- ICH GCP
- Registro degli studi clinici negli Stati Uniti
- Sperimentazione clinica NCT06780098
Sottostudio 01I: Studio sugli agenti sperimentali in partecipanti con carcinoma polmonare squamoso non a piccole cellule (NSCLC) in stadio IV precedentemente trattato (MK-3475-01I/KEYMAKER-U01I)
Sottostudio KEYMAKER-U01 01I: studio ombrello di fase 2, randomizzato, con bracci mobili di agenti sperimentali in partecipanti con carcinoma polmonare squamoso non a piccole cellule (NSCLC) in stadio IV precedentemente trattato.
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).
Panoramica dello studio
Stato
Condizioni
Intervento / Trattamento
Descrizione dettagliata
The master screening protocol is MK-3475-U01 (KEYMAKER-U01) - NCT04165798
Tipo di studio
Iscrizione (Stimato)
Fase
- Fase 2
Contatti e Sedi
Contatto studio
- Nome: Toll Free Number
- Numero di telefono: 1-888-577-8839
- Email: Trialsites@msd.com
Luoghi di studio
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Region M. de Santiago
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Santiago, Region M. de Santiago, Chile, 7500653
- Reclutamento
- Centro de Estudios Clínicos SAGA ( Site 0161)
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Contatto:
- Study Coordinator
- Numero di telefono: +56991612199
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Santiago, Region M. de Santiago, Chile, 8420383
- Reclutamento
- Bradfordhill ( Site 0162)
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Contatto:
- Study Coordinator
- Numero di telefono: +56229490970
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Santiago, Region M. de Santiago, Chile, 7500921
- Reclutamento
- Fundación Arturo López Pérez ( Site 0160)
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Contatto:
- Study Coordinator
- Numero di telefono: 56227128000
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Beijing Municipality
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Beijing, Beijing Municipality, Cina, 100142
- Reclutamento
- Beijing Cancer Hospital ( Site 0301)
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Contatto:
- Study Coordinator
- Numero di telefono: 010-88121122
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Chongqing Municipality
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Chongqing, Chongqing Municipality, Cina, 400030
- Reclutamento
- Chongqing University Cancer Hospital ( Site 0304)
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Contatto:
- Study Coordinator
- Numero di telefono: +86023-65311341
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Fujian
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Fuzhou, Fujian, Cina, 350014
- Reclutamento
- Fujian Provincial Cancer Hospital ( Site 0310)
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Contatto:
- Study Coordinator
- Numero di telefono: 0591-83660063
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Guangxi
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Nanning, Guangxi, Cina, 530201
- Reclutamento
- Guangxi Medical University Cancer Hospital ( Site 0303)
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Contatto:
- Study Coordinator
- Numero di telefono: 0771-5323175
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Henan
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Zhengzhou, Henan, Cina, 450000
- Reclutamento
- Henan Cancer Hospital ( Site 0311)
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Contatto:
- Study Coordinator
- Numero di telefono: +8613837174273
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Jiangsu
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Nanjing, Jiangsu, Cina, 210008
- Reclutamento
- Nanjing Drum Tower Hospital JiangBei International Branch Hospital ( Site 0309)
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Contatto:
- Study Coordinator
- Numero di telefono: +86021-65115006
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Shanghai Municipality
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Shanghai, Shanghai Municipality, Cina, 200433
- Reclutamento
- Shanghai Pulmonary Hospital ( Site 0300)
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Contatto:
- Study Coordinator
- Numero di telefono: 021-65115006
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Shanghai, Shanghai Municipality, Cina, 200030
- Reclutamento
- Shanghai Chest Hospital ( Site 0308)
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Contatto:
- Study Coordinator
- Numero di telefono: 021-63846590
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Berlin, Germania, 13353
- Reclutamento
- Charite-Universitaetsmedizin Berlin ( Site 0191)
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Contatto:
- Study Coordinator
- Numero di telefono: +49 30 450 553 044
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Baden-Wurttemberg
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Tübingen, Baden-Wurttemberg, Germania, 72076
- Reclutamento
- UniversitaetsklInikum Tuebingen ( Site 0192)
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Contatto:
- Study Coordinator
- Numero di telefono: +4970712982795
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Thessaloniki, Grecia, 570 01
- Reclutamento
- European Interbalkan Medical Center-Oncology Department ( Site 0205)
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Contatto:
- Study Coordinator
- Numero di telefono: 0030 2310400213
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Attica
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Athens, Attica, Grecia, 115 27
- Reclutamento
- THORACIC GENERAL HOSPITAL OF ATHENS "I SOTIRIA" ( Site 0204)
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Contatto:
- Study Coordinator
- Numero di telefono: 0030 2107700220
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Athens, Attica, Grecia, 116 34
- Reclutamento
- F. THERAPIS GENERAL ( Site 0206)
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Contatto:
- Study Coordinator
