RecruitingPhase 2NCT06788912

Pembrolizumab (MK-3475) Plus Investigational Agents in Resectable Non-small Cell Lung Cancer (NSCLC) (MK-3475-01E/KEYMAKER-U01)

KEYMAKER-U01 Substudy 01E: A Phase 2 Umbrella Study With Rolling Arms of Investigational Agents With or Without Chemotherapy in Combination With Pembrolizumab in Treatment of Participants With Newly Diagnosed Resectable Stages II-IIIB (N2) Non-small Cell Lung Cancer (NSCLC)


Sponsor

Merck Sharp & Dohme LLC

Enrollment

60 participants

Start Date

Mar 20, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

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.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is testing whether adding pembrolizumab (an immunotherapy drug that helps the immune system fight cancer) to other investigational treatments before surgery can improve outcomes for people with resectable non-small cell lung cancer (NSCLC) — meaning lung cancer that can potentially be removed with surgery. **You may be eligible if...** - You have been diagnosed with non-small cell lung cancer that has not been treated yet and that can potentially be removed with surgery (Stage II, IIIA, or IIIB with N2 lymph node involvement) - You are fit enough to undergo surgery - Your cancer does not have EGFR gene changes that would call for a different targeted therapy first - Your physical performance is good (ECOG 0-1) - You can provide a tumor tissue sample (biopsy) **You may NOT be eligible if...** - Your cancer is in certain locations that make this protocol unsuitable (e.g., superior sulcus tumor) - You have already received cancer treatment - You are not fit enough for surgery - Your tumor has EGFR mutations that require a specific targeted therapy 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 (neoadjuvant)

Before surgery neoadjuvant Pembrolizumab 200 mg by intravenous (IV) infusion on day 1 of each 21-day cycle for 4 cycles

DRUGCisplatin

Cisplatin 75 mg/m\^2 by IV infusion on day 1 of each 21-day cycle for 4 cycles

DRUGGemcitabine

In squamous tumors Gemcitabine 1000 mg/m\^2 by IV infusion on day 1 and day 8 of each 21-day cycle for 4 cycles.

DRUGPemetrexed

In nonsquamous tumors Pemetrexed 500 mg/m\^2 by IV infusion on day 1 of each 21-day cycle for 4 cycles

DRUGSacituzumab tirumotecan

Sacituzumab tirumotecan 4 mg/kg by IV infusion on day 1 of each 14-day cycle for up to 6 cycles

DRUGH1 receptor antagonist

Administered as rescue medication before Sacituzumab tirumotecan infusion per approved product label

DRUGH2 receptor antagonist

Administered as rescue medication before Sacituzumab tirumotecan infusion per approved product label

DRUGAcetaminophen (or equivalent)

Administered as rescue medication before Sacituzumab tirumotecan infusion per approved product label

DRUGDexamethasone (or equivalent)

Administered as rescue medication 8 -10 mg before Sacituzumab tirumotecan infusion per approved product label

DRUGCarboplatin

AUC 5 mg/mL min or AUC 6 mg/mL min by IV infusion on day 1 of each 21-day cycle for 4 cycles

BIOLOGICALPembrolizumab (adjuvant)

After surgery adjuvant Pembrolizumab 200 mg by IV infusion on day 1 of each 21-day cycle for 13 cycles

DRUGPaclitaxel

Paclitaxel 175 or 200 mg/m\^2 by IV infusion on day 1 of each 21-day cycle for 4 cycles.

DRUGSteroid mouthwash (dexamethasone or equivalent)

Administered orally as rescue medication 2-5 mL 4 times daily


Locations(34)

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

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

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

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

University General Hospital of Heraklion ( Site 0200)

Heraklion, Irakleio, Greece

Petz Aladar Egyetemi Oktato Korhaz-Pulmonológia (Dr. Szalai Zsuzsanna) ( Site 0062)

Győr, Győr-Moson-Sopron, Hungary

Jász-Nagykun-Szolnok Vármegyei Hetényi Géza Kórház-Onkologiai Kozpont ( Site 0061)

Szolnok, Jász-Nagykun-Szolnok, Hungary

Országos Korányi Pulmonológiai Intézet ( Site 0060)

Budapest, Hungary

Azienda Ospedaliera Universitaria Careggi ( Site 0173)

Florence, Tuscany, Italy

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

Wielkopolskie Centrum Pulmonologii i Torakochirurgii-Oddzial Onkologii Klinicznej z Pododdzialem Dz ( Site 0153)

Poznan, Greater Poland Voivodeship, Poland

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

Hospital Clínic de Barcelona ( Site 0092)

Barcelona, Spain

Hacettepe Universite Hastaneleri-oncology hospital ( Site 0700)

Ankara, Turkey (Türkiye)

CNE CC of Oncology Hematol ( Site 0130)

Cherkasy, Cherkasy Oblast, Ukraine

Municipal Enterprise "Bukovinian сlinical oncology сenter" ( Site 0139)

Chernivtsi, Chernivetska Oblast, Ukraine

CNCE Precarpathian Clinical Oncologic Center ( Site 0131)

Ivano-Frankivsk, Ivano-Frankivsk Oblast, Ukraine

MNPE LTMU Multidisc. Clin. Hosp. of Emerg. and Intens. Care ( Site 0132)

Lviv, Lviv Oblast, Ukraine

ME RIVNE REGIONAL ANTITUMOR CENTER ( Site 0460)

Rivne, Rivne Oblast, Ukraine

Communal Noncommercial Enterprise "Podillia Regional Oncology Center Of Vinnytsia Regional Council" ( Site 0135)

Vinnytsia, Vinnytsia Oblast, Ukraine

Shalimov Institute of Surgery and Transplantation ( Site 0138)

Kyiv, Ukraine

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NCT06788912


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