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NC318

Phase 2

Advanced Non-small Cell Lung Cancer | Small molecule | Oncology |NextCure, Inc.|Last Updated: May 13, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment159
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04699123The Study of NC318 Alone or in Combination With Pembrolizumab in Patients With Advanced Non-small Cell Lung CancerPHASE2 ACTIVE NOT_RECRUITING 159Feb 4, 2021Jun 30, 2025May 13, 20251 United States
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Study Endpoints
Primary Endpoints
Objective response rate (ORR) in Arm 1a
Tumor response will be based on tumor assessments at screening, every 8 weeks from the first dose (for the first 24 weeks) and thereafter every 12 weeks until investigator-assessed initial disease progression, up to 4 years

To determine the objective response rate (ORR) using RECIST v1.1 to NC318 in arm 1a

Objective response rate (ORR) in Arm 1b
Tumor response will be based on tumor assessments at screening, every 8 weeks from the first dose (for the first 24 weeks) and thereafter every 12 weeks until investigator-assessed initial disease progression, up to 4 years

To determine the objective response rate (ORR) using RECIST v1.1 to NC318 combined with pembrolizumab in arm 1b

Objective response rate (ORR) in Arm 1c
Tumor response will be based on tumor assessments at screening, every 8 weeks from the first dose (for the first 24 weeks) and thereafter every 12 weeks until investigator-assessed initial disease progression, up to 4 years

To determine the objective response rate (ORR) using RECIST v1.1 to NC318 combined with pembrolizumab in arm 1b

Number of participants on Arm 1b with treatment related adverse events as assessed by CTCAE v5
Safety run in of 6 weeks

To determine the safety of NC318 when administered in combination with pembrolizumab in arm 1b

Number of participants on Arm 1c with treatment related adverse events as assessed by CTCAE v5
Safety run in of 6 weeks

To determine the safety of NC318 when administered in combination with pembrolizumab in arm 1b

Objective response rate (ORR) in Arm 2
Tumor response will be based on tumor assessments at screening, every 8 weeks from the first dose (for the first 24 weeks) and thereafter every 12 weeks until investigator-assessed initial disease progression, up to 4 years

To determine the objective response rate (ORR) using RECIST v1.1 to NC318 combined with pembrolizumab in arm 2

Objective response rate (ORR) in Arm 2a
Tumor response will be based on tumor assessments at screening, every 8 weeks from the first dose (for the first 24 weeks) and thereafter every 12 weeks until investigator-assessed initial disease progression, up to 4 years

To determine the objective response rate (ORR) using RECIST v1.1 to NC318 combined with pembrolizumab in arm 2

Number of participants in arm 2 with treatment related adverse events as assessed by CTCAE v5
Safety run in of 6 weeks

To determine the safety of NC318 when administered in combination with pembrolizumab in arm 2

Number of participants in arm 2a with treatment related adverse events as assessed by CTCAE v5
Safety run in of 6 weeks

To determine the safety of NC318 when administered in combination with pembrolizumab in arm 2

Secondary Endpoints
Progression-free survival (RECIST v1.1) Arm 1a
Until disease progression or death, up to 4 years
Overall Survival (RECIST v1.1) Arm 1a
Until death, up to 5 years
Progression-free survival (RECIST v1.1) Arm 1B
Until disease progression or death, up to 4 years
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Arm 1a - NC318 onlyEXPERIMENTALAt the discretion of the treating physician, advanced NSCLC patients on arm 1a will receive NC318 alone.
Arm 1b - NC318 and PembrolizumabEXPERIMENTALAt the discretion of the treating physician, advanced NSCLC patients on arm 1b will receive combination therapy with NC318 and pembrolizumab.
Arm 1c - NC318 and PembrolizumabEXPERIMENTALAt the discretion of the treating physician, advanced NSCLC patients on arm 1b will receive combination therapy with NC318 and pembrolizumab.
Arm 2 (naïve to PD-1 axis inhibitor)- NC318 and PembrolizumabEXPERIMENTALArm 2 will enroll patients with advanced NSCLC who are naïve to PD-1 axis inhibitor therapy to receive therapy with NC318 in combination with pembrolizumab.
Arm 2a (naïve to PD-1 axis inhibitor)- NC318 and PembrolizumabEXPERIMENTALArm 2a will enroll patients with advanced NSCLC who are naïve to PD-1 axis inhibitor therapy to receive combination therapy with NC318 and pembrolizumab.
Interventions
NameTypeDescription
NC318 800 mgDRUGNC318 will be given intravenously (IV) weekly for 8 doses and then every 2 weeks for patients receiving combination therapy treatment or weekly for patient receiving NC318 in monotherapy.
NC318 400 mgDRUGNC318 will be given intravenously (IV) every 2 weeks.
PembrolizumabDRUGPembrolizumab 200 mg will be given IV every 3 weeks
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Histologically or cytologically documented, locally advanced or metastatic (i.e., Stage IIIB not eligible for definitive chemoradiotherapy, Stage IV, or recurrent) NSCLC (per the American Joint Committee /AJCC staging system) * ECOG performance status of 0 to 1 * Measurable di...

