- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT06780098
Sous-étude 01I : Une étude sur les agents expérimentaux chez des participants atteints d'un cancer du poumon épidermoïde non à petites cellules (CPNPC) de stade IV préalablement traité (MK-3475-01I/KEYMAKER-U01I)
Sous-étude KEYMAKER-U01 01I : une étude générale de phase 2, randomisée, avec des bras roulants d'agents expérimentaux chez des participants atteints d'un cancer du poumon épidermoïde non à petites cellules (CPNPC) de stade IV précédemment traité
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).
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
The master screening protocol is MK-3475-U01 (KEYMAKER-U01) - NCT04165798
Type d'étude
Inscription (Estimé)
Phase
- Phase 2
Contacts et emplacements
Coordonnées de l'étude
- Nom: Toll Free Number
- Numéro de téléphone: 1-888-577-8839
- E-mail: Trialsites@msd.com
Lieux d'étude
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Berlin, Allemagne, 13353
- Recrutement
- Charite-Universitaetsmedizin Berlin ( Site 0191)
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Contact:
- Study Coordinator
- Numéro de téléphone: +49 30 450 553 044
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Baden-Wurttemberg
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Tübingen, Baden-Wurttemberg, Allemagne, 72076
- Recrutement
- UniversitaetsklInikum Tuebingen ( Site 0192)
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Contact:
- Study Coordinator
- Numéro de téléphone: +4970712982795
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Region M. de Santiago
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Santiago, Region M. de Santiago, Chili, 7500653
- Recrutement
- Centro de Estudios Clínicos SAGA ( Site 0161)
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Contact:
- Study Coordinator
- Numéro de téléphone: +56991612199
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Santiago, Region M. de Santiago, Chili, 8420383
- Recrutement
- Bradfordhill ( Site 0162)
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Contact:
- Study Coordinator
- Numéro de téléphone: +56229490970
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Santiago, Region M. de Santiago, Chili, 7500921
- Recrutement
- Fundación Arturo López Pérez ( Site 0160)
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Contact:
- Study Coordinator
- Numéro de téléphone: 56227128000
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Beijing Municipality
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Beijing, Beijing Municipality, Chine, 100142
- Recrutement
- Beijing Cancer Hospital ( Site 0301)
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Contact:
- Study Coordinator
- Numéro de téléphone: 010-88121122
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Chongqing Municipality
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Chongqing, Chongqing Municipality, Chine, 400030
- Recrutement
- Chongqing University Cancer Hospital ( Site 0304)
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Contact:
- Study Coordinator
- Numéro de téléphone: +86023-65311341
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Fujian
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Fuzhou, Fujian, Chine, 350014
- Recrutement
- Fujian Provincial Cancer Hospital ( Site 0310)
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Contact:
- Study Coordinator
- Numéro de téléphone: 0591-83660063
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Guangxi
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Nanning, Guangxi, Chine, 530201
- Recrutement
- Guangxi Medical University Cancer Hospital ( Site 0303)
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Contact:
- Study Coordinator
- Numéro de téléphone: 0771-5323175
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Henan
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Zhengzhou, Henan, Chine, 450000
- Recrutement
- Henan Cancer Hospital ( Site 0311)
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Contact:
- Study Coordinator
- Numéro de téléphone: +8613837174273
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Jiangsu
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Nanjing, Jiangsu, Chine, 210008
- Recrutement
- Nanjing Drum Tower Hospital JiangBei International Branch Hospital ( Site 0309)
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Contact:
- Study Coordinator
- Numéro de téléphone: +86021-65115006
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Shanghai Municipality
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Shanghai, Shanghai Municipality, Chine, 200433
- Recrutement
- Shanghai Pulmonary Hospital ( Site 0300)
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Contact:
- Study Coordinator
- Numéro de téléphone: 021-65115006
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Shanghai, Shanghai Municipality, Chine, 200030
- Recrutement
- Shanghai Chest Hospital ( Site 0308)
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Contact:
- Study Coordinator
- Numéro de téléphone: 021-63846590
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Madrid, Espagne, 28223
- Recrutement
- Hospital Universitario Quiron Madrid ( Site 0091)
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Contact:
- Study Coordinator
- Numéro de téléphone: 34914521987
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Seville, Espagne, 41009
- Recrutement
- Hospital Universitario Virgen Macarena ( Site 0094)
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Contact:
- Study Coordinator
- Numéro de téléphone: +34 671560092
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Barcelona
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L'Hospitalet de Llobregat, Barcelona, Espagne, 08908
- Recrutement
- Institut Català d'Oncologia - L'Hospitalet ( Site 0090)
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Contact:
- Study Coordinator
- Numéro de téléphone: 0034932607744
