Overview
Sponsor-declared trial summary
Advanced tumors
To estimate the overall survival (OS)
Key facts
- Sponsor
- Merck Sharp & Dohme LLC
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Neoplasms [C04]
- Trial duration
- 24 Aug 2018 → ongoing
- Decision date (initial)
- 2023-02-03
- Transition trial
- Yes
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- Yes
- Funding sources
- Merck Sharp & Dohme LLC
External identifiers
- EU CT number
- 2022-501254-10-00
- EudraCT number
- 2017-004417-42
- WHO UTN
- U1111-1274-2274
- ClinicalTrials.gov
- NCT03486873
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Safety, Therapy, Efficacy
To estimate the overall survival (OS)
Secondary objectives 3
- To estimate modified progression free survival (PFS) per evaluation criteria used in the parent trial by investigator assessment for participants who received or are receiving First Course Phase study treatment with pembrolizumab or a pembrolizumab-based combination
- To estimate modified event free survival (EFS) per evaluation criteria used in the parent trial by investigator assessment for participants who received or are receiving First Course Phase study treatment with pembrolizumab or a pembrolizumab-based combination
- To evaluate the safety and tolerability of pembrolizumab or a pembrolizumab-based combination in participants who receive it as First or Second Course Phase study treatment
Conditions and MedDRA coding
Advanced tumors
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 21.0 | LLT | 10048683 | Advanced cancer | 10029104 |
Study design 1 period
| # | Title | Allocation | Blinding | Roles blinded | Arms |
|---|---|---|---|---|---|
| 1 | Overall trial This is a multicenter, non-randomized and open-label, Phase III extension trial in participants with advanced solid tumors who previously enrolled in MSD-sponsored pembrolizumab trials. MSD pembrolizumab-based parent trials that will enroll their participants into this extension trial include non-randomized and randomized and single and multi-cohort trials with pembrolizumab monotherapy and a pembrolizumab-based combination. All participants included in an eligible pembrolizumab-based parent trial may roll over into KN-587 (including participants that had been treated/are being treated with pembrolizumab monotherapy, a pembrolizumab-based combination as well as with a control). Participants who had been treated/are being treated in the First Course Phase in their parent trial with a control (eg, chemotherapy) will enter Survival Follow-up (SFU) Phase of this trial and continue to be treated as per standard of care (SOC), which will not be provided by the Sponsor. These participants will be followed for survival status and start of new antineoplastic therapy, until death, withdrawal of consent, or the end of the trial. Those participants who discontinued trial treatment and entered SFU for reasons other than progressive disease (PD) will also be followed radiographically by the site per SOC until PD occurs. For any participant originating from a parent trial where crossover to pembrolizumab from control arm was permitted upon disease progression, KN-587 will continue to offer the opportunity of treatment with pembrolizumab, if pembrolizumab is approved for the indication in the country where the potential eligible crossover participant is being evaluated. This study will evaluate efficacy including long term OS/OS2, progression-free survival (PFS/PFS2), DOR/DOR2, DOCR/DOCR2 and objective response rate (ORR/ORR2), as well as the safety and tolerability of pembrolizumab or a pembrolizumab-based combination.
|
2 | None |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 10
- Treated on the parent pembrolizumab studies established by the Sponsor as MK-3475-587 ready
- Currently receiving pembrolizumab, pembrolizumab based combinations or lenvatinib from parent studies or in a follow-up phase
- (Applicable to Second Course Phase only) Has not received any anticancer systemic treatment since the last dose of pembrolizumab or a pembrolizumab-based combination in First Course Phase
- (Applicable to Second Course Phase only) Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- (Applicable to Second Course Phase only) Demonstrates adequate organ function
- (Applicable to Second Course Phase only) Have resolution of any toxic effect(s) of First Course Phase trial treatment with pembrolizumab or a pembrolizumab-based combination to Grade 1 or less (except alopecia) before trial treatment in Second Course Phase is started. If participant received major surgery or radiation therapy of >30 Gray (Gy), they must have recovered from the toxicity and/or complications of the intervention.
- (Applicable to Second Course Phase only) A female participant is eligible to enroll if she is not pregnant, not breastfeeding, and ≥1 of the following conditions applies: A woman of childbearing potential (WOCBP) who agrees to use contraception during the study treatment period and for ≥120 days (corresponding to time needed to eliminate any study combination treatment(s) plus 30 days (a menstruation cycle) for study treatments with risk of genotoxicity.
