이전에 치료받은 IV기 비편평 비소세포폐암(NSCLC) 참가자의 조사 약물에 대한 연구(MK-3475-01H/KEYMAKER-U01)
KEYMAKER-U01 하위 연구 01H: 이전에 치료받은 IV기 비편평 비소세포폐암(NSCLC) 참가자를 대상으로 조사 약물을 롤링 암으로 사용하는 2상 무작위 우산 연구
Researchers are looking for new ways to treat metastatic nonsquamous non-small cell lung cancer (NSCLC) that has been treated before. Metastatic means the cancer has spread to other parts of the body. Nonsquamous means the cancer did not start in squamous cells, which are flat cells that line the inside of the lungs.
Standard treatment (usual treatment) for NSCLC is surgery, then immunotherapy with or without chemotherapy after surgery. Immunotherapy is a treatment that helps the immune system fight cancer. Chemotherapy is a medicine that works to destroy cancer cells or stop them from growing.
However, standard treatment may not work or may stop working for some people. Researchers want to know if 2 antibody drug conjugates (ADCs) can help treat metastatic nonsquamous NSCLC that did not respond (get smaller or go away) to treatment. An ADC attaches to specific targets on cancers cells and delivers treatment to destroy those cells.
Researchers will compare 2 different ADCs (the study treatments) to chemotherapy in this study. The goals of this study are to learn:
- About the safety of the study treatments and if people tolerate them
- How many people have the cancer respond to the study treatments
연구 개요
상태
상태
정황
정황
개입 / 치료
개입 / 치료
상세 설명
The master screening protocol is MK-3475-U01 (KEYMAKER-U01) - NCT04165798
연구 유형
연구 유형
등록 (추정된)
등록
단계
단계
- 2 단계
연락처 및 위치
연구 연락처
연구 연락처
- 이름: Toll Free Number
- 전화번호: 1-888-577-8839
- 이메일: Trialsites@msd.com
연구 장소
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Thessaloniki, 그리스, 570 01
- 모병
- European Interbalkan Medical Center ( Site 0205)
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연락하다:
- Study Coordinator
- 전화번호: 0030 2310400213
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Attica
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Athens, Attica, 그리스, 115 27
- 모병
- THORACIC GENERAL HOSPITAL OF ATHENS "I SOTIRIA"-3rd Dept of Internal Medicine and Laboratory, Oncol ( Site 0204)
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연락하다:
- Study Coordinator
- 전화번호: 0030 2107700220
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Berlin, 독일, 13353
- 모병
- Charite-Universitaetsmedizin Berlin ( Site 0191)
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연락하다:
- Study Coordinator
- 전화번호: +49 30 450 553 044
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Baden-Wurttemberg
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Tübingen, Baden-Wurttemberg, 독일, 72076
- 모병
- Universitaetsklinik Tuebingen ( Site 0192)
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연락하다:
- Study Coordinator
- 전화번호: +4970712982795
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Kentucky
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Lexington, Kentucky, 미국, 40536-0293
- 모병
- University of Kentucky Chandler Medical Center ( Site 0019)
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연락하다:
- Study Coordinator
- 전화번호: 859-257-1000
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Maryland
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Baltimore, Maryland, 미국, 21237
- 모병
- MedStar Franklin Square Medical Center ( Site 0033)
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연락하다:
- Study Coordinator
- 전화번호: 443-777-7147
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Pennsylvania
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Pittsburgh, Pennsylvania, 미국, 15212
- 모병
- AHN Cancer Institute - Allegheny General ( Site 9501)
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연락하다:
- Study Coordinator
- 전화번호: 412-325-5700
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Texas
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Dallas, Texas, 미국, 75246-2046
- 모병
- Texas Oncology - DFW ( Site 8003)
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연락하다:
- Study Coordinator
- 전화번호: 214-370-1067
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Madrid, 스페인, 28223
- 모병
- Hospital Universitario Quiron Madrid ( Site 0091)
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연락하다:
- Study Coordinator
- 전화번호: 34914521987
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Barcelona
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L'Hospitalet de Llobregat, Barcelona, 스페인, 08908
- 모병
- Institut Català d'Oncologia - L'Hospitalet ( Site 0090)
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연락하다:
- Study Coordinator
- 전화번호: 0034932607744
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Haifa, 이스라엘, 3109601
- 모병
- Rambam Health Care Campus ( Site 0076)
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연락하다:
- Study Coordinator
- 전화번호: +972-4-7776234
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Jerusalem, 이스라엘, 9103102
