Coformulation of Pembrolizumab/Vibostolimab (MK-7684A) Versus Pembrolizumab (MK-3475) Monotherapy for Programmed Cell Death 1 Ligand 1 (PD-L1) Positive Metastatic Non-Small Cell Lung Cancer (MK-7684A-003, KEYVIBE-003)
Lung Neoplasms, Non-Small-Cell Lung Carcinoma
About this trial
This is an interventional treatment trial for Lung Neoplasms focused on measuring Programmed Cell Death-1 (PD1, PD-1), Programmed Cell Death 1 Ligand 1 (PDL1, PD-L1), Programmed Cell Death 1 Ligand 2 (PDL2, PD-L2)
Eligibility Criteria
Inclusion Criteria:
- Has a histologically or cytologically confirmed diagnosis of Stage IV: M1a, M1b, or M1c non-small cell lung cancer (NSCLC) per the American Joint Committee on Cancer (AJCC) Staging Manual, version 8
- Has measurable disease based on Response Evaluation Criteria in Solid Tumors (RECIST) 1.1, as determined by the local site assessment
- Has confirmation that epidermal growth factor receptor (EGFR)-, anaplastic lymphoma kinase (ALK)-, or reactive oxygen species proto-oncogene 1 (ROS1)-directed therapy is not indicated as primary therapy and absence of ALK and ROS1 gene rearrangements
- Has provided tumor tissue that demonstrates Programmed Cell Death 1 Ligand 1 (PD-L1) expression in ≥1% of tumor cells as assessed by immunohistochemistry (IHC) at a central laboratory
- Has an Eastern Cooperative Oncology Group (ECOG) performance score of 0 or 1 assessed within 7 days prior to randomization
- Has a life expectancy of at least 3 months
A female participant is eligible to participate if she is not pregnant or breastfeeding, and at least one of the following conditions applies:
- Is not a woman of childbearing potential (WOCBP)
- Is a WOCBP and using a contraceptive method that is highly effective (with a failure rate of <1% per year), with low user dependency or be abstinent from heterosexual intercourse as their preferred and usual lifestyle (abstinent on a long term and persistent basis), during the intervention period and for at least 120 days after the last dose of study intervention
- Has adequate organ function
Exclusion Criteria:
- Has a known history of an additional malignancy, except if the participant has undergone potentially curative therapy with no evidence of that disease recurrence for at least 3 years since initiation of that therapy
Has received prior systemic chemotherapy or other targeted or biological antineoplastic therapy for their metastatic NSCLC.
- Prior treatment with chemotherapy and/or radiation as part of neoadjuvant/adjuvant or chemoradiation therapy for nonmetastatic NSCLC is allowed as long as therapy was completed at least 6 months before the diagnosis of metastatic NSCLC.
- Participants must have recovered from all AEs due to previous therapies to Grade ≤1 or baseline. Participants with Grade ≤2 neuropathy may be eligible. Participants with endocrine-related AEs Grade ≤2 requiring treatment or hormone replacement may be eligible.
- Has received prior therapy with an anti-programmed cell death receptor 1 (PD-1), anti-programmed cell death receptor ligand 1 (PD-L1), or anti-programmed cell death receptor ligand 2 (PD-L2) agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor (eg, cytotoxic T-lymphocyte-associated protein 4 (CTLA-4), OX-40, CD137)
- Has received previous treatment with another agent targeting the T cell immunoreceptor with immunoglobulin (Ig) and immunoreceptor tyrosine-based inhibition motif (ITIM) domains (TIGIT) receptor pathway
- Has received radiotherapy within 2 weeks of start of study intervention. Participants must have recovered from all radiation-related toxicities, not require corticosteroids, and not have had radiation pneumonitis. A 1-week washout is permitted for palliative radiation (≤2 weeks of radiotherapy) to non-central nervous system (CNS) disease
Has received a live or live-attenuated vaccine within 30 days prior to the first dose of study intervention. Administration of killed vaccines is allowed.
- Any licensed COVID-19 vaccine (including for Emergency Use) in a particular country is allowed in the study as long as they are mRNA vaccines, adenoviral vaccines, or inactivated vaccines. These vaccines will be treated just as any other concomitant therapy.
- Investigational vaccines (i.e., those not licensed or approved for Emergency Use) are not allowed.
