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)
- Conditions
- Melanoma
- Interventions
- Registration Number
- NCT04305054
- Lead Sponsor
- Merck Sharp & Dohme LLC
- Brief Summary
Substudy 02B is part of a larger research study where researchers are looking for new ways to treat advanced melanoma that has not been treated before. The larger study is the umbrella study. Researchers want to know if adding other treatments to pembrolizumab can treat advanced melanoma. The goals of this study are to learn:
* About the safety and how well people tolerate pembrolizumab given with other treatments
* How many people have melanoma that responds (gets smaller or goes away) to treatment
Arm 1: Pembrolizumab + Vibostolimab was added in the base protocol on 13-Nov-2019, and enrollment into this arm has been completed. Arm 2: Pembrolizumab was added in the base protocol on 13-Nov-2019, and enrollment stopped prematurely on 15-Aug-2022. Arm 3: Coformulation Pembrolizumab/Quavonlimab was added in Amendment 01 on 20-Oct-2020, and enrollment stopped prematurely on 15-Aug-2022. Arm 4: Coformulation Pembrolizumab/Quavonlimab + Lenvatinib was added in Amendment 01 on 20-Oct-2020, and enrollment is ongoing. Arm 5: Coformulation Favezelimab/Pembrolizumab was added in Amendment 03 on 01-DEC-2022 and has paused enrollment, Arm 6: Coformulation Favezelimab/Pembrolizumab + All-trans Retinoic Acid (ATRA) was added in Amendment 03 on 01-DEC-2022 and has paused enrollment, and Arm 7: Coformulation Favezelimab/Pembrolizumab + Vibostolimab was added in Amendment 03 on 01-DEC-2022 and enrollment was stopped prematurely on 22-SEP-2023.
- Detailed Description
With Amendment 5, participants receiving vibostolimab (Arm 1 and Arm 7) will discontinue treatment with vibostolimab and will be transitioned within their arm to pembrolizumab monotherapy. Participants receiving favezelimab (Arm 5, Arm 6, and Arm 7) may continue on study therapy until the end of study or may transition within their arm to pembrolizumab monotherapy. Participants with access to approved standard of care (SOC, pembrolizumab plus chemotherapy) should be considered for discontinuation from the study. Those benefiting from pembrolizumab with chemotherapy, but unable to access it as SOC outside the study, may continue on study and receive treatment with pembrolizumab plus chemotherapy until discontinuation criteria are met.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 315
-
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
-
If capable of producing sperm, male participants agree to the following during the intervention period and for at least the time needed to eliminate each study intervention after the last dose of study intervention (7 days):
- Abstains from penile-vaginal intercourse as their preferred and usual lifestyle (abstinent on a long-term and persistent basis) and agrees to remain abstinent OR
- Uses contraception unless confirmed to be azoospermic
-
A female participant is eligible to participate if she is not pregnant or breastfeeding, and at least one of the following conditions applies:
- Is not a WOCBP OR
- Is a WOCBP and Uses a contraceptive method that is highly effective, with low user dependency, or be abstinent from penile-vaginal intercourse as their preferred and usual lifestyle (abstinent on a long-term and persistent basis) during the intervention period and for at least the time needed to eliminate each study intervention after the last dose of study intervention. The length of time required to continue contraception for each study intervention is:
- MK-4280A: 120 days
- MK-1308A: 120 days
- MK-7684: 50 days
- MK-3475: 120 days
- Lenvatinib: 30 days
- ATRA: 30 days
-
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)
-
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 history of Hepatitis B or known Hepatitis C virus infection
-
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
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Has a known psychiatric or substance abuse disorder that would interfere with requirements of the study
-
Participants who receive lenvatinib have the following additional exclusion criteria:
- Has a pre-existing Grade ≥3 gastrointestinal or non-gastrointestinal fistula
- Has radiographic evidence of encasement of invasion of a major blood vessel, or of intratumoral cavitation
- Has clinically significant hemoptysis or tumor bleeding within 2 weeks prior to the first dose of study intervention
- Has clinically significant cardiovascular disease within 12 months from first dose of study intervention
- Has urine protein ≥1 g/24-hour.
