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Livmoniplimab

Phase 2

Urothelial Carcinoma | Small molecule | Oncology |AbbVie Inc.|Last Updated: Feb 23, 2026

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Market & Valuation
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Trial Design
RandomizedCONTROLLED
Total Trials1
Total Enrollment150
FDA Designations
No designations recorded
Clinical trial landscape

Livmoniplimab · 5 trials · 5 indications

Phase 2 3Phase 1 2
NCT06632951Study to Evaluate Adverse Events and Change in Disease Activity When Intravenously (IV) Infused Livmoniplimab is Used in Combination With IV Infused Budigalimab in Adult Participants With Urothelial Carcinoma (UC)Urothelial Carcinoma
ACTIVE NOT_RECRUITING150 Analytics
NCT06236438Study to Evaluate Adverse Events, Optimal Dose, and Change in Disease Activity, With Livmoniplimab in Combination With Budigalimab Plus Chemotherapy Versus IV Infused Pembrolizumab Plus Chemotherapy in Adult Participants With Untreated Metastatic Non-Squamous Non-Small Cell Lung Cancer (NSCLC)Non-Small Cell Lung Cancer
RECRUITING840 Analytics
NCT06109272A Study to Assess the Dose, Adverse Events, and Change in Disease Activity of Livmoniplimab as an Intravenous (IV) Solution in Combination With Budigalimab as an IV Solution in Adult Participants With Hepatocellular Carcinoma (HCC)Hepatocellular Carcinoma
RECRUITING660 Analytics
PHASE2ACTIVE NOT_RECRUITING
Study to Evaluate Adverse Events and Change in Disease Activity When Intravenously (IV) Infused Livmoniplimab is Used in Combination With IV Infused Budigalimab in Adult Participants With Urothelial Carcinoma (UC)
Urothelial CarcinomaUnlock trial analytics
PHASE2RECRUITING
Study to Evaluate Adverse Events, Optimal Dose, and Change in Disease Activity, With Livmoniplimab in Combination With Budigalimab Plus Chemotherapy Versus IV Infused Pembrolizumab Plus Chemotherapy in Adult Participants With Untreated Metastatic Non-Squamous Non-Small Cell Lung Cancer (NSCLC)
Non-Small Cell Lung CancerUnlock trial analytics
PHASE2RECRUITING
A Study to Assess the Dose, Adverse Events, and Change in Disease Activity of Livmoniplimab as an Intravenous (IV) Solution in Combination With Budigalimab as an IV Solution in Adult Participants With Hepatocellular Carcinoma (HCC)
Hepatocellular CarcinomaUnlock trial analytics
Study Endpoints
Primary Endpoints
Overall Survival (OS)
Up to Approximately 3.5 Years

OS is defined as the time measured from randomization until death from any cause.

Stage 1: Best Overall Response (BOR) of Complete Response (CR)/Partial Response (PR)
Up to 21 Months

BOR of CR/PR is defined as achieving CR or PR according to response evaluation criteria in solid tumors (RECIST) v1.1 as determined by investigators at any time prior to subsequent anticancer therapy. Objective response rate (ORR), defined as the percentage of participants with a BOR of CR/PR, will be summarized.

Stage 2: Overall Survival (OS)
Up to 55 Months

OS is defined as the time measured from randomization until death from any cause.

Stage 1: Best Overall Response (BOR) per Investigator
Through Study Completion, Up to Approximately 56 Months

BOR is defined as a participant achieving confirmed complete response (CR) or confirmed partial response (PR) per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) as determined by investigators at any time prior to subsequent anticancer therapy.

Percentage of Participants With Adverse Events (AE)
Up to Approximately 2 Years

An adverse event is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment.

Number of Participants with Dose-Limiting Toxicities (DLT)
Up to Approximately 2 Years

DLT events are defined as clinically significant adverse events or abnormal laboratory values assessed as unrelated to disease progression, underlying disease, intercurrent illness, or concomitant medications.

Maximum Plasma Concentration (Cmax) of Livmoniplimab and Budigalimab
Up to Approximately 2 Years

Maximum Plasma Concentration (Cmax) of livmoniplimab and Budigalimab

Area Under the Serum Concentration Versus Time Curve (AUC) of Livmoniplimab and Budigalimab
Up to Approximately 2 Years

AUC of livmoniplimab and Budigalimab

Dose Escalation: Recommended Phase 2 Dose (RP2D) Livmoniplimab Monotherapy
Up to 28 days after the first dose of Livmoniplimab monotherapy

The RP2D is defined as the dose level chosen by the sponsor (in consultation with the investigators) for the dose expansion arms, based on safety, tolerability, efficacy, PK, and PD data collected during the dose escalation portion of the study.

Dose Escalation: RP2D Livmoniplimab + Budigalimab Combination Therapy
Up to 28 days after the first dose of Livmoniplimab and Budigalimab combination therapy

The RP2D is defined as the dose level chosen by the sponsor (in consultation with the investigators) for the dose expansion arms, based on safety, tolerability, efficacy, pharmacokinetics (PK), and pharmacodynamic (PD) data collected during the dose escalation portion of the study.

