Study of Safety and Efficacy of Pembrolizumab and Chemotherapy in Participants With Newly Diagnosed Classical Hodgkin Lymphoma (cHL) (MK-3475-C11/KEYNOTE-C11) (KEYNOTE-C11)
Classical Hodgkin Lymphoma
About this trial
This is an interventional treatment trial for Classical Hodgkin Lymphoma focused on measuring Programmed Cell Death 1 (PD-1, PD1), Programmed Cell Death-Ligand 1 (PD-L1, PDL1), Programmed Cell Death-Ligand 2 (PD-L2, PDL2)
Eligibility Criteria
Inclusion Criteria:
The main inclusion criteria include, but are not limited to the following:
- Has a histologically confirmed diagnosis of Ann Arbor Stage III or IV classical Hodgkin Lymphoma (cHL). Stage I and II participants may be enrolled, but must have at least one National Comprehensive Cancer Network (NCCN) unfavorable risk factor per protocol
- Has measurable 2-fluorodeoxyglucose (FDG)-avid disease based on investigator assessment according to Lugano 2014 response criteria
- Has not received prior radiation therapy, chemotherapy, immunotherapy, or other systemic therapy for the treatment of cHL before the first dose of study intervention
- Has an Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to 1 assessed within 7 days before the start of study intervention
Exclusion Criteria:
The main exclusion criteria include, but are not limited to the following:
- Has confirmed nodular lymphocyte-predominant Hodgkin Lymphoma (HL)
- Has an uncontrolled intercurrent cardiovascular illness
- Has received prior therapy with an anti-programmed cell death 1 protein (PD-1), anti-programmed cell death ligand 1 protein (PD-L1), or anti- programmed cell death ligand 2 protein (PD-L2) agent or with an agent directed to another stimulatory or coinhibitory T-cell receptor
- Has received or is expected to receive 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 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 5 years
- Has radiographically detectable central nervous system metastases and/or carcinomatous meningitis
- 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 history or current evidence of pulmonary fibrosis
- Has had an allogenic tissue/solid organ transplant
Sites / Locations
- St Joseph Heritage Healthcare-Oncology ( Site 0004)
- Stanford Cancer Center ( Site 0023)
- Northwestern Memorial Hospital ( Site 0002)
- OptumCare Cancer Care-Research Department ( Site 0005)
- University of Tennessee Medical Center-Cancer Institute ( Site 0006)
- Texas Oncology-Plano East ( Site 0020)
- Liverpool Hospital-Haematology ( Site 0906)
- Mater Misericordiae Limited ( Site 0904)
- Princess Alexandra Hospital-Division of Cancer Services Trials Unit ( Site 0907)
- Monash Health-Haematology Research ( Site 0908)
- Peter MacCallum Cancer Centre ( Site 0905)
- Cross Cancer Institute ( Site 0207)
- Centre Intégré de Santé et de Services Sociaux de la Montérégie-Centre ( Site 0205)
- Jewish General Hospital ( Site 0200)
- Hopital du Sacre-Coeur de Montreal ( Site 0206)
- McGill University Health Centre ( Site 0209)
- Centro Investigación del Cáncer James Lind ( Site 1200)
- Instituto Nacional del Cancer ( Site 1205)
- FALP-UIDO ( Site 1202)
- Clínica Alemana de Santiago ( Site 1206)
- Pontificia Universidad Catolica de Chile-Hemato-Oncology ( Site 1204)
- CHU Bordeaux Haut-Leveque ( Site 1505)
- Centre Hospitalier Universitaire de Rennes - Hôpital Pontchaillou-haematology ( Site 1502)
- Centre Hospitalier Universitaire Dijon Bourgogne - Hôpital François Mitterrand ( Site 1504)
- centre hospitalier lyon sud-Service Hématologie ( Site 1501)
- Centre de Lutte Contre le Cancer - Centre Henri Becquerel Normandie Rouen-Service d'Hématologie ( Si
- Rambam Health Care Campus ( Site 1907)
- Bnai Zion Medical Center-Hematology ( Site 1909)
- Hadassah Medical Center ( Site 1901)
- Sheba Medical Center-Hemato Oncology ( Site 1904)
- ZIV Medical Center ( Site 1908)
- Sourasky Medical Center ( Site 1905)
- Azienda Ospedaliera Spedali Civili di Brescia-Hemathology ( Site 1801)
- ASST Grande Ospedale Metropolitano Niguarda ( Site 1803)
- Policlinico S. Orsola- Malpighi-Istituto di Ematologia L. e A. Seragnoli ( Site 1800)
- Fondazione Policlinico Universitario Agostino Gemelli-ISTITUTO DI EMATOLOGIA ( Site 1804)
- Klinika Hematologii - Instytut Hematologii i Transfuzjologii-Klinika Hematologii ( Site 0402)
- Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy w Warszawie (
- Szpital Wojewódzki w Opolu-Hematology Department ( Site 0401)
- Uniwersyteckie Centrum Kliniczne-Klinika Hematologii i Transplantologii ( Site 0403)
- Moscow City Clinical Hospital S.P. Botkin ( Site 0702)
- First Pavlov State Medical University of Saint Petersburg-Raisa Gorbacheva Memorial Institut for Pe
- Almazov National Medical Research Centre ( Site 0704)
- Instituto Catalan de Oncologia - Hospital Duran i Reynals-Haematology Department ( Site 1031)
- Hospital Universitario 12 de Octubre ( Site 1032)
- Dokuz Eylül Üniversitesi ( Site 5002)
- Ankara University Hospital Cebeci-hematology ( Site 5000)
- Vehbi Koc Vakfi - Amerikan Hastanesi ( Site 5001)
Arms of the Study
Arm 1
Experimental
Pembrolizumab Monotherapy + Chemotherapy + Pembrolizumab Consolidation
Participants receive pembrolizumab monotherapy followed by chemotherapy with doxorubicin in combination with vinblastine & dacarbazine (AVD) or chemotherapy with escalated bleomycin in combination with etoposide, doxorubicin, cyclophosphamide, vincristine, procarbazine, & prednisone (escBEACOPP) followed by pembrolizumab consolidation. All participants receive pembrolizumab monotherapy intravenous (IV) for 3 cycles (cycle length = 3 weeks (wks); up to 9 wks). All participants receive AVD IV for 2 cycles (cycle length = 4 wks; up to 8 wks) after Positron Emission Tomography (PET) 2. Participants who are PET 3 -ve, or +ve & age ≥ 60 years, receive up to 4 additional cycles of AVD IV (cycle length = 4 wks, up to 16 wks), or up to 4 cycles of escBEACOPP IV if PET 3 +ve, age <60 years; cycle length = 3 wks; up to 12 wks. All participants receive pembrolizumab consolidation IV for 4 cycles (cycle length = 6 wks; up to 24 wks). Total treatment duration is up to 57 wks.