A Study of Pembrolizumab (MK-3475) With or Without Maintenance Olaparib in First-line Metastatic Squamous Non-small Cell Lung Cancer (NSCLC, MK-7339-008/KEYLYNK-008)
Carcinoma, Squamous Cell, Non-small-cell Lung
About this trial
This is an interventional treatment trial for Carcinoma, Squamous Cell, Non-small-cell Lung focused on measuring PD-1, PD L1, PD L2
Eligibility Criteria
Inclusion Criteria:
- Have a histologically or cytologically confirmed diagnosis squamous NSCLC.
- Have Stage IV squamous NSCLC.
- Have measurable disease based on RECIST 1.1.
- Have not received prior systemic treatment for their advanced/metastatic NSCLC.
Have provided archival tumor tissue sample or newly obtained core or incisional biopsy of a tumor lesion not previously irradiated.
Note: Adequacy of biopsy specimen for the above analyses must be confirmed by the central laboratory before the participant can receive study intervention(s). Submission of another tumor specimen may be required prior to enrolling the participant, if adequate tumor tissue was not provided the first time.
- Have a performance status of 0 or 1 on the Eastern Cooperative Oncology Group (ECOG) Performance Status assessed within 7 days prior to the administration of study intervention
- Have a life expectancy of at least 3 months.
- Has adequate organ function.
- Male and female participants who are not pregnant and of childbearing potential must follow contraceptive guidance during the treatment period and for 180 days afterwards.
- Male participants must refrain from donating sperm during the treatment period and for 180 days afterwards.
Exclusion Criteria:
- Has non-squamous histology NSCLC.
- Has a known additional malignancy that is progressing or has progressed within the past 3 years requiring active treatment.
- Has known active central nervous system metastases and/or carcinomatous meningitis.
- Has a known hypersensitivity to any components or excipients of carboplatin, paclitaxel or nab-paclitaxel, or olaparib.
- Has a severe hypersensitivity (≥Grade 3) to pembrolizumab and/or any of its excipients.
- Has an active autoimmune disease that has required systemic treatment in past 2 years.
- Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy.
- Has a known history of human immunodeficiency virus (HIV) infection, a known history of hepatitis B infection, or known active hepatitis C virus infection.
- Has interstitial lung disease, or history of pneumonitis requiring systemic steroids for treatment.
- Has received prior therapy with olaparib or with any other polyadenosine 5' diphosphoribose (polyADP ribose) polymerization (PARP) inhibitor.
- Has received prior therapy with an agent directed to programmed cell death ligand 1 (PD-L1), anti PD-L2, or directed to a stimulatory or co-inhibitory T-cell receptor (e.g., cytotoxic T-lymphocyte-associated protein 4 (CTLA-4), OX-40, CD137).
- Has myelodysplastic syndrome (MDS)/acute myeloid leukemia (AML) or with features suggestive of MDS/AML.
Sites / Locations
- Alabama Oncology Bruno Cancer Center ( Site 0001)
- Disney Family Cancer Center ( Site 0005)
- Boca Raton Regional Hospital ( Site 0018)
- Mid-Florida Cancer Centers ( Site 0022)
- H. Lee Moffitt Cancer Center and Research Institute ( Site 0024)
- Columbus Regional Research Institute ( Site 0099)
- Mount Sinai Hospital Medical Center ( Site 0035)
- Oncology of Northshore ( Site 0036)
- Methodists Hospitals/Premier Oncology Hematology Associates ( Site 0039)
