Pembrolizumab With Chemotherapy and MK-4830 for Treating Participants With Ovarian Cancer (MK-4830-002)

NCT ID: NCT05446870

Last Updated: 2025-10-01

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

160 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-07-25

Study Completion Date

2024-10-16

Brief Summary

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The primary objective is to evaluate in participants with high-grade serous ovarian cancer (HGSOC), whether the reduction from baseline in circulating tumor deoxyribonucleic acid (ctDNA) at Cycle 3 (ΔctDNA) is larger in participants receiving MK-4830 + pembrolizumab in combination with standard of care (SOC) therapy than in those receiving pembrolizumab + SOC therapy.

Detailed Description

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Conditions

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High-grade Serous Ovarian Carcinoma Ovarian Carcinoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Pembrolizumab + Standard of Care (SOC) + MK-4830

Before surgery participants will receive pembrolizumab 200 mg, paclitaxel 175 mg/m\^2 (or docetaxel 75 mg/m\^2), carboplatin Area Under the Curve (AUC) 5 to 6, and MK-4830 800 mg by intravenous (IV) infusion on Day 1 of each 21-day cycle (every 3 weeks \[Q3W\]) for 3 cycles. After surgery participants will receive pembrolizumab 200 mg, paclitaxel 175 mg/m\^2 (or docetaxel 75 mg/m\^2), carboplatin AUC 5 to 6, and MK-4830 800 mg (with avastin \[or biosimilar\] at the investigator's discretion and per insitutional guidelines) by IV infusion on Day 1 of each 21-day cycle (Q3W) for 3 cycles.

Group Type EXPERIMENTAL

Pembrolizumab

Intervention Type BIOLOGICAL

200 mg by IV infusion on Day 1 of each 21-day cycle

Paclitaxel

Intervention Type DRUG

175 mg/m\^2 by IV infusion on Day 1 of each 21-day cycle

Carboplatin

Intervention Type DRUG

AUC 5 to 6 by IV infusion on Day 1 of each 21-day cycle

Avastin

Intervention Type BIOLOGICAL

According to local practice and at the choice of the investigator.

MK-4830

Intervention Type BIOLOGICAL

800 mg by IV infusion on Day 1 of each 21-day cycle

Docetaxel

Intervention Type DRUG

75 mg/m\^2 by IV infusion on Day 1 of each 21-day cycle

Pembrolizumab + SOC

Before surgery participants will receive pembrolizumab 200 mg, paclitaxel 175 mg/m\^2 (or docetaxel 75 mg/m\^2), and carboplatin AUC 5 to 6 by IV infusion on Day 1 of each 21-day cycle (Q3W) for 3 cycles. After surgery participants will receive pembrolizumab 200 mg, paclitaxel 175 mg/m\^2 (or docetaxel 75 mg/m\^2), and carboplatin AUC 5 to 6 (with avastin \[or biosimilar\] at the investigator's discretion and per insitutional guidelines) by IV infusion on Day 1 of each 21-day cycle (Q3W) for 3 cycles.

Group Type ACTIVE_COMPARATOR

Pembrolizumab

Intervention Type BIOLOGICAL

200 mg by IV infusion on Day 1 of each 21-day cycle

Paclitaxel

Intervention Type DRUG

175 mg/m\^2 by IV infusion on Day 1 of each 21-day cycle

Carboplatin

Intervention Type DRUG

AUC 5 to 6 by IV infusion on Day 1 of each 21-day cycle

Avastin

Intervention Type BIOLOGICAL

According to local practice and at the choice of the investigator.

Docetaxel

Intervention Type DRUG

75 mg/m\^2 by IV infusion on Day 1 of each 21-day cycle

Interventions

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Pembrolizumab

200 mg by IV infusion on Day 1 of each 21-day cycle

Intervention Type BIOLOGICAL

Paclitaxel

175 mg/m\^2 by IV infusion on Day 1 of each 21-day cycle

Intervention Type DRUG

Carboplatin

AUC 5 to 6 by IV infusion on Day 1 of each 21-day cycle

Intervention Type DRUG

Avastin

According to local practice and at the choice of the investigator.

