転移性扁平上皮非小細胞肺がんにおけるV940/プラセボ+ペムブロリズマブと化学療法に関する研究(V940-013) (INTerpath-13)
V940をペムブロリズマブおよび化学療法と併用した転移性扁平上皮非小細胞肺癌(NSCLC)の一次治療としての第2相ランダム化二重盲検プラセボ対照試験(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.
調査の概要
状態
条件
研究の種類
入学 (推定)
段階
- フェーズ2
連絡先と場所
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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Florida
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Tampa、Florida、アメリカ、33612
- 募集
- Moffitt Cancer Center ( Site 0021)
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コンタクト:
- Study Coordinator
- 電話番号:813-745-7363
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Michigan
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Ann Arbor、Michigan、アメリカ、48105
- 募集
- VA Ann Arbor Healthcare System ( Site 0019)
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コンタクト:
- Study Coordinator
- 電話番号:734-769-7100
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Missouri
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St Louis、Missouri、アメリカ、63110
- 募集
- Washington University School of Medicine ( Site 0024)
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コンタクト:
- Study Coordinator
- 電話番号:314-362-5000
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New Jersey
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Paramus、New Jersey、アメリカ、07652
- 募集
- Valley Health Systems - Ridgewood Campus ( Site 0010)
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コンタクト:
- Study Coordinator
- 電話番号:201-634-5578
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New York
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Albany、New York、アメリカ、12206
- 募集
- New York Oncology Hematology (NYOH) - Albany Medical Center ( Site 9001)
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コンタクト:
- Study Coordinator
- 電話番号:518-489-0044
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Ohio
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Cleveland、Ohio、アメリカ、44195
- 募集
- Cleveland Clinic - Ohio ( Site 0016)
-
コンタクト:
- Study Coordinator
- 電話番号:216-445-7855
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Oregon
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Corvallis、Oregon、アメリカ、97330
- 募集
- Good Samaritan Regional Medical Center-Samaritan Pastega Regional Cancer Center ( Site 0025)
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コンタクト:
- Study Coordinator
- 電話番号:541-768-4950
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Tennessee
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Nashville、Tennessee、アメリカ、37203
- 募集
- Tennessee Oncology, PLLC - Elliston Place Plaza Medical Oncology & Hematology ( Site 9000)
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コンタクト:
- Study Coordinator
- 電話番号:615-961-9469
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Texas
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Austin、Texas、アメリカ、78745
- 募集
- Texas Oncology - Central/South Texas ( Site 8002)
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コンタクト:
- Study Coordinator
- 電話番号:512-427-9400
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Virginia
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Fairfax、Virginia、アメリカ、22031
- 募集
- Virginia Cancer Specialists ( Site 0003)
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コンタクト:
- Study Coordinator
- 電話番号:730-280-5390
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Washington
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Seattle、Washington、アメリカ、98104
- 募集
- Swedish Medical Center-Swedish Cancer Institute ( Site 0023)
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コンタクト:
- Study Coordinator
- 電話番号:855-922-6237
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Buenos Aires
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Ciudad Autonoma de Buenos Aires、Buenos Aires、アルゼンチン、C1426ANZ
- 募集
- Instituto Alexander Fleming ( Site 0201)
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コンタクト:
- Study Coordinator
- 電話番号:+541132218956
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Ciudad Autonoma de Buenos Aires.、Buenos Aires、アルゼンチン、C1199ABB
- 募集
- Hospital Italiano de Buenos Aires ( Site 0200)
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コンタクト:
- Study Coordinator
- 電話番号:+541149590497
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Mar del Plata、Buenos Aires、アルゼンチン、B7600FZO
- 募集
- Instituto de Investigaciones Clínicas Mar del Plata ( Site 0205)
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コンタクト:
- Study Coordinator
- 電話番号:+5492235937663
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Buenos Aires F.D.
