RecruitingPhase 1Phase 2NCT05319730

A Study to Evaluate Investigational Agents With or Without Pembrolizumab (MK-3475) in Participants With Advanced Esophageal Cancer Previously Exposed to Programmed Cell Death 1 Protein (PD-1)/ Programmed Cell Death Ligand 1 (PD-L1) Treatment (MK-3475-06B)

A Phase 1/2 Open-Label, Umbrella Platform Design Study of Investigational Agents With or Without Pembrolizumab (MK-3475) and/or Chemotherapy in Participants With Advanced Esophageal Cancer Previously Exposed to PD-1/PD-L1 Treatment (KEYMAKER-U06): Substudy 06B


Sponsor

Merck Sharp & Dohme LLC

Enrollment

230 participants

Start Date

May 16, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

This is a Phase 1/2, multicenter, randomized, open-label umbrella platform study to evaluate the safety and efficacy of investigational agents with or without pembrolizumab and/or chemotherapy, for the treatment of participants with second line (2L) esophageal squamous cell carcinoma (ESCC) who have previously been exposed to PD-1/PD-L1 based treatment.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study tests combinations of investigational cancer drugs with or without pembrolizumab (an immunotherapy) in patients with various solid tumors, to find safe doses and early signs of effectiveness. **You may be eligible if...** - You have an advanced solid tumor that has not responded to standard treatments - You are 18 or older - You are in adequate health (ECOG 0-1) - Your organ function meets required levels - You have measurable disease **You may NOT be eligible if...** - You have an active autoimmune disease needing treatment - You are on systemic steroids - You are pregnant or breastfeeding - You have had a prior severe reaction to pembrolizumab or similar drugs Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGPaclitaxel

80-100 mg/m\^2 IV infusion, administered on days 1, 8, and 15 of every 28-day cycle.

DRUGIrinotecan

180 mg/m\^2 IV infusion, administered on day 1 of every 14-day cycle.

BIOLOGICALPembrolizumab

200 mg IV infusion, administered every Q3W up to 35 infusions.

BIOLOGICALMK-4830

800 mg IV infusion, administered Q3W up to 35 infusions.

DRUGLenvatinib

20 mg oral administration every day.

BIOLOGICALSacituzumab tirumotecan

4 mg/kg or 5 mg/kg IV infusion on Days 1, 15, and 29 of each 42-day cycle.

DRUGAntihistamine

Administered per product label.

DRUGH2 Receptor Antagonist

Administered per product label.

DRUGAcetaminophen (or equivalent)

Administered per product label.

DRUGDexamethasone (or equivalent)

Administered per product label.

DRUGSteroid Mouthwash (dexamethasone or equivalent)

Administered per product label.

DRUGSupportive care measures

Participants are allowed to take supportive care measures for the management of adverse events associated with study intervention at the discretion of the investigator. Artificial tear drops or ointment may be given as a supportive care for Ocular Surface Toxicity.


Locations(57)

University of Arizona Cancer Center-University of Arizona Cancer Center ( Site 4927)

Tucson, Arizona, United States

UCLA Hematology/Oncology - Santa Monica ( Site 4905)

Los Angeles, California, United States

Hematology-Oncology Associates of Central NY, P.C. ( Site 4925)

East Syracuse, New York, United States

Columbia University Irving Medical Center-CUIMC Herbert Irving Comprehensive Cancer Center Clinical ( Site 4907)

New York, New York, United States

UPMC Hillman Cancer Center-UPMC ( Site 4904)

Pittsburgh, Pennsylvania, United States

Liga Norte Riograndense Contra o Câncer ( Site 4303)

Natal, Rio Grande do Norte, Brazil

Hospital Nossa Senhora da Conceição ( Site 4301)

Porto Alegre, Rio Grande do Sul, Brazil

ICESP - INSTITUTO DO CÂNCER DO ESTADO DE SÃO PAULO ( Site 4300)

São Paulo, Brazil

FALP-UIDO ( Site 4400)

Santiago, Region M. de Santiago, Chile

Centro de Oncología de Precisión-Oncology ( Site 4404)

Santiago, Region M. de Santiago, Chile

Clínica las Condes ( Site 4403)

Santiago, Region M. de Santiago, Chile

Clínica UC San Carlos de Apoquindo ( Site 4405)

Santiago, Region M. de Santiago, Chile

Anhui Provincial Hospital South District ( Site 3501)

Hefei, Anhui, China

Beijing Cancer hospital-Digestive Oncology ( Site 3500)

Beijing, Beijing Municipality, China

The First Affiliated Hospital of Xinxiang Medical University-Oncology ( Site 3510)

Xinxiang, Henan, China

First Huai'an Hospital Affiliated to Nanjing Medical University ( Site 3506)

