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Monalizumab

Monoclonal antibody

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Phase 3underway

Evidence outlook · registrational

Non-Small Cell Lung Cancer: registrational readout pending

Entered Phase 3 on partial signal mid-stage evidence. The registry's posted readout date (2026-09-30) has passed without a status update. Check News for topline announcements.

COAST (NCT03822351): Participants were randomized among three treatment arms, including 62 receiving durvalumab plus monalizumab and 67 receiving durvalumab alone, but the study was open-label rather than blinded. The primary clinical endpoint, RECIST 1.1 objective response at 16 weeks, was 40.3% with monalizumab plus durvalumab versus 23.9% with durvalumab alone; because statistical significance for this comparison was not reported, the result is considered unclear.

Also in development:Head and Neck Squamous Cell Carcinoma

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Competitive landscape

66 competitors in this universe: 1 direct rival (same mechanism and indication), 0 same-class, 65 same-indication; 58 further along in development.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
Monalizumab: this drugPhase 3Monoclonal antibodyNKG2A
BMS-986315Phase 2Monoclonal antibodyNKG2A
Afatinib (Gilotrif)ApprovedSmall moleculeEGFR/HER1, HER2, HER4
Alectinib (Alecensa)ApprovedSmall moleculeALK
Alymsys (bevacizumab-Maly)ApprovedMonoclonal antibodyVEGF-A
AmivantamabApprovedMultispecific antibodyEGFR x c-MET
AtezolizumabApprovedMonoclonal antibodyPD-L1
BAT1706 (Avzivi)ApprovedMonoclonal antibodyVEGF-A
BAY2927088 (Hyrnuo)ApprovedSmall moleculeHER2 (ERBB2) exon 20 insertions and point mutations; also mutant-selective EGFR
BevacizumabApprovedMonoclonal antibodyVEGF-A, Vascular Endothelial Growth Factor Inhibitor
Bevacizumab-Awwb (MVASI)ApprovedMonoclonal antibodyVEGF-A
BinimetinibApprovedSmall moleculeMEK1/2
BrigatinibApprovedSmall moleculeALK
CapmatinibApprovedSmall moleculeMET
CemiplimabApprovedMonoclonal antibodyPD-1
CeritinibApprovedSmall moleculeALK

…and 51 more. Research shows the complete landscape.

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Research adds each competitor's evidence grade and sourced trial results, aligned per race, so you can see who actually has the data.

Upcoming events

(5 total)

Estimated primary-completion dates from ClinicalTrials.gov. These are registry estimates, never confirmed readout dates; they can move as trials progress.

2027 (1)
December 2027 (1)
Phase 2Non-muscle Invasive Bladder Cancer, Non-Muscle Invasive Bladder Urothelial CarcinomaRecruiting
Est. primary completion 2027-12-22 · NCT06503614 · CT.gov ↗
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2028 (2)
April 2028 (1)
Phase 2Non-Small Cell Lung CancerNot yet recruiting
Est. primary completion 2028-04 · NCT07146230 · CT.gov ↗
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December 2028 (1)
Phase 2Extensive Stage Lung Small Cell Carcinoma, Lung Small Cell Carcinoma, A Subtype, Lung Small Cell Carcinoma, I Subtype …Recruiting
Est. primary completion 2028-12-31 · NCT06769126 · CT.gov ↗
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2029 (1)
October 2029 (1)
Phase 2Small Cell Lung Cancer, SCLC, Extensive Stage Small Cell Lung Cancer, Limited Stage Small-Cell Lung CancerRecruiting
Est. primary completion 2029-10-31 · NCT05903092 · CT.gov ↗
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2030 (1)
May 2030 (1)
Phase 2Non-Small Cell Lung CancerRecruiting
Est. primary completion 2030-05-28 · NCT05061550 · CT.gov ↗
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See the full readout calendar ↗

All registered studies

Every ClinicalTrials.gov study of this drug's own program, grouped by indication and phase. Research unlocks the studies themselves: titles, statuses, dates and featured-trial cross-links.

Phase 3 (2)
Phase 2 (14)
Phase 1/2 (5)
Phase 1 (3)