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RecruitingInterventionalPhase 1

A Randomized Study Investigating the Pharmacokinetics of Standard Interval Dosing Compared to Extended Interval Dosing of Nivolumab or Pembrolizumab in Locally Advanced or Metastatic Cancers

NCT ID: NCT04295863Sponsor: University of ChicagoLast updated: 2025-10-01

Summary

A randomized research study of drugs nivolumab and pembrolizumab in patients with locally advanced or metastatic cancers. Based on data from earlier studies it appears that the drugs can be given less often then the currently approved schedule. This trial will compare drug levels from the blood from standard interval dosing levels versus taking the drugs less often.

Arms & interventions

  • DrugNivolumab Standard

    For patients on standard schedule dosing of nivolumab, therapy will consist of 240mg IV once every 2 weeks or 480mg IV once every 4 weeks

  • DrugPembrolizumab Standard

    For patients on standard schedule dosing of pembrolizumab, therapy will consist of 200mg IV once every 3 weeks or 400mg IV once every 6 weeks

  • DrugNivolumab Extended

    For patients on extended interval dosing of nivolumab therapy will consist of 240mg IV once every 4 weeks or 480mg IV once every 8 weeks

  • DrugPembrolizumab Extended

    For patients on extended interval dosing of pembrolizumab therapy will consist of 200mg IV once every 6 weeks

Outcome measures

Primary

  • Noninferiority margin of extended interval dosing compared to standard dosing

    To assess the noninferiority of pharmacokinetic success, defined as drug trough levels above the target concentration of 1.5 µg/mL. Evaluable patients will be categorized as success or failure for this primary objective.

    Time frame: 2 years

Secondary

  • Compare the efficacy of extended interval and standard interval dosing

    Time frame: 2 years

Eligibility criteria

Sex: AllAge: 18 Years and olderHealthy volunteers: No
Inclusion Criteria: * Patients with locally advandced or metastatic cancer whose physician has determined they are candidates for treatment with nivolumab or pembrolizumab * 18 years old or older * Measurable disease per RECIST criteria Exclusion Criteria: * Patients who have previously received immune checkpoint inhibitors or investigational monoclonal antibody therapy. * Patients whose treatment plan is to receive ipilimumab or other anti-CTLA4 monoclonal antibody in combination with either nivolumab or pembrolizumab. * Ipilimumab and nivolumab combination are not eligible for this trial. * (Note: Patients whose planned treatment is the combination of anti-PD-1 and tyrosine kinase inhibitor such as pembrolizumab-axitinib or the combination of traditional cytotoxic chemotherapy and anti-PD-1 are eligible)

Study locations (2)

University Of Chicago Medicine Comprehensive Cancer Center

Chicago, Illinois, 60637

Recruiting
Clinical Trials Intake · Contact
Mark Ratain, MD · Principal Investigator

SSM Health Cancer Care

Madison, Wisconsin, 53717

Recruiting
Amit Sanyal, MD · Principal Investigator
Comparing Dosing Intervals of Nivolumab or Pembrolizumab in Locally Advanced or Metastatic Cancers | Cancerify