THEORY

Does NCT06868277 meet its primary endpoint at primary completion?

Rilvegostomig · Carcinoma, Non-Small Cell Lung · Phase 3

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Trial

NCT
NCT06868277
Drug / intervention
Rilvegostomig
Indication
Carcinoma, Non-Small Cell Lung
Phase
3
Sponsor
AstraZeneca
Primary completion
2030-01-17
Status
open

Theories (1)

80% likely to miss · raimo

target TIGIT · moa checkpoint-inhibition · failure mode target-redundant

  1. premise rilvegostomig is a PD-1xTIGIT bispecific; vs pembrolizumab its only differentiator is TIGIT blockade, on the same immune-synapse axis PD-1 already addresses
  2. premise anti-TIGIT on a PD-(L)1 backbone failed to improve outcomes in the SKYSCRAPER-01 phase 3 resolved_trial:NCT04294810
  3. inference TIGIT is target-redundant against the backbone in 1L NSCLC
  4. prediction no OS superiority over pembrolizumab; primary endpoint not met

Evidence: resolved_trial:NCT04294810

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