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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/ct2/show/NCT02332668




Registration number
NCT02332668
Ethics application status
Date submitted
6/01/2015
Date registered
7/01/2015
Date last updated
11/01/2024

Titles & IDs
Public title
A Study of Pembrolizumab (MK-3475) in Pediatric Participants With an Advanced Solid Tumor or Lymphoma (MK-3475-051/KEYNOTE-051)
Scientific title
A Phase I/II Study of Pembrolizumab (MK-3475) in Children With Advanced Melanoma or a PD-L1 Positive Advanced, Relapsed or Refractory Solid Tumor or Lymphoma (KEYNOTE-051)
Secondary ID [1] 0 0
MK-3475-051
Secondary ID [2] 0 0
3475-051
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Melanoma 0 0
Lymphoma 0 0
Solid Tumor 0 0
Classical Hodgkin Lymphoma 0 0
Microsatellite-instability-high Solid Tumor 0 0
Condition category
Condition code
Cancer 0 0 0 0
Lymphoma (non Hodgkin's lymphoma) - High grade lymphoma
Cancer 0 0 0 0
Lymphoma (non Hodgkin's lymphoma) - Low grade lymphoma
Cancer 0 0 0 0
Malignant melanoma
Human Genetics and Inherited Disorders 0 0 0 0
Other human genetics and inherited disorders

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Other interventions - Pembrolizumab

Experimental: Melanoma - Participants aged 6 months to <18 years with melanoma receive pembrolizumab, starting dose 2 mg/kg (maximum dose 200 mg), intravenously (IV) once every 3 weeks (Q3W). Enrollment of participants aged 6 months to <12 years with melanoma was closed with Amendment 8. Enrollment of participants aged =12 years to =18 years with melanoma continues.

Experimental: Solid Tumors and Other Lymphomas - Participants aged 6 months to <18 years with solid tumors and other lymphomas receive pembrolizumab, starting dose 2 mg/kg (maximum dose 200 mg), IV Q3W. Initial enrollment limited to programmed death-ligand 1 (PD-L1)-positive participants. PD-L1-negative participants may enroll if responses are observed. Enrollment of participants with solid tumors and other lymphomas was closed with Amendment 8.

Experimental: rrcHL - Participants aged 3 years to <18 years with rrcHL receive pembrolizumab, starting dose 2 mg/kg (maximum dose 200 mg), IV Q3W.

Experimental: MSI-H - Participants aged 6 months to <18 years with microsatellite-instability-high (MSI-H) solid tumors receive pembrolizumab, starting dose 2 mg/kg (maximum dose 200 mg), IV Q3W.

Experimental: TMB-H - Participants aged 6 months to <18 years with tumor-mutational burden-high =10 mutation/Mb (TMB-H) solid tumors receive pembrolizumab, starting dose 2 mg/kg (maximum dose 200 mg), IV Q3W.

Experimental: Adjuvant Melanoma - Participants aged 12 years to <18 years with resected high-risk Stage IIB, IIC, III, or IV melanoma receive pembrolizumab, starting dose 2 mg/kg (maximum dose 200 mg), intravenously (IV) once every 3 weeks (Q3W).


