Substudy 01I: A Study of Investigational Agents in Participants With Previously Treated Stage IV Squamous Non-small Cell Lung Cancer (NSCLC) (MK-3475-01I/KEYMAKER-U01I)
KEYMAKER-U01 Substudy 01I: A Phase 2, Randomized, Umbrella Study With Rolling Arms of Investigational Agents in Participants With Previously Treated Stage IV Squamous Non-small Cell Lung Cancer (NSCLC)
Researchers are looking for other ways to treat metastatic squamous non-small cell lung cancer (NSCLC). Squamous NSCLC is cancer that starts in squamous cells, which are flat cells that line the inside of the airways in the lungs. Metastatic means the cancer has spread to other parts of the body.
Standard treatment (usual treatment) for metastatic squamous NSCLC is immunotherapy with or without chemotherapy. Immunotherapy is a treatment that helps the immune system fight cancer. Chemotherapy is medicine that destroys cancer cells or stops them from growing. However, standard treatment may not work or may stop working to treat metastatic squamous NSCLC.
Researchers want to learn if study treatments that are antibody drug conjugates (ADCs) can treat metastatic squamous NSCLC that did not respond (get smaller or go away) to standard treatment. An ADC attaches to a protein on cancer cells and delivers treatment to destroy those cells.
The main goals of this study are to learn about:
- The cancer response to the study treatments compared to chemotherapy
- The safety of the study treatments and if people tolerate them
This study is one of the substudies being conducted under one pembrolizumab umbrella master protocol (MK-3475-U01/KEYMAKER-U01).
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Toll Free Number
- Phone Number: 1-888-577-8839
- Email: Trialsites@msd.com
Study Locations
-
-
Region M. de Santiago
-
Santiago, Region M. de Santiago, Chile, 7500653
- Recruiting
- Centro de Estudios Clínicos SAGA ( Site 0161)
-
Contact:
- Study Coordinator
- Phone Number: +56991612199
-
Santiago, Region M. de Santiago, Chile, 7500921
- Recruiting
- FALP ( Site 0160)
-
Contact:
- Study Coordinator
- Phone Number: 56227128000
-
Santiago, Region M. de Santiago, Chile, 8420383
- Recruiting
- Bradfordhill ( Site 0162)
-
Contact:
- Study Coordinator
- Phone Number: +56229490970
-
-
-
-
Chongqing Municipality
-
Chongqing, Chongqing Municipality, China, 400030
- Recruiting
- Chongqing University Cancer Hospital ( Site 0304)
-
Contact:
- Study Coordinator
- Phone Number: +86023-65311341
-
-
Fujian
-
Fuzhou, Fujian, China, 350014
- Recruiting
- Fujian Provincial Cancer Hospital ( Site 0310)
-
Contact:
- Study Coordinator
- Phone Number: 0591-83660063
-
-
Guangxi
-
Nanning, Guangxi, China, 530201
- Recruiting
- Guangxi Medical University Cancer Hospital ( Site 0303)
-
Contact:
- Study Coordinator
- Phone Number: 0771-5323175
-
-
Henan
-
Zhengzhou, Henan, China, 450000
- Recruiting
- Henan Cancer Hospital ( Site 0311)
-
Contact:
- Study Coordinator
- Phone Number: +8613837174273
-
-
Jiangsu
-
Nanjing, Jiangsu, China, 210031
- Recruiting
- Nanjing Drum Tower Hospital JiangBei International Branch Hospital ( Site 0309)
-
Contact:
- Study Coordinator
- Phone Number: +8602165115006
-
-
Shanghai Municipality
-
Shanghai, Shanghai Municipality, China, 200433
- Recruiting
- Shanghai Pulmonary Hospital ( Site 0300)
-
Contact:
- Study Coordinator
- Phone Number: 021-65115006
-
Shanghai, Shanghai Municipality, China, 200030
- Recruiting
- Shanghai Chest Hospital ( Site 0308)
-
Contact:
- Study Coordinator
- Phone Number: 021-63846590
-
-
-
-
-
Berlin, Germany, 13353
- Recruiting
