NCT03829319

Brief Summary

The purpose of this study is to assess the safety and efficacy of pemetrexed + platinum chemotherapy + pembrolizumab (MK-3475) with or without lenvatinib (MK-7902/E7080) as first-line intervention in adults with metastatic nonsquamous non-small cell lung cancer. The primary study hypotheses state that: 1) the combination of lenvatinib + platinum doublet chemotherapy + pembrolizumab prolongs Progression-free Survival (PFS) as assessed by blinded independent central review (BICR) per modified Response Evaluation Criteria in Solid Tumors version 1.1 (RESIST 1.1) compared to matching placebo + platinum doublet chemotherapy + pembrolizumab, and 2) the combination of lenvatinib + platinum doublet chemotherapy + pembrolizumab prolongs Overall Survival (OS) compared to matching placebo + platinum doublet chemotherapy + pembrolizumab.

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
761

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Mar 2019

Longer than P75 for phase_3

Geographic Reach
17 countries

158 active sites

Status
completed

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

February 1, 2019

Completed
3 days until next milestone

First Posted

Study publicly available on registry

February 4, 2019

Completed
2 months until next milestone

Study Start

First participant enrolled

March 25, 2019

Completed
4.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 11, 2023

Completed
1.1 years until next milestone

Study Completion

Last participant's last visit for all outcomes

August 30, 2024

Completed
6 months until next milestone

Results Posted

Study results publicly available

February 21, 2025

Completed
Last Updated

February 5, 2026

Status Verified

December 1, 2025

Enrollment Period

4.4 years

First QC Date

February 1, 2019

Results QC Date

August 9, 2024

Last Update Submit

January 15, 2026

Conditions

Keywords

programmed cell death 1 (PD-1, PD1)programmed cell death-ligand 1 (PD-L1, PDL1)programmed cell death-ligand 2 (PD-L2, PDL2)

Outcome Measures

Primary Outcomes (5)

  • Part 1: Number of Participants With a Dose-limiting Toxicity (DLT)

    Dose-limiting toxicity using Common Terminology Criteria for Adverse Events v4.0 for grading, is defined as any of the following hematologic toxicities: 1) Grade 4 neutropenia, 2) Grade 3 or 4 febrile neutropenia, 3) thrombocytopenia \<25,000 cells/mm\^3 associated with bleeding and/or which requires platelet transfusion, or any of the following non-hematologic toxicities: 4) any other Grade 4 or 5 toxicity, 5) Grade 3 toxicities lasting \>3 days (exclusions apply), 6) Grade 3 hypertension not controlled by medication, 7) Grade 3 or above gastrointestinal perforation, 8) Grade 3 or above wound dehiscence requiring medical or surgical intervention, 9) any grade thromboembolic event, or 10) any Grade 3 nonhematologic laboratory value if medical intervention is required or the abnormality leads to hospitalization.

    Cycle 1; each cycle is 21 days (up to 21 days)

  • Part 1: Number of Participants Who Experienced an Adverse Event (AE)

    An adverse event is 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. The number of participants who experience one of more adverse events during Part 1 of this study will be presented.

    Up to approximately 48 months

  • Part 1: Number of Participants Who Discontinued Study Drug Due to an Adverse Event

    An adverse event is 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. The number of participants who discontinue study medication due to and adverse event during Part 1 of this study will be presented.

    Up to approximately 58 months

  • Part 2: Progression-free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1)

    PFS was defined as the time from date of randomization to the date of the first documentation of progressive disease (PD) or death from any cause, whichever occurred first. Per RECIST 1.1, PD was defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of ≥5 mm. Note: The appearance of one or more new lesions was also considered PD. Data are from the product-limit (Kaplan-Meier) method for censored data. PFS as assessed by blinded independent central review (BICR) per RECIST 1.1 is presented.

    Up to approximately 36 months

  • Part 2: Overall Survival (OS)

    OS is defined as the time from randomization to the time of death from any cause. OS is presented.

    Up to approximately 47 months

Secondary Outcomes (15)

  • Part 2: Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1)

    Up to approximately 19 months

  • Part 2: Duration of Response (DOR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1)

    Up to approximately 48 months

  • Part 2: Number of Participants Who Experienced an Adverse Event (AE)

    Up to approximately 58 months

  • Part 2: Number of Participants Who Discontinued Study Drug Due to an Adverse Event

    Up to approximately 58 months

  • Part 2: Change From Baseline in Global Health Status (GHS) (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 [EORTC QLQ-C30] Items 29 and 30) Score

    Baseline and Week 27

  • +10 more secondary outcomes

Study Arms (2)

Pemetrexed+Platinum Chemotherapy+Pembrolizumab+Lenvatinib

EXPERIMENTAL

Participants receive carboplatin Area Under Curve 5 mg/mL/min (AUC5) or cisplatin 75 mg/m\^2 via intravenous (IV) infusion on Day 1 of each 3-week cycle (Q3W) for 4 cycles PLUS pemetrexed 500 mg/m\^2 via IV infusion Q3W for 4 cycles PLUS pembrolizumab via IV infusion Q3W for up to 35 cycles (up to 2 years) PLUS lenvatinib via oral capsule once daily.