- MedStar Franklin Square Medical Center ( Site 0044)
- Barbara Ann Karmanos Cancer Institute ( Site 0046)
- Hattiesburg Clinic ( Site 0051)
- Frontier Oncology ( Site 0052)
- Bozeman Health Deaconness Cancer Center ( Site 0053)
- Waverly Hematology Oncology ( Site 0054)
- Thompson Cancer Survival Center ( Site 2812)
- Renovatio Clinical ( Site 0074)
- Cancer Care Northwest ( Site 0083)
- Hospital Italiano Regional del Sur ( Site 0509)
- Instituto de Investigaciones Clinicas Mar del Plata ( Site 0516)
- Hospital Britanico de Buenos Aires ( Site 0500)
- Instituto Medico Rio Cuarto ( Site 0501)
- Sanatorio Parque ( Site 0515)
- Centro Oncológico de Rosario ( Site 0507)
- Centro Medico San Roque ( Site 0506)
- Hospital Italiano de Buenos Aires ( Site 0511)
- Clínica Universitaria Reina Fabiola ( Site 0505)
- Sanatorio Privado San Geronimo S.R.L ( Site 0510)
- Liverpool Hospital ( Site 1201)
- Southern Medical Day Care Centre ( Site 1200)
- Townsville General Hospital ( Site 1202)
- Monash Cancer Centre ( Site 1205)
- Ordensklinikum Linz GmbH Elisabethinen ( Site 1307)
- Klinikum Wels-Grieskirchen ( Site 1304)
- Innsbruck LKH ( Site 1302)
- Social Medical Center - Otto Wagner Hospital ( Site 1301)
- Krankenhaus Nord - Klinik Floridsdorf ( Site 1300)
- Hospital Sao Rafael ( Site 0258)
- Instituto do Cancer do Ceara ( Site 0251)
- Oncologica do Brasil ( Site 0256)
- Hospital Tacchini ( Site 0265)
- Irmandade da Santa Casa de Misericordia de Porto Alegre ( Site 0255)
- Centro de Novos Tratamentos Itajai - Clinica de Neoplasias Litoral ( Site 0252)
- Hospital de Base de Sao Jose de Rio Preto ( Site 0254)
- Instituto Nacional do Cancer Jose Alencar Gomes da Silva INCA ( Site 0253)
- Instituto do Cancer do Estado de Sao Paulo - ICESP ( Site 0250)
- Hospital Paulistano - Amil Clinical Research ( Site 0263)
- Real e Benemerita Associacao Portuguesa de Beneficencia ( Site 0260)
- Nova Scotia Health Authority ( Site 0103)
- Hamilton Health Sciences-Juravinski Cancer Centre ( Site 0107)
- Kingston Health Sciences Centre ( Site 0102)
- Stronach Regional Cancer Centre ( Site 0100)
- CISSS de la Monteregie-Centre ( Site 0101)
- Hopital Cite de la Sante de Laval ( Site 0105)
- CIUSSS Ouest de l Ile - St-Mary s Hospital ( Site 0110)
- CIUSSS de la Mauricie et du Centre du Quebec ( Site 0106)
- Centre Hospitalier De Chauny ( Site 1411)
- CHU Caen ( Site 1406)
- CHU Angers ( Site 1405)
- Institut De Cancerologie De Lorraine ( Site 1409)
- Hopital Robert Schuman ( Site 1402)
- Centre Jean Perrin ( Site 1407)
- Centre Hospitalier de Pau ( Site 1412)
- CHU de Rouen ( Site 1403)
- Hopital d'Instruction des Armees Begin ( Site 1413)
- Studienzentrum Aschaffenburg ( Site 1575)
- Klinikum Bogenhausen Staedt. Klinikum Muenchen GmbH ( Site 1573)
- Klinikum der LMU ( Site 1550)
- Universitaetsklinikum Regensburg ( Site 1562)
- Klinikum Wuerzburg Mitte gGmbH ( Site 1559)
- Universitaetsklinikum Frankfurt ( Site 1563)
- Pneumologische Lehrklinik Universitaet Goettingen ( Site 1551)
- Universitaetsmedizin Goettingen ( Site 1557)
- Universitaetsklinikum Bonn ( Site 1574)
- Kliniken Essen Mitte ( Site 1567)
- InVo-Institut fuer Versorgungsforschung in der Onkologie ( Site 1564)
- Helios Klinikum Erfurt GmbH ( Site 1552)
- Katholisches Marienkrankenhaus gGmbH ( Site 1572)
- National Hospital Organization Nagoya Medical Center ( Site 0806)
- Aichi Cancer Center Hospital ( Site 0803)
