Placebo-controlled, Study of Concurrent Chemoradiation Therapy With Pembrolizumab Followed by Pembrolizumab and Olaparib in Newly Diagnosed Treatment-Naïve Limited-Stage Small Cell Lung Cancer (LS-SCLC) (MK 7339-013/KEYLYNK-013)
Small Cell Lung Cancer
About this trial
This is an interventional treatment trial for Small Cell Lung Cancer focused on measuring Programmed Cell Death-1 (PD1, PD-1), Programmed Death-Ligand 1 (PDL1, PD-L1), Pembrolizumab, Olaparib
Eligibility Criteria
Inclusion Criteria:
Has pathologically (histologically or cytologically) confirmed Small Cell Lung Cancer (SCLC).
Note: Note: Participants with histology showing a mixed tumor with small cell and non-small cell elements are not eligible.
- Has Limited-Stage SCLC (Stage I-III, by AJCC 8th Edition Cancer Staging), and can be safely treated with definitive radiation doses.
- Has no evidence of metastatic disease by whole body positron emission tomography /computed tomography (PET/CT scan), CT or magnetic resonance imaging (MRI) scans
- Has at least 1 lesion that meets the criteria for being measurable, as defined by Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1)
- Has not received prior treatment (chemotherapy or radiotherapy or surgery resection) of LS-SCLC.
- Is not expected to require tumor resection during the course of the study.
- Must submit a pre-treatment tumor tissue sample (formalin-fixed, paraffin embedded blocks are preferred to slides) including cytologic sample, if tissue sample unavailable.
- Has Eastern Cooperative Oncology Group (ECOG) Performance score 0 or 1 assessed within 7 days prior to the first administration of study intervention.
- Has a life expectancy of at least 6 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 the time needed to eliminate each study intervention.
- Male and female participants who are at least 18 years of age at the time of signing the information consent.
- Male participants must refrain from donating sperm during the treatment period and for the time needed to eliminate each study intervention.
Abstains from breastfeeding during the study intervention period and for at least the following period after the last study intervention:
- Pembrolizumab: 120 days
- Olaparib: 7 days
Exclusion Criteria:
- Has history, current diagnosis, or features suggestive of myelodysplastic syndrome/ acute myeloid leukemia (MDS/AML).
- Has received prior therapy with an anti-programmed cell death 1 (anti-PD-1), anti-programmed cell death ligand 1 (anti-PDL1), or anti- programmed cell death ligand 2 (anti-PD-L2) agent or with an agent directed to another stimulatory or coinhibitory T-cell receptor
- Has received prior therapy with olaparib or with any other polyadenosine 5'diphosphoribose (polyADP ribose) polymerization (PARP) inhibitor.
- Had major surgery <4 weeks prior to the first dose of study intervention (except for placement of vascular access).
- Is currently participating in or has participated in a study of an investigational agent or has used an investigational device within 4 weeks prior to the first dose of study intervention.
- 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 the first dose of study intervention.
- Has a known additional malignancy that is progressing or has required active treatment within the past 5 years. Note: Participants with basal cell carcinoma of the skin, squamous cell carcinoma of the skin, superficial bladder cancer, or carcinoma in situ (e.g., breast carcinoma, cervical cancer in situ) that have undergone potentially curative therapy are not excluded.
- Has severe hypersensitivity (≥ Grade 3) to study intervention and/or any of its excipients.
- Has an active autoimmune disease that has required systemic treatment in past 2 years
- Has a history of (non-infectious) pneumonitis/interstitial lung disease that requires steroids
- Has an active infection requiring systemic therapy.
- Has a known history of human immunodeficiency virus (HIV) infection or Hepatitis B or known active Hepatitis C virus infection.
