Efficacy and Safety of Pembrolizumab (MK-3475) Plus Lenvatinib (E7080/MK-7902) in Previously Treated Participants With Select Solid Tumors (MK-7902-005/E7080-G000-224/LEAP-005)
A Multicenter, Open-label Phase 2 Study of Lenvatinib (E7080/MK-7902) Plus Pembrolizumab (MK-3475) in Previously Treated Subjects With Selected Solid Tumors (LEAP-005)
5 other identifiers
interventional
611
17 countries
88
Brief Summary
The purpose of this study is to determine the safety and efficacy of combination therapy with pembrolizumab (MK-3475) and lenvatinib (E7080/MK-7902) in participants with triple negative breast cancer (TNBC), ovarian cancer, gastric cancer, colorectal cancer (CRC), glioblastoma (GBM), biliary tract cancers (BTC), or pancreatic cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Feb 2019
Longer than P75 for phase_2
88 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
January 7, 2019
CompletedFirst Posted
Study publicly available on registry
January 9, 2019
CompletedStudy Start
First participant enrolled
February 12, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 28, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
October 28, 2024
CompletedResults Posted
Study results publicly available
November 17, 2025
CompletedMay 4, 2026
April 1, 2026
5.7 years
January 7, 2019
October 8, 2025
April 13, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (4)
Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) by Investigator Assessment
ORR was defined as the percentage of participants who had a best overall response of either 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 as assessed by RECIST 1.1. The percentage of participants who experienced a CR or PR as assessed by RECIST 1.1 by investigator assessment was presented. Per protocol, only data for Cohorts A and B were presented for this endpoint.
Up to approximately 66 months
Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) or Response Assessment in Neuro-Oncology (RANO) Criteria (for Glioblastoma Multiforma [GBM] Only), by Blinded Independent Central Review (BICR)
ORR was defined as the percentage of participants who had a best overall response of either 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 as assessed by RECIST 1.1. For participants with GBM, response was assessed according to RANO criteria whereby ORR was defined as the percentage of participants who had a best overall response of either Complete response (CR): Disappearance of all target lesions or Partial response (PR): sum of products of diameters decreased by ≥50% from baseline value. The percentage of participants who experienced a CR or PR as assessed by RECIST 1.1 or RANO by BICR was presented. Per protocol, only data for Cohorts C, D1, D2, E, F, and G were presented for this endpoint.
Up to approximately 66 months
Number of Participants With One or More Adverse Events (AEs)
An AE was defined as 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. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. The number of participants with at least one or more AE is presented.
Up to approximately 66 months
Number of Participants Who Discontinued From Study Treatment Due to an AE
An AE was defined as 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. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. The number of participants who discontinued from study treatment due to an AE is presented.
Up to approximately 62 months
Secondary Outcomes (8)
Disease Control Rate (DCR) Per RECIST 1.1 by Investigator Assessment
Up to approximately 66 months
Disease Control Rate (DCR) Per RECIST 1.1 or RANO Criteria (GBM Only) by BICR
Up to approximately 66 months
Duration of Response (DOR) Per RECIST 1.1 by Investigator Assessment
Up to approximately 66 months
Duration of Response (DOR) Per RECIST 1.1 or RANO Criteria (GBM Only) by BICR
Up to approximately 66 months
Progression-Free Survival (PFS) Per RECIST 1.1 by Investigator Assessment
Up to approximately 66 months
- +3 more secondary outcomes
Study Arms (2)
Pembrolizumab + Lenvatinib (Arm 1)
EXPERIMENTALParticipants receive pembrolizumab 200 mg via intravenous (IV) infusion on Day 1 of each 21-day cycle (Q3W) plus lenvatinib 20 mg via oral capsule once a day (QD). Pembrolizumab will be administered for up to 35 cycles (up to 2 years). Lenvatinib will be administered until progressive disease or unacceptable toxicity (up to at least 2 years).
Lenvatinib Monotherapy (Arm 2)
EXPERIMENTALParticipants receive lenvatinib 24 mg via oral capsule QD, to be administered until progressive disease or unacceptable toxicity (up to at least 2 years).
Interventions
Administered as an IV infusion on Day 1 Q3W.
Administered orally once a day during each 21-day cycle.