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Catalonia
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Barcelona, Catalonia, Espagne, 08036
- Recrutement
- Hospital Clinic de Barcelona ( Site 0092)
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Contact:
- Study Coordinator
- Numéro de téléphone: 34 932275402
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Thessaloniki, Grèce, 570 01
- Recrutement
- European Interbalkan Medical Center-Oncology Department ( Site 0205)
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Contact:
- Study Coordinator
- Numéro de téléphone: 0030 2310400213
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Attica
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Athens, Attica, Grèce, 115 27
- Recrutement
- THORACIC GENERAL HOSPITAL OF ATHENS "I SOTIRIA" ( Site 0204)
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Contact:
- Study Coordinator
- Numéro de téléphone: 0030 2107700220
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Athens, Attica, Grèce, 116 34
- Recrutement
- F. THERAPIS GENERAL ( Site 0206)
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Contact:
- Study Coordinator
- Numéro de téléphone: +302107291111
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Bács-Kiskun county
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Kecskemét, Bács-Kiskun county, Hongrie, 6000
- Recrutement
- Bacs-Kiskun Varmegyei Oktatokorhaz ( Site 0063)
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Contact:
- Study Coordinator
- Numéro de téléphone: +3676516700
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Győr-Moson-Sopron
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Győr, Győr-Moson-Sopron, Hongrie, 9024
- Recrutement
- Petz Aladar Egyetemi Oktato Korhaz ( Site 0062)
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Contact:
- Study Coordinator
- Numéro de téléphone: +3696507900
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Jász-Nagykun-Szolnok
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Szolnok, Jász-Nagykun-Szolnok, Hongrie, 5000
- Recrutement
- Jasz-Nagykun-Szolnok Varmegyei Hetenyi Geza Korhaz-Rendelointezet ( Site 0061)
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Contact:
- Study Coordinator
- Numéro de téléphone: +3656503603
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Haifa, Israël, 3109601
- Recrutement
- Rambam Health Care Campus ( Site 0076)
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Contact:
- Study Coordinator
- Numéro de téléphone: +972 47776234
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Jerusalem, Israël, 9103102
- Recrutement
- Shaare Zedek Medical Center ( Site 0075)
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Contact:
- Study Coordinator
- Numéro de téléphone: +972-2-6555768
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Kfar Saba, Israël, 4428164
- Recrutement
- Meir Medical Center ( Site 0071)
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Contact:
- Study Coordinator
- Numéro de téléphone: +97297472414
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Petah Tikva, Israël, 4941492
- Recrutement
- Rabin Medical Center ( Site 0074)
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Contact:
- Study Coordinator
- Numéro de téléphone: +97239378101
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Ramat Gan, Israël, 5265601
- Recrutement
- Sheba Medical Center ( Site 0070)
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Contact:
- Study Coordinator
- Numéro de téléphone: +97235307032
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Tel Aviv, Israël, 6423906
- Recrutement
- Sourasky Medical Center ( Site 0077)
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Contact:
- Study Coordinator
- Numéro de téléphone: +972-3-6973082
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Florence, Italie, 50134
- Recrutement
- Azienda Ospedaliera Universitaria Careggi ( Site 0173)
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Contact:
- Study Coordinator
- Numéro de téléphone: +393209225506
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Milan, Italie, 20132
- Recrutement
- IRCCS Ospedale San Raffaele ( Site 0171)
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Contact:
- Study Coordinator
- Numéro de téléphone: +390223903829
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Milan, Italie, 20133
- Recrutement
- Fondazione IRCCS Istituto Nazionale dei Tumori ( Site 0175)
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Contact:
- Study Coordinator
- Numéro de téléphone: 390223902190
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Roma, Italie, 00168
- Recrutement
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS - Università Cattolica del Sacro Cuore ( Site 0174)
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Contact:
- Study Coordinator
- Numéro de téléphone: +390630156318
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Greater Poland Voivodeship
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Poznan, Greater Poland Voivodeship, Pologne, 60-569
- Recrutement
- Wielkopolskie Centrum Pulmonologii i Torakochirurgii ( Site 0153)
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Contact:
- Study Coordinator
- Numéro de téléphone: +48616654242
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Masovian Voivodeship
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Warsaw, Masovian Voivodeship, Pologne, 02-781
- Recrutement
- Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy w Warszawie ( Site 0151)
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Contact:
- Study Coordinator
- Numéro de téléphone: +48225463066
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Pomeranian Voivodeship
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Gdansk, Pomeranian Voivodeship, Pologne, 80-214
- Recrutement
- Uniwersyteckie Centrum Kliniczne-Early Clinical Trials Unit ( Site 0150)
