Description:
The purpose of this study is to assess the efficacy and safety of pembrolizumab (MK-3475)
PLUS chemotherapy in combination with vibostolimab (MK-7684) or MK-5890 in treatment-naïve
participants with advanced squamous or non-squamous NSCLC.
This study is one of three pembrolizumab substudies being conducted under one pembrolizumab
umbrella master protocol (MK-3475-U01/KEYMAKER-U01).
Title
- Brief Title: KEYMAKER-U01 Substudy 1: Efficacy and Safety Study of Pembrolizumab (MK-3475) Plus Chemotherapy When Used With Investigational Agents in Treatment-naïve Participants With Advanced Non-small Cell Lung Cancer (NSCLC) (MK-3475-01A/KEYMAKER-U01A)
- Official Title: KEYMAKER-U01 Substudy 1: A Phase 2, Umbrella Study With Rolling Arms of Investigational Agents With Pembrolizumab in Combination With Chemotherapy in Treatment-Naive Patients With Advanced Non-small Cell Lung Cancer (NSCLC)
Clinical Trial IDs
- ORG STUDY ID:
3475-01A
- SECONDARY ID:
MK-3475-01A
- SECONDARY ID:
KEYMAKER-U01A
- SECONDARY ID:
2020-001626-56
- NCT ID:
NCT04165070
Conditions
- Carcinoma, Non-Small-Cell Lung
Interventions
Drug | Synonyms | Arms |
---|
Pembrolizumab | MK-3475, SCH 900475, KEYTRUDA® | Pembrolizumab + MK-5890 + Carboplatin + Paclitaxel |
Carboplatin | PARAPLATIN® | Pembrolizumab + MK-5890 + Carboplatin + Paclitaxel |
Paclitaxel | ABRAXANE® | Pembrolizumab + MK-5890 + Carboplatin + Paclitaxel |
Pemetrexed | ALIMTA® | Pembrolizumab + MK-5890 + Carboplatin + Pemetrexed |
Vibostolimab | MK-7684 | Pembrolizumab + Vibostolimab + Carboplatin + Paclitaxel |
MK-5890 | | Pembrolizumab + MK-5890 + Carboplatin + Paclitaxel |
Purpose
The purpose of this study is to assess the efficacy and safety of pembrolizumab (MK-3475)
PLUS chemotherapy in combination with vibostolimab (MK-7684) or MK-5890 in treatment-naïve
participants with advanced squamous or non-squamous NSCLC.
This study is one of three pembrolizumab substudies being conducted under one pembrolizumab
umbrella master protocol (MK-3475-U01/KEYMAKER-U01).
Detailed Description
The master screening protocol is MK-3475-U01 (KEYMAKER-U01) - NCT04165798
Trial Arms
Name | Type | Description | Interventions |
---|
Pembrolizumab + Vibostolimab + Carboplatin + Paclitaxel | Experimental | On Day 1 of each 3-week cycle, participants with squamous NSCLC receive pembrolizumab 200 mg intravenously (IV) PLUS vibostolimab IV PLUS carboplatin Area Under the Concentration-Time Curve (AUC) 6 IV PLUS paclitaxel 200 mg/m^2 IV in Cycles 1-4, followed by maintenance treatment of pembrolizumab 200 mg IV PLUS vibostolimab IV in Cycles 5-35 (total treatment duration: up to approximately 2 years). | - Pembrolizumab
- Carboplatin
- Paclitaxel
- Vibostolimab
|
Pembrolizumab + Vibostolimab + Carboplatin + Pemetrexed | Experimental | On Day 1 of each 3-week cycle, participants with nonsquamous NSCLC receive pembrolizumab 200 mg IV PLUS vibostolimab IV PLUS carboplatin AUC 5 IV PLUS pemetrexed 500 mg/m^2 IV in Cycles 1-4, followed by maintenance treatment of pembrolizumab 200 mg IV PLUS vibostolimab IV PLUS pemetrexed 500 mg/m^2 IV in Cycles 5-35 (total treatment duration: up to approximately 2 years). | - Pembrolizumab
- Carboplatin
- Pemetrexed
- Vibostolimab
|
Pembrolizumab + MK-5890 + Carboplatin + Paclitaxel | Experimental | On Day 1 of each 3-week cycle, participants with squamous NSCLC receive pembrolizumab 200 mg intravenously (IV) PLUS carboplatin Area Under the Concentration-Time Curve (AUC) 6 IV PLUS paclitaxel 200 mg/m^2 IV PLUS MK-5890 IV on Day 1 every 6 weeks (every other 3-week cycle) (Q6W) in Cycles 1-4, followed by maintenance treatment of pembrolizumab 200 mg IV Q3W PLUS MK-5890 IV Q6W from Cycles 5 up to Cycle 35 (total treatment duration: up to approximately 2 years). | - Pembrolizumab