- (Criteria for dosing with lenvatinib) Adequately controlled blood pressure (BP) to <150/90 mmHg, with or without antihypertensive medications
- (Criteria for dosing with lenvatinib) For male agrees to be abstinent from penile-vaginal intercourse OR agrees to use a highly effective contraceptive method while receiving study drug and for 7 days after the last dose of lenvatinib
- (Criteria for dosing with lenvatinib) Is female and not pregnant/breastfeeding and at least one of the following applies during the study and for ≥4 days after: is not a woman of childbearing potential (WOCBP), is a WOCBP and uses highly effective contraception (low user dependency method OR a user dependent hormonal method in combination with a barrier method) or is a WOCBP who is abstinent from heterosexual intercourse
Exclusion criteria 28
- (Applicable to Second Course Phase only) Has severe hypersensitivity (≥ Grade 3) to pembrolizumab and/or any of its excipients
- (Applicable to Second Course Phase only) Has a known history of human immunodeficiency virus (HIV) infection
- (Applicable to Second Course Phase only) Has a known history of or is positive for hepatitis B or hepatitis C. For parent studies where inclusion of participants with hepatitis was permitted, MK-3475-587 will follow the parent study eligibility criteria for hepatitis.
- (Applicable to Second Course Phase only) Is pregnant or breastfeeding or expecting to conceive or father children within the projected duration of the study, starting with the Second Course Phase eligibility Visit through 120 days after the last dose of study treatment.
- (Applicable to Second Course Phase only) Has severe cardiovascular disease, i.e., arrhythmias, requiring chronic treatment, congestive heart failure (New York Heart Association Class III or IV) or symptomatic ischemic heart disease
- (Applicable to Second Course Phase only) Has hepatic decompensation (Child-Pugh score >6 [class B and C])
- (Applicable to Second Course Phase only) Has uncontrolled thyroid dysfunction
- (Applicable to Second Course Phase only) Has uncontrolled diabetes mellitus
- (Applicable to Second Course Phase only) Has had an allogeneic tissue/solid organ transplant
- (Applicable to Second Course Phase only) Has a known history of active tuberculosis (TB; Bacillus tuberculosis)
- (Applicable to Second Course Phase only) Has received a live vaccine within 30 days prior to the first dose of Second Course Phase trial treatment
- (Applicable to Second Course Phase only) 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 to the Cycle 1 Day 1 of Second Course Phase
- (Applicable to Second Course Phase only) Has a known additional malignancy that is progressing or requires active treatment. Exceptions include early stage cancers (carcinoma in situ or Stage 1) treated with curative intent, melanoma (non-ulcerated, thin primary), basal cell carcinoma of the skin, squamous cell carcinoma of the skin, in situ cervical cancer, or in situ breast cancer that has undergone potentially curative therapy.
- (Applicable to Second Course Phase only) Has known active central nervous system metastases and/or carcinomatous meningitis
- (Applicable to Second Course Phase only) Has an active autoimmune disease that has required systemic treatment in the past 2 years (i.e., use of disease modifying agents, corticosteroids or immunosuppressive drugs). Replacement therapy (e.g. thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency) is not considered a form of systemic treatment and is allowed.
- (Applicable to Second Course Phase only) Has a history of (non-infectious) pneumonitis that required steroids or has current pneumonitis. Note: Participants that experienced pneumonitis during First Course that did not meet the criteria for permanent discontinuation are eligible.