- Charite-Universitaetsmedizin Berlin ( Site 0191)
-
Contact:
- Study Coordinator
- Phone Number: +49 30 450 553 044
-
-
Baden-Wurttemberg
-
Tübingen, Baden-Wurttemberg, Germany, 72076
- Recruiting
- UniversitaetsklInikum Tuebingen ( Site 0192)
-
Contact:
- Study Coordinator
- Phone Number: +4970712982795
-
-
-
-
-
Thessaloniki, Greece, 570 01
- Recruiting
- European Interbalkan Medical Center-Oncology Department ( Site 0205)
-
Contact:
- Study Coordinator
- Phone Number: 0030 2310400213
-
-
Attica
-
Athens, Attica, Greece, 115 27
- Recruiting
- THORACIC GENERAL HOSPITAL OF ATHENS "I SOTIRIA" ( Site 0204)
-
Contact:
- Study Coordinator
- Phone Number: 0030 2107700220
-
Athens, Attica, Greece, 106 76
- Recruiting
- EVANGELISMOS S.A ( Site 0206)
-
Contact:
- Study Coordinator
- Phone Number: +302132041631
-
-
-
-
Bács-Kiskun county
-
Kecskemét, Bács-Kiskun county, Hungary, 6000
- Recruiting
- Bacs-Kiskun Varmegyei Oktatokorhaz ( Site 0063)
-
Contact:
- Study Coordinator
- Phone Number: +3676516700
-
-
Győr-Moson-Sopron
-
Győr, Győr-Moson-Sopron, Hungary, 9024
- Recruiting
- Petz Aladar Egyetemi Oktato Korhaz ( Site 0062)
-
Contact:
- Study Coordinator
- Phone Number: +3696507900
-
-
Jász-Nagykun-Szolnok
-
Szolnok, Jász-Nagykun-Szolnok, Hungary, 5000
- Recruiting
- Jasz-Nagykun-Szolnok Varmegyei Hetenyi Geza Korhaz-Rendelointezet ( Site 0061)
-
Contact:
- Study Coordinator
- Phone Number: +3656503603
-
-
-
-
-
Haifa, Israel, 3109601
- Recruiting
- Rambam Health Care Campus ( Site 0076)
-
Contact:
- Study Coordinator
- Phone Number: +972 47776234
-
Jerusalem, Israel, 9103102
- Recruiting
- Shaare Zedek Medical Center ( Site 0075)
-
Contact:
- Study Coordinator
- Phone Number: +972-2-6555768
-
Kfar Saba, Israel, 4428164
- Recruiting
- Meir Medical Center ( Site 0071)
-
Contact:
- Study Coordinator
- Phone Number: +97297472414
-
Petah Tikva, Israel, 4941492
- Recruiting
- Rabin Medical Center ( Site 0074)
-
Contact:
- Study Coordinator
- Phone Number: +97239378101
-
Ramat Gan, Israel, 5265601
- Recruiting
- Sheba Medical Center ( Site 0070)
-
Contact:
- Study Coordinator
- Phone Number: +97235307032
-
Tel Aviv, Israel, 6423906
- Recruiting
- Sourasky Medical Center ( Site 0077)
-
Contact:
- Study Coordinator
- Phone Number: +972-3-6973082
-
-
-
-
-
Florence, Italy, 50134
- Recruiting
- Azienda Ospedaliera Universitaria Careggi ( Site 0173)
-
Contact:
- Study Coordinator
- Phone Number: +393209225506
-
Milan, Italy, 20132
- Recruiting
- Ospedale San Raffaele. ( Site 0171)
-
Contact:
- Study Coordinator
- Phone Number: +390223903829
-
Milan, Italy, 20133
- Recruiting
- Fondazione IRCCS Istituto Nazionale dei Tumori ( Site 0175)
-
Contact:
- Study Coordinator
- Phone Number: 390223902190
-
Roma, Italy, 00168
- Recruiting
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS - Università Cattolica del Sacro Cuore ( Site 0174)
-
Contact:
- Study Coordinator
- Phone Number: +390630156318
-
-
-
-
Greater Poland Voivodeship
-
Poznan, Greater Poland Voivodeship, Poland, 60-569
- Recruiting
- Wielkopolskie Centrum Pulmonologii i Torakochirurgii ( Site 0153)
-
Contact:
- Study Coordinator
- Phone Number: +48616654242
-
-
Masovian Voivodeship
-
Warsaw, Masovian Voivodeship, Poland, 02-781
- Recruiting
- Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy w Warszawie ( Site 0151)
-
Contact:
- Study Coordinator
- Phone Number: +48225463066
-
-
Pomeranian Voivodeship
-
Gdansk, Pomeranian Voivodeship, Poland, 80-214
- Recruiting
- Uniwersyteckie Centrum Kliniczne-Early Clinical Trials Unit ( Site 0150)
-
Contact:
- Study Coordinator
- Phone Number: +48585844466
