- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT07221474
Une étude de V940/Placebo + Pembrolizumab et chimiothérapie dans le cancer du poumon non à petites cellules métastatique épidermoïde (V940-013) (INTerpath-13)
Étude de phase 2, randomisée, en double aveugle et contrôlée par placebo, évaluant V940 en association avec le pembrolizumab et la chimiothérapie en tant que traitement de première intention chez les participants atteints d'un carcinome épidermoïde métastatique du poumon non à petites cellules (INTerpath-013)
Researchers want to know if intismeran autogene (the study treatment) given with pembrolizumab and chemotherapy can treat metastatic treatment-naive squamous non-small cell lung cancer (NSCLC). Intismeran autogene is designed to help a person's immune system attack their specific cancer.
The goal of this study is to learn if people who receive intismeran autogene with pembrolizumab and chemotherapy live longer overall and without the cancer growing or spreading compared to people who receive placebo with pembrolizumab and chemotherapy. A placebo looks like the study treatment but has no study treatment in it. Using a placebo helps researchers better understand the effects of the study treatment.
Aperçu de l'étude
Statut
Les conditions
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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Buenos Aires
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Ciudad Autonoma de Buenos Aires, Buenos Aires, Argentine, C1426ANZ
- Recrutement
- Instituto Alexander Fleming ( Site 0201)
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Contact:
- Study Coordinator
- Numéro de téléphone: +541132218956
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Ciudad Autonoma de Buenos Aires., Buenos Aires, Argentine, C1199ABB
- Recrutement
- Hospital Italiano de Buenos Aires ( Site 0200)
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Contact:
- Study Coordinator
- Numéro de téléphone: +541149590497
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Mar del Plata, Buenos Aires, Argentine, B7600FZO
- Recrutement
- Instituto de Investigaciones Clínicas Mar del Plata ( Site 0205)
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Contact:
- Study Coordinator
- Numéro de téléphone: +5492235937663
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Buenos Aires F.D.
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Caba., Buenos Aires F.D., Argentine, C1430EGF
- Recrutement
- Clinica Adventista Belgrano ( Site 0206)
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Contact:
- Study Coordinator
- Numéro de téléphone: +5491140141500
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Santa Fe Province
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Rosario, Santa Fe Province, Argentine, S2000DSV
- Recrutement
- Fundacion Estudios Clinicos ( Site 0207)
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Contact:
- Study Coordinator
- Numéro de téléphone: +5493413168137
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Rosario, Santa Fe Province, Argentine, S2000DSV
- Recrutement
- Sanatorio Parque ( Site 0203)
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Contact:
- Study Coordinator
- Numéro de téléphone: +543874044942
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New South Wales
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Westmead, New South Wales, Australie, 2145
- Recrutement
- Westmead Hospital ( Site 0400)
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Contact:
- Study Coordinator
- Numéro de téléphone: +61298455555
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Queensland
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Woolloongabba, Queensland, Australie, 4102
- Recrutement
- Princess Alexandra Hospital ( Site 0403)
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Contact:
- Study Coordinator
- Numéro de téléphone: +61731762111
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Western Australia
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Nedlands, Western Australia, Australie, 6009
- Recrutement
- One Clinical Research ( Site 0402)
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Contact:
- Study Coordinator
- Numéro de téléphone: +6186279 9466
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Antofagasta, Chili, 1263521
- Recrutement
- Bradford Hill Norte ( Site 0308)
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Contact:
- Study Coordinator
- Numéro de téléphone: 56442023631
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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 0307)
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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 0301)
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Contact:
- Study Coordinator
- Numéro de téléphone: +56 2 29490970
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Santiago, Region M. de Santiago, Chili, 7500921
- Recrutement
- Fundación Arturo López Pérez ( Site 0300)
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Contact:
- Study Coordinator
- Numéro de téléphone: 56224205098
