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Eine Studie über Prüfsubstanzen bei Teilnehmern mit zuvor behandeltem nicht-plattenepithelialem nicht-kleinzelligem Lungenkrebs (NSCLC) im Stadium IV (MK-3475-01H/KEYMAKER-U01)

23. Oktober 2026 aktualisiert von: Merck Sharp & Dohme LLC

KEYMAKER-U01-Teilstudie 01H: Eine randomisierte Umbrella-Studie der Phase 2 mit wechselnden Prüfsubstanzen bei Teilnehmern mit zuvor behandeltem nicht-plattenepithelialem nicht-kleinzelligem Lungenkrebs (NSCLC) im Stadium IV

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

Studienübersicht

Status

Rekrutierung

Bedingungen

Intervention / Behandlung

Detaillierte Beschreibung

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

Studientyp

Interventionell

Einschreibung (Geschätzt)

96

Phase

  • Phase 2

Kontakte und Standorte

Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.

Studienkontakt

Studienorte

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

Teilnahmekriterien

Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.

Zulassungskriterien

Studienberechtigtes Alter

18 Jahre und älter (Erwachsene, Älterer Erwachsener)

Akzeptiert gesunde Freiwillige

Nein

Studienberechtigte Geschlechter

Alle

Beschreibung

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

Studienplan

Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.

Wie ist die Studie aufgebaut?

Designdetails

  • Hauptzweck: Behandlung
  • Zuteilung: Zufällig
  • Interventionsmodell: Parallele Zuordnung
  • Maskierung: Single

Waffen und Interventionen

Teilnehmergruppe / Arm
Intervention / Behandlung
Experimental: 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

Andere Namen:
  • R-DXd
  • DS-6000a
  • MK-5909

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

Andere Namen:
  • 5-HT3-Rezeptorantagonist

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

Andere Namen:
  • NK-1-Rezeptorantagonist

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

Experimental: 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

Andere Namen:
  • 5-HT3-Rezeptorantagonist

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

Andere Namen:
  • NK-1-Rezeptorantagonist

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

Andere Namen:
  • DS-7300a
  • I-DXd
  • MK-2400
Aktiver 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

Was misst die Studie?

Primäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Objective Response Rate (ORR)
Zeitfenster: 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)
Zeitfenster: 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
Zeitfenster: 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

Sekundäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Duration of Response (DOR)
Zeitfenster: 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)
Zeitfenster: 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)
Zeitfenster: Up to approximately 81 months

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

Up to approximately 81 months

Mitarbeiter und Ermittler

Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.

Sponsor

Mitarbeiter

Ermittler

  • Studienleiter: Medical Director, Merck Sharp & Dohme LLC

Publikationen und hilfreiche Links

Die Bereitstellung dieser Publikationen erfolgt freiwillig durch die für die Eingabe von Informationen über die Studie verantwortliche Person. Diese können sich auf alles beziehen, was mit dem Studium zu tun hat.

Studienaufzeichnungsdaten

Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.

Haupttermine studieren

Studienbeginn (Tatsächlich)

13. Mai 2025

Primärer Abschluss (Geschätzt)

12. März 2032

Studienabschluss (Geschätzt)

12. März 2032

Studienanmeldedaten

Zuerst eingereicht

13. Januar 2025

Zuerst eingereicht, das die QC-Kriterien erfüllt hat

13. Januar 2025

Zuerst gepostet (Tatsächlich)

17. Januar 2025

Studienaufzeichnungsaktualisierungen

Letztes Update gepostet (Tatsächlich)

27. Oktober 2026

Letztes eingereichtes Update, das die QC-Kriterien erfüllt

23. Oktober 2026

Zuletzt verifiziert

1. Oktober 2026

Mehr Informationen

Begriffe im Zusammenhang mit dieser Studie

Andere Studien-ID-Nummern

  • 3475-01H
  • KEYMAKER-U01 (Andere Kennung: MSD)
  • MK-3475-01H (Andere Kennung: MSD)
  • U1111-1314-1785 (Registrierungskennung: UTN)
  • 2024-518761-10-00 (Registrierungskennung: EU CT)

Plan für individuelle Teilnehmerdaten (IPD)

Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?

JA

Beschreibung des IPD-Plans

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

Arzneimittel- und Geräteinformationen, Studienunterlagen

Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt

Ja

Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt

Nein

Diese Informationen wurden ohne Änderungen direkt von der Website clinicaltrials.gov abgerufen. Wenn Sie Ihre Studiendaten ändern, entfernen oder aktualisieren möchten, wenden Sie sich bitte an register@clinicaltrials.gov. Sobald eine Änderung auf clinicaltrials.gov implementiert wird, wird diese automatisch auch auf unserer Website aktualisiert .