Pembrolizumab/Vibostolimab (MK-7684A) or Atezolizumab in Combination With Chemotherapy in First Line Treatment of Extensive-Stage Small Cell Lung Cancer (MK-7684A-008, KEYVIBE-008)
Small Cell Lung Carcinoma
About this trial
This is an interventional treatment trial for Small Cell Lung Carcinoma
Eligibility Criteria
Inclusion Criteria:
- Has histologically or cytologically confirmed diagnosis of ES-SCLC in need of first-line therapy
- Has ES-SCLC defined as Stage IV (T any, N any, M1a/b/c) by the American Joint Committee on Cancer, Eighth Edition or T3-T4 due to multiple lung nodules that are too extensive or have tumor/nodal volume that is too large to be encompassed in a tolerable radiation plan
- Males agree to use contraception, refrain from donating sperm, and abstain from heterosexual intercourse
- Females are not pregnant or breastfeeding, is not a woman of childbearing potential (WOCBP) or is a WOCBP who uses a highly effective contraceptive method, or is abstinent from heterosexual intercourse
- Has measurable disease per Response Evaluation Criteria In Solid Tumors (RECIST) 1.1
- Has a predicted life expectancy of >3 months
Exclusion Criteria:
- Is considered a poor medical risk due to a serious, uncontrolled medical disorder or non-malignant systemic disease
- Has received prior treatment for Small Cell Lung Cancer (SCLC)
- Is expected to require any other form of antineoplastic therapy for SCLC while on study
- Has received a live or live-attenuated vaccine within 30 days before the first dose of study intervention
- Has received an investigational agent or has used an investigational device within 4 weeks prior to study intervention administration
- Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy or any other form of immunosuppressive therapy within 7 days prior the first dose of study medication
- Has a known additional malignancy that is progressing or has required active treatment within the past 3 years
- Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis
- Has a history of severe hypersensitivity reaction (≥Grade 3) to any 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 (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease
- Has a known history of, or active, neurologic paraneoplastic syndrome
- Has an active infection requiring systemic therapy
- Has a known history of human immunodeficiency virus (HIV) infection
- Has a known history of Hepatitis B or known active Hepatitis C virus infection
- Has had an allogenic tissue/solid organ transplant
- Has had major surgery within prior 3 weeks or has not recovered adequately from toxicity and/or complications from an intervention prior to receiving the first dose of study intervention
- Has symptomatic ascites or pleural effusion
Sites / Locations
- Infirmary Cancer Care ( Site 0022)
- Los Angeles Hematology Oncology Medical Group ( Site 0006)
- VA West Los Angeles Medical Center ( Site 0004)
- Boca Raton Regional Hospital-Lynn Cancer Institute ( Site 0014)
- Fort Wayne Medical Oncology and Hematology ( Site 0013)
- Dana-Farber Cancer Institute ( Site 0018)
- Cancer and Hematology Centers of Western Michigan ( Site 0001)
- Hattiesburg Clinic Hematology/Oncology ( Site 0003)
- Lancaster General Hospital - Ann B Barshinger Cancer Institute ( Site 0005)
- Blue Ridge Cancer Care ( Site 0015)
- University of Virginia Cancer Center ( Site 0019)
- Instituto de Investigaciones Clínicas Mar del Plata ( Site 0201)
- Hospital Italiano de Buenos Aires-Clinical Oncology ( Site 0203)
- Centro de Educación Médica e Investigaciones Clínicas (CEMIC)-Medical Oncology ( Site 0200)
- Sanatorio Parque ( Site 0202)
- Hospital Provincial del Centenario ( Site 0205)
- Nepean Hospital ( Site 2700)
- Calvary Mater Newcastle ( Site 2703)
- Frankston Hospital-Oncology and Haematology ( Site 2702)
- Western Health-Sunshine & Footscray Hospitals-Cancer Services-Cancer Research ( Site 2701)
- Ordensklinikum Linz GmbH Elisabethinen-Department of Pneumology ( Site 0505)
- Kepler Universitätsklinikum ( Site 0507)
- Medizinische Universität Graz ( Site 0504)