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Seoul, Corée du Sud, 05505
- Recrutement
- Asan Medical Center ( Site 0503)
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Contact:
- Study Coordinator
- Numéro de téléphone: +82230103215
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Seoul, Corée du Sud, 06351
- Recrutement
- Samsung Medical Center ( Site 0502)
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Contact:
- Study Coordinator
- Numéro de téléphone: +82234101132
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Kyonggi-do
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Goyang-si, Kyonggi-do, Corée du Sud, 10408
- Recrutement
- National Cancer Center ( Site 0504)
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Contact:
- Study Coordinator
- Numéro de téléphone: +82319200114
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Seongnam-si, Kyonggi-do, Corée du Sud, 13620
- Recrutement
- Seoul National University Bundang Hospital ( Site 0500)
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Contact:
- Study Coordinator
- Numéro de téléphone: +82317877071
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North Chungcheong
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Cheongju-si, North Chungcheong, Corée du Sud, 28644
- Recrutement
- Chungbuk National University Hospital-Internal medicine ( Site 0501)
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Contact:
- Study Coordinator
- Numéro de téléphone: 043-269-6015
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Barcelona, Espagne, 08035
- Recrutement
- Hospital Universitari Vall d''Hebron ( Site 1310)
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Contact:
- Study Coordinator
- Numéro de téléphone: +34 93 254 3450
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Madrid, Espagne, 28034
- Recrutement
- Hospital Ramon y Cajal ( Site 1314)
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Contact:
- Study Coordinator
- Numéro de téléphone: +34 91 336 82 63
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Madrid, Espagne, 28040
- Recrutement
- Hospital Clinico San Carlos... ( Site 1313)
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Contact:
- Study Coordinator
- Numéro de téléphone: +34 913303000
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Seville, Espagne, 41009
- Recrutement
- Hospital Universitario Virgen Macarena-Unidad de Investigación Oncológica ( Site 1312)
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Contact:
- Study Coordinator
- Numéro de téléphone: +34 671560092
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Barcelona
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Hospitalet, Barcelona, Espagne, 08907
- Recrutement
- ICO L Hospitalet ( Site 1311)
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Contact:
- Study Coordinator
- Numéro de téléphone: +34 93 260 77 44
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Cadiz
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Jerez de la Frontera, Cadiz, Espagne, 11407
- Recrutement
- Hospital Jerez de la Frontera-UGC Oncología ( Site 1315)
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Contact:
- Study Coordinator
- Numéro de téléphone: 956 03 22 44
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Cote-d Or
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Dijon, Cote-d Or, France, 21000
- Recrutement
- Centre Georges François Leclerc ( Site 0805)
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Contact:
- Study Coordinator
- Numéro de téléphone: +33345348051
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Pays de la Loire Region
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Angers, Pays de la Loire Region, France, 49055
- Recrutement
- Institut de Cancérologie de l'Ouest ( Site 0801)
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Contact:
- Study Coordinator
- Numéro de téléphone: +33 (0)2.44 85 35 54
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Puy-de-Dome
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Clermont-Ferrand, Puy-de-Dome, France, 63001
- Recrutement
- CHU GABRIEL MONTPIED ( Site 0802)
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Contact:
- Study Coordinator
- Numéro de téléphone: +33473754440
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Milan, Italie, 20132
- Recrutement
- Ospedale San Raffaele-Oncologia Medica ( Site 1002)
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Contact:
- Study Coordinator
- Numéro de téléphone: +390226436633
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Milan, Italie, 20133
- Recrutement
- Fondazione IRCCS Istituto Nazionale Dei Tumori ( Site 1000)
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Contact:
- Study Coordinator
- Numéro de téléphone: +390223903829
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Roma, Italie, 00168
- Recrutement
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS - Università Cattolica del Sacro Cuore ( Site 1001)
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Contact:
- Study Coordinator
- Numéro de téléphone: 00390630154277
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Emilia-Romagna
