Study of Pembrolizumab/Vibostolimab (MK-7684A) in Combination With Concurrent Chemoradiotherapy Followed by Pembrolizumab/Vibostolimab Versus Concurrent Chemoradiotherapy Followed by Durvalumab in Participants With Stage III Non-small Cell Lung Cancer (MK-7684A-006/KEYVIBE-006)
Carcinoma, Non-Small-Cell Lung
About this trial
This is an interventional treatment trial for Carcinoma, Non-Small-Cell Lung focused on measuring Programmed Cell Death-1 (PD1, PD-1), Programmed Cell Death 1 Ligand 1 (PDL1, PD-L1)
Eligibility Criteria
The main inclusion and exclusion criteria include but are not limited to the following:
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 determined to have unresectable, Stage III NSCLC as documented by a multidisciplinary tumor board or by the treating physician in consultation with a thoracic surgeon
- Has no evidence of metastatic disease, indicating Stage IV NSCLC, in whole-body fluorodeoxyglucose (FDG)-positron emission tomography (PET) or FDG-PET/ computed tomography (CT) and CT or magnetic resonance imaging (MRI) scans of diagnostic quality of chest, abdomen, pelvis and brain
- Has measurable disease as defined by RECIST 1.1, with at least 1 lesion being appropriate for selection as a target lesion, as determined by local site investigator/radiology review
- Has not received prior treatment (chemotherapy, targeted therapy, or radiotherapy) for their Stage III NSCLC
- Has provided 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
Exclusion Criteria
- Has small cell lung cancer (SCLC) or tumors with the presence of small cell elements. Mixed squamous/nonsquamous tumors are eligible
- Has received prior radiotherapy to the thorax, including radiotherapy to the esophagus, mediastinum, or for breast cancer
- Has received major surgery (with the exception of replacement of vascular access) within 4 weeks before randomization. If the participant had a major operation, the participant must have recovered adequately from the procedure and/or any complications from the operation before starting study intervention
- Is expected to require any other form of antineoplastic therapy, while on study
- Has received colony-stimulating factors (e.g., Granulocyte Colony-Stimulating Factor [G-CSF], Granulocyte Macrophage Colony-Stimulating Factor [GM-CSF], or recombinant erythropoietin) within 28 days prior to the first dose 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 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 prior to the first dose of study medication
- Has a known additional malignancy that is progressing or has required active treatment within the past 5 years
- 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 (defined as hepatitis B surface antigen [HBsAg] reactive) or known active Hepatitis C virus (defined as HCV ribonucleic acid [RNA] qualitative is detected) infection
- Has had an allogenic tissue/solid organ transplant
Pemetrexed-specific Criteria:
- 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 (5 days for long-acting agents [for example, piroxicam]) before, during, and for at least 2 days after administration of pemetrexed
- Is unable/unwilling to take folic acid, vitamin B12, and dexamethasone
Sites / Locations
- VA Long Beach Healthcare System ( Site 2831)Recruiting
- VA West Los Angeles Medical Center ( Site 2808)Recruiting
- Millennium Oncology Research Clinic ( Site 2801)Recruiting
- Mid Florida Hematology and Oncology Center ( Site 2800)Recruiting
- MFSMC-HJWCI ( Site 2804)Recruiting
- Boston Medical Center ( Site 2829)Recruiting