- 모병
- Shaare Zedek Medical Center ( Site 0075)
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연락하다:
- Study Coordinator
- 전화번호: +972-2-6555768
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Kfar Saba, 이스라엘, 4428164
- 모병
- Meir Medical Center ( Site 0071)
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연락하다:
- Study Coordinator
- 전화번호: +97297472414
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Petah Tikva, 이스라엘, 4941492
- 모병
- Rabin Medical Center ( Site 0074)
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연락하다:
- Study Coordinator
- 전화번호: +97239378101
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Ramat Gan, 이스라엘, 5265601
- 모병
- Sheba Medical Center ( Site 0070)
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연락하다:
- Study Coordinator
- 전화번호: +97235307032
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Tel Aviv, 이스라엘, 6423906
- 모병
- Sourasky Medical Center ( Site 0077)
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연락하다:
- Study Coordinator
- 전화번호: +972-3-6973082
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Florence, 이탈리아, 50134
- 모병
- Azienda Ospedaliera Universitaria Careggi ( Site 0173)
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연락하다:
- Study Coordinator
- 전화번호: +393209225506
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Milan, 이탈리아, 20132
- 모병
- Ospedale San Raffaele. ( Site 0171)
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연락하다:
- Study Coordinator
- 전화번호: +390223903829
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Roma, 이탈리아, 00168
- 모병
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS - Università Cattolica del Sacro Cuore ( Site 0174)
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연락하다:
- Study Coordinator
- 전화번호: +390630156318
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Lombardy
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Milan, Lombardy, 이탈리아, 20133
- 모병
- Fondazione IRCCS Istituto Nazionale dei Tumori ( Site 0175)
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연락하다:
- Study Coordinator
- 전화번호: 390223902190
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Region M. de Santiago
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Santiago, Region M. de Santiago, 칠레, 7500653
- 모병
- Centro de Estudios Clínicos SAGA ( Site 0161)
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연락하다:
- Study Coordinator
- 전화번호: +5690556961
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Santiago, Region M. de Santiago, 칠레, 8420383
- 모병
- Bradfordhill ( Site 0162)
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연락하다:
- Study Coordinator
- 전화번호: +56229490970
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Santiago, Region M. de Santiago, 칠레, 7500921
- 모병
- Fundación Arturo López Pérez ( Site 0160)
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연락하다:
- Study Coordinator
- 전화번호: 56227128000
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Adana, 터키 (Türkiye), 01250
- 모병
- Baskent University Dr. Turgut Noyan Research and Training Center-ONCOLOGY ( Site 0141)
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연락하다:
- Study Coordinator
- 전화번호: +90 322 344 44 44
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Ankara, 터키 (Türkiye), 06230
- 모병
- Hacettepe Universitesi Tip Fakultesi Hastanesi ( Site 0140)
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연락하다:
- Study Coordinator
- 전화번호: +90 312 305 43 36
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Ankara, 터키 (Türkiye), 06800
- 모병
- Ankara Bilkent Şehir Hastanesi. ( Site 0142)
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연락하다:
- Study Coordinator
- 전화번호: +905555306271
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Istanbul, 터키 (Türkiye), 34098
- 모병
- I. U. Cerrahpasa Tip Fakultesi ( Site 0144)
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연락하다:
- Study Coordinator
- 전화번호: +902124143000
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Izmir, 터키 (Türkiye), 35100
- 모병
- Ege Universitesi Hastanesi ( Site 0143)
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연락하다:
- Study Coordinator
- 전화번호: +90 232 343 43 43
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Greater Poland Voivodeship
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Poznan, Greater Poland Voivodeship, 폴란드, 60-569
- 모병
- Wielkopolskie Centrum Pulmonologii i Torakochirurgii ( Site 0153)
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연락하다:
- Study Coordinator
- 전화번호: +48616654242
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Masovian Voivodeship
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Warsaw, Masovian Voivodeship, 폴란드, 02-781
- 모병
- Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy w Warszawie ( Site 0151)
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연락하다:
- Study Coordinator
- 전화번호: +48225463066
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Pomeranian Voivodeship