- National Cancer Center Hospital East ( Site 0801)
- Kurume University Hospital ( Site 0814)
- Kanazawa University Hospital ( Site 0811)
- Kanagawa Cancer Center ( Site 0807)
- Sendai Kousei Hospital ( Site 0812)
- Kansai Medical University Hospital ( Site 0804)
- National Hospital Organization Kinki-chuo Chest Medical Center ( Site 0813)
- Shizuoka Cancer Center Hospital and Research Institute ( Site 0802)
- National Hospital Organization Kyushu Medical Center ( Site 0805)
- Niigata Cancer Center Hospital ( Site 0808)
- Okayama University Hospital ( Site 0810)
- Osaka International Cancer Institute ( Site 0809)
- The Cancer Institute Hospital of JFCR ( Site 0800)
- Chungbuk National University Hospital ( Site 1002)
- National Cancer Center ( Site 1006)
- The Catholic University of Korea St. Vincent s Hospital ( Site 1003)
- Ajou University Hospital ( Site 1004)
- Gyeongsang National University Hospital ( Site 1005)
- Asan Medical Center ( Site 1007)
- Seoul National University Hospital ( Site 1000)
- Severance Hospital Yonsei University Health System ( Site 1001)
- Korea University Guro Hospital ( Site 1008)
- Investigacion Onco Farmaceutica S de RL de CV ( Site 0300)
- Hospital Civil de Guadalajara Fray Antonio Alcalde ( Site 0334)
- Axis Heilsa S. de R.L. de C.V. ( Site 0301)
- CLIMERS Clinical Medical Research ( Site 0306)
- Arke Estudios Clinicos ( Site 0333)
- FAICIC Clinical Research ( Site 0303)
- MidCentral DHB Palmerston North Hospital ( Site 1102)
- Capital & Coast District Health Board - Wellington Hospital ( Site 1101)
- Samodzielny Publiczny Zespol Gruzlicy i Chorob Pluc ( Site 2417)
- Wielospecjalistyczny Szpital SPZOZ w Zgorzelcu ( Site 2404)
- Krakowski Szpital Specjalistyczny im Jana Pawla II ( Site 2420)
- Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy w Warszawie (
- Szpital Rejonowy im. dr Jozefa Rostka ( Site 2402)
- Przychodnia Lekarska Komed ( Site 2416)
- MED-POLONIA Sp. z o.o. ( Site 2419)
- Cardiomed SRL Cluj-Napoca ( Site 2504)
- S.C. Radiotherapy Center Cluj S.R.L ( Site 2507)
- S.C. Centrul de Oncologie Sf. Nectarie SRL ( Site 2508)
- Policlinica Oncomed SRL ( Site 2505)
- S.C.Focus Lab Plus S.R.L ( Site 2502)
- Spitalul Clinic Judetean de Urgenta Sf Apostol Andrei ( Site 2501)
- Moscow Regional Oncological Dispensary ( Site 2028)
- Russian Oncological Research Center n.a. N.N.Blokhin of MoH ( Site 2000)
- First Moscow State Medical University n.a. I.M.Sechenov ( Site 2024)
- Moscow Research Oncology Institute named after P.A. Hertsen ( Site 2009)
- FSAI Treatment and Rehabilitation Centre of the MoH and SD of RF ( Site 2006)
- Nizhniy Novgorod Region Oncology Dispensary ( Site 2026)
- Budgetary Healthcare Institution of Omsk Region Clinical Oncology Dispensary-Chemotherapy #1 ( Site
- SBHI Samara Regional Clinical Oncology Dispensary ( Site 2016)
- SBHI Leningrad Regional Clinical Hospital ( Site 2002)
- SPb Central Clinical Railway Hospital ( Site 2003)
- National Medical Research Center of Oncology N.A. N.N. Petrov ( Site 2004)
- SPb SBHI City Clinical Oncological Dispensary ( Site 2001)
- Republican Clinical Oncology Dispensary of Tatarstan MoH ( Site 2021)
- Hospital Duran i Reynals ( Site 1710)
- Complejo Hospitalario de Jaen ( Site 1713)
- Hospital Sant Creu i Sant Pau ( Site 1711)
- Hospital Universitario 12 de Octubre ( Site 1716)
- Complejo Hospitalario de Malaga ( Site 1714)
- Hospital Universitario Virgen Macarena ( Site 1712)
- Chang Gung Medical Foundation. Kaohsiung Branch ( Site 0907)