- Numero di telefono: +302107291111
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Haifa, Israele, 3109601
- Reclutamento
- Rambam Health Care Campus ( Site 0076)
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Contatto:
- Study Coordinator
- Numero di telefono: +972 47776234
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Jerusalem, Israele, 9103102
- Reclutamento
- Shaare Zedek Medical Center ( Site 0075)
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Contatto:
- Study Coordinator
- Numero di telefono: +972-2-6555768
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Kfar Saba, Israele, 4428164
- Reclutamento
- Meir Medical Center ( Site 0071)
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Contatto:
- Study Coordinator
- Numero di telefono: +97297472414
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Petah Tikva, Israele, 4941492
- Reclutamento
- Rabin Medical Center ( Site 0074)
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Contatto:
- Study Coordinator
- Numero di telefono: +97239378101
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Ramat Gan, Israele, 5265601
- Reclutamento
- Sheba Medical Center ( Site 0070)
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Contatto:
- Study Coordinator
- Numero di telefono: +97235307032
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Tel Aviv, Israele, 6423906
- Reclutamento
- Sourasky Medical Center ( Site 0077)
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Contatto:
- Study Coordinator
- Numero di telefono: +972-3-6973082
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Florence, Italia, 50134
- Reclutamento
- Azienda Ospedaliera Universitaria Careggi ( Site 0173)
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Contatto:
- Study Coordinator
- Numero di telefono: +393209225506
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Milan, Italia, 20132
- Reclutamento
- IRCCS Ospedale San Raffaele ( Site 0171)
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Contatto:
- Study Coordinator
- Numero di telefono: +390223903829
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Milan, Italia, 20133
- Reclutamento
- Fondazione IRCCS Istituto Nazionale dei Tumori ( Site 0175)
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Contatto:
- Study Coordinator
- Numero di telefono: 390223902190
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Roma, Italia, 00168
- Reclutamento
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS - Università Cattolica del Sacro Cuore ( Site 0174)
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Contatto:
- Study Coordinator
- Numero di telefono: +390630156318
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Greater Poland Voivodeship
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Poznan, Greater Poland Voivodeship, Polonia, 60-569
- Reclutamento
- Wielkopolskie Centrum Pulmonologii i Torakochirurgii ( Site 0153)
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Contatto:
- Study Coordinator
- Numero di telefono: +48616654242
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Masovian Voivodeship
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Warsaw, Masovian Voivodeship, Polonia, 02-781
- Reclutamento
- Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy w Warszawie ( Site 0151)
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Contatto:
- Study Coordinator
- Numero di telefono: +48225463066
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Pomeranian Voivodeship
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Gdansk, Pomeranian Voivodeship, Polonia, 80-214
- Reclutamento
- Uniwersyteckie Centrum Kliniczne-Early Clinical Trials Unit ( Site 0150)
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Contatto:
- Study Coordinator
- Numero di telefono: +48585844466
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West Pomeranian Voivodeship
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Koszalin, West Pomeranian Voivodeship, Polonia, 75-581
- Reclutamento
- Szpital Wojewódzki im. Mikoaja Kopernika w Koszalinie ( Site 0152)
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Contatto:
- Study Coordinator
- Numero di telefono: +48943488930
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Madrid, Spagna, 28223
- Reclutamento
- Hospital Universitario Quiron Madrid ( Site 0091)
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Contatto:
- Study Coordinator
- Numero di telefono: 34914521987
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Seville, Spagna, 41009
- Reclutamento
- Hospital Universitario Virgen Macarena ( Site 0094)
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Contatto:
- Study Coordinator
- Numero di telefono: +34 671560092
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Barcelona
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L'Hospitalet de Llobregat, Barcelona, Spagna, 08908
- Reclutamento
- Institut Català d'Oncologia - L'Hospitalet ( Site 0090)
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Contatto:
- Study Coordinator
- Numero di telefono: 0034932607744
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Catalonia
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Barcelona, Catalonia, Spagna, 08036
- Reclutamento
- Hospital Clinic de Barcelona ( Site 0092)
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Contatto:
- Study Coordinator
- Numero di telefono: 34 932275402
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Kentucky
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Lexington, Kentucky, Stati Uniti, 40536-0293
- Reclutamento
- University of Kentucky Chandler Medical Center ( Site 0019)
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Contatto:
- Study Coordinator
- Numero di telefono: 859-257-1000
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Maryland
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Baltimore, Maryland, Stati Uniti, 21237
- Reclutamento
- MedStar Franklin Square Medical Center ( Site 0033)