Eligibility Criteria
You may qualify if:
- Has a histologically or cytologically-documented, advanced (metastatic and/or unresectable) solid tumor that is incurable and for which prior standard systemic therapy has failed in one of the following cohorts: TNBC, Ovarian Cancer, Gastric Cancer, Colorectal Cancer, GBM, BTC (intrahepatic, extrahepatic cholangiocarcinoma and gall bladder cancer; excludes Ampulla of Vater), Pancreatic Cancer
- Must have progressed on or since the last treatment
- Has measurable disease per RECIST 1.1 (RANO for the GBM cohort) as assessed by the local site investigator/radiology and confirmed by BICR
- Has provided a PD-L1 evaluable archival tumor tissue sample or newly obtained core or excisional biopsy of a tumor lesion not previously irradiated
- Male participants agree to use approved contraception during the treatment period for at least 7 days after the last dose of lenvatinib, or refrain from heterosexual intercourse during this period
- Female participants are not pregnant or breastfeeding, and are not a woman of childbearing potential (WOCBP), OR are a WOCBP that agrees to use contraception during the treatment period (or 14 days prior to the initiation of study treatment for oral contraception) and for at least 120 days post pembrolizumab, or 30 days post lenvatinib, whichever occurs last
- Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1 within 3 days of study treatment initiation
- Has adequate organ function
- For Triple Negative Breast Cancer Participants:
- Has received one or 2 prior lines of therapy
- Has Lactate Dehydrogenase (LDH) \<2.0 x Upper Limit of Normal (ULN)
- Has locally determined results for estrogen receptor, progesterone receptor, and human epidermal growth factor receptor 2 tumor analyses
- For Ovarian Cancer Participants:
- \- Has primary ovarian cancer and has received 3 prior lines of therapy.
- For Gastric Cancer Participants:
- +16 more criteria
You may not qualify if:
- Has gastrointestinal malabsorption or any other condition that might affect the absorption of lenvatinib
- Has present or progressive accumulation of pleural, ascitic, or pericardial fluid requiring drainage or diuretic drugs within 2 weeks prior to enrollment (applies to all cohorts except the ovarian cancer cohort)
- Has radiographic evidence of encasement or invasion of a major blood vessel or of intratumoral cavitation. Participants with portal vein invasion (Vp4), inferior vena cava, or cardiac involvement based on imaging in the BTC cohort are not eligible for enrollment
- Has clinical significant hemoptysis or tumor bleeding within 2 weeks prior to the first dose of study treatment
- Has significant cardiovascular impairment within 12 months of the first dose of study treatment, such as history of congestive heart failure greater than New York Heart Association (NYHA) Class II, unstable angina, myocardial infarction or cerebrovascular accident (CVA), or cardiac arrhythmia associated with hemodynamic instability
- Has a history of arterial thromboembolism within 12 months of start of study treatment
- Has a known additional malignancy that is progressing or has required active treatment within the past 3 years.
- Has a serious nonhealing wound, ulcer or bone fracture
- Has had major surgery within 3 weeks prior to first dose of study interventions
- Has biologic response modifiers therapy (e.g. granulocyte colony-stimulating factor) within 4 weeks before study entry
- Has preexisting ≥Grade 3 gastrointestinal (GI) or non-gastrointestinal fistula
- Has received prior therapy with lenvatinib, an anti-PD-1, anti-PD-L1, or anti PD-L2 agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor (e.g. cytotoxic T-lymphocyte-associated protein 4 \[CTLA-4\], Tumor necrosis factor receptor superfamily, member 4 \[OX 40\], tumor necrosis factor receptor superfamily member 9 \[CD137\])