-
-
West Pomeranian Voivodeship
-
Koszalin, West Pomeranian Voivodeship, Poland, 75-581
- Recruiting
- Szpital Wojewódzki im. Mikoaja Kopernika w Koszalinie ( Site 0152)
-
Contact:
- Study Coordinator
- Phone Number: +48943488930
-
-
-
-
-
Barcelona, Spain, 08008
- Recruiting
- Hospital Clinic de Barcelona ( Site 0092)
-
Contact:
- Study Coordinator
- Phone Number: 34 932275402
-
Madrid, Spain, 28223
- Recruiting
- Hospital Universitario Quiron Madrid ( Site 0091)
-
Contact:
- Study Coordinator
- Phone Number: 34914521987
-
-
Barcelona
-
L'Hospitalet de Llobregat, Barcelona, Spain, 08908
- Recruiting
- Institut Català d'Oncologia - L'Hospitalet ( Site 0090)
-
Contact:
- Study Coordinator
- Phone Number: 0034932607744
-
-
-
-
-
Adana, Turkey (Türkiye), 01250
- Recruiting
- Baskent University Dr. Turgut Noyan Research and Training Center-ONCOLOGY ( Site 0141)
-
Contact:
- Study Coordinator
- Phone Number: +905353067506
-
Ankara, Turkey (Türkiye), 06230
- Recruiting
- Hacettepe Universitesi Tip Fakultesi Hastanesi ( Site 0140)
-
Contact:
- Study Coordinator
- Phone Number: +90 312 305 43 36
-
Istanbul, Turkey (Türkiye), 34098
- Recruiting
- Istanbul Universitesi Cerrahpasa Tip Fakultesi ( Site 0144)
-
Contact:
- Study Coordinator
- Phone Number: +902124143000
-
-
-
-
Kentucky
-
Lexington, Kentucky, United States, 40536-0293
- Recruiting
- University of Kentucky Chandler Medical Center ( Site 0019)
-
Contact:
- Study Coordinator
- Phone Number: 859-257-1000
-
-
Maryland
-
Baltimore, Maryland, United States, 21237
- Recruiting
- MedStar Franklin Square Medical Center ( Site 0033)
-
Contact:
- Study Coordinator
- Phone Number: 443-777-7147
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
The main inclusion criteria include but are not limited to the following:
- Histologically or cytologically confirmed diagnosis of Stage IV squamous non-small cell lung cancer (NSCLC)
- Has documented disease progression per Response Evaluation Criteria In Solid Tumors 1.1 (RECIST 1.1), as assessed by investigator after receiving an anti-programmed cell death protein 1 (anti-PD-1)/programmed cell death ligand 1 (PD-L1) treatment and platinum-based chemotherapy for Stage IV disease
- Human immunodeficiency virus (HIV)-infected participants must have well controlled HIV on antiretroviral therapy (ART)
- Participants who are Hepatitis B surface antigen (HBsAg) positive are eligible if they have received Hepatitis B virus (HBV) antiviral therapy for at least 4 weeks, and have undetectable HBV viral load
- Participants with history of Hepatitis C virus (HCV) infection are eligible if HCV viral load is undetectable
Exclusion Criteria:
The main exclusion criteria include but are not limited to the following:
- Diagnosis of small cell lung cancer or, for mixed tumors, presence of small cell elements
- Has uncontrolled or significant cardiovascular disorder
- Clinically severe pulmonary compromise resulting from intercurrent pulmonary illnesses including, but not limited to, any underlying pulmonary disorder (ie, pulmonary emboli within 3 months, severe asthma, severe chronic obstructive pulmonary disease, restrictive lung disease, pleural effusion, etc), or any autoimmune, connective tissue, or inflammatory disorders with pulmonary involvement (ie, rheumatoid arthritis, Sjogren's syndrome, sarcoidosis, etc), or prior pneumonectomy
- Participants who have adverse events (AEs) (other than alopecia) due to previous anticancer therapies must have recovered to ≤Grade 1 or baseline
- Has clinically significant corneal disease