Dose Expansion: Objective Response Rate (ORR)
Up to approximately 6 months after the first dose date of last participant in Dose Expansion

ORR defined as the percentage of participants with a confirmed complete response (CR) or partial response (PR) based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.

Secondary Endpoints
Progression-Free survival (PFS)
Up to Approximately 3.5 Years
Best Overall Response (BOR) per Investigator
Up to Approximately 3.5 Years
Duration of Response (DOR) per Investigator
Up to Approximately 3.5 Years
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Arm 1: Livmoniplimab (Dose A) + BudigalimabEXPERIMENTALParticipants will receive livmoniplimab (dose A) in combination with budigalimab, as part of the approximately 3.5 years study duration.
Arm 2: Livmoniplimab (Dose B) + BudigalimabEXPERIMENTALParticipants will receive livmoniplimab (dose B) in combination with budigalimab, as part of the approximately 3.5 years study duration.
Arm 3: Docetaxel, Paclitaxel, or GemcitabineEXPERIMENTALParticipants will receive docetaxel, paclitaxel, or gemcitabine, investigator's choice, as part of the approximately 3.5 years study duration.
Stage 1 (Cohort 1): Livmoniplimab Dose AEXPERIMENTALParticipants will receive livmoniplimab (dose A)+ budigalimab, + chemotherapy for 4 cycles followed by livmoniplimab + budigalimab + pemetrexed.
Stage 1 (Cohort 2): Livmoniplimab Dose BEXPERIMENTALParticipants will receive livmoniplimab (dose B) + budigalimab, + chemotherapy for 4 cycles followed by livmoniplimab + budigalimab + pemetrexed.
Stage 1 (Cohort 3): BudigalimabEXPERIMENTALParticipants will receive budigalimab + chemotherapy for 4 cycles followed by budigalimab + pemetrexed.
Stage 1 (Cohort 4): PembrolizumabEXPERIMENTALParticipants will receive pembrolizumab + chemotherapy for 4 cycles followed by pembrolizumab + pemetrexed.
Stage 2 (Arm 1): Livmoniplimab (Dose Optimized)EXPERIMENTALParticipants will receive livmoniplimab (dose optimized) + budigalimab + chemotherapy for 4 cycles followed by livmoniplimab + budigalimab + pemetrexed.
Stage 2 (Arm 2): PlaceboEXPERIMENTALParticipants will receive placebo + pembrolizumab + chemotherapy for 4 cycles followed by pembrolizumab + pemetrexed.
Stage 1: Cohort 1EXPERIMENTALParticipants will receive livmoniplimab Dose 1 in combination with budigalimab every 3 weeks until disease progression or until discontinuation criteria are met.
Stage 1: Cohort 2EXPERIMENTALParticipants will receive livmoniplimab Dose 2 in combination with budigalimab every 3 weeks until disease progression or until discontinuation criteria are met.
Stage 1: Cohort 3 - Group 1 (Control)ACTIVE_COMPARATORParticipants will receive atezolizumab in combination with bevacizumab every 3 weeks until disease progression or until discontinuation criteria are met.
Stage 1: Cohort 3 - Group 2 (Control)ACTIVE_COMPARATORParticipants will receive a single dose of tremelimumab in combination with durvalumab every four weeks until disease progression or until discontinuation criteria are met.
Stage 2: Arm 1EXPERIMENTALParticipants will receive livmoniplimab (optimized dose) in combination with budigalimab every 3 weeks until disease progression or until discontinuation criteria are met.
Stage 2: Arm 2 (Control)ACTIVE_COMPARATORParticipants will receive a single dose of tremelimumab in combination with durvalumab every 4 weeks until disease progression or until discontinuation criteria are met.
Stage 1: Cohort 1 Livmoniplimab + Budigalimab Dose AEXPERIMENTALParticipants will receive livmoniplimab Dose A in combination with budigalimab every 3 weeks for approximately 2 years.
Stage 2: Cohort 2 Livmoniplimab + Budigalimab Dose BEXPERIMENTALParticipants will receive livmoniplimab Dose B in combination with budigalimab every 3 weeks for approximately 2 years.
Dose Escalation: Cohort 1 LivmoniplimabEXPERIMENTALVarious doses of Livmoniplimab administered during dose escalation to determine the Recommended Phase 2 Dose (RP2D).
Dose Escalation: Cohort 2 Livmoniplimab + BudigalimabEXPERIMENTALVarious doses of Livmoniplimab + Budigalimab administered during dose escalation to determine the Recommended Phase 2 Dose (RP2D).
Dose Expansion: Cohort 3 Livmoniplimab + BudigalimabEXPERIMENTALParticipants with programmed cell death protein 1 (PD-1)-naïve pancreatic adenocarcinoma will receive livmoniplimab at the RP2D Q2W plus budigalimab Dose A administered Q4W.