- Klinik Penzing-2. Lungenabteilung ( Site 0502)
- Klinik Floridsdorf-Abteilung für Innere Medizin und Pneumologie ( Site 0501)
- Kingston Health Sciences Centre-Kingston General Hospital Site ( Site 0106)
- Lakeridge Health ( Site 0102)
- Anhui Cancer Hospital ( Site 2915)
- Beijing Cancer hospital-Thoracic Cancer Department A ( Site 2901)
- Beijing Peking Union Medical College Hospital ( Site 2921)
- Fujian Provincial Cancer Hospital-oncology department ( Site 2904)
- Harbin Medical University Cancer Hospital-oncology of department ( Site 2920)
- Henan Cancer Hospital ( Site 2916)
- Wuhan Union Hospital Cancer Center-Cancer Center ( Site 2912)
- Hubei Cancer Hospital ( Site 2922)
- Hunan Cancer Hospital ( Site 2907)
- The First Affiliated Hospital of Soochow University ( Site 2913)
- Jilin Cancer Hospital-GCP office ( Site 2909)
- The First Hospital of Jilin University ( Site 2914)
- The First Affiliated Hospital of Xi'an Jiaotong University-Oncology ( Site 2910)
- Shanghai Chest Hospital-Oncology department ( Site 2900)
- Fudan University Shanghai Cancer Center ( Site 2908)
- Sichuan Cancer hospital ( Site 2923)
- West China Hospital Sichuan University ( Site 2903)
- Sir Run Run Shaw Hospital-Medical Oncology ( Site 2906)
- Zhejiang Cancer Hospital-Oncology ( Site 2919)
- Vaasan Keskussairaala-Department of Clinical Oncology ( Site 0700)
- Oulun yliopistollinen sairaala-Oncology and Hematology ( Site 0702)
- Turku University Hospital-The Department of Pulmonary Medicine ( Site 0701)
- Assistance Publique Hôpitaux de Marseille - Hôpital Nord ( Site 0805)
- CHU de Toulouse - Hopital Larrey-service de pneumologie ( Site 0800)
- Centre Hospitalier Universitaire de Limoges - Hôpital Dupuyt-Unité d'oncologie thoracique et cutané
- Thoraxklinik-Heidelberg gGmbH-Studienzentrum Thoraxonkologie ( Site 0905)
- Lungenfachklinik Immenhausen-Thoracic Oncology ( Site 0907)
- Medizinische Hochschule Hannover-Department of Pneumology ( Site 0901)
- LungenClinic Grosshansdorf-Onkologie ( Site 0903)
- SRH Wald-Klinikum Gera-Lungenkrebszentrum ( Site 0900)
- Errikos Dunant Hospital Center-Second Department of Oncology and Clinical Trials Unit ( Site 1002)
- Sotiria Thoracic Diseases Hospital of Athens ( Site 1003)
- Metropolitan Hospital ( Site 1001)
- University General Hospital of Heraklion ( Site 1004)
- European Interbalkan Medical Center ( Site 1000)
- Bacs-Kiskun Megyei Korhaz-Onkoradiologiai Kozpont ( Site 1105)
- Petz Aladar Egyetemi Oktato Korhaz-Pulmonológia (Dr. Szalai Zsuzsanna) ( Site 1102)
- Torokbalint Tudogyogyintezet-Onkopulmonologiai Jarobeteg Centrum ( Site 1101)
- Somogy Megyei Kaposi Mór Oktató Kórház-Pulmonologiai Osztaly ( Site 1104)
- St. James's Hospital ( Site 1200)
- Beaumont Hospital, Dublin-Cancer Clinical Trials & Research Unit ( Site 1201)
- Rambam Health Care Campus-Oncology ( Site 1301)
- Shaare Zedek Medical Center-Oncology ( Site 1300)
- Sheba Medical Center-ONCOLOGY ( Site 1302)
- Azienda Ospedaliera Dei Colli-U.O.C Pneumologia Oncologica DH PNL ONC ( Site 1402)
- Fondazione IRCCS Istituto Nazionale dei Tumori ( Site 1401)
- Humanitas-U.O di Oncologia medica ed Ematologia ( Site 1403)
- Istituto Nazionale Tumori Regina Elena-Oncologia Medica 2 ( Site 1400)
- Aichi Cancer Center Hospital ( Site 3016)
- National Cancer Center Hospital East ( Site 3002)
- National Hospital Organization Shikoku Cancer Center ( Site 3012)
- Kurume University Hospital ( Site 3014)
- National Hospital Organization Hokkaido Cancer Center ( Site 3015)
- Kanazawa University Hospital ( Site 3006)
- Kanagawa cancer center-Department of Thoracic Oncology ( Site 3004)
- Sendai Kousei Hospital ( Site 3001)
- Niigata Cancer Center Hospital ( Site 3005)
- Kansai Medical University Hospital ( Site 3009)
- Shizuoka Cancer Center ( Site 3007)
- Japanese Foundation for Cancer Research ( Site 3003)
- National Hospital Organization Kyushu Medical Center ( Site 3013)
- Okayama University Hospital ( Site 3011)
- Chonnam National University Hwasun Hospital-Pulmonology ( Site 2800)
- Kyungpook National University Chilgok Hospital-Pulmonology ( Site 2801)
- Chungnam national university hospital-Department of Internal Medicine ( Site 2802)
- Korea University Guro Hospital-Internal Medicine ( Site 2803)
- Klaipeda University Hospital-Oncology chemotherapy ( Site 1502)
- National Cancer Institute-Department of Thoracic Surgery and Oncology ( Site 1501)
- Hospital of Lithuanian University of Health Sciences Kauno klinikos-Pulmonology ( Site 1500)
- Arké SMO S.A. de C.V. ( Site 0401)
- Hospital Civil Fray Antonio Alcalde-Oncology ( Site 0407)
- Actualidad Basada en la Investigación del Cáncer-Lung Cancer ( Site 0403)
- iCan Oncology Center Centro Medico AVE ( Site 0406)
- Centro de Investigacion Clinica de Oaxaca ( Site 0410)
- Medische Centrum Leeuwarden ( Site 1619)
- Ziekenhuis Rijnstate ( Site 1606)
- Maastricht UMC+-Pulmonary disease ( Site 1602)
- Jeroen Bosch Hospital-Pulmonology ( Site 1605)
- Isala, locatie Zwolle-Poli Longziekten ( Site 1612)
- Erasmus Medisch Centrum ( Site 1621)
- Martini Ziekenhuis ( Site 1618)
- Mazowiecki Szpital Wojewódzki w Siedlcach-Siedleckie Centrum Onkologii ( Site 1709)
- Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - P-Klinika Nowotworow Pluca i Klatki Pier
- Wojewodzki Szpital im. Sw. Ojca Pio w Przemyslu ( Site 1703)
- Szpital Specjalistyczny w Prabutach Spolka z o.o. ( Site 1706)
- Centrum Pulmonologii i Torakochirurgii w Bystrej ( Site 1707)
- Przychodnia Lekarska KOMED ( Site 1701)
- Med-Polonia Sp. z o. o. ( Site 1710)
- Champalimaud Foundation ( Site 1812)
- Hospital CUF Descobertas ( Site 1815)
- Centro Hospitalar do Porto - Hospital de Santo António ( Site 1813)
- Instituto Português de Oncologia do Porto Francisco Gentil, EPE ( Site 1810)
- MedEuropa Bucuresti - Centru de Radioterapie-Oncology ( Site 1905)
- Centrul medical Focus ( Site 1903)
- Cardiomed SRL Cluj-Napoca ( Site 1900)
- Centrul de Oncologie Oncolab-Medical Oncology ( Site 1904)
- Centrul de Oncologie "Sfântul Nectarie"-Medical Oncology ( Site 1901)
- Cabinet Medical Oncomed ( Site 1902)
- Hospital Universitario 12 de Octubre-Medical Oncology ( Site 2102)
- H.R.U Málaga - Hospital General-Oncology ( Site 2104)
- Hospital Universitari Vall d'Hebron-Departamento de Oncologia- VHIO ( Site 2100)
- Hospital Universitario Virgen Macarena-Unidad de Investigación Oncológica ( Site 2103)
- Ege University Medicine of Faculty-Chest Diseases Department ( Site 2402)
- I.E.U. Medical Point Hastanesi-Oncology ( Site 2408)
- Baskent University Dr. Turgut Noyan Research and Training Center-ONCOLOGY ( Site 2407)
- Hacettepe Universitesi-oncology hospital ( Site 2409)
- Memorial Ankara Hastanesi-Medical Oncology ( Site 2406)
- Ankara Bilkent City Hospital ( Site 2403)
- Medipol University Medical Faculty-oncology ( Site 2400)
- TC Saglik Bakanligi Goztepe Prof. Dr. Suleyman Yalcin Sehir Hastanesi-oncology ( Site 2401)
- The Christie-Clinical Research Facility ( Site 2607)
- Mount Vernon Hospital ( Site 2602)
- Heartlands Hospital-Oncology Research ( Site 2604)
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Pembrolizumab/Vibostolimab
Atezolizumab
Participants will receive 4 cycles (each cycle is 3 weeks) of a fixed-dose coformulation of 200 mg pembrolizumab and 200 mg vibostolimab (MK-7684A) every 3 weeks (Q3W), in combination with 100 mg/m^2 etoposide, and platinum (Area Under the Curve (AUC) 5 mg/mL/min carboplatin or 75 mg/m^2 cisplatin) chemotherapy Q3W for a total of approximately 12 weeks. This will be followed by additional cycles of MK-7684A Q3W until any of the conditions for discontinuation are met. To maintain the blinding, saline placebo will be administered on cycle 1 day 1 and then Q3W as needed beyond cycle 1.
Participants will receive 4 cycles (each cycle is 3 weeks) of 1200 mg atezolizumab Q3W, in combination with 100 mg/m^2 etoposide and platinum (AUC 5 mg/mL/min carboplatin or 75 mg/m^2 cisplatin) chemotherapy Q3W for a total of approximately 12 weeks. This will be followed by additional cycles of atezolizumab Q3W until any of the conditions for discontinuation are met. To maintain the blinding, saline placebo will be administered on cycle 1 day 1 and then Q3W as needed beyond cycle 1.