A Phase 1/2 Open-Label, Umbrella Platform Design Study of Investigational Agents With or Without Pembrolizumab (MK-3475) and/or Chemotherapy in Participants With Advanced Esophageal Cancer Previously Exposed to PD-1/PD-L1 Treatment (KEYMAKER-U06): Substudy 06B
Merck Sharp & Dohme LLC
Summary
This is a Phase 1/2, multicenter, randomized, open-label umbrella platform study to evaluate the safety and efficacy of investigational agents with or without pembrolizumab and/or chemotherapy, for the treatment of participants with second line (2L) esophageal squamous cell carcinoma (ESCC) who have previously been exposed to PD-1/PD-L1 based treatment.
Description
The master protocol is MK-3475-U06. As of Protocol Amendment 5, the Pembrolizumab Plus MK-4830 Plus Paclitaxel/Irinotecan arm and the Pembrolizumab Plus MK-4830 Plus Lenvatinib arm are no longer actively enrolling participants.
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
The main inclusion and exclusion criteria include but are not limited to the following: Inclusion Criteria: * Histologically or cytologically confirmed diagnosis of metastatic or locally advanced unresectable esophageal squamous cell carcinoma (ESCC) * Has experienced investigator documented radiographic or clinical disease progression on one prior line of standard therapy, that includes a platinum agent and previous exposure to an anti-programmed cell death 1 (PD1)/programmed cell death ligand 1 (PD-L1) based immune oncology (IO) therapy * Has provided an archival or most recent tumor tissu…
Interventions
- DrugPaclitaxel
80-100 mg/m\^2 IV infusion, administered on days 1, 8, and 15 of every 28-day cycle.
- DrugIrinotecan
180 mg/m\^2 IV infusion, administered on day 1 of every 14-day cycle.
- BiologicalPembrolizumab
200 mg IV infusion, administered every Q3W up to 35 infusions.
- BiologicalMK-4830
800 mg IV infusion, administered Q3W up to 35 infusions.
- DrugLenvatinib
20 mg oral administration every day.
- BiologicalSacituzumab tirumotecan
4 mg/kg or 5 mg/kg IV infusion on Days 1, 15, and 29 of each 42-day cycle.
- Drug
Locations (57)
- University of Arizona Cancer Center-University of Arizona Cancer Center ( Site 4927)Tucson, Arizona
- UCLA Hematology/Oncology - Santa Monica ( Site 4905)Los Angeles, California
- Hematology-Oncology Associates of Central NY, P.C. ( Site 4925)East Syracuse, New York
- Columbia University Irving Medical Center-CUIMC Herbert Irving Comprehensive Cancer Center Clinical ( Site 4907)New York, New York
- UPMC Hillman Cancer Center-UPMC ( Site 4904)Pittsburgh, Pennsylvania
- Liga Norte Riograndense Contra o Câncer ( Site 4303)Natal, Rio Grande do Norte