- China Medical University Hospital ( Site 0904)
- National Cheng Kung University Hospital ( Site 0905)
- National Taiwan University Hospital ( Site 0900)
- Mackay Memorial Hospital ( Site 0902)
- Chang Gung Medical Foundation.Linkou Branch ( Site 0903)
- Namik Kemal Universitesi Tip Fakultesi ( Site 2100)
- Baskent Unv. Adana Uyg. ve Arast. Hastanesi ( Site 2101)
- Gazi Universitesi Tip Fakultesi ( Site 2104)
- Ankara Sehir Hastanesi ( Site 2105)
- Bezmialem Vakif Univ. Tıp Fakultesi Hastanesi Tibbi Onkoloji Bolumu ( Site 2107)
- Göztepe Prof. Dr. Süleyman Yalçın Şehir Hastanesi-oncology ( Site 2103)
- Ege Universitesi Tip Fakultesi ( Site 2109)
- Erciyes Universitesi Tip Fakultesi ( Site 2108)
- Ondokuz Mays Üniversitesi Tp Fakültesi Hastanesi-Oncology ( Site 2106)
- Cherkasy Regional Oncology Dispensary ( Site 2225)
- City Clinical Hosp.4 of DCC ( Site 2215)
- MI Precarpathian Clinical Oncology Center ( Site 2218)
- Grigoriev Institute for medical Radiology NAMS of Ukraine ( Site 2226)
- Regional Centre of Oncology-Thoracic organs ( Site 2219)
- PP PPC Acinus Medical and Diagnostic Centre ( Site 2223)
- Medical Center Asklepion LLC ( Site 2243)
- Kyiv City Clinical Oncology Centre ( Site 2224)
- Medical and Diagnostic Centre LLC Dobryi Prognoz ( Site 2227)
- MI Odessa Regional Oncological Centre ( Site 2222)
- Central City Clinical Hospital ( Site 2221)
- Medical Center Verum ( Site 2228)
- Southend University Hospital NHS Foundation Trust ( Site 1913)
- Barts Health NHS Trust - St Bartholomew s Hospital ( Site 1923)
- Chelsea and Westminster Hospital ( Site 1901)
- Newcastle Freeman Hospital ( Site 1902)
- West Suffolk Hospitals NHS Trust ( Site 1919)
- Singleton Hospital ( Site 1909)
- Colchester General Hospital ( Site 1911)
- Birmingham Heartlands Hospital ( Site 1910)
- Western General Hospital, Edinburgh ( Site 1924)
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Pembrolizumab + Carboplatin + Taxane + Olaparib
Pembrolizumab + Carboplatin + Taxane + Olaparib Placebo
For the Induction Phase, participants receive 4 cycles: Pembrolizumab 200 mg, intravenous (IV) on Day 1 of each 21-day cycle PLUS carboplatin PLUS a taxane (either paclitaxel or nab-paclitaxel) for 4 cycles (21-day cycles). If the participant has a complete or partial response or stable disease to induction therapy, the participant is randomized to maintenance therapy. For the Maintenance Phase, participants receive pembrolizumab IV on Day 1 of each 21-day for up to 31 cycles PLUS maintenance oral olaparib 300 mg twice daily. In the Maintenance Phase, the participant continues to receive maintenance olaparib until centrally verified progressive disease, physician decision or intolerable toxicity.
For the Induction Phase, participants receive 4 cycles: Pembrolizumab 200 mg, intravenous (IV) on Day 1 of each 21-day cycle PLUS carboplatin PLUS a taxane (either paclitaxel or nab-paclitaxel) for 4 cycles (21-day cycles). If the participant has a complete or partial response or stable disease to induction therapy, the participant is randomized to maintenance therapy. For the Maintenance Phase, participants receive pembrolizumab IV on Day 1 of each 21-day for up to 31 cycles PLUS matching maintenance olaparib placebo twice daily. In the Maintenance Phase, the participant continues to receive maintenance olaparib placebo until centrally verified progressive disease, physician decision or intolerable toxicity.