Study of Pembrolizumab (MK-3475) Monotherapy Versus Sacituzumab Govitecan in Combination With Pembrolizumab for Participants With Metastatic Non-small Cell Lung Cancer (NSCLC) With Programmed Cell Death Ligand 1 (PD-L1) Tumor Proportion Score (TPS) ≥50% (MK-3475-D46)
614 patients around the world
Available in Chile, United States
Merck Sharp & Dohme LLC
8Research sites
614Patients around the world
This study is for people with
Lung cancer
Non-small cell lung carcinoma
Requirements for the patient
From 18 Years
All Gender
Medical requirements
Has a histologically or cytologically confirmed diagnosis of metastatic non-small cell lung cancer (NSCLC)
Has confirmation that epidermal growth factor receptor (EGFR), anaplastic lymphoma kinase 1 (ALK-1), or ROS proto-oncogene 1 (ROS-1)-directed therapy is not indicated as primary therapy
Has provided tumor tissue that demonstrates PD-L1 tumor proportion score (TPS) ≥50% of tumor cells as assessed by immunohistochemistry (IHC) at a central laboratory
Has a life expectancy of at least 3 months
Has history of a second malignancy, unless potentially curative treatment has been completed with no evidence of malignancy for 3 years
Has received prior systemic chemotherapy or other targeted or biological antineoplastic therapy for their metastatic NSCLC
Has previously received treatment with Topoisomerase 1 inhibitors or Trop-2 targeted therapy
Has received prior therapy with an anti-programmed cell death 1 protein (anti-PD-1), anti-programmed cell death ligand 1 (anti-PD-L1), or anti anti- programmed cell death ligand 2 (PD-L2) agent or with an agent directed to another stimulatory or coinhibitory T-cell receptor
Has received prior radiotherapy within 2 weeks of start of study intervention or has radiation-related toxicities requiring corticosteroids
Has received radiation therapy to the lung that is >30 Gray (Gy) within 6 months of the first dose of study intervention
Has received a live or live-attenuated vaccine within 30 days before the first dose of study intervention
Has received an investigational agent or has used an investigational device within 4 weeks before study intervention administration
Has cardiac disease
Has active chronic inflammatory bowel disease
Has diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy or any other form of immunosuppressive therapy within 7 days prior the first dose of study medication
Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis
Has severe hypersensitivity (≥Grade 3) to pembrolizumab or sacituzumab govitecan and/or any of their excipients
Has active autoimmune disease that has required systemic treatment in past 2 years except replacement therapy
History of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease
Has active infection requiring systemic therapy
Has history of human immunodeficiency virus (HIV) infection
History of hepatitis B or known active hepatitis C virus infection
Has history or current evidence of any condition, therapy, laboratory abnormality, or other circumstance that might confound the results of the study or interfere with the participant's participation for the full duration of the study, such that it is not in the best interest of the participant to participate, in the opinion of the treating investigator
Have not adequately recovered from major surgery or have ongoing surgical complications
Sites
Centro Regional Integrado de Oncologia - CRIO
Recruiting
R. Francisco Calaça, 1300 - Álvaro Weyne, Fortaleza - CE, 60335-480
Hospital Tacchini
Recruiting
R. Dr. José Mário Mônaco, 358 - Centro, Bento Gonçalves - RS, 95700-000, Brazil
Instituto de Oncologia Saint Gallen
Recruiting
R. Mal. Deodoro, 1139 - Bonfim, Santa Cruz do Sul - RS, 96810-102, Brazil
Hospital de Câncer de Barretos - Fundação PIO XII
Recruiting
Rua Antenor Duarte Villela 1331 - Barretos, Sao Paulo, 14784-400
AC Camargo Cancer Center
Recruiting
São Paulo, 01509-001
Hospital de Clínicas de Passo Fundo
Recruiting
R. Uruguai, 590 - Centro, Passo Fundo - RS, 99010-110, Brazil
Oncovida - Santiago
Recruiting
Gral. Holley 2381, Providencia, Región Metropolitana, Santiago
Hospital Clínico Pontificia Universidad Católica de Chile - Santiago, Región Metropolitana