Clinical Trial to compare subcutaneous pembrolizumab given with hyaluronidase to intravenous pembrolizumab in patients with newly diagnosed stage IV (non-small cell) lung cancer who are PD-L1 Strong

2024-513165-39-00 Protocol MK-3475A-F84 Therapeutic confirmatory (Phase III) Ongoing, recruitment ended

Start 11 Nov 2024 · Status Ongoing, recruitment ended · 4 EU/EEA countries · 13 sites · Protocol MK-3475A-F84

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruitment ended
Participants planned 98
Countries 4
Sites 13

Participants With Metastatic Non-small Cell Lung Cancer With PD-L1 TPS ≥50%

1.To evaluate MK-3475A SC to pembrolizumab IV with respect to AUC 2.To evaluate MK-3475A SC to pembrolizumab IV with respect to steady state Ctrough

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
11 Nov 2024 → ongoing
Decision date (initial)
2024-10-28
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Merck Sharp & Dohme LLC

External identifiers

EU CT number
2024-513165-39-00
WHO UTN
U1111-1306-1214

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacokinetic, Safety

1.To evaluate MK-3475A SC to pembrolizumab IV with respect to AUC
2.To evaluate MK-3475A SC to pembrolizumab IV with respect to steady state Ctrough

Secondary objectives 1

  1. To evaluate the safety and tolerability of MK-3475A SC and pembrolizumab IV

Conditions and MedDRA coding

Participants With Metastatic Non-small Cell Lung Cancer With PD-L1 TPS ≥50%

VersionLevelCodeTermSystem organ class
27.0 PT 10059515 Non-small cell lung cancer metastatic 100000004864

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 2

  1. Histologically or cytologically confirmed diagnosis of squamous or nonsquamous non-small cell lung cancer(NSCLC).
  2. Measurable disease as assessed by the local site investigator/radiology.

Exclusion criteria 7

  1. Diagnosis of small cell lung cancer or, for mixed tumors, presence of small cell elements.
  2. Received prior systemic anticancer therapy for their metastatic NSCLC.
  3. Known additional malignancy that is progressing or has required active treatment within the past 3 years.
  4. Known active CNS metastases and/or carcinomatous meningitis.
  5. Active autoimmune disease that has required systemic treatment in the past 2 years. Replacement therapy (e.g., thyroxine, insulin, or physiologic corticosteroid) is allowed.
  6. History of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease.
  7. Active infection requiring systemic therapy.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Area Under the Curve (AUC) of Pembrolizumab Measured After the First Dose
  2. Trough Concentration (Ctrough) of Pembrolizumab Measured at Steady State

Secondary endpoints 2

  1. Number of Participants Who Report ≥1 Adverse Event (AE)
  2. Number of Participants Who Discontinue Study Intervention Due to an AE

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

MK-3475A

PRD9357633 · Product

Active substance
Pembrolizumab
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS
Max daily dose
0 % (V/V) percent volume/volume
Max total dose
0 % (V/V) percent volume/volume
Max treatment duration
1 Week(s)
Authorisation status
Not Authorised
MA holder
MERCK & CO. INC.
Paediatric formulation
No
Orphan designation
No

Comparator 1

KEYTRUDA 25 mg/mL concentrate for solution for infusion

PRD4323105 · Product

Active substance
Pembrolizumab
Substance synonyms
Lambrolizumab, MK-3475, SCH-900475, BAT3306, Pabolizumab, FYB206, ABP 234
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
0 % (V/V) percent volume/volume
Max total dose
0 % (V/V) percent volume/volume
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
L01FF02 — -
Marketing authorisation
EU/1/15/1024/002
MA holder
MERCK SHARP & DOHME B.V.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
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, P. O. Box 2000 P. O. Box 2000
City
Rahway
Postcode
07065-4607
Country
United States