Dose Expansion: Cohort 4 Livmoniplimab + BudigalimabEXPERIMENTALParticipants with PD-1-ref urothelial cancer will receive livmoniplimab at the RP2D Q2W plus budigalimab Dose A administered Q4W.
Dose Expansion: Cohort 5 Livmoniplimab + BudigalimabEXPERIMENTALParticipants with PD-1-naïve hepatocellular carcinoma (HCC) will receive livmoniplimab at the RP2D Q2W plus budigalimab Dose A administered Q4W.
Dose Expansion: Cohort 6 Livmoniplimab + BudigalimabEXPERIMENTALParticipants with PD-1-ref head and neck squamous cell carcinoma (HNSCC) will receive livmoniplimab at the RP2D Q2W plus budigalimab Dose A administered Q4W.
Dose Expansion: Cohort 7 Livmoniplimab + BudigalimabEXPERIMENTALParticipants with PD-1-naïve microsatellite stable colorectal cancer (MSS-CRC) \[unselected\] will receive livmoniplimab at the RP2D Q2W plus budigalimab Dose A administered Q4W.
Dose Expansion: Cohort 8 Livmoniplimab + BudigalimabEXPERIMENTALParticipants with non-small cell lung cancer (NSCLC) \[programmed death ligand 1 (PDL1) relapsed/refractory (R/R)\] will receive livmoniplimab at the RP2D Q2W plus budigalimab Dose A administered Q4W.
Dose Expansion: Cohort 10A Livmoniplimab + BudigalimabEXPERIMENTALParticipants with microsatellite stable colorectal cancer (MSS-CRC) \[consensus molecular subtype 4 (CMS4) enriched\] will receive livmoniplimab at the dose B Q3W plus budigalimab Dose B administered Q3W.
Dose Expansion: Cohort 10B Livmoniplimab + BudigalimabEXPERIMENTALParticipants with MSS-CRC (CMS4 enriched) will receive livmoniplimab at the dose C Q3W plus budigalimab Dose B administered Q3W.
Dose Expansion: Cohort 11A Livmoniplimab + BudigalimabEXPERIMENTALParticipants with PD-1-ref urothelial cancer will receive livmoniplimab at the Dose B Q3W plus budigalimab Dose B administered Q3W.
Dose Expansion: Cohort 11B Livmoniplimab + BudigalimabEXPERIMENTALParticipants with PD-1-ref urothelial cancer will receive livmoniplimab at the Dose C Q3W plus budigalimab Dose B administered Q3W.
Dose Expansion: Cohort 11C BudigalimabEXPERIMENTALParticipants with PD-1-ref urothelial cancer will receive budigalimab Dose B administered Q3W.
Dose Expansion: Cohort 12A Livmoniplimab + BudigalimabEXPERIMENTALParticipants with PD-1-naïve ovarian granulosa (OG) cell tumors will receive livmoniplimab at the Dose B Q3W plus budigalimab Dose B administered Q3W.
Dose Expansion: Cohort 12B Livmoniplimab + BudigalimabEXPERIMENTALParticipants with PD-1-naïve ovarian granulosa (OG) cell tumors will receive livmoniplimab at the Dose C Q3W plus budigalimab Dose B administered Q3W.
Interventions
NameTypeDescription
LivmoniplimabDRUGIntravenous (IV) Infusion
BudigalimabDRUGIV Infusion
DocetaxelDRUGIV Infusion
PaclitaxelDRUGIV Injection
GemcitabineDRUGIV Infusion
PembrolizumabDRUGIV Infusion
PemetrexedDRUGIV Infusion
CisplatinDRUGIV Infusion
CarboplatinDRUGIV Injection
DurvalumabDRUGIntravenous (IV) Solution
AtezolizumabDRUGIntravenous (IV) Solution
BevacizumabDRUGIntravenous (IV) Solution
TremelimumabDRUGIntravenous (IV) Solution
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Eligibility Criteria
Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites37

Inclusion Criteria: * Participant has histologically or cytologically confirmed urothelial carcinoma (i.e., cancer of the bladder, renal pelvis, ureter, or urethra). Mixed histologic types are allowed if urothelial (transitional cell) is the predominant histology. * Participant has radiologically d...

Countries:United StatesCanadaFranceIsraelJapanPolandSouth KoreaSpainAustraliaBelgiumChileNetherlandsPuerto RicoTaiwanTurkey (Türkiye)ItalyChinaGermany
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT06109272primaryCompletionDate: changed
LOWMay 26, 2026NCT06487559primaryCompletionDate: changed
LOWMay 26, 2026NCT06236438primaryCompletionDate: changed
LOWMay 26, 2026NCT03821935primaryCompletionDate: changed
LOWMay 26, 2026NCT06632951primaryCompletionDate: changed
LOWMay 24, 2026NCT06109272studyFirstPostDate: changed
LOWMay 24, 2026NCT06487559studyFirstPostDate: changed
LOWMay 24, 2026NCT06236438studyFirstPostDate: changed
LOWMay 24, 2026NCT03821935studyFirstPostDate: changed
LOWMay 24, 2026NCT06632951studyFirstPostDate: changed