- (Applicable to Second Course Phase only) Non-small cell lung cancer (NSCLC) participants only: Has interstitial lung disease
- (Applicable to Second Course Phase only) Has an active infection requiring systemic therapy
- (Criteria for dosing with lenvatinib) Has had major surgery within 3 weeks prior to first dose of study intervention(s)
- (Criteria for dosing with lenvatinib) Has preexisting ≥Grade 3 gastrointestinal or non-gastrointestinal fistula
- (Criteria for dosing with lenvatinib) Has urine protein ≥1 g/24 hours
- (Criteria for dosing with lenvatinib) Has LVEF below the institutional (or local laboratory) normal range, as determined by MUGA or ECHO
- (Criteria for dosing with lenvatinib) Has radiographic evidence of encasement or invasion of a major blood vessel, or of intratumoral cavitation
- (Criteria for dosing with lenvatinib) Prolongation of QTcF interval to >480 ms
- (Criteria for dosing with lenvatinib) Has clinically significant cardiovascular disease within 12 months from first dose of study intervention, including New York Heart Association Class III or IV congestive heart failure, unstable angina, myocardial infarction, cerebral vascular accident, or cardiac arrhythmia associated with hemodynamic instability
- (Criteria for dosing with lenvatinib) Gastrointestinal malabsorption or any other condition that might affect the absorption of lenvatinib
- (Criteria for dosing with lenvatinib) Active hemoptysis (bright red blood of at least 0.5 teaspoon) within 3 weeks prior to the first dose of study drug
- (Criteria for dosing with lenvatinib) Has a history of any contraindication or has a severe hypersensitivity to any components of lenvatinib
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- Overall Survival (OS)
Secondary endpoints 7
- Modified Progression Free Survival (PFS) Per Evaluation Criteria Used in the Parent Trial
- Modified Event Free Survival (EFS) Per Evaluation Criteria Used in the Parent Trial
- Number of Participants Who Experience Serious Adverse Events (SAEs)
- Number of Participants Who Experience Adverse Events of Special Interest (AEOSI)
- Number of Participants Who Experience Clinically Significant Adverse Events (CSAE)
- Number of Participants Who Experience Events of Clinical Interest (ECI)
- Number of Participants Who Discontinue Study Treatment Due to an AE
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 8
PRD9364228 · Product
- Active substance
- Pembrolizumab
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS INFUSION
- Max daily dose
- 1000 mg milligram(s)
- Max total dose
- 35000 mg milligram(s)
- Max treatment duration
- 24 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- MERCK & CO. INC.
- Paediatric formulation
- No
- Orphan designation
- No
PRD6003525 · Product
- Active substance
- Favezelimab
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS INFUSION
- Max daily dose
- 800 mg milligram(s)
- Max total dose
- 28000 mg milligram(s)
- Max treatment duration
- 24 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- MERCK & CO. INC.
- Paediatric formulation
- No
- Orphan designation
- No
KEYTRUDA 25 mg/mL concentrate for solution for infusion
PRD4323105 · Product
- Active substance
- Pembrolizumab
- Substance synonyms
- Lambrolizumab, MK-3475, SCH-900475, ABP 234
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS INFUSION
- Max daily dose
- 400 mg milligram(s)
- Max total dose
- 12800 mg milligram(s)
- Max treatment duration
- 48 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01FF02 — -
- Marketing authorisation
- EU/1/15/1024/002
- MA holder
- MERCK SHARP & DOHME BV
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
PRD9414231 · Product
- Active substance
- Lenvatinib
- Pharmaceutical form
- CAPSULE
- Route of administration
- ORAL USE
- Max daily dose
- 24 mg milligram(s)
- Max total dose
- 87600 mg milligram(s)
- Max treatment duration
- 120 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- MERCK & CO. INC.
- Paediatric formulation
- No
- Orphan designation
- No
PRD9414229 · Product
- Active substance
- Lenvatinib
- Pharmaceutical form
- CAPSULE
- Route of administration
- ORAL USE
- Max daily dose
- 24 mg milligram(s)
- Max total dose
- 87600 mg milligram(s)
- Max treatment duration
- 120 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- MERCK & CO. INC.
- Paediatric formulation
- No
- Orphan designation
- No
PRD9414230 · Product
- Active substance
- Lenvatinib
- Pharmaceutical form
- CAPSULE
- Route of administration
- ORAL USE
- Max daily dose
- 24 mg milligram(s)
- Max total dose
- 87600 mg milligram(s)
- Max treatment duration
- 120 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- MERCK & CO. INC.
- Paediatric formulation
- No
- Orphan designation
- No
PRD9414228 · Product
- Active substance
- Olaparib
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 600 mg milligram(s)
- Max total dose
- 2191500 mg milligram(s)
- Max treatment duration
- 120 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- MERCK & CO. INC.
- Paediatric formulation
- No
- Orphan designation
- No
PRD9414227 · Product
- Active substance
- Olaparib
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 600 mg milligram(s)
- Max total dose
- 2191500 mg milligram(s)
- Max treatment duration
- 120 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- MERCK & CO. INC.