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Gdansk, Pomeranian Voivodeship, 폴란드, 80-214
- 모병
- Uniwersyteckie Centrum Kliniczne-Early Clinical Trials Unit ( Site 0150)
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연락하다:
- Study Coordinator
- 전화번호: +48585844466
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West Pomeranian Voivodeship
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Koszalin, West Pomeranian Voivodeship, 폴란드, 75-581
- 모집하지 않고 적극적으로
- Szpital Wojewódzki im. Mikoaja Kopernika w Koszalinie ( Site 0152)
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Bács-Kiskun county
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Kecskemét, Bács-Kiskun county, 헝가리, 6000
- 모병
- Bacs-Kiskun Varmegyei Oktatokorhaz ( Site 0063)
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연락하다:
- Study Coordinator
- 전화번호: +3676516700
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Győr-Moson-Sopron
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Győr, Győr-Moson-Sopron, 헝가리, 9024
- 모병
- Petz Aladar Egyetemi Oktato Korhaz ( Site 0062)
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연락하다:
- Study Coordinator
- 전화번호: +3696507900
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Jász-Nagykun-Szolnok
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Szolnok, Jász-Nagykun-Szolnok, 헝가리, 5000
- 모병
- Jasz-Nagykun-Szolnok Varmegyei Hetenyi Geza Korhaz-Rendelointezet ( Site 0061)
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연락하다:
- Study Coordinator
- 전화번호: +3656503603
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Pest County
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Törökbálint, Pest County, 헝가리, 2045
- 모병
- Református Pulmonológiai Centrum ( Site 0064)
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연락하다:
- Study Coordinator
- 전화번호: +3623511570
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참여기준
자격 기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
The main inclusion criteria include but are not limited to the following:
- Histologically or cytologically confirmed diagnosis of Stage IV nonsquamous non-small cell lung cancer (NSCLC)
- Documented disease progression per RECIST 1.1 after receiving an anti-programmed cell death 1 protein (PD-1)/programmed cell death ligand 1 (PD-L1) treatment and platinum-based chemotherapy
- Confirmation per local test report that epidermal growth factor receptor negative (EGFR-), anaplastic lymphoma kinase negative (ALK-), c ros oncogene 1 negative (ROS1-), or other directed therapy is not indicated as primary therapy
- Measurable disease per RECIST 1.1 as assessed by investigator and verified by BICR
- Life expectancy of at least 3 months
- An Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1 assessed within 7 days before randomization
- Is an individual of any sex/gender who is at least 18 years of age at the time of providing the informed consent
- Has adequate organ function
- If capable of producing sperm refrains from donating sperm plus either abstains from penile-vaginal intercourse or uses a penile/external condom, with contraceptive use consistent with local regulations
- Participant/participants of childbearing potential (POCBP) is not pregnant and has a negative highly sensitive pregnancy test; and is not breastfeeding and uses a highly effective contraceptive method
- Archival tumor tissue sample of a tumor lesion not previously irradiated has been provided
- Has provided tissue prior to treatment randomization from a newly obtained formalin-fixed sample from a new biopsy
- Human Immunodeficiency Virus (HIV)-infected participants must have well controlled HIV on antiretroviral therapy (ART)
- Participants who are hepatitis B surface antigen (HBsAg) positive 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 at screening
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
- Received radiation therapy to the lung
- Has uncontrolled or significant cardiovascular disorder prior to randomization
- Has clinically severe pulmonary compromise resulting from intercurrent pulmonary illnesses
- Participants who have adverse events (AEs) (other than alopecia) due to previous anticancer therapies must have recovered to ≤Grade 1 or baseline
- Has known severe hypersensitivity (≥Grade 3) to study intervention and/or any of its excipients
- Has clinically significant corneal disease
- Has received prior radiotherapy within 2 weeks of start of study intervention, or radiation related toxicities, requiring corticosteroids
- Has inadequate washout period prior to randomization
- Has received a live or live-attenuated vaccine within 30 days before the first dose of study intervention
- Has diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy
- Has previously received docetaxel as monotherapy or in combination with other therapies
