TATE and Pembrolizumab (MK3475) in mCRC and NSCLC

NCT ID: NCT04701476

Last Updated: 2024-11-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

110 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-20

Study Completion Date

2025-12-31

Brief Summary

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Patients with refractory metastatic colorectal cancer or non-small cell lung cancer with liver metastasis treated with Trans-arterial Tirapazamine Embolization along with Pembrolizumab.

Detailed Description

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This study is an open-label study to treat patients with refractory metastatic colorectal cancer and non-small cell lung cancer with liver metastasis. Patients enrolled in the mCRC cohort will be randomized to receive study treatment Trans-arterial Tirapazamine Embolization (TATE)+Pembrolizumab or FDA-approved standard of care, such as TAS-102 or regorafenib, and their Overall Survival (OS) will be compared in the two cohorts as the primary endpoint. Patients enrolled in the NSCLC cohort will all receive study treatment TATE+Pembrolizaumb and Overall Response Rate (ORR) will be the primary endpoint.

Conditions

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Colorectal Cancer; Lung Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Open-label study in two indications. The mCRC cohort will be a randomized trial for TATE+Pembrolizumab versus standard 3rd line therapy for mCRC. The NSCLC cohort will be single-arm study.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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colorectal cancer

metastatic colorectal cancer progressed on at least two lines of chemotherapy

Group Type EXPERIMENTAL

TATE and pembrolizumab

Intervention Type DRUG

All liver metastatic lesions will be treated with TATE for maximally debulking. Pembrolizumab IV infusion per standard schedule every 3 or 6 weeks until progression or maximally 2 years.

TAS-102 pill

Intervention Type DRUG

The comparator of the mCRC arm is TAS-102 at 60 mg BID 5 days per week for 2 weeks then 2 weeks off.

Regorafenib Pill

Intervention Type DRUG

As an alternative to TAS-102 per treating physician's discretion. If selected, Regorafenib 160 mg oral daily for 3 weeks on and one week off, every 4 weeks per cycle. Do not take Regoarefnib if taking TAS-102.

NSCLC

Liver metastatic NSCLC progressed on immune checkpoint inhibitors and chemotherapy

Group Type EXPERIMENTAL

TATE and pembrolizumab

Intervention Type DRUG

All liver metastatic lesions will be treated with TATE for maximally debulking. Pembrolizumab IV infusion per standard schedule every 3 or 6 weeks until progression or maximally 2 years.

Interventions

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TATE and pembrolizumab

All liver metastatic lesions will be treated with TATE for maximally debulking. Pembrolizumab IV infusion per standard schedule every 3 or 6 weeks until progression or maximally 2 years.

Intervention Type DRUG

TAS-102 pill

The comparator of the mCRC arm is TAS-102 at 60 mg BID 5 days per week for 2 weeks then 2 weeks off.

Intervention Type DRUG

Regorafenib Pill

As an alternative to TAS-102 per treating physician's discretion. If selected, Regorafenib 160 mg oral daily for 3 weeks on and one week off, every 4 weeks per cycle. Do not take Regoarefnib if taking TAS-102.

Intervention Type DRUG

Other Intervention Names

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TATE: Trans-arterial Tirapazamine Embolization; LONSURF STIVARGA

Eligibility Criteria

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Inclusion Criteria

* Liver metastatic MSS-mCRC or NSCLC without EGFR or AKT mutations
* mCRC progressed on at least two lines of standard chemotherapy; or
* NSCLC progressed on chemotherapy and an immune checkpoint inhibitor
* Measurable disease
* ECOG 0-1
* At least 4 weeks from prior chemotherapy and free from chemo-related toxicity
* Adequate organ function

Exclusion Criteria

* Prior organ transplantation
* Liver metastasis more than 50%
* Oxygen saturation less than 92% in room air
* Prior autoimmune disorder
* CNS metastasis
* Major GI bleeding in the last 2 months
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role collaborator

Teclison Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ray Lee

Role: STUDY_DIRECTOR

Teclison Limited

Locations

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University of California, Irvine Medical Center

Orange, California, United States

Site Status RECRUITING

China Medical University Hsinchu Hospital

Hsinchu, , Taiwan

Site Status RECRUITING

Chung Shan Medical University Hospital

Taichung, , Taiwan

Site Status RECRUITING

Countries

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United States Taiwan

Central Contacts

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Ray Lee, MD. PhD.

Role: CONTACT

8043341076

Chiwei Lu

Role: CONTACT

Facility Contacts

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Miranda Duron

Role: primary

sandy Lai

Role: primary

Sandy Lai

Role: primary

Other Identifiers

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KEYNOTE-A91

Identifier Type: OTHER

Identifier Source: secondary_id

LT-007

Identifier Type: -

Identifier Source: org_study_id

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