- 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 known active or untreated CNS metastases and/or carcinomatous meningitis. Participants with previously treated brain metastases may participate provided they are radiologically stable for at least 4 weeks by repeat imaging, clinically stable, and without requirement of steroid treatment for at least 14 days prior to first dose of study intervention
- Has severe hypersensitivity (≥Grade 3) to pembrolizumab/vibostolimab or pembrolizumab and/or any of its excipients
- Has an active autoimmune disease that has required systemic treatment in past 2 years (ie, with use of disease modifying agents, corticosteroids, or immunosuppressive drugs). Replacement therapy (eg, thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency) is not considered a form of systemic treatment and is allowed.
- 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 to the first dose of study intervention
- Has a history of (non-infectious) pneumonitis that required steroids or has current pneumonitis
- Has a known history of interstitial lung disease. Lymphangitic spread of the NSCLC is not exclusionary.
- Has an active infection requiring systemic therapy
- Has a known history of human immunodeficiency virus (HIV) infection. No HIV testing is required unless mandated by local health authority
- Has a known history of Hepatitis B or known active Hepatitis C virus infection
- Has a history or current evidence of any condition, therapy, or laboratory abnormality that prevents the participant from receiving platinum-doublet chemotherapy for first line NSCLC, or that might confound the results of the study, interfere with the participant's participation for the full duration of the study, or is not in the best interest of the participant to participate, in the opinion of the treating investigator.
- Has a known psychiatric or substance abuse disorder that would interfere with the participant's ability to cooperate with the requirements of the study
Sites / Locations
- Boca Raton Regional Hospital ( Site 0004)Recruiting
- Illinois Cancer Care ( Site 0026)Recruiting
- Mercy Research - David C. Pratt Cancer Center ( Site 0025)Recruiting
- Mercy Research - Cancer and Hematology Center ( Site 0032)Recruiting
- Perlmutter Cancer Center at NYU Langone Hospital - Long Island ( Site 0022)Recruiting
- Memorial Sloan Kettering Cancer Center ( Site 0013)
- Fox Chase Cancer Center-Hematology/Oncology ( Site 0030)Recruiting
- Hospital São Carlos-Oncocentro Ce ( Site 0208)Recruiting
- Liga Norte Riograndense Contra o Câncer-Centro de Pesquisa Clínica ( Site 0201)Recruiting
- ONCOSITE - Centro de Pesquisa Clinica em Oncologia ( Site 0206)Recruiting
- Irmandade da Santa Casa de Misericórdia de Porto Alegre-Centro de Pesquisa Novos Tratamentos em CânRecruiting
- CEPEN - Centro de Pesquisa e Ensino em Oncologia de Santa Catarina ( Site 0209)Recruiting
- ICESP - INSTITUTO DO CÂNCER DO ESTADO DE SÃO PAULO-Pesquisa Clinica ( Site 0200)Recruiting
- Núcleo de Pesquisa Clínica da Rede São Camilo ( Site 0207)Recruiting
- Instituto Nacional de Câncer José Alencar Gomes da Silva - INCA ( Site 0204)Recruiting
- BC Cancer Victoria-Clinical Trials Unit ( Site 0107)Recruiting
- Hamilton Health Sciences-Juravinski Cancer Centre ( Site 0104)Recruiting
- Kingston Health Sciences Centre-Kingston General Hospital Site ( Site 0102)Recruiting
- Lakeridge Health ( Site 0106)Recruiting
- Centre Intégré de Santé et de Services Sociaux (CISSS) de La-Centre intégré de cancérologie de LavaRecruiting
- James Lind Centro de Investigación del Cáncer ( Site 0711)Recruiting
- CIDO SpA-Oncology ( Site 0707)Recruiting
- IC La Serena Research ( Site 0710)Recruiting
