RecruitingPhase 1Phase 2NCT06780111

Substudy 06E: Umbrella Study of Combination Therapies in Esophageal Cancer (MK-3475-06E/KEYMAKER-U06)

A Phase 1/2 Open-Label, Umbrella Platform Design Study of Investigational Agents in Combination With Pembrolizumab (MK-3475) With or Without Chemotherapy in Participants With 1L Locally Advanced Unresectable/Metastatic Esophageal Cancer: KEYMAKER-U06 Substudy 06E


Sponsor

Merck Sharp & Dohme LLC

Enrollment

298 participants

Start Date

Jul 30, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

Researchers are looking for new ways to treat esophageal squamous cell carcinoma (ESCC). ESCC is a type of cancer that starts in certain cells that line the esophagus. The esophagus is the tube that connects the throat to the stomach. This study will look at ESCC that is either locally advanced unresectable, which means it has spread into tissue near where it started and cannot be completely removed by surgery, or metastatic, which means it has spread to other body parts. Available treatments for these types of ESCC include pembrolizumab and chemotherapy. Pembrolizumab is an immunotherapy, which is a treatment that helps the immune system fight cancer. Chemotherapy is medicine that destroys cancer cells or stops them from growing. Researchers want to learn about giving pembrolizumab and investigational agents, with or without chemotherapy to treat ESCC. Ifinatamab deruxtecan (I-DXd), is an antibody-drug conjugate (ADC). An ADC attaches to a protein on cancer cells and delivers treatment to destroy those cells. The main goal of this study is to learn about the safety of investigational agents and pembrolizumab with or without chemotherapy and if people tolerate them. Researchers also want to learn how cancer responds (gets smaller or goes away) to the study treatments.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This is a clinical trial testing new drug combinations in patients with advanced squamous cell carcinoma of the esophagus (a type of throat/food pipe cancer) who have not yet received treatment for their metastatic disease. Researchers are testing whether adding experimental drugs to standard first-line treatment can improve outcomes. **You may be eligible if...** - You have a confirmed diagnosis of locally advanced or metastatic squamous cell cancer of the esophagus - You have not yet received systemic treatment for your advanced/metastatic disease - Your cancer is measurable on imaging scans - Any side effects from prior (non-systemic) treatments have largely resolved - You are 18 years of age or older **You may NOT be eligible if...** - You have already received chemotherapy or immunotherapy for metastatic disease - You have significant unresolved side effects from previous treatments - You have conditions that are incompatible with the drugs being tested in this study 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

BIOLOGICALPembrolizumab

IV infusion

BIOLOGICALI-DXd

IV infusion

DRUGLeucovorin

IV infusion

DRUGLevoleucovorin

IV infusion

DRUG5-Fluorouracil (5-FU)

IV Infusion

DRUGOxaliplatin

IV infusion

BIOLOGICALSacituzumab tirumotecan

IV infusion

DRUGRescue Medication

Includes 5-HT3 receptor antagonist, NK-1 receptor antagonist, and corticosteroid for Arms 2, 3, and 4, and H1 receptor antagonist, H2 receptor antagonist, acetaminophen, and dexamethasone for Arm 5, administered per approved product label


Locations(42)

UPMC Hillman Cancer Center ( Site 1904)

Pittsburgh, Pennsylvania, United States

Liga Norte Riograndense Contra o Cancer ( Site 1301)

Natal, Rio Grande do Norte, Brazil

Hospital Nossa Senhora da Conceicao ( Site 1300)

Porto Alegre, Rio Grande do Sul, Brazil

Clínica Puerto Montt ( Site 1406)

Port Montt, Los Lagos Region, Chile

FALP ( Site 1400)

Santiago, Region M. de Santiago, Chile

Centro de Oncología de Precisión ( Site 1402)

Santiago, Region M. de Santiago, Chile

Clínica UC San Carlos de Apoquindo ( Site 1403)

Santiago, Region M. de Santiago, Chile

Bradfordhill ( Site 1401)

Santiago, Region M. de Santiago, Chile

Bradford Hill Norte ( Site 1405)

Antofagasta, Chile

The Second Affiliated Hospital of Anhui Medical University ( Site 9511)

Hefei, Anhui, China

Beijing Cancer Hospital ( Site 9500)

Beijing, Beijing Municipality, China

The First Affiliated Hospital of Xiamen University ( Site 9503)

Xiamen, Fujian, China

Henan Cancer Hospital ( Site 9509)

Zhengzhou, Henan, China

Xuzhou Central Hospital ( Site 9512)

Xuzhou, Jiangsu, China

The First Affiliated Hospital of Nanchang University ( Site 9505)

Nanchang, Jiangxi, China

Masarykuv onkologicky ustav-Klinika komplexni onkologicke pece ( Site 9000)

Brno, Brno-mesto, Czechia

C.H.R.U. de Brest - Hopital Cavale Blanche ( Site 9104)

Brest, Finistere, France

CHU Lille - Institut Coeur Poumon ( Site 9100)

Lille, Nord, France

Pitie Salpetriere University Hospital ( Site 9102)

Paris, France

Universitätsklinikum Carl Gustav Carus - Medical Oncology ( Site 1806)

Dresden, Saxony, Germany

Haematologisch-Onkologische Praxis Eppendorf Facharztzentrum Eppendorf - Hope ( Site 1807)

Hamburg, Germany

Ospedale San Raffaele-Oncologia Medica ( Site 9201)

Milan, Lombardy, Italy

Istituto Oncologico Veneto IRCCS ( Site 9202)

Padova, Veneto, Italy

Aichi Cancer Center ( Site 9702)

Nagoya, Aichi-ken, Japan

National Cancer Center Hospital East ( Site 9701)

Kashiwa, Chiba, Japan

National Cancer Center Hospital ( Site 9700)

Chūō, Tokyo, Japan

Oslo Universitetssykehus Radiumhospitalet ( Site 1501)

Oslo, Norway

National University Hospital ( Site 9800)

Singapore, Central Singapore, Singapore

National Cancer Center ( Site 9902)

Goyang-si, Kyonggi-do, South Korea

Asan Medical Center ( Site 9901)

Seoul, South Korea

Samsung Medical Center ( Site 9900)

Seoul, South Korea

Kantonsspital Graubuenden ( Site 1700)

Chur, Kanton Graubünden, Switzerland

Hopitaux Universitaires de Geneve HUG. ( Site 1701)

Geneva, Switzerland

Kaohsiung Medical University Chung-Ho Memorial Hospital ( Site 1009)

Kaoshiung, Kaohsiung, Taiwan

Kaohsiung Chang Gung Memorial Hospital ( Site 1003)

Kaohsiung City, Taiwan

China Medical University Hospital ( Site 1007)

Taichung, Taiwan

National Cheng Kung University Hospital ( Site 1001)

Tainan, Taiwan

National Taiwan University Hospital ( Site 1000)

Taipei, Taiwan

Taipei Veterans General Hospital ( Site 1005)

Taipei, Taiwan

Chang Gung Memorial Hospital - Linkou Branch ( Site 1006)

Taoyuan, Taiwan

Ramathibodi Hospital ( Site 1103)

Ratchathewi, Bangkok, Thailand

Songklanagarind hospital ( Site 1101)

Hat Yai, Changwat Songkhla, Thailand

View Full Details on ClinicalTrials.gov

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NCT06780111


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