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Caba.、Buenos Aires F.D.、アルゼンチン、C1430EGF
- 募集
- Clinica Adventista Belgrano ( Site 0206)
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コンタクト:
- Study Coordinator
- 電話番号:+5491140141500
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Santa Fe Province
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Rosario、Santa Fe Province、アルゼンチン、S2000DSV
- 募集
- Fundacion Estudios Clinicos ( Site 0207)
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コンタクト:
- Study Coordinator
- 電話番号:+5493413168137
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Rosario、Santa Fe Province、アルゼンチン、S2000DSV
- 募集
- Sanatorio Parque ( Site 0203)
-
コンタクト:
- Study Coordinator
- 電話番号:+543874044942
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-
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Milan、イタリア、20132
- 募集
- Ospedale San Raffaele-Oncologia Medica ( Site 1002)
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コンタクト:
- Study Coordinator
- 電話番号:+390226436633
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Milan、イタリア、20133
- 募集
- Fondazione IRCCS Istituto Nazionale Dei Tumori ( Site 1000)
-
コンタクト:
- Study Coordinator
- 電話番号:+390223903829
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Perugia、イタリア、06132
- 募集
- AO Santa Maria della Misericordia-Oncology Department ( Site 1005)
-
コンタクト:
- Study Coordinator
- 電話番号:+390755782661
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Roma、イタリア、00168
- 募集
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS - Università Cattolica del Sacro Cuore ( Site 1001)
-
コンタクト:
- Study Coordinator
- 電話番号:00390630154277
-
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Emilia-Romagna
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Ravenna、Emilia-Romagna、イタリア、48121
- 募集
- Ospedale Santa Maria delle Croci-Dipartimento Oncoematologico ( Site 1004)
-
コンタクト:
- Study Coordinator
- 電話番号:+390544285247
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New South Wales
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Westmead、New South Wales、オーストラリア、2145
- 募集
- Westmead Hospital ( Site 0400)
-
コンタクト:
- Study Coordinator
- 電話番号:+61298455555
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Queensland
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Woolloongabba、Queensland、オーストラリア、4102
- 募集
- Princess Alexandra Hospital ( Site 0403)
-
コンタクト:
- Study Coordinator
- 電話番号:+61731762111
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Western Australia
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Nedlands、Western Australia、オーストラリア、6009
- 募集
- One Clinical Research ( Site 0402)
-
コンタクト:
- Study Coordinator
- 電話番号:+6186279 9466
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Barcelona、スペイン、08035
- 募集
- Hospital Universitari Vall d''Hebron ( Site 1310)
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コンタクト:
- Study Coordinator
- 電話番号:+34 93 254 3450
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Madrid、スペイン、28034
- 募集
- Hospital Ramon y Cajal ( Site 1314)
-
コンタクト:
- Study Coordinator
- 電話番号:+34 91 336 82 63
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Madrid、スペイン、28040
- 募集
- Hospital Clinico San Carlos... ( Site 1313)
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コンタクト:
- Study Coordinator
- 電話番号:+34 913303000
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Seville、スペイン、41009
- 募集
- Hospital Universitario Virgen Macarena-Unidad de Investigación Oncológica ( Site 1312)
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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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Hospitalet、Barcelona、スペイン、08907
- 募集
- ICO L Hospitalet ( Site 1311)
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コンタクト:
- Study Coordinator
- 電話番号:+34 93 260 77 44
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Cadiz
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Jerez de la Frontera、Cadiz、スペイン、11407
- 募集
- Hospital Jerez de la Frontera-UGC Oncología ( Site 1315)
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コンタクト:
- Study Coordinator
- 電話番号:956 03 22 44
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Antofagasta、チリ、1263521
- 募集
- Bradford Hill Norte ( Site 0308)
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コンタクト:
- Study Coordinator
- 電話番号:56442023631
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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 0307)
-
コンタクト:
- Study Coordinator
- 電話番号:+56991612199
-
Santiago、Region M. de Santiago、チリ、8420383
- 募集
- Bradfordhill ( Site 0301)
-
コンタクト:
- Study Coordinator
- 電話番号:+56 2 29490970
-
Santiago、Region M. de Santiago、チリ、7500921
- 募集
- Fundación Arturo López Pérez ( Site 0300)
-
コンタクト:
- Study Coordinator
- 電話番号:56224205098
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-
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Ankara、トルコ(Türkiye)、06230
