Study of Quavonlimab (MK-1308) in Combination With Pembrolizumab (MK-3475) in Advanced Solid Tumors (MK-1308-001)
A Phase 1 / 2 Open Label, Multi-Arm, Multicenter Study of MK-1308 in Combination With Pembrolizumab in Subjects With Advanced Solid Tumors
4 other identifiers
interventional
415
16 countries
53
Brief Summary
This study will assess the safety, tolerability, pharmacokinetics (PK), and preliminary efficacy of escalating doses of quavonlimab when used in combination with pembrolizumab in participants with advanced solid tumors.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Jul 2017
Longer than P75 for phase_1
53 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 31, 2017
CompletedFirst Posted
Study publicly available on registry
June 7, 2017
CompletedStudy Start
First participant enrolled
July 2, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 8, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
April 8, 2024
CompletedResults Posted
Study results publicly available
April 8, 2025
CompletedApril 8, 2025
March 1, 2025
6.8 years
May 31, 2017
March 20, 2025
March 20, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (4)
Percentage of Participants With ≥1 Dose Limiting Toxicity (DLT)
DLT was defined as toxicity that is possibly, probably, or definitely related to study therapy and may result in a change in the given dose. DLTs include Grade (Gr)4 non-hematologic toxicity (not laboratory); Gr 4 hematologic toxicity lasting ≥7 days (except thrombocytopenia); most non-hematologic AEs ≥ Gr 3 in severity; any Gr 3 or Gr 4 non-hematologic laboratory value that requires clinically significant medical intervention, leads to hospitalization, persists for \>1 week, or results in a drug-induced liver injury; Gr 3 or Gr 4 febrile neutropenia; a prolonged delay in initiating Cycle 2 or 3 of Dose Escalation or Cycle 2 of Dose Confirmation due to treatment-related toxicity; any treatment-related toxicity that causes the participant to discontinue treatment during the DLT observation period, and Gr 5 toxicity.
Up to 6 weeks
Number of Participants With ≥1 Adverse Event (AE)
An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product temporally associated with the use of study treatment, whether or not considered related to the study treatment. Per protocol, no analysis was planned for the cross over phase. The number of participants who experienced an AE are presented.
Up to approximately 77 months
Number of Participants Discontinuing Study Treatment Due to an AE
An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product temporally associated with the use of study treatment, whether or not considered related to the study treatment. Per protocol, no analysis was planned for the cross over phase. The number of participants who discontinued study treatment due to an AE are presented.
Up to approximately 26 months
Efficacy Expansion: Objective Response Rate (ORR) as Assessed by Blinded Independent Central Review (BICR) Based on Adjusted Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)
ORR is defined as the percentage of participants with Complete Response (CR: disappearance of all target lesions) or Partial Response (PR: at least a 30% decrease in the sum of diameters of target lesions) per adjusted Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST 1.1). The percentage of participants who experience CR or PR in the concurrent randomized subset as assessed by Blinded Independent Central Review (BICR) will be presented. Per protocol, only data for arms F and G were presented for this endpoint.
Up to approximately 72 months
Secondary Outcomes (10)
Area Under the Plasma Concentration Time Curve (AUC) of Pembrolizumab
At designated time points up to - Cohorts 1-3: Day 15 Cycle 3, Arms A, B, C, D, E: Day 15 Cycle 3, Arm F: Day 21 Cycle 3, Arm I: Day 21 Cycle 3, Arm K: Day 21 Cycle 3. Each cycle is 21 days.
Maximum Concentration (Cmax) of Pembrolizumab
At designated time points up to - Cohorts 1-3: Day 15 Cycle 3, Arms A, B, C, D, E: Day 15 Cycle 3, Arm F: Day 21 Cycle 3, Arm I: Day 21 Cycle 3, Arm K: Day 21 Cycle 3. Each cycle is 21 days.