Sites / Locations
- Ironwood Cancer & Research Centers ( Site 0007)Recruiting
- Loma Linda University Cancer Center ( Site 0011)Recruiting
- Georgetown University ( Site 0017)
- Moffitt Cancer Center ( Site 0137)Recruiting
- Fort Wayne Medical Oncology and Hematology ( Site 0034)Recruiting
- University of Kentucky Chandler Medical Center ( Site 0138)Recruiting
- Overton Brooks VAMC ( Site 0041)
- Harry & Jeanette Weinberg Cancer Institute ( Site 0045)Recruiting
- VA Ann Arbor Healthcare System ( Site 0050)Recruiting
- St. Vincent Healthcare Frontier Cancer Center ( Site 0056)
- Oncology Hematology West, PC dba Nebraska Cancer Specialists ( Site 0061)Recruiting
- Memorial Sloan Kettering - Basking Ridge ( Site 0133)Recruiting
- John Theurer Cancer Center ( Site 0064)
- Memorial Sloan Kettering - Monmouth ( Site 0135)Recruiting
- Memorial Sloan Kettering - Bergen ( Site 0130)Recruiting
- Rutgers Cancer Institute of New Jersey ( Site 0123)Recruiting
- Memorial Sloan Kettering- Commack ( Site 0132)Recruiting
- Memorial Sloan Kettering - Westchester-Thoracic Oncology ( Site 0134)Recruiting
- Memorial Sloan Kettering Cancer Center ( Site 0069)Recruiting
- Memorial Sloan Kettering - Nassau ( Site 0131)Recruiting
- Cleveland Clinic ( Site 0139)Recruiting
- Penn State Hershey Cancer Institute ( Site 0081)
- Saint Francis Cancer Center ( Site 0087)
- The University of Tennessee Medical Center ( Site 0116)Recruiting
- Texas Oncology - Dallas (Presbyterian)_McIntyre ( Site 0098)
- Texas Oncology - Dallas (Sammons) ( Site 0093)Recruiting
- MD Anderson Cancer Center ( Site 0100)Recruiting
- Providence Regional Cancer Partnership ( Site 0106)Recruiting
- Medical Oncology Associates, PS ( Site 0142)Recruiting
- Multicare Institute For Research And Innovation ( Site 0108)
- Virginia Mason Memorial- North Star Lodge Cancer Center ( Site 0112)
- Campbelltown Hospital ( Site 3002)Recruiting
- Nepean Hospital ( Site 3001)Recruiting
- Calvary Mater Newcastle ( Site 3000)Recruiting
- Gold Coast University Hospital ( Site 3003)Recruiting
- Frankston Hospital-Oncology and Haematology ( Site 3007)Recruiting
- Austin Health-Austin Hospital ( Site 3006)Recruiting
- Western Health-Sunshine Hospital ( Site 3004)Recruiting
- Saint-Luc UCL ( Site 1005)Recruiting
- Grand Hopital de Charleroi ( Site 1003)Recruiting
- C.I.U. Hopital Ambroise Pare ( Site 1001)Recruiting
- CHU UCL Namur Site de Godinne ( Site 1004)Recruiting
- UZ Leuven ( Site 1002)Recruiting
- AZ Delta ( Site 1000)Recruiting
- MHAT "Uni Hospital" OOD ( Site 2507)Recruiting
- Cross Cancer Institute ( Site 0206)Recruiting
- Hamilton Health Sciences-Juravinski Cancer Centre ( Site 0212)Recruiting
- CIUSSS Ouest de l Ile - St-Mary s Hospital ( Site 0202)Recruiting
- McGill University Health Centre ( Site 0210)Recruiting
- CIUSSS de la Mauricie et du Centre du Quebec ( Site 0200)Recruiting
- Beijing Cancer Hospital ( Site 3127)Recruiting
- Peking Union Medical College Hospital ( Site 3102)
- Cancer Hospital Chinese Academy of Medical Sciences ( Site 3104)
- Beijing Cancer hospital-Oncology Radiotherapy Department ( Site 3140)
- Chongqing Cancer Hospital ( Site 3135)
- Daping Hospital,Third Military Medical University ( Site 3136)
- Fujian Provincial Cancer Hospital ( Site 3126)Recruiting
- The First Affiliated Hospital of Xiamen University ( Site 3121)Recruiting
- Peking University Shenzhen Hospital ( Site 3118)Recruiting
- Cancer Hospital Chinese Academy Of Medical Sciences. Shenzhen Center ( Site 3113)
- Henan Cancer Hospital ( Site 3105)Recruiting
- Wuhan Union Hospital ( Site 3123)
- Tongji Medical College Huazhong University of Science and Technology ( Site 3138)
- Hubei Cancer Hospital ( Site 3120)Recruiting
- Hunan Cancer Hospital ( Site 3133)
- Xiangya Hospital of Central South University ( Site 3137)
- Second Xiangya Hospital of Central-South University ( Site 3128)
- Jiangsu Cancer Hospital ( Site 3139)
- The Second Affiliated Hospital of Nanchang University ( Site 3106)Recruiting
