RecruitingPhase 2NCT07130032

Efficacy And Safety Of Anti-PD-1/PD-L1 Antibodies In Combination With Bevacizumab And Metronomic Cyclophosphamide In Patients With Non-Small Cell Lung Cancer And Cutaneous Melanoma Previously Treated With Immune Checkpoint Blockade

A Trial To Compare Efficacy And Safety Of Anti-PD-1/PD-L1 Antibodies In Combination With Bevacizumab And Metronomic Cyclophosphamide In Patients With Non-Small Cell Lung Cancer And Cutaneous Melanoma Previously Treated With Immune Checkpoint Blockade


Sponsor

EuroCityClinic LLC

Enrollment

90 participants

Start Date

Aug 14, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

This study will evaluate efficacy and safety of anti-PD-1/PD-L1 antibodies combined with bevacizumab and metronomic cyclophosphamide in patients with metastatic non-small cell lung cancer (NSCLC) and cutaneous melanoma previously treated with immune checkpoint blockade (ICB). The hypotheses of this study are that a combination of ICB, cyclophosphamide, and bevacizumab prolongs progression-free survival and overall survival, and also increases rates of objective responses and disease control.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is testing whether adding two drugs — bevacizumab (a blood vessel-blocking drug) and low-dose cyclophosphamide (a chemotherapy drug given in small daily doses) — can help people with non-small cell lung cancer or skin melanoma whose disease progressed after immunotherapy. **You may be eligible if...** - You are 18 or older - You have advanced non-small cell lung cancer or cutaneous (skin) melanoma with distant spread - Your cancer progressed after receiving immunotherapy (anti-PD-1 or anti-PD-L1 drugs) - For lung cancer: you have no EGFR, ALK, ROS1, or RET gene mutations - Your overall health is good enough (ECOG score 0–2) **You may NOT be eligible if...** - You have serious heart disease, recent stroke, or uncontrolled high blood pressure - You have had another cancer in the past 2 years (with some exceptions) - You are pregnant or breastfeeding - You have active autoimmune disease or significant bleeding risk 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

COMBINATION_PRODUCTreICB regimen (NSCLC)

* ICI (one of the following): Atezolizumab 1200 mg every 3 weeks/Nivolumab 240 mg every 2 weeks/Pembrolizumab 200 mg every 3 weeks * Cyclophosphamide 50 mg PO daily * Bevacizumab 7.5 mg/kg every 3 weeks

COMBINATION_PRODUCTreICB regimen (melanoma)

* ICI (one of the following): Nivolumab 240 mg every 2 weeks/Pembrolizumab 200 mg every 3 weeks * Cyclophosphamide 50 mg PO daily * Bevacizumab 7.5 mg/kg every 3 weeks


Locations(1)

EuroCityClinic LLC

Saint Petersburg, Sankt-Peterburg, Russia

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NCT07130032


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