Overview
Sponsor-declared trial summary
Stage IV Squamous Non-Small Cell Lung Cancer
1. To evaluate the OR per RECIST 1.1 as assessed by BICR 2. To evaluate the safety and tolerability of investigational treatments when used as monotherapy
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
- 25 Aug 2025 → ongoing
- Decision date (initial)
- 2025-08-13
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- No
- Funding sources
- Merck Sharp & Dohme LLC · Daiichi Sankyo
External identifiers
- EU CT number
- 2024-518839-11-00
- WHO UTN
- U1111-1314-2392
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Pharmacokinetic, Pharmacogenomic, Pharmacogenetic, Efficacy, Pharmacodynamic, Safety
1. To evaluate the OR per RECIST 1.1 as assessed by BICR
2. To evaluate the safety and tolerability of investigational treatments when used as monotherapy
Secondary objectives 3
- To evaluate the DOR per RECIST 1.1 as assessed by BICR
- To evaluate PFS per RECIST 1.1 as assessed by BICR
- To evaluate OS
Conditions and MedDRA coding
Stage IV Squamous Non-Small Cell Lung Cancer
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 28.0 | PT | 10029522 | Non-small cell lung cancer stage IV | 100000004864 |
Regulatory references
- Plan to share IPD
- Yes
| EU CT number | Title | Sponsor |
|---|---|---|
| 2024-515772-12-00 | KEYMAKER-U01 Substudy 01G: A Phase 2, Umbrella Study With Rolling Arms of Investigational Agents in Combination With Pembrolizumab With or Without Platinum-based Chemotherapy in Treatment-Naïve Participants With Stage IV Non-small Cell Lung Cancer (NSCLC) | Merck Sharp & Dohme LLC |
| 2023-509234-19-00 | KEYMAKER-U01 Substudy 01E: A Phase 2 Umbrella Study With Rolling Arms of Investigational Agents With or Without Chemotherapy in Combination With Pembrolizumab in Treatment of Participants With Newly Diagnosed Resectable Stages II-IIIB (N2) Non-small Cell Lung Cancer (NSCLC) | Merck Sharp & Dohme LLC |
| 2023-506934-56-00 | KEYMAKER-U01 Master Study: A Phase 2, Umbrella Study with Rolling Arms of Investigational Agents with either Pembrolizumab in Combination with Chemotherapy or with Pembrolizumab Alone in Patients with Advanced Non-small Cell Lung Cancer (NSCLC) KEYMAKER-U01 Substudy 3: A Phase 2, Umbrella Study with Rolling Arms of Investigational Agents in Combination with Pembrolizumab in Patients with Advanced Non-small Cell Lung Cancer (NSCLC) Previously Treated with anti-PD-(L)1 Therapy | Merck Sharp & Dohme LLC |
| 2023-506932-33-00 | KEYMAKER-U01 Substudy 1: A Phase 2, Umbrella Study with Rolling Arms of Investigational Agents with Pembrolizumab in Combination with Chemotherapy in Treatment-Naive Patients with Advanced Non-small Cell Lung Cancer (NSCLC) | Merck Sharp & Dohme LLC |
| 2023-506933-32-00 | KEYMAKER-U01 Master Study: A Phase 2, Umbrella Study with Rolling Arms of Investigational Agents with either Pembrolizumab in Combination with Chemotherapy or with Pembrolizumab Alone in Patients with Advanced Non-small Cell Lung Cancer (NSCLC) KEYMAKER-U01 Substudy 2: A Phase 2, Umbrella Study with Rolling Arms of Investigational Agents in Combination with Pembrolizumab in Treatment Naïve Patients with PD-L1 Positive Advanced Non-small Cell Lung Cancer (NSCLC) | Merck Sharp & Dohme LLC |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 5
- Histologically or cytologically confirmed diagnosis of Stage IV squamous non-small cell lung cancer (NSCLC)
- Has documented disease progression per Response Evaluation Criteria in Solid Tumors 1.1 (RECIST 1.1), as assessed by investigator after receiving an anti-programmed cell death protein 1 (anti-PD-1)/ programmed cell death ligand 1 (PD-L1) treatment and platinum-based chemotherapy for Stage IV disease