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Contact:
- Study Coordinator
- Numéro de téléphone: +48585844466
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West Pomeranian Voivodeship
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Koszalin, West Pomeranian Voivodeship, Pologne, 75-581
- Recrutement
- Szpital Wojewódzki im. Mikoaja Kopernika w Koszalinie ( Site 0152)
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Contact:
- Study Coordinator
- Numéro de téléphone: +48943488930
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Adana, Turquie (Türkiye), 01250
- Recrutement
- Baskent University Dr. Turgut Noyan Research and Training Center-ONCOLOGY ( Site 0141)
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Contact:
- Study Coordinator
- Numéro de téléphone: +905353067506
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Ankara, Turquie (Türkiye), 06230
- Recrutement
- Hacettepe Universitesi Tip Fakultesi Hastanesi ( Site 0140)
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Contact:
- Study Coordinator
- Numéro de téléphone: +90 312 305 43 36
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Ankara, Turquie (Türkiye), 06800
- Recrutement
- Ankara Bilkent Şehir Hastanesi. ( Site 0142)
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Contact:
- Study Coordinator
- Numéro de téléphone: +903125529999
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Istanbul, Turquie (Türkiye), 34098
- Recrutement
- Istanbul Universitesi Cerrahpasa Tip Fakultesi ( Site 0144)
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Contact:
- Study Coordinator
- Numéro de téléphone: +902124143000
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İzmir
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Izmir, İzmir, Turquie (Türkiye), 35100
- Recrutement
- Ege Universitesi Hastanesi ( Site 0143)
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Contact:
- Study Coordinator
- Numéro de téléphone: +90 232 343 43 43
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Kentucky
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Lexington, Kentucky, États-Unis, 40536-0293
- Recrutement
- University of Kentucky Chandler Medical Center ( Site 0019)
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Contact:
- Study Coordinator
- Numéro de téléphone: 859-257-1000
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Maryland
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Baltimore, Maryland, États-Unis, 21237
- Recrutement
- MedStar Franklin Square Medical Center ( Site 0033)
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Contact:
- Study Coordinator
- Numéro de téléphone: 443-777-7147
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Texas
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Dallas, Texas, États-Unis, 75246-2046
- Recrutement
- Texas Oncology - DFW ( Site 8003)
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Contact:
- Study Coordinator
- Numéro de téléphone: 214-370-1067
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Virginia
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Fairfax, Virginia, États-Unis, 22031
- Recrutement
- Virginia Cancer Specialists (VCS) ( Site 0408)
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Contact:
- Study Coordinator
- Numéro de téléphone: 703-280-5390
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La 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
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Seul
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Expérimental: 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
Autres noms:
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. |
|
Expérimental: 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. |
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. IV Infusion
Autres noms:
|
|
Comparateur actif: 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
Autres noms:
Participants are premedicated with corticosteroids per approved product label and following institutional standards or local guidelines. |
|
Expérimental: Arm 2: Ifinatamab 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. |
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. IV Infusion
Autres noms:
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Objective Response Rate (ORR)
Délai: 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)
Délai: 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
Délai: 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
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Duration of Response (DOR)
Délai: 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)
Délai: 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)
Délai: Up to approximately 81 months
|
OS is defined as time from randomization to death due to any cause. |
Up to approximately 81 months
|
Collaborateurs et enquêteurs
Parrainer
Collaborateurs
Les enquêteurs
- Directeur d'études: Medical Director, Merck Sharp & Dohme LLC
Publications et liens utiles
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
- Tumeurs par site
- Tumeurs
- Maladies des voies respiratoires
- Maladies pulmonaires
- Tumeurs des voies respiratoires
- Tumeurs thoraciques
- Tumeurs pulmonaires
- Produits chimiques organiques
- Hydrocarbures
- Cycloparaffines
- Hydrocarbures, alicyclique
- Hydrocarbures, cyclique
- Terpènes
- Taxes
- Cyclodécanes
- Diterpènes
- Docétaxel
Autres numéros d'identification d'étude
- 3475-01I
- MK-3475-01I (Autre identifiant: MSD)
- U1111-1314-2392 (Identificateur de registre: UTN)
- KEYMAKER-01I (Autre identifiant: MSD)
- 2024-518839-11-00 (Identificateur de registre: EU CT)
Plan pour les données individuelles des participants (IPD)
Prévoyez-vous de partager les données individuelles des participants (DPI) ?
Description du régime IPD
https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf
Informations sur les médicaments et les dispositifs, documents d'étude
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