Pembrolizumab (MK-3475) Plus Investigational Agents in Resectable Non-small Cell Lung Cancer (NSCLC) (MK-3475-01E/KEYMAKER-U01)
Recruiting · NCT06788912 · Interventional (participants receive a specific treatment) · Lead sponsor: Merck Sharp & Dohme LLC
View the official record on ClinicalTrials.gov →Interventions studied
Acetaminophen (or equivalent)CarboplatinCisplatinDexamethasone (or equivalent)GemcitabineH1 receptor antagonistH2 receptor antagonistPaclitaxelPembrolizumab (adjuvant)Pembrolizumab (neoadjuvant)PemetrexedSacituzumab tirumotecanSteroid mouthwash (dexamethasone or equivalent)
What this trial is about
The main goals are after treatment given before surgery, to measure the number of people who have no signs of cancer cells in tumors and lymph nodes removed during surgery; and to learn about whether the cancer gets smaller or goes away by measuring the number of people with a certain number of living cancer cells in the tumor removed during surgery.
Who can take part
Age range
18 Years and older
Sex
All (male and female)
Healthy volunteers
No - a diagnosis or condition is required
Phase
Phase 2
Study type
Interventional (participants receive a specific treatment)
Eligibility criteria (as published)
The main inclusion and exclusion criteria include but are not limited to the following:
Inclusion Criteria:
* Has previously untreated and pathologically confirmed resectable Stage II, IIIA, or IIIB (N2) non-small cell lung cancer (NSCLC)
* Able to undergo protocol therapy, including necessary surgery
* Confirmation that epidermal growth factor receptor (EGFR) -directed therapy is not indicated as primary therapy
* Has an Eastern Cooperative Oncology Group (ECOG) performance status of either 0 or 1 as assessed within 10 days before initiation of study intervention.
* Is able to provide archival or newly obtained core/excisional biopsy of the primary lung tumor or lymph node metastasis.
Exclusion Criteria:
* Has one of the following tumor locations/types: NSCLC involving the superior sulcus, large-cell neuro-endocrine cancer, mixed tumors containing small cell and non-small cell elements, or sarcomatoid tumor.
* Has Grade ≥2 peripheral neuropathy.
* Has history of documented severe dry eye syndrome, severe Meibomian gland disease and/or blepharitis, or severe corneal disease that prevents/delays corneal healing.
* Has active inflammatory bowel disease requiring immunosuppressive medication or previous history of inflammatory bowel disease (eg, Crohn's disease, ulcerative colitis, or chronic diarrhea).
* Has uncontrolled, significant cardiovascular disease or cerebrovascular disease.
* Received a live or live-attenuated vaccine within 30 days before the first dose of study intervention
* Received prior radiotherapy within 2 weeks of start of study intervention, or radiation related toxicities, requiring corticosteroids.
* 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 prior to the first dose of study intervention.
* Known additional malignancy that is progressing or has required active treatment within the past 5 years.
* Severe hypersensitivity (≥Grade 3) to pembrolizumab and/or any of its excipients.
* Active autoimmune disease that has required systemic treatment in the past 2 years. Replacement therapy (e.g. thyroxine, insulin, or physiologic corticosteroid) is allowed.
* History of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease.
* Active infection requiring systemic therapy.
* Hepatitis B (defined as hepatitis B surface antigen \[HBsAg\] reactive) or Hepatitis C virus (defined as detectable hepatitis C virus (HCV) ribonucleic acid (RNA) \[qualitative\]) infection.
* Known history of human immunodeficiency virus (HIV) infection.
* History of allogeneic tissue/solid organ transplant.
Where it is running
39 locations listed across 7 US states.