- 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
- Participants with history of Hepatitis C virus (HCV) infection are eligible if HCV viral load is undetectable
Exclusion criteria 17
- Diagnosis of small cell lung cancer or, for mixed tumors, presence of small cell elements
- Has uncontrolled or significant cardiovascular disorder
- Clinically severe pulmonary compromise resulting from intercurrent pulmonary illnesses including, but not limited to, any underlying pulmonary disorder (ie, pulmonary emboli within 3 months, severe asthma, severe chronic obstructive pulmonary disease, restrictive lung disease, pleural effusion, etc), or any autoimmune, connective tissue, or inflammatory disorders with pulmonary involvement (ie, rheumatoid arthritis, Sjogren’s syndrome, sarcoidosis, etc), or prior pneumonectomy
- Participants who have adverse events (AEs) (other than alopecia) due to previous anticancer therapies must have recovered to ≤Grade 1 or baseline
- Evidence of ongoing uncontrolled systemic bacterial, fungal, or viral infection (including HIV infection)
- Has clinically significant corneal disease
- Known additional malignancy that is progressing or has required active treatment within the past 3 years
- Has known untreated central nervous system (CNS) metastases and/or carcinomatous meningitis
- Evidence of any leptomeningeal disease
- History of (noninfectious) pneumonitis/Interstitial Lung Disease (ILD) that required steroids or has current pneumonitis/ILD, and/or suspected ILD/pneumonitis
- Active autoimmune disease that has required systemic treatment in the past 2 years. Replacement therapy (eg, thyroxine, insulin, or physiologic corticosteroid) is allowed
- Active infection requiring systemic therapy
- HIV-infected participants with a history of Kaposi’s sarcoma and/or Multicentric Castleman’s Disease
- Active inflammatory bowel disease requiring immunosuppressive medication or previous clear history of inflammatory bowel disease (eg, Crohn’s disease, ulcerative colitis, or chronic diarrhea)
- Known history of, or active, neurologic paraneoplastic syndrome
- History of allogeneic tissue/solid organ transplant
- Has not adequately recovered from major surgery or have ongoing surgical complications
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 3
- Objective Response Rate (ORR)
- Number of participants who experience one or more adverse events (AEs)
- Number of participants who discontinue study intervention due to an AE
Secondary endpoints 3
- Duration of Response (DOR)
- Progression-free Survival (PFS)
- Overall Survival (OS)
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 2
PRD11627628 · Product
- Active substance
- Ifinatamab Deruxtecan
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS INFUSION
- Max daily dose
- 12 mg/kg milligram(s)/kilogram
- Max total dose
- 420 mg/kg milligram(s)/kilogram
- Max treatment duration
- 24 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- MERCK & CO. INC.
- Paediatric formulation
- No
- Orphan designation
- No
PRD11558694 · Product
- Active substance
- Raludotatug Deruxtecan
- Substance synonyms
- Humanised IgG1 kappa monoclonal antibody against CDH6 conjugated to deruxtecan, DS6000A, DS-6000a
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS INFUSION
- Max daily dose
- 5.6 mg/kg milligram(s)/kilogram
- Max total dose
- 196 mg/kg milligram(s)/kilogram
- Max treatment duration
- 24 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- MERCK & CO. INC.