Minimum Concentration (Cmin) of Pembrolizumab
At designated time points up to - Cohorts 1-3: Day 1 Cycle 4, Arms A, B, C, D, E: Day 15 Cycle 3, Arm F: Day 21 Cycle 3, Arm I: Day 21 Cycle 3, Arm K: Day 21 Cycle 3. Each cycle is 21 days.
Area Under the Plasma Concentration Time Curve (AUC) of Quavonlimab (MK-1308)
At designated time points up to - Cohorts 1-3: Day 15 Cycle 3, Arms A, B, C, D, E: Day 15 Cycle 3, Arm F, G, I: Day 21 Cycle 3, Arm K: Day 21 Cycle 3. Each cycle is 21 days.
Maximum Concentration (Cmax) of Quavonlimab
At designated time points up to - Cohorts 1-3: Day 15 Cycle 3, Arms A, B, C, D, E: Day 15 Cycle 3, Arm F, G, I: Day 21 Cycle 3, Arm K: Day 21 Cycle 3. Each cycle is 21 days.
- +5 more secondary outcomes
Study Arms (12)
Escalation: Dose Level (DL) 1 Quavonlimab + Pembro: Cohort 1
EXPERIMENTALOn Cycle 1, Day 1 of the Dose Escalation Phase, advanced solid tumor participants receive a single monotherapy dose lead-in with quavonlimab at dose level 1 (DL1). On Cycle 2, Day 1, and for 3 subsequent cycles on Day 1 (Cycles 3 to 5), these participants receive quavonlimab at DL1 in combination with pembrolizumab (pembro) at pembrolizumab dose level 1 (PDL1) according to Schedule 1. For all subsequent cycles (starting with Cycle 6), all participants receive pembrolizumab monotherapy according to Schedule 1. Participants will be treated for up to 35 cycles total on study.
Escalation: DL 2 Quavonlimab + Pembro: Cohort 2
EXPERIMENTALOn Cycle 1, Day 1 of the Dose Escalation Phase, participants with advanced solid tumors except NSCLC receive a single monotherapy dose lead-in with quavonlimab at DL2. On Cycle 2, Day 1, and for 3 subsequent cycles on Day 1 (Cycles 3 to 5), these participants receive quavonlimab at DL2 in combination with pembrolizumab at PDL1 according to Schedule 1. For all subsequent cycles (starting with Cycle 6), all participants receive pembrolizumab monotherapy according to Schedule 1. Participants will be treated for up to 35 cycles total on study.
Escalation: DL 3 Quavonlimab + Pembro: Cohort 3
EXPERIMENTALOn Cycle 1, Day 1 of the Dose Escalation Phase, participants with advanced solid tumors except NSCLC receive a single monotherapy dose lead-in with quavonlimab at DL3. On Cycle 2, Day 1, and for 3 subsequent cycles on Day 1 (Cycles 3 to 5), these participants receive quavonlimab at DL3 in combination with pembrolizumab at PDL1 according to Schedule 1. For all subsequent cycles (starting with Cycle 6), all participants receive pembrolizumab monotherapy according to Schedule 1. Participants will be treated for up to 35 cycles total on study.
Confirmation: DL 1 Quavonlimab Schedule 1 + Pembro (NSCLC): Arm A
EXPERIMENTALOn Cycle 1, Day 1 of the Dose Confirmation Phase and during all subsequent cycles, participants with NSCLC receive quavonlimab at DL1 in combination with pembrolizumab at PDL1, both according to Schedule 1. Participants will be treated for up to 35 cycles total on study.
Confirmation: DL 1 Quavonlimab Schedule 2 + Pembro (NSCLC): Arm B
EXPERIMENTALOn Cycle 1, Day 1 of the Dose Confirmation Phase, participants with NSCLC receive quavonlimab at DL1 in combination with pembrolizumab at PDL1. On all subsequent cycles, participants receive pembrolizumab at PDL1 according to Schedule 1 and quavonlimab at DL1 according to Schedule 2. Participants will be treated for up to 35 cycles total on study.