- Has previously received docetaxel as monotherapy or in combination with other therapies
- Known additional malignancy that is progressing or has required active treatment within the past 3 years
- Has known untreated central nervous system (CNS) metastases and/or carcinomatous meningitis
- Evidence of any leptomeningeal disease
- Has one or more of the following indicators of interstitial lung disease (ILD)/pneumonitis: any history of ILD/pneumonitis irrespective of steroid use (except for a history of radiation pneumonitis that did not require steroids), current diagnosis of ILD, clinical or radiographic suspicion of ILD
- Active autoimmune disease that has required systemic treatment in the past 2 years. Replacement therapy (eg, thyroxine, insulin, or physiologic corticosteroid) is allowed
- Active infection requiring systemic therapy
- HIV-infected participants with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease
- Active inflammatory bowel disease requiring immunosuppressive medication or previous clear history of inflammatory bowel disease (eg, Crohn's disease, ulcerative colitis, or chronic diarrhea)
- Known history of, or active, neurologic paraneoplastic syndrome
- History of allogeneic tissue/solid organ transplant
- Has not adequately recovered from major surgery or have ongoing surgical complications
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Arm 1: Raludotatug deruxtecan (R-DXD)
Participants receive 5.6 mg/kg of R-DXD, every 3 weeks (Q3W) (Day 1 of every 21-day cycle) via intravenous (IV) infusion until progressive disease (PD) or discontinuation.
|
IV Infusion
Other Names:
Participants receive rescue medications consisting of a combination regimen to include corticosteroids with a 5-hydroxytryptamine subtype 3 receptor antagonist and/or a neurokinin-1 receptor antagonist, all per approved product label and following institutional standards or local guidelines.
|
|
Experimental: Arm 2: Infinatamab deruxtecan (I-DXD) High Dose
Participants receive 12 mg/kg of I-DXD, Q3W (Day 1 of every 21-day cycle) via IV infusion until PD or discontinuation.
|
IV Infusion
Other Names:
Participants receive rescue medications consisting of a combination regimen to include corticosteroids with a 5-hydroxytryptamine subtype 3 receptor antagonist and/or a neurokinin-1 receptor antagonist, all per approved product label and following institutional standards or local guidelines.
|
|
Experimental: Arm 3: I-DXD Low Dose
Participants receive 8 mg/kg of I-DXD, Q3W (Day 1 of every 21-day cycle) via IV infusion until PD or discontinuation.
|
IV Infusion
Other Names:
Participants receive rescue medications consisting of a combination regimen to include corticosteroids with a 5-hydroxytryptamine subtype 3 receptor antagonist and/or a neurokinin-1 receptor antagonist, all per approved product label and following institutional standards or local guidelines.
|
|
Active Comparator: Arm 4: Docetaxel
Participants receive 75 mg/m^2 of Docetaxel, Q3W (Day 1 of every 21-day cycle) via IV infusion until PD or discontinuation.
|
IV Infusion
Other Names:
Participants are premedicated with corticosteroids per approved product label and following institutional standards or local guidelines.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Objective Response Rate (ORR)
Time Frame: Up to approximately 81 months
|
ORR is defined as the percentage of participants with 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) as assessed per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1).
ORR will be assessed by Blinded Independent Central Review (BICR).