- Paediatric formulation
- No
- Orphan designation
- No
Comparator 1
SCP126226 · ATC
- Active substance
- Docetaxel
- Substance synonyms
- DOCETAXEL ANHYDROUS
- Route of administration
- INTRAVENOUS INFUSION
- Max daily dose
- 75 mg/m2 milligram(s)/square meter
- Max total dose
- 2625 mg/m2 milligram(s)/square meter
- Max treatment duration
- 24 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01CD02 — DOCETAXEL
- Marketing authorisation
- -
- 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
- Mark Shamoun
Public contact point
- Organisation
- Merck Sharp & Dohme LLC
- Contact name
- Mark Shamoun
Third parties 5
| Organisation | City, country | Duties |
|---|---|---|
| PPD Global Central Labs ORG-100046496
|
Zaventem, Belgium | Laboratory analysis |
| Almac Clinical Technologies LLC ORG-100043036
|
Souderton, United States | Interactive response technologies (IRT) |
| Parexel International Corp. ORG-100007310
|
Auburndale, United States | Other |
| ICON clinical Research Ltd. ORL-000002337
|
Northwales, PA, United States | Other |
| Ventana (Roche Tissue Diagnostics) ORL-000012385
|
Oro Valley, Arizona, United States | Laboratory analysis |
Locations
6 EU/EEA countries · 19 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Germany | Authorised, recruiting | 6 | 2 |
| Greece | Ongoing, recruiting | 14 | 3 |
| Hungary | Ongoing, recruiting | 11 | 3 |
| Italy | Ongoing, recruiting | 6 | 4 |
| Poland | Ongoing, recruiting | 9 | 4 |
| Spain | Ongoing, recruiting | 20 | 3 |
| Rest of world
Israel, Turkey, Chile, Korea, Republic of, United States
|
— | 86 | — |
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 |
|---|---|---|---|---|---|
| Germany | 2025-10-28 | ||||
| Greece | 2025-10-10 | 2025-12-04 | |||
| Hungary | 2025-09-19 | 2026-05-13 | |||
| Italy | 2025-11-21 | 2026-01-29 | |||
| Poland | 2025-08-25 | 2025-08-29 | |||
| Spain | 2025-09-25 | 2026-02-18 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 54 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol_2024-518839-11_GRC_EL_SM02_for pub | 03R |
| Protocol (for publication) | D1_Protocol_2024-518839-11_SM02_for pub | 03R |
| Protocol (for publication) | D1_Protocol_Master_U01_GRC_EL_IN_for pub | 14R |
| Protocol (for publication) | D1_Protocol_Master_U01_IN_for pub | 14R |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements and IC Procedure_ESP_ES_IN_for pub | 25NOV2024R |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements and IC Procedure_GRC_EN_IN_for pub | 25NOV2024 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements and IC Procedure_HUN_EN_IN_for pub | 15NOV2024 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements and IC Procedure_ITA_EN_IN_for pub | 15NOV2024 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements and IC Procedure_POL_PL_IN_for pub | 1.0 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements_DEU_EN_IN_for pub | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment Doc Master Tissue Brochure_DEU_DE_IN_for pub | 00.1 |
| Recruitment arrangements (for publication) | K2_Recruitment Doc Master Tissue Brochure_GRC_EL_IN_for pub | 00.1 |
| Recruitment arrangements (for publication) | K2_Recruitment Doc Master Tissue Brochure_HUN_HU_IN_for pub | 0.00.1 |
| Recruitment arrangements (for publication) | K2_Recruitment Doc Patient Brochure_DEU_DE_IN_for pub | 00.1 |
| Recruitment arrangements (for publication) | K2_Recruitment Doc Patient Brochure_GRC_EL_IN_for pub | 00.1 |
| Recruitment arrangements (for publication) | K2_Recruitment Doc Patient Brochure_HUN_HU_IN_for pub | 0.00.1 |
| Recruitment arrangements (for publication) | K2_Recruitment Doc Poster_DEU_DE_IN_for pub | 00.1 |
| Recruitment arrangements (for publication) | K2_Recruitment Doc Poster_GRC_EL_IN_for pub | 00.1 |
| Recruitment arrangements (for publication) | K2_Recruitment Doc Poster_HUN_HU_IN_for pub | 0.00.1 |
| Subject information and informed consent form (for publication) | L1_ICF_FBR consent_DEU_DE_IN-RFI004_for pub | v0-00 |