Scientific contact point

Organisation
Merck Sharp & Dohme LLC
Contact name
Sung Jin Kim

Public contact point

Organisation
Merck Sharp & Dohme LLC
Contact name
Sung Jin Kim

Third parties 9

OrganisationCity, countryDuties
Hematogenix Laboratory Services LLC
ORG-100040020
Tinley Park, United States Laboratory analysis
Almac Clinical Technologies LLC
ORG-100043036
Souderton, United States Interactive response technologies (IRT)
IQVIA Limited
ORG-100008655
Livingston, United Kingdom Laboratory analysis
Bioclinica Inc.
ORG-100033079
Princeton, United States Other
Parexel International Corp.
ORG-100007310
Auburndale, United States Other
Marken LLP
ORG-100048834
Durham, United States Other
Greenphire LLC
ORG-100041621
King Of Prussia, United States Other
Pharmaceutical Product Development LLC
ORG-100016999
Richmond, United States Laboratory analysis
Signant Health Global Solutions Limited
ORG-100047290
Dublin 2, Ireland E-data capture

Locations

4 EU/EEA countries · 13 investigational sites

By country

CountryMS statusPlanned subjectsSites
Germany Ongoing, recruitment ended 1 1
Poland Ongoing, recruitment ended 10 3
Romania Ongoing, recruitment ended 20 4
Spain Ongoing, recruitment ended 15 5
Rest of world
Korea, Republic of, United States, United Kingdom, Guatemala, Turkey, Japan, Peru, China
52

Investigational sites

Germany

1 site · Ongoing, recruitment ended
Universitaetsklinikum Jena KöR
Hämatologie und intern. Onkologie, Am Klinikum 1, Lobeda, Jena

Poland

3 sites · Ongoing, recruitment ended
Szpital Wojewodzki Im. Mikolaja Kopernika W Koszalinie
Oddział Onkologii Klinicznej z Pododdziałem Chemioterapii Jednodniowej,, Ul. Tytusa Chalubinskiego 7, 75-581, Koszalin
Narodowy Instytut Onkologii Im. Marii Sklodowskiej-Curie Panstwowy Instytut Badawczy
Klinika Nowotworów Płuca i Klatki Piersiowej, Ul. Wilhelma Konrada Roentgena 5, 02-781, Warsaw
Mazowiecki Szpital Wojewodzki Im. Sw. Jana Pawła II W Siedlcach Sp. z o.o.
Oddział Onkologii Klinicznej i Radioterapii, Ul. Ksiecia Jozefa Poniatowskiego 26, 08-110, Siedlce

Romania

4 sites · Ongoing, recruitment ended
Radiotherapy Center Cluj S.R.L.
Oncologie Medicala, Str. Razoare Nr. 486g Jud. Cluj, 407280, Floresti
Spitalul Municipal Ploiesti
Oncologie Medicala, Strada Ipatescu Ana Nr 59, 100337, Ploiesti
Centrul De Oncologie SF Nectarie S.R.L.
Oncologie Medicala, Strada Caracal Nr 109, 200542, Craiova
Institute Of Oncology Prof. Dr. Ion Chiricuta Cluj-Napoca
Oncologie Medicala, Strada Republicii 34-36, 400015, Cluj-Napoca

Spain

5 sites · Ongoing, recruitment ended
Fundacion Onkologikoa Fundazioa
Oncology, Pasealeku Doct. Begiristain 121, 20014, Donostia
Hospital Universitario Juan Ramon Jimenez
Oncology, Ronda Exterior Norte S/n, 21005, Huelva
Hospital Universitario Virgen De La Macarena
Oncology, Avenida Del Doctor Fedriani 3, 41009, Sevilla
Hospital Universitari Vall D Hebron
Oncology, Passeig De La Vall D'Hebron 119-129, 08035, Barcelona
Institut Catala D'oncologia
Medical Oncology, Avinguda De La Gran Via De L'hospitalet 199-203, 08908, L'hospitalet De Llobregat

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Germany 2025-09-01 2025-09-02 2025-11-08
Poland 2024-11-14 2025-01-22 2025-11-08
Romania 2024-11-11 2024-11-21 2025-11-08
Spain 2024-11-20 2024-12-18 2025-11-08

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 33 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol_2024-513165-39_SM08_for pub 03R
Protocol (for publication) D4_Copyright statement_EN_SM02_for pub 04DEC2024
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Procedure_DEU_EN_AM01-RFI002_for pub 2.0
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Procedure_ESP_ES_for pub 30JUN2024R
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Procedure_POL_PL_for pub 1.0
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Procedure_ROU_RO_for pub 03JUL2024
Subject information and informed consent form (for publication) L1_ICF_FBR consent_ESP_ES_SM02-RFI001_for pub 01
Subject information and informed consent form (for publication) L1_ICF_FBR consent_POL_PL_SM02_for pub 01
Subject information and informed consent form (for publication) L1_ICF_FBR consent_ROU_EN_SM02_for pub 01
Subject information and informed consent form (for publication) L1_ICF_FBR consent_ROU_RO_SM02_for pub 01
Subject information and informed consent form (for publication) L1_ICF_Main addendum disease progression_ESP_ES_for pub 00
Subject information and informed consent form (for publication) L1_ICF_Main addendum disease progression_POL_PL_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 consent_DEU_DE_SM07-RFI004_for pub v0.02R
Subject information and informed consent form (for publication) L1_ICF_Main consent_ESP_ES_SM07-RFI005_for pub 02R
Subject information and informed consent form (for publication) L1_ICF_Main consent_POL_PL_SM07_for pub 02R
Subject information and informed consent form (for publication) L1_ICF_Main consent_ROU_EN_SM07_for pub 02R
Subject information and informed consent form (for publication) L1_ICF_Main consent_ROU_RO_SM07_for pub 02R
Subject information and informed consent form (for publication) L1_ICF_Main_addendum_disease_progression_DEU_DE_AM01-RFI001_for pub 0.00
Subject information and informed consent form (for publication) L1_ICF_Optional_ClinCard_ROU_EN_SM02_for pub 01
Subject information and informed consent form (for publication) L1_ICF_Optional_ClinCard_ROU_RO_SM02_for pub 01
Subject information and informed consent form (for publication) L1_ICF_Optional_Home healthcare_POL_PL_for pub 00
Subject information and informed consent form (for publication) L1_ICF_Optional_Home healthcare_ROU_EN_for pub 00
Subject information and informed consent form (for publication) L1_ICF_Optional_Home healthcare_ROU_RO_for pub 00
Subject information and informed consent form (for publication) L2_Patient compensation_Astrum_DEU_DE_SM07_for pub 18NOV2025R
Subject information and informed consent form (for publication) L2_Patient compensation_Greenphire_DEU_DE_AM01-RFI002_for pub 10.0
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Keytruda_for pub 02JUL2024
Synopsis of the protocol (for publication) D1_PPLS_2024-513165-39_DEU_DE_SM08_for pub 2.0
Synopsis of the protocol (for publication) D1_PPLS_2024-513165-39_EN_SM08_for pub 2.0
Synopsis of the protocol (for publication) D1_PPLS_2024-513165-39_ESP_ES_SM08_for pub 2.0
Synopsis of the protocol (for publication) D1_PPLS_2024-513165-39_POL_PL_SM08_for pub 2.0
Synopsis of the protocol (for publication) D1_PPLS_2024-513165-39_RO_SM08_for pub 2.0

Application history

9 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-07-09 Spain Acceptable
2024-10-21
2024-10-21
2 NON SUBSTANTIAL MODIFICATION NSM-1 2024-11-07 Spain Acceptable
2024-10-21
2024-11-07
3 SUBSTANTIAL MODIFICATION SM-2 2024-12-16 Spain Acceptable
2025-03-04
2025-03-06
4 SUBSEQUENT ADDITION OF MSC APP-4 2025-04-15 Acceptable
2025-03-04
2025-07-03
5 SUBSTANTIAL MODIFICATION SM-3 2025-05-14 Acceptable 2025-06-30
6 SUBSTANTIAL MODIFICATION SM-4 2025-06-04 Spain Acceptable 2025-06-12
7 SUBSTANTIAL MODIFICATION SM-6 2025-08-13 Spain Acceptable
2025-10-15
2025-10-16
8 SUBSTANTIAL MODIFICATION SM-7 2025-11-28 Spain Acceptable
2026-03-16
2026-03-20
9 SUBSTANTIAL MODIFICATION SM-8 2026-03-24 Spain Acceptable
2026-05-05
2026-05-06