Intervention Type BIOLOGICAL

MK-4830

800 mg by IV infusion on Day 1 of each 21-day cycle

Intervention Type BIOLOGICAL

Docetaxel

75 mg/m\^2 by IV infusion on Day 1 of each 21-day cycle

Intervention Type DRUG

Other Intervention Names

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MK-3475 KEYTRUDA® TAXOL® PARAPLATIN® Bevacizumab Zirabev MVASI AYBINTIO Versavo Onbevezy OYAVAS ALYMSYS Avegra

Eligibility Criteria

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Inclusion Criteria

* Has histologically-confirmed International Federation of Gynecology and Obstetrics (FIGO) Stage III or Stage IV HGSOC, primary peritoneal cancer, or fallopian tube cancer.
* Is a candidate for carboplatin and paclitaxel chemotherapy, to be administered in the neoadjuvant and adjuvant setting.
* Is a candidate for interval debulking surgery.
* Is able to provide archival tissue or newly obtained core, incisional, or excisional biopsy of a tumor lesion.
* Has adequate organ functions.

Exclusion Criteria

* Has a non-HGSOC histology.
* Has a history of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease.
* Has a known additional malignancy that is progressing or has required active treatment within the past 3 years.
* Has received prior treatment for any stage of ovarian cancer (OC), including radiation or systemic anticancer therapy.
* Planned or has been administered intraperitoneal chemotherapy as first-line therapy.
* Has received prior therapy with an anti-programmed cell death 1 protein (PD-1), anti-programmed cell death 1 ligand 1 (PD-L1), anti-programmed cell death 1 ligand 2 (PD-L2), anti-immunoglobulin-like transcript 4 (ILT4), or anti-human leukocyte antigen (HLA)-G agent or with an agent directed to another stimulatory or coinhibitory T-cell receptor.
* 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 diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (in dosing exceeding 10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy within 7 days prior the first dose of study medication.
* Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis.
* Has severe hypersensitivity to pembrolizumab, carboplatin, paclitaxel (or docetaxel, if applicable), Avastin or biosimilar (if using) and/or any of their excipients.
* Has an active autoimmune disease that has required systemic treatment in past 2 years.
* Has an active infection requiring systemic therapy.
* Has a known history of human immunodeficiency virus (HIV) infection.
* Has a known history of hepatitis B or known active hepatitis C virus infection.
* Has received colony-stimulating factors within 4 weeks prior to receiving study intervention on Day 1 of Cycle 1.
* Has had surgery \<6 months prior to Screening to treat borderline ovarian tumors, early-stage OC, or early-stage fallopian tube cancer.
* 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 current, clinically relevant bowel obstruction.
* Has a history of hemorrhage, hemoptysis, or active gastrointestinal (GI) bleeding within 6 months prior to randomization.
* Has uncontrolled hypertension.
* Has had an allogenic tissue/solid organ transplant.
* Has either had major surgery within 3 weeks of randomization or has not recovered from any effects of any major surgery.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

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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University of Colorado Anschutz Medical Campus-Cancer Clinical Trials Office ( Site 0108)

Aurora, Colorado, United States

Site Status

Mayo Clinic in Florida ( Site 0101)

Jacksonville, Florida, United States

Site Status

Miami Cancer Institute at Baptist Health, Inc. ( Site 0110)

Miami, Florida, United States

Site Status

Northwestern Memorial Hospital ( Site 0104)

Chicago, Illinois, United States

Site Status

Washington University ( Site 0113)

St Louis, Missouri, United States

Site Status

Rutgers Cancer Institute of New Jersey ( Site 0114)

New Brunswick, New Jersey, United States

Site Status

Roswell Park Cancer Institute ( Site 0106)

Buffalo, New York, United States

Site Status

Perlmutter Cancer Center at NYU Langone Hospital - Long Island ( Site 0116)

Mineola, New York, United States

Site Status

Laura and Isaac Perlmutter Cancer Center at NYU Langone ( Site 0107)

New York, New York, United States

Site Status

Memorial Sloan Kettering Cancer Center ( Site 0102)

New York, New York, United States

Site Status

Sanford Cancer Center-Gynecologic Oncology ( Site 0115)

Sioux Falls, South Dakota, United States

Site Status

Fred Hutchinson Cancer Center ( Site 0100)

Seattle, Washington, United States

Site Status

Antwerp University Hospital-Oncology ( Site 1301)

Edegem, Antwerpen, Belgium

Site Status

AZ Maria Middelares-IKG ( Site 1302)

Ghent, Oost-Vlaanderen, Belgium

Site Status

UZ Leuven ( Site 1300)

Leuven, Vlaams-Brabant, Belgium

Site Status

Centre Hospitalier de l'Université de Montréal ( Site 0300)