- Has presence of gastrointestinal condition including malabsorption, gastrointestinal anastomosis, or any other condition that might affect the absorption of lenvatinib
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Pembrolizumab Pembrolizumab 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 Pembrolizumab 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. Coformulation Pembrolizumab/Quavonlimab Pembrolizumab/Quavonlimab 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 + Vibostolimab Vibostolimab 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. Coformulation Favezelimab/Pembrolizumab Favezelimab/Pembrolizumab Participants will receive cofomulation of favezelimab + pembrolizumab (MK-4280A) IV at specified dose on specified days every 3 weeks (Q3W) for up to approximately 2 years Coformulation Favezelimab/Pembrolizumab + Vibostolimab Vibostolimab Participants will receive coformulation of favezelimab and pembrolizumab (MK-4280A) IV and vibostolimab IV at specified doses on specified days for a total treatment duration of up to approximately 2 years. Coformulation Favezelimab/Pembrolizumab + Vibostolimab Favezelimab/Pembrolizumab Participants will receive coformulation of favezelimab and pembrolizumab (MK-4280A) IV and vibostolimab IV at specified doses on specified days for a total treatment duration of up to approximately 2 years. Coformulation Pembrolizumab/Quavonlimab + Lenvatinib Pembrolizumab/Quavonlimab 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 + Vibostolimab Pembrolizumab 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. Coformulation Pembrolizumab/Quavonlimab + Lenvatinib Pembrolizumab 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. Coformulation Pembrolizumab/Quavonlimab + Lenvatinib Lenvatinib 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. Coformulation Favezelimab/Pembrolizumab + All-trans Retinoic Acid (ATRA) ATRA Participants will receive coformulation of favezelimab and pembrolizumab IV Q3W for up to 35 cycles, plus ATRA orally (for 3 days surrounding each infusion of MK-4280A, including Days 1, 2, and 3 of Cycle 1 and on Days -1, 1, and 2 of all subsequent cycles).
- Primary Outcome Measures
Name Time Method Percentage of participants who experience a dose-limiting toxicity (DLT): Safety lead-in phase Up to ~3 weeks The percentage of participants who experience 1 or more protocol-defined DLTs during the safety lead-in period will be reported.
Percentage of participants who experience an adverse event (AE): Safety lead-in Up to ~3 weeks 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 during the safety lead-in period will be reported.
Percentage of participants who experience an adverse event (AE) Up to ~28 months 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.
Percentage of participants who discontinue study treatment due to an AE Up to ~24 months 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 discontinue study treatment due to an AE will be reported.
Objective Response Rate (ORR) per Response Evaluation Criteria in Solid Tumors 1.1 (RECIST 1.1) Up to ~30 months ORR is defined as the percentage of participants in the analysis population who have a complete response (CR: disappearance of all target lesions) or partial response (PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters). Responses are according to RECIST 1.1 as assessed by blinded independent central review (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.
Percentage of participants who discontinue study treatment due to an AE: Safety lead-in Up to ~3 weeks 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 discontinue study treatment due to an AE during the safety lead-in will be reported.
- Secondary Outcome Measures
Name Time Method Duration of Response (DOR) per RECIST 1.1 Up to ~30 months 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.
Trial Locations
- Locations (60)
The Angeles Clinic and Research Institute ( Site 2009)
🇺🇸Los Angeles, California, United States
UCLA Hematology & Oncology ( Site 2004)
🇺🇸Los Angeles, California, United States
Providence Saint John's Health Center ( Site 2010)
🇺🇸Santa Monica, California, United States
University of Colorado, Anschutz Cancer Pavilion ( Site 2012)
🇺🇸Aurora, Colorado, United States
University of Florida College of Medicine-UF Health Cancer Center/Clinical Trials Office ( Site 2026)
🇺🇸Gainesville, Florida, United States