- Clínica Puerto Montt ( Site 0713)Recruiting
- Oncocentro Valdivia ( Site 0715)Recruiting
- Clinica Universidad Catolica del Maule-Oncology ( Site 0703)Recruiting
- FALP ( Site 0702)Recruiting
- Centro de Estudios Clínicos SAGA-CECSAGA ( Site 0712)Recruiting
- Orlandi Oncologia ( Site 0700)Recruiting
- Bradfordhill ( Site 0701)Recruiting
- Centro de Investigación Oncológica del Norte ( Site 0708)Recruiting
- The First Affiliated Hospital of Anhui Medical University ( Site 2022)
- Anhui Provincil Hospital South District-Respiratory Medicine Dept ( Site 2017)
- Cancer Hospital Chinese Academy of Medical Science-Oncology ( Site 2030)
- Beijing Cancer hospital-intrathoratic deparmtment II ( Site 2001)
- Beijing Cancer hospital-Thoracic Cancer Department A ( Site 2003)
- Beijing Peking Union Medical College Hospital-pneumology department ( Site 2009)
- Beijing Chest Hospital,Capital Medical University ( Site 2020)
- Chongqing Cancer Hospital-Medical Oncology ( Site 2028)
- Army Medical Center of People's Liberation Army-respiratory ( Site 2025)
- Fujian Provincial Cancer Hospital-oncology department ( Site 2023)
- Fuzhou General hospital of Nanjing Military Command-Oncology Department ( Site 2029)
- Southern Medical University Nanfang Hospital-Depatrment of Respiratory and Critical Care Medicine (
- Harbin Medical University Cancer Hospital ( Site 2006)
- Henan Cancer Hospital ( Site 2015)
- Wuhan Union Hospital-Medical Oncology ( Site 2019)
- Xiangya Hospital Central South University-Respiratory -Asthma&COPD ( Site 2026)
- Hunan Cancer Hospital-thoracic oncology II ( Site 2013)
- Northern Jiangsu People's Hospital-General Surgery Department ( Site 2016)
- Jilin Cancer Hospital-oncology department ( Site 2000)
- Tang Du Hospital ( Site 2004)
- The First Affiliated Hospital of Xian Jiaotong University wa-Oncology ( Site 2012)
- LinYi Cancer Hospital ( Site 2034)
- Linyi People's Hospital-Oncology ( Site 2035)
- Fudan University Shanghai Cancer Center ( Site 2032)Recruiting
- West China Hospital Sichuan University-respiratory ( Site 2018)
- Hangzhou Cancer Hospital-Medical Oncology ( Site 2039)Recruiting
- Zhejiang Cancer Hospital-Breast Oncology ( Site 2008)
- The Second Affiliated hospital of Zhejiang University school of medicine-Respiratory Medicine ( Site
- The Second Affiliated hospital of Zhejiang University school of medicine-Respiratory Medicine ( SiteRecruiting
- Taizhou Hospital of Zhejiang Province-Respiratory ( Site 2027)Recruiting
- The First Affiliated Hospital of Wenzhou Medical University-Respiratory department ( Site 2031)
- Instituto de Oncologia ( Site 2300)Recruiting
- CEMDOE - Centro Médico de Diabetes, Obesidad y Especialidades ( Site 2301)Recruiting
- Onco Go, S.A ( Site 0306)Recruiting
- CELAN,S.A ( Site 0304)Recruiting
- Gastrosoluciones ( Site 0302)Recruiting
- INTEGRA Cancer Institute ( Site 0303)Recruiting
- Oncomedica-Guatemala ( Site 0301)Recruiting
- Grupo Medico Angeles-Grupo Medico Angeles ( Site 3007)Recruiting
- Hong Kong Integrated Oncology Centre ( Site 1301)Recruiting
- Queen Mary Hospital ( Site 1303)Recruiting
- Hong Kong United Oncology Centre ( Site 1302)Recruiting
- Princess Margaret Hospital ( Site 1304)Recruiting
- Bacs-Kiskun Megyei Korhaz-Onkoradiologiai Kozpont ( Site 1201)Recruiting
- Békés Megyei Központi Kórház Pándy Kálmán Tagkórház-Megyei Onkológiai Centrum ( Site 1207)Recruiting
- Petz Aladar Egyetemi Oktato Korhaz-Pulmonológia ( Site 1205)Recruiting
- Mátrai Gyógyintézet ( Site 1214)Recruiting
- Jász-Nagykun-Szolnok Megyei Hetényi Géza Kórház-Onkologiai Kozpont ( Site 1200)Recruiting
- Országos Korányi Pulmonológiai Intézet-XIV. Tüdöbelgyógyászat ( Site 1204)Recruiting
- Torokbalint Tudogyogyintezet-Onkopulmonologiai Jarobeteg Centrum ( Site 1208)Recruiting
- Zala Megyei Szent Rafael Kórház-Pulmonológia ( Site 1202)Recruiting
- Semmelweis University-Pulmonológiai Klinika ( Site 1209)Recruiting
- National Hospital Organization Nagoya Medical Center ( Site 1920)Recruiting
- Fujita Health University ( Site 1906)Recruiting
- Ehime University Hospital ( Site 1911)Recruiting
- Kurume University Hospital ( Site 1912)Recruiting
- Gunma Prefectural Cancer Center ( Site 1925)Recruiting
- National Hospital Organization Hokkaido Cancer Center ( Site 1923)Recruiting
- Hyogo College of Medicine-Respiratory Medicine and Hematology ( Site 1922)Recruiting
- Takarazuka City Hospital ( Site 1924)Recruiting
- Kanagawa Cardiovascular and Respiratory Center ( Site 1921)Recruiting
- Kanagawa cancer center ( Site 1916)Recruiting
- Sendai Kousei Hospital ( Site 1900)Recruiting
- Niigata Cancer Center Hospital ( Site 1904)Recruiting
- Kansai Medical University Hospital ( Site 1914)Recruiting
- Kindai University Hospital- Osakasayama Campus ( Site 1907)Recruiting
- National Hospital Organization Kinki-chuo Chest Medical Center-Department of Thoracic Oncology ( SitRecruiting
- Osaka Medical and Pharmaceutical University Hospital ( Site 1908)Recruiting
- Shizuoka Cancer Center ( Site 1905)Recruiting
- Tochigi Cancer Center ( Site 1927)Recruiting
- Chiba University Hospital-Medical Oncology ( Site 1926)Recruiting
- Okayama University Hospital ( Site 1913)Recruiting
- Osaka International Cancer Institute ( Site 1915)Recruiting
- Tokushima University Hospital ( Site 1917)Recruiting
- Juntendo University Hospital ( Site 1902)Recruiting
- Japanese Foundation for Cancer Research ( Site 1901)Recruiting
- Wakayama Medical University Hospital ( Site 1910)Recruiting
- Chungbuk National University Hospital-Internal medicine ( Site 1406)Recruiting
- National Cancer Center-Lung Cancer Center ( Site 1407)Recruiting
- Seoul National University Bundang Hospital ( Site 1403)Recruiting
- The Catholic University Of Korea St. Vincent's Hospital-Medical Oncology ( Site 1405)Recruiting
- Seoul National University Hospital ( Site 1401)Recruiting
- Kangbuk Samsung Hospital ( Site 1409)Recruiting
- The Catholic University of Korea, Eunpyeong St. Mary's Hospital-Cancer center ( Site 1410)Recruiting
- Severance Hospital, Yonsei University Health System ( Site 1402)Recruiting
- Asan Medical Center ( Site 1400)Recruiting
- The Catholic Univ. of Korea Seoul St. Mary's Hospital-Medical Oncology ( Site 1408)Recruiting
- University Malaya Medical Centre ( Site 1504)Recruiting
- Hospital Tengku Ampuan Afzan ( Site 1502)Recruiting
- Gleneagles Penang Medical Center-Clinical Research Center (CRC) ( Site 1503)Recruiting
- Hospital Pulau Pinang ( Site 1501)Recruiting
- National Cancer Institute ( Site 1505)Recruiting
- Arké SMO S.A. de C.V. ( Site 0417)Recruiting
- Actualidad Basada en la Investigación del Cáncer-Lung Cancer ( Site 0411)Recruiting
- Centro de Investigacion Clinica Chapultepec ( Site 0400)Recruiting
- iCan Oncology Center Centro Medico AVE ( Site 0405)Recruiting
- Hospital H+ Queretaro ( Site 0416)Recruiting
- Medical Care and Research SA de CV ( Site 0409)Recruiting
- Centro Oncologico de Chihuahua-Unidad de Investigacion Clinica ( Site 0402)Recruiting
- Human Science Research Trials ( Site 0406)
- Oaxaca Site Management Organization ( Site 0403)Recruiting
- UNIDAD DE ONCOLOGIA HOSPITAL NACIONAL ADOLFO GUEVARA VELASCO ESSSALUD CUSCO ( Site 0504)Recruiting
- Hospital Guillermo Almenara Irigoyen-Oncology ( Site 0508)Recruiting
- Clínica Internacional - Sede San Borja ( Site 0506)Recruiting
- IPOR Instituto Peruano de Oncología & Radioterapia ( Site 0507)Recruiting
- INSTITUTO NACIONAL DE ENFERMEDADES NEOPLASICAS ( Site 0500)Recruiting
- Hospital Militar Central Luis Arias Schereiber ( Site 0502)Recruiting
- CARDINAL SANTOS MEDICAL CENTER ( Site 1606)Recruiting
- Cardiomed SRL Cluj-Napoca ( Site 2201)Recruiting
- Centrul de Oncologie "Sfântul Nectarie"-Medical Oncology ( Site 2202)Recruiting
- SC Medical Center Gral SRL ( Site 2203)Recruiting
- Moscow Regional Oncological Dispensary ( Site 0812)
- Hadassah Medical-Oncology department ( Site 0814)
- Central Clinical Hospital of the Presidential Administrative Department ( Site 0802)
- Nizhegorodsky Regional Oncology Dispensary, Branch #2-chemotherapy ( Site 0809)
- GBUZ LOKB-Oncology department #1 ( Site 0804)
- Republican Clinical Oncology Dispensary ( Site 0805)
- Scientific research institution of oncology named after N.N. Petrov-Thoracic oncology ( Site 0803)
- Wits Clinical Research ( Site 0900)Recruiting
- Medical Oncology Centre of Rosebank ( Site 0906)Recruiting
- LIFE GROENKLOOF-Mary Potter Cancer Centre ( Site 0901)Recruiting
- Sandton Oncology Medical Group (Pty) Ltd-Research ( Site 0902)Recruiting
- Wits Clinical Research-Wits Clinical Research Bara ( Site 0908)Recruiting
- The Oncology Centre ( Site 0905)Recruiting
- Abraham Oncology ( Site 0907)Recruiting
- Cape Town Oncology Trials ( Site 0903)Recruiting
- Changhua Christian Hospital ( Site 1711)Recruiting
- Chang Gung Memorial Hospital at Kaohsiung ( Site 1702)Recruiting
- Tri-Service General Hospital-hematology&oncology ( Site 1710)Recruiting
- National Taiwan University Hospital - Hsinchu branch ( Site 1704)Recruiting
- Taichung Veterans General Hospital-Chest ( Site 1707)Recruiting
- NATIONAL CHENG-KUNG UNI. HOSP.-clinical trial center ( Site 1705)Recruiting
- National Taiwan University Hospital-Oncology ( Site 1706)Recruiting
- Mackay Memorial Hospital-Chest Medicine ( Site 1703)Recruiting
- Taipei Medical University Hospital ( Site 1712)Recruiting
- Taipei Veterans General Hospital ( Site 1709)Recruiting
- Chang Gung Medical Foundation-Linkou Branch ( Site 1708)Recruiting
- Chulalongkorn University ( Site 1802)Recruiting
- Ramathibodi Clinical Research Centre ( Site 1801)Recruiting
- Faculty of Medicine Siriraj Hospital ( Site 1800)Recruiting
- Erciyes University Medical Oncology Department ( Site 1007)Recruiting
- Hacettepe Universitesi-oncology hospital ( Site 1001)
- Memorial Ankara Hastanesi-Medical Oncology ( Site 1002)Recruiting
- Gazi Universitesi-Oncology ( Site 1003)Recruiting
- Acıbadem Maslak Hastanesi ( Site 1008)Recruiting
- Istanbul Universitesi Cerrahpasa-Medical Oncology ( Site 1000)Recruiting
- Samsun Medical Park Hastanesi-medical oncology ( Site 1005)
- Cherkasy Regional Oncology Dispensary ( Site 1110)
- Chernihiv Medical Center of Modern Oncology-Clinical oncology and gynecology department ( Site 1113)
- Municipal Non-profit Enterprise City Clinical Hospital #4 of Dnipro City Council ( Site 1100)
- MI Kryvyi Rih Oncology Dispensary of Dnipropetrovsk Regional-Chemotherapy department ( Site 1104)
- Communal Non-Commercial Enterprise Prykarpatski Clinical Oncological Center of Ivano-Frankivsk Regio
- Institute of General and Emergency Surgery named after V.T. Zaitsev NAMS of Ukraine ( Site 1119)
- National Cancer Institute ( Site 1114)
- Vinnytsia Regional Clinical Oncological Hospital ( Site 1102)
- Uzhgorod Central City Clinical Hospital-City oncology center ( Site 1120)
- Oncolife LLC-day-stay department ( Site 1107)
- Zhytomyr Regional Oncology Center-Chemotherapy Department ( Site 1103)
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Pembrolizumab/Vibostolimab
Pembrolizumab
Participants will receive pembrolizumab/vibostolimab as a coformulation (MK-7684A).
Participants will receive pembrolizumab (MK-3475) alone.