Confirmation: DL 2 Quavonlimab Schedule 2 + Pembro (NSCLC): Arm C
EXPERIMENTALOn Cycle 1, Day 1 of the Dose Confirmation Phase, participants with NSCLC receive quavonlimab at DL2 in combination with pembrolizumab at PDL1. On all subsequent cycles, participants receive pembrolizumab at PDL1 according to Schedule 1 and at DL2 quavonlimab according to Schedule 2. Participants will be treated for up to 35 cycles total on study.
Confirmation: DL 2 Quavonlimab Schedule 2 + Pembro (SCLC): Arm D
EXPERIMENTALOn Cycle 1, Day 1 of the Dose Confirmation Phase, participants with SCLC receive quavonlimab at DL2 in combination with pembrolizumab at PDL1. On all subsequent cycles, participants receive pembrolizumab at PDL1 according to Schedule 1 and quavonlimab at DL2 according to Schedule 2. Participants will be treated for up to 35 cycles total on study.
Confirmation: DL 2 Quavonlimab Schedule 1 + Pembro (NSCLC): Arm E
EXPERIMENTALOn Cycle 1, Day 1 of the Dose Confirmation Phase and during all subsequent cycles, participants with NSCLC receive quavonlimab at DL2 in combination with pembrolizumab at PDL1 according to Schedule 1. Participants will be treated for up to 35 cycles total on study.
Expansion: DL1 Quavonlimab Schedule 2+PDL2 Pembro Schedule 2: Arm F
EXPERIMENTALOn Cycle 1, Day 1 of the Efficacy Expansion Phase and during all subsequent cycles, participants with PD-1/PD-L1 refractory melanoma receive quavonlimab at DL1 in combination with pembrolizumab at pembrolizumab dose level 2 (PDL2). Both quavonlimab and pembrolizumab will be administered according to Schedule 2 for up to 24 months on study.
Expansion: DL1 Quavonlimab Schedule 2 Monotherapy: Arm G
EXPERIMENTALOn Cycle 1, Day 1 of the Efficacy Expansion Phase and during all subsequent cycles, participants with PD-1/PD-L1 refractory melanoma receive quavonlimab at DL1 according to Schedule 2 for up to 24 months on study. Participants who demonstrate radiographically confirmed progressive disease in Arm G will be eligible to receive combination therapy with pembrolizumab (crossover).
Coformulation: Pembrolizumab/Quavonlimab Schedule 2: Arm I
EXPERIMENTALOn Cycle 1, Day 1 of the Coformulation Phase and during all subsequent cycles, participants with advanced/metastatic solid tumors receive pembrolizumab/quavonlimab according to Schedule 2 for up to 24 months on study.
Coformulation Phase in China: Pembrolizumab/Quavonlimab Schedule 2: Arm K
EXPERIMENTALOn Cycle 1, Day 1 of the Coformulation Phase and during all subsequent cycles, participants in mainland China with advanced solid tumors receive pembrolizumab/quavonlimab according to Schedule 2 for up to 24 months on study.
Interventions
Quavonlimab is administered intravenously (IV) during the Dose Escalation Phase and Dose Confirmation Phase at either DL1 or DL2, and is administered IV during the Efficacy Expansion Phase at DL2.
Pembrolizumab is administered IV at PDL1 on Day 1 of each cycle starting Cycle 2 for the Dose Escalation Phase or starting Cycle 1 of the Dose Confirmation Phase. Pembrolizumab is administered IV at PDL2 on Day 1 of each cycle for the Efficacy Expansion Phase (Arm G).
Pembrolizumab/Quavonlimab is a coformulated product composed of quavonlimab at DL1 in combination with pembrolizumab at dose level 2 (PDL2).
