To Access the Safety and Effects of Intravenous Administration of VIR-5818 Alone and in Combination With Pembrolizumab in Adult Participants With Locally Advanced or Metastatic HER2-Expressing Cancers

NCT ID: NCT05356741

Last Updated: 2025-09-24

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

PHASE1/PHASE2

Total Enrollment

645 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-04-13

Study Completion Date

2027-08-16

Brief Summary

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This first-in-human (FIH) Phase 1 open-label multicenter dose-escalation and dose-expansion study is designed to evaluate the safety, pharmacokinetics, and preliminary activity of VIR-5818 (Formerly AMX-818) as a single agent and in combination with pembrolizumab in participants with HER2+ tumors across multiple tumor types. The study will be conducted in four parts:

* Part 1 (dose escalation): Single-agent VIR-5818
* Part 2 (dose escalation): VIR-5818 plus pembrolizumab
* Part 3 (dose expansion): Single-agent VIR-5818
* Part 4 (dose expansion): VIR-5818 plus pembrolizumab

The total length of the study, from screening of the first participant to the end of the study, is expected to be approximately 52 months.

Detailed Description

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Conditions

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Locally Advanced or Metastatic HER2-Expressing Cancers

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Part 1 (dose escalation)

Participants will receive single-agent VIR-5818

Group Type EXPERIMENTAL

VIR-5818

Intervention Type DRUG

Administered as IV infusion

Part 2 (dose escalation)

Participants will receive VIR-5818 plus pembrolizumab

Group Type EXPERIMENTAL

VIR-5818

Intervention Type DRUG

Administered as IV infusion

pembrolizumab

Intervention Type DRUG

Administered as IV infusion

Part 3 (dose expansion)

Participants will receive single-agent VIR-5818

Group Type EXPERIMENTAL

VIR-5818

Intervention Type DRUG

Administered as IV infusion

Part 4 (dose expansion

Participants will receive VIR-5818 plus pembrolizumab

Group Type EXPERIMENTAL

VIR-5818

Intervention Type DRUG

Administered as IV infusion

pembrolizumab

Intervention Type DRUG

Administered as IV infusion

Interventions

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VIR-5818

Administered as IV infusion

Intervention Type DRUG

pembrolizumab

Administered as IV infusion

Intervention Type DRUG

Other Intervention Names

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KEYTRUDA®

Eligibility Criteria

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Inclusion Criteria

* Written informed consent by the participant (or legally acceptable representative if applicable)
* Life expectancy of at least 12 weeks
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
* Diseases under study, prior lines of therapy, and human epidermal growth factor receptor 2 (HER2) status, per local tests

Exclusion Criteria

* Significant cardiopulmonary disease and recent cardiac events
* History of major organ autoimmune diseases
* Acute or chronic infections

The above information is not intended to contain all considerations relevant to the potential participation in a clinical trial.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role collaborator

Vir Biotechnology, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Investigational site number #100

Melbourne, Victoria, Australia

Site Status RECRUITING

Investigational site number #101

Randwick, , Australia

Site Status RECRUITING

Investigational site number #150

Toulouse, , France

Site Status RECRUITING

Investigational site number #200

Porto, , Portugal

Site Status RECRUITING

Investigational site number #255

Barcelona, , Spain

Site Status RECRUITING

Investigational site number #251

Barcelona, , Spain

Site Status RECRUITING

Investigational site number #254

Madrid, , Spain

Site Status RECRUITING

Investigational site number #252

Madrid, , Spain

Site Status RECRUITING

Investigational site number #250

Pamplona, , Spain

Site Status RECRUITING

Investigational site number #253

Pozuelo de Alarcón, , Spain

Site Status RECRUITING

Countries

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Australia France Portugal Spain

Central Contacts

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Study Inquiry

Role: CONTACT

415-654-5281

Other Identifiers

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MK-3475-D14

Identifier Type: OTHER

Identifier Source: secondary_id

KEYNOTE-D14

Identifier Type: OTHER

Identifier Source: secondary_id

VIR-5818-V101

Identifier Type: -

Identifier Source: org_study_id

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