Study of Pembrolizumab With Concurrent Chemoradiation Therapy Followed by Pembrolizumab With or Without Olaparib in Stage III Non-Small Cell Lung Cancer (NSCLC) (MK-7339-012/KEYLYNK-012)
Lung Neoplasms, Carcinoma, Non-Small-Cell Lung
About this trial
This is an interventional treatment trial for Lung Neoplasms focused on measuring Programmed Cell Death Receptor 1 (PD-1, PD1), Programmed Cell Death Receptor Ligand 1 (PD-L1, PDL1), Programmed Cell Death Receptor Ligand 2 (PD-L2, PDL2), polyadenosine 5'diphosphoribose (polyADP ribose) polymerization (PARP) inhibitor
Eligibility Criteria
Inclusion Criteria:
- Has pathologically (histologically or cytologically) confirmed diagnosis of NSCLC
- Has Stage IIIA, IIIB, or IIIC NSCLC by American Joint Committee on Cancer Version 8
- Is unable to undergo surgery with curative intent for Stage III NSCLC
- Has no evidence of metastatic disease indicating Stage IV NSCLC
- Has measurable disease as defined by RECIST 1.1
- Has not received prior treatment (chemotherapy, targeted therapy or radiotherapy) for Stage III NSCLC; participants who have received neoadjuvant and/or adjuvant therapy for early stage disease are not eligible
- Has provided a tumor tissue sample (tissue biopsy [core, incisional, or excisional])
- Has an Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1 assessed within 7 days prior to the first administration of study intervention
- Has a life expectancy of at least 6 months
- A male participant must agree to use contraception and refrain from donating sperm during the intervention period and for at least the time needed to eliminate each study intervention after the last dose of study intervention unless confirmed to be azoospermic (vasectomized or secondary to medical cause). The length of time required to continue contraception for each study intervention is as follows: Olaparib, platinum doublet, and radiotherapy: 90 days
- A female participant is eligible to participate if she is not pregnant, not breastfeeding, and agrees to use contraception and refrain from donating eggs (ova, oocytes) to others or freeze/store for her own use for the purpose of reproduction during the treatment period and for at least the time needed to eliminate each study intervention after the last dose of study intervention and agrees to abstain from breastfeeding during the study intervention period and for at least 120 days after the last dose of study intervention. The length of time required to continue contraception for each study intervention is as follows: Pembrolizumab: 120 days; Olaparib, platinum doublet, and radiotherapy: 180 days
- Has a negative highly sensitive pregnancy test ([urine or serum] as required by local regulations) within 24 hours for urine or within 72 hours for serum before the first dose of study intervention. If a urine test cannot be confirmed as negative (e.g., an ambiguous result), a serum pregnancy test is required. In such cases, the participant must be excluded from participation if the serum pregnancy result is positive.
- Has had her medical history, menstrual history, and recent sexual activity reviewed by the investigator to decrease the risk for inclusion of a woman with an early undetected pregnancy.
