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En undersøgelse af undersøgelsesmidler hos deltagere med tidligere behandlet fase IV ikke-småcellet lungekræft (NSCLC) (MK-3475-01H/KEYMAKER-U01)

23. oktober 2026 opdateret af: Merck Sharp & Dohme LLC

KEYMAKER-U01 Delstudie 01H: Et fase 2, randomiseret, paraplystudie med rullende arme af undersøgelsesagenter hos deltagere med tidligere behandlet fase IV ikke-skælcellet ikke-småcellet lungekræft (NSCLC)

Researchers are looking for new ways to treat metastatic nonsquamous non-small cell lung cancer (NSCLC) that has been treated before. Metastatic means the cancer has spread to other parts of the body. Nonsquamous means the cancer did not start in squamous cells, which are flat cells that line the inside of the lungs.

Standard treatment (usual treatment) for NSCLC is surgery, then immunotherapy with or without chemotherapy after surgery. Immunotherapy is a treatment that helps the immune system fight cancer. Chemotherapy is a medicine that works to destroy cancer cells or stop them from growing.

However, standard treatment may not work or may stop working for some people. Researchers want to know if 2 antibody drug conjugates (ADCs) can help treat metastatic nonsquamous NSCLC that did not respond (get smaller or go away) to treatment. An ADC attaches to specific targets on cancers cells and delivers treatment to destroy those cells.

Researchers will compare 2 different ADCs (the study treatments) to chemotherapy in this study. The goals of this study are to learn:

  • About the safety of the study treatments and if people tolerate them
  • How many people have the cancer respond to the study treatments