- The First Hospital of Jilin University ( Site 3132)
- Shandong Province Cancer Hospital ( Site 3100)Recruiting
- Shanghai Chest Hospital ( Site 3107)
- Shanghai Pulmonary Hospital ( Site 3101)Recruiting
- West China Hospital of Sichuan University ( Site 3114)
- Tianjin Medical University Cancer Institute & Hospital ( Site 3103)
- Hangzhou Cancer Hospital ( Site 3129)Recruiting
- The 1st Affil Hosp of College of Medicine, Zhejiang Univ ( Site 3131)Recruiting
- Zhejiang Cancer Hospital.... ( Site 3108)Recruiting
- SA Pohja-Eesti Regionaalhaigla ( Site 2201)
- SA Tartu Ulikooli Kliinikum ( Site 2200)Recruiting
- C.H. de Saint Quentin ( Site 1111)Recruiting
- CHU de Bordeaux Hop St ANDRE ( Site 1115)Recruiting
- Clinique Clairval ( Site 1108)Recruiting
- Hopitaux Universitaires Paris Centre-Hopital Cochin ( Site 1105)Recruiting
- CHU Grenoble -Hop Michallon ( Site 1102)Recruiting
- Institut De Cancerologie De L Ouest ( Site 1110)Recruiting
- Institut de Cancerologie de l Ouest Site Paul Papin ( Site 1103)Recruiting
- Hopital Avicenne ( Site 1106)
- H.I.A. Sainte-Anne ( Site 1101)Recruiting
- Henry Dunant Hospital ( Site 1205)Recruiting
- Sotiria Regional Chest Diseases Hospital of Athens ( Site 1200)Recruiting
- University General Hospital of Herakleion ( Site 1202)Recruiting
- Anti-Cancer Hospital of Thessaloniki Theagenio ( Site 1204)
- University General Hospital of Larisa ( Site 1201)Recruiting
- Bacs-Kiskun Megyei Korhaz-Onkoradiologiai Kozpont ( Site 1306)Recruiting
- Petz Aladar Megyei Oktato Korhaz ( Site 1312)Recruiting
- Törökbálinti Tüdőgyógyintézet ( Site 1304)Recruiting
- Orszagos Koranyi Pulmonologiai Intezet ( Site 1301)Recruiting
- Orszagos Onkologiai Intezet ( Site 1310)Recruiting
- Uzsoki Utcai Korhaz ( Site 1303)
- Rambam Health Care Campus-Oncology Division ( Site 1401)Recruiting
- Chaim Sheba Medical Center ( Site 1400)Recruiting
- A O U Policlinico di Modena ( Site 1503)Recruiting
- Azienda Ospedaliero Universitaria Careggi ( Site 1509)Recruiting
- Azienda Ospedaliera Spedali Civili di Brescia ( Site 1512)Recruiting
- IRCCS Ospedale San Raffaele ( Site 1500)Recruiting
- Istituto Nazionale dei Tumori ( Site 1504)Recruiting
- Istituto Europeo di Oncologia ( Site 1501)Recruiting
- IRCCS Istituto Oncologico Veneto ( Site 1506)Recruiting
- Policlinico Universitario Agostino Gemelli ( Site 1505)Recruiting
- Aichi Cancer Center Hospital ( Site 4010)Recruiting
- Kobe Minimally Invasive Cancer Center ( Site 4003)Recruiting
- Takarazuka City Hospital ( Site 4013)Recruiting
- Kanagawa Cancer Center ( Site 4001)Recruiting
- Kansai Medical University Hospital ( Site 4009)Recruiting
- Osaka Medical and Pharmaceutical University Hospital ( Site 4007)Recruiting
- Shizuoka Cancer Center ( Site 4014)Recruiting
- National Hospital Organization Kyushu Cancer Center ( Site 4000)Recruiting
- Niigata Cancer Center Hospital ( Site 4004)Recruiting
- Okayama University Hospital ( Site 4012)Recruiting
- Osaka International Cancer Institute ( Site 4005)Recruiting
- National Cancer Center Hospital ( Site 4015)Recruiting
- Juntendo University Hospital ( Site 4008)Recruiting
- Tokyo Metropolitan Komagome Hospital ( Site 4011)Recruiting
- The Cancer Institute Hospital of JFCR ( Site 4006)Recruiting
- Showa University Hospital ( Site 4002)Recruiting
- National Cancer Center ( Site 3306)Recruiting
- Seoul National University Bundang Hospital ( Site 3301)Recruiting
- The Catholic University of Korea St. Vincent s Hospital ( Site 3303)Recruiting
- Inje University Haeundae Paik Hospital ( Site 3307)Recruiting
- Asan Medical Center ( Site 3308)Recruiting
- Keimyung University Dongsan Hospital ( Site 3302)
- Severance Hospital Yonsei University Health System ( Site 3304)Recruiting
- Samsung Medical Center ( Site 3300)Recruiting
- Nacionalinis Vezio Institutas ( Site 2300)Recruiting
- LSMUL Kauno Klinikos ( Site 2301)Recruiting
- Hospital Civil de Guadalajara Fray Antonio Alcalde ( Site 0401)Recruiting
- Hospital Universitario "Dr. Jose Eleuterio Gonzalez" ( Site 0404)Recruiting
- Inst. Portugues de Oncologia de Lisboa Francisco Gentil EPE ( Site 1705)Recruiting
- Centro Hospitalar Lisboa Norte E.P.E. - Hospital Pulido Valente ( Site 1704)Recruiting
- Instituto Portugues de Oncologia Do Porto Francisco Gentil E.P.E. ( Site 1701)Recruiting
- Institutul Oncologic Prof.Dr. Ion Chiricuta Cluj-Napoca ( Site 2803)Recruiting
- Amethyst Radiotherapy Center-Oncologie Medicala ( Site 2805)Recruiting
- Spitalul Municipal Ploiesti ( Site 2801)Recruiting
- Cabinet Medical Oncomed ( Site 2802)Recruiting
- S.C.Focus Lab Plus S.R.L ( Site 2804)Recruiting
- Moscow Regional Oncological Dispensary-Oncology (thoracic surgery) Department №1 ( Site 1815)
- Main Military Clinical Hospital n.a. N.N.Burdenko ( Site 1812)
- MROI n.a. P.A. Herzen - branch of FSBI NMICR of MoH of Russia ( Site 1800)
- Nizhniy Novgorod Region Oncology Dispensary ( Site 1811)
- Omsk Clinical Oncology Dispensary ( Site 1806)
- Sverdlovsk Regional Oncology Hospital ( Site 1807)
- Republican Clinical Oncology Dispensary-Chemotherapy #1 ( Site 1814)
- Institute for Oncology and Radiology of Serbia ( Site 2995)Recruiting
- Institut za plucne bolesti Vojvodine Sremska Kamenica ( Site 2991)Recruiting
- Steve Biko Academic Hospital ( Site 5000)Recruiting
- Groote Schuur Hospital ( Site 5002)Recruiting
- Hospital Universitario Central de Asturias ( Site 1900)Recruiting
- Hospital Duran i Reynals ( Site 1903)Recruiting
- Hospital Universitari Vall d Hebron ( Site 1904)Recruiting
- Hospital Universitario 12 de Octubre ( Site 1902)Recruiting
- Hospital Regional Universitario de Malaga ( Site 1905)Recruiting
- Hospital Universitario Virgen Macarena-Unidad de Investigación Oncológica ( Site 1907)Recruiting
- Ankara Bilkent Sehir Hastanesi ( Site 2007)Recruiting
- Istanbul Universitesi Cerrahpasa Tip Fakultesi ( Site 2009)Recruiting
- Medipol Universite Hastanesi ( Site 2005)Recruiting
- Göztepe Prof. Dr. Süleyman Yalçın Şehir Hastanesi-oncology ( Site 2003)Recruiting
- Ege Universitesi Tip Fakultesi Hastanesi ( Site 2001)Recruiting
- Medical center Medikal Plaza of Ecodnipro LLC ( Site 2107)
- Grigoriev Institute for medical Radiology NAMS of Ukraine ( Site 2110)
- Medical Center of Yuriy Spizhenko LLC.-Clinical Trial ( Site 2104)
- Clinic of National Cancer Institute ( Site 2101)Recruiting
- Medical Center Verum ( Site 2106)
- LISOD. Hospital ( Site 2111)
- Kyiv City Clinical Oncology Center ( Site 2100)
- Royal Infirmary Aberdeen ( Site 2403)Recruiting
- Ninewells Hospital and Medical School ( Site 2401)Recruiting
- Taunton and Somerset Hospital ( Site 2404)Recruiting
- Barts Health NHS Trust ( Site 2409)Recruiting
- Guy s & St Thomas NHS Foundation Trust ( Site 2408)Recruiting
- The Christie NHS Foundation Trust ( Site 2405)Recruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Placebo Comparator
Group A - Pembrolizumab 200 mg
Group B - Pembrolizumab 200 mg plus Olaparib 300 mg BID
Group C (Pembrolizumab and Olaparib Matching Placebos)
Participants will receive 4 cycles of standard-of-care chemotherapy (etoposide/platinum) plus pembrolizumab 200 mg every 3 weeks (Q3W) concurrently with standard thoracic radiotherapy, followed by 9 cycles of pembrolizumab 400 mg every 6 weeks (Q6W) plus olaparib matching placebo twice daily (BID) for 12 months or until specific discontinuation criteria are met.
Participants will receive 4 cycles of standard-of-care chemotherapy (etoposide/platinum) plus pembrolizumab 200 mg Q3W concurrently with standard thoracic radiotherapy, followed by 9 cycles of pembrolizumab 400 mg Q6W plus olaparib 300 mg BID for 12 months or until specific discontinuation criteria are met.
Participants will receive 4 cycles of standard-of-care chemotherapy (etoposide/platinum) plus pembrolizumab placebo (saline) Q3W concurrently with standard thoracic radiotherapy, followed by 9 cycles of pembrolizumab placebo (saline) Q6W plus olaparib matching placebo for 12 months or until specific discontinuation criteria are met.