Pembrolizumab, Lenvatinib and Chemotherapy After TKIs in NSCLC

NCT ID: NCT04989322

Last Updated: 2021-12-08

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

46 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-10-05

Study Completion Date

2024-12-31

Brief Summary

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Adding chemotherapy or anti-VEGF to immunotherapy is an emerging strategy to enhance the efficacy of immunotherapy in many cancers. This phase 2 study aims to explore the preliminary efficacy of combination pembrolizumab with lenvatinib and chemotherapy in NSCLC patients with sensitizing EGFR, ALK, or ROS1 genetic aberration refractory to standard targeted therapy.

Detailed Description

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Conditions

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Nsclc EGFR Activating Mutation EGF-R Positive Non-Small Cell Lung Cancer ALK Gene Rearrangement Positive ROS1 Gene Rearrangement ROS1 Positive NSCLC - Reactive Oxygen Species 1 Positive Non-Small Cell Lung 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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Treatment

Group Type EXPERIMENTAL

Pembrolizumab

Intervention Type DRUG

200 mg Q3W

Lenvatinib

Intervention Type DRUG

8 mg daily

Pemetrexed

Intervention Type DRUG

500 mg/m2 Q3W

Carboplatin

Intervention Type DRUG

AUC5 Q3W

Interventions

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Pembrolizumab

200 mg Q3W

Intervention Type DRUG

Lenvatinib

8 mg daily

Intervention Type DRUG

Pemetrexed

500 mg/m2 Q3W

Intervention Type DRUG

Carboplatin

AUC5 Q3W

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histologically proven NSCLC
* Unresectable or metastatic NSCLC, including squamous cell carcinoma, harboring sensitizing EGFR, ALK, or ROS1 genetic aberrations who have received standard of care targeted therapy and have progressed on treatment. Patients with known T790M mutation should have received osimertinib and failed.
* Measurable disease per RECIST 1.1
* ECOG performance status ≤ 1
* Adequate organ function
* Adequately controlled blood pressure

Exclusion Criteria

* Prior exposure to immunotherapy or chemotherapy
* Active untreated brain metastasis and/or carcinomatous meningitis
* Active, known or suspected autoimmune disease
* History of (noninfectious) pneumonitis that required systemic steroids or current pneumonitis/interstitial lung disease
* Condition requiring systemic treatment with either corticosteroids (\> 10 mg daily prednisone equivalent) or other immunosuppressive medications
* Baseline proteinuria ≥ 1 g/24 hrs
* Electrolyte abnormalities that have not been corrected
* Significant cardiovascular impairment
* Gastrointestinal pathology that might affect the absorption of lenvatinib
* Preexisting grade ≥ 3 gastrointestinal or non gastrointestinal fistula
* Bleeding or thrombotic disorders or subjects at risk for severe hemorrhage
* Radiographic evidence of intratumoral caviations, encasement, or invasion of a major blood vessel
* Known history of tuberculosis
* Active, acute, or chronic clinically significant infections requiring therapy, including hepatitis B, hepatitis C, and HIV
* ECG with long QTc interval ≥ 470 ms
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Dr Joanne CHIU

OTHER

Sponsor Role lead

Responsible Party

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Dr Joanne CHIU

Assistant Professor

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Queen Mary Hospital

Hong Kong, , Hong Kong

Site Status RECRUITING

Countries

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Hong Kong

Central Contacts

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Dr Joanne Chiu, MBBS

Role: CONTACT

Phone: +852-22553111

Email: [email protected]

Dr James Ho, MBBS

Role: CONTACT

Phone: +852-22553111

Email: [email protected]

Other Identifiers

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MK-3475-C50

Identifier Type: OTHER

Identifier Source: secondary_id

475-0708-MT-Lung

Identifier Type: -

Identifier Source: org_study_id