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Clinical Trials List

Protocol NumberMK-1084-013
NCT Number(ClinicalTrials.gov Identfier)NCT07431827
Active

2026-03-01 - 2043-12-31

Phase III

Recruiting5

A Phase 3, Randomized, Double-blind Study of Adjuvant MK-1084 Plus Subcutaneous Pembrolizumab and Berahyaluronidase Alfa (MK-3475A) Versus Adjuvant Placebo Plus MK-3475A in Participants With Completely Resected Stage IIA-IIIB (N2), KRAS G12C-mutant Non-small Cell Lung Cancer Following Receipt of Either Neoadjuvant Pembrolizumab Plus Chemotherapy or Adjuvant Chemotherapy (KANDLELIT-013)

  • Trial Applicant

    Merck Sharp & Dohme (I.A.) LLC

  • Sponsor

  • Trial scale

    Multi-Regional Multi-Center

  • Update

    2026/09/10

Investigators and Locations

Principal Investigator 廖斌志

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator 蘇健

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator 蔡鎮良

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

The Actual Total Number of Participants Enrolled

0 Recruiting

The Actual Total Number of Participants Enrolled

0 Recruiting

Condition/Disease

Non-small Cell Lung Cancer

Objectives

主要目的 在試驗主持人評估的無疾病存活期(DFS)方面,比較輔助性MK-1084加上MK-3475A與安慰劑加上MK-3475A。 次要目的 •在整體存活期(OS)方面,比較輔助性MK-1084加上MK-3475A與安慰劑加上MK-3475A。 •在試驗主持人評估的無遠端轉移存活期(DMFS)方面,評估輔助性MK-1084加上MK-3475A與安慰劑加上MK-3475A。 •在肺癌特定存活期(LCSS)方面,評估MK-1084加上MK-3475A與安慰劑加上MK-3475A。 •評估輔助性MK-1084加上MK-3475A與安慰劑加上MK-3475A在使用歐洲癌症研究和治療組織生活品質核心問卷30(EORTC-QLQ-C30)及歐洲癌症研究和治療組織肺癌特異性生活品質問卷24(EORTC QLQ-LC24)評測的整體健康狀態/生活品質(QoL)、身體功能、角色功能和肺癌症狀方面自基期起的平均變化。 •評估MK-1084加上MK-3475A的安全性和耐受性。

Test Drug

錠劑
皮下注射劑

Active Ingredient

MK-1084
Humanized X PD-1_mAb (H409A11) IgG4 (Pembrolizumab and berahyaluronidase alfa)

Dosage Form

110
220

Dosage

25 mg/tablet、50 mg/ tablet
165 mg/mL pembrolizumab and 13.8 μg/mL (2000 U/mL) MK-5180 (berahyaluronidase alfa)/vial

Endpoints

DFS:從隨機分配到任何復發(局部、局部區域性、區域性或遠端)、發生新的原發性NSCLC,或因任何原因死亡的時間,以先發生者為準。

Inclution Criteria

Inclusion Criteria:

Has a histological/cytological diagnosis of non-small cell lung cancer (NSCLC) with predominantly nonsquamous histology and meets one of the following criteria:

Has newly diagnosed, treatment-naïve, resectable, clinical Stage IIA-IIIB (N2) NSCLC
Has completely resected, pathological Stage IIA-IIIB (N2) NSCLC, including those previously treated outside the study with neoadjuvant platinum-doublet chemotherapy plus pembrolizumab or MK-3475A, or those who received adjuvant platinum-doublet chemotherapy.
Tumor tissue shows the presence of Kirsten rat sarcoma viral oncogene homolog G12C (KRAS G12C) mutation
No more than 12 weeks have elapsed between either the surgery following neoadjuvant treatment or last dose of adjuvant platinum-based chemotherapy and the first dose of investigational adjuvant study intervention.
Has no evidence of disease based on postsurgical radiological assessment as documented by contrast-enhanced chest/abdomen computed tomography (or magnetic resonance imaging) within 28 days before randomization
Has an Eastern Cooperative Oncology Group performance status of 0 or 1 within 10 days before the first dose of the study intervention
Human immunodeficiency virus-infected participants must have well controlled HIV on antiretroviral therapy
Participants who are Hepatitis B surface antigen positive are eligible if they have received hepatitis B virus (HBV) antiviral therapy and have undetectable HBV viral load
Participants with history of hepatitis C virus (HCV) infection are eligible if HCV viral load is undetectable

Exclusion Criteria

Exclusion Criteria:

Has a diagnosis of any 1 of the following tumor types/locations: small cell lung cancer or, for mixed tumors, presence of small cell elements, neuroendocrine tumor with large cell components, sarcomatoid carcinoma, or NSCLC involving the superior sulcus
HIV-infected participants with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease
Has active inflammatory bowel disease requiring immunosuppressive medication or previous clear history of inflammatory bowel disease (eg, Crohn's disease, ulcerative colitis, chronic diarrhea)
Has uncontrolled, significant cardiovascular disease or cerebrovascular disease within the 6 months preceding study intervention
Is unable to swallow orally administered medication, or has a gastrointestinal disorder affecting absorption (e.g. gastrectomy, partial bowel obstruction, or malabsorption)
Has known additional malignancy that is progressing or has required active treatment within the past 3 years
Has an active autoimmune disease that has required systemic treatment in the past 2 years except replacement therapy
Has a history of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease
Has active infection requiring systemic therapy
Has not adequately recovered from major surgery or has ongoing surgical complications

The Estimated Number of Participants

  • Taiwan

    12 participants

  • Global

    400 participants