Eligibility Criteria
You may qualify if:
- For Dose Escalation Phase:
- Have any histologically- or cytologically-confirmed advanced/metastatic solid tumor (except NSCLC for Cohorts 2 and 3) by pathology report and have received, been intolerant to, been ineligible for, or refused all treatment known to confer clinical benefit
- For Dose Confirmation Phase NSCLC Arms (A, B, C, and E):
- Have newly diagnosed histologically or cytologically-confirmed stage IIIB/stage IV NSCLC. Epidermal growth factor receptor (EGFR)-and anaplastic lymphoma kinase (ALK) translocation-directed therapy is not indicated as primary therapy. Participant must not have received prior systemic treatment for advanced NSCLC or must have received previous neoadjuvant and adjuvant chemotherapies ≥6 months before dosing of study drug if prior systemic treatment was given for early stage disease
- For Dose Confirmation Phase SCLC Arm (Arm D):
- Have histologically- or cytologically-confirmed metastatic (Stage III/IV) SCLC with progressive disease after ≥1 platinum-based chemotherapy regimen. Participants with platinum-sensitive disease are eligible
- Have measurable disease by RECIST 1.1 as assessed by the local site investigator/radiology
- Have Eastern Cooperative Oncology Group (ECOG) Performance Scale status of 0 or 1
- A female participant is eligible to participate if she is not pregnant or breastfeeding and at least 1 of the following conditions applies:
- Is not a woman of child bearing potential (WOCBP) OR
- Is a WOCBP and using a contraceptive method that is highly effective during the intervention period and for at least 120 days after the last dose of pembrolizumab or pembrolizumab/quavonlimab, whichever comes last
- Female participants of childbearing potential must have negative urine or serum pregnancy test within 24 hours for urine and within 72 hours for serum prior to receiving the first dose of study treatment
- Male participants with a female partner(s) of child-bearing potential must be willing to use an adequate method of contraception for the course of the study through 120 days after the last dose of study medication and refrain from donating sperm during this period
- Must submit an evaluable baseline tumor sample for analysis (either a recent or archival tumor sample)
- For Efficacy Expansion Phase Arms F and G:
- +13 more criteria
You may not qualify if:
- For all phases of the study: Has received previous treatment with another agent targeting cytotoxic T lymphocyte leukocyte antigen (CTLA)-4
- For Dose Confirmation Phase:
- Has received previous treatment with another agent targeting programmed cell death protein 1 (PD-1), programmed cell death ligand 1 (PD-L1), or anti PD-L2 agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor
- Has had chemotherapy, definitive radiation, or biological cancer therapy within 4 weeks (2 weeks for palliative radiation) prior to the first dose of study therapy, or has not recovered to Common Toxicity Criteria for Adverse Events (CTCAE) Grade 1 or better from any AEs that were due to cancer therapeutics administered more than 4 weeks earlier
- Has received lung radiation therapy of \>30 Gray (Gy) within 6 months before the first dose of study treatment
- Is currently participating and receiving study therapy in a study of an investigational agent or has participated and received study therapy in a study of an investigational agent or has used an investigational device within 28 days of administration of quavonlimab.
