A Study of Participant Reported Preference for Subcutaneous Pembrolizumab Coformulated With Berahyaluronidase Alfa (MK-3475A) Over Intravenous Pembrolizumab (MK-3475) Formulation in Multiple Tumor Types (MK-3475A-F11)

NCT ID: NCT06099782

Last Updated: 2025-04-20

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

147 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-12-26

Study Completion Date

2026-11-16

Brief Summary

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The purpose of this study is to evaluate participant preference for coformulated hyaluronidase/pembrolizumab pembrolizumab (+) berahyaluronidase alfa administered subcutaneously (SC) over pembrolizumab (MK-3475) administered intravenously (IV) in participants with multiple tumor types. There will be no hypothesis testing in this study.

Detailed Description

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Conditions

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Non-Small Cell Lung Cancer Renal Cell Carcinoma Melanoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm A: Pembrolizumab (+) Berahyaluronidase alfa SC →Pembrolizumab IV

In the treatment crossover period, participants will receive pembrolizumab (+) berahyaluronidase alfa SC followed by pembrolizumab IV. After completion of the treatment crossover period, participants will enter the treatment continuation period, where they will receive their preferred intervention for up to \~1 year for renal cell carcinoma (RCC) and melanoma and for up to \~2 years for non-small cell lung cancer (NSCLC).

Group Type EXPERIMENTAL

Pembrolizumab (+) Berahyaluronidase alfa

Intervention Type BIOLOGICAL

Fixed dose coformulated product of hyaluronidase/pembrolizumab adminstered via SC injection.

Pembrolizumab

Intervention Type BIOLOGICAL

Administered via IV infusion

Arm B: Pembrolizumab IV→pembrolizumab (+) berahyaluronidase alfa SC

In the treatment crossover period, participants will receive pembrolizumab IV followed by pembrolizumab (+) berahyaluronidase alfa SC. After completion of the treatment crossover period, participants will enter the treatment continuation period, where they will receive their preferred intervention for up to \~1 year for RCC and melanoma and for up to \~2 years for NSCLC.

Group Type ACTIVE_COMPARATOR

Pembrolizumab (+) Berahyaluronidase alfa

Intervention Type BIOLOGICAL

Fixed dose coformulated product of hyaluronidase/pembrolizumab adminstered via SC injection.

Pembrolizumab

Intervention Type BIOLOGICAL

Administered via IV infusion

Interventions

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Pembrolizumab (+) Berahyaluronidase alfa

Fixed dose coformulated product of hyaluronidase/pembrolizumab adminstered via SC injection.

Intervention Type BIOLOGICAL

Pembrolizumab

Administered via IV infusion

Intervention Type BIOLOGICAL

Other Intervention Names

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MK-3475A MK-3475, KEYTRUDA®

Eligibility Criteria

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Inclusion Criteria

* Has a histologically- or cytologically-confirmed early stage or advanced/ metastatic solid tumor by pathology report and meet the following conditions based on tumor type:

* Surgically resected Stage IIB and IIC (pathological or clinical), or III cutaneous melanoma per American Joint Committee on Cancer (AJCC) eighth edition.
* Surgically resected renal cell carcinoma (RCC) with intermediate-high or high risk of recurrence as defined by the Fuhrman grading status.
* Stage IV non-small cell lung cancer (NSCLC) per AJCC eight edition, with an anti-programmed cell death ligand 1 (PD-L1) tumor proportion score (TPS) ≥50% determined using the Dako PD-L1 immunohistochemistry (IHC) 22C3 pharmDx diagnostic kit, and confirmation that epidermal growth factor receptor (EGFR-), anaplastic lymphoma kinase (ALK-), or c-ros oncogene 1 (ROS1)- directed therapy is not indicated as primary therapy.
* Has a life expectancy of at least 3 months.
* Human immunodeficiency virus (HIV)-infected participants must have well controlled HIV on antiretroviral therapy (ART).
* Participants who are hepatitis B surface antigen (HBsAg) positive are eligible if they have received hepatitis B virus (HBV) antiviral therapy for at least 4 weeks, and have undetectable HBV viral load before randomization.
* Participants with history of hepatitis C virus (HCV) infection are eligible if have completed curative antiviral therapy at least 4 weeks before randomization and HCV viral load is undetectable at screening.
* Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1 assessed within 3 days before the start of study intervention.

Exclusion Criteria

* Non-small cell lung cancer (NSCLC) participants with a diagnosis of small cell lung cancer or, for mixed tumors, presence of small cell elements.
* Melanoma participants with ocular, mucosal, or conjunctival melanoma.
* Renal Cell Carcinoma (RCC) participants who have had major surgery, other than nephrectomy, within 12 weeks before randomization.
* Has received prior radiotherapy for RCC.
* RCC participants who have residual thrombus post nephrectomy in the vena renalis or vena cava.
* Has received prior therapy with an anti-programmed cell death 1 protein (PD-1), PD-L1, or anti-PD-L2 agent, or with an agent directed to another stimulatory or coinhibitory T-cell receptor (eg, cytotoxic T-lymphocyte-associated protein 4 (CTLA-4), OX-40, CD137).
* Has received prior systemic anticancer therapy including investigational agents within 4 weeks before randomization.
* Has received a live or live-attenuated vaccine within 30 days before the first dose of study intervention. Administration of killed vaccines is allowed.
* Received prior radiotherapy within 2 weeks of start of study intervention, or has radiation-related toxicities, requiring corticosteroids.
* Received prior systemic anticancer therapy for their metastatic NSCLC. Note: Prior treatment with neoadjuvant or adjuvant therapy for nonmetastatic NSCLC is allowed as long as therapy was completed at least 12 months before diagnosis of metastatic NSCLC.
* Received radiation therapy to the lung that is \>30 Gray within 6 months of start of study intervention.
* Has received an investigational agent or has used an investigational device within 4 weeks prior to study intervention administration.
* Has diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy or any other form of immunosuppressive therapy within 7 days prior the first dose of study medication.
* Has known additional malignancy that is progressing or has required active treatment within the past 3 years.
* Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis.
* Has active autoimmune disease that has required systemic treatment in the past 2 years.
* Has history of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease.
* Has active infection requiring systemic therapy.
* HIV-infected participants with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease.
* Has history of allogeneic tissue/solid organ transplant corticosteroids.
* Has severe hypersensitivity (≥Grade 3) to pembrolizumab and/or any of its excipients.
* Has not adequately recovered from major surgery or have ongoing surgical complications.
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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Russell Medical ( Site 0160)

Alexander City, Alabama, United States

Site Status

Alaska Oncology and Hematology ( Site 0121)

Anchorage, Alaska, United States

Site Status

Highlands Oncology Group-Research Department ( Site 0133)

Springdale, Arkansas, United States

Site Status

Marin Cancer Care ( Site 0148)

Greenbrae, California, United States

Site Status

Holy Cross Hospital-Clinical Research ( Site 0159)

Fort Lauderdale, Florida, United States

Site Status

Mid Florida Hematology and Oncology Center ( Site 0113)

Orange City, Florida, United States

Site Status

Northwest Georgia Oncology Centers, a Service of Wellstar Cobb Hospital-Research ( Site 0112)

Marietta, Georgia, United States

Site Status

Kadlec Clinic Hematology and Oncology ( Site 0103)

Kennewick, Washington, United States

Site Status

Instituto de Investigaciones Clínicas Mar del Plata ( Site 0300)

Mar del Plata, Buenos Aires, Argentina

Site Status

Fundación Respirar ( Site 0302)

Buenos Aires, Buenos Aires F.D., Argentina

Site Status

Instituto San Marcos ( Site 0305)

San Juan, , Argentina

Site Status

Port Macquarie - Mid North Coast Cancer Institute-Medical Oncology ( Site 1001)

Port Macquarie, New South Wales, Australia

Site Status

Frankston Hospital-Oncology and Haematology ( Site 1007)

Frankston, Victoria, Australia

Site Status

Clínica Puerto Montt ( Site 0404)

Port Montt, Los Lagos Region, Chile

Site Status

FALP-UIDO ( Site 0401)

Santiago, Region M. de Santiago, Chile

Site Status

Oncovida ( Site 0403)

Santiago, Region M. de Santiago, Chile

Site Status

Pontificia Universidad Catolica de Chile-Hemato-Oncology ( Site 0407)

Santiago, Region M. de Santiago, Chile

Site Status

Bradfordhill-Clinical Area ( Site 0402)

Santiago, Region M. de Santiago, Chile

Site Status

Centro Investigacion Cancer James Lind ( Site 0408)

Temuco, Región de la Araucanía, Chile

Site Status

ONCOCENTRO APYS-ACEREY ( Site 0400)

Viña del Mar, Región de Valparaíso, Chile

Site Status

CENTRE LEON BERARD-onco dermatology ( Site 0600)

Lyon Cedex08, Auvergne-Rhône-Alpes, France

Site Status

Centre Hospitalier Universitaire de Caen Normandie-DERMATOLOGY ( Site 0604)

Caen, Calvados, France

Site Status

Clinique Francois Chenieux ( Site 0603)

Limoges, Haute-Vienne, France

Site Status

HIA Sainte Anne-Pneumology ( Site 0601)

Toulon, Var, France

Site Status

Hôpital Bichat - Claude-Bernard ( Site 0605)

Paris, Île-de-France Region, France

Site Status

Bell Land General Hospital ( Site 1101)

Sakai, Osaka, Japan

Site Status

Tokyo Women's Medical University ( Site 1100)

Tokyo, , Japan

Site Status

Auckland City Hospital-Cancer & Blood Research ( Site 1051)

Auckland, , New Zealand

Site Status

Bowen Hospital ( Site 1050)

Wellington, , New Zealand

Site Status

Centrum Onkologii im. Prof. Franciszka Lukaszczyka-Ambulatorium Chemioterapii ( Site 0701)

Bydgoszcz, Kuyavian-Pomeranian Voivodeship, Poland

Site Status

Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - P-Klinika Nowotworow Pluca i Klatki Pier

Warsaw, Masovian Voivodeship, Poland

Site Status

Szpital Wojewódzki im. Mikoaja Kopernika w Koszalinie-Oddzial Dzienny Chemioterapii ( Site 0702)

Koszalin, West Pomeranian Voivodeship, Poland

Site Status

Zachodniopomorskie Centrum Onkologii ( Site 0703)

Szczecin, West Pomeranian Voivodeship, Poland

Site Status

Cancer Care Langenhoven Drive Oncology Centre ( Site 0808)

Port Elizabeth, Eastern Cape, South Africa

Site Status

Medical Oncology Centre of Rosebank ( Site 0805)

Johannesburg, Gauteng, South Africa

Site Status

Nosworthy Oncology ( Site 0807)

Johannesburg, Gauteng, South Africa

Site Status

Steve Biko Academic Hospital-Medical Oncology ( Site 0804)

Pretoria, Gauteng, South Africa

Site Status

LIFE GROENKLOOF-Mary Potter Cancer Centre ( Site 0800)

Pretoria, Gauteng, South Africa

Site Status

Sandton Oncology Medical Group (Pty) Ltd-Research ( Site 0801)

Sandton, Gauteng, South Africa

Site Status

Cape Town Oncology Trials ( Site 0802)

Cape Town, Western Cape, South Africa

Site Status

CANCERCARE RONDEBOSCH ONCOLOGY-Cancercare Rondebosch Oncology ( Site 0806)

Cape Town, Western Cape, South Africa

Site Status

Adana Medical Park Seyhan Hastanesi-Medikal Onkoloji ( Site 0903)

Adana, , Turkey (Türkiye)

Site Status

Hacettepe Universite Hastaneleri-oncology hospital ( Site 0900)

Ankara, , Turkey (Türkiye)

Site Status

Ankara Bilkent Şehir Hastanesi-Medical Oncology ( Site 0901)

Ankara, , Turkey (Türkiye)

Site Status

Ege Universitesi Hastanesi ( Site 0902)

Izmir, , Turkey (Türkiye)

Site Status

Countries

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United States Argentina Australia Chile France Japan New Zealand Poland South Africa Turkey (Türkiye)

Related Links

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Other Identifiers

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2023-506017-22

Identifier Type: REGISTRY

Identifier Source: secondary_id

U1111-1293-0814

Identifier Type: REGISTRY

Identifier Source: secondary_id

MK-3475A-F11

Identifier Type: OTHER

Identifier Source: secondary_id

jRCT2051230147

Identifier Type: REGISTRY

Identifier Source: secondary_id

3475A-F11

Identifier Type: -

Identifier Source: org_study_id

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