- Has received an investigational agent or has used an investigational device within 4 weeks prior to study intervention administration
- Has 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
- Has evidence of any leptomeningeal disease
- Has history of interstitial lung disease (ILD)/pneumonitis, current diagnosis of ILD, and/or suspected ILD
- Has active autoimmune disease that has required systemic treatment in the past 2 years
- Has active infection requiring systemic therapy
- HIV-infected participants with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease
- Has active inflammatory bowel disease requiring immunosuppressive medication or previous clear history of inflammatory bowel disease
- Has known history of, or active, neurologic paraneoplastic syndrome
- Has history of allogeneic tissue/solid organ transplant
- Have not adequately recovered from major surgery or have ongoing surgical complications
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 하나의
팔의 수
무기와 개입
참가자 그룹 / 팔참가자 그룹 / 팔 |
개입 / 치료개입 / 치료 |
|---|---|
|
실험적: Raludotatug Deruxtecan
Participants receive raludotatug deruxtecan (R-DXd) 5.6 mg/kg via intravenous (IV) Infusion every 3 weeks (q3w) until disease progression or discontinuation criterion is met. |
IV Infusion
다른 이름들:
Administered as a rescue medication per approved product label before R-DXd or I-DXd infusion
다른 이름들:
Administered as a rescue medication per approved product label before R-DXd or I-DXd infusion
다른 이름들:
Administered as a rescue medication per approved product label before R-DXd or I-DXd infusion, and for 3 days starting 1 day prior to docetaxel administration |
|
실험적: Ifinatamab Deruxtecan
Participants receive ifinatamab deruxtecan (I-DXd) 12 mg/kg via IV infusion q3w until disease progression or discontinuation criterion is met. |
Administered as a rescue medication per approved product label before R-DXd or I-DXd infusion
다른 이름들:
Administered as a rescue medication per approved product label before R-DXd or I-DXd infusion
다른 이름들:
Administered as a rescue medication per approved product label before R-DXd or I-DXd infusion, and for 3 days starting 1 day prior to docetaxel administration IV Infusion
다른 이름들:
|
|
활성 비교기: Docetetaxel
Participants receive docetaxel 75mg/m2 via IV infusion q3w until disease progression or discontinuation criterion is met. |
Administered as a rescue medication per approved product label before R-DXd or I-DXd infusion, and for 3 days starting 1 day prior to docetaxel administration IV Infusion |
연구는 무엇을 측정합니까?
주요 결과 측정
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Objective Response Rate (ORR)
기간: Up to approximately 81 months
|
ORR is defined as the percentage of participants with Complete Response (CR: Disappearance of all target lesions) or a Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions) per Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST 1.1). The percentage of participants who experience CR or PR as assessed by Blinded Independent Central Review (BICR) will be presented. |
Up to approximately 81 months
|
|
Percentage of Participants with at Least One Adverse Event (AE)
기간: Up to approximately 81 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 percentage of participants who experience an AE will be reported. |
Up to approximately 81 months
|
|
Percentage of Participants Who Discontinued Medication Due to an AE
기간: Up to approximately 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 percentage of participants who discontinue study intervention due to an AE will be reported. |
Up to approximately 24 months
|
2차 결과 측정
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Duration of Response (DOR)
기간: Up to approximately 81 months
|
For participants who demonstrate a confirmed CR (disappearance of all target lesions) or (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 millimeters (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)
기간: 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)
기간: Up to approximately 81 months
|
OS is defined as the time from randomization to death due to any cause. |
Up to approximately 81 months
|
공동 작업자 및 조사자
협력자
협력자
수사관
수사관
- 연구 책임자: Medical Director, Merck Sharp & Dohme LLC
간행물 및 유용한 링크
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
연구 시작
기본 완료 (추정된)
기본 완료
연구 완료 (추정된)
연구 완료
연구 등록 날짜
최초 제출
최초 제출
QC 기준을 충족하는 최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
처음 게시됨
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
마지막 업데이트 게시됨
QC 기준을 충족하는 마지막 업데이트 제출
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
추가 관련 MeSH 약관
기타 연구 ID 번호
기타 연구 ID 번호
- 3475-01H
- KEYMAKER-U01 (기타 식별자: MSD)
- MK-3475-01H (기타 식별자: MSD)
- U1111-1314-1785 (레지스트리 식별자: UTN)
- 2024-518761-10-00 (레지스트리 식별자: EU CT)
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
IPD 계획 설명
https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .