Trial Outcomes & Findings for Lenvatinib Plus Pembrolizumab In Patients With Immune Checkpoint Inhibitor Naïve Metastatic Uveal Melanoma (NCT NCT05308901)

NCT ID: NCT05308901

Last Updated: 2025-07-25

Results Overview

Progression free survival, defined as the time from enrollment to the first documented evidence of disease progression or death.

Recruitment status

ACTIVE_NOT_RECRUITING

Study phase

PHASE2

Target enrollment

6 participants

Primary outcome timeframe

An average of 6 months and 7 days from the time of enrollment.

Results posted on

2025-07-25

Participant Flow

Participant milestones

Participant milestones
Measure
Pembrolizumab + Lenvatinib
Lenvatinib 20 mg daily plus pembrolizumab 200 mg IV every 3 weeks. Pembrolizumab: 200 mg IV every 3 weeks for a maximum of 2 years. Lenvatinib: 20 mg daily for a maximum of 2 years.
Overall Study
STARTED
6
Overall Study
COMPLETED
0
Overall Study
NOT COMPLETED
6

Reasons for withdrawal

Reasons for withdrawal
Measure
Pembrolizumab + Lenvatinib
Lenvatinib 20 mg daily plus pembrolizumab 200 mg IV every 3 weeks. Pembrolizumab: 200 mg IV every 3 weeks for a maximum of 2 years. Lenvatinib: 20 mg daily for a maximum of 2 years.
Overall Study
Death
6

Baseline Characteristics

Lenvatinib Plus Pembrolizumab In Patients With Immune Checkpoint Inhibitor Naïve Metastatic Uveal Melanoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Pembrolizumab + Lenvatinib
n=6 Participants
Lenvatinib 20 mg daily plus pembrolizumab 200 mg IV every 3 weeks. Pembrolizumab: 200 mg IV every 3 weeks for a maximum of 2 years. Lenvatinib: 20 mg daily for a maximum of 2 years.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
2 Participants
n=5 Participants
Age, Categorical
>=65 years
4 Participants
n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
6 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
6 participants
n=5 Participants
ECOG Performance Status
ECOG PS 0 (Asymptomatic)
6 Participants
n=5 Participants
ECOG Performance Status
ECOG PS 1 (Symptomatic but completely ambulatory)
0 Participants
n=5 Participants
ECOG Performance Status
ECOG PS 2 (Symptomatic, <50% in bed during the day)
0 Participants
n=5 Participants
ECOG Performance Status
ECOG PS 3 (Symptomatic, >50% in bed, but not bedbound)
0 Participants
n=5 Participants
ECOG Performance Status
ECOG PS 4 (Bedbound)
0 Participants
n=5 Participants
ECOG Performance Status
ECOG PS 5 (Death)
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: An average of 6 months and 7 days from the time of enrollment.

Progression free survival, defined as the time from enrollment to the first documented evidence of disease progression or death.

Outcome measures

Outcome measures
Measure
Pembrolizumab + Lenvatinib
n=6 Participants
Lenvatinib 20 mg daily plus pembrolizumab 200 mg IV every 3 weeks. Pembrolizumab: 200 mg IV every 3 weeks for a maximum of 2 years. Lenvatinib: 20 mg daily for a maximum of 2 years.
Evaluate the Effect of Lenvatinib Plus Pembrolizumab on Progression Free Survival
165 days
Interval 63.0 to 504.0

SECONDARY outcome

Timeframe: 6 weeks after treatment discontinuation

Population: Tumor assessments were not completed for 2 patients after treatment discontinuation due to disease progression.

Objective response rate (complete and partial responses assessed by iRECIST)

Outcome measures

Outcome measures
Measure
Pembrolizumab + Lenvatinib
n=4 Participants
Lenvatinib 20 mg daily plus pembrolizumab 200 mg IV every 3 weeks. Pembrolizumab: 200 mg IV every 3 weeks for a maximum of 2 years. Lenvatinib: 20 mg daily for a maximum of 2 years.
Evaluate the Objective Response Rate Resulting From Treatment With Lenvatinib Plus Pembrolizumab
iCR (Complete Response)
0 Participants
Evaluate the Objective Response Rate Resulting From Treatment With Lenvatinib Plus Pembrolizumab
iPR (Partial Response)
0 Participants
Evaluate the Objective Response Rate Resulting From Treatment With Lenvatinib Plus Pembrolizumab
iSD (Stable Disease)
3 Participants
Evaluate the Objective Response Rate Resulting From Treatment With Lenvatinib Plus Pembrolizumab
iUPD (Unconfirmed Progression)
1 Participants
Evaluate the Objective Response Rate Resulting From Treatment With Lenvatinib Plus Pembrolizumab
iCPD (Confirmed Progression)
0 Participants

SECONDARY outcome

Timeframe: 12 weeks post treatment discontinuation

Overall survival, defined as the time from enrollment to death (resulting from any cause).

Outcome measures

Outcome measures
Measure
Pembrolizumab + Lenvatinib
n=6 Participants
Lenvatinib 20 mg daily plus pembrolizumab 200 mg IV every 3 weeks. Pembrolizumab: 200 mg IV every 3 weeks for a maximum of 2 years. Lenvatinib: 20 mg daily for a maximum of 2 years.
Evaluate the Effect of Treatment With Lenvatinib Plus Pembrolizumab on Overall Survival
287 Days
Interval 75.0 to 758.0

SECONDARY outcome

Timeframe: 30 days after last treatment dose, on average 5 months from the start of treatment.

Number of participants who experienced dose reduction or treatment discontinuation due to treatment related adverse events (TRAE).

Outcome measures

Outcome measures
Measure
Pembrolizumab + Lenvatinib
n=6 Participants
Lenvatinib 20 mg daily plus pembrolizumab 200 mg IV every 3 weeks. Pembrolizumab: 200 mg IV every 3 weeks for a maximum of 2 years. Lenvatinib: 20 mg daily for a maximum of 2 years.
Evaluate the Safety and Tolerability of Treatment With Lenvatinib Plus Pembrolizumab in Patients With Metastatic Uveal Melanoma
0 Participants

Adverse Events

Pembrolizumab + Lenvatinib

Serious events: 2 serious events
Other events: 6 other events
Deaths: 6 deaths

Serious adverse events

Serious adverse events
Measure
Pembrolizumab + Lenvatinib
n=6 participants at risk
Lenvatinib 20 mg daily plus pembrolizumab 200 mg IV every 3 weeks. Pembrolizumab: 200 mg IV every 3 weeks for a maximum of 2 years. Lenvatinib: 20 mg daily for a maximum of 2 years.
Respiratory, thoracic and mediastinal disorders
Hoarseness
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Hepatobiliary disorders
Hepatic Hemorrhage
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.

Other adverse events

Other adverse events
Measure
Pembrolizumab + Lenvatinib
n=6 participants at risk
Lenvatinib 20 mg daily plus pembrolizumab 200 mg IV every 3 weeks. Pembrolizumab: 200 mg IV every 3 weeks for a maximum of 2 years. Lenvatinib: 20 mg daily for a maximum of 2 years.
Gastrointestinal disorders
Abdominal cramping
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Gastrointestinal disorders
Abdominal distension
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Gastrointestinal disorders
Abdominal pain
66.7%
4/6 • Number of events 9 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Investigations
Alanine aminotransferase increase
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Blood and lymphatic system disorders
Anemia
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Metabolism and nutrition disorders
Anorexia
50.0%
3/6 • Number of events 4 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Musculoskeletal and connective tissue disorders
Arthralgia
100.0%
6/6 • Number of events 11 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Investigations
Aspartate aminotransferase increased
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Cardiac disorders
Atrial fibrillation
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Musculoskeletal and connective tissue disorders
Back pain
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Gastrointestinal disorders
Bloating
16.7%
1/6 • Number of events 3 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Investigations
Blood bilirubin increased
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Cardiac disorders
Bradycardia
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Injury, poisoning and procedural complications
Bruising
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Skin and subcutaneous tissue disorders
Bullous dermatitis
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Investigations
BUN increased
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Musculoskeletal and connective tissue disorders
Bursitis, L Knee
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Skin and subcutaneous tissue disorders
Callous
16.7%
1/6 • Number of events 2 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
General disorders
Cold like symptoms
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Psychiatric disorders
Confusion
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Gastrointestinal disorders
Constipation
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Respiratory, thoracic and mediastinal disorders
Cough
50.0%
3/6 • Number of events 3 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Renal and urinary disorders
Cystitis noninfective
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Gastrointestinal disorders
Dental caries
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Gastrointestinal disorders
Dermatitis, rectum
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Gastrointestinal disorders
Diarrhea
33.3%
2/6 • Number of events 6 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Gastrointestinal disorders
Displaced tooth
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Nervous system disorders
Dizziness
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Nervous system disorders
Dysarthria
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Nervous system disorders
Dysgeusia
50.0%
3/6 • Number of events 4 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Gastrointestinal disorders
Dyspepsia
33.3%
2/6 • Number of events 2 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Respiratory, thoracic and mediastinal disorders
Dyspnea
33.3%
2/6 • Number of events 2 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Gastrointestinal disorders
Early satiety
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
General disorders
Edema, limbs
50.0%
3/6 • Number of events 4 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Respiratory, thoracic and mediastinal disorders
Epistaxis
33.3%
2/6 • Number of events 2 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Skin and subcutaneous tissue disorders
Erythema multiforme, bilateral ankles
16.7%
1/6 • Number of events 3 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
General disorders
Fatigue
83.3%
5/6 • Number of events 10 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Gastrointestinal disorders
Flatulence
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Injury, poisoning and procedural complications
Fracture, tooth
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Reproductive system and breast disorders
Genital edema
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Musculoskeletal and connective tissue disorders
Gout, L big Toe
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Nervous system disorders
Headache
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Respiratory, thoracic and mediastinal disorders
Hiccups
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Respiratory, thoracic and mediastinal disorders
Hoarseness
33.3%
2/6 • Number of events 2 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Skin and subcutaneous tissue disorders
Hyperhidrosis
33.3%
2/6 • Number of events 2 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Vascular disorders
Hypertension
66.7%
4/6 • Number of events 6 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Metabolism and nutrition disorders
Hypoalbuminemia
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Endocrine disorders
Hypothyroidism
16.7%
1/6 • Number of events 2 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Musculoskeletal and connective tissue disorders
Immune mediated arthritis
16.7%
1/6 • Number of events 3 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Psychiatric disorders
Insomnia
50.0%
3/6 • Number of events 3 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Skin and subcutaneous tissue disorders
Maculo-papular rash, left knee
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Psychiatric disorders
Mental fog
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Musculoskeletal and connective tissue disorders
Muscle cramps
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Musculoskeletal and connective tissue disorders
Myalgia
33.3%
2/6 • Number of events 4 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Gastrointestinal disorders
Nausea
83.3%
5/6 • Number of events 6 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasm, benign- Dentigerous cyst, R maxilla
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
General disorders
Non-cardiac chest pain
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Gastrointestinal disorders
Oral dysesthesia
50.0%
3/6 • Number of events 3 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Gastrointestinal disorders
Oral sensitivity
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Skin and subcutaneous tissue disorders
Pain of skin (tender/sensitive)
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Skin and subcutaneous tissue disorders
Palmar-Plantar Erythrodysesthesia Syndrome
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Skin and subcutaneous tissue disorders
Phytophotodermatitis
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Infections and infestations
Pneumonia
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Respiratory, thoracic and mediastinal disorders
Postnasal drip
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Renal and urinary disorders
Proteinuria
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Skin and subcutaneous tissue disorders
Pruritus
33.3%
2/6 • Number of events 3 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Renal and urinary disorders
Pyuria
33.3%
2/6 • Number of events 3 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Skin and subcutaneous tissue disorders
Rash maculo-papular
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Eye disorders
Retinal ischemia
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Injury, poisoning and procedural complications
Right Medial Meniscus Tear
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Respiratory, thoracic and mediastinal disorders
Sinus Congestion
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Cardiac disorders
Sinus Tachycardia
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Gastrointestinal disorders
Stomach pain
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Blood and lymphatic system disorders
Thrombocytopenia
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Gastrointestinal disorders
Tooth pain
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Infections and infestations
Urinary tract infection
33.3%
2/6 • Number of events 2 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Skin and subcutaneous tissue disorders
Urticaria
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Nervous system disorders
Vasovagal Syncope
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Gastrointestinal disorders
Vomiting
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Musculoskeletal and connective tissue disorders
Weakness
16.7%
1/6 • Number of events 1 • 2 years
Adverse events were collected during each visit and at end of treatment visit.
Investigations
Weight Loss
33.3%
2/6 • Number of events 6 • 2 years
Adverse events were collected during each visit and at end of treatment visit.

Additional Information

Dr. Matthew Taylor

Providence Portland Medical Center

Phone: 503-215-1979

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place