A Study of Pembrolizumab/Vibostolimab (MK-7684A) in Relapsed/Refractory Hematological Malignancies (MK-7684A-004, KEYVIBE-004)

NCT ID: NCT05005442

Last Updated: 2025-12-17

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

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

192 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-09-28

Study Completion Date

2024-12-10

Brief Summary

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The purpose of the study is to determine the safety and tolerability of pembrolizumab/vibostolimab (MK-7684A) in hematological malignancies. This study will also evaluate the overall response rate (ORR), the duration of response (DOR), and disease control rate (DCR) following administration of pembrolizumab/vibostolimab. In addition, this study will characterize pharmacokinetic (PK) profile of vibostolimab (MK-7684).

Detailed Description

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Conditions

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Hematological Malignancies

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/vibostolimab coformulation

Participants will receive pembrolizumab/vibostolimab (coformulation of 200 mg pembrolizumab and 200 mg vibostolimab) via intravenous IV infusion once every 3 weeks (Q3W) for up to 35 cycles up to approximately 2 years.

Group Type EXPERIMENTAL

Pembrolizumab/vibostolimab coformulation

Intervention Type BIOLOGICAL

Pembrolizumab 200 mg + vibostolimab 200 mg/20 mL vial IV infusion Q3W up to approximately 2 years.

Interventions

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Pembrolizumab/vibostolimab coformulation

Pembrolizumab 200 mg + vibostolimab 200 mg/20 mL vial IV infusion Q3W up to approximately 2 years.

Intervention Type BIOLOGICAL

Other Intervention Names

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MK7684A

Eligibility Criteria

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Inclusion Criteria

\- Have confirmed relapsed/refractory classic Hodgkins Lymphoma (cHL), Primary mediastinal B-cell lymphoma (PMBCL), Follicular Lymphoma (FL), Diffuse large B-cell lymphoma (DLBCL) or Non-Hodgkins Lymphoma (NHL), or multiple myeloma (MM).

For PMBCL, DLBCL, FL, and MM:

\- Must be relapsed or refractory to CAR-T-cell therapy or unable to receive it.

For DLBCL and NHL:

\- Must have exhausted or be ineligible for or intolerant to all treatments, which in the opinion of the investigator are standard of care for their disease.

For NHL:

\- Participants with Mantle cell lymphoma (MCL) must have received prior Bruton's tyrosine kinase inhibitor therapy.

All participants:

* Have measurable disease.
* Have adequate organ function.
* Participants who are Hepatitis B surface antigen (HBsAg) positive are eligible if they have received Hepatitis B (HBV) antiviral therapy for at least 4 weeks and have undetectable HBV viral load before allocation.
* Must be able to provide newly obtained bone marrow biopsy or aspirate material for disease assessment.
* Female participants are eligible to participate if not pregnant or breastfeeding, and at least one of the following conditions applies: Is not a woman of non child-bearing potential (WONCBP) OR Is a woman of childbearing potential (WOCBP) and using a contraceptive method that is highly effective, or be abstinent from heterosexual intercourse as their preferred and usual lifestyle.

Exclusion Criteria

For DLBCL and NHL:

\- Has lymphoplasmacytic lymphomas, Waldenstrom's macroglobulinemia, chronic lymphocytic leukemia (not associated with small lymphocytic lymphoma), Burkitt (-like) lymphoma, mature T cell and NK cell neoplasms, immunodeficiency associated lymphoproliferative neoplasms, or histiocytic and dendritic cell neoplasms.

For MM:

* Has oligo-secretory myeloma, plasma cell leukemia, smoldering multiple myeloma, or monoclonal gammopathy of undetermined significance.
* Has a history of primary amyloidosis, hyperviscosity or POEMS syndrome (plasma cell dyscrasia with polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, and skin changes).
* Has known prior or current central nervous system (CNS) involvement.

For Epstein Barr virus (EBV) positive DLBCL:

\- Associated with a solid organ transplant.

For all participants:

* A WOCBP who has a positive urine pregnancy test within 72 hours before study intervention allocation.
* Has clinically significant cardiovascular disease within 12 months from first dose of study intervention.
* Has a history of a second malignancy.
* Any PMBCL participants that require the use of urgent cytoreductive therapy.
* If the participant had major surgery, the participant must have recovered adequately from the procedure and/or any complications from the surgery before starting study intervention.
* Has received prior radiotherapy within 2 weeks of start of study intervention.
* Has received a live or live-attenuated vaccine within 30 days before the first dose of study intervention.
* Is currently participating in or has participated in a study of an investigational agent or has used an investigational device within 4 weeks before the first dose of study intervention.
* Has a known severe hypersensitivity to MK-7684A, vibostolimab or pembrolizumab and/or any of its excipients.
* Has a known history of Human Immunodeficiency Virus (HIV) infection.
* Has an active autoimmune disease that has required systemic treatment in past 2 years.
* Has an active infection requiring systemic therapy.
* Has a known psychiatric or substance abuse disorder that would interfere with the participant's ability to cooperate with the requirements of the study.
* Has present or progressive accumulation of pleural, ascitic, or pericardial fluid requiring drainage or diuretic drugs within 2 weeks before enrollment.
* Has dual active HBV infection (HBsAg (+) and /or detectable HBV DNA) and Hepatitis C (HCV) infection (anti-HCV Ab (+) and detectable HCV RNA) at study entry..
* Has had an allogenic hematopoietic stem cell/solid organ transplantation within the last 5 years.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Merck Sharp & Dohme LLC

