Selected ongoing phase III trials evaluating neoadjuvant, perioperative, and adjuvant chemoimmunotherapy in resectable NSCLC

TrialPatient populationTreatmentPrimary endpointStudy completion
MERMAID-1 (NCT04385368)Stage II/III NSCLC after resectionAdjuvant durvalumab or placebo plus chemotherapy for 12 weeks followed by durvalumab or placebo for up to week 48DFS in the MRD+ (measured by whole exome sequencing-based ctDNA test) group2023-8-31
ANVIL (NCT02595944)Stage IB (≥ 4 cm)–IIIA NSCLC after resectionAdjuvant nivolumab or observationOS and DFS2025-12-31
LungMate-008 (NCT04772287)Stage II–IIIB (N2) NSCLC after resectionAdjuvant toripalimab or placebo with chemotherapy followed by 4 cycles adjuvant toripalimab or placeboDFS2027-12-30
ADOPT-lung (NCT06284317)Resectable IIB–IIIB (N2)Adjuvant durvalumab for 12 cycles or observationDFS2030-03
NADIM-ADJUVANT (NCT04564157)Stage IB–IIIA NSCLC after resectionAdjuvant nivolumab with chemotherapy followed by 6-month of nivolumab vs. adjuvant chemotherapyDFS2031-04-01
IMpower 030 (NCT03456063)Resectable stage II, IIIA, or select IIIBFour cycles of neoadjuvant atezolizumab with chemotherapy and up to 16 cycles of adjuvant atezolizumab or placebo with chemotherapyEFS2025-01-19
PROSPECT LUNG (NCT06632327)Resectable stage IIA to IIIBNeoadjuvant ICI with 4 cycles of chemotherapy and one year adjuvant ICI vs. adjuvant therapy with 4 cycles chemotherapy and one year ICI3-year real-world event-free survival (rwEFS) and OS2030-04-30
CLEAR-INSIGHT (INSIGHT: NCT06498635)Stage II–IIIB after resectionSOC neoadjuvant platinum-based chemotherapy and anti-PD-(L)1 therapy then surgery
pCR: adjuvant durvalumab for 12 cycles vs. observation (INSIGHT)
Non-pCR: adjuvant durvalumab and novel inhibitor combination vs. durvalumab for one year
DFS (INSIGHT)2039-07-15 (INSIGHT)

MRD: minimal residual disease; PD-1: programmed death 1; PD-L1: programmed death 1 ligand; ctDNA: circulating tumor DNA; EFS: event free survival; ICI: immune checkpoint inhibitors; NSCLC: non-small cell lung cancer; OS: overall survival; pCR: pathological complete response