The study will first determine the optimal dose of inupadenant to be given in combination with carboplatin and pemetrexed to patients that progressed after receiving first line anti-PD(L)1 treatment for locally advanced or metastatic non-small cell lung cancer. The efficacy and safety of the combination is then compared to standard of care carboplatin and pemetrexed in the same populations.
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Dose-finding to determine recommended Phase 2 dose
Timeframe: At the end of Cycle 1 (each cycle is 21 days)
Incidence of treatment-emergent adverse events [Safety and Tolerability]
Timeframe: Duration of intervention (up to 24 months) plus 30 days follow-up or up to database lock
Progression-free survival [Efficacy]
Timeframe: From randomization to first-documented radiological progression or date of death from any cause, whichever comes first, assessed up to 24 months.