Studieoversigt

Status

Rekruttering

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

The master screening protocol is MK-3475-U01 (KEYMAKER-U01) - NCT04165798

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

96

Fase

  • Fase 2

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Studiesteder

    • Region M. de Santiago
      • Santiago, Region M. de Santiago, Chile, 7500653
        • Rekruttering
        • Centro de Estudios Clínicos SAGA ( Site 0161)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +5690556961
      • Santiago, Region M. de Santiago, Chile, 8420383
        • Rekruttering
        • Bradfordhill ( Site 0162)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +56229490970
      • Santiago, Region M. de Santiago, Chile, 7500921
        • Rekruttering
        • Fundación Arturo López Pérez ( Site 0160)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 56227128000
    • Kentucky
      • Lexington, Kentucky, Forenede Stater, 40536-0293
        • Rekruttering
        • University of Kentucky Chandler Medical Center ( Site 0019)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 859-257-1000
    • Maryland
      • Baltimore, Maryland, Forenede Stater, 21237
        • Rekruttering
        • MedStar Franklin Square Medical Center ( Site 0033)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 443-777-7147
    • Pennsylvania
      • Pittsburgh, Pennsylvania, Forenede Stater, 15212
        • Rekruttering
        • AHN Cancer Institute - Allegheny General ( Site 9501)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 412-325-5700
    • Texas
      • Dallas, Texas, Forenede Stater, 75246-2046
        • Rekruttering
        • Texas Oncology - DFW ( Site 8003)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 214-370-1067
      • Thessaloniki, Grækenland, 570 01
        • Rekruttering
        • European Interbalkan Medical Center ( Site 0205)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 0030 2310400213
    • Attica
      • Athens, Attica, Grækenland, 115 27
        • Rekruttering
        • THORACIC GENERAL HOSPITAL OF ATHENS "I SOTIRIA"-3rd Dept of Internal Medicine and Laboratory, Oncol ( Site 0204)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 0030 2107700220
      • Haifa, Israel, 3109601
        • Rekruttering
        • Rambam Health Care Campus ( Site 0076)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +972-4-7776234
      • Jerusalem, Israel, 9103102
        • Rekruttering
        • Shaare Zedek Medical Center ( Site 0075)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +972-2-6555768
      • Kfar Saba, Israel, 4428164
        • Rekruttering
        • Meir Medical Center ( Site 0071)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +97297472414
      • Petah Tikva, Israel, 4941492
        • Rekruttering
        • Rabin Medical Center ( Site 0074)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +97239378101
      • Ramat Gan, Israel, 5265601
        • Rekruttering
        • Sheba Medical Center ( Site 0070)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +97235307032
      • Tel Aviv, Israel, 6423906
        • Rekruttering
        • Sourasky Medical Center ( Site 0077)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +972-3-6973082
      • Florence, Italien, 50134
        • Rekruttering
        • Azienda Ospedaliera Universitaria Careggi ( Site 0173)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +393209225506
      • Milan, Italien, 20132
        • Rekruttering
        • Ospedale San Raffaele. ( Site 0171)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +390223903829
      • Roma, Italien, 00168
        • Rekruttering
        • Fondazione Policlinico Universitario Agostino Gemelli IRCCS - Università Cattolica del Sacro Cuore ( Site 0174)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +390630156318
    • Lombardy
      • Milan, Lombardy, Italien, 20133
        • Rekruttering
        • Fondazione IRCCS Istituto Nazionale dei Tumori ( Site 0175)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 390223902190
    • Greater Poland Voivodeship
      • Poznan, Greater Poland Voivodeship, Polen, 60-569
        • Rekruttering
        • Wielkopolskie Centrum Pulmonologii i Torakochirurgii ( Site 0153)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +48616654242
    • Masovian Voivodeship
      • Warsaw, Masovian Voivodeship, Polen, 02-781
        • Rekruttering
        • Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy w Warszawie ( Site 0151)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +48225463066
    • Pomeranian Voivodeship
      • Gdansk, Pomeranian Voivodeship, Polen, 80-214
        • Rekruttering
        • Uniwersyteckie Centrum Kliniczne-Early Clinical Trials Unit ( Site 0150)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +48585844466
    • West Pomeranian Voivodeship
      • Koszalin, West Pomeranian Voivodeship, Polen, 75-581
        • Aktiv, ikke rekrutterende
        • Szpital Wojewódzki im. Mikoaja Kopernika w Koszalinie ( Site 0152)
      • Madrid, Spanien, 28223
        • Rekruttering
        • Hospital Universitario Quiron Madrid ( Site 0091)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 34914521987
    • Barcelona
      • L'Hospitalet de Llobregat, Barcelona, Spanien, 08908
        • Rekruttering
        • Institut Català d'Oncologia - L'Hospitalet ( Site 0090)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 0034932607744
      • Adana, Tyrkiet (Türkiye), 01250
        • Rekruttering
        • Baskent University Dr. Turgut Noyan Research and Training Center-ONCOLOGY ( Site 0141)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +90 322 344 44 44
      • Ankara, Tyrkiet (Türkiye), 06230
        • Rekruttering
        • Hacettepe Universitesi Tip Fakultesi Hastanesi ( Site 0140)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +90 312 305 43 36
      • Ankara, Tyrkiet (Türkiye), 06800
        • Rekruttering
        • Ankara Bilkent Şehir Hastanesi. ( Site 0142)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +905555306271
      • Istanbul, Tyrkiet (Türkiye), 34098
        • Rekruttering
        • I. U. Cerrahpasa Tip Fakultesi ( Site 0144)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +902124143000
      • Izmir, Tyrkiet (Türkiye), 35100
        • Rekruttering
        • Ege Universitesi Hastanesi ( Site 0143)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +90 232 343 43 43
      • Berlin, Tyskland, 13353
        • Rekruttering
        • Charite-Universitaetsmedizin Berlin ( Site 0191)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +49 30 450 553 044
    • Baden-Wurttemberg
      • Tübingen, Baden-Wurttemberg, Tyskland, 72076
        • Rekruttering
        • Universitaetsklinik Tuebingen ( Site 0192)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +4970712982795
    • Bács-Kiskun county
      • Kecskemét, Bács-Kiskun county, Ungarn, 6000
        • Rekruttering
        • Bacs-Kiskun Varmegyei Oktatokorhaz ( Site 0063)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +3676516700
    • Győr-Moson-Sopron
      • Győr, Győr-Moson-Sopron, Ungarn, 9024
        • Rekruttering
        • Petz Aladar Egyetemi Oktato Korhaz ( Site 0062)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +3696507900
    • Jász-Nagykun-Szolnok
      • Szolnok, Jász-Nagykun-Szolnok, Ungarn, 5000
        • Rekruttering
        • Jasz-Nagykun-Szolnok Varmegyei Hetenyi Geza Korhaz-Rendelointezet ( Site 0061)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +3656503603
    • Pest County
      • Törökbálint, Pest County, Ungarn, 2045
        • Rekruttering
        • Református Pulmonológiai Centrum ( Site 0064)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +3623511570

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

The main inclusion criteria include but are not limited to the following:

  • Histologically or cytologically confirmed diagnosis of Stage IV nonsquamous non-small cell lung cancer (NSCLC)
  • Documented disease progression per RECIST 1.1 after receiving an anti-programmed cell death 1 protein (PD-1)/programmed cell death ligand 1 (PD-L1) treatment and platinum-based chemotherapy
  • Confirmation per local test report that epidermal growth factor receptor negative (EGFR-), anaplastic lymphoma kinase negative (ALK-), c ros oncogene 1 negative (ROS1-), or other directed therapy is not indicated as primary therapy
  • Measurable disease per RECIST 1.1 as assessed by investigator and verified by BICR
  • Life expectancy of at least 3 months
  • An Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1 assessed within 7 days before randomization
  • Is an individual of any sex/gender who is at least 18 years of age at the time of providing the informed consent
  • Has adequate organ function
  • If capable of producing sperm refrains from donating sperm plus either abstains from penile-vaginal intercourse or uses a penile/external condom, with contraceptive use consistent with local regulations
  • Participant/participants of childbearing potential (POCBP) is not pregnant and has a negative highly sensitive pregnancy test; and is not breastfeeding and uses a highly effective contraceptive method
  • Archival tumor tissue sample of a tumor lesion not previously irradiated has been provided
  • Has provided tissue prior to treatment randomization from a newly obtained formalin-fixed sample from a new biopsy
  • Human Immunodeficiency Virus (HIV)-infected participants must have well controlled HIV on antiretroviral therapy (ART)
  • Participants who are hepatitis B surface antigen (HBsAg) positive have received hepatitis B virus (HBV) antiviral therapy for at least 4 weeks and have undetectable HBV viral load prior to randomization
  • Participants with history of hepatitis C virus (HCV) infection are eligible if HCV viral load is undetectable at screening

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
  • Received radiation therapy to the lung
  • Has uncontrolled or significant cardiovascular disorder prior to randomization
  • Has clinically severe pulmonary compromise resulting from intercurrent pulmonary illnesses
  • Participants who have adverse events (AEs) (other than alopecia) due to previous anticancer therapies must have recovered to ≤Grade 1 or baseline
  • Has known severe hypersensitivity (≥Grade 3) to study intervention and/or any of its excipients
  • Has clinically significant corneal disease
  • Has received prior radiotherapy within 2 weeks of start of study intervention, or radiation related toxicities, requiring corticosteroids
  • Has inadequate washout period prior to randomization
  • Has received a live or live-attenuated vaccine within 30 days before the first dose of study intervention
  • Has diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy
  • Has previously received docetaxel as monotherapy or in combination with other therapies
  • Has received an investigational agent or has used an investigational device within 4 weeks prior to study intervention administration
  • Has 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
  • Has evidence of any leptomeningeal disease
  • Has history of interstitial lung disease (ILD)/pneumonitis, current diagnosis of ILD, and/or suspected ILD
  • Has active autoimmune disease that has required systemic treatment in the past 2 years
  • Has active infection requiring systemic therapy
  • HIV-infected participants with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease
  • Has active inflammatory bowel disease requiring immunosuppressive medication or previous clear history of inflammatory bowel disease
  • Has known history of, or active, neurologic paraneoplastic syndrome
  • Has history of allogeneic tissue/solid organ transplant
  • Have not adequately recovered from major surgery or have ongoing surgical complications

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Enkelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Raludotatug Deruxtecan

Participants receive raludotatug deruxtecan (R-DXd) 5.6 mg/kg via intravenous (IV) Infusion every 3 weeks (q3w) until disease progression or discontinuation criterion is met.

IV Infusion

Andre navne:
  • R-DXd
  • DS-6000a
  • MK-5909

Administered as a rescue medication per approved product label before R-DXd or I-DXd infusion

Andre navne:
  • 5-HT3-receptorantagonist

Administered as a rescue medication per approved product label before R-DXd or I-DXd infusion

Andre navne:
  • NK-1 receptorantagonist

Administered as a rescue medication per approved product label before R-DXd or I-DXd infusion, and for 3 days starting 1 day prior to docetaxel administration

Eksperimentel: Ifinatamab Deruxtecan

Participants receive ifinatamab deruxtecan (I-DXd) 12 mg/kg via IV infusion q3w until disease progression or discontinuation criterion is met.

Administered as a rescue medication per approved product label before R-DXd or I-DXd infusion

Andre navne:
  • 5-HT3-receptorantagonist

Administered as a rescue medication per approved product label before R-DXd or I-DXd infusion

Andre navne:
  • NK-1 receptorantagonist

Administered as a rescue medication per approved product label before R-DXd or I-DXd infusion, and for 3 days starting 1 day prior to docetaxel administration

IV Infusion

Andre navne:
  • DS-7300a
  • I-DXd
  • MK-2400
Aktiv komparator: Docetetaxel

Participants receive docetaxel 75mg/m2 via IV infusion q3w until disease progression or discontinuation criterion is met.

Administered as a rescue medication per approved product label before R-DXd or I-DXd infusion, and for 3 days starting 1 day prior to docetaxel administration

IV Infusion

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Objective Response Rate (ORR)
Tidsramme: Up to approximately 81 months

ORR is defined as the percentage of participants with Complete Response (CR: Disappearance of all target lesions) or a Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions) per Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST 1.1). The percentage of participants who experience CR or PR as assessed by Blinded Independent Central Review (BICR) will be presented.

Up to approximately 81 months
Percentage of Participants with at Least One Adverse Event (AE)
Tidsramme: Up to approximately 81 months

An AE is defined as any unfavorable and unintended sign, symptom, disease, or worsening of preexisting condition temporally associated with study treatment and irrespective of causality to study treatment. The percentage of participants who experience an AE will be reported.

Up to approximately 81 months
Percentage of Participants Who Discontinued Medication Due to an AE
Tidsramme: Up to approximately 24 months

An AE is defined as any unfavorable and unintended sign, symptom, disease, or worsening of preexisting condition temporally associated with study treatment and irrespective of causality to study treatment. The percentage of participants who discontinue study intervention due to an AE will be reported.

Up to approximately 24 months

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Duration of Response (DOR)
Tidsramme: Up to approximately 81 months

For participants who demonstrate a confirmed CR (disappearance of all target lesions) or (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 progressive disease (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 millimeters (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)
Tidsramme: 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
Overall Survival (OS)
Tidsramme: Up to approximately 81 months

OS is defined as the time from randomization to death due to any cause.

Up to approximately 81 months

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Samarbejdspartnere

Efterforskere

  • Studieleder: Medical Director, Merck Sharp & Dohme LLC

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

13. maj 2025

Primær færdiggørelse (Anslået)

12. marts 2032

Studieafslutning (Anslået)

12. marts 2032

Datoer for studieregistrering

Først indsendt

13. januar 2025

Først indsendt, der opfyldte QC-kriterier

13. januar 2025

Først opslået (Faktiske)

17. januar 2025

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

27. oktober 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

23. oktober 2026

Sidst verificeret

1. oktober 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • 3475-01H
  • KEYMAKER-U01 (Anden identifikator: MSD)
  • MK-3475-01H (Anden identifikator: MSD)
  • U1111-1314-1785 (Registry Identifier: UTN)
  • 2024-518761-10-00 (Registry Identifier: EU CT)

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

JA

IPD-planbeskrivelse

https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ja

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .