サブ研究 01I: 治療歴のあるステージ IV 扁平上皮非小細胞肺がん (NSCLC) の参加者における治験薬の研究 (MK-3475-01I/KEYMAKER-U01I)
KEYMAKER-U01 サブスタディ 01I: 治療歴のあるステージ IV 扁平上皮非小細胞肺がん (NSCLC) の参加者を対象に、治験薬のローリングアームを使用した第 2 相ランダム化包括的研究
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).
調査の概要
状態
状態
条件
条件
介入・治療
介入・治療
詳細な説明
The master screening protocol is MK-3475-U01 (KEYMAKER-U01) - NCT04165798
研究の種類
研究の種類
入学 (推定)
入学
段階
段階
- フェーズ2
連絡先と場所
研究連絡先
研究連絡先
- 名前:Toll Free Number
- 電話番号:1-888-577-8839
- メール:Trialsites@msd.com
研究場所
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Kentucky
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Lexington、Kentucky、アメリカ、40536-0293
- 募集
- University of Kentucky Chandler Medical Center ( Site 0019)
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コンタクト:
- Study Coordinator
- 電話番号:859-257-1000
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Maryland
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Baltimore、Maryland、アメリカ、21237
- 募集
- MedStar Franklin Square Medical Center ( Site 0033)
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コンタクト:
- Study Coordinator
- 電話番号:443-777-7147
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Texas
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Dallas、Texas、アメリカ、75246-2046
- 募集
- Texas Oncology - DFW ( Site 8003)
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コンタクト:
- Study Coordinator
- 電話番号:214-370-1067
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Virginia
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Fairfax、Virginia、アメリカ、22031
- 募集
- Virginia Cancer Specialists (VCS) ( Site 0408)
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コンタクト:
- Study Coordinator
- 電話番号:703-280-5390
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Haifa、イスラエル、3109601
- 募集
- Rambam Health Care Campus ( Site 0076)
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コンタクト:
- Study Coordinator
- 電話番号:+972 47776234
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Jerusalem、イスラエル、9103102
- 募集
- Shaare Zedek Medical Center ( Site 0075)
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コンタクト:
- Study Coordinator
- 電話番号:+972-2-6555768
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Kfar Saba、イスラエル、4428164
- 募集
- Meir Medical Center ( Site 0071)
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コンタクト:
- Study Coordinator
- 電話番号:+97297472414
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Petah Tikva、イスラエル、4941492
- 募集
- Rabin Medical Center ( Site 0074)
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コンタクト:
- Study Coordinator
- 電話番号:+97239378101
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Ramat Gan、イスラエル、5265601
- 募集
- Sheba Medical Center ( Site 0070)
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コンタクト:
- Study Coordinator
- 電話番号:+97235307032
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Tel Aviv、イスラエル、6423906
- 募集
- Sourasky Medical Center ( Site 0077)
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コンタクト:
- Study Coordinator
- 電話番号:+972-3-6973082
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Florence、イタリア、50134
- 募集
- Azienda Ospedaliera Universitaria Careggi ( Site 0173)
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コンタクト:
- Study Coordinator
- 電話番号:+393209225506
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Milan、イタリア、20132
- 募集
- IRCCS Ospedale San Raffaele ( Site 0171)
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コンタクト:
- Study Coordinator
- 電話番号:+390223903829
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Milan、イタリア、20133
- 募集
- Fondazione IRCCS Istituto Nazionale dei Tumori ( Site 0175)
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コンタクト:
- Study Coordinator
- 電話番号:390223902190
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Roma、イタリア、00168
- 募集
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS - Università Cattolica del Sacro Cuore ( Site 0174)
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コンタクト:
- Study Coordinator
- 電話番号:+390630156318
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Thessaloniki、ギリシャ、570 01
- 募集
- European Interbalkan Medical Center-Oncology Department ( Site 0205)
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コンタクト:
- Study Coordinator
- 電話番号:0030 2310400213
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Attica
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Athens、Attica、ギリシャ、115 27
- 募集
- THORACIC GENERAL HOSPITAL OF ATHENS "I SOTIRIA" ( Site 0204)
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コンタクト:
- Study Coordinator
- 電話番号:0030 2107700220
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Athens、Attica、ギリシャ、116 34
- 募集
- F. THERAPIS GENERAL ( Site 0206)
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コンタクト:
- Study Coordinator
- 電話番号:+302107291111
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Madrid、スペイン、28223
- 募集
- Hospital Universitario Quiron Madrid ( Site 0091)
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コンタクト:
- Study Coordinator
- 電話番号:34914521987
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Seville、スペイン、41009
- 募集
- Hospital Universitario Virgen Macarena ( Site 0094)
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コンタクト:
- Study Coordinator
- 電話番号:+34 671560092
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Barcelona
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L'Hospitalet de Llobregat、Barcelona、スペイン、08908
- 募集
- Institut Català d'Oncologia - L'Hospitalet ( Site 0090)
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コンタクト:
- Study Coordinator
- 電話番号:0034932607744
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Catalonia
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Barcelona、Catalonia、スペイン、08036
- 募集
- Hospital Clinic de Barcelona ( Site 0092)
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コンタクト:
- Study Coordinator
- 電話番号:34 932275402
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Region M. de Santiago
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Santiago、Region M. de Santiago、チリ、7500653
- 募集
- Centro de Estudios Clínicos SAGA ( Site 0161)
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コンタクト:
- Study Coordinator
- 電話番号:+56991612199
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Santiago、Region M. de Santiago、チリ、8420383
- 募集
- Bradfordhill ( Site 0162)
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コンタクト:
- Study Coordinator
- 電話番号:+56229490970
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Santiago、Region M. de Santiago、チリ、7500921
- 募集
- Fundación Arturo López Pérez ( Site 0160)
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コンタクト:
- Study Coordinator
- 電話番号:56227128000
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Adana、トルコ(Türkiye)、01250
- 募集
- Baskent University Dr. Turgut Noyan Research and Training Center-ONCOLOGY ( Site 0141)
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コンタクト:
- Study Coordinator
- 電話番号:+905353067506
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Ankara、トルコ(Türkiye)、06230
- 募集
- Hacettepe Universitesi Tip Fakultesi Hastanesi ( Site 0140)
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コンタクト:
- Study Coordinator
- 電話番号:+90 312 305 43 36
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Ankara、トルコ(Türkiye)、06800
- 募集
- Ankara Bilkent Şehir Hastanesi. ( Site 0142)
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コンタクト:
- Study Coordinator
- 電話番号:+903125529999
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Istanbul、トルコ(Türkiye)、34098
- 募集
- Istanbul Universitesi Cerrahpasa Tip Fakultesi ( Site 0144)
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コンタクト:
- Study Coordinator
- 電話番号:+902124143000
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İzmir
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Izmir、İzmir、トルコ(Türkiye)、35100
- 募集
- Ege Universitesi Hastanesi ( Site 0143)
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コンタクト:
- Study Coordinator
- 電話番号:+90 232 343 43 43
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Berlin、ドイツ、13353
- 募集
- Charite-Universitaetsmedizin Berlin ( Site 0191)
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コンタクト:
- Study Coordinator
- 電話番号:+49 30 450 553 044
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Baden-Wurttemberg
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Tübingen、Baden-Wurttemberg、ドイツ、72076
- 募集
- UniversitaetsklInikum Tuebingen ( Site 0192)
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コンタクト:
- Study Coordinator
- 電話番号:+4970712982795
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Bács-Kiskun county
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Kecskemét、Bács-Kiskun county、ハンガリー、6000
- 募集
- Bacs-Kiskun Varmegyei Oktatokorhaz ( Site 0063)
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コンタクト:
- Study Coordinator
- 電話番号:+3676516700
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Győr-Moson-Sopron
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Győr、Győr-Moson-Sopron、ハンガリー、9024
- 募集
- Petz Aladar Egyetemi Oktato Korhaz ( Site 0062)
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コンタクト:
- Study Coordinator
- 電話番号:+3696507900
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Jász-Nagykun-Szolnok
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Szolnok、Jász-Nagykun-Szolnok、ハンガリー、5000
- 募集
- Jasz-Nagykun-Szolnok Varmegyei Hetenyi Geza Korhaz-Rendelointezet ( Site 0061)
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コンタクト:
- Study Coordinator
- 電話番号:+3656503603
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Greater Poland Voivodeship
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Poznan、Greater Poland Voivodeship、ポーランド、60-569
- 募集
- Wielkopolskie Centrum Pulmonologii i Torakochirurgii ( Site 0153)
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コンタクト:
- Study Coordinator
- 電話番号:+48616654242
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Masovian Voivodeship
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Warsaw、Masovian Voivodeship、ポーランド、02-781
- 募集
- Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy w Warszawie ( Site 0151)
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コンタクト:
- Study Coordinator
- 電話番号:+48225463066
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Pomeranian Voivodeship
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Gdansk、Pomeranian Voivodeship、ポーランド、80-214
- 募集
- Uniwersyteckie Centrum Kliniczne-Early Clinical Trials Unit ( Site 0150)
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コンタクト:
- Study Coordinator
- 電話番号:+48585844466
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West Pomeranian Voivodeship
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Koszalin、West Pomeranian Voivodeship、ポーランド、75-581
- 募集
- Szpital Wojewódzki im. Mikoaja Kopernika w Koszalinie ( Site 0152)
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コンタクト:
- Study Coordinator
- 電話番号:+48943488930
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Beijing Municipality
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Beijing、Beijing Municipality、中国、100142
- 募集
- Beijing Cancer Hospital ( Site 0301)
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コンタクト:
- Study Coordinator
- 電話番号:010-88121122
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Chongqing Municipality
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Chongqing、Chongqing Municipality、中国、400030
- 募集
- Chongqing University Cancer Hospital ( Site 0304)
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コンタクト:
- Study Coordinator
- 電話番号:+86023-65311341
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Fujian
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Fuzhou、Fujian、中国、350014
- 募集
- Fujian Provincial Cancer Hospital ( Site 0310)
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コンタクト:
- Study Coordinator
- 電話番号:0591-83660063
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Guangxi
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Nanning、Guangxi、中国、530201
- 募集
- Guangxi Medical University Cancer Hospital ( Site 0303)
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コンタクト:
- Study Coordinator
- 電話番号:0771-5323175
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Henan
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Zhengzhou、Henan、中国、450000
- 募集
- Henan Cancer Hospital ( Site 0311)
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コンタクト:
- Study Coordinator
- 電話番号:+8613837174273
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Jiangsu
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Nanjing、Jiangsu、中国、210008
- 募集
- Nanjing Drum Tower Hospital JiangBei International Branch Hospital ( Site 0309)
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コンタクト:
- Study Coordinator
- 電話番号:+86021-65115006
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Shanghai Municipality
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Shanghai、Shanghai Municipality、中国、200433
- 募集
- Shanghai Pulmonary Hospital ( Site 0300)
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コンタクト:
- Study Coordinator
- 電話番号:021-65115006
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Shanghai、Shanghai Municipality、中国、200030
- 募集
- Shanghai Chest Hospital ( Site 0308)
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コンタクト:
- Study Coordinator
- 電話番号:021-63846590
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参加基準
適格基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
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
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
- 割り当て:ランダム化
- 介入モデル:並列代入
- マスキング:独身
アーム数
武器と介入
参加者グループ / アーム参加者グループ / アーム |
介入・治療介入・治療 |
|---|---|
|
実験的: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
他の名前:
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. |
|
実験的: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
他の名前:
|
|
アクティブコンパレータ: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
他の名前:
Participants are premedicated with corticosteroids per approved product label and following institutional standards or local guidelines. |
|
実験的: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
他の名前:
|
この研究は何を測定していますか?
主要な結果の測定
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Objective Response Rate (ORR)
時間枠: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)
時間枠: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
時間枠: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
|
二次結果の測定
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Duration of Response (DOR)
時間枠: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)
時間枠: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)
時間枠:Up to approximately 81 months
|
OS is defined as time from randomization to death due to any cause. |
Up to approximately 81 months
|
協力者と研究者
捜査官
捜査官
- スタディディレクター:Medical Director、Merck Sharp & Dohme LLC
出版物と役立つリンク
研究記録日
主要日程の研究
研究開始 (実際)
研究開始
一次修了 (推定)
一次修了
研究の完了 (推定)
研究の完了
試験登録日
最初に提出
最初に提出
QC基準を満たした最初の提出物
QC基準を満たした最初の提出物
最初の投稿 (実際)
最初の投稿
学習記録の更新
投稿された最後の更新 (実際)
投稿された最後の更新
QC基準を満たした最後の更新が送信されました
QC基準を満たした最後の更新が送信されました
最終確認日
最終確認日
詳しくは
本研究に関する用語
追加の関連 MeSH 用語
その他の研究ID番号
その他の研究ID番号
- 3475-01I
- MK-3475-01I (その他の識別子:MSD)
- U1111-1314-2392 (レジストリ識別子:UTN)
- KEYMAKER-01I (その他の識別子:MSD)
- 2024-518839-11-00 (レジストリ識別子:EU CT)
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
IPD プランの説明
https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。