- Paediatric formulation
- No
- Orphan designation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Merck Sharp & Dohme LLC
- Sponsor organisation
- Merck Sharp & Dohme LLC
- Address
- 126 East Lincoln Avenue
- City
- Rahway
- Postcode
- 07065-4607
- Country
- United States
Scientific contact point
- Organisation
- Merck Sharp & Dohme LLC
- Contact name
- Rohit Lal
Public contact point
- Organisation
- Merck Sharp & Dohme LLC
- Contact name
- Rohit Lal
Third parties 2
| Organisation | City, country | Duties |
|---|---|---|
| Almac Clinical Technologies LLC ORG-100043036
|
Souderton, United States | Interactive response technologies (IRT) |
| Parexel International Corporation ORG-100007310
|
Auburndale, United States | Other |
Locations
21 EU/EEA countries · 227 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Austria | Ongoing, recruiting | 30 | 6 |
| Belgium | Ongoing, recruiting | 40 | 8 |
| Czechia | Ongoing, recruiting | 15 | 6 |
| Denmark | Ongoing, recruiting | 45 | 2 |
| Estonia | Ongoing, recruiting | 10 | 1 |
| Finland | Ongoing, recruiting | 20 | 2 |
| France | Ongoing, recruiting | 250 | 48 |
| Germany | Ongoing, recruiting | 75 | 13 |
| Greece | Ongoing, recruiting | 11 | 5 |
| Hungary | Ongoing, recruiting | 100 | 17 |
| Ireland | Ongoing, recruiting | 40 | 5 |
| Italy | Ongoing, recruiting | 150 | 26 |
| Latvia | Ongoing, recruiting | 10 | 2 |
| Lithuania | Ongoing, recruiting | 15 | 2 |
| Netherlands | Ongoing, recruiting | 20 | 5 |
| Norway | Ongoing, recruiting | 50 | 3 |
| Poland | Ongoing, recruiting | 140 | 22 |
| Portugal | Ongoing, recruiting | 15 | 3 |
| Romania | Ongoing, recruiting | 27 | 7 |
| Spain | Ongoing, recruiting | 245 | 40 |
| Sweden | Ongoing, recruiting | 35 | 4 |
| Rest of world
Turkey, Israel, Russian Federation, United Kingdom, Australia, Korea, Republic of, India, Brazil, Puerto Rico, Japan, Malaysia, Chile, Switzerland, Costa Rica, Peru, Thailand, Colombia, Guatemala, New Zealand, United States, South Africa, Ukraine, Hong Kong, Mexico, Singapore, Taiwan, China, Philippines, Canada, Argentina
|
— | 2,295 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| Austria | 2018-12-19 | 2019-01-07 | |||
| Belgium | 2019-02-05 | 2019-02-20 | |||
| Czechia | 2020-02-12 | 2020-02-28 | |||
| Denmark | 2020-02-25 | 2020-03-10 | |||
| Estonia | 2021-12-21 | 2022-03-07 | |||
| Finland | 2021-02-25 | 2021-03-18 | |||
| France | 2018-09-24 | 2018-09-24 | |||
| Germany | 2018-09-25 | 2018-10-15 | |||
| Greece | 2024-01-04 | 2024-01-05 | |||
| Hungary | 2020-02-18 | 2020-03-06 | |||
| Ireland | 2021-04-09 | 2021-05-05 | |||
| Italy | 2018-09-21 | 2018-10-31 | |||
| Latvia | 2022-03-04 | 2022-03-16 | |||
| Lithuania | 2020-12-10 | 2020-12-11 | |||
| Netherlands | 2018-12-14 | 2019-01-14 | |||
| Norway | 2018-09-26 | 2018-11-28 | |||
| Poland | 2020-08-20 | 2020-09-03 | |||
| Portugal | 2021-01-13 | 2021-01-22 | |||
| Romania | 2022-08-18 | 2022-09-02 | |||
| Spain | 2018-08-29 | 2018-09-21 | |||
| Sweden | 2018-08-24 | 2018-11-30 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 268 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol_2022-501254-10_GRC_EL_SM35_for pub | 8 |
| Protocol (for publication) | D1_Protocol_2022-501254-10_SM35_for pub | 08 |
| Protocol (for publication) | D1_PSP_for pub | 05R |
| Recruitment arrangements (for publication) | CTIS Placeholder document 3475-587 | 31Jan2022 |
| Recruitment arrangements (for publication) | Danish Attachment To Protocol_DNK_For publication | 3 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements and IC Procedure_AUT_for pub | 31JAN2023 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements and IC Procedure_BEL_English_for pub | 17JAN2023 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements and IC Procedure_DEU_EN_for pub | 15JAN2024 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements and IC Procedure_DNK_DA_for pub | 1-0 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements and IC Procedure_ESP_Spanish_for publication | 03APR2018 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements and IC Procedure_EST_EN_ for pub | 18Jan2023 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements and IC Procedure_FRA_FR_for pub | 17JAN2024 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements and IC Procedure_GRC_EL_for pub | 1.00 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements and IC Procedure_IRL_EN_SM35_for pub | 27MAR2025 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements and IC Procedure_ITA_EN_for pub | 1-0 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements and IC Procedure_LTU_EN_ for pub | 18Jan2023 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements and IC Procedure_LVA_EN_ for pub | 18Jan2023 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements and IC Procedure_NLD_NL_for pub | 26JAN2023 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements and IC Procedure_NOR_EN_for pub | 24JAN2023 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements and IC Procedure_POL_PL_SM36_for pub | 2.0 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements and IC Procedure_PRT_EN_for pub | 22FEB2023 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements and IC Procedure_ROU_for pub | 16JAN2023 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements_HUN_EN_for pub | 18Jan2023 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements_SWE_SV_for pub | 1-2 |
| Recruitment arrangements (for publication) | K2_Recruitment Doc Website_POL_PL_SM36_for pub | 03JUL2025 |
| Recruitment arrangements (for publication) | Recruitment Arrangements and Informed Consent Procedure_FIN_Finnish_for publication | 09SEP2020 |
| Subject information and informed consent form (for publication) | ICF_Optional blood sample_SWE_Swedish_for publication | 20AUG2018 |
| Subject information and informed consent form (for publication) | ICF_Optional stool sample_SWE_Swedish_for publication | 20AUG2018 |
| Subject information and informed consent form (for publication) | L1_ICF Optional dosing change_NOR_NN_for pub | 30JAN2023 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum disease progression_AUT_DE_for pub | 00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum disease progression_BEL_EN_for pub | V0-00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum disease progression_BEL_FR_for pub | V0-00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum disease progression_BEL_NL_for pub | V0-00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum disease progression_CZE_CS_for pub | czech v1 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum disease progression_DEU_DE_for pub | 0.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum disease progression_DNK_DA_for pub | 00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum disease progression_ESP_ES_for pub | 0.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum disease progression_EST_ET_for pub | 0.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum disease progression_EST_RU_for pub | 0.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum disease progression_FIN_FI_for pub | V0-00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum disease progression_FRA_FR_for pub | 00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum disease progression_GRC_EL_for pub | 00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum disease progression_HUN_HU_for pub | 0.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum disease progression_IRL_EN_for pub | 00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum disease progression_ITA_IT_SM35_for pub | 00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum disease progression_LTU_LT_for pub | V0-00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum disease progression_LVA_LV_for pub | 0.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum disease progression_LVA_RU_for pub | 0.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum disease progression_NLD_NL_for pub | 0.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum disease progression_NOR_NN_for pub | 00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum disease progression_POL_PL_SM35_for pub | 00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum disease progression_ROU_EN_for pub | 00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum disease progression_ROU_RO_for pub | 00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum disease progression_SWE_SV_for pub | V0-00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum MK-4280-MK-4280A_GRC_EL_SM36_for pub | 01 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum Olaparib_FIN_FI_SM36_for pub | 0.01 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum olaparib_GRC_EL_SM36_for pub | 01 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum side effects_lenva_CZE_CS_SM35_for pub | cz v1 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum side effects_lenvatinib_DEU_DE_SM35_for pub | 0.