- Carboplatin
- Paclitaxel
- MK-5890
|
Pembrolizumab + MK-5890 + Carboplatin + Pemetrexed | Experimental | On Day 1 of each 3-week cycle, participants with nonsquamous NSCLC receive pembrolizumab 200 mg IV PLUS carboplatin AUC 5 IV PLUS pemetrexed 500 mg/m^2 IV PLUS MK-5890 IV on Day 1 every 6 weeks (every other 3-week cycle) (Q6W) in Cycles 1-4, followed by maintenance treatment of pembrolizumab 200 mg IV Q3W PLUS pemetrexed 500 mg/m^2 IV Q3W PLUS MK-5890 IV Q6W from Cycles 5 up to Cycle 35 (total treatment duration: up to approximately 2 years). | - Pembrolizumab
- Carboplatin
- Pemetrexed
- MK-5890
|
Eligibility Criteria
Inclusion Criteria:
- Has histologically- or cytologically-confirmed diagnosis of Stage IV squamous or
nonsquamous NSCLC
- Participants with nonsquamous NSCLC who are not eligible for an approved targeted
therapy
- Is able to provide archival tumor tissue sample collected either within 5 years or
within the interval from completion of last treatment but before entering the
screening period or newly obtained core or excisional biopsy of a tumor lesion not
previously irradiated obtained within 90 days of treatment initiation
- Has not received prior systemic treatment for their metastatic NSCLC
- Is able to complete all screening procedures within the 35-day screening window
- Has adequate organ function within 10 days of initiation of study treatment
- Male participants must agree to use contraception and should refrain from donating
sperm during the treatment period and for at least 120 days after the last dose of
pembrolizumab and for at least 180 days after the last dose of chemotherapy
- Female participants must not be pregnant or breastfeeding, and at least one of the
following conditions apply:
1. Not a woman of childbearing potential (WOCBP), OR
2. A WOCBP who agrees to use contraception during the treatment period and for at
least 120 days after the last dose of pembrolizumab and for at least 180 days
after the last dose of chemotherapy
Exclusion Criteria:
- Has a diagnosis of small cell lung cancer
- Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy
(in dosing exceeding 10 mg daily of prednisone equivalent) or any other form of
immunosuppressive therapy within 7 days before the first dose of study treatment
- Has a known additional malignancy that is progressing or has required active treatment
within the past 2 years
- Has known active central nervous system (CNS) metastases and/or carcinomatous
meningitis
- Has an active autoimmune disease that has required systemic treatment in the past 2
years
- Has a history of (non-infectious) pneumonitis that required steroids or has current
pneumonitis
- Has an active infection requiring systemic therapy
- Has clinically significant cardiac disease, including unstable angina, acute
myocardial infarction within 6 months from Day 1 of study treatment administration, or
New York Heart Association Class III or IV congestive heart failure
- Has a known history of HIV infection
- Has a known history of Hepatitis B or known active Hepatitis C virus infection
- Has had major surgery <3 weeks before the first dose of study treatment
- Is expected to require any other form of antineoplastic therapy while on study
- Has symptomatic ascites or pleural effusion (if receiving pemetrexed; Alimta®, Eli
Lilly)
- Has a history or current evidence of a gastrointestinal (GI) condition (e.g.