- Southern Cancer Center (SCC) ( Site 8004) - Daphne, Alabama, United States
- Sansum Clinic (Ridley Tree) ( Site 8012) - Santa Barbara, California, United States
- Rocky Mountain Cancer Centers (RMCC) ( Site 8011) - Lone Tree, Colorado, United States
- Greenebaum Comprehensive Cancer Center ( Site 0402) - Baltimore, Maryland, United States
- MedStar Franklin Square Medical Center ( Site 0033) - Baltimore, Maryland, United States
- Oncology Associates of Oregon, P.C.(Willamette Valley Cancer Institute) (WVCI) ( Site 8006) - Eugene, Oregon, United States
- Texas Oncology - Central/South Texas ( Site 8009) - Austin, Texas, United States
- Texas Oncology - Northeast Texas ( Site 8005) - Tyler, Texas, United States
- Virginia Cancer Specialists (VCS) ( Site 8002) - Fairfax, Virginia, United States
- Baskent University Dr. Turgut Noyan Research and Training Center-ONCOLOGY ( Site 0702) - Adana, Turkey (Türkiye)
- Hacettepe Universite Hastaneleri-oncology hospital ( Site 0700) - Ankara, Turkey (Türkiye)
- Akdeniz Universitesi Hastanesi-Medical Oncology ( Site 0704) - Antalya, Turkey (Türkiye)
- Hospital Clinic de Barcelona ( Site 0092) - Barcelona, Spain
- Országos Korányi Pulmonológiai Intézet ( Site 0060) - Budapest, Hungary
- İzmir Suat Seren Chest Disease Training & Research Hospital ( Site 0701) - Izmir, Turkey (Türkiye)
- Shalimov Institute of Surgery and Transplantation ( Site 0138) - Kyiv, Ukraine
- Ospedale San Raffaele. ( Site 0171) - Milan, Italy
- Fondazione IRCCS Istituto Nazionale dei Tumori ( Site 0175) - Milan, Italy
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS - Università Cattolica del Sacro Cuore ( Site 0174) - Roma, Italy
- Ondokuz Mayıs Universitesi-Oncology department ( Site 0706) - Samsun, Turkey (Türkiye)
- Alexandra General Hospital of Athens Oncology-Hematology Unit ( Site 0203) - Athens, Attica, Greece
- ATTIKON GENERAL UNIVERSITY HOSPITAL-Oncology ( Site 0202) - Athens, Attica, Greece
- Metropolitan Hospital-4th Oncology Dept ( Site 0201) - Athens, Attica, Greece
- CNE CC of Oncology Hematol ( Site 0130) - Cherkasy, Cherkasy Oblast, Ukraine
- Municipal Enterprise "Bukovinian сlinical oncology сenter" ( Site 0139) - Chernivtsi, Chernivetska Oblast, Ukraine
- Wielkopolskie Centrum Pulmonologii i Torakochirurgii-Oddzial Onkologii Klinicznej z Pododdzialem Dz ( Site 0153) - Poznan, Greater Poland Voivodeship, Poland
- Petz Aladar Egyetemi Oktato Korhaz-Pulmonológia (Dr. Szalai Zsuzsanna) ( Site 0062) - Győr, Győr-Moson-Sopron, Hungary
- University General Hospital of Heraklion ( Site 0200) - Heraklion, Irakleio, Greece
- CNCE Precarpathian Clinical Oncologic Center ( Site 0131) - Ivano-Frankivsk, Ivano-Frankivsk Oblast, Ukraine
- Jász-Nagykun-Szolnok Vármegyei Hetényi Géza Kórház-Onkologiai Kozpont ( Site 0061) - Szolnok, Jász-Nagykun-Szolnok, Hungary
- MNPE LTMU Multidisc. Clin. Hosp. of Emerg. and Intens. Care ( Site 0132) - Lviv, Lviv Oblast, Ukraine
- Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - P-Klinika Nowotworow Pluca i Klatki Pier ( Site 0151) - Warsaw, Masovian Voivodeship, Poland
- Uniwersyteckie Centrum Kliniczne-Early Clinical Trials Unit ( Site 0150) - Gdansk, Pomeranian Voivodeship, Poland
- Centro de Estudios Clínicos SAGA ( Site 0162) - Santiago, Region M. de Santiago, Chile
- FALP ( Site 0161) - Santiago, Region M. de Santiago, Chile
- Bradfordhill ( Site 0160) - Santiago, Region M. de Santiago, Chile
- ME RIVNE REGIONAL ANTITUMOR CENTER ( Site 0460) - Rivne, Rivne Oblast, Ukraine
- Azienda Ospedaliera Universitaria Careggi ( Site 0173) - Florence, Tuscany, Italy
- Communal Noncommercial Enterprise "Podillia Regional Oncology Center Of Vinnytsia Regional Council" ( Site 0135) - Vinnytsia, Vinnytsia Oblast, Ukraine