Locations

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City of Hope Comprehensive Cancer Center-Hematology ( Site 0024)

Duarte, California, United States

Site Status

University of Colorado Anschutz Medical Campus-The Center for Cancer and Blood Disorders ( Site 0021

Aurora, Colorado, United States

Site Status

University of Chicago Medical Center ( Site 0005)

Chicago, Illinois, United States

Site Status

Henry Ford Hospital ( Site 0003)

Detroit, Michigan, United States

Site Status

John Theurer Cancer Center at Hackensack University Medical Center ( Site 0004)

Hackensack, New Jersey, United States

Site Status

Rutgers Cancer Institute of New Jersey ( Site 0023)

New Brunswick, New Jersey, United States

Site Status

University of Texas MD Anderson Cancer Center ( Site 0014)

Houston, Texas, United States

Site Status

Medical Oncology Associates, PS ( Site 0001)

Spokane, Washington, United States

Site Status

MEDICAL COLLEGE OF WISCONSIN ( Site 0016)

Milwaukee, Wisconsin, United States

Site Status

Instituto do Câncer e Transplante de Curitiba ( Site 0611)

Curitiba, Paraná, Brazil

Site Status

Liga Norte Riograndense Contra o Câncer-Centro de Pesquisa Clínica ( Site 0601)

Natal, Rio Grande do Norte, Brazil

Site Status

BC Cancer Vancouver ( Site 0034)

Vancouver, British Columbia, Canada

Site Status

Princess Margaret Cancer Centre-Division of Medical Oncology and Hematology ( Site 0031)

Toronto, Ontario, Canada

Site Status

Jewish General Hospital ( Site 0032)

Montreal, Quebec, Canada

Site Status

McGill University Health Centre ( Site 0037)

Montreal, Quebec, Canada

Site Status

Instituto Nacional del Cancer ( Site 0626)

Chile, Region M. de Santiago, Chile

Site Status

FALP-UIDO ( Site 0623)

Santiago, Region M. de Santiago, Chile

Site Status

Rigshospitalet-Hematology - CTU ( Site 0361)

Copenhagen, Capital Region, Denmark

Site Status

Aarhus Universitetshospital, Skejby-Blodsygdomme ( Site 0362)

Aarhus, Central Jutland, Denmark

Site Status

Gustave Roussy-DITEP ( Site 0301)

Villejuif, Paris, France

Site Status

centre hospitalier lyon sud-Service Hématologie ( Site 0300)

Pierre-Bénite, Rhone, France

Site Status

Pitie Salpetriere University Hospital-Clinical haematology ( Site 0304)

Paris, , France

Site Status

Universitätsklinikum Marburg ( Site 0333)

Marburg, Hesse, Germany

Site Status

Universitaetsklinikum Koeln-Klinik I für Innere Medizin ( Site 0321)

Cologne, North Rhine-Westphalia, Germany

Site Status

Universitaetsklinikum Essen ( Site 0327)

Essen, North Rhine-Westphalia, Germany

Site Status

Klinikum Mutterhaus der Borromäerinnen-Innere Medizin I ( Site 0325)

Trier, Rhineland-Palatinate, Germany

Site Status

Universitätsklinikum Leipzig ( Site 0328)

Leipzig, Saxony, Germany

Site Status

Universitaetsklinikum Hamburg-Eppendorf-II. medical clinic ( Site 0332)

Hamburg, , Germany

Site Status

Pécsi Tudományegyetem Klinikai Központ-I.sz. Belgyógyászati Klinika Hematológia ( Site 0401)

Pécs, Baranya, Hungary

Site Status

Országos Onkológiai Intézet-HEMATOLÓGIA ÉS LYMPHOMA OSZTÁLY KEMOTERÁPIA A ( Site 0405)

Budapest, Pest County, Hungary

Site Status

Semmelweis University-Belgyógyászati és Hematológiai Klinika ( Site 0403)

Budapest, , Hungary

Site Status

Debreceni Egyetem Klinikai Kozpont-Belgyógyászati Klinika (Haematologia) ( Site 0402)

Debrecen, , Hungary

Site Status

Soroka Medical Center-Hematology Department ( Site 0523)

Beersheba, , Israel

Site Status

Rambam Health Care Campus ( Site 0526)