inflammatory bowel disease, Crohn's disease, ulcerative colitis) or impaired liver
function or diseases that in the opinion of the investigator may significantly alter
the absorption or metabolism of oral medications
- Is getting chemotherapy and has clinically active diverticulitis, intra-abdominal
abscess, GI obstruction, or peritoneal carcinomatosis
- Has pre-existing neuropathy that is moderate in intensity
- Has received prior systemic cytotoxic chemotherapy or other targeted or biological
antineoplastic therapy for metastatic disease
- Has received prior therapy with an anti-programmed cell death-1 (PD-1),
anti-programmed cell death-ligand 1 (PD-L1), or anti-PD-L2 agent or prior therapy
targeting other immunoregulatory receptors or mechanisms
- Is currently receiving either strong or moderate inhibitors of cytochrome P450 3A4
(CYP3A4) or cytochrome P450 2C8 (CYP2C8) that cannot be discontinued for the duration
of the study
- Is currently receiving strong or moderate inducers of CYP3A4 or CYP2C8 that cannot be
discontinued for the duration of the study
- Is unable to interrupt aspirin or other non-steroidal anti-inflammatory drugs
(NSAIDs), other than aspirin dose less than or equal to 1.3 gm/day for a 5-day period
(8-day period for long acting agents such as peroxicam), for participants who will
receive pemetrexed
- Is unable or unwilling to take folic acid or vitamin B12 supplementation, for
participants who will receive pemetrexed
- Has a known sensitivity to any component of carboplatin, paclitaxel, pemetrexed or any
of their excipients
- Has received prior radiation therapy to the lung that is >30 Gray (Gy) within 6 months
of the first dose of study treatment
- Has received a live vaccine within 30 days before the first dose of study treatment
- Has received any prior immunotherapy and was discontinued from that treatment due to a
severe or worse immune-related adverse event (irAE)
- Has had chemotherapy or biological cancer therapy within 4 weeks before the first dose
of study treatment or has not recovered to Common Terminology Criteria for Adverse
Events (CTCAE) Grade 1 or better from the AEs due to cancer therapeutics administered
more than 4 weeks before the first dose of study treatment (including participants who
had previous immunomodulatory therapy with residual irAEs)
- Is currently participating in or has participated in a study of an investigational
agent or has used an investigational device within 4 weeks before the first dose of
study treatment
- Previously had a severe hypersensitivity reaction to treatment with monoclonal
antibodies (including pembrolizumab) and/or any of their excipients
- Is pregnant or breastfeeding or expecting to conceive or father children within the
projected duration of the study, starting with the screening visit through 120 days
after the last dose of study treatment
- Has had an allogenic tissue/solid organ transplant
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Objective Response Rate (ORR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) |
Time Frame: | Up to approximately 24 months |
Safety Issue: | |
Description: | ORR was defined as the percentage of participants in the analysis population who had a Complete Response (CR: Disappearance of all target lesions) or a Partial Response (PR: ≥30% decrease in the sum of diameters of target lesions) per RECIST 1.1. |
Secondary Outcome Measures
Measure: | Progression-Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) |
Time Frame: | Up to approximately 24 months |
Safety Issue: | |
Description: | PFS is defined as the time from first dose of study treatment until either the earliest date of documented progressive disease (PD) or death due to any cause, whichever occurs first. Per RECIST 1.1, PD is defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of ≥5 mm. The appearance of one or more new lesions is also considered PD. |
Measure: | Number of Participants Who Experience One or More Adverse Events (AEs) |
Time Frame: | Up to approximately 27 months |
Safety Issue: | |
Description: | An AE is defined as any unfavorable and unintended sign, symptom, disease, or worsening of preexisting condition temporally associated with study treatment and irrespective of causality to study treatment. |
Measure: | Number of Participants Who Discontinue Study Treatment Due to an Adverse Event (AE) |
Time Frame: | Up to approximately 24 months |
Safety Issue: | |
Description: | An AE is defined as any unfavorable and unintended sign, symptom, disease, or worsening of preexisting condition temporally associated with study treatment and irrespective of causality to study treatment. |
Details
Phase: | Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Merck Sharp & Dohme Corp. |
Trial Keywords
- Programmed Cell Death-1 (PD1, PD-1)
- Programmed Death-Ligand 1 (PDL1, PD-L1)
Last Updated
August 26, 2021