The percentage of participants who experience CR or PR as assessed by the investigator will be presented.
|
Up to approximately 81 months
|
|
Number of participants who experience one or more adverse events (AEs)
Time Frame: Up to approximately 81 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 number of participants who experience an AE will be reported.
|
Up to approximately 81 months
|
|
Number of participants who discontinue study intervention due to an AE
Time Frame: Up to approximately 81 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 number of participants who discontinue study treatment due to an AE will be reported.
|
Up to approximately 81 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Overall Survival (OS)
Time Frame: Up to approximately 81 months
|
OS is defined as time from randomization to death due to any cause.
|
Up to approximately 81 months
|
|
Duration of Response (DOR)
Time Frame: Up to approximately 81 months
|
For participants who demonstrate a confirmed CR (disappearance of all target lesions) or PR (at least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1, DOR is defined as the time from first documented evidence of CR or PR until PD or death.
Per RECIST 1.1, PD is defined as at least a 20% increase in the sum of diameters of target lesions.
In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.
The appearance of one or more new lesions is also considered PD.
DOR as assessed by BICR will be presented.
|
Up to approximately 81 months
|
|
Progression-free Survival (PFS)
Time Frame: Up to approximately 81 months
|
PFS is defined as the time from randomization to the first documented PD or death due to any cause, whichever occurs first as assessed by (RECIST 1.1).
PD is defined as ≥20% increase in the sum of diameters of target lesions.
In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of ≥5 mm.
The appearance of one or more new lesions is also considered PD.
PFS as assessed by BICR will be presented.
|
Up to approximately 81 months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Medical Director, Merck Sharp & Dohme LLC
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 3475-01I
- MK-3475-01I (Other Identifier: MSD)
- U1111-1314-2392 (Registry Identifier: UTN)
- KEYMAKER-01I (Other Identifier: MSD)
- 2024-518839-11-00 (Registry Identifier: EU CT)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Lung Neoplasm
-
NCT04665739RecruitingLocally Advanced Lung Neuroendocrine Neoplasm | Lung Neuroendocrine Neoplasm | Metastatic Lung Neuroendocrine Neoplasm | Recurrent Lung Neuroendocrine Neoplasm | Unresectable Lung Neuroendocrine Neoplasm | Advanced Lung Neuroendocrine Tumor | Functioning Lung Neuroendocrine Tumor | Lung Neuroendocrine Tumor G1 | Lung Neuroendocrine Tumor G2 | Metastatic Lung Neuroendocrine Tumor
-
NCT02575898CompletedPrimary Malignant Neoplasm of Lung | Primary Malignant Neoplasm of Gastrointestinal Tract
-
NCT00899782CompletedLung Carcinoma | Lung Neoplasm | Malignant Lung Neoplasm
-
NCT06282016RecruitingNeuroendocrine Neoplasm of Lung | Neuroendocrine Neoplasm of Gastrointestinal Tract (Disorder)
-
NCT05039632RecruitingAdvanced Malignant Solid Neoplasm | Metastatic Malignant Solid Neoplasm | Metastatic Malignant Neoplasm in the Liver | Metastatic Malignant Neoplasm in the Lung
-
NCT02852798UnknownNonsquamous Nonsmall Cell Neoplasm of Lung
-
NCT01814163CompletedNonsquamous Nonsmall Cell Neoplasm of Lung
-
NCT05764928Not yet recruitingNonsquamous Nonsmall Cell Neoplasm of Lung
-
NCT02259582Completed
Clinical Trials on Docetaxel
-
NCT00980603Unknown
-
NCT07316686Not yet recruiting
-
NCT06928389RecruitingNon-Small Cell Lung Cancer
-
NCT05137067CompletedBreast Cancer | Lung Cancer | Prostate Cancer
-
NCT04889599CompletedSolid Tumours | Bioequivalence | Docetaxel
-
NCT02364362CompletedNon-Small Cell Lung Cancer (NSCLC)
-
NCT07257575Active, not recruiting
-
NCT00386555WithdrawnCarcinoma, Non-Small-Cell Lung