Montreal, Quebec, Canada

Site Status

McGill University Health Centre ( Site 0301)

Montreal, Quebec, Canada

Site Status

FALP ( Site 0905)

Santiago, Region M. de Santiago, Chile

Site Status

Pontificia Universidad Catolica de Chile-Centro del Cáncer ( Site 0900)

Santiago, Region M. de Santiago, Chile

Site Status

James Lind Centro de Investigación del Cáncer ( Site 0903)

Temuco, Región de la Araucanía, Chile

Site Status

ONCOCENTRO APYS-ACEREY ( Site 0904)

Viña del Mar, Región de Valparaíso, Chile

Site Status

Rambam Health Care Campus-Gyneco-oncology unit ( Site 0602)

Haifa, , Israel

Site Status

Shaare Zedek Medical Center ( Site 0601)

Jerusalem, , Israel

Site Status

Sheba Medical Center-ONCOLOGY ( Site 0600)

Ramat Gan, , Israel

Site Status

Istituto Nazionale Tumori IRCCS Fondazione Pascale-S.C. Oncologia Sperimentale Uro-Genitale ( Site 0

Napoli, Campania, Italy

Site Status

Fondazione Policlinico Universitario Agostino Gemelli-Ginecologia Oncologica ( Site 0502)

Rome, Lazio, Italy

Site Status

Fondazione IRCCS Istituto Nazionale dei Tumori-Struttura Complessa Chirurgia Ginecologica ( Site 050

Milan, Lombardy, Italy

Site Status

Istituto Europeo di Oncologia IRCCS-Divisione di Ginecologia Oncologica ( Site 0501)

Milan, , Italy

Site Status

Uniwersytecki Szpital Kliniczny w Poznaniu-Oddzial Ginekologii Onkologicznej ( Site 0709)

Poznan, Greater Poland Voivodeship, Poland

Site Status

Mazowiecki Szpital Wojewódzki w Siedlcach-Siedleckie Centrum Onkologii ( Site 0701)

Siedlce, Masovian Voivodeship, Poland

Site Status

Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - P-Klinika Ginekologii Onkologicznej ( Sit

Warsaw, Masovian Voivodeship, Poland

Site Status

Uniwersyteckie Centrum Kliniczne-Klinika Ginekologii, Ginekologii Onkologicznej i Endokrynologii Gi

Gdansk, Pomeranian Voivodeship, Poland

Site Status

Swietokrzyskie Centrum Onkologii, Samodzielny Publiczny Zaklad Opieki Zdrowotnej ( Site 0708)

Kielce, Świętokrzyskie Voivodeship, Poland

Site Status

National Cancer Centre Singapore ( Site 1501)

Singapore, Central Singapore, Singapore

Site Status

National University Hospital ( Site 1502)

Singapore, South West, Singapore

Site Status

Seoul National University Hospital ( Site 0801)

Seoul, , South Korea

Site Status

Severance Hospital, Yonsei University Health System-Gynecologic cancer center ( Site 0800)

Seoul, , South Korea

Site Status

Instituto Catalan de Oncologia - Hospital Duran i Reynals-Medical Oncology ( Site 1103)

Hospitalet, Barcelona, Spain

Site Status

Hospital Universitario 12 de Octubre-Medical Oncology ( Site 1104)

Madrid, Madrid, Comunidad de, Spain

Site Status

Hospital Universitari Vall d'Hebron-Departamento de Oncologia- VHIO ( Site 1101)

Barcelona, , Spain

Site Status

Changhua Christian Hospital-Obstetrics and Gynecology ( Site 1203)

Changhua County, Changhua, Taiwan

Site Status

Taichung Veterans General Hospital-GYNECOLOGY ( Site 1202)

Taichung, , Taiwan

Site Status

National Cheng Kung University Hospital ( Site 1201)

Tainan City, , Taiwan

Site Status

National Taiwan University Hospital-Internal Medicine ( Site 1200)

Taipei, , Taiwan

Site Status

Mackay Memorial Hospital ( Site 1204)

Taipei, , Taiwan

Site Status

Countries

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United States Belgium Canada Chile Israel Italy Poland Singapore South Korea Spain Taiwan

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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MK-4830-002

Identifier Type: OTHER

Identifier Source: secondary_id

2023-505005-16-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

U1111-1290-6634

Identifier Type: REGISTRY

Identifier Source: secondary_id

2021-005458-27

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

4830-002

Identifier Type: -

Identifier Source: org_study_id

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