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum side effects_Lenvatinib_ESP_ES_SM35_for pub | 00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum side effects_Lenvatinib_FIN_FI_SM35_for pub | 0.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum side effects_lenvatinib_FRA_FR_SM35-RFI005_for pub | 0.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum side effects_lenvatinib_GRC_EL_SM35_for pub | 00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum side effects_lenvatinib_NOR_NN_SM35_for pub | 0.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum side effects_Lenvatinib_POL_PL_SM35_for pub | 00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum side effects_lenvatinib_ROU_EN_SM35_for pub | 0.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum side effects_lenvatinib_ROU_RO_SM35_for pub | 0.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum side effects_LTU_EN_SM35_for pub | 0.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum side effects_MK-3475_EST_EE_SM37_for pub | 01 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum side effects_MK-3475_EST_RU_SM37_for pub | 01 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum side effects_MK-3475_LTU_LT_SM37_for pub | 01 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum side effects_MK-3475_LVA_LV_SM37_for pub | 01 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum side effects_MK-3475_LVA_RU_SM37_for pub | 01 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum side effects_MK-4280 and MK-4280A_ESP_ES_SM36_for pub | 01 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum side effects_MK-4280 and MK-4280A_POL_PL_SM36_for pub | 01 |
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| Subject information and informed consent form (for publication) | L1_ICF_Main addendum side effects_MK4280_MK4280A_ROU_RO_SM36_for pub | 0.01 |
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| Subject information and informed consent form (for publication) | L1_ICF_Main addendum_Lenvatinib_DNK_DA_SM35_for pub | 00 |
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| Subject information and informed consent form (for publication) | L1_ICF_Main addendum_Lenvatinib_IRL_EN_SM35-RFI007_for pub | 0.00 |
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| Subject information and informed consent form (for publication) | L1_ICF_Main consent_Patientenkontakte_AUT_DE_2951_for pub | 12JUN2018 |
| Subject information and informed consent form (for publication) | L1_ICF_Main consent_Patientenkontakte_AUT_DE_2954_for pub | 23DEC2022 |
| Subject information and informed consent form (for publication) | L1_ICF_Main consent_Patientenkontakte_AUT_DE_2955_for pub | 26JAN2023 |
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| Subject information and informed consent form (for publication) | L1_ICF_Main consent_ROU_RO_SM35_for pub | AM04v4.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main consent_SWE_SV_SM35_for pub | AM4v4.00 |
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| Subject information and informed consent form (for publication) | L1_ICF_Main survival follow-up_CZE_CS_for pub | 4R |
| Subject information and informed consent form (for publication) | L1_ICF_Main survival follow-up_ESP_ES_SM36_for pub | AM03v3.00R |
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| Subject information and informed consent form (for publication) | L1_ICF_Main survival follow-up_FIN_FI_SM35_for pub | AM03v3.00 |
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| Subject information and informed consent form (for publication) | L1_ICF_Main survival follow-up_HUN_HU_SM35_for pub | AM03v3.00R |
| Subject information and informed consent form (for publication) | L1_ICF_Main survival follow-up_IRL_EN_SM35-RFI007_for pub | AM03v3-00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main survival follow-up_ITA_IT_SM35_for pub | AM03v3.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main survival follow-up_LTU_LT_SM36-RFI007_for pub | AM03v3.01 |
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| Subject information and informed consent form (for publication) | L1_ICF_Main survival follow-up_LVA_RU_SM35_for pub | AM03v3.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main survival follow-up_NOR_NN_SM35-RFI003_for pub | AM03v3-00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main survival follow-up_POL_PL_SM35_for pub | AM03v3.00R |
| Subject information and informed consent form (for publication) | L1_ICF_Main survival follow-up_ROU_EN_SM35_for pub | AM03v3.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main survival follow-up_ROU_RO_SM35_for pub | AM03v3.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main survival follow-up_SWE_SV_SM35_for pub | AM3 v3.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional dosing change_CZE_Czech_for publication | AM01v1-00 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional pregnancy follow-up_FIN_Finnish_for publication | 04May2022 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional pregnancy follow-up_FIN_Swedish_for publication | 09Jun2022 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional withdrawal_AUT_German_for publication | 08Aug2018 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_add crossborder_DEU_German_for pub | 09JAN2023 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_addendum_NLD_NL_for pub | AM01_v1-00 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_addendum_progression consent_PRT_PT_for pub | 0.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_DILI sample_ITA_IT_SM35_for pub | 01APR2025 |
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| Subject information and informed consent form (for publication) | L1_ICF_Optional_dosing change_BEL_Dutch_for pub | 1.00 |
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| Subject information and informed consent form (for publication) | L1_ICF_Optional_dosing change_DEU_German_for pub | AM01v1.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_dosing change_DNK_DA_for pub | AM01v1.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_dosing change_ESP_ES_for pub | AM01_1.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_dosing change_EST_ET _for pub | AM01v1-00 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_dosing change_EST_RU _for pub | AM01v1-00 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_dosing change_FIN_FI_for pub | AM01v1.00 |
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| Subject information and informed consent form (for publication) | L1_ICF_Optional_dosing change_GRC_EL_for pub | 1.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_dosing change_HUN_HU_for pub | AM01v1-00 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_dosing change_IRL_EN_for pub | 1.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_dosing change_ITA_IT_SM35_for pub | AM01v1.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_dosing change_LTU_LT _for pub | 1.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_dosing change_LVA_LV_for pub | AM01_1.00 |
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| Subject information and informed consent form (for publication) | L1_ICF_Optional_dosing change_POL_PL_SM35_for pub | AM01v1.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_dosing change_PRT_PT_for pub | AM01_v1-00 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_dosing change_ROU_EN_for pub | AM01_1.00 |
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| Subject information and informed consent form (for publication) | L1_ICF_Optional_pregnant partner data privacy_ITA_IT_SM35_for pub | 01APR2025 |
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| Subject information and informed consent form (for publication) | L1_ICF_Optional_pregnant partner_HUN_HU_SM35_for pub | 0.00R |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_pregnant partner_ITA_IT_SM35_for pub | 01APR2025 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_survival follow-up_AUT_DE_SM35_for pub | 3.00R |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_survival follow-up_DEU_DE_SM35_for pub | 6R |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_survival follow-up_DNK_DA_SM35_for pub | 3.00R |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_survival follow-up_GRC_EL_SM35_for pub | AM03v3.00 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_withdrawal_IRL_EN_for pub | V1-00A |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_withdrawal_PRT_PT_for pub | 00 |
| Subject information and informed consent form (for publication) | L2_Patient advocacy_AUT_DE_SM36-RFI005_for pub | 3.0 |
| Subject information and informed consent form (for publication) | L2_Patient contacts per site_2952_AUT_DE_SM37_for pub | 24NOV2025R |
| Subject information and informed consent form (for publication) | L2_Patient contacts per site_2956_AUT_DE_SM35_for pub | 21JAN2025R |