Haifa, , Israel

Site Status

Hadassah Medical Center ( Site 0522)

Jerusalem, , Israel

Site Status

Sheba Medical Center-Hemato Oncology ( Site 0524)

Ramat Gan, , Israel

Site Status

Sourasky Medical Center ( Site 0525)

Tel Aviv, , Israel

Site Status

Fondazione Policlinico Universitario Agostino Gemelli-ISTITUTO DI EMATOLOGIA ( Site 0383)

Rome, Lazio, Italy

Site Status

Azienda Ospedaliera Spedali Civili di Brescia-Hemathology ( Site 0400)

Brescia, Lombardy, Italy

Site Status

Ospedale San Raffaele-Unità Linfomi ( Site 0382)

Milan, Lombardy, Italy

Site Status

Policlinico S. Orsola- Malpighi-Istituto di Ematologia "L. e A. Seragnoli" ( Site 0381)

Bologna, , Italy

Site Status

Uniwersytecki Szpital Kliniczny-Klinika Hematologii, Nowotworow Krwi i Transplantacji Szpiku ( Site

Wrocaw, Lower Silesian Voivodeship, Poland

Site Status

Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - P-Klinika Nowotworów Układu Chłonnego ( S

Warsaw, Masovian Voivodeship, Poland

Site Status

Uniwersyteckie Centrum Kliniczne-Klinika Hematologii i Transplantologii ( Site 0424)

Gdansk, Pomeranian Voivodeship, Poland

Site Status

Narodowy Instytut Onkologii - Oddzial w Gliwicach ( Site 0427)

Gliwice, Silesian Voivodeship, Poland

Site Status

GBUZ Republican Clinical Oncological Dispensary-Antitumor drug therapy department ( Site 0548)

Ufa, Baskortostan, Respublika, Russia

Site Status

Almazov National Medical Research Centre-Intensive care unit No. 10 for oncohematological patients (

Saint Petersburg, Leningradskaya Oblast', Russia

Site Status

Moscow City Clinical Hospital S.P. Botkin ( Site 0547)

Moscow, Moscow, Russia

Site Status

Russian Scientific Research Institute of Hematology and Blood Transfusion-Hematology ( Site 0542)

Saint Petersburg, Sankt-Peterburg, Russia

Site Status

Instituto Catalan de Oncologia - Hospital Duran i Reynals-Haematology Department ( Site 0442)

L'Hospitalet Del Llobregat, Barcelona, Spain

Site Status

Clinica Universidad de Navarra ( Site 0444)

Pamplona, Navarre, Spain

Site Status

Hospital Universitario Fundación Jiménez Díaz-Oncology & Hematology ( Site 0446)

Madrid, , Spain

Site Status

Hospital Universitario de Salamanca-Hematology ( Site 0441)

Salamanca, , Spain

Site Status

Chang Gung Memorial Hospital at Kaohsiung ( Site 0263)

Kaohsiung Niao Sung Dist, Kaohsiung, Taiwan

Site Status

Chang Gung Medical Foundation-Linkou Branch ( Site 0262)

Taoyuan District, , Taiwan

Site Status

Ege University Medicine of Faculty ( Site 0565)

Bornova, İzmir, Turkey (Türkiye)

Site Status

Ankara University Hospital Cebeci ( Site 0561)

Ankara, , Turkey (Türkiye)

Site Status

Mega Medipol-Hematology ( Site 0567)

Istanbul, , Turkey (Türkiye)

Site Status

Vehbi Koc Vakfi - Amerikan Hastanesi ( Site 0562)

Istanbul, , Turkey (Türkiye)

Site Status

Dokuz Eylül Üniversitesi-Hematology ( Site 0563)

Izmir, , Turkey (Türkiye)

Site Status

Ondokuz Mayıs Universitesi ( Site 0564)

Samsun, , Turkey (Türkiye)

Site Status

Cherkasy Regional Oncology Dispensary ( Site 0593)

Cherkassy, Cherkasy Oblast, Ukraine

Site Status

National Cancer Institute ( Site 0585)

Kyiv, Kyivska Oblast, Ukraine

Site Status

Institute of Transfusion Medicine and Blood of the National Academy of Medical Sciences of Ukraine (

Lviv, Lviv Oblast, Ukraine

Site Status

National Research Center for Radiation Medicine of National Academy of Medical Sciences of Ukraine (

Kyiv, , Ukraine

Site Status

Countries

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United States Brazil Canada Chile Denmark France Germany Hungary Israel Italy Poland Russia Spain Taiwan Turkey (Türkiye) Ukraine

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Related Links

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https://www.merckclinicaltrials.com/

Merck Clinical Trials Information

Other Identifiers

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MK-7684A-004

Identifier Type: OTHER

Identifier Source: secondary_id

KEYVIBE-004

Identifier Type: OTHER

Identifier Source: secondary_id

2021-001700-15

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

7684A-004

Identifier Type: -

Identifier Source: org_study_id