A Phase 1/2 Open-Label Rolling-Arm Umbrella Platform Study of Investigational Agents With or Without Pembrolizumab in Participants With PD-1/L1 Refractory Locally Advanced or Metastatic Urothelial Carcinoma (KEYMAKER-U04): Substudy 04A
Merck Sharp & Dohme LLC
Summary
This substudy is part of an umbrella platform study which is designed to evaluate investigational agents with or without pembrolizumab in participants with urothelial carcinoma who are in need of new treatment options. Substudy 04A will enroll participants with locally advanced or mUC whose disease is resistant to treatment with programmed cell death-1/ligand 1 (PD-1/L1) inhibitors. The protocol infrastructure will enable the rolling assignment of investigational treatments.
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: The main inclusion and exclusion criteria include but are not limited to the following: * Histologically or cytologically confirmed diagnosis of locally advanced/unresectable or mUC of the renal pelvis, ureter (upper urinary tract), bladder, or urethra. * Arm A: PD-1/L1 refractory locally advanced or mUC as evidenced by: EITHER disease progression while on treatment or after treatment with an anti-PD-1/L1 monoclonal antibody (mAb) for locally advanced/unresectable or mUC administered either as monotherapy, or in combination with other checkpoint inhibitors or other therap…
Interventions
- BiologicalZilovertamab vedotin
Administered via intravenous (IV) infusion on day 1 and day 8 of Q3W cycles
- BiologicalPembrolizumab
Administered via IV infusion on Day 1 of each 6 week cycle.
- BiologicalMK-3120
Administered as an IV infusion on Day 1, Day 15, and Day 29 of each 6 week cycle.
Locations (28)
- University of California, Irvine (UCI) Health - UC Irvine Medical Center ( Site 1045)Orange, California
- University of California San Francisco ( Site 1044)San Francisco, California
- Anschutz Cancer Pavilion ( Site 1017)Aurora, Colorado
- University of Chicago Medical Center ( Site 1037)Chicago, Illinois
- Indiana University Melvin and Bren Simon Cancer Center ( Site 1011)Indianapolis, Indiana
- Siteman Cancer Center ( Site 1038)St Louis, Missouri