Other interventions: Pembrolizumab
IV infusion

Intervention code [1] 0 0
Other interventions
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Objective Response Rate (ORR) by Response Evaluation Criteria in Solid Tumors and Other Lymphoma Version 1.1 (RECIST 1.1) per Site Assessment (Each Disease Indication Evaluated Separately)
Timepoint [1] 0 0
Up to 2 years
Primary outcome [2] 0 0
ORR by RECIST 1.1 per Site Assessment for MSI-H or TMBH Solid Tumors (Each Cohort Evaluated Separately)
Timepoint [2] 0 0
Up to 2 years
Primary outcome [3] 0 0
ORR by International Working Group (IWG) Response Criteria (Cheson, 2007) per BICR Assessment for rrcHL Cohort
Timepoint [3] 0 0
Up to approximately 2 years
Primary outcome [4] 0 0
Number of Participants with Dose-Limiting Toxicities (DLTs)
Timepoint [4] 0 0
Cycle 1 (Up to 21 days)
Primary outcome [5] 0 0
Number of Participants Experiencing Adverse Events (AEs)
Timepoint [5] 0 0
Up to 27 months
Primary outcome [6] 0 0
Number of Participants Discontinuing Study Drug Due to AEs
Timepoint [6] 0 0
Up to 2 years
Secondary outcome [1] 0 0
ORR by IWG Response Criteria (Cheson, 2007) per Site Assessment (rrcHL Cohort)
Timepoint [1] 0 0
Up to 2 years
Secondary outcome [2] 0 0
DOR per RECIST 1.1 by Site Assessment (Advanced Melanoma, Solid Tumors and Other Lymphoma, Each Disease Indication Is Evaluated Separately)
Timepoint [2] 0 0
Up to approximately 2 years
Secondary outcome [3] 0 0
DOR per RECIST 1.1 by Site Assessment (MSI-H and TMBH, Each Cohort Is Evaluated Separately)
Timepoint [3] 0 0
Up to approximately 2 years
Secondary outcome [4] 0 0
DOR per IWG 2007 (Cheson, 2007) Response by BICR Assessment (rrcHL Cohort)
Timepoint [4] 0 0
Up to approximately 2 years
Secondary outcome [5] 0 0
DOR per IWG 2007 (Cheson, 2007) Response by Site Assessment (rrcHL Cohort)
Timepoint [5] 0 0
Up to approximately 2 years
Secondary outcome [6] 0 0
DOR per Immune-related Response Evaluation Criteria in Solid Tumors (irRECIST) by Site Assessment (Solid Tumors and Other Lymphoma, Each Disease Indication Evaluated Separately)
Timepoint [6] 0 0
Up to approximately 2 years
Secondary outcome [7] 0 0
DOR per Immune-related Response Evaluation Criteria in Solid Tumors (irRECIST) by Site Assessment (MSI-H and TMB-H, Each Cohort Is Evaluated Separately)
Timepoint [7] 0 0
Up to approximately 2 years
Secondary outcome [8] 0 0
Progression-free Survival (PFS) Using RECIST 1.1 Criteria by Site Assessment (Solid Tumors and Other Lymphoma, Each Disease Indication Evaluated Separately)
Timepoint [8] 0 0
Up to approximately 2 years
Secondary outcome [9] 0 0
PFS using RECIST 1.1 Criteria by Site Assessment (MSI-H and TMB-H, Each Cohort Evaluated Separately)
Timepoint [9] 0 0
Up to approximately 2 years
Secondary outcome [10] 0 0
PFS using IWG 2007 Criteria (Chesson 2007) by BICR Assessment (rrcHL Cohort)
Timepoint [10] 0 0
Up to approximately 2 years
Secondary outcome [11] 0 0
PFS using IWG 2007 Criteria (Chesson, 2007) by Site Assessment (rrcHL Cohort)
Timepoint [11] 0 0
Up to approximately 2 years
Secondary outcome [12] 0 0
PFS Using irRECIST Criteria by Site Assessment
Timepoint [12] 0 0
Up to approximately 2 years
Secondary outcome [13] 0 0
Disease Control Rate by RECIST 1.1 Using Site Assessment (Solid Tumors and Other Lymphoma, Each Disease Indication Evaluated Separately)
Timepoint [13] 0 0
Up to approximately 2 years
Secondary outcome [14] 0 0
Disease Control Rate by RECIST 1.1 Using Site Assessment (MSIH and TMB-H, Each Cohort Evaluated Separately)
Timepoint [14] 0 0
Up to approximately 2 years
Secondary outcome [15] 0 0
Disease Control Rate by irRECIST Using Site Assessment (Solid Tumors and Other Lymphomas, Each Disease Indication Evaluated Separately)
Timepoint [15] 0 0
Up to approximately 2 years
Secondary outcome [16] 0 0
Overall Survival
Timepoint [16] 0 0
Up to approximately 2 years
Secondary outcome [17] 0 0
Objective irRECIST Response Rate by Site Assessment (Each Disease Indication Evaluated Separately)
Timepoint [17] 0 0
Up to approximately 2 years
Secondary outcome [18] 0 0
Area Under the Concentration Curve (AUC) for Pembrolizumab
Timepoint [18] 0 0
Predose Cycles 1, 2, 4, 8 and every 4 cycles thereafter, and within 30 minutes post infusion at Cycles 1 and 8. Additional single pharmacokinetic samples obtained in Cycle 1 between 72 to 168 hours post-dose, and Cycle 1 at 336 hours post-dose

Eligibility
Key inclusion criteria
- Between 6 months and <18 years of age on day of signing informed consent is
documented.

