A clinical study of treatments for non-small cell lung cancer (MK-3475-01I)

2024-518839-11-00 Protocol MK-3475-01I Therapeutic exploratory (Phase II) Authorised, recruiting

Start 25 Aug 2025 · Status Authorised, recruiting · 6 EU/EEA countries · 19 sites · Protocol MK-3475-01I

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Authorised, recruiting
Participants planned 152
Countries 6
Sites 19

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

  1. To evaluate the DOR per RECIST 1.1 as assessed by BICR
  2. To evaluate PFS per RECIST 1.1 as assessed by BICR
  3. To evaluate OS

Conditions and MedDRA coding

Stage IV Squamous Non-Small Cell Lung Cancer

VersionLevelCodeTermSystem organ class
28.0 PT 10029522 Non-small cell lung cancer stage IV 100000004864

Regulatory references

Plan to share IPD
Yes
EU CT numberTitleSponsor
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

  1. Histologically or cytologically confirmed diagnosis of Stage IV squamous non-small cell lung cancer (NSCLC)
  2. 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
  3. Human immunodeficiency virus (HIV)-infected participants must have well controlled HIV on antiretroviral therapy (ART)
  4. 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
  5. Participants with history of Hepatitis C virus (HCV) infection are eligible if HCV viral load is undetectable

Exclusion criteria 17

  1. Diagnosis of small cell lung cancer or, for mixed tumors, presence of small cell elements
  2. Has uncontrolled or significant cardiovascular disorder
  3. 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
  4. Participants who have adverse events (AEs) (other than alopecia) due to previous anticancer therapies must have recovered to ≤Grade 1 or baseline
  5. Evidence of ongoing uncontrolled systemic bacterial, fungal, or viral infection (including HIV infection)
  6. Has clinically significant corneal disease
  7. Known additional malignancy that is progressing or has required active treatment within the past 3 years
  8. Has known untreated central nervous system (CNS) metastases and/or carcinomatous meningitis
  9. Evidence of any leptomeningeal disease
  10. History of (noninfectious) pneumonitis/Interstitial Lung Disease (ILD) that required steroids or has current pneumonitis/ILD, and/or suspected ILD/pneumonitis
  11. Active autoimmune disease that has required systemic treatment in the past 2 years. Replacement therapy (eg, thyroxine, insulin, or physiologic corticosteroid) is allowed
  12. Active infection requiring systemic therapy
  13. HIV-infected participants with a history of Kaposi’s sarcoma and/or Multicentric Castleman’s Disease
  14. Active inflammatory bowel disease requiring immunosuppressive medication or previous clear history of inflammatory bowel disease (eg, Crohn’s disease, ulcerative colitis, or chronic diarrhea)
  15. Known history of, or active, neurologic paraneoplastic syndrome
  16. History of allogeneic tissue/solid organ transplant
  17. Has not adequately recovered from major surgery or have ongoing surgical complications

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 3

  1. Objective Response Rate (ORR)
  2. Number of participants who experience one or more adverse events (AEs)
  3. Number of participants who discontinue study intervention due to an AE

Secondary endpoints 3

  1. Duration of Response (DOR)
  2. Progression-free Survival (PFS)
  3. Overall Survival (OS)

Investigational products

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

Test 2

Ifinatamab Deruxtecan

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

Raludotatug Deruxtecan

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

Docetaxel

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

OrganisationCity, countryDuties
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

CountryMS statusPlanned subjectsSites
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

Germany

2 sites · Authorised, recruiting
Universitaetsklinikum Tuebingen AöR
Medizinische Klinik VIII, Otfried-Mueller-Strasse 10, Nordstadt, Tuebingen
Charite Universitaetsmedizin Berlin KöR
Medizinische Klinik mit Schwerpunkt Infektiologie/Pneumologie, Augustenburger Platz 1, Wedding, Berlin

Greece

3 sites · Ongoing, recruiting
Athens Medical Center S.A.
Oncology Department, Pylea, Asklipiou 10, Thessaloniki
Thoracic General Hospital Of Athens I Sotiria
3rd Department of Internal Medicine, Messogion Avenue 152, 115 27, Athens
Evangelismos S.A.
Oncology Department, AHEPA Building, Ipsiladou 45-47, 106 76, Athens

Hungary

3 sites · Ongoing, recruiting
Gyor-Moson-Sopron Varmegyei Petz Aladar Egyetemi Oktato Korhaz
Pulmonológiai Osztály, Vasvari Pal Utca 2-4, 9024, Gyor
Jasz-Nagykun-Szolnok Varmegyei Hetenyi Geza Korhaz-Rendelointezet
Onkológiai Központ, Toszegi Ut 21, 5000, Szolnok
Bacs-Kiskun Varmegyei Oktatokorhaz
Onkoradiológiai Központ, Nyiri Ut 38, 6000, Kecskemet

Italy

4 sites · Ongoing, recruiting
Azienda Ospedaliero Universitaria Careggi
Radioterapia Oncologica, Largo Giovanni Alessandro Brambilla 3, 50134, Florence
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
UOC Oncologia Medica, Largo Francesco Vito 1, 00168, Rome
Fondazione IRCCS Istituto Nazionale Dei Tumori
Medical Oncology Department 1, Thoracic Oncology Unit, Via Giacomo Venezian 1, 20133, Milan
Ospedale San Raffaele S.r.l.
Dipartimento di Oncologia Medica, Via Olgettina 60, 20132, Milan

Poland

4 sites · Ongoing, recruiting
Wielkopolskie Centrum Pulmonologii I Torakochirurgii Im. Eugenii I Janusza Zeylandow
Oddzial Onkologii Klinicznej z Pododdzialem Dziennej Chemioterapii, Ul. Augustyna Szamarzewskiego 62, 60-569, Poznan
Narodowy Instytut Onkologii Im. Marii Sklodowskiej-Curie Panstwowy Instytut Badawczy
Klinika Nowotworów Płuca i Klatki Piersiowej, Ul. Wilhelma Konrada Roentgena 5, 02-781, Warsaw
Szpital Wojewodzki Im. Mikolaja Kopernika W Koszalinie
Oddzial Dzienny Chemioterapii, Ul. Tytusa Chalubinskiego 7, 75-581, Koszalin
Uniwersyteckie Centrum Kliniczne
Centrum Wsparcia Badań Klinicznych UCK, Ośrodek Badań Klinicznych Wczesnych Faz, Ul. Mariana Smoluchowskiego 17, 80-214, Gdansk

Spain

3 sites · Ongoing, recruiting
Hospital Clinic De Barcelona
Medical Oncology, Calle Villarroel 170, 08036, Barcelona
Hospital Universitario Quironsalud Madrid
Medical Oncology, Calle De Diego De Velazquez 1, 28223, Pozuelo De Alarcon
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 2025-10-28
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.

TypeTitleVersion
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

#TypeCodeSubmittedReference MSConclusionDecision 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