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Contatto:
- Study Coordinator
- Numero di telefono: 443-777-7147
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Texas
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Dallas, Texas, Stati Uniti, 75246-2046
- Reclutamento
- Texas Oncology - DFW ( Site 8003)
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Contatto:
- Study Coordinator
- Numero di telefono: 214-370-1067
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Virginia
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Fairfax, Virginia, Stati Uniti, 22031
- Reclutamento
- Virginia Cancer Specialists (VCS) ( Site 0408)
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Contatto:
- Study Coordinator
- Numero di telefono: 703-280-5390
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Adana, Turchia (Türkiye), 01250
- Reclutamento
- Baskent University Dr. Turgut Noyan Research and Training Center-ONCOLOGY ( Site 0141)
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Contatto:
- Study Coordinator
- Numero di telefono: +905353067506
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Ankara, Turchia (Türkiye), 06230
- Reclutamento
- Hacettepe Universitesi Tip Fakultesi Hastanesi ( Site 0140)
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Contatto:
- Study Coordinator
- Numero di telefono: +90 312 305 43 36
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Ankara, Turchia (Türkiye), 06800
- Reclutamento
- Ankara Bilkent Şehir Hastanesi. ( Site 0142)
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Contatto:
- Study Coordinator
- Numero di telefono: +903125529999
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Istanbul, Turchia (Türkiye), 34098
- Reclutamento
- Istanbul Universitesi Cerrahpasa Tip Fakultesi ( Site 0144)
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Contatto:
- Study Coordinator
- Numero di telefono: +902124143000
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İzmir
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Izmir, İzmir, Turchia (Türkiye), 35100
- Reclutamento
- Ege Universitesi Hastanesi ( Site 0143)
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Contatto:
- Study Coordinator
- Numero di telefono: +90 232 343 43 43
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Bács-Kiskun county
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Kecskemét, Bács-Kiskun county, Ungheria, 6000
- Reclutamento
- Bacs-Kiskun Varmegyei Oktatokorhaz ( Site 0063)
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Contatto:
- Study Coordinator
- Numero di telefono: +3676516700
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Győr-Moson-Sopron
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Győr, Győr-Moson-Sopron, Ungheria, 9024
- Reclutamento
- Petz Aladar Egyetemi Oktato Korhaz ( Site 0062)
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Contatto:
- Study Coordinator
- Numero di telefono: +3696507900
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Jász-Nagykun-Szolnok
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Szolnok, Jász-Nagykun-Szolnok, Ungheria, 5000
- Reclutamento
- Jasz-Nagykun-Szolnok Varmegyei Hetenyi Geza Korhaz-Rendelointezet ( Site 0061)
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Contatto:
- Study Coordinator
- Numero di telefono: +3656503603
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Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Descrizione
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
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Separare
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
|---|---|
|
Sperimentale: 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
Altri nomi:
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. |
|
Sperimentale: Arm 2: Infinatamab deruxtecan (I-DXD) High Dose
Participants receive 12 mg/kg of I-DXD, Q3W (Day 1 of every 21-day cycle) via IV infusion until PD or discontinuation. |
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
Altri nomi:
|
|
Sperimentale: 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
Altri nomi:
|
|
Comparatore attivo: 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
Altri nomi:
Participants are premedicated with corticosteroids per approved product label and following institutional standards or local guidelines. |
Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Objective Response Rate (ORR)
Lasso di tempo: 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)
Lasso di tempo: 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
Lasso di tempo: 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
|
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Duration of Response (DOR)
Lasso di tempo: 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)
Lasso di tempo: 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)
Lasso di tempo: Up to approximately 81 months
|
OS is defined as time from randomization to death due to any cause. |
Up to approximately 81 months
|
Collaboratori e investigatori
Sponsor
Collaboratori
Investigatori
- Direttore dello studio: Medical Director, Merck Sharp & Dohme LLC
Pubblicazioni e link utili
Collegamenti utili
Studiare le date dei record
Studia le date principali
Inizio studio (Effettivo)
Completamento primario (Stimato)
Completamento dello studio (Stimato)
Date di iscrizione allo studio
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
- 3475-01I
- MK-3475-01I (Altro identificatore: MSD)
- U1111-1314-2392 (Identificatore di registro: UTN)
- KEYMAKER-01I (Altro identificatore: MSD)
- 2024-518839-11-00 (Identificatore di registro: EU CT)
Piano per i dati dei singoli partecipanti (IPD)
Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?
Descrizione del piano IPD
https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf
Informazioni su farmaci e dispositivi, documenti di studio
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Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .