Description:
This is a phase 2, open-label, single-arm, multicenter clinical trial designed to evaluate
the efficacy and safety of talimogene laherparepvec in combination with pembrolizumab
following disease progression on prior anti-PD-1 therapy in unresectable/metastatic melanoma
(stage IIIB-IVM1d) or prior anti-PD-1 therapy in the adjuvant setting. Subjects will be
treated with talimogene laherparepvec and pembrolizumab until confirmed complete response,
disappearance of all injectable lesions, documented confirmed disease progression per
modified immune-related Response Criteria simulating Response Evaluation Criteria in Solid
Tumors (irRC-RECIST), intolerance of study treatment, or 102 weeks from the first dose of
talimogene laherparepvec and/or pembrolizumab, whichever occurs first.
Title
- Brief Title: Talimogene Laherparepvec With Pembrolizumab in Melanoma Following Progression on Prior Anti-PD-1 Based Therapy (MASTERKEY-115) (Mk-3475-A07/KEYNOTE-A07).
- Official Title: Phase 2 Study of Talimogene Laherparepvec in Combination With Pembrolizumab in Subjects With Unresectable/Metastatic Stage IIIB-IVM1d Melanoma Who Have Progressed on Prior Anti PD-1 Based Therapy
Clinical Trial IDs
- ORG STUDY ID:
20180115
- SECONDARY ID:
2019-001906-61
- NCT ID:
NCT04068181
Conditions
Interventions
Drug | Synonyms | Arms |
---|
Talimogene laherparepvec | | Talimogene Laherparepvec and Pembrolizumab |
Pembrolizumab | | Talimogene Laherparepvec and Pembrolizumab |
Purpose
This is a phase 2, open-label, single-arm, multicenter clinical trial designed to evaluate
the efficacy and safety of talimogene laherparepvec in combination with pembrolizumab
following disease progression on prior anti-PD-1 therapy in unresectable/metastatic melanoma
(stage IIIB-IVM1d) or prior anti-PD-1 therapy in the adjuvant setting. Subjects will be
treated with talimogene laherparepvec and pembrolizumab until confirmed complete response,
disappearance of all injectable lesions, documented confirmed disease progression per
modified immune-related Response Criteria simulating Response Evaluation Criteria in Solid
Tumors (irRC-RECIST), intolerance of study treatment, or 102 weeks from the first dose of
talimogene laherparepvec and/or pembrolizumab, whichever occurs first.
Trial Arms
Name | Type | Description | Interventions |
---|
Talimogene Laherparepvec and Pembrolizumab | Experimental | To evaluate the efficacy and safety of talimogene laherparepvec in combination with pembrolizumab following disease progression on prior anti-PD-1 therapy in unresectable/metastatic melanoma (stage IIIB-IVM1d) or prior anti-PD-1 therapy in the adjuvant setting. | - Talimogene laherparepvec
- Pembrolizumab
|
Eligibility Criteria
Key Inclusion Criteria:
- Age ≥ 18 years with histologically confirmed diagnosis of stage IIIB to IVM1d melanoma
and for whom surgery is not recommended. Subjects with stage IVM1d disease may be
enrolled with up to 3 cerebral metastases, provided that all lesions have been
adequately treated with stereotactic radiation therapy, craniotomy, or gamma knife
therapy, with no evidence of progression and not requiring steroids for at least 2
months prior to enrollment.
- Subjects must have measurable disease and be a candidate for intralesional therapy
administration into cutaneous, subcutaneous, or nodal lesions.
- Subjects must have had prior treatment (for at least 2 to 3 consecutive cycles within
an 8 week period) with a PD-1 inhibitor and have confirmed disease progression (as
defined by RECIST v1.1 criteria). The anti-PD-1 therapy must be the immediate prior
line of therapy before enrollment and subjects with disease progression on more than 1
line of anti-PD-1 therapy are not eligible.
- ECOG performance status of 0 or 1.
- Adequate hematologic, renal, hepatic, and coagulation function.
Key Exclusion Criteria:
- Subjects considered by the investigator to have rapid clinical progression due to
melanoma
- Subjects with prior treatment and disease progression on more than 1 line of anti-PD-1
therapy
- Stage IVM1d subjects must not have greater than 3 cerebral melanoma metastases, or
clinically active cerebral melanoma metastases requiring therapy, and/or carcinomatous
meningitis regardless of clinical stability.
- Primary uveal or mucosal melanoma, history or evidence of melanoma associated with
immunodeficiency states or history of other malignancy within the past 3 years.
- Subjects must not have history or evidence of symptomatic autoimmune
glomerulonephritis, vasculitis, or other symptomatic autoimmune disease, or active
autoimmune disease or syndrome requiring systemic treatment in the past 2 years (ie,
with use of disease modifying agents, steroids or immunosuppressive agents) except
vitiligo or resolved childhood asthma/atopy, or evidence of clinically significant
immunosuppression.
- Subjects may not have been previously treated with talimogene laherparepvec or any
other oncolytic virus.
- Subjects must not have active herpetic skin lesions or prior complications of herpetic
infection and must not require intermittent or chronic treatment with an antiherpetic
drug (eg, acyclovir), other than intermittent topical use.
Maximum Eligible Age: | 99 Years |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Overall response (Complete Response [CR] plus partial response [PR] by investigator assessment using modified Response Evaluation Criteria in Solid Tumor [RECIST v1.1]) |
Time Frame: | Up to 4 years |
Safety Issue: | |
Description: | To evaluate the efficacy of talimogene laherparepvec in combination with pembrolizumab as assessed by Objective Response Rate (ORR) in subjects with unresectable/metastatic stage IIIB-IVM1d melanoma who have progressed on prior anti-PD-1 therapy. |
Secondary Outcome Measures
Measure: | Complete Response by investigator assessment using modified Response Evaluation Criteria in Solid Tumor (RECIST v1.1) and modified immune-related Response Criteria simulating Response Evaluation Criteria in Solid Tumors (irRC-RECIST). |
Time Frame: | Up to 4 years |
Safety Issue: | |
Description: | To evaluate the efficacy of talimogene laherparepvec in combination with pembrolizumab, as assessed by Complete Response Rate. |
Measure: | Best Overall Response (BOR) by investigator assessment using modified Response Evaluation Criteria in Solid Tumor (RECIST v1.1) and modified immune-related Response Criteria simulating Response Evaluation Criteria in Solid Tumors (irRC-RECIST). |
Time Frame: | Up to 4 years |
Safety Issue: | |
Description: | To evaluate the efficacy of talimogene laherparepvec in combination with pembrolizumab, as assessed by Best Overall Response. |
Measure: | Durable Response by investigator assessment using modified Response Evaluation Criteria in Solid Tumor (RECIST v1.1) and modified immune-related Response Criteria simulating Response Evaluation Criteria in Solid Tumors (irRC-RECIST). |
Time Frame: | Up to 4 years |
Safety Issue: | |
Description: | To evaluate the efficacy of talimogene laherparepvec in combination with pembrolizumab, as assessed by Durable Response Rate. |
Measure: | Duration Of Response (DOR) by investigator assessment using modified Response Evaluation Criteria in Solid Tumor (RECIST v1.1) and modified immune-related Response Criteria simulating Response Evaluation Criteria in Solid Tumors (irRC-RECIST). |
Time Frame: | Up to 4 years |
Safety Issue: | |
Description: | To evaluate the efficacy of talimogene laherparepvec in combination with pembrolizumab, as assessed by Duration Of Response. |
Measure: | Disease Control by investigator assessment using modified Response Evaluation Criteria in Solid Tumor (RECIST v1.1) and modified immune-related Response Criteria simulating Response Evaluation Criteria in Solid Tumors (irRC-RECIST). |
Time Frame: | Up to 4 years |
Safety Issue: | |
Description: | To evaluate the efficacy of talimogene laherparepvec in combination with pembrolizumab, as assessed by Disease Control Rate. |
Measure: | Overall Response by investigator assessment using modified immune-related Response Criteria simulating Response Evaluation Criteria in Solid Tumors (irRC-RECIST). |
Time Frame: | Up to 4 years |
Safety Issue: | |
Description: | To evaluate the efficacy of talimogene laherparepvec in combination with pembrolizumab, as assessed by Objective Response Rate using modified irRC-RECIST. |
Measure: | Progression Free Survival (PFS) by investigator assessment using modified Response Evaluation Criteria in Solid Tumor (RECIST) v1.1 and modified immune-related Response Criteria simulating Response evaluation criteria in Solid Tumors (irRC-RECIST). |
Time Frame: | Up to 4 years |
Safety Issue: | |
Description: | To evaluate the efficacy of talimogene laherparepvec in combination with pembrolizumab, as assessed by Progression Free Survival. |
Measure: | Overall Survival (OS) |
Time Frame: | Up to 4 years |
Safety Issue: | |
Description: | To evaluate the efficacy of talimogene laherparepvec in combination with pembrolizumab, as assessed by Overall Survival. |
Measure: | Incidence of treatment-emergent adverse events. |
Time Frame: | Up to 4 years |
Safety Issue: | |
Description: | To evaluate the safety of talimogene laherparepvec in combination with pembrolizumab as assessed by incidence of treatment emergent adverse events in patients who have progressed on prior anti-PD-1 therapy. |
Measure: | Incidence of treatment related adverse events. |
Time Frame: | Up to 4 years |
Safety Issue: | |
Description: | To evaluate the safety of talimogene laherparepvec in combination with pembrolizumab as assessed by incidence of treatment-related adverse events in patients who have progressed on prior anti-PD-1 therapy. |
Measure: | Incidence of abnormal laboratory tests. |
Time Frame: | Up to 4 years |
Safety Issue: | |
Description: | To evaluate the safety of talimogene laherparepvec in combination with pembrolizumab as assessed by abnormal laboratory tests in patients who have progressed on prior anti-PD-1 therapy. |
Measure: | Time to subsequent anti-cancer therapy. |
Time Frame: | Up to 4 years |
Safety Issue: | |
Description: | To evaluate time to subsequent anti-cancer therapy. |
Details
Phase: | Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Active, not recruiting |
Lead Sponsor: | Amgen |
Trial Keywords
- Melanoma
- Talimogene Laherparepvec
- Pembrolizumab
- Oncolytic immunotherapy
- Anti-PD-1
- Checkpoint inhibitor
- MASTERKEY-115
Last Updated
August 25, 2021