- Histologically- or cytologically-documented, locally-advanced, or metastatic solid
malignancy or lymphoma that is incurable and has failed prior standard therapy, or for
which no standard therapy exists, or for which no standard therapy is considered
appropriate

- Any number of prior treatment regimens

- Tissue (or lymph node biopsy for rrcHL participants) available from an archival tissue
sample or, if appropriate, a newly obtained core or excisional biopsy of a tumor
lesion not previously irradiated

- Advanced melanoma or PD-L1-positive advanced, relapsed, or refractory solid tumor or
lymphoma

- Measurable disease based on RECIST 1.1 (Or based on IWG [Cheson, 2007] [i.e.,
measurement must be >15 mm in longest diameter or >10 mm in short axis] for rrcHL
participants)

- Participants with neuroblastoma with only metaiodobenzylguanidine (MIBG)-positive
evaluable disease may be enrolled

- Lansky Play Scale =50 for participants from 6 months up to and including 16 years of
age; or Karnofsky score =50 for participants >16 years of age

- Adequate organ function

- Female participants of childbearing potential should have a negative urine or serum
pregnancy test within 72 hours before the first dose of study medication

- Female participant is not a woman of childbearing potential (WOCBP) or is a WOCBP who
is abstinent from heterosexual intercourse or using contraception during the
intervention period and for at least 120 days after the last dose of study
intervention

- Contraceptive use by men should be consistent with local regulations regarding the
methods of contraception for those participating in clinical studies.

- Demonstrate adequate organ function.
Minimum age
6 Months
Maximum age
17 Years
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
- Currently participating and receiving study therapy in, or has participated in a study
of an investigational agent and received study therapy or used an investigational
device within 4 weeks of the date of allocation/randomization

- Diagnosis of immunodeficiency or receiving systemic steroid therapy or any other form
of immunosuppressive therapy within 7 days prior to the date of
allocation/randomization

- Prior systemic anti-cancer therapy including investigational agent within 2 weeks
prior to study Day 1 or not recovered from adverse events due to a previously
administered agent

- Prior radiotherapy within 2 weeks of start of study treatment

- Known additional malignancy that is progressing or requires active treatment with the
exception of basal cell carcinoma of the skin, squamous cell carcinoma of the skin or
carcinoma in situ (eg, breast carcinoma, cervical carcinoma in situ) with potentially
curative therapy, or in situ cervical cancer

- Known active central nervous system (CNS) metastases and/or carcinomatous meningitis

- Tumor(s) involving the brain stem

- Severe hypersensitivity (= Grade 3) to pembrolizumab and/or any of its excipients

- Active autoimmune disease that has required systemic treatment in past 2 years;
replacement therapy (such as thyroxine, insulin, or physiologic corticosteroid
replacement therapy for adrenal or pituitary insufficiency) is acceptable

- Has a history of (non-infectious) pneumonitis that required steroids or current
pneumonitis.

- Active infection requiring systemic therapy

- Pregnant or breastfeeding, or expecting to conceive or father children within the
projected duration of the trial through 120 days after the last dose of study
medication

- Prior therapy with an anti-programmed cell death (PD)-1, anti-PD-ligand 1
(anti-PD-L1), anti-PD-L2 agent, or any agent directed to another stimulatory or
inhibitory T-cell receptor (eg, cytotoxic lymphocyte associated protein-4 [CTLA-4],
OX-40, CD137)

- Human immunodeficiency virus (HIV)

- Hepatitis B or C

- Known history of active tuberculosis (TB; Bacillus tuberculosis)

- Received a live vaccine within 30 days of planned start of study medication

- Has undergone solid organ transplant at any time, or prior allogeneic hematopoietic
stem cell transplantation within the last 5 years. (Participants who have had an
allogeneic hematopoietic transplant >5 years ago are eligible as long as there are no
symptoms of Graft Versus Host Disease [GVHD].)