- Has a history of a second malignancy, unless potentially curative treatment has been completed with no evidence of malignancy for 3 years
- For Dose Escalation Cohorts (1-3) and Dose Confirmation Arms (A-E):
- Has known untreated central nervous system (CNS) metastases. Has known carcinomatous meningitis
- Has received any prior immunotherapy and was discontinued from that treatment due to a Grade 3 or higher immune-related adverse events (irAE)
- Has had a severe hypersensitivity reaction to treatment with any monoclonal antibody or components of the study drug
- Has any active infection requiring therapy
- Has a history of interstitial lung disease, history of noninfectious pneumonitis that required steroids (or has current pneumonitis), or history of inflammatory bowel disease
- Has an active autoimmune disease that has required systemic treatment in the past 2 years
- Has clinically significant cardiac disease
- +12 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (53)
Banner MD Anderson Cancer Center ( Site 0013)
Gilbert, Arizona, 85234, United States
John Theurer Cancer Center at Hackensack University Medical Center ( Site 0005)
Hackensack, New Jersey, 07601, United States
Tennessee Oncology Nashville ( Site 0004)
Nashville, Tennessee, 37203, United States
South Texas Accelerated Research Therapeutics, LLC (START) ( Site 0001)
San Antonio, Texas, 78229, United States
Inova Schar Cancer Institute ( Site 1001)
Fairfax, Virginia, 22031-4867, United States
Blacktown Hospital. Western Sydney local health district ( Site 0009)
Blacktown, New South Wales, 2148, Australia
Calvary Mater Newcastle ( Site 0025)
Waratah, New South Wales, 2298, Australia
Melanoma Institute Australia ( Site 0017)
Wollstonecraft, New South Wales, 2065, Australia
Gallipoli Medical Research Foundation-GMRF CTU ( Site 0019)
Brisbane, Queensland, 4120, Australia
Cairns and Hinterland Hospital and Health Service ( Site 0020)
Cairns, Queensland, 4870, Australia
Ashford Cancer Centre Research ( Site 0012)
Kurralta Park, South Australia, 5037, Australia
Ballarat Health Services ( Site 0022)
Ballarat, Victoria, 3350, Australia
Alfred Health ( Site 0018)
Melbourne, Victoria, 3004, Australia
Sunnybrook Research Institute ( Site 1103)
Toronto, Ontario, M4N 3M5, Canada
Princess Margaret Cancer Centre ( Site 1104)
Toronto, Ontario, M5G 2M9, Canada
Centre Hospitalier de l Universite de Montreal - CHUM ( Site 1102)
Montreal, Quebec, H2X 0A9, Canada
Jewish General Hospital ( Site 1105)
Montreal, Quebec, H3T 1E2, Canada
McGill University Health Centre ( Site 1101)
Montreal, Quebec, H4A 3J1, Canada
Fundacion Arturo Lopez Perez ( Site 5601)
Santiago, Region M. de Santiago, 7500921, Chile
Beijing Cancer hospital-Digestive Oncology ( Site 5001)
Beijing, Beijing Municipality, 100142, China
Chongqing Cancer Hospital-Phase 1 Unite ( Site 5004)
Chongqing, Chongqing Municipality, 400030, China
Sir Run Run Shaw Hospital-Medical Oncology ( Site 5003)
Hangzhou, Zhejiang, 310016, China
Hopital La Timone ( Site 3303)
Marseille, Bouches-du-Rhone, 13005, France
Institut Bergonie ( Site 3306)
Bordeaux, Gironde, 33076, France
CHRU Lille - Hopital Claude Huriez ( Site 3302)
Lille, Nord, 59037, France
CH Lyon Sud Hospices Civils de Lyon ( Site 3307)
Pierre-Bénite, Rhone, 69495, France
Gustave Roussy ( Site 3305)
Villejuif, Val-de-Marne, 94800, France
Regional General Hospital of Athens "Laiko" ( Site 3001)
Athens, Attica, 115 27, Greece
Rambam Medical Center ( Site 0003)
Haifa, 3109601, Israel
Hadassah Ein Karem Hebrew University Medical Center ( Site 0021)
Jerusalem, 9112001, Israel
Sheba Medical Center - Cancer Center ( Site 0002)
Ramat Gan, 52621, Israel
Istituto Nazionale Tumori Fondazione Pascale ( Site 3903)
Napoli, 80131, Italy
IRCCS Istituto Oncologico Veneto ( Site 3905)
Padua, 35128, Italy
Policlinico Le Scotte - A.O. Senese ( Site 3907)
Siena, 53100, Italy
National Cancer Center Hospital East ( Site 0014)
Kashiwa, Chiba, 277-8577, Japan
Hyogo Cancer Center ( Site 0015)
Akashi, Hyōgo, 673-8558, Japan
Canterbury District Health Board ( Site 0023)
Christchurch, Canterbury, 8011, New Zealand
Auckland City Hospital ( Site 0016)
Auckland, 1023, New Zealand
Szpital Kliniczny im. Heliodora Swiecickiego Uniwers Medyczn ( Site 4803)
Poznan, Greater Poland Voivodeship, 60-780, Poland
Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - P-Oddzial Badan Wczesnych Faz ( Site 4801
Warsaw, Masovian Voivodeship, 02-781, Poland
Sandton Oncology Medical Group PTY LTD ( Site 2701)
Johannesburg, Gauteng, 2196, South Africa
Cape Town Oncology Trials Pty Ltd ( Site 2704)
Kraaifontein, Western Cape, 7570, South Africa
Cancercare Rondebosch Oncology ( Site 2706)
Rondebosch, Western Cape, 7700, South Africa
Asan Medical Center ( Site 0006)
Seoul, Seoul, 05505, South Korea
Seoul National University Hospital ( Site 0007)
Seoul, 03080, South Korea
Severance Hospital Yonsei University Health System ( Site 0008)
Seoul, 03722, South Korea
Samsung Medical Center ( Site 0010)
Seoul, 06351, South Korea
Instituto Catalan de Oncologia ICO - Hospital Duran i Reynals ( Site 3403)
L'Hospitalet de Llobregat, Barcelona, 08908, Spain
Onkologikoa - Instituto Oncologico de San Sebastian ( Site 3405)
Donostia / San Sebastian, Gipuzkoa, 20014, Spain
Hospital General Universitario de Valencia ( Site 3404)
Valencia, Valenciana, Comunitat, 46014, Spain
Hospital Clinic i Provincial de Barcelona ( Site 3401)
Barcelona, 08036, Spain
Hospital Universitario Virgen de la Macarena ( Site 3402)
Seville, 41009, Spain
Skanes Universitetssjukhus Lund. ( Site 4601)
Lund, Skåne County, 221 85, Sweden
Related Publications (2)
Perets R, Bar J, Rasco DW, Ahn MJ, Yoh K, Kim DW, Nagrial A, Satouchi M, Lee DH, Spigel DR, Kotasek D, Gutierrez M, Niu J, Siddiqi S, Li X, Cyrus J, Chackerian A, Chain A, Altura RA, Cho BC. Safety and efficacy of quavonlimab, a novel anti-CTLA-4 antibody (MK-1308), in combination with pembrolizumab in first-line advanced non-small-cell lung cancer. Ann Oncol. 2021 Mar;32(3):395-403. doi: 10.1016/j.annonc.2020.11.020. Epub 2020 Dec 2.
PMID: 33276076RESULTCho BC, Yoh K, Perets R, Nagrial A, Spigel DR, Gutierrez M, Kim DW, Kotasek D, Rasco D, Niu J, Satouchi M, Ahn MJ, Lee DH, Maurice-Dror C, Siddiqi S, Ren Y, Altura RA, Bar J. Anti-cytotoxic T-lymphocyte-associated antigen-4 monoclonal antibody quavonlimab in combination with pembrolizumab: Safety and efficacy from a phase I study in previously treated extensive-stage small cell lung cancer. Lung Cancer. 2021 Sep;159:162-170. doi: 10.1016/j.lungcan.2021.07.009. Epub 2021 Jul 18.
PMID: 34371366RESULT
Related Links
MeSH Terms
Conditions
Interventions
Results Point of Contact
- Title
- Senior Vice President, Global Clinical Development
- Organization
- Merck Sharp & Dohme LLC
Study Officials
- STUDY DIRECTOR
Medical Director
Merck Sharp & Dohme LLC
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 31, 2017
First Posted
June 7, 2017
Study Start
July 2, 2017
Primary Completion
April 8, 2024
Study Completion
April 8, 2024
Last Updated
April 8, 2025
Results First Posted
April 8, 2025
Record last verified: 2025-03
Data Sharing
- IPD Sharing
- Will share
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