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Pembrolizumab/Vibostolimab Coformulation (MK-7684A) or Pembrolizumab/Vibostolimab Coformulation Plus Docetaxel Versus Docetaxel for Metastatic Non Small Cell Lung Cancer (NSCLC) With Progressive Disease After Platinum Doublet Chemotherapy and Immunotherapy (MK-7684A-002)

NCT04725188

Description:

The main purpose of this study is to compare pembrolizumab/vibostolimab coformulation (MK-7684A) plus docetaxel or pembrolizumab/vibostolimab coformulation to normal saline placebo plus docetaxel. Participants with metastatic non-small cell lung cancer (NSCLC) and progressive disease (PD) after platinum doublet chemotherapy and treatment with one prior anti- programmed cell death 1 (PD-1)/ programmed cell death ligand 1(PD-L1) monoclonal antibody (mAb). MK-7684A is a coformulation product of pembrolizumab/vibostolimab. The dual primary hypotheses of the study are pembrolizumab/vibostolimab coformulation plus docetaxel and pembrolizumab/vibostolimab coformulation is superior to normal saline placebo plus docetaxel with respect to progression free survival (PFS) per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) by blinded independent central review (BICR).

Related Conditions:
  • Non-Small Cell Lung Carcinoma
Recruiting Status:

Recruiting

Phase:

Phase 2

Trial Eligibility

Document

Title

  • Brief Title: Pembrolizumab/Vibostolimab Coformulation (MK-7684A) or Pembrolizumab/Vibostolimab Coformulation Plus Docetaxel Versus Docetaxel for Metastatic Non Small Cell Lung Cancer (NSCLC) With Progressive Disease After Platinum Doublet Chemotherapy and Immunotherapy (MK-7684A-002)
  • Official Title: A Phase 2, Multicenter, Randomized Study to Compare the Efficacy and Safety of MK-7684A or MK-7684A Plus Docetaxel Versus Docetaxel Monotherapy in the Treatment of Participants With Metastatic Non-small Cell Lung Cancer With Progressive Disease After Treatment With a Platinum Doublet Chemotherapy and Immunotherapy

Clinical Trial IDs

  • ORG STUDY ID: 7684A-002
  • SECONDARY ID: MK-7684A-002
  • SECONDARY ID: 2020-004034-38
  • NCT ID: NCT04725188

Conditions

  • Metastatic Non Small Cell Lung Cancer

Interventions

DrugSynonymsArms
Pembrolizumab/Vibostolimab coformuationMK-7684AArm 1: Pembrolizumab/Vibostolimab coformulation + Docetaxel
DocetaxelTaxotereArm 1: Pembrolizumab/Vibostolimab coformulation + Docetaxel
PlaceboArm 3: Placebo + Docetaxel

Purpose

The main purpose of this study is to compare pembrolizumab/vibostolimab coformulation (MK-7684A) plus docetaxel or pembrolizumab/vibostolimab coformulation to normal saline placebo plus docetaxel. Participants with metastatic non-small cell lung cancer (NSCLC) and progressive disease (PD) after platinum doublet chemotherapy and treatment with one prior anti- programmed cell death 1 (PD-1)/ programmed cell death ligand 1(PD-L1) monoclonal antibody (mAb). MK-7684A is a coformulation product of pembrolizumab/vibostolimab. The dual primary hypotheses of the study are pembrolizumab/vibostolimab coformulation plus docetaxel and pembrolizumab/vibostolimab coformulation is superior to normal saline placebo plus docetaxel with respect to progression free survival (PFS) per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) by blinded independent central review (BICR).

Detailed Description

      Participants may receive additional 17 cycles of pembrolizumab/vibostolimab (each cycle
      length = 21 days) for an additional 1 year of treatment as second course phase at
      investigator's discretion.
    

Trial Arms

NameTypeDescriptionInterventions
Arm 1: Pembrolizumab/Vibostolimab coformulation + DocetaxelExperimentalParticipants receive pembrolizumab/vibostolimab (coformulation of 200 mg pembrolizumab and 200 mg vibostolimab) via intravenous IV infusion once every 3 weeks (Q3W) for up to 35 cycles up to approximately 2 years plus docetaxel 75 mg/m^2 IV infusion Q3W until discontinuation due to progressive disease or unacceptable toxicity.
  • Pembrolizumab/Vibostolimab coformuation
  • Docetaxel
Arm 2: Pembrolizumab/Vibostolimab coformulationExperimentalParticipants receive pembrolizumab/vibostolimab (coformulation of 200 mg pembrolizumab and 200 mg vibostolimab) via IV infusion Q3W for up to 35 cycles up to approximately 2 years.
  • Pembrolizumab/Vibostolimab coformuation
Arm 3: Placebo + DocetaxelActive ComparatorParticipants receive normal saline IV infusion, Q3W for up to 35 cycles up to approximately 2 years plus Docetaxel 75 mg/m^2 IV infusion Q3W until discontinuation due to progressive disease or unacceptable toxicity.
  • Docetaxel
  • Placebo

Eligibility Criteria

        Inclusion Criteria:

          -  Has a histologically or cytologically confirmed diagnosis of metastatic non-small cell
             lung cancer (NSCLC)

          -  Has confirmation that epidermal growth factor receptor (EGFR), anaplastic lymphoma
             kinase (ALK), or reactive oxygen species (ROS) 1 directed therapy is not indicated as
             primary therapy

          -  Has progressive disease (PD) on treatment with one prior anti-programmed cell death 1
             (PD-1)/ programmed cell death ligand 1 (PD-L1) monoclonal antibody (mAb) administered
             either as monotherapy or in combination with other checkpoint inhibitors or other
             therapies

               -  Retreatment with the same anti-PD-L1/PD-L1 mAb is acceptable in the overall
                  course of treatment

          -  Has PD as determined by the investigator after platinum doublet chemotherapy for
             metastatic disease

          -  Has measurable disease defined as at least 1 measurable lesion by computed tomography
             (CT) or magnetic resonance imaging (MRI), based on Response Evaluation Criteria in
             Solid Tumors Version 1.1 (RECIST 1.1)

          -  Has provided tumor tissue for PD-L1 biomarker analysis from an archival sample or
             newly obtained core or excisional biopsy of a tumor lesion not previously irradiated

          -  Has a life expectancy of at least 3 months

          -  Has an Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to 1 assessed
             within 7 days prior to randomization

          -  Male participants randomized to docetaxel are eligible to participant if they agree to
             refrain from donating sperm, and either 1) be abstinent from heterosexual intercourse;
             or 2) must agree to follow contraceptive guidance as per study protocol unless
             confirmed to be azoospermic during the intervention period and for at least 180 days
             after the last dose of docetaxel

          -  Female participants must be not pregnant, not breastfeeding, and not be a woman of
             child-bearing potential (WOCBP). A WOCBP is eligible is she agrees to either use
             contraception, or be abstinent from heterosexual intercourse during the intervention
             period and for ≥120 days after the last dose of study intervention. If a WOCBP is
             randomized to docetaxel, she agrees not to donate eggs and either uses contraception
             or be abstinent from heterosexual intercourse during the treatment period and for ≥180
             days after the last dose of docetaxel

          -  Has adequate organ function

        Exclusion Criteria:

          -  Has known active or untreated central nervous system (CNS) metastases and/or
             carcinomatous meningitis

          -  Has a known history of an additional malignancy, except if the participant has
             undergone potentially curative therapy with no evidence of that disease recurrence for
             at least 3 years since initiation of that therapy

          -  Has received docetaxel as monotherapy or in combination with other therapies

          -  Has received previous treatment with another agent targeting the T-cell immunoreceptor
             with immunoglobulin [Ig] and immunoreceptor tyrosine-based inhibitory motif [ITIM]
             domains (TIGIT) pathway

          -  Has received radiotherapy within 2 weeks of start of study intervention. One week
             washout is permitted for palliative radiation to non-CNS disease

          -  Has received a live or live-attenuated vaccine within 30 days before the first dose of
             study intervention

          -  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 intervention

          -  Has severe hypersensitivity (≥Grade 3) to docetaxel or pembrolizumab/vibostolimab
             coformulation and/or any of its excipients Has an active autoimmune disease that has
             required systemic treatment in past 2 years

          -  Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy
             or any other form of immunosuppressive therapy within 7 days before the first dose of
             study intervention

          -  Has interstitial lung disease, or history of pneumonitis requiring steroids for
             treatment

          -  Has known history of active human immunodeficiency virus (HIV), Hepatitis B or
             Hepatitis C

          -  Has had an allogenic tissue/solid organ transplant

          -  Has a known psychiatric or substance abuse disorder that would interfere with the
             participant's ability to cooperate with the requirements of the study
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Progression Free Survival (PFS) per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) by Blinded Independent Central Review (BICR) Assessment
Time Frame:Up to approximately 27 months
Safety Issue:
Description:PFS is defined as the time from randomization to the first documented disease progression (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. PFS as assessed by BICR will be presented

Secondary Outcome Measures

Measure:Objective Response (OR) per RECIST 1.1 by BICR Assessment
Time Frame:Up to approximately 27 months
Safety Issue:
Description:OR is defined as a confirmed complete response (CR: Disappearance of all target lesions) or a partial response (PR: At least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1. The percentage of participants who experience a CR or PR as assessed by BICR based on RECIST 1.1 will be presented.
Measure:Overall Survival (OS)
Time Frame:Up to approximately 77 months
Safety Issue:
Description:OS is defined as the time from randomization to the date of death due to any cause.
Measure:Duration of Response (DOR) per RECIST 1.1 by BICR Assessment
Time Frame:Up to approximately 77 months
Safety Issue:
Description:For participants 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) per RECIST 1.1, DOR is defined as the time from first documented evidence of CR or PR until disease progression (PD) or death. Per RECIST 1.1, PD is defined as at least a 20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also have demonstrated an absolute increase of at least 5 mm. The appearance of one or more new lesions was also considered PD. The DOR as assessed by BICR will be presented.
Measure:Number of Participants Who Experienced an Adverse Event (AE)
Time Frame:Up to approximately 77 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. Number of participants who experience an AE will be reported.
Measure:Number of Participants Who Discontinued Study Treatment Due to an AE
Time Frame:Up to approximately 37 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. Number of participants who discontinue study treatment due to an AE will be reported.

Details

Phase:Phase 2
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Merck Sharp & Dohme Corp.

Trial Keywords

  • Programmed Cell Death Receptor 1 (PD-1)
  • Programmed Cell Death Receptor Ligand 1 (PD-L1)
  • Programmed Cell Death Receptor Ligand 2 (PD-L2)
  • PD-1
  • PDL1
  • PD-L1
  • PD-L2

Last Updated

August 20, 2021