- Has received prior systemic anti-cancer therapy including investigational agents within 4 weeks prior to study treatment start
- If participant received major surgery, they must have recovered adequately from the toxicity and/or complications from the intervention prior to starting study treatment
- Has received prior radiotherapy within 2 weeks of start of study treatment. Participants must have recovered from all radiation-related toxicities, not require corticosteroids, and not have had radiation pneumonitis. A 1-week washout is permitted for palliative radiation (≤2 weeks of radiotherapy) to non-central nervous system (CNS) disease
- +22 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Merck Sharp & Dohme LLClead
- Eisai Inc.collaborator
Study Sites (88)
City of Hope ( Site 0002)
Duarte, California, 91010, United States
Cedars Sinai Medical Center ( Site 0003)
Los Angeles, California, 90048, United States
University of California Davis Comprehensive Cancer Center ( Site 0005)
Sacramento, California, 95817, United States
University of Colorado, Anschutz Cancer Pavilion ( Site 0007)
Aurora, Colorado, 80045, United States
University of Florida-Health Cancer Center-Orlando ( Site 0015)
Orlando, Florida, 32806, United States
Rutgers Cancer Institute of New Jersey ( Site 0009)
New Brunswick, New Jersey, 08901, United States
Laura and Isaac Perlmutter Cancer Center at NYU Langone Health ( Site 0023)
New York, New York, 10016, United States
Sanford Fargo Medical Center ( Site 0059)
Fargo, North Dakota, 58102, United States
Lehigh Valley Hospital- Cedar Crest ( Site 0047)
Allentown, Pennsylvania, 18103, United States
Sanford Cancer Center ( Site 0058)
Sioux Falls, South Dakota, 57104, United States
West Cancer Center - East Campus ( Site 0018)
Germantown, Tennessee, 38138, United States
Mary Crowley Cancer Research Centers - Medical City Hospital ( Site 0049)
Dallas, Texas, 75230, United States
Swedish Medical Center ( Site 0021)
Seattle, Washington, 98104, United States
University of Wisconsin Carbone Cancer Center ( Site 0017)
Madison, Wisconsin, 53792-0001, United States
Fundacion Favaloro para la Docencia e Investigacion Medica ( Site 2106)
Ciudad Autonoma de Buenos Aires, Buenos Aires, C1078AAI, Argentina
Hospital Aleman ( Site 2100)
Buenos Aires, Buenos Aires F.D., 1118, Argentina
Hospital Britanico de Buenos Aires ( Site 2109)
Ciudad de Buenos Aires, Buenos Aires F.D., C1280AEB, Argentina
Instituto de Oncologia de Rosario ( Site 2105)
Rosario, Santa Fe Province, S2000KZE, Argentina
CEMIC ( Site 2104)
Buenos Aires, C1431FWO, Argentina
IDIM Instituto de Diagnostico e Investigaciones Metabolicas ( Site 2101)
Caba, C1012AAR, Argentina
Royal Brisbane and Women s Hospital ( Site 0901)
Herston, Queensland, 4029, Australia
Alfred Health ( Site 0902)
Melbourne, Victoria, 3004, Australia
Sir Charles Gairdner Hospital ( Site 0903)
Nedlands, Western Australia, 6009, Australia
BC Cancer - Abbotsford ( Site 0200)
Abbotsford British Columbia, British Columbia, V2S 0C2, Canada
CancerCare Manitoba ( Site 0201)
Winnipeg, Manitoba, R3E 0V9, Canada
Hamilton Health Sciences-Juravinski Cancer Centre ( Site 0208)
Hamilton, Ontario, L8V 4X2, Canada
Sunnybrook Research Institute ( Site 0207)
Toronto, Ontario, M4N 3M5, Canada
Princess Margaret Cancer Centre ( Site 0202)
Toronto, Ontario, M5G 2M9, Canada
Centre Hospitalier de l Universite de Montreal - CHUM ( Site 0210)
Montreal, Quebec, H2X 3E4, Canada
CHU de Quebec Universite de Laval ( Site 0206)
Québec, Quebec, G1R 2J6, Canada
Centro Investigación del Cáncer James Lind ( Site 1203)
Temuco, Araucania, 4780000, Chile