- University of Massachusetts Chan Medical School ( Site 2815)Recruiting
- Cox Medical Center North-Cox Medical Center/Hulston Cancer Center/ Radiation Oncology ( Site 2837)Recruiting
- Rutgers Cancer Institute of New Jersey ( Site 2805)Recruiting
- White Plains Hospital ( Site 2835)Recruiting
- Kaiser Permanente Northwest-Central Interstate--Oncology ( Site 2816)Recruiting
- Lancaster General Hospital - Ann B Barshinger Cancer Institute ( Site 2827)Recruiting
- Thomas Jefferson University - Clinical Research Institute ( Site 2813)Recruiting
- Millennium Research & Clinical Development ( Site 2811)Recruiting
- Central Texas Veterans health care-Oncology & Hematology ( Site 2819)Recruiting
- MultiCare Health System ( Site 2817)Recruiting
- Canberra Hospital ( Site 0010)Recruiting
- Icon Cancer Centre Hobart ( Site 0003)Recruiting
- Ballarat Health Services-Medical Oncology ( Site 0002)Recruiting
- Frankston Hospital-Oncology and Haematology ( Site 0009)Recruiting
- St Vincent's Hospital-Oncology Clinical Trials ( Site 0005)Recruiting
- Instituto de Educação, Pesquisa e Gestão em Saúde ( Site 0105)Recruiting
- A. C. Camargo Cancer Center-CAPEC ( Site 0102)Recruiting
- James Lind Centro de Investigación del Cáncer ( Site 0202)Recruiting
- Biocenter ( Site 0208)
- FALP-UIDO ( Site 0205)Recruiting
- Centro de Oncología de Precisión ( Site 0209)Recruiting
- Bradfordhill ( Site 0200)Recruiting
- ONCOCENTRO APYS-ACEREY ( Site 0203)Recruiting
- Beijing Cancer hospital-intrathoratic deparmtment II ( Site 0328)Recruiting
- Beijing Cancer hospital-Oncology Radiotherapy Department ( Site 0309)Recruiting
- Beijing Peking Union Medical College Hospital-pneumology department ( Site 0300)Recruiting
- Army Medical Center of People's Liberation Army-Oncology Department ( Site 0321)Recruiting
- Fujian Medical University Union Hospital-1 Bingfanglou ( Site 0330)Recruiting
- Fujian Provincial Cancer Hospital ( Site 0316)Recruiting
- The First Affiliated hospital of Xiamen University-oncology ( Site 0317)Recruiting
- Southern Medical University Nanfang Hospital-Department of Oncology ( Site 0336)Recruiting
- Fourth Hospital of Hebei Medical University ( Site 0331)Recruiting
- Henan Cancer Hospital ( Site 0333)Recruiting
- Wuhan Union Hospital Cancer Center-Cancer Center ( Site 0315)Recruiting
- Hubei Cancer Hospital ( Site 0311)Recruiting
- Xiangya Hospital Central South University-Oncology department ( Site 0310)Recruiting
- Hunan Cancer Hospital ( Site 0307)Recruiting
- The Second Affiliated Hospital of Soochow University ( Site 0314)Recruiting
- Affiliated Hospital of Jiangsu University ( Site 0305)Recruiting
- Jilin Cancer Hospital-oncology department ( Site 0319)Recruiting
- Shandong Provincial Hospital ( Site 0326)Recruiting
- Qingdao Central Hospital-Endocrinology ( Site 0332)Recruiting
- Shanghai Chest Hospital-Radiotherapy Department ( Site 0306)Recruiting
- Fudan University Shanghai Cancer Center ( Site 0304)Recruiting
- Shanghai Pulmonary Hospital-Radiotherapy department ( Site 0335)Recruiting
- Shanxi Cancer Hospital-Pulmonology ( Site 0322)Recruiting
- West China Hospital of Sichuan University ( Site 0324)Recruiting
- Tianjin Medical University Cancer Institute and Hospital-radiotherapy ( Site 0329)Recruiting
- Hangzhou Cancer Hospital-Medical Oncology ( Site 0302)Recruiting
- The Second Affiliated hospital of Zhejiang University school of medicine ( Site 0301)Recruiting
- Zhejiang Cancer Hospital ( Site 0308)Recruiting
- CIMCA ( Site 0501)Recruiting
- PROCLINICAL Pharma ( Site 0504)Recruiting
- Hospital Metropolitano - Sede Lindora ( Site 0503)Recruiting
