A Phase 1/2 Open-Label, Umbrella Platform Design Study of Investigational Agents in Combination With Pembrolizumab (MK-3475) With or Without Chemotherapy in Participants With 1L Locally Advanced Unresectable/Metastatic Esophageal Cancer: KEYMAKER-U06 Substudy 06E
Summary
Researchers are looking for new ways to treat esophageal squamous cell carcinoma (ESCC). ESCC is a type of cancer that starts in certain cells that line the esophagus. The esophagus is the tube that connects the throat to the stomach. This study will look at ESCC that is either locally advanced unresectable, which means it has spread into tissue near where it started and cannot be completely removed by surgery, or metastatic, which means it has spread to other body parts. Available treatments for these types of ESCC include pembrolizumab and chemotherapy. Pembrolizumab is an immunotherapy, which is a treatment that helps the immune system fight cancer. Chemotherapy is medicine that destroys cancer cells or stops them from growing. Researchers want to learn about giving pembrolizumab and investigational agents, with or without chemotherapy to treat ESCC. Ifinatamab deruxtecan (I-DXd), is an antibody-drug conjugate (ADC). An ADC attaches to a protein on cancer cells and delivers treatment to destroy those cells. The main goal of this study is to learn about the safety of investigational agents and pembrolizumab with or without chemotherapy and if people tolerate them. Researchers also want to learn how cancer responds (gets smaller or goes away) to the study treatments.
Detailed description
The master protocol is MK-3475-U06.
Arms & interventions
- BiologicalPembrolizumab
IV infusion
- BiologicalI-DXd
IV infusion
- DrugLeucovorin
IV infusion
- DrugLevoleucovorin
IV infusion
- Drug5-Fluorouracil (5-FU)
IV Infusion
- DrugOxaliplatin
IV infusion
- BiologicalSacituzumab tirumotecan
IV infusion
- DrugRescue Medication
Includes 5-HT3 receptor antagonist, NK-1 receptor antagonist, and corticosteroid for Arms 2, 3, and 4, and H1 receptor antagonist, H2 receptor antagonist, acetaminophen, and dexamethasone for Arm 5, administered per approved product label
Outcome measures
Primary
Percentage of Participants who Experience Dose Limiting Toxicities (DLTs) During the Safety Lead-In Phase
Percentage of participants experiencing toxicities that are possibly, probably, or definitely related to study intervention; that meet pre-defined severity criteria; and result in a change in the given dose.
Time frame: Up to approximately 28 days
Percentage of Participants who Experience an Adverse Event (AE)
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The percentage of participants who experience an AE will be reported.
Time frame: Up to approximately 77 months
Objective Response Rate (ORR)
ORR is defined as a confirmed complete response (CR: the disappearance of all target lesions) or partial response (PR: at least a 30% decrease in the sum of diameters of target lesions) per Response Evaluation Criteria In Solid Tumors (RECIST) 1.1 as assessed by blinded independent central review (BICR). The percentage of participants who experience CR or PR as assessed by BICR will be presented.
Time frame: Up to approximately 77 months
Secondary
Duration of Response (DOR)
Time frame: Up to approximately 77 months
Progression-Free Survival (PFS)
Time frame: Up to approximately 77 months
Overall Survival (OS)
Time frame: Up to approximately 77 months
Disease Control Rate (DCR)
Time frame: Up to approximately 77 months
Maximum Plasma Concentration (Cmax) of I-DXd
Time frame: At designated time points up to approximately 65 months
Time to Maximum Plasma Concentration (Tmax) of I-DXd
Time frame: At designated time points up to approximately 65 months
Area Under the Concentration-Time Curve from Time 0 to Last Measurable Plasma Concentration (AUClast) of I-DXd
Time frame: At designated time points up to approximately 65 months
Area Under the Concentration-Time Curve from Time 0 to the End of the Dosing Period (AUCtau) of I-DXd
Time frame: At designated time points up to approximately 65 months
The Percentage of Participants with Antidrug Antibodies (ADA) Against I-DXd
Time frame: Up to approximately 65 months
The Percentage of Participants with Treatment-Emergent ADA Against I-DXd
Time frame: Up to approximately 65 months
Eligibility criteria
Study locations (1)
UPMC Hillman Cancer Center ( Site 1904)
Pittsburgh, Pennsylvania, 15232