Fundacion Arturo Lopez Perez ( Site 1201)
Santiago, Region M. de Santiago, 7500921, Chile
Pontificia Universidad Catolica de Chile ( Site 1202)
Santiago, Region M. de Santiago, 8330024, Chile
Hospital Clinico Universidad de Chile ( Site 1200)
Santiago, Region M. de Santiago, 8380456, Chile
Fundacion Colombiana de Cancerologia Clinica Vida ( Site 1105)
Medellín, Antioquia, 050030, Colombia
Instituto Nacional de Cancerologia E.S.E ( Site 1102)
Bogotá, Bogota D.C., 110321, Colombia
Oncologos del Occidente S.A. ( Site 1106)
Pereira, Risaralda Department, 660001, Colombia
Fundacion Valle del Lili ( Site 1101)
Cali, Valle del Cauca Department, 760032, Colombia
Centre Antoine Lacassagne ( Site 0404)
Nice, Alpes-Maritimes, 06189, France
Centre Leon Berard ( Site 0405)
Lyon, Auvergne, 69373, France
Institut Claudius Regaud IUCT Oncopole ( Site 0403)
Toulouse, Haute-Garonne, 31059, France
Centre Oscar Lambret ( Site 0401)
Lille, Nord, 59000, France
Institut de Cancerologie de l Ouest Centre Rene Gauducheau ( Site 0402)
Saint-Herblain, Val-de-Marne, 44805, France
Institut Gustave Roussy ( Site 0400)
Villejuif, Val-de-Marne, 94800, France
Robert Bosch GmbH ( Site 0307)
Stuttgart, Baden-Wurttemberg, 70376, Germany
Universitaetsklinikum Regensburg ( Site 0304)
Regensburg, Bavaria, 93053, Germany
Universitaetsklinikum Frankfurt ( Site 0306)
Frankfurt am Main, Hesse, 60528, Germany
HELIOS Dr. Horst Schmidt Kliniken Wiesbaden ( Site 0301)
Wiesbaden, Hesse, 65199, Germany
SRH Wald-Klinikum Gera GmbH ( Site 0309)
Gera, Thuringia, 07548, Germany
Universitaetsklinikum Jena ( Site 0302)
Jena, Thuringia, 07740, Germany
Soroka Medical Center ( Site 0601)
Beersheba, 8457108, Israel
Rambam Medical Center ( Site 0602)
Haifa, 3109601, Israel
Hadassah Ein Kerem Medical Center ( Site 0604)
Jerusalem, 9112001, Israel
Chaim Sheba Medical Center ( Site 0600)
Ramat Gan, 5262000, Israel
Sourasky Medical Center ( Site 0603)
Tel Aviv, 6423906, Israel
Istituto Clinico Humanitas Research Hospital ( Site 1402)
Rozzano, Milano, Italy
Policlinico Le Scotte - A.O. Senese ( Site 1401)
Siena, Tuscany, 53100, Italy
Istituto Nazionale Tumori Fondazione Pascale ( Site 1400)
Naples, 80131, Italy
Fondazione Policlinico Universitario A. Gemelli ( Site 1403)
Roma, 00168, Italy
Arkhangelsk Clinical Oncological Dispensary ( Site 1600)
Arkhangelsk, Arkhangelskaya oblast, 163045, Russia
Russian Oncological Research Center n.a. N.N. Blokhin ( Site 1604)
Moscow, Moscow, 115478, Russia
Leningrad Regional Oncology Center ( Site 1609)
Saint Petersburg, Sankt-Peterburg, 188663, Russia
Scientific Research Oncology Institute n.a. N.N.Petrov ( Site 1610)
Saint Petersburg, Sankt-Peterburg, 197758, Russia
City Clinical Oncology Center ( Site 1608)
Saint Petersburg, Sankt-Peterburg, 198255, Russia
Republican Clinical Oncology Dispensary of Tatarstan MoH ( Site 1603)
Kazan', Tatarstan, Respublika, 420029, Russia
Asan Medical Center ( Site 1002)
Songpagu, Seoul, 05505, South Korea
Seoul National University Hospital ( Site 1000)
Seoul, 03080, South Korea
Severance Hospital Yonsei University Health System ( Site 1001)
Seoul, 03722, South Korea
Hospital Clinic i Provincial ( Site 0703)
Barcelona, 08036, Spain
Hospital Universitario Gregorio Maranon ( Site 0701)
Madrid, 28009, Spain
Clinica Universitaria de Navarra ( Site 0704)
Madrid, 28027, Spain
Hospital Ramon y Cajal ( Site 0702)
Madrid, 28034, Spain
Inselspital Universitaetsspital Bern ( Site 1705)
Bern, Canton of Bern, 3010, Switzerland
Kantonsspital St. Gallen ( Site 1702)
Sankt Gallen, Canton of St. Gallen, 9007, Switzerland
Ospedale Regionale di Bellinzona e Valli ( Site 1703)
Bellinzona, Canton Ticino, 6500, Switzerland
Kantonsspital Graubuenden ( Site 1704)
Chur, Kanton Graubünden, 7000, Switzerland
