하위 연구 01I: 이전에 치료받은 IV기 편평 비소세포폐암(NSCLC) 참가자의 조사 약물에 대한 연구(MK-3475-01I/KEYMAKER-U01I)
KEYMAKER-U01 하위 연구 01I: 이전에 치료받은 IV기 편평 비소세포폐암(NSCLC) 참가자를 대상으로 조사 약물을 롤링 암으로 사용하는 2상 무작위 우산 연구
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).
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-Oncology Department ( 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" ( Site 0204)
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연락하다:
- Study Coordinator
- 전화번호: 0030 2107700220
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Athens, Attica, 그리스, 116 34
- 모병
- F. THERAPIS GENERAL ( Site 0206)
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연락하다:
- Study Coordinator
- 전화번호: +302107291111
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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
- UniversitaetsklInikum 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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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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Virginia
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Fairfax, Virginia, 미국, 22031
- 모병
- Virginia Cancer Specialists (VCS) ( Site 0408)
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연락하다:
- Study Coordinator
- 전화번호: 703-280-5390
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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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Seville, 스페인, 41009
- 모병
- Hospital Universitario Virgen Macarena ( Site 0094)
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연락하다:
- Study Coordinator
- 전화번호: +34 671560092
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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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Catalonia
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Barcelona, Catalonia, 스페인, 08036
- 모병
- Hospital Clinic de Barcelona ( Site 0092)
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연락하다:
- Study Coordinator
- 전화번호: 34 932275402
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Haifa, 이스라엘, 3109601
- 모병
- Rambam Health Care Campus ( Site 0076)
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연락하다:
- Study Coordinator
- 전화번호: +972 47776234
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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)
-
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
- IRCCS Ospedale San Raffaele ( Site 0171)
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연락하다:
- Study Coordinator
- 전화번호: +390223903829
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Milan, 이탈리아, 20133
- 모병
- Fondazione IRCCS Istituto Nazionale dei Tumori ( Site 0175)
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연락하다:
- Study Coordinator
- 전화번호: 390223902190
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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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Beijing Municipality
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Beijing, Beijing Municipality, 중국, 100142
- 모병
- Beijing Cancer Hospital ( Site 0301)
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연락하다:
- Study Coordinator
- 전화번호: 010-88121122
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Chongqing Municipality
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Chongqing, Chongqing Municipality, 중국, 400030
- 모병
- Chongqing University Cancer Hospital ( Site 0304)
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연락하다:
- Study Coordinator
- 전화번호: +86023-65311341
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Fujian
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Fuzhou, Fujian, 중국, 350014
- 모병
- Fujian Provincial Cancer Hospital ( Site 0310)
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연락하다:
- Study Coordinator
- 전화번호: 0591-83660063
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Guangxi
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Nanning, Guangxi, 중국, 530201
- 모병
- Guangxi Medical University Cancer Hospital ( Site 0303)
-
연락하다:
- Study Coordinator
- 전화번호: 0771-5323175
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Henan
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Zhengzhou, Henan, 중국, 450000
- 모병
- Henan Cancer Hospital ( Site 0311)
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연락하다:
- Study Coordinator
- 전화번호: +8613837174273
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Jiangsu
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Nanjing, Jiangsu, 중국, 210008
- 모병
- Nanjing Drum Tower Hospital JiangBei International Branch Hospital ( Site 0309)
-
연락하다:
- Study Coordinator
- 전화번호: +86021-65115006
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Shanghai Municipality
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Shanghai, Shanghai Municipality, 중국, 200433
- 모병
- Shanghai Pulmonary Hospital ( Site 0300)
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연락하다:
- Study Coordinator
- 전화번호: 021-65115006
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Shanghai, Shanghai Municipality, 중국, 200030
- 모병
- Shanghai Chest Hospital ( Site 0308)
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연락하다:
- Study Coordinator
- 전화번호: 021-63846590
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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: +56991612199
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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)
-
연락하다:
- Study Coordinator
- 전화번호: +905353067506
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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)
-
연락하다:
- Study Coordinator
- 전화번호: +903125529999
-
Istanbul, 터키 (Türkiye), 34098
- 모병
- Istanbul Universitesi Cerrahpasa Tip Fakultesi ( Site 0144)
-
연락하다:
- Study Coordinator
- 전화번호: +902124143000
-
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İzmir
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Izmir, İzmir, 터키 (Türkiye), 35100
- 모병
- Ege Universitesi Hastanesi ( Site 0143)
-
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)
-
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)
-
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)
-
연락하다:
- Study Coordinator
- 전화번호: +48585844466
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West Pomeranian Voivodeship
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Koszalin, West Pomeranian Voivodeship, 폴란드, 75-581
- 모병
- Szpital Wojewódzki im. Mikoaja Kopernika w Koszalinie ( Site 0152)
-
연락하다:
- Study Coordinator
- 전화번호: +48943488930
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Bács-Kiskun county
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Kecskemét, Bács-Kiskun county, 헝가리, 6000
- 모병
- Bacs-Kiskun Varmegyei Oktatokorhaz ( Site 0063)
-
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)
-
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)
-
연락하다:
- Study Coordinator
- 전화번호: +3656503603
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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 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
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: 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
다른 이름들:
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. |
|
실험적: 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
다른 이름들:
|
|
활성 비교기: 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
다른 이름들:
Participants are premedicated with corticosteroids per approved product label and following institutional standards or local guidelines. |
|
실험적: 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
다른 이름들:
|
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 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)
기간: 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
기간: 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
|
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 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)
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 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
- 3475-01I
- MK-3475-01I (기타 식별자: MSD)
- U1111-1314-2392 (레지스트리 식별자: UTN)
- KEYMAKER-01I (기타 식별자: MSD)
- 2024-518839-11-00 (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. .