A Study of Coformulated Favezelimab/Pembrolizumab (MK-4280A) Versus Physician's Choice Chemotherapy in PD-(L)1-refractory, Relapsed or Refractory Classical Hodgkin Lymphoma (MK-4280A-008)
Hodgkin Lymphoma
About this trial
This is an interventional treatment trial for Hodgkin Lymphoma 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 histologically confirmed diagnosis of classical Hodgkin lymphoma (cHL) that is 2-fluorodeoxyglucose-avid (FDG-avid).
- Has relapsed (defined as disease progression after most recent therapy) or refractory (defined as failed to achieve CR or PR to most recent therapy) cHL and exhausted all available treatment options with known clinical benefit.
- Has progressed on treatment with an anti-PD-(L)1 monoclonal antibody (mAb) administered either as monotherapy or in combination with other checkpoint inhibitors or other therapies.
- Submits an archival (<5 years) or newly obtained tumor tissue sample which has not been previously irradiated.
Exclusion Criteria:
- Diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy or any other form of immunosuppressive therapy.
- History of central nervous system (CNS) metastases or active CNS involvement.
- Has an active autoimmune disease that has required systemic treatment in past 2 years except replacement therapy.
- History of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease.
- Has an active infection requiring systemic treatment.
- History of hemophagocytic lymphohisticytosis.
- Has an active seizure disorder that is not well controlled.
- Has clinically significant (ie, active) cardiovascular disease.
- Received prior systemic anticancer therapy including investigational agents within 4 weeks before randomization.
- Received prior radiotherapy within 2 weeks of start of study intervention or radiation related toxicities requiring corticosteroids.
- Has not adequately recovered from major surgical procedure.
- Known additional malignancy that is progressing or has required active treatment within the past 3 years.
- History of human immunodeficiency virus (HIV).
- Has had an allogeneic hematopoietic stem cell or solid organ transplantation within the last 5 years.
Sites / Locations
- University of Kentucky Chandler Medical Center ( Site 2201)Recruiting
- Johns Hopkins University-The Sidney Kimmel Comprehensive Cancer Center ( Site 2206)Recruiting
- Cleveland Clinic-Taussig Cancer Center ( Site 2203)Recruiting
- AHN West Penn Hospital ( Site 2213)Recruiting
- UPMC Hillman Cancer Center ( Site 2205)Recruiting
- Fred Hutchinson Cancer Center ( Site 2212)Recruiting
- Western Health-Sunshine & Footscray Hospitals-Cancer Services-Cancer Research ( Site 0002)Recruiting
- Université Catholique de Louvain-Namur - Centre Hospitalier Universitaire Dinant-Godinne - Site GodiRecruiting
- UZ Leuven-Hematology ( Site 0101)Recruiting
- Fundação Pio XII - Hospital de Câncer de Barretos ( Site 0202)Recruiting
- Hospital Paulistano-Americas Oncologia ( Site 0207)Recruiting
- Anhui Provincial Cancer Hospital ( Site 0501)Recruiting
- Peking University Third Hospital-Hematology ( Site 0519)Recruiting
- The First Affiliated hospital of Xiamen University ( Site 0512)Recruiting
- Sun Yat-sen University Cancer Center-Internal medicine ( Site 0500)Recruiting
- Henan Cancer Hospital ( Site 0515)Recruiting
- Union Hospital Tongji Medical College Huazhong University of Science and Technology ( Site 0509)Recruiting
- The First Hospital of Jilin University-Hematology ( Site 0516)Recruiting
- Fudan University Shanghai Cancer Center ( Site 0520)Recruiting
- West China Hospital of Sichuan University-Head and Neck Oncology ( Site 0502)Recruiting
- Tianjin Medical University Cancer Institute & Hospital-lymphoma ( Site 0506)Recruiting
- Zhejiang Cancer Hospital ( Site 0510)Recruiting
- Ningbo First Hospital ( Site 0518)Recruiting
- Institut Universitaire du Cancer Toulouse - Oncopole - CHU de TOULOUSE ( Site 0706)Recruiting
- Centre Hospitalier Universitaire de Limoges - Hôpital Dupuytren ( Site 0704)Recruiting
- CENTRE LEON BERARD-Medical oncology ( Site 0703)Recruiting
- Universitaetsklinikum Koeln-Klinik I für Innere Medizin ( Site 0801)Recruiting
- Universitaetsklinikum Carl Gustav Carus Dresden-University Cancer Center Early Clinical Trial Unit (Recruiting
- Universitätsklinikum Leipzig ( Site 0803)Recruiting
- Rambam Health Care Campus ( Site 1004)Recruiting
- Hadassah Medical Center-Hemato-Oncology ( Site 1000)Recruiting
- Rabin Medical Center-Hemato-Oncology ( Site 1001)Recruiting
- Sheba Medical Center-Hemato Oncology ( Site 1005)Recruiting
- Sourasky Medical Center ( Site 1002)Recruiting
- Seoul National University Hospital ( Site 1701)Recruiting
- Severance Hospital, Yonsei University Health System-Medical oncology ( Site 1702)Recruiting
- Samsung Medical Center ( Site 1700)Recruiting
- Uniwersytecki Szpital Kliniczny im. Jana Mikulicza-Radeckieg-Klinika Hematologii, Nowotworów Krwi iRecruiting
- Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - P-Kilinka Onkologii I Hematologii ( SiteRecruiting
- Hospital Universitario Marqués de Valdecilla ( Site 1805)Recruiting
- Hospital General Universitario de Alicante ( Site 1806)Recruiting
- Hospital Universitari Vall d'Hebron ( Site 1803)Recruiting
- Hospital Universitario de Salamanca - Complejo Asistencial U-Servicio de Hematologia ( Site 1801)Recruiting
- Skånes Universitetssjukhus Lund ( Site 1901)Recruiting
- Akademiska sjukhuset-Blod- och tumörsjukdomar ( Site 1900)Recruiting
- Mega Medipol-Hematology ( Site 2005)Recruiting
- Ankara Universitesi Tip Fakultesi Hastanesi-hematology ( Site 2000)Recruiting
- Hacettepe Universite Hastaneleri-Department of Hematology ( Site 2006)Recruiting
- Kocaeli Üniversitesi-Hematology ( Site 2009)Recruiting
- Derriford Hospital ( Site 2107)Recruiting
- St Bartholomew's Hospital-Centre for Experimental Cancer Medicine ( Site 2105)Recruiting
- GenesisCare - Oxford ( Site 2104)Recruiting
- Leicester Royal Infirmary ( Site 2100)Recruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Favezelimab/Pembrolizumab
Chemotherapy (Bendamustine or Gemcitabine)
Participants will receive coformulated favezelimab/pembrolizumab (800 mg/200 mg) by intravenous (IV) infusion on Day 1, then every three weeks (Q3W), for up to 35 infusions.
Participants will receive physician's choice of EITHER bendamustine by IV infusion at a dose between 90 and 120 mg/m^2 on Day 1 and Day 2 of either a 3- or 4-week cycle for up to 6 cycles OR gemcitabine by IV infusion at a dose between 800 and 1200 mg/m^2 on Day 1 and Day 8 of a 3-week cycle for up to 6 cycles.