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Clinical Trials List

Protocol NumberMK-2870-004
NCT Number(ClinicalTrials.gov Identfier)NCT06074588
Active

2023-11-15 - 2031-12-31

Phase III

Not yet recruiting9

Recruiting1

ICD-10C34.90

Malignant neoplasm of unspecified part of unspecified bronchus or lung

ICD-10C34.91

Malignant neoplasm of unspecified part of right bronchus or lung

ICD-10C34.92

Malignant neoplasm of unspecified part of left bronchus or lung

ICD-10C7A.090

Malignant carcinoid tumor of the bronchus and lung

ICD-10Z51.12

Encounter for antineoplastic immunotherapy

ICD-9162.9

Malignant neoplasm of bronchus and lung, unspecified

A Randomized, Open-label, Phase 3 Study of MK-2870 vs Chemotherapy (Docetaxel or Pemetrexed) in Previously Treated Advanced or Metastatic Nonsquamous Non-small Cell Lung Cancer (NSCLC) With EGFR Mutations or Other Genomic Alterations

  • Trial Applicant

    Merck Sharp & Dohme (I.A.) LLC

  • Sponsor

  • Trial scale

    Multi-Regional Multi-Center

  • Update

    2026/06/23

Investigators and Locations

The Actual Total Number of Participants Enrolled

0 Not yet recruiting

Principal Investigator Jih-Hsiang Lee

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Not yet recruiting

Principal Investigator Chien-Wei Su

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Not yet recruiting

The Actual Total Number of Participants Enrolled

0 Recruiting

The Actual Total Number of Participants Enrolled

0 Not yet recruiting

Principal Investigator James Chih-Hsin Yang

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Not yet recruiting

The Actual Total Number of Participants Enrolled

0 Not yet recruiting

Principal Investigator 林聖皓

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Not yet recruiting

Principal Investigator 魏裕峰

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Not yet recruiting

Principal Investigator

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Not yet recruiting

Condition/Disease

Non-small Cell Lung Cancer (NSCLC)

Objectives

Primary Objectives: • For NSCLC with EGFR mutations, compare the progression-free survival (PFS) of MK-2870 versus chemotherapy, assessed by a blinded independent central review (BICR) according to RECIST version 1.1. • For NSCLC with EGFR mutations, compare the overall survival (OS) of MK-2870 versus chemotherapy. Secondary Objectives: • For all subjects with NSCLC, compare the PFS of MK-2870 versus chemotherapy, assessed by BICR according to RECIST 1.1. • For all subjects with NSCLC, compare the OS of MK-2870 versus chemotherapy. • For NSCLC with EGFR mutations, compare the objective response rate (ORR) of MK-2870 versus chemotherapy, assessed by BICR according to RECIST 1.1. • For all subjects with NSCLC, compare the ORR of MK-2870 versus chemotherapy, assessed by BICR according to RECIST 1.1. • For NSCLC patients with EGFR mutations and all patients with NSCLC, assess the duration of response (DOR) of MK-2870 compared to chemotherapy. • For NSCLC patients with EGFR mutations and all patients with NSCLC, assess the mean change in overall health status/quality of life (QoL), dyspnea, cough, and chest pain from baseline compared to chemotherapy. • For NSCLC patients with EGFR mutations and all patients with NSCLC, assess the time elapsed before exacerbation of overall health status/QoL, dyspnea, cough, and chest pain compared to chemotherapy with MK-2870. • Assess the safety and tolerability of MK-2870.

Test Drug

Intravenous infusion fluid
Intravenous infusion fluid
Intravenous infusion fluid

Active Ingredient

MK-2870
Pemetrexed
Docetaxel

Dosage Form

IV infusion
IV infusion
IV infusion

Dosage

200 mg/vial
500 mg/vial
20 mg/mL

Endpoints

- Progression-free survival (PFS): Time from randomization to the first recorded disease progression or death from any cause, whichever comes first.

- Overall survival (OS): Time from randomization to death from any cause.

Inclution Criteria

Inclusion Criteria:

Histologically- or cytologically-documented advanced (Stage III not eligible for resection or curative radiation) or metastatic non-squamous NSCLC with specific mutations.
Documentation of locally assessed radiological disease progression while on or after last treatment based on Response Evaluation Criteria in Solid Tumors Version (RECIST) 1.1.
Participants with genome mutations must have received 1 or 2 prior lines of epidermal growth factor receptor tyrosine kinase inhibitor (EGFR TKI), including a third generation TKI for participants with a T790M mutation; and 1 platinum-based therapy after progression on or after EGFR TKI.
Measurable disease per RECIST 1.1 as assessed by the local site investigator.
Archival tumor tissue sample or newly obtained core, incisional, or excisional biopsy of a tumor lesion not previously irradiated has been provided
Participants who have AEs due to previous anticancer therapies must have recovered to Grade ≤1 or baseline.
Participants who are hepatitis B surface antigen (HBsAg) positive are eligible if they have received HBV antiviral therapy for at least 4 weeks, and have undetectable HBV viral load prior to randomization.
Human immunodeficiency virus (HIV)-infected participants must have well controlled HIV on antiretroviral therapy.
Have an ECOG performance status of 0 or 1 within 3 days before randomization.

Exclusion Criteria

Exclusion Criteria:

Has predominantly squamous cell histology NSCLC.
Has mixed tumor(s) with small cell elements.
Has active inflammatory bowel disease requiring immunosuppressive medication or previous history of inflammatory bowel disease.
Has Grade ≥2 peripheral neuropathy.
Has history of documented severe dry eye syndrome, severe Meibomian gland disease and/or blepharitis, or corneal disease that prevents/delays corneal healing.
Has uncontrolled, significant cardiovascular disease or cerebrovascular disease.
Has an EGFR T790M mutation and has not received a third generation EGFR TKI (eg, osimertinib).
Received prior systemic anticancer therapy including investigational agents within 4 weeks or 5 half-lives (whichever is shorter) before randomization.
Received a live or live-attenuated vaccine within 30 days before the first dose of study intervention.
Completed palliative radiotherapy within 7 days of the first dose. Participants must have recovered from all radiation-related toxicities and not require corticosteroids.
Received radiation therapy to the lung that is >30 Gy within 6 months of the first dose of study intervention.
Received prior treatment with a trophoblast cell-surface antigen 2 (TROP2)-targeted antibody-drug conjugate (ADC).
Received prior treatment with a topoisomerase I-containing ADC.
Has received an investigational agent or has used an investigational device within 4 weeks prior to study intervention administration.
Known additional malignancy that is progressing or has required active treatment within the past 3 years.
Active infection requiring systemic therapy.
History of noninfectious pneumonitis/ILD that required steroids or has current pneumonitis/ILD.
Has known active central nervous system metastases and/or carcinomatous meningitis. Participants with previously treated brain metastases may participate provided they are clinically stable, radiologically stable for at least 4 weeks and do not require glucocorticoids for at least 14 days prior to randomization.
HIV-infected participants with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease.
Concurrent active Hepatitis B (defined as HBsAg positive and/or detectable HBV DNA) and Hepatitis C virus (defined as anti-HCV Ab positive and detectable HCV RNA) infection.

The Estimated Number of Participants

  • Taiwan

    35 participants

  • Global

    556 participants