Pembro+Chemo in Brain Mets

NCT ID: NCT04964960

Last Updated: 2025-10-31

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

3 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-05-19

Study Completion Date

2023-12-19

Brief Summary

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The goal of this study is to evaluate whether providing Pembrolizumab prolongs survival and preserves quality of life while minimizing side effects for patients with NSCLC with untreated asymptomatic brain metastasis.

Detailed Description

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Conditions

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Lung Cancer Lung Cancer Metastatic Brain Cancer Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Pembrolizumab with standard of care chemotherapy treatment

Patients will receive 200mg or 400mg of Pembrolizumab (standard of care dosing at the discretion of treating physician) over thirty minutes on day 1 every three or six weeks with standard of care chemotherapy treatment (carboplatin, pemetrexed, paclitaxel, nab-paclitaxel).

Group Type EXPERIMENTAL

Pembrolizumab

Intervention Type DRUG

Pembrolizumab is an immunotherapy that can help fight certain cancers.

Nab paclitaxel

Intervention Type DRUG

Nab-paclitaxel is a taxane derivative that is an albumin-bound paclitaxel nanoparticle formulation that promotes microtubule assembly.

Paclitaxel

Intervention Type DRUG

Paclitaxel is a taxane derivative that promotes microtubule assembly by enhancing the action of tubulin dimers, stabilizing existing microtubules, and inhibiting their disassembly, interfering with the late G2 mitotic phase, and inhibiting cell replication.

Pemetrexed

Intervention Type DRUG

Pemetrexed is an antifolate agent that disrupts folate-dependent metabolic processes essential for cell replication.

Carboplatin

Intervention Type DRUG

Carboplatin is a platinum compound alkylating agent which covalently binds to DNA and interferes with the function of DNA by producing interstrand DNA cross-links.

Interventions

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Pembrolizumab

Pembrolizumab is an immunotherapy that can help fight certain cancers.

Intervention Type DRUG

Nab paclitaxel

Nab-paclitaxel is a taxane derivative that is an albumin-bound paclitaxel nanoparticle formulation that promotes microtubule assembly.

Intervention Type DRUG

Paclitaxel

Paclitaxel is a taxane derivative that promotes microtubule assembly by enhancing the action of tubulin dimers, stabilizing existing microtubules, and inhibiting their disassembly, interfering with the late G2 mitotic phase, and inhibiting cell replication.

Intervention Type DRUG

Pemetrexed

Pemetrexed is an antifolate agent that disrupts folate-dependent metabolic processes essential for cell replication.

Intervention Type DRUG

Carboplatin

Carboplatin is a platinum compound alkylating agent which covalently binds to DNA and interferes with the function of DNA by producing interstrand DNA cross-links.

Intervention Type DRUG

Other Intervention Names

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Keytruda

Eligibility Criteria

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Inclusion Criteria

* Non-small cell lunch cancer (NSLC) with untreated asymptomatic brain metastases
* NSLC lacks oncogenic driver mutations
* Absence of new onset neurological symptoms
* Presence of fewer than ten intracranial lesions
* Each lesion measures three centimeters or less
* Life expectancy of greater than three months
* Adequate organ and marrow function
* Ability to understand and willingness to sign a written informed consent document

Exclusion Criteria

* Presence of oncogenic driver mutations
* Measurable lesion located within 10mm of the optic chiasm or optic nerve, or within the brainstem
* Known leptomeningeal involvement.
* Midline shift
* Serious non-healing wound, ulcer or bone fracture
* Baseline inability to participate or complete neurocognitive testing
* Major surgical procedure (including craniotomy and open brain biopsy) or significant traumatic injury within 14 days prior to registration
* Receipt of a non-CNS minor surgical procedure (e.g. core biopsy or fine needle aspiration) within three days prior to registration
* History of allergic reactions attributed to monoclonal antibodies (mAb), compounds of similar chemical or biologic composition to Pembrolizumab
* Clinically significant cardiovascular disease
* Patients with uncontrolled intercurrent illness
* Patients with psychiatric illness/social situations that would limit compliance with study requirements
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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John L. Villano, MD, PhD

OTHER

Sponsor Role lead

Responsible Party

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John L. Villano, MD, PhD

Principal Investigator

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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John Villano, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Kentucky

Locations

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University of Kentucky, Markey Cancer Center

Lexington, Kentucky, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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MCC-21-NEURO-11

Identifier Type: -

Identifier Source: org_study_id

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