- Has adequate pulmonary function tests
- Has adequate organ function
- Has provided written informed consent
Exclusion Criteria:
- Has small cell lung cancer or a mixed tumor with presence of small cell elements
- Has myelodysplastic syndrome (MDS)/acute myeloid leukemia (AML) or has features suggestive of MDS/AML
- Has had documented weight loss >10% (from baseline) in the preceding 3 months
- Has received prior radiotherapy to the thorax, including radiotherapy to the esophagus, mediastinum, or for breast cancer
- Has received prior therapy with an anti-programmed cell death 1 (ant-PD-1), anti-programmed cell death ligand 1 (anti-PD-L1), or anti- programmed cell death ligand 2 (anti-PD-L2) agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor
- Has received prior therapy with olaparib or with any other polyadenosine 5'diphosphoribose (polyADP ribose) polymerization (PARP) inhibitor
- Has had major surgery <4 weeks prior to the first dose of study treatment (except for placement of vascular access)
- Is expected to require any other form of antineoplastic therapy, while on study
- Has received a live or live attenuated vaccine within 30 days before the first dose of study intervention; administration of killed vaccines is allowed
- Has received colony-stimulating factors (e.g., granulocyte colony-stimulating factor [GCSF], granulocyte-macrophage colony-stimulating factor [GM-CSF] or recombinant erythropoietin) within 28 days prior to the first dose of study treatment
- Is currently receiving either strong (phenobarbital, enzalutamide, phenytoin, rifampicin, rifabutin, rifapentine, carbamazepine, nevirapine and St John's Wort) or moderate (e.g. bosentan, efavirenz, modafinil) inducers of CYP3A4 that cannot be discontinued for the duration of the study
- Is currently receiving either strong (eg, itraconazole, telithromycin, clarithromycin, protease inhibitors boosted with ritonavir or cobicistat, indinavir, saquinavir, nelfinavir, boceprevir, telaprevir) or moderate (eg. ciprofloxacin, erythromycin, diltiazem, fluconazole, verapamil) inhibitors of cytochrome P450 (CYP)3A4 that cannot be discontinued for the duration of the study
- Is unable to interrupt aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs), other than an aspirin dose ≤1.3 grams per day, for at least 2 days before, during, and for at least 2 days after administration of pemetrexed
- Is unable/unwilling to take folic acid, vitamin B12, and dexamethasone during administration of pemetrexed
- Has received an investigational agent or has used an investigational device within 4 weeks prior to study treatment
- The presence of uncontrolled, potentially reversible cardiac conditions, as judged by the investigator or has congenital long QT syndrome
- 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 intervention
- Has a known additional malignancy that is progressing or has required active treatment within the past 5 years with the exception of basal cell carcinoma of the skin, squamous cell carcinoma of the skin, superficial bladder cancer, or carcinoma in situ (excluding carcinoma-in situ-of the bladder) that have undergone potentially curative therapy
- 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 (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease
- 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 active tuberculosis (TB; Mycobacterium tuberculosis) and is receiving treatment