- Instituto de Oncologia ( Site 3003)Recruiting
- Onconet ( Site 3002)Recruiting
- Klinikum Chemnitz-Klinik für Innere Medizin IV ( Site 0607)Recruiting
- LungenClinic Grosshansdorf-Onkologie ( Site 0602)Recruiting
- Universitaetsklinikum Schleswig-Holstein Campus Kiel-Medizinische Klinik II, Hämatologie und OnkoloRecruiting
- Errikos Dunant Hospital Center-Second Department of Oncology and Clinical Trials Unit ( Site 0703)Recruiting
- Alexandra General Hospital of Athens-ONCOLOGY DEPT. ( Site 0706)Recruiting
- Sotiria Thoracic Diseases Hospital of Athens ( Site 0704)Recruiting
- Metropolitan Hospital ( Site 0702)Recruiting
- General Oncology Hospital of Kifissia "Agioi Anargiroi"-2nd Department of Medical Oncology ( Site 07Recruiting
- University General Hospital of Heraklion-Internal Medicine-Oncology ( Site 0700)Recruiting
- European Interbalkan Medical Center ( Site 0701)Recruiting
- Private Practice- Dr. Rixci Augusto Lenin Ramírez ( Site 0802)Recruiting
- Centro Regional de Sub Especialidades Médicas SA ( Site 0801)Recruiting
- Centro Medico Integral De Cancerología (CEMIC) ( Site 0805)Recruiting
- Rambam Health Care Campus-Oncology ( Site 1001)Recruiting
- Shaare Zedek Medical Center ( Site 1003)Recruiting
- Rabin Medical Center ( Site 1004)Recruiting
- Sheba Medical Center-ONCOLOGY ( Site 1000)Recruiting
- Sourasky Medical Center ( Site 1002)Recruiting
- Policlinico Universitario Campus Bio-Medico-Radiation Oncology ( Site 1101)Recruiting
- Ospedale San Raffaele ( Site 1104)Recruiting
- Fondazione IRCCS Istituto Nazionale dei Tumori ( Site 1100)Recruiting
- Ospedale San Gerardo-ASST Monza-Oncologia ( Site 1102)Recruiting
- Fondazione IRCCS Policlinico San Matteo ( Site 1103)Recruiting
- National Hospital Organization Shikoku Cancer Center ( Site 1211)Recruiting
- Kurume University Hospital ( Site 1212)Recruiting
- Kobe Minimally Invasive Cancer Center ( Site 1210)Recruiting
- Kanagawa cancer center ( Site 1204)Recruiting
- Miyagi Cancer Center ( Site 1200)Recruiting
- Sendai Kousei Hospital ( Site 1213)Recruiting
- Niigata Cancer Center Hospital ( Site 1205)Recruiting
- Kansai Medical University Hospital ( Site 1207)Recruiting
- Osaka Medical and Pharmaceutical University Hospital ( Site 1208)Recruiting
- Saitama Prefectural Cancer Center ( Site 1201)Recruiting
- Japanese Foundation for Cancer Research ( Site 1202)Recruiting
- Showa University Hospital ( Site 1203)Recruiting
- Osaka International Cancer Institute ( Site 1209)Recruiting
- Chungbuk National University Hospital-Internal medicine ( Site 2400)Recruiting
- The Catholic University Of Korea St. Vincent's Hospital-Medical Oncology ( Site 2401)Recruiting
- Ajou University Hospital-Hematology-Oncology ( Site 2402)Recruiting
- Severance Hospital, Yonsei University Health System-Lung Cancer Center ( Site 2403)Recruiting
- University Malaya Medical Centre-Clinical Oncology ( Site 1402)Recruiting
- Hospital Pulau Pinang ( Site 1400)Recruiting
- Hospital Kuala Lumpur-Radiotherapy and Oncology ( Site 1401)Recruiting
- Arké SMO S.A. de C.V. ( Site 1504)Recruiting
- Actualidad Basada en la Investigación del Cáncer-Lung Cancer ( Site 1505)Recruiting
- Centro Oncologico de Chihuahua-Unidad de Investigacion Clinica ( Site 1507)Recruiting
- Centro de Investigacion Clinica de Oaxaca ( Site 1501)Recruiting
- Hospital CUF Descobertas ( Site 2006)Recruiting
- Centro Hospitalar do Porto - Hospital de Santo António ( Site 2004)Recruiting
- Instituto Português de Oncologia do Porto Francisco Gentil, EPE ( Site 2001)Recruiting
- Centrul Medical Medicover Victoria ( Site 2106)Recruiting
- Amethyst Radiotherapy Center ( Site 2102)Recruiting
- Centrul de Oncologie "Sfântul Nectarie" ( Site 2100)Recruiting
- Cabinet Medical Oncomed ( Site 2101)Recruiting
- CANCERCARE LANGENHOVEN DRIVE ONCOLOGY CENTRE ( Site 2304)Recruiting
- Wilgers Oncology Centre ( Site 2301)Recruiting
- Abraham Oncology ( Site 2303)Recruiting
- Cape Town Oncology Trials ( Site 2306)Recruiting
- HOSPITAL CLÍNIC DE BARCELONA-ICHMO- Clinic Institut of Haematological and Oncological diseases ( SitRecruiting
- CHUS - Hospital Clinico Universitario-Servicio de Oncologia ( Site 2502)Recruiting
- HOSPITAL UNIVERSITARIO QUIRONSALUD MADRID-ONCOLOGIA MEDICA ( Site 2504)Recruiting
- Hospital Universitari Vall d'Hebron ( Site 2501)Recruiting
- Medipol Mega Universite Hastanesi-oncology ( Site 2611)Recruiting
- Ege University Medicine of Faculty-Chest Diseases Department ( Site 2603)Recruiting
- I.E.U. Medical Point Hastanesi-Oncology ( Site 2612)Recruiting
- Baskent University Dr. Turgut Noyan Research and Training Center-ONCOLOGY ( Site 2607)Recruiting
- Ankara Gülhane Eitim ve Aratrma Hastanesi-Oncology ( Site 2602)Recruiting
- Hacettepe Universitesi-oncology hospital ( Site 2605)Recruiting
- Memorial Ankara Hastanesi-Medical Oncology ( Site 2609)Recruiting
- Ankara City Hospital-Medical Oncology ( Site 2601)Recruiting
- TC Saglik Bakanligi Goztepe Prof. Dr. Suleyman Yalcin Sehir Hastanesi-oncology ( Site 2610)Recruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
pembrolizumab/vibostolimab coformulation+chemotherapy+radiotherapy
chemotherapy+radiotherapy+durvalumab
For the first 3 cycles, participants receive pembrolizumab/vibostolimab (coformulation of 200 mg pembrolizumab and 200 mg vibostolimab) intravenously (IV) on Day 1 plus 3 cycles of investigator's choice of platinum doublet chemotherapy and concurrent standard thoracic radiotherapy (60 Gray [Gy] in 2 Gy fractions for 30 days total) during Cycles 2, 3. Participants receive pembrolizumab/vibostolimab for Cycles 4-20 or until discontinuation (up to ~14 months). Cycles 1-20 are 21-day cycles. Investigator's choice of chemotherapy: cisplatin 75 mg/m^2 and pemetrexed 500 mg/m^2 on Day 1 of Cycles 1-3 for non-squamous histology only; cisplatin 50 mg/m^2 on Days 1, 8 of Cycles 1-2 and Days 8, 15 of Cycle 3 and etoposide 50 mg/m^2 on Days 1-5 of Cycles 1-2 and Days 8-12 of Cycle 3; carboplatin area under the curve (AUC) 6 mg/ml/min on Day 1 of Cycle 1 and AUC 2 mg/ml/min on Days 1, 8, 15 of Cycles 2-3 and paclitaxel 200 mg/m^2 on Day 1 of Cycle 1 and 45 mg/m^2 on Days 1, 8, 15 of Cycles 2-3.
For the first 3 cycles, participants will receive investigator's choice of platinum doublet chemotherapy and concurrent standard thoracic radiotherapy (60 Gy in 2 Gy fractions for 30 days total) during Cycles 2 and 3. Following cCRT, participants receive durvalumab 10 mg/kg every 2 weeks for up to an additional 26 cycles or until discontinuation (up to approximately 14 months). cCRT Cycles 1-3=21-day cycles; durvalumab Cycles 1-26=14-day cycles. Investigator's choice of chemotherapy: cisplatin 75 mg/m^2 and pemetrexed 500 mg/m^2 on Day 1 of Cycles 1-3 for non-squamous histology only; cisplatin 50 mg/m^2 on Days 1, 8 of Cycles 1-2 and Days 8, 15 of Cycle 3 and etoposide 50 mg/m^2 on Days 1-5 of Cycles 1-2 and Days 8-12 of Cycle 3; carboplatin area under the curve (AUC) 6 mg/ml/min on Day 1 of Cycle 1 and AUC 2 mg/ml/min on Days 1, 8, 15 of Cycles 2-3 and paclitaxel 200 mg/m^2 on Day 1 of Cycle 1 and 45 mg/m^2 on Days 1, 8, 15 of Cycles 2-3.