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).
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
Drug | Synonyms | Arms |
---|
Pembrolizumab/Vibostolimab coformuation | MK-7684A | Arm 1: Pembrolizumab/Vibostolimab coformulation + Docetaxel |
Docetaxel | Taxotere | Arm 1: Pembrolizumab/Vibostolimab coformulation + Docetaxel |
Placebo | | Arm 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
Name | Type | Description | Interventions |
---|
Arm 1: Pembrolizumab/Vibostolimab coformulation + Docetaxel | Experimental | Participants 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 coformulation | Experimental | Participants 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 + Docetaxel | Active Comparator | Participants 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. | |
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