- Has a history or current evidence of any condition, therapy, laboratory abnormality or other circumstance that might confound the results of the study, or interfere with the participant's participation for the full duration of the study, such that it is not in the best interest of the participant to participate, in the opinion of the treating investigator
- Is considered a poor medical risk due to a serious, uncontrolled medical disorder or nonmalignant systemic disease 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
- Is unable to swallow orally administered medication or has a gastrointestinal disorder affecting absorption
- Has had an allogenic tissue/solid organ transplant
Sites / Locations
- University of South Alabama, Mitchell Cancer Institute ( Site 0003)
- St. Bernards Medical Center ( Site 0089)Recruiting
- St Joseph Heritage Healthcare-Oncology ( Site 0088)Recruiting
- Long Beach Memorial Medical Center ( Site 0006)Recruiting
- UCLA Hematology/Oncology - Santa Monica ( Site 0013)Recruiting
- St. Joseph Heritage Healthcare Local Lab ( Site 0011)
- Torrance Memorial Physician Network / Cancer Center ( Site 0093)Recruiting
- Memorial Regional Hospital-Memorial Cancer Institute ( Site 0095)Recruiting
- Miami VA Healthcare System ( Site 0024)
- Mid Florida Hematology and Oncology Center ( Site 0022)Recruiting
- Orlando Health, UF Health Cancer Center Inc ( Site 0092)Recruiting
- Fort Wayne Medical Oncology and Hematology ( Site 0094)Recruiting
- Parkview Research Center ( Site 0032)Recruiting
- Franciscan Health Lafayette East ( Site 0031)Recruiting
- University of Kentucky ( Site 0096)Recruiting
- Norton Brownsboro Hospital-Norton Cancer Institute - Brownsboro ( Site 0035)Recruiting
- Pikeville Medical Center ( Site 0036)
- Massachusetts General Hospital ( Site 0038)
- Henry Ford Hospital ( Site 0045)
- VA St. Louis Health Care System ( Site 0047)Recruiting
- Washington University Siteman Cancer Center ( Site 0046)Recruiting
- CHI Health St. Francis ( Site 0053)
- Rutgers Cancer Institute of New Jersey ( Site 0054)Recruiting
- The Valley Hospital ( Site 0056)Recruiting
- Montefiore Einstein Center ( Site 0083)
- Novant Health Presbyterian ( Site 0081)Recruiting
- Duke University Medical Center ( Site 0050)
- Piedmont Hematology-Oncology Associates ( Site 0080)Recruiting
- The Lindner Center for Research and Education at The Christ Hospital ( Site 0060)Recruiting
- Fox Chase Cancer Center ( Site 0063)
- Sanford Cancer Center Oncology Clinic ( Site 0066)Recruiting
- Veterans Affairs Puget Sound Health Care System [Seattle, WA] ( Site 0075)Recruiting
- Cancer Care Northwest ( Site 0074)
- Instituto Médico Río Cuarto ( Site 4003)Recruiting
- Clinica Adventista Belgrano-Oncology ( Site 4002)Recruiting
- Queen Elizabeth II Health Sciences Centre ( Site 0100)Recruiting
- Centre Hospitalier de l Universite de Montreal - CHUM ( Site 0102)Recruiting
- CIUSSS Ouest de l Ile - St-Mary s Hospital ( Site 0108)Recruiting
- McGill University Health Center - Research Institute ( Site 0114)Recruiting
- Centre intégré de cancérologie du CHU de Québec Université Laval, Hôpital de l'Enfant-Jésus ( Site 0Recruiting
- Centro Investigación del Cáncer James Lind ( Site 0202)Recruiting
- OrlandiOncologia ( Site 0201)Recruiting
- Bradfordhill ( Site 0200)Recruiting
- Oncocentro ( Site 0203)Recruiting
- Centro Oncologico Antofagasta ( Site 0204)Recruiting
- Beijing Cancer Hospital ( Site 3224)Recruiting
- Peking Union Medical College Hospital ( Site 3201)
- Cancer Hospital Chinese Academy of Medical Sciences ( Site 3213)
- Beijing Cancer Hospital ( Site 3212)Recruiting
- Daping Hospital,Third Military Medical University ( Site 3235)
- Fujian Provincial Cancer Hospital ( Site 3226)
- The First Affiliated Hospital of Xiamen University ( Site 3219)Recruiting
- Peking University Shenzhen Hospital ( Site 3216)Recruiting
- Cancer Hospital Chinese Academy Of Medical Sciences. Shenzhen Center ( Site 3200)Recruiting
- Henan Cancer Hospital ( Site 3205)
- Wuhan Union Hospital ( Site 3222)
- Hubei Cancer Hospital ( Site 3218)
- Hunan Cancer Hospital ( Site 3238)Recruiting
- Xiangya Hospital of Central South University ( Site 3637)
- Second Xiangya Hospital of Central-South University ( Site 3227)
- Hunan Cancer Hospital ( Site 3225)Recruiting
- Jiangsu Cancer Hospital ( Site 3234)Recruiting
- The Second Affiliated Hospital of Nanchang University ( Site 3206)
- Jilin Cancer Hospital ( Site 3230)Recruiting
- Shanghai Chest Hospital ( Site 3207)
- Zhongshan Hospital Fudan University ( Site 3220)Recruiting
- Shanghai Pulmonary Hospital ( Site 3203)Recruiting
- West China Hospital of Sichuan University ( Site 3202)
- Tianjin Medical University Cancer Institute & Hospital ( Site 3204)
- The 1st Affil Hosp of College of Medicine, Zhejiang Univ ( Site 3232)Recruiting
- Masarykuv onkologicky ustav ( Site 2206)Recruiting
- Fakultni nemocnice Ostrava ( Site 2201)Recruiting
- Fakultni nemocnice Kralovske Vinohrady-Radioterapeuticka a onkologicka klinika ( Site 2200)Recruiting
- Fakultni nemocnice v Motole ( Site 2210)Recruiting
- Nemocnice Na Plesi s.r.o. ( Site 2202)
- Krajska nemocnice Liberec, a.s. ( Site 2209)Recruiting
- Vseobecna fakultni nemocnice v Praze ( Site 2208)Recruiting
- Nemocnice Na Bulovce ( Site 2205)Recruiting
- North Estonia Medical Centre Foundation ( Site 1601)Recruiting
- Tartu University Hospital ( Site 1600)Recruiting
- Clinique Clairval ( Site 0802)Recruiting
- C.H.R.U. de Brest - Hopital Morvan ( Site 0806)Recruiting
- Centre Hospitalier Annecy Genevois ( Site 0811)Recruiting
- Clinique Teissier Groupe ( Site 0808)Recruiting
- Hopital Avicenne ( Site 0803)
- Clinique de l'Europe-Service de pneumologie ( Site 0816)Recruiting
- H.I.A. Sainte-Anne ( Site 0815)Recruiting
- CHD Vendee ( Site 0807)Recruiting
- Universitätsmedizin Göttingen - Georg-August-Universität ( Site 0917)Recruiting
- Johannes Wesling Klinikum Minden ( Site 0908)Recruiting
- GEHO Muenster ( Site 0910)
- Johanna Etienne Hospital-Klinik für Onkologie ( Site 0916)Recruiting
- LungenClinic Grosshansdorf GmbH ( Site 0901)Recruiting
- Zentralklinik Bad Berka GmbH ( Site 0905)Recruiting
- Universitaetsklinikum Jena ( Site 0911)
- Charite-Universitaetsmedizin Berlin Campus Virchow-Klinikum ( Site 0900)Recruiting
- Katholisches Marienkrankenhaus gGmbH ( Site 0902)Recruiting
- Bacs-Kiskun Megyei Korhaz-Onkoradiologiai Kozpont ( Site 2302)Recruiting
- Bekes Megyei Kozponti Korhaz - Pandy Kalman Tagkorhaza ( Site 2303)Recruiting
- Petz Aladar Megyei Oktato Korhaz ( Site 2306)Recruiting
- Orszagos Koranyi Pulmonologiai Intezet ( Site 2305)Recruiting
- Országos Korányi Pulmonológiai Intézet-VI. Tüdöbelosztály és Bronchológia ( Site 2309)Recruiting
- Azienda Ospedaliera Umberto I- Torrette ( Site 1009)Recruiting
- Azienda Ospedaliero Universitaria Careggi ( Site 1001)Recruiting
- Istituto Clinico Humanitas Research Hospital ( Site 1000)Recruiting
- Azienda Ospedaliera Vito Fazzi ( Site 1003)Recruiting
- Fondazione IRCCS Istituto Nazionale dei Tumori di Milano ( Site 1008)Recruiting
- Policlinico di Modena ( Site 1007)Recruiting
- Policlinico Agostino Gemelli ( Site 1002)Recruiting
- A.O.U. Santa Maria della Misericordia di Udine ( Site 1004)Recruiting
- Kurume University Hospital ( Site 3112)
- Kobe Minimally Invasive Cancer Center ( Site 3100)
- Kanagawa Cancer Center ( Site 3101)
- Kansai Medical University Hospital ( Site 3103)
- Osaka Medical and Pharmaceutical University Hospital ( Site 3110)
- National Hospital Organization Kyushu Cancer Center ( Site 3104)
- Niigata Cancer Center Hospital ( Site 3109)
- Osaka International Cancer Institute ( Site 3106)
- Juntendo University Hospital ( Site 3111)
- Tokyo Metropolitan Komagome Hospital ( Site 3108)
- The Cancer Institute Hospital of JFCR ( Site 3107)
- Showa University Hospital ( Site 3105)
- Chungbuk National University Hospital ( Site 2802)Recruiting
- National Cancer Center ( Site 2800)
- The Catholic University of Korea St. Vincent s Hospital ( Site 2805)
- Seoul National University Bundang Hospital ( Site 2801)
- Ajou University Hospital ( Site 2803)
- Gyeongsang National University Hospital ( Site 2804)
- Keimyung University Dongsan Hospital ( Site 2807)
- Kangbuk Samsung Hospital ( Site 2806)Recruiting
- Severance Hospital Yonsei University Health System ( Site 2808)Recruiting
- Pauls Stradins Clinical University Hospital ( Site 1501)Recruiting
- Riga East Clinical University Hospital ( Site 1500)Recruiting
- Hospital of Lithuanian University of Health Sciences Kauno klinikos-Pulmonology ( Site 4201)Recruiting
- National Cancer Institute-Department of Thoracic Surgery and Oncology ( Site 4200)Recruiting
- Hospital Civil de Guadalajara Fray Antonio Alcalde ( Site 0500)Recruiting
- Hospital Universitario "Dr. Jose Eleuterio Gonzalez" ( Site 0508)Recruiting
- CLIMERS Clinical Medical Research ( Site 0506)Recruiting
- Instituto Nacional de Cancerologia ( Site 0502)Recruiting
- Akershus Universitetssykehus HF ( Site 1106)Recruiting
- Vestre Viken HF Drammen Sykehus ( Site 1101)Recruiting
- Sykehuset Oestfold ( Site 1107)
- Helse Stavanger HF Stavanger Universitetssjukehus ( Site 1103)Recruiting
- Oslo Universitetssykehus HF. Ulleval ( Site 1100)Recruiting
- Hospital Nacional Carlos Alberto Seguin Escobedo ESSALUD ( Site 0604)
- Oncosalud ( Site 0605)Recruiting
- Detecta Clínica ( Site 0607)Recruiting
- IPOR Instituto Peruano de Oncología & Radioterapia ( Site 0606)Recruiting
- Clinica San Gabriel ( Site 0601)
- Hospital Nacional Cayetano Heredia ( Site 0602)Recruiting
- Mazowiecki Szpital Wojewódzki w Siedlcach-Siedleckie Centrum Onkologii ( Site 2404)Recruiting
- Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy w Warszawie (Recruiting
- Szpital Morski im. PCK. Szpitale Pomorskie Sp. Z o.o ( Site 2400)Recruiting
- SPZOZ MSWIA z Warminsko-Mazurskim Centrum Onkologii w Olsztynie ( Site 2401)Recruiting
- Spitalul Universitar de Urgenta Bucuresti ( Site 2508)Recruiting
- Gral Medical SRL-Medical Oncology ( Site 2511)Recruiting
- Institutul Oncologic Prof.Dr. Ion Chiricuta Cluj-Napoca ( Site 2506)Recruiting
- S.C. Radiotherapy Center Cluj S.R.L ( Site 2503)Recruiting
- Centrul de Oncologie "Sfântul Nectarie"-Medical Oncology ( Site 2510)Recruiting
- Radiology Therapeutic Center-Oncology ( Site 2502)Recruiting
- Policlinica Oncomed SRL ( Site 2504)Recruiting
- S C Oncocenter Oncologie Clinica S R L-Medical Oncology ( Site 2509)Recruiting
- S.C.Focus Lab Plus S.R.L ( Site 2500)Recruiting
- Spitalul Clinic Judetean De Urgenta Constanta ( Site 2501)
- Institutul Regional de Oncologie Iasi ( Site 2505)
- Chelyabinsk Regional Clinical Oncological Dispensary ( Site 1913)
- MSROI named after P.A. Hertsen branch of FSBI NMRC Radiology ( Site 1903)
- Nizhniy Novgorod Region Oncology Dispensary ( Site 1914)
- Scientific Research Oncology Institute n.a. N.N.Petrov ( Site 1905)
- Medical institute named after Berezin Sergey ( Site 1906)
- Sverdlovsk Regional Oncology Hospital ( Site 1909)
- Republican Clinical Oncology Dispensary of Tatarstan MoH ( Site 1911)
- Yaroslavl Regional SBIH Clinical Oncology Hospital ( Site 1910)
- Hospital Universitario Puerta de Hierro (Majadahonda) ( Site 1202)
- Hospital Universitario Quiron Madrid ( Site 1200)Recruiting
- H.R.U Málaga - Hospital General ( Site 1206)Recruiting
- H.U. Vall de Hebron ( Site 1201)Recruiting
- Hospital Clinic de Barcelona ( Site 1204)Recruiting
- Hospital Universitario Virgen Macarena ( Site 1205)Recruiting
- Hospital Universitario La Fe ( Site 1203)
- Chulalongkorn University ( Site 3003)Recruiting
- Ramathibodi Hospital. ( Site 3000)Recruiting
- Chiang Mai University Maharaj Nakorn Chiang Mai Hospital ( Site 3001)Recruiting
- Srinagarind Hospital. Khon Kaen University ( Site 3002)Recruiting
- Ankara Bilkent Sehir Hastanesi ( Site 2002)Recruiting
- Memorial Ankara Hastanesi ( Site 2006)Recruiting
- Istanbul Uni. Cerrahpasa Tip Fakultesi ( Site 2000)Recruiting
- Medipol Universite Hastanesi ( Site 2003)Recruiting
- Göztepe Prof. Dr. Süleyman Yalçın Şehir Hastanesi-oncology ( Site 2001)Recruiting
- Ege University Medical Faculty ( Site 2005)Recruiting
- Medical center Medikal Plaza of Ecodnipro LLC ( Site 2107)
- SOGrigoriev Inst for Med Radiolgy and Oncology of NAMS of Ukraine-Clinical oncology and hematology (
- Communal nonprofit enterprise "Kherson Regional Oncology Dispensary" of Kherson Regional Council (
- LLC Ukrainian Center of Tomotherapy ( Site 2105)
- Medical Center of Yuriy Spizhenko LLC.-Clinical Trial ( Site 2104)
- National Cancer Institute of the MoH of Ukraine ( Site 2101)
- Medical Center Verum ( Site 2106)
- Kyiv City Clinical Oncology Center ( Site 2100)
- Weston Park Hospital ( Site 1406)Recruiting
- University College Hospital NHS Foundation Trust ( Site 1403)Recruiting
- Guys and St Thomas NHS Foundation Trust ( Site 1410)Recruiting
- Royal Marsden Hospital (Sutton) ( Site 1407)Recruiting
- Southampton General Hospital ( Site 1400)Recruiting
- Leeds Teaching Hospitals NHS Trust ( Site 1401)Recruiting
- Christie NHS Foundation Trust ( Site 1409)Recruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Active Comparator
pembrolizumab+chemoradiation→pembrolizumab+olaparib placebo
pembrolizumab+chemoradiation→pembrolizumab+olaparib
chemoradiation→durvalumab
Participants will receive pembrolizumab 200 mg intravenously (IV) every 3 weeks (Q3W) in combination with 3 cycles of the investigator's choice of platinum doublet chemotherapy and concurrent standard thoracic radiotherapy (60 Gray (Gy) over 6 weeks) followed by pembrolizumab plus olaparib placebo twice a day (BID) for approximately 1 year.
Participants will receive pembrolizumab 200 mg IV Q3W in combination with 3 cycles of the investigator's choice of platinum doublet chemotherapy and concurrent standard thoracic radiotherapy (60 Gy over 6 weeks) followed by pembrolizumab plus olaparib 300 mg BID for approximately 1 year.
Participants will receive 3 cycles of the investigator's choice of platinum doublet chemotherapy with concurrent standard thoracic radiotherapy (60 Gy over 6 weeks) followed by durvalumab 10 mg/kg every 2 weeks (Q2W) for approximately 1 year.