Hopitaux Universitaires de Geneve HUG ( Site 1701)
Geneva, 1211, Switzerland
Universitaetsspital Zurich ( Site 1700)
Zurich, 8091, Switzerland
National Cheng Kung University Hospital ( Site 3003)
Tainan, 704, Taiwan
National Taiwan University Hospital ( Site 3000)
Taipei, 10002, Taiwan
Chulalongkorn University ( Site 5001)
Bangkok, Bangkok, 10330, Thailand
Ramathibodi Hospital. ( Site 5002)
Bangkok, Bangkok, 10400, Thailand
Siriraj Hospital ( Site 5003)
Bangkok, Bangkok, 10700, Thailand
Cambridge University Hospitals NHS Trust ( Site 0803)
Cambridge, Cambridgeshire, CB2 0QQ, United Kingdom
Leicester Royal Infirmary. Univ. Hosp. of Leicester NHS Trust ( Site 0804)
Leicester, Leicestershire, LE1 5WW, United Kingdom
Guy's Hospital ( Site 0806)
London, London, City of, SE1 9RT, United Kingdom
Royal Marsden Hospital (Sutton) ( Site 0800)
London, Surrey, SM3 5PT, United Kingdom
Christie NHS Foundation Trust ( Site 0805)
Manchester, M20 4BX, United Kingdom
Related Publications (5)
Gonzalez-Martin A, Chung HC, Saada-Bouzid E, Yanez E, Senellart H, Cassier PA, Basu B, Corr BR, Girda E, Dutcus C, Okpara CE, Ghori R, Jin F, Groisberg R, Lwin Z. Lenvatinib plus pembrolizumab for patients with previously treated advanced ovarian cancer: Results from the phase 2 multicohort LEAP-005 study. Gynecol Oncol. 2024 Jul;186:182-190. doi: 10.1016/j.ygyno.2024.04.011. Epub 2024 May 7.
PMID: 38718741RESULTChung HC, Saada-Bouzid E, Longo F, Yanez E, Im SA, Castanon E, Desautels DN, Graham DM, Garcia-Corbacho J, Lopez J, Dutcus C, Okpara CE, Ghori R, Jin F, Groisberg R, Korakis I. Lenvatinib plus pembrolizumab for patients with previously treated, advanced, triple-negative breast cancer: Results from the triple-negative breast cancer cohort of the phase 2 LEAP-005 Study. Cancer. 2024 Oct 1;130(19):3278-3288. doi: 10.1002/cncr.35387. Epub 2024 Jun 21.
PMID: 39031824RESULTPonz-Sarvise M, Rha SY, Gomez-Roca CA, Ortega Moran L, Gill S, Tortora G, Geva R, Saada-Bouzid E, Santoro A, Kim TW, Heudobler D, Dutcus CE, Okpara CE, Ghori R, Zhang Y, Vajdi A, Dettman EJ, Jin F, Groisberg R, Shapira-Frommer R. Lenvatinib plus Pembrolizumab for Patients with Previously Treated Advanced Gastric, Biliary Tract, or Pancreatic Cancer: Results from the Phase II LEAP-005 Study. Cancer Res Commun. 2026 Mar 1;6(3):673-686. doi: 10.1158/2767-9764.CRC-26-0018.
PMID: 41747221RESULTVictoria Ruiz I, Uboha NV, Jamal R, Mejia FC, Ahumada M, Im SA, Gomez-Roca C, Shapira-Frommer R, Perets R, Yanez E, Dutcus C, Okpara CE, Ghori R, Jin F, Groisberg R, Castanon E. Lenvatinib Plus Pembrolizumab for Patients With Previously Treated Advanced Colorectal Cancer: Results From the Phase II LEAP-005 Study. Clin Colorectal Cancer. 2026 Jan 22:S1533-0028(26)00005-8. doi: 10.1016/j.clcc.2026.01.003. Online ahead of print.
PMID: 41763955DERIVEDRha SY, Castanon E, Gill S, Senellart H, Lopez J, Marquez-Rodas I, Victoria I, Kim TM, Lwin Z, Burger MC, Simonelli M, Cassier PA, Hendifar AE, Ascierto PA, Dutcus C, Okpara CE, Ghori R, Jin F, Groisberg R, Villanueva L. Lenvatinib plus pembrolizumab for patients with previously treated select solid tumors: Results from the phase 2 LEAP-005 study recurrent glioblastoma cohort. Cancer. 2025 Aug 15;131(16):e70015. doi: 10.1002/cncr.70015.
PMID: 40808295DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
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 2
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 7, 2019
First Posted
January 9, 2019
Study Start
February 12, 2019
Primary Completion
October 28, 2024
Study Completion
October 28, 2024
Last Updated
May 4, 2026
Results First Posted
November 17, 2025
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will share
http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf