A Study of Pembrolizumab/Vibostolimab (MK-7684A) in Relapsed/Refractory Hematological Malignancies (MK-7684A-004, KEYVIBE-004)
Hematological Malignancies
About this trial
This is an interventional treatment trial for Hematological Malignancies
Eligibility Criteria
Inclusion Criteria
- Have confirmed relapsed/refractory classic Hodgkins Lyphoma (cHL), Primary mediastinal B-cell lymphoma (PMBCL), Follicular Lymphoma (FL), Diffuse large B-cell lymphoma (DLBCL) or Non-Hodgkins Lymphoma (NHL), or multiple myeloma (MM).
For PMBCL, DLBCL, FL, and MM:
- Must be relapsed or refractory to CAR-T-cell therapy or unable to receive it.
For DLBCL and NHL:
- Must have exhausted or be ineligible for or intolerant to all treatments, which in the opinion of the investigator are standard of care for their disease.
For NHL:
- Participants with Mantle cell lymphoma (MCL) must have received prior Bruton's tyrosine kinase inhibitor therapy.
All participants:
- Have measurable disease.
- Have adequate organ function.
- Participants who are Hepatitis B surface antigen (HBsAg) positive are eligible if they have received Hepatitis B (HBV) antiviral therapy for at least 4 weeks and have undetectable HBV viral load before allocation.
- Must be able to provide newly obtained bone marrow biopsy or aspirate material for disease assessment.
- Female participants are eligible to participate if not pregnant or breastfeeding, and at least one of the following conditions applies: Is not a woman of non child-bearing potential (WONCBP) OR Is a woman of childbearing potential (WOCBP) and using a contraceptive method that is highly effective, or be abstinent from heterosexual intercourse as their preferred and usual lifestyle.
Exclusion Criteria
For DLBCL and NHL:
- Has lymphoplasmacytic lymphomas, Waldenstrom's macroglobulinemia, chronic lymphocytic leukemia (not associated with small lymphocytic lymphoma), Burkitt (-like) lymphoma, mature T cell and NK cell neoplasms, immunodeficiency associated lymphoproliferative neoplasms, or histiocytic and dendritic cell neoplasms.
For MM:
- Has oligo-secretory myeloma, plasma cell leukemia, smoldering multiple myeloma, or monoclonal gammopathy of undetermined significance.
- Has a history of primary amyloidosis, hyperviscosity or POEMS syndrome (plasma cell dyscrasia with polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, and skin changes).
- Has known prior or current central nervous system (CNS) involvement.
For Epstein Barr virus (EBV) positive DLBCL:
- Associated with a solid organ transplant.
For all participants:
- A WOCBP who has a positive urine pregnancy test within 72 hours before study intervention allocation.
- Has clinically significant cardiovascular disease within 12 months from first dose of study intervention.
- Has a history of a second malignancy.
- Any PMBCL participants that require the use of urgent cytoreductive therapy.
- If the participant had major surgery, the participant must have recovered adequately from the procedure and/or any complications from the surgery before starting study intervention.
- Has received prior radiotherapy within 2 weeks of start of study intervention.
- Has received a live or live-attenuated vaccine within 30 days before the first dose of study intervention.
- Is currently participating in or has participated in a study of an investigational agent or has used an investigational device within 4 weeks before the first dose of study intervention.
- Has a known severe hypersensitivity to MK-7684A, vibostolimab or pembrolizumab and/or any of its excipients.
- Has a known history of Human Immunodeficiency Virus (HIV) infection.
- Has an active autoimmune disease that has required systemic treatment in past 2 years.
- Has an active infection requiring systemic therapy.
- Has a known psychiatric or substance abuse disorder that would interfere with the participant's ability to cooperate with the requirements of the study.
- Has present or progressive accumulation of pleural, ascitic, or pericardial fluid requiring drainage or diuretic drugs within 2 weeks before enrollment.
- Has dual active HBV infection (HBsAg (+) and /or detectable HBV DNA) and Hepatitis C (HCV) infection (anti-HCV Ab (+) and detectable HCV RNA) at study entry..
- Has had an allogenic hematopoietic stem cell/solid organ transplantation within the last 5 years.
Sites / Locations
- City of Hope Comprehensive Cancer Center-Hematology ( Site 0024)
- University of Colorado Anschutz Medical Campus-The Center for Cancer and Blood Disorders ( Site 0021
- University of Chicago Medical Center ( Site 0005)
- Henry Ford Hospital ( Site 0003)
- John Theurer Cancer Center at Hackensack University Medical Center ( Site 0004)
- Rutgers Cancer Institute of New Jersey ( Site 0023)
- University of Texas MD Anderson Cancer Center ( Site 0014)
- Medical Oncology Associates, PS ( Site 0001)
- MEDICAL COLLEGE OF WISCONSIN ( Site 0016)
- Instituto do Câncer e Transplante de Curitiba ( Site 0611)
- Liga Norte Riograndense Contra o Câncer-Centro de Pesquisa Clínica ( Site 0601)
- BC Cancer Vancouver ( Site 0034)
- Princess Margaret Cancer Centre-Division of Medical Oncology and Hematology ( Site 0031)
- Jewish General Hospital ( Site 0032)
- McGill University Health Centre ( Site 0037)
- Instituto Nacional del Cancer ( Site 0626)
- FALP-UIDO ( Site 0623)
- Rigshospitalet-Hematology - CTU ( Site 0361)
- Aarhus Universitetshospital, Skejby-Blodsygdomme ( Site 0362)
- Gustave Roussy-DITEP ( Site 0301)
- centre hospitalier lyon sud-Service Hématologie ( Site 0300)
- Pitie Salpetriere University Hospital-Clinical haematology ( Site 0304)
- Universitätsklinikum Marburg ( Site 0333)
- Universitaetsklinikum Essen ( Site 0327)
- Universitaetsklinikum Koeln-Klinik I für Innere Medizin ( Site 0321)
- Klinikum Mutterhaus der Borromäerinnen-Innere Medizin I ( Site 0325)
- Universitätsklinikum Leipzig ( Site 0328)
- Universitaetsklinikum Hamburg-Eppendorf-II. medical clinic ( Site 0332)
- Pécsi Tudományegyetem Klinikai Központ-I.sz. Belgyógyászati Klinika Hematológia ( Site 0401)
- Országos Onkológiai Intézet-HEMATOLÓGIA ÉS LYMPHOMA OSZTÁLY KEMOTERÁPIA A ( Site 0405)
- Semmelweis University-Belgyógyászati és Hematológiai Klinika ( Site 0403)
- Debreceni Egyetem Klinikai Kozpont-Belgyógyászati Klinika (Haematologia) ( Site 0402)
- Soroka Medical Center-Hematology Department ( Site 0523)
- Rambam Health Care Campus ( Site 0526)
- Hadassah Medical Center ( Site 0522)
- Sheba Medical Center-Hemato Oncology ( Site 0524)
- Sourasky Medical Center ( Site 0525)
- Fondazione Policlinico Universitario Agostino Gemelli-ISTITUTO DI EMATOLOGIA ( Site 0383)
- Azienda Ospedaliera Spedali Civili di Brescia-Hemathology ( Site 0400)
- Ospedale San Raffaele-Unità Linfomi ( Site 0382)
- Policlinico S. Orsola- Malpighi-Istituto di Ematologia "L. e A. Seragnoli" ( Site 0381)
- Uniwersytecki Szpital Kliniczny-Klinika Hematologii, Nowotworow Krwi i Transplantacji Szpiku ( Site
- Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - P-Klinika Nowotworów Układu Chłonnego ( S
- Uniwersyteckie Centrum Kliniczne-Klinika Hematologii i Transplantologii ( Site 0424)
- Narodowy Instytut Onkologii - Oddzial w Gliwicach ( Site 0427)
- GBUZ Republican Clinical Oncological Dispensary-Antitumor drug therapy department ( Site 0548)
- Almazov National Medical Research Centre-Intensive care unit No. 10 for oncohematological patients (
- Moscow City Clinical Hospital S.P. Botkin ( Site 0547)
- Russian Scientific Research Institute of Hematology and Blood Transfusion-Hematology ( Site 0542)
- Instituto Catalan de Oncologia - Hospital Duran i Reynals-Haematology Department ( Site 0442)
- Clinica Universidad de Navarra ( Site 0444)
- Hospital Universitario Fundación Jiménez Díaz-Oncology & Hematology ( Site 0446)
- Hospital Universitario de Salamanca-Hematology ( Site 0441)
- Chang Gung Memorial Hospital at Kaohsiung ( Site 0263)
- Chang Gung Medical Foundation-Linkou Branch ( Site 0262)
- Ege University Medicine of Faculty ( Site 0565)
- Ankara University Hospital Cebeci ( Site 0561)
- Mega Medipol-Hematology ( Site 0567)
- Vehbi Koc Vakfi - Amerikan Hastanesi ( Site 0562)
- Dokuz Eylül Üniversitesi-Hematology ( Site 0563)
- Ondokuz Mayıs Universitesi ( Site 0564)
- Cherkasy Regional Oncology Dispensary ( Site 0593)
- National Cancer Institute ( Site 0585)
- Institute of Transfusion Medicine and Blood of the National Academy of Medical Sciences of Ukraine (
- National Research Center for Radiation Medicine of National Academy of Medical Sciences of Ukraine (
Arms of the Study
Arm 1
Experimental
Pembrolizumab/vibostolimab coformulation
Participants will receive pembrolizumab/vibostolimab (coformulation of 200 mg pembrolizumab and 200 mg vibostolimab) via intravenous IV infusion once every 3 weeks (Q3W) for up to 35 cycles up to approximately 2 years.