| Subject information and informed consent form (for publication) | L2_Patient contacts per site_2957_AUT_DE_SM36_for pub | 07JUL2025R |
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| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_Keytruda_SM35_for pub | 06FEB2025 |
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| Synopsis of the protocol (for publication) | D1_PPLS_2022-501254-10_CZE_CS_SM35_for pub | 3.0 |
| Synopsis of the protocol (for publication) | D1_PPLS_2022-501254-10_DEU_DE_SM35_for pub | 3.0 |
| Synopsis of the protocol (for publication) | D1_PPLS_2022-501254-10_ESP_ES_SM35_for pub | 3.0 |
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| Synopsis of the protocol (for publication) | D1_PPLS_2022-501254-10_ROU_RO_SM35_for pub | 3.0 |
| Synopsis of the protocol (for publication) | D1_PPLS_2022-501254-10_SM35_for pub | 3.0 |
| Synopsis of the protocol (for publication) | D1_PPLS_2022-501254-10_SWE_SV_SM35_for pub | 3.0 |
| Synopsis of the protocol (for publication) | D1_PPLS_2022-50125410_NOR_NN_SM35_for pub | 3.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Scientific Synopsis_2022-501254-10_AUT_DE_SM35_for pub | AM08 |
| Synopsis of the protocol (for publication) | D1_Protocol Scientific Synopsis_2022-501254-10_CZE_CS_SM35_for pub | 3.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Scientific Synopsis_2022-501254-10_PRT_PT_SM35_for pub | 24MAR2025 |
| Synopsis of the protocol (for publication) | D1_Protocol Scientific Synopsis_2022-501254-10_ROU_RO_SM35_for pub | AM08 |
Application history
34 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2022-09-30 | Spain | No conclusion 2022-12-12
|
2022-12-14 |
| 2 | SUBSTANTIAL MODIFICATION | SM-2 | 2023-02-24 | Spain | Acceptable 2023-05-29
|
2023-05-29 |
| 3 | SUBSTANTIAL MODIFICATION | SM-3 | 2023-06-06 | Spain | Acceptable | 2023-06-28 |
| 4 | SUBSTANTIAL MODIFICATION | SM-7 | 2023-06-06 | Acceptable | 2023-07-20 | |
| 5 | SUBSTANTIAL MODIFICATION | SM-8 | 2023-06-07 | Acceptable | 2023-07-12 | |
| 6 | SUBSTANTIAL MODIFICATION | SM-11 | 2023-06-07 | Acceptable | 2023-07-24 | |
| 7 | SUBSTANTIAL MODIFICATION | SM-12 | 2023-06-07 | Acceptable | 2023-08-14 | |
| 8 | SUBSEQUENT ADDITION OF MSC | APP-8 | 2023-06-23 | 2023-09-13 | ||
| 9 | SUBSTANTIAL MODIFICATION | SM-13 | 2023-06-26 | Acceptable | 2023-08-14 | |
| 10 | SUBSTANTIAL MODIFICATION | SM-15 | 2023-07-19 | Acceptable | 2023-09-20 | |
| 11 | SUBSTANTIAL MODIFICATION | SM-16 | 2023-07-28 | Acceptable | 2023-08-10 | |
| 12 | SUBSTANTIAL MODIFICATION | SM-14 | 2023-08-04 | Acceptable | 2023-09-29 | |
| 13 | SUBSTANTIAL MODIFICATION | SM-17 | 2023-08-08 | Acceptable | 2023-08-28 | |
| 14 | SUBSTANTIAL MODIFICATION | SM-18 | 2023-09-01 | Acceptable | 2023-10-19 | |
| 15 | SUBSTANTIAL MODIFICATION | SM-19 | 2023-09-08 | Acceptable | 2023-10-13 | |
| 16 | SUBSTANTIAL MODIFICATION | SM-20 | 2023-09-14 | Acceptable | 2023-10-10 | |
| 17 | SUBSTANTIAL MODIFICATION | SM-21 | 2023-09-19 | Acceptable | 2023-11-16 | |
| 18 | SUBSTANTIAL MODIFICATION | SM-22 | 2023-10-20 | Acceptable | 2023-11-13 | |
| 19 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2023-11-28 | 2023-11-28 | ||
| 20 | NON SUBSTANTIAL MODIFICATION | NSM-2 | 2023-11-28 | 2023-11-28 | ||
| 21 | SUBSTANTIAL MODIFICATION | SM-23 | 2024-01-25 | Spain | Acceptable 2024-05-07
|
2024-05-07 |
| 22 | NON SUBSTANTIAL MODIFICATION | NSM-3 | 2024-05-15 | Acceptable 2024-05-07
|
2024-05-15 | |
| 23 | SUBSTANTIAL MODIFICATION | SM-26 | 2024-05-16 | Spain | Acceptable | 2024-06-03 |
| 24 | SUBSTANTIAL MODIFICATION | SM-28 | 2024-05-16 | Acceptable | 2024-06-21 | |
| 25 | SUBSTANTIAL MODIFICATION | SM-30 | 2024-05-24 | Acceptable | 2024-07-05 | |
| 26 | SUBSTANTIAL MODIFICATION | SM-27 | 2024-05-30 | Acceptable | 2024-09-09 | |
| 27 | SUBSTANTIAL MODIFICATION | SM-31 | 2024-06-14 | Acceptable | 2024-07-22 | |
| 28 | SUBSTANTIAL MODIFICATION | SM-29 | 2024-06-28 | Acceptable | 2024-08-07 | |
| 29 | SUBSTANTIAL MODIFICATION | SM-32 | 2024-09-24 | Spain | Acceptable 2024-11-19
|
2024-11-19 |
| 30 | SUBSTANTIAL MODIFICATION | SM-33 | 2025-01-09 | Acceptable | 2025-01-30 | |
| 31 | SUBSTANTIAL MODIFICATION | SM-34 | 2025-01-10 | Acceptable | 2025-02-12 | |
| 32 | SUBSTANTIAL MODIFICATION | SM-35 | 2025-04-07 | Spain | Acceptable 2025-07-14
|
2025-07-15 |
| 33 | SUBSTANTIAL MODIFICATION | SM-36 | 2025-08-07 | Spain | Acceptable 2025-10-14
|
2025-10-14 |
| 34 | SUBSTANTIAL MODIFICATION | SM-37 | 2025-12-16 | Spain | Acceptable 2026-03-03
|
2026-03-03 |