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Ravenna, Emilia-Romagna, Italie, 48121
- Recrutement
- Ospedale Santa Maria delle Croci-Dipartimento Oncoematologico ( Site 1004)
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Contact:
- Study Coordinator
- Numéro de téléphone: +390544285247
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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 1101)
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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 1100)
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Contact:
- Study Coordinator
- Numéro de téléphone: +48225463066
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Podkarpackie Voivodeship
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Przemyśl, Podkarpackie Voivodeship, Pologne, 37-700
- Recrutement
- Wojewodzki Szpital im. Sw. Ojca Pio w Przemyslu ( Site 1102)
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Contact:
- Study Coordinator
- Numéro de téléphone: +48166775000
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Taichung, Taïwan, 404
- Recrutement
- China Medical University Hospital ( Site 0606)
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Contact:
- Study Coordinator
- Numéro de téléphone: +886422052121
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Tainan, Taïwan, 70403
- Recrutement
- National Cheng Kung University Hospital ( Site 0601)
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Contact:
- Study Coordinator
- Numéro de téléphone: +88662353535
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Taipei, Taïwan, 104
- Recrutement
- Mackay Memorial Hospital ( Site 0604)
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Contact:
- Study Coordinator
- Numéro de téléphone: +886225433535
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Taipei, Taïwan, 11217
- Recrutement
- Taipei Veterans General Hospital ( Site 0602)
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Contact:
- Study Coordinator
- Numéro de téléphone: +88628712121
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Taipei, Taïwan, 106
- Recrutement
- National Taiwan University Cancer Center (NTUCC) ( Site 0600)
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Contact:
- Study Coordinator
- Numéro de téléphone: +886223220322
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Taoyuan, Taïwan, 33305
- Recrutement
- Chang Gung Medical Foundation-Linkou Branch ( Site 0605)
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Contact:
- Study Coordinator
- Numéro de téléphone: +88633281200
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Ankara, Turquie (Türkiye), 06230
- Recrutement
- Hacettepe Universitesi Tıp Fakultesi ( Site 1400)
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Contact:
- Study Coordinator
- Numéro de téléphone: +905436067759
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Ankara, Turquie (Türkiye), 06800
- Recrutement
- Ankara Bilkent Şehir Hastanesi ( Site 1402)
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Contact:
- Study Coordinator
- Numéro de téléphone: +905384724282
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Ankara, Turquie (Türkiye), 06520
- Recrutement
- Memorial Ankara Hastanesi ( Site 1401)
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Contact:
- Study Coordinator
- Numéro de téléphone: +9005321332009
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Istanbul, Turquie (Türkiye), 34010
- Recrutement
- Koç Üniversitesi Hastanesi ( Site 1403)
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Contact:
- Study Coordinator
- Numéro de téléphone: +905369410661
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Florida
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Tampa, Florida, États-Unis, 33612
- Recrutement
- Moffitt Cancer Center ( Site 0021)
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Contact:
- Study Coordinator
- Numéro de téléphone: 813-745-7363
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Michigan
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Ann Arbor, Michigan, États-Unis, 48105
- Recrutement
- VA Ann Arbor Healthcare System ( Site 0019)
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Contact:
- Study Coordinator
- Numéro de téléphone: 734-769-7100
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Missouri
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St Louis, Missouri, États-Unis, 63110
- Recrutement
- Washington University School of Medicine ( Site 0024)
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Contact:
- Study Coordinator
- Numéro de téléphone: 314-362-5000
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New Jersey
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Paramus, New Jersey, États-Unis, 07652
- Recrutement
- Valley Health Systems - Ridgewood Campus ( Site 0010)
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Contact:
- Study Coordinator
- Numéro de téléphone: 201-634-5578
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New York
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Albany, New York, États-Unis, 12206
- Recrutement
- New York Oncology Hematology (NYOH) - Albany Medical Center ( Site 9001)