- History or current evidence of any condition, therapy, or laboratory abnormality, or
known severe hypersensitivity to any component or analog of the trial treatment, that
might confound the results of the trial, or interfere with the participant's
participation for the full duration of the study

- Known psychiatric or substance abuse disorders that would interfere with the
requirements of the study

Study design
Purpose of the study
Treatment
Allocation to intervention
Non-randomised trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?



Intervention assignment
Single group
Other design features
Phase
Phase 1/Phase 2
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Recruiting
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
Recruitment hospital [1] 0 0
MSD Australia - North Ryde
Recruitment postcode(s) [1] 0 0
- North Ryde
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
Colorado
Country [2] 0 0
United States of America
State/province [2] 0 0
Indiana
Country [3] 0 0
United States of America
State/province [3] 0 0
Massachusetts
Country [4] 0 0
United States of America
State/province [4] 0 0
Missouri
Country [5] 0 0
United States of America
State/province [5] 0 0
New York
Country [6] 0 0
United States of America
State/province [6] 0 0
Tennessee
Country [7] 0 0
United States of America
State/province [7] 0 0
Texas
Country [8] 0 0
United States of America
State/province [8] 0 0
Washington
Country [9] 0 0
Brazil
State/province [9] 0 0
Sao Paulo
Country [10] 0 0
France
State/province [10] 0 0
Paris
Country [11] 0 0
Germany
State/province [11] 0 0
Haar
Country [12] 0 0
Israel
State/province [12] 0 0
Hod Hasharon
Country [13] 0 0
Italy
State/province [13] 0 0
Rome
Country [14] 0 0
Korea, Republic of
State/province [14] 0 0
Seoul
Country [15] 0 0
Netherlands
State/province [15] 0 0
Haarlem
Country [16] 0 0
Sweden
State/province [16] 0 0
Stockholm
Country [17] 0 0
United Kingdom
State/province [17] 0 0
Hoddesdon

Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
Merck Sharp & Dohme LLC
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
This is a two-part study of pembrolizumab (MK-3475) in pediatric participants who have any of
the following types of cancer:

- advanced melanoma (6 months to <18 years of age),

- advanced, relapsed or refractory programmed death-ligand 1 (PD-L1)-positive malignant
solid tumor or other lymphoma (6 months to <18 years of age),

- relapsed or refractory classical Hodgkin lymphoma (rrcHL) (3 years to <18 years of age),
or

- advanced relapsed or refractory microsatellite-instability-high (MSI-H) solid tumors (6
months to <18 years of age), or

- advanced relapsed or refractory tumor-mutational burden-high =10 mutation/Mb (TMB-H)
solid tumors (6 months to <18 years of age), or

- with adjuvant treatment of resected high-risk Stage IIB, IIC, III, or IV melanoma in
children 12 years to <18 years of age

Part 1 will find the maximum tolerated dose (MTD)/maximum administered dose (MAD), confirm
the dose, and find the recommended Phase 2 dose (RP2D) for pembrolizumab therapy. Part 2 will
further evaluate the safety and efficacy at the pediatric RP2D.

The primary hypothesis of this study is that intravenous (IV) administration of pembrolizumab
to children with either advanced melanoma; a PD-L1 positive advanced, relapsed or refractory
solid tumor or other lymphoma; advanced, relapsed or refractory MSI-H solid tumor; or rrcHL,
will result in an Objective Response Rate (ORR) greater than 10% for at least one of these
types of cancer. The 10% assessment does not apply to the MSI-H and TMB-H cohorts.

With Amendment 8, enrollment of participants with solid tumors and of participants aged 6
months to <12 years with melanoma were closed. Enrollment of participants aged =12 years to
=18 years with melanoma continues. Enrollment of participants with MSI-H and TMB-H solid
tumors also continues.
Trial website
https://clinicaltrials.gov/ct2/show/NCT02332668
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Medical Director
Address 0 0
Merck Sharp & Dohme LLC
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Toll Free Number
Address 0 0
Country 0 0
Phone 0 0
1-888-577-8839
Fax 0 0
Email 0 0
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/ct2/show/NCT02332668