Description:
Substudy 02B is part of a larger research study that is testing experimental treatments for
melanoma, a type of skin cancer. The larger study is the umbrella study.
The goal of substudy 02B is to evaluate the safety and efficacy of investigational treatment
arms in participants with 1L advanced melanoma and to identify the investigational agent(s)
that, when used in combination, are superior to the current treatment options/pembrolizumab
monotherapy.
Title
- Brief Title: Substudy 02B: Safety and Efficacy of Pembrolizumab in Combination With Investigational Agents or Pembrolizumab Alone in Participants With First Line (1L) Advanced Melanoma (MK-3475-02B/KEYMAKER-U02)
- Official Title: A Phase 1/2 Open-Label Rolling-Arm Umbrella Platform Design of Investigational Agents With or Without Pembrolizumab or Pembrolizumab Alone in Participants With Melanoma (KEYMAKER-U02): Substudy 02B
Clinical Trial IDs
- ORG STUDY ID:
3475-02B
- SECONDARY ID:
2019-003977-24
- SECONDARY ID:
MK-3475-02B
- SECONDARY ID:
KEYMAKER-U02
- NCT ID:
NCT04305054
Conditions
Interventions
Drug | Synonyms | Arms |
---|
Pembrolizumab | MK-3475, KEYTRUDA® | Coformulation Pembrolizumab/Quavonlimab |
Vibostolimab | MK-7684 | Pembrolizumab + Vibostolimab |
Pembrolizumab/Quavonlimab | MK-1308A | Coformulation Pembrolizumab/Quavonlimab |
Lenvatinib | MK-7902, E7080, LENVIMA® | Coformulation Pembrolizumab/Quavonlimab + Lenvatinib |
Purpose
Substudy 02B is part of a larger research study that is testing experimental treatments for
melanoma, a type of skin cancer. The larger study is the umbrella study.
The goal of substudy 02B is to evaluate the safety and efficacy of investigational treatment
arms in participants with 1L advanced melanoma and to identify the investigational agent(s)
that, when used in combination, are superior to the current treatment options/pembrolizumab
monotherapy.
Trial Arms
Name | Type | Description | Interventions |
---|
Pembrolizumab + Vibostolimab | Experimental | Participants will receive pembrolizumab intravenously (IV) plus vibostolimab IV at specified doses on specified days for a total treatment duration of up to approximately 2 years. | - Pembrolizumab
- Vibostolimab
|
Pembrolizumab | Active Comparator | Participants will receive pembrolizumab IV at a specified dose on specified days for a total treatment duration of up to approximately 2 years. | |
Coformulation Pembrolizumab/Quavonlimab | Experimental | Participants will receive coformulation of pembrolizumab and quavonlimab (MK-1308A) IV at a specified dose on specified days for a total treatment duration of up to approximately 2 years. | - Pembrolizumab
- Pembrolizumab/Quavonlimab
|
Coformulation Pembrolizumab/Quavonlimab + Lenvatinib | Experimental | Participants will receive coformulation of pembrolizumab and quavonlimab IV plus lenvatinib orally at specified doses on specified days for a total treatment duration of up to approximately 2 years. | - Pembrolizumab
- Pembrolizumab/Quavonlimab
- Lenvatinib
|
Eligibility Criteria
Inclusion Criteria:
- Has histologically or cytologically confirmed melanoma
- Has unresectable Stage III or Stage IV melanoma, not amenable to local therapy
- Has been untreated for advanced disease
- Has provided a tumor biopsy
- Male participants are abstinent from heterosexual intercourse or agree to use
contraception during the intervention period and for at least 7 days after the last
dose of lenvatinib; 7 days after lenvatinib is stopped, if participants are on
pembrolizumab, pembrolizumab/quavonlimab, vibostolimab or a combination of the
aforementioned drugs, no additional male contraception measures are needed
- Female participants are not pregnant or breastfeeding and are either not a woman of
child-bearing potential (WOCBP) OR use a contraceptive method that is highly effective
or are abstinent from heterosexual intercourse during the intervention period and for
at least 120 days after the last dose of pembrolizumab, pembrolizumab/quavonlimab,
vibostolimab, or 30 days after the last dose of lenvatinib, whichever occurs last
- Has adequate organ function
- Has resolution of toxic effect(s) of the most recent prior therapy to Grade 1 or less
(except alopecia and Grade 2 neuropathy)
Exclusion Criteria:
- Has a diagnosis of immunodeficiency or is receiving immunosuppressive therapy within 7
days before the first dose of study intervention
- Has a known additional malignancy that is progressing or requires active treatment
within the past 2 years
- Has known central nervous system (CNS) metastases and/or carcinomatous meningitis
- Has ocular or mucosal melanoma
- Has an active autoimmune disease that has required systemic treatment in the past 2
years
- Has an active infection requiring systemic therapy
- Has known history of human immunodeficiency virus (HIV)
- Has known history of hepatitis B
- Has a history of (noninfectious) pneumonitis
- Has a history of active tuberculosis (TB)
- Has received prior systemic anticancer therapy within 4 weeks prior to randomization
- Has received prior radiotherapy within 2 weeks of first dose of study intervention
- Has had major surgery <3 weeks prior to first dose of study intervention
- Has received a live vaccine within 30 days before the first dose of study intervention
- Has participated in a study of an investigational agent within 4 weeks prior to the
first dose of study intervention
- Has had an allogeneic tissue/solid organ transplant
- Has a known psychiatric or substance abuse disorder that would interfere with
requirements of the study
Maximum Eligible Age: | 120 Years |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Percentage of participants who experience an adverse event (AE) |
Time Frame: | Up to ~28 months |
Safety Issue: | |
Description: | An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The percentage of participants who experience an AE will be reported. |
Secondary Outcome Measures
Measure: | Duration of Response (DOR) per RECIST 1.1 |
Time Frame: | Up to ~30 months |
Safety Issue: | |
Description: | For participants in the analysis population who demonstrate a confirmed CR (disappearance of all target lesions) or confirmed PR (at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters), DOR is defined as the time from first documented evidence of CR or PR until progressive disease (PD) or death due to any cause, whichever occurs first. Responses are according to RECIST 1.1 as assessed by BICR. RECIST 1.1 has been modified for this study to include a maximum of 10 target lesions and a maximum of 5 target lesions per organ. |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Merck Sharp & Dohme Corp. |
Trial Keywords
- programmed cell death 1 (PD-1, PD1)
- programmed cell death ligand 1 (PD-L1, PDL1)
- T cell immunoreceptor with immunoglobulin and immunoreceptor tyrosine receptor motif domains (TIGIT)
- Cytotoxic T lymphocyte associated protein 4 (CTLA4)
Last Updated
August 23, 2021