| Subject information and informed consent form (for publication) | L1_ICF_FBR consent_ESP_ES_IN_for pub | 00 |
| Subject information and informed consent form (for publication) | L1_ICF_FBR consent_GRC_EL_IN_for pub | 00 |
| Subject information and informed consent form (for publication) | L1_ICF_FBR consent_HUN_HU_IN-RFI011_for pub | v00-0R |
| Subject information and informed consent form (for publication) | L1_ICF_FBR consent_POL_PL_IN_for pub | 00 |
| Subject information and informed consent form (for publication) | L1_ICF_Genetic consent_HUN_HU_IN_for pub | 0.00R |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum disease progression_GRC_EL_IN_for pub | 00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum disease progression_HUN_HU_IN_for pub | 00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum disease progression_ITA_IT_IN_for pub | 00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main addendum disease progression_POL_PL_IN_for pub | 00 |
| Subject information and informed consent form (for publication) | L1_ICF_Main consent adult_GRC_EL_SM02_for pub | AM01 v1.02 |
| Subject information and informed consent form (for publication) | L1_ICF_Main consent_DEU_DE_IN-RFI008_for pub | AM01v1-02R |
| Subject information and informed consent form (for publication) | L1_ICF_Main consent_ESP_ES_IN-RFI003_for pub | AM01v1-01R |
| Subject information and informed consent form (for publication) | L1_ICF_Main consent_HUN_HU_IN-RFI002_for pub | AM01 v0-0R |
| Subject information and informed consent form (for publication) | L1_ICF_Main consent_ITA_IT_IN-RFI005_for pub | AM01v1-02R |
| Subject information and informed consent form (for publication) | L1_ICF_Main consent_POL_PL_IN-RFI006_for pub | v1-02R |
| Subject information and informed consent form (for publication) | L1_ICF_Main data privacy_ITA_IT_IN_for pub | 15NOV2024 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_add crossborder_DEU_DE_IN_for pub | 00R |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_addendum_progression consent_DEU_DE_IN_for pub | 00 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_addendum_progression consent_ESP_ES_IN_for pub | 00 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_DILI sample_ITA_IT_IN_for pub | 15NOV2024 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_Greenphire adults_GRC_EL_IN_for pub | 00 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_pregnancy follow-up_ESP_ES_IN_for pub | 00 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_pregnant partner_ESP_ES_IN_for pub | 00 |
| Subject information and informed consent form (for publication) | L1_ICF_Optional_pregnant partner_HUN_HU_IN_for pub | 0.00R |
| Subject information and informed consent form (for publication) | L1_Patient ID Card_HUN_HU_IN_for pub | 1.0 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_Docetaxel_IN_for pub | 02AUG2023 |
| Synopsis of the protocol (for publication) | D1_PPLS_2024-518839-11_DEU_DE_IN_for pub | 2.0 |
| Synopsis of the protocol (for publication) | D1_PPLS_2024-518839-11_EN_IN_for pub | 2.0 |
| Synopsis of the protocol (for publication) | D1_PPLS_2024-518839-11_ESP_ES_IN_for pub | 2.00 |
| Synopsis of the protocol (for publication) | D1_PPLS_2024-518839-11_GRC_EL_IN_for pub | 2.0 |
| Synopsis of the protocol (for publication) | D1_PPLS_2024-518839-11_HUN_HU_IN_for pub | 2.0 |
| Synopsis of the protocol (for publication) | D1_PPLS_2024-518839-11_ITA_IT_IN_for pub | 2.0 |
| Synopsis of the protocol (for publication) | D1_PPLS_2024-518839-11_POL_PL_IN_for pub | 2.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Scientific Synopsis_2024-518839-11_HUN_HU_IN_for pub | 0.01 |
Application history
4 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2025-04-25 | Hungary | Acceptable 2025-08-11
|
2025-08-13 |
| 2 | SUBSTANTIAL MODIFICATION | SM-1 | 2025-08-27 | Acceptable | 2025-10-03 | |
| 3 | SUBSTANTIAL MODIFICATION | SM-2 | 2025-10-08 | Hungary | Acceptable 2026-01-13
|
2026-01-14 |
| 4 | SUBSTANTIAL MODIFICATION | SM-3 | 2026-01-23 | Hungary | Acceptable 2026-03-25
|
2026-03-26 |