Huai'an, Jiangsu, China

Shanghai Chest Hospital-Esophageal surgery department ( Site 3513)

Shanghai, Shanghai Municipality, China

Zhejiang Cancer Hospital-Thoracic oncology ( Site 3511)

Hangzhou, Zhejiang, China

Institut für Klinisch Onkologische Forschung-Klink für Onkologie und Hämatologie ( Site 4801)

Frankfurt am Main, Hesse, Germany

Universitaetsklinikum Duesseldorf ( Site 4802)

Düsseldorf, North Rhine-Westphalia, Germany

Universitaetsklinikum Carl Gustav Carus Dresden-Medical Dept I - Medical Oncology ( Site 4806)

Dresden, Saxony, Germany

Charité Campus Virchow-Klinikum-Klinik Hämatologie Onkologie Tumorimmunologie ( Site 4804)

Berlin, Germany

Facharztzentrum Eppendorf ( Site 4807)

Hamburg, Germany

IRCCS - Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori"-Oncologia Medica ( Site 3207)

Meldola, Emilia-Romagna, Italy

Fondazione IRCCS Istituto Nazionale dei Tumori-Struttura Complessa Oncologia Medica 1 ( Site 3200)

Milan, Lombardy, Italy

Azienda Ospedaliero Universitaria Pisana ( Site 3206)

Pisa, Tuscany, Italy

Istituto Oncologico Veneto IRCCS-Oncologia Medica 1 ( Site 3203)

Padova, Veneto, Italy

Ospedale San Raffaele-Oncologia Medica ( Site 3202)

Milan, Italy

Istituto Europeo di Oncologia IRCCS-Divisione di Sviluppo di Nuovi Farmaci per Terapie Innovative ( Site 3201)

Milan, Italy

Aichi Cancer Center ( Site 3702)

Nagoya, Aichi-ken, Japan

National Cancer Center Hospital East ( Site 3701)

Kashiwa, Chiba, Japan

Saitama Prefectural Cancer Center ( Site 3703)

Kitaadachi-gun, Saitama, Japan

Shizuoka Cancer Center ( Site 3704)

Nagaizumi-cho,Sunto-gun, Shizuoka, Japan

National Cancer Center Hospital ( Site 3700)

Chuo-ku, Tokyo, Japan

Oslo universitetssykehus, Radiumhospitalet ( Site 4501)

Oslo, Norway

National University Hospital ( Site 3800)

Singapore, South West, Singapore

Asan Medical Center-Department of Oncology ( Site 3901)

Seoul, South Korea

Samsung Medical Center-Division of Hematology/Oncology ( Site 3900)

Seoul, South Korea

Hôpitaux Universitaires de Genève (HUG) ( Site 4702)

Geneva, Canton of Geneva, Switzerland

Kantonsspital Graubünden-Medizin ( Site 4700)

Chur, Kanton Graubünden, Switzerland

Chang Gung Memorial Hospital at Kaohsiung ( Site 4003)

Kaohsiung Niao Sung Dist, Kaohsiung, Taiwan

China Medical University Hospital ( Site 4007)

Taichung, Taiwan

Taichung Veterans General Hospital-Radiation Oncology ( Site 4008)

Taichung, Taiwan

National Cheng Kung University Hospital ( Site 4001)

Tainan, Taiwan

National Taiwan University Hospital ( Site 4000)

Taipei, Taiwan

Taipei Veterans General Hospital ( Site 4005)

Taipei, Taiwan

Chang Gung Medical Foundation-Linkou Branch ( Site 4006)

Taoyuan, Taiwan

Chulalongkorn University ( Site 4104)

Bangkok, Bangkok, Thailand

Faculty of Medicine Siriraj Hospital ( Site 4102)

Bangkok, Bangkok, Thailand

Songklanagarind hospital ( Site 4105)

Hat Yai, Changwat Songkhla, Thailand

Adana Medical Park Seyhan Hastanesi-Medikal Onkoloji ( Site 3417)

Adana, Turkey (Türkiye)

Hacettepe Universite Hastaneleri-oncology hospital ( Site 3402)

Ankara, Turkey (Türkiye)

Memorial Ankara Hastanesi-Medical Oncology ( Site 3408)

Ankara, Turkey (Türkiye)

Ankara Bilkent City Hospital-Medical Oncology ( Site 3405)

Ankara, Turkey (Türkiye)

Atatürk Üniversitesi-onkoloji ( Site 3416)

Erzurum, Turkey (Türkiye)

TC Saglik Bakanligi Goztepe Prof. Dr. Suleyman Yalcin Sehir Hastanesi-oncology ( Site 3403)

Istanbul, Turkey (Türkiye)

I.E.U. Medical Point Hastanesi-Oncology ( Site 3406)

Izmir, Turkey (Türkiye)

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NCT05319730


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