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Contact:
- Study Coordinator
- Numéro de téléphone: 518-489-0044
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Ohio
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Cleveland, Ohio, États-Unis, 44195
- Recrutement
- Cleveland Clinic - Ohio ( Site 0016)
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Contact:
- Study Coordinator
- Numéro de téléphone: 216-445-7855
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Oregon
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Corvallis, Oregon, États-Unis, 97330
- Recrutement
- Good Samaritan Regional Medical Center-Samaritan Pastega Regional Cancer Center ( Site 0025)
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Contact:
- Study Coordinator
- Numéro de téléphone: 541-768-4950
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Tennessee
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Nashville, Tennessee, États-Unis, 37203
- Recrutement
- Tennessee Oncology, PLLC - Elliston Place Plaza Medical Oncology & Hematology ( Site 9000)
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Contact:
- Study Coordinator
- Numéro de téléphone: 615-961-9469
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Texas
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Austin, Texas, États-Unis, 78745
- Recrutement
- Texas Oncology - Central/South Texas ( Site 8002)
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Contact:
- Study Coordinator
- Numéro de téléphone: 512-427-9400
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Virginia
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Fairfax, Virginia, États-Unis, 22031
- Recrutement
- Virginia Cancer Specialists ( Site 0003)
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Contact:
- Study Coordinator
- Numéro de téléphone: 730-280-5390
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Washington
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Seattle, Washington, États-Unis, 98104
- Recrutement
- Swedish Medical Center-Swedish Cancer Institute ( Site 0023)
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Contact:
- Study Coordinator
- Numéro de téléphone: 855-922-6237
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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:
Inclusion Criteria include, but are not limited to:
- Has a histologically or cytologically confirmed diagnosis of squamous non-small cell lung cancer (NSCLC) (Stage IV: M1a, M1b, M1c1, M1c2, AJCC Staging Manual, Version 9). NOTE: Mixed tumors will be characterized by the predominant cell type; however, small cell elements are not permitted.
- Has measurable disease per Response Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as assessed by the local site investigator/radiology
- Has provided a tissue sample that is collected either at the time of or after the diagnosis of metastatic disease AND is from a site not previously irradiated
- Adverse events (AEs) due to previous anticancer therapies must have recovered to ≤Grade 1. Participants with endocrine-related AEs who are adequately treated with hormone replacement or participants who have ≤Grade 2 neuropathy are eligible
- Human immunodeficiency virus (HIV)-infected participants must have well controlled HIV on antiretroviral therapy (ART)
- Hepatitis B surface antigen (HBsAg) positive participants are eligible if they 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. NOTE: Participants must have completed curative antiviral therapy at least 4 weeks prior to randomization
- Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1 assessed within 7 days before randomization
- Has a life expectancy of at least 3 months
- Has adequate organ function
Exclusion Criteria:
Exclusion Criteria include, but are not limited to:
- Is HIV-infected with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease
- Has received prior treatment with a cancer vaccine, including another personalized cancer vaccine (PCV)
- Has received prior systemic anticancer therapy for their metastatic NSCLC
- Has received prior therapy with an anti-programmed cell death 1 protein (anti-PD-1), anti-programmed cell death ligand 1 (anti-PD-L1), or anti-programmed cell death ligand 2 (anti-PD-L2) agent, or with an agent directed to another stimulatory or coinhibitory T-cell receptor. NOTE: Prior treatment with an anti-PD-1, anti-PD-L1, or anti-PD-L2 agent in the neoadjuvant or adjuvant setting for nonmetastatic NSCLC is allowed as long as therapy was completed at least 12 months before diagnosis of metastatic NSCLC
- Has received prior radiotherapy within 2 weeks of start of study intervention, or has radiation-related toxicities, requiring corticosteroids
- Has received radiation therapy to the lung that is >30 gray within 6 months of start of study intervention
- Has received a live or live-attenuated vaccine within 30 days before the first dose of study intervention. Administration of killed vaccines is allowed
- Has received an investigational agent or has used an investigational device within 4 weeks prior to study intervention administration
- Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (in dosing exceeding 10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy within 7 days prior to the first dose of study intervention
- Has known additional malignancy that is progressing or has required active treatment within the past 3 years
- Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis
- Has severe hypersensitivity (≥Grade 3) to V940, pembrolizumab, or any of the protocol allowed chemotherapy agents and/or any of their excipients
- Has active autoimmune disease that has required systemic treatment in the past 2 years
- Has a history of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease
- Has active infection requiring systemic therapy
- Has a history of stem cell/solid organ transplant
- Has not adequately recovered from major surgery or has 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: Tripler
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Expérimental: Intismeran Autogene + Pembrolizumab + Chemo
Induction phase: Participants receive pembrolizumab 400 mg intravenous (IV) infusion on Day 1 of a six week cycle plus a platinum doublet chemotherapy regimen (carboplatin area under the curve (AUC) 6 or 5 mg/mL/min IV infusion every 3 weeks (Q3W) × 2 doses combined either with paclitaxel 200 or 175 mg/m^2 IV infusion Q3W × 2 doses, OR with nab paclitaxel 100 mg/m^2 IV infusion weekly × 6 doses). Intismeran Autogene 1 mg intramuscular (IM) injection is administered on Days 1 and 22 of Cycle 2 Induction (Q3W) for up to 2 doses. Maintenance phase: Participants receive pembrolizumab 400 mg IV infusion on Day 1 every 6 weeks (Q6W) for up to 15 doses. Intismeran Autogene 1 mg IM injection is administered on Days 1 and 22 (Q3W) for up to 7 doses during maintenance. |
1 mg Intramuscular (IM) Injection
Autres noms:
200 mg IV Infusion
Autres noms:
Area Under the Curve (AUC) either 6 or 5 (mg/mL/min) IV Infusion 200 or 175 mg/m^2 IV Infusion 100 mg/m^2 IV Infusion |
|
Expérimental: Placebo + Pembrolizumab + Chemo
Induction phase: Participants receive pembrolizumab 400 mg intravenous (IV) infusion on Day 1 of a six week cycle plus a platinum doublet chemotherapy regimen (carboplatin area under the curve (AUC) 6 or 5 mg/mL/min IV infusion every 3 weeks (Q3W) × 2 doses combined either with paclitaxel 200 or 175 mg/m^2 IV infusion Q3W × 2 doses, OR with nab paclitaxel 100 mg/m^2 IV infusion weekly × 6 doses). Placebo intramuscular (IM) injection is administered on Days 1 and 22 of Cycle 2 Induction (Q3W) for up to 2 doses. Maintenance phase: Participants receive pembrolizumab 400 mg IV infusion on Day 1 every 6 weeks (Q6W) for up to 15 doses. Placebo IM injection is administered on Days 1 and 22 (Q3W) for up to 7 doses during maintenance. |
200 mg IV Infusion
Autres noms:
Area Under the Curve (AUC) either 6 or 5 (mg/mL/min) IV Infusion 200 or 175 mg/m^2 IV Infusion 100 mg/m^2 IV Infusion Placebo matched to Intismeran Autogene IM injection |
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Progression Free Survival (PFS)
Délai: Up to ~32 months
|
PFS is defined as the time from randomization to the first documented progressive disease (PD) or death due to any cause, whichever occurs first as assessed by Response Criteria in Solid Tumors Version 1.1 (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 blinded independent central review (BICR) will be presented. |
Up to ~32 months
|
|
Overall Survival (OS)
Délai: Up to ~42 months
|
OS, defined as the time from randomization to death due to any cause. OS will be presented. |
Up to ~42 months
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Overall Response Rate (ORR)
Délai: Up to ~26 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) per RECIST 1.1. The percentage of participants who experience CR or PR as assessed by BICR will be presented. |
Up to ~26 months
|
|
Duration of Response (DOR)
Délai: Up to ~42 months
|
For participants who demonstrate a confirmed 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) 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 mm. The appearance of one or more new lesions is also considered PD. DOR as assessed by BICR will be presented. |
Up to ~42 months
|
|
Number of Participants who Experience an Adverse Event (AE)
Délai: Up to ~42 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 number of participants who experience an AE will be presented. |
Up to ~42 months
|
|
Number of Participants who Discontinue Study Intervention Due to an AE
Délai: Up to ~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 number of participants who discontinue study intervention due to an AE will be presented. |
Up to ~24 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
Autres numéros d'identification d'étude
- V940-013
- V940-013 (Autre identifiant: MSD)
- U1111-1318-2495 (Identificateur de registre: UTN)
- 2025-520902-37-00 (Identificateur de registre: EU CT)
- 2025 (Subvention/contrat des NIH des États-Unis)
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
Étudie un produit pharmaceutique réglementé par la FDA américaine
Étudie un produit d'appareil réglementé par la FDA américaine
Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .