Study of Pembrolizumab/Vibostolimab Coformulation (MK-7684A) in Combination With Chemotherapy Versus Pembrolizumab Plus Chemotherapy in Participants With Metastatic Non-Small Cell Lung Cancer (MK-7684A-007/KEYVIBE-007)
Metastatic Non-Small Cell Lung Cancer

About this trial
This is an interventional treatment trial for Metastatic Non-Small Cell Lung Cancer
Eligibility Criteria
The main inclusion and exclusion criteria include but are not limited to the following:
Inclusion Criteria:
- A histologically or cytologically confirmed diagnosis of Stage IV squamous or non-squamous NSCLC.
- Has not received prior systemic treatment for metastatic NSCLC.
- Has measurable disease based on RECIST 1.1, as determined by the local site assessment.
- Has a life expectancy of at least 3 months.
- Males: Use contraception unless confirmed to be azoospermic; Females: Women of childbearing potential use highly effective contraceptive method.
Exclusion Criteria:
- Known additional malignancy that is progressing or has required active treatment within the past 3 years.
- Known active central nervous system (CNS) metastases and/or carcinomatous meningitis.
- Severe hypersensitivity to vibostolimab, pembrolizumab, chemotherapy components, and/or any of its excipients.
- 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 before the first dose of study medication.
- 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.
- 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), Hepatitis B or/and Hepatitis C virus.
- Received prior systemic anticancer therapy for metastatic disease.
- Received a live or live attenuated vaccine within 30 days before the first dose of study intervention. Administration of killed vaccines are allowed.
- History of allogenic tissue/solid organ transplant.
- Is unable to interrupt aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs), other than an aspirin dose ≤1.3 g/day, for a 5-day period (8-day period for long-acting agents, such as piroxicam).
- Is unable or unwilling to take folic acid or vitamin B12 supplementation.
- 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.
Sites / Locations
- UCHealth Memorial Hospital-Heme Onc ( Site 0003)
- University of Colorado Health - Harmony-Cancer Care and Hematology - Ft. Collins ( Site 0031)
- Mayo Clinic in Florida ( Site 0022)
- Mount Sinai Hospital ( Site 0011)
- University of Chicago Medical Center ( Site 0015)
- New England Cancer Specialists ( Site 0008)
- Cancer and Hematology Centers of Western Michigan ( Site 0002)
- Mayo Clinic in Rochester, Minnesota ( Site 0030)
- Stony Brook University-Cancer Center ( Site 0013)
- Lancaster General Hospital - Ann B Barshinger Cancer Institute ( Site 0012)
- Charleston Oncology ( Site 0019)
- University of Virginia Cancer Center ( Site 0018)
- Centro de Oncología e Investigación de Buenos Aires ( Site 0203)
- Instituto de Investigaciones Clínicas Mar del Plata ( Site 0204)
- Hospital Italiano de Buenos Aires-Clinical Oncology ( Site 0209)
- Centro de Educación Médica e Investigaciones Clínicas (CEMIC)-Medical Oncology ( Site 0202)
- Sanatorio Parque ( Site 0205)
- Hospital Provincial del Centenario ( Site 0212)
- Fundación CORI para la Investigación y Prevención del Cáncer ( Site 0206)
- Ordensklinikum Linz GmbH Elisabethinen-Department of Pneumology ( Site 0705)
- Kepler Universitätsklinikum ( Site 0707)
- Medizinische Universität Graz ( Site 0704)
- Medizinische Universitaet Innsbruck ( Site 0703)
- Klinik Penzing-2. Lungenabteilung ( Site 0702)
- Klinik Floridsdorf-Abteilung für Innere Medizin und Pneumologie ( Site 0701)
- Liga Norte Riograndense Contra o Câncer-Centro de Pesquisa Clínica ( Site 0403)
- Hospital Nossa Senhora da Conceição-Centro Integrado de Pesquisa em Oncologia ( Site 0405)
- Clínica de Oncologia Reichow ( Site 0407)
- Instituto Nacional de Câncer José Alencar Gomes da Silva - INCA ( Site 0406)
- Hospital Paulistano ( Site 0401)
- James Lind Centro de Investigación del Cáncer ( Site 0502)
- CIDO SpA-Oncology ( Site 0508)
- Biocenter ( Site 0514)
- FALP-UIDO ( Site 0505)
- Centro de Oncología de Precisión ( Site 0515)
- Bradfordhill ( Site 0510)
- ONCOCENTRO APYS-ACEREY ( Site 0503)
- Centro de Investigación Oncológica del Norte ( Site 0504)
- Anhui Provincil Hospital South District-Respiratory Medicine Dept ( Site 2619)
- Beijing Cancer hospital-Thoracic Cancer Department A ( Site 2602)
- Fujian Provincial Cancer Hospital-oncology department ( Site 2621)
- The First Affiliated hospital of Xiamen University ( Site 2626)
- Southern Medical University Nanfang Hospital-Depatrment of Respiratory and Critical Care Medicine (
- Harbin Medical University Cancer Hospital-oncology of department ( Site 2604)
- Henan Cancer Hospital ( Site 2608)
- Wuhan Union Hospital Cancer Center-Cancer Center ( Site 2618)
- Tongji Hospital Tongji Medical,Science & Technology ( Site 2617)
- Xiangya Hospital Central South University-Oncology department ( Site 2627)
- The Second Xiangya Hospital of Central South University ( Site 2623)
- Hunan Cancer Hospital ( Site 2622)
- Nanjing Drum Tower Hospital The Affiliated Hospital of Nanjing University Medical School-Oncology (
- The First Affiliated Hospital of Nanchang University-Respiratory Medicine Department ( Site 2625)
- The Second Affiliated Hospital of Nanchang University-Oncology Department ( Site 2624)
- Jilin Cancer Hospital-oncology department ( Site 2603)
- The First Affiliated Hospital of Xi'an Jiaotong University-Oncology ( Site 2607)
- Shandong Cancer Hospital-Oncology Department ( Site 2630)
- Fudan University Shanghai Cancer Center ( Site 2616)
- Shanghai Pulmonary Hospital-Oncology Department ( Site 2601)
- West China Hospital of Sichuan University ( Site 2610)
- Sichuan Cancer hospital ( Site 2628)
- The Second People's Hospital of Yibin ( Site 2629)
- Tianjin Medical University Cancer Institute and Hospital-lung cancer ( Site 2606)
- The First Affiliated Hospital, Zhejiang University-Respiratory Department ( Site 2613)
- Sir Run Run Shaw Hospital-Medical Oncology ( Site 2615)
- Zhejiang Cancer Hospital-Oncology ( Site 2612)
- The Second Affiliated hospital of Zhejiang University school of medicine-Respiratory Medicine ( Site
- Fundación Colombiana de Cancerología Clínica Vida ( Site 0603)
- Sociedad De Oncologia Y Hematologia Del Cesar ( Site 0606)
- Oncomedica S.A.-Oncomedica S.A ( Site 0609)
- Administradora Country S.A. - Clinica del Country ( Site 0601)
- Oncologos del Occidente ( Site 0608)
- CENTRE HOSPITALIER REGIONAL D'ORLEANS-Service de Pneumologie ( Site 0806)
- Centre Hospitalier d'Annecy ( Site 0807)
- Institut de Cancérologie de l'Ouest ( Site 0802)
- Centre Hospitalier Regional Universitaire de Lille - Hôpital-Service de pneumologie et oncologie th
- CENTRE LEON BERARD ( Site 0803)
- HIA Sainte Anne ( Site 0804)
- Centre Hospitalier d'Avignon ( Site 0810)
- UKGM Gießen/Marburg-Medical Clinic V ( Site 0912)
- GEFOS Gesellschaft f. onkologische Studien ( Site 0909)
- Universitätsklinikum Schleswig-Holstein-Pneumologie ( Site 0902)
- SRH Wald-Klinikum Gera ( Site 0911)
- Charité Campus Virchow-Klinikum-Department of Infectious Diseases and Pulmonary Medicine ( Site 0913
- Rambam Health Care Campus-Oncology ( Site 1303)
- Shaare Zedek Medical Center-Oncology ( Site 1306)
- Meir Medical Center-oncology ( Site 1301)
- Sheba Medical Center-ONCOLOGY ( Site 1302)
- Sourasky Medical Center-Oncology ( Site 1305)
- National Hospital Organization Shikoku Cancer Center ( Site 2414)
- Ehime University Hospital ( Site 2411)
- Hyogo Cancer Center-Thoracic Oncology ( Site 2409)
- Kanazawa University Hospital ( Site 2407)
- Kanagawa cancer center-Department of Thoracic Oncology ( Site 2405)
- Miyagi Cancer Center ( Site 2401)
- Kansai Medical University Hospital ( Site 2415)
- Saitama Prefectural Cancer Center ( Site 2406)
- Shizuoka Cancer Center ( Site 2408)
- Japanese Foundation for Cancer Research ( Site 2402)
- Showa University Hospital ( Site 2403)
- National Hospital Organization Kyushu Medical Center ( Site 2413)
- National Hospital Organization Kyushu Cancer Center ( Site 2412)
- Okayama University Hospital ( Site 2410)
- Nippon Medical School Hospital ( Site 2404)
- Chonnam National University Hwasun Hospital-Pulmonology ( Site 2201)
- Pusan National University Hospital ( Site 2205)
- Asan Medical Center ( Site 2206)
- Kyungpook National University Chilgok Hospital-Pulmonology ( Site 2202)
- Chungnam national university hospital-Department of Internal Medicine ( Site 2203)
- Korea University Guro Hospital-Internal Medicine ( Site 2204)
- CENTRO DE INFUSION E INVESTIGACION ONCOLOGIA DE SALTILLO S.C. ( Site 0304)
- Alivia Clínica de Alta Especialidad ( Site 0310)
- Arké SMO S.A. de C.V. ( Site 0301)
- Hospital Civil Fray Antonio Alcalde ( Site 0307)
- Centrum Onkologii im. Prof. Franciszka Lukaszczyka-Ambulatorium Chemioterapii ( Site 1903)
- Centrum Medyczne Ostrobramska NZOZ Magodent ( Site 1908)
- Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - P-Klinika Nowotworow Pluca i Klatki Pier
- Wojewodzki Szpital im. Sw. Ojca Pio w Przemyslu ( Site 1904)
- Szpital Specjalistyczny w Prabutach Spolka z o.o. ( Site 1906)
- Centrum Pulmonologii i Torakochirurgii w Bystrej ( Site 1907)
- Przychodnia Lekarska KOMED ( Site 1902)
- Med-Polonia Sp. z o. o. ( Site 1909)
- CHUAC-Hospital Teresa Herrera-MEDICAL ONCOLOGY ( Site 1106)
- Hospital Insular de Gran Canaria-Oncology ( Site 1102)
- Hospital Universitari Vall d'Hebron-Departamento de Oncologia- VHIO ( Site 1101)
- Hospital Clinico San Carlos-Oncology Department ( Site 1107)
- Hospital Universitario Virgen Macarena-Unidad de Investigación Oncológica ( Site 1103)
- Hospital Clínico Universitario Lozano Blesa-Oncology ( Site 1105)
- Kaohsiung Medical University Chung-Ho Memorial Hospital ( Site 2254)
- China Medical University Hospital ( Site 2253)
- NATIONAL CHENG-KUNG UNI. HOSP. ( Site 2252)
- National Taiwan University Hospital-Oncology ( Site 2255)
- Chang Gung Medical Foundation-Linkou Branch ( Site 2251)
- Faculty of Medicine - Khon Kaen University ( Site 2303)
- Faculty of Medicine Siriraj Hospital ( Site 2304)
- Chulabhorn Hospital ( Site 2305)
- Songklanagarind hospital ( Site 2302)
- Maharaj Nakorn Chiang Mai Hospital-Chiang Mai Clinical Trial Unit (CM-CTU) ( Site 2301)
- Acibadem Altunizade Hospital-Oncology ( Site 1207)
- Baskent University Dr. Turgut Noyan Research and Training Center-ONCOLOGY ( Site 1208)
- Hacettepe Universitesi-oncology hospital ( Site 1202)
- Liv Hospital Ankara-Oncology ( Site 1205)
- Ankara City Hospital ( Site 1204)
- Trakya University-Medical Oncology ( Site 1203)
- TC Saglik Bakanligi Goztepe Prof. Dr. Suleyman Yalcin Sehir Hastanesi-oncology ( Site 1209)
- Umraniye Training and Research Hospital-medical oncology ( Site 1206)
- Leicester Royal Infirmary-HOPE Clinical Trials Unit ( Site 1502)
- Chelsea and Westminster Hospital NHS Foundation Trust-Research and Development ( Site 1501)
- University College London Hospital-Cancer Clinical Trials Unit ( Site 1509)
- St Bartholomew's Hospital-Centre for Experimental Cancer Medicine ( Site 1506)
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Pembrolizumab/Vibostolimab + Carboplatin + Cisplatin + Paclitaxel + Nab-paclitaxel + Pemetrexed
Pembrolizumab + Carboplatin + Cisplatin + Paclitaxel + Nab-paclitaxel + Pemetrexed
Participants receive pembrolizumab/vibostolimab (co-formulation of 200mg pembrolizumab and 200 mg vibostolimab) via intravenous (IV) infusion on Day 1 of each cycle (cycle length = 3 weeks) for up to 35 cycles (up to ~2 years) PLUS paclitaxel IV (on Day 1 of each cycle) OR nab-paclitaxel IV (on Days 1, 8, and 15 of each cycle) and carboplatin IV (on Day 1 of each cycle) for 4 cycles for Squamous NSCLC; PLUS carboplatin IV (on Day 1 of each cycle) Or cisplatin IV (on Day 1 of each cycle) for 4 cycles and pemetrexed IV (on Day 1 of each cycle) until progression, intolerable adverse events, or participant/physician decision for Non-squamous.
Participants receive pembrolizumab 200 mg via IV infusion on Day 1 of each cycle (cycle length = 3 weeks) for up to 35 cycles (up to ~2 years) PLUS paclitaxel IV (on Day 1 of each cycle) OR nab-paclitaxel IV (on Days 1, 8, and 15 of each cycle) and carboplatin IV (on Day 1 of each cycle) for 4 cycles for Squamous NSCLC; PLUS carboplatin IV (on Day 1 of each cycle) Or cisplatin IV (on Day 1 of each cycle) for 4 cycles and pemetrexed IV (on Day 1 of each cycle) until progression, intolerable adverse events, or participant/physician decision for Non-squamous.