- 募集
- Hacettepe Universitesi Tıp Fakultesi ( Site 1400)
-
コンタクト:
- Study Coordinator
- 電話番号:+905436067759
-
Ankara、トルコ(Türkiye)、06800
- 募集
- Ankara Bilkent Şehir Hastanesi ( Site 1402)
-
コンタクト:
- Study Coordinator
- 電話番号:+905384724282
-
Ankara、トルコ(Türkiye)、06520
- 募集
- Memorial Ankara Hastanesi ( Site 1401)
-
コンタクト:
- Study Coordinator
- 電話番号:+9005321332009
-
Istanbul、トルコ(Türkiye)、34010
- 募集
- Koç Üniversitesi Hastanesi ( Site 1403)
-
コンタクト:
- Study Coordinator
- 電話番号:+905369410661
-
-
-
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Cote-d Or
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Dijon、Cote-d Or、フランス、21000
- 募集
- Centre Georges François Leclerc ( Site 0805)
-
コンタクト:
- Study Coordinator
- 電話番号:+33345348051
-
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Pays de la Loire Region
-
Angers、Pays de la Loire Region、フランス、49055
- 募集
- Institut de Cancérologie de l'Ouest ( Site 0801)
-
コンタクト:
- Study Coordinator
- 電話番号:+33 (0)2.44 85 35 54
-
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Puy-de-Dome
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Clermont-Ferrand、Puy-de-Dome、フランス、63001
- 募集
- CHU GABRIEL MONTPIED ( Site 0802)
-
コンタクト:
- Study Coordinator
- 電話番号:+33473754440
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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 1101)
-
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 1100)
-
コンタクト:
- Study Coordinator
- 電話番号:+48225463066
-
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Podkarpackie Voivodeship
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Przemyśl、Podkarpackie Voivodeship、ポーランド、37-700
- 募集
- Wojewodzki Szpital im. Sw. Ojca Pio w Przemyslu ( Site 1102)
-
コンタクト:
- Study Coordinator
- 電話番号:+48166775000
-
-
-
-
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Taichung、台湾、404
- 募集
- China Medical University Hospital ( Site 0606)
-
コンタクト:
- Study Coordinator
- 電話番号:+886422052121
-
Tainan、台湾、70403
- 募集
- National Cheng Kung University Hospital ( Site 0601)
-
コンタクト:
- Study Coordinator
- 電話番号:+88662353535
-
Taipei、台湾、104
- 募集
- Mackay Memorial Hospital ( Site 0604)
-
コンタクト:
- Study Coordinator
- 電話番号:+886225433535
-
Taipei、台湾、11217
- 募集
- Taipei Veterans General Hospital ( Site 0602)
-
コンタクト:
- Study Coordinator
- 電話番号:+88628712121
-
Taipei、台湾、106
- 募集
- National Taiwan University Cancer Center (NTUCC) ( Site 0600)
-
コンタクト:
- Study Coordinator
- 電話番号:+886223220322
-
Taoyuan、台湾、33305
- 募集
- Chang Gung Medical Foundation-Linkou Branch ( Site 0605)
-
コンタクト:
- Study Coordinator
- 電話番号:+88633281200
-
-
-
-
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Seoul、韓国、05505
- 募集
- Asan Medical Center ( Site 0503)
-
コンタクト:
- Study Coordinator
- 電話番号:+82230103215
-
Seoul、韓国、06351
- 募集
- Samsung Medical Center ( Site 0502)
-
コンタクト:
- Study Coordinator
- 電話番号:+82234101132
-
-
Kyonggi-do
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Goyang-si、Kyonggi-do、韓国、10408
- 募集
- National Cancer Center ( Site 0504)
-
コンタクト:
- Study Coordinator
- 電話番号:+82319200114
-
Seongnam-si、Kyonggi-do、韓国、13620
- 募集
- Seoul National University Bundang Hospital ( Site 0500)
-
コンタクト:
- Study Coordinator
- 電話番号:+82317877071
-
-
North Chungcheong
-
Cheongju-si、North Chungcheong、韓国、28644
- 募集
- Chungbuk National University Hospital-Internal medicine ( Site 0501)
-
コンタクト:
- Study Coordinator
- 電話番号:043-269-6015
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参加基準
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:
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
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:トリプル
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的: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
他の名前:
200 mg IV Infusion
他の名前:
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 |
|
実験的: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
他の名前:
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 |
この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Progression Free Survival (PFS)
時間枠: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)
時間枠: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
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Overall Response Rate (ORR)
時間枠: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)
時間枠: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)
時間枠: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
時間枠: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
|
協力者と研究者
スポンサー
協力者
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)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
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
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
- V940-013
- V940-013 (その他の識別子:MSD)
- U1111-1318-2495 (レジストリ識別子:UTN)
- 2025-520902-37-00 (レジストリ識別子:EU CT)
- 2025 (米国 NIH グラント/契約)
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。