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins ( Site 2022)
🇺🇸Baltimore, Maryland, United States
R.J. Zuckerberg Cancer Center ( Site 2032)
🇺🇸Lake Success, New York, United States
NYU Clinical Cancer Center ( Site 2002)
🇺🇸New York, New York, United States
Duke Cancer Institute ( Site 2005)
🇺🇸Durham, North Carolina, United States
Martha Morehouse Tower ( Site 2020)
🇺🇸Columbus, Ohio, United States
Oregon Health & Science University ( Site 2013)
🇺🇸Portland, Oregon, United States
University of Pennsylvania Abramson Cancer Center ( Site 2008)
🇺🇸Philadelphia, Pennsylvania, United States
West Cancer Center - East Campus ( Site 2014)
🇺🇸Germantown, Tennessee, United States
Mays Cancer Center ( Site 2025)
🇺🇸San Antonio, Texas, United States
Inova Schar Cancer Institute ( Site 2011)
🇺🇸Fairfax, Virginia, United States
Clinica Adventista Belgrano-Oncology ( Site 2242)
🇦🇷Caba., Buenos Aires, Argentina
Instituto Alexander Fleming-Alexander Fleming ( Site 2243)
🇦🇷Ciudad Autónoma de Buenos Aires, Caba, Argentina
Sanatorio Finochietto ( Site 2245)
🇦🇷Buenos Aires, Argentina
Calvary Mater Newcastle-Medical Oncology ( Site 2404)
🇦🇺Waratah, New South Wales, Australia
Melanoma Institute Australia ( Site 2402)
🇦🇺Wollstonecraft, New South Wales, Australia
Tasman Oncology Research Pty Ltd ( Site 2403)
🇦🇺Southport, Queensland, Australia
Fiona Stanley Hospital ( Site 2401)
🇦🇺Murdoch, Western Australia, Australia
CIDO SpA-Oncology ( Site 2256)
🇨🇱Temuco, Araucania, Chile
IC La Serena Research ( Site 2254)
🇨🇱La Serena., Coquimbo, Chile
Oncovida ( Site 2257)
🇨🇱Santiago., Region M. De Santiago, Chile
FALP-UIDO ( Site 2251)
🇨🇱Santiago, Region M. De Santiago, Chile
Bradfordhill ( Site 2252)
🇨🇱Santiago, Region M. De Santiago, Chile
Clinica Colsanitas S.A, Sede Clínica Universitaria Colombia-Center Investigator ( Site 2261)
🇨🇴Bogota, Distrito Capital De Bogota, Colombia
Fundación Valle del Lili ( Site 2265)
🇨🇴Cali, Valle Del Cauca, Colombia
Hopital La Timone ( Site 2103)
🇫🇷Marseille, Bouches-du-Rhone, France
CHU de Bordeaux- Hopital Saint Andre ( Site 2108)
🇫🇷Bordeaux, Gironde, France
Institut Claudius Regaud ( Site 2105)
🇫🇷Toulouse cedex 9, Haute-Garonne, France
Gustave Roussy ( Site 2101)
🇫🇷Villejuif, Ile-de-France, France
C.H. Lyon Sud ( Site 2102)
🇫🇷Pierre Benite, Rhone, France
A.P.H. Paris, Hopital Saint Louis ( Site 2107)
🇫🇷Paris, France
General Hospital of Athens "Laiko"-First Department of Internal Medicine ( Site 2212)
🇬🇷Athens, Attiki, Greece
European Interbalkan Medical Center-Oncology Department ( Site 2211)
🇬🇷Thessaloniki, Greece
Szegedi Tudományegyetem Szent-Györgyi Albert Klinikai Központ ( Site 2221)
🇭🇺Szeged, Csongrad, Hungary
HaEmek Medical Center ( Site 2703)
🇮🇱Afula, Israel
Rambam Health Care Campus-Oncology ( Site 2704)
🇮🇱Haifa, Israel
Hadassah Ein Karem Jerusalem ( Site 2702)
🇮🇱Jerusalem, Israel
Rabin Medical Center-Oncology ( Site 2705)
🇮🇱Petah-Tikva, Israel
Chaim Sheba Medical Center ( Site 2701)
🇮🇱Ramat Gan, Israel
Fondazione IRCCS Istituto Nazionale dei Tumori di Milano ( Site 2399)
🇮🇹Milano, Italy
Istituto Europeo di Oncologia ( Site 2301)
🇮🇹Milano, Italy
Istituto Nazionale Tumori Fondazione Pascale ( Site 2302)
🇮🇹Napoli, Italy
Istituto Oncologico Veneto IRCCS ( Site 2355)
🇮🇹Padova, Italy
Policlinico Le Scotte - A.O. Senese ( Site 2377)
🇮🇹Siena, Italy
Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy w Warszawie ( Site 2233)
🇵🇱Warszawa, Mazowieckie, Poland
Uniwersyteckie Centrum Kliniczne-Early Clinical Trials Unit ( Site 2231)
🇵🇱Gdansk, Pomorskie, Poland
CANCERCARE LANGENHOVEN DRIVE ONCOLOGY CENTRE ( Site 2865)
🇿🇦Port Elizabeth, Eastern Cape, South Africa
LIFE GROENKLOOF-Mary Potter Cancer Centre ( Site 2861)
🇿🇦Pretoria, Gauteng, South Africa
Sandton Oncology Medical Group (Pty) Ltd-Research ( Site 2863)
🇿🇦Sandton, Gauteng, South Africa
Steve Biko Academic Hospital-Medical Oncology ( Site 2862)
🇿🇦Tshwane, Gauteng, South Africa
Cape Town Oncology Trials ( Site 2864)
🇿🇦Cape Town, Western Cape, South Africa
HOSPITAL CLÍNIC DE BARCELONA-ICHMO- Clinic Institut of Haematological and Oncological diseases ( Site 2801)
🇪🇸Barcelona, Cataluna, Spain
Hospital Universitario Ramón y Cajal ( Site 2802)
🇪🇸Madrid, Madrid, Comunidad De, Spain
Hôpitaux Universitaires de Genève (HUG)-Oncology ( Site 2603)
🇨🇭Genève, Geneve, Switzerland
CHUV Centre Hospitalier Universitaire Vaudois ( Site 2602)
🇨🇭Lausanne, Vaud, Switzerland
Universitaetsspital Zuerich ( Site 2601)
🇨🇭Zuerich Flughafen, Zurich, Switzerland