Countries:United States
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Competitive Landscape -Non-Small Cell Lung Cancer 406 trials
CompanyTickerTrialsLead PhaseDrugs
Merck & Co., Inc.MRK25PHASE3Pembrolizumab, Olaparib, Etoposide, Carboplatin, Cisplatin
Amgen Inc.AMGN5PHASE3AMG 510, Docetaxel, ABP 234, Pembrolizumab, Sotorasib
AstraZeneca PLCAZN63PHASE3Datopotamab deruxtecan, Durvalumab, Carboplatin, Pembrolizumab, Cisplatin
Revolution Medicines, Inc.RVMD8PHASE3daraxonrasib, docetaxel, RMC-6291, Elironrasib, Daraxonrasib
Eli Lilly and CompanyLLY19PHASE3Selpercatinib, Carboplatin, Cisplatin, Pemetrexed, Pembrolizumab
AbbVie, Inc.ABBV10PHASE3Telisotuzumab Vedotin, Docetaxel, Telisotuzumab vedotin, Telisotuzumab Adizutecan, Livmoniplimab
Bristol-Myers Squibb CompanyBMY20PHASE3Repotrectinib, Crizotinib, Nivolumab, Carboplatin, Cisplatin
BioNTech SE Sponsored ADRBNTX7PHASE3Gotistobart, Docetaxel, PM8002, Carboplatin, Pemetrexed
Gilead Sciences, Inc.GILD4PHASE3Sacituzumab Govitecan-hziy, Docetaxel, Zimberelimab, Domvanalimab, Pembrolizumab
GSK plc Sponsored ADRGSK4PHASE3Cobolimab, Dostarlimab, Docetaxel, Belrestotug, Pembrolizumab
Johnson & JohnsonJNJ18PHASE3Lazertinib, Amivantamab, Pemetrexed, Carboplatin, Osimertinib
Pfizer Inc.PFE21PHASE3Lorlatinib, Crizotinib, Avelumab, Lorlatanib, Talazoparib
ArriVent BioPharma, Inc.AVBP9PHASE3Firmonertinib, Drug: Furmonertinib, Furmonertinib, JAB-21822, JAB 21822
Novartis AG Sponsored ADRNVS9PHASE3JDQ443, docetaxel, TNO155, tislelizumab, DKY709
Summit Therapeutics IncSMMT2PHASE3Ivonescimab, Pembrolizumab
Nuvation Bio, Inc. Class ANUVB4PHASE3Taletrectinib, Crizotinib, AB-106
Genmab A/S Sponsored ADRGMAB4PHASE3Acasunlimab, Pembrolizumab, Docetaxel, Rina-S, GEN1042
Incyte CorporationINCY1PHASE3Retifanlimab, Pemetrexed, Cisplatin, Carboplatin, Paclitaxel
Regeneron Pharmaceuticals, Inc.REGN6PHASE2cemiplimab, Platinum Doublet, fianlimab, Pemetrexed, Paclitaxel
BeOne Medicines Ltd. Sponsored ADRONC6PHASE3Tislelizumab, Cisplatin, Paclitaxel, Pemetrexed Disodium, Carboplatin
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT04699123primaryCompletionDate: changed
LOWMay 24, 2026NCT04699123studyFirstPostDate: changed