lung Cancer Who Have Not Received Prior Chemotherapy

A Randomised Phase III Trial of Adjuvant Cemiplimab in Patients With Resected Stage II-IIIA NSCLC Who Have Not Received Prior Adjuvant Chemotherapy


Sponsor

ETOP IBCSG Partners Foundation

Enrollment

390 participants

Start Date

Jan 12, 2026

Study Type

INTERVENTIONAL

Summary

ARCH is a randomised, stratified, multicentre, phase III trial. Protocol treatment consists of cemiplimab, 350 mg i.v., every 3 weeks, for 4 cycles, followed by 700 mg i.v., every 6 weeks for 6 cycles or until relapse or unacceptable toxicities, whichever occurs first. The primary objective of the study is to determine the efficacy of adjuvant cemiplimab, as measured by disease-free survival, in patients without prior adjuvant platinum-based chemotherapy, compared to observation without adjuvant treatment. The primary objective will be assessed in patients with tumours with centrally confirmed PD-L1 expression of ≥1%.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study tests whether cemiplimab — an immunotherapy drug — used after surgery helps prevent non-small cell lung cancer (NSCLC) from coming back in patients who cannot or choose not to receive standard post-surgery chemotherapy. **You may be eligible if...** - You are 18 years or older - You have Stage II–IIIA NSCLC that was completely removed by surgery - Your tumor tests positive for a protein called PD-L1 (at least 1%) - You are unable or unwilling to receive standard post-surgery platinum-based chemotherapy - You have recovered from surgery **You may NOT be eligible if...** - Your cancer was not fully removed (positive surgical margins) - Your cancer has come back after surgery - You have a PD-L1 negative tumor - You are not yet recovered from surgery complications - You have active autoimmune disease requiring long-term steroid use Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGCemiplimab

Cemiplimab, 350 mg i.v., every 3 weeks (±3 days), for 4 cycles, followed by 700 mg i.v., every 6 weeks (±1 week) for 6 cycles or until relapse or unacceptable toxicities, whichever occurs first.


Locations(33)

Wien AKH

Vienna, Austria

North Estonia Medical Centre Foundation

Talinn, Estonia

CHU d'Angers

Angers, France

Centre hospitalier d'Avignon

Avignon, France

Evangelische Lungenklinik Berlin

Buch, Germany

Ruhrlandklinik Essen

Essen, Germany

LMU München

München, Germany

Pius Hospital, University Medicine Oldenburg

Oldenburg, Germany

Beaumont Hospital

Dublin, Ireland

St James's Hospital

Dublin, Ireland

IRCCS - Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST)

Meldola, Italy

Fondazione IRCCS Istituto Nazionale dei Tumori

Milan, Italy

Instituto Europeo di Oncologia (IEO)

Milan, Italy

AOU Maggiore della Carità

Novara, Italy

Fondazione IRCCS Policlinico S. Matteo

Pavia, Italy

University of Perugia, AO SM Misericorida Perugia

Perugia, Italy

Nuovo Ospedale di Prato Santo Stefano

Prato, Italy

Azienda ospedaliero-universitaria Senese Siena

Siena, Italy

AULSS2 Marca Trevigiana Treviso

Treviso, Italy

Azienda Ospedaliera Universitaria Integrata di Verona

Verona, Italy

National University Hospital

Singapore, Singapore

Complejo Hospitalario Universitario

A Coruña, Spain

Hospital General Universitario Dr. Balmis de Alicante

Alicante, Spain

Hospital Universitario Cruces

Barakaldo, Spain

Hospital de La Santa Creu I Sant Pau

Barcelona, Spain

Hospital Universitario Vall D'Hebron

Barcelona, Spain

Hospital Clínico San Cecilio de Granada

Granada, Spain

Hospital Universitario de Jerez de La Frontera

Jerez de la Frontera, Spain

Hospital Clínico San Carlos

Madrid, Spain

Hospital Universitario Nuestra Señora de Candelaria

Santa Cruz de Tenerife, Spain

Hospital General Universitario de Valencia

Valencia, Spain

University Hospital Basel

Basel, Switzerland

Kantonsspital Winterthur

Winterthur, Switzerland

View Full Details on ClinicalTrials.gov

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NCT06931717