Biological: PembrolizumabDrug: CarboplatinDrug: CisplatinDrug: PemetrexedDrug: Lenvatinib

Pemetrexed+Platinum Chemotherapy+Pembrolizumab+Placebo

PLACEBO COMPARATOR

In Parts 1 and 2: Participants receive carboplatin AUC5 or cisplatin 75 mg/m\^2 via IV infusion Q3W for 4 cycles PLUS pemetrexed 500 mg/m\^2 via IV infusion Q3W for 4 cycles PLUS pembrolizumab via IV infusion Q3W for up to 35 cycles (up to 2 years) PLUS (Part 2 only) placebo matching lenvatinib via oral capsule once daily.

Biological: PembrolizumabDrug: CarboplatinDrug: CisplatinDrug: PemetrexedDrug: Placebo matching lenvatinib

Interventions

PembrolizumabBIOLOGICAL

IV infusion Q3W

Also known as: MK-3475
Pemetrexed+Platinum Chemotherapy+Pembrolizumab+LenvatinibPemetrexed+Platinum Chemotherapy+Pembrolizumab+Placebo

IV infusion Q3W

Pemetrexed+Platinum Chemotherapy+Pembrolizumab+LenvatinibPemetrexed+Platinum Chemotherapy+Pembrolizumab+Placebo

IV infusion Q3W

Pemetrexed+Platinum Chemotherapy+Pembrolizumab+LenvatinibPemetrexed+Platinum Chemotherapy+Pembrolizumab+Placebo

IV infusion Q3W

Pemetrexed+Platinum Chemotherapy+Pembrolizumab+LenvatinibPemetrexed+Platinum Chemotherapy+Pembrolizumab+Placebo

Oral capsule once daily

Also known as: MK-7902, E7080
Pemetrexed+Platinum Chemotherapy+Pembrolizumab+Lenvatinib

Oral capsule once daily

Pemetrexed+Platinum Chemotherapy+Pembrolizumab+Placebo

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Histologically or cytologically confirmed diagnosis of Stage IV (American Joint Committee on Cancer \[AJCC\], version 8 or current version), nonsquamous NSCLC.
  • Confirmation that Epidermal Growth Factor Receptor (EGFR), ALK Receptor Tyrosine Kinase (ALK), or ROS1 Receptor Tyrosine Kinase (ROS1)-directed therapy is not indicated as primary treatment (documentation of absence of tumor-activating EGFR mutations AND absence of ALK and ROS1 gene rearrangements OR presence of a Kirsten Rat Sarcoma (KRAS) gene mutation).
  • Have measurable disease based on RECIST 1.1. Note: Lesions that appear measurable, but are situated in a previously irradiated area, can be considered measurable (eligible for selection as target lesions) if they have shown documented growth since the completion of radiation.
  • Provided an archival tumor tissue sample or newly obtained core or excisional biopsy of a tumor lesion (not previously irradiated).
  • Life expectancy of at least 3 months.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 within 7 days prior to the first dose of study intervention but before randomization.
  • Contraceptive use by men should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies. If the contraception requirements in the local label for any of the study interventions is more stringent than the requirements above, the local label requirements are to be followed.
  • Male participants must agree for at least 7 days after the last dose of lenvatinib/matching placebo and up to 180 days after the last dose of chemotherapeutic agents to:
  • Refrain from donating sperm PLUS either:
  • Be abstinence from heterosexual intercourse as their preferred and usual lifestyle (abstinent on a long term and persistent basis) and agree to remain abstinent OR
  • Must agree to use contraception unless confirmed to be azoopsermic (vasectomized or secondary to medical cause) as detailed below:
  • Agree to use a male condom plus partner use of an additional contraceptive method when having penile-vaginal intercourse with a woman of childbearing potential (WOCBP) who is not currently pregnant Note: Men with a pregnant or breastfeeding partner must agree to remain abstinent from penile-vaginal intercourse or use a male condom during each episode of penile-vaginal penetration.
  • Note: 7 days after lenvatinib/matching placebo is stopped, if the participant is on pembrolizumab only and is greater than 180 days post chemotherapy, no male contraception measures are needed.
  • Contraceptive use by women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
  • Female participant is eligible to participate if she is not pregnant or breastfeeding, and at least one of the following conditions applies:
  • +4 more criteria

You may not qualify if:

  • Known untreated central nervous system (CNS) metastases and/or carcinomatous meningitis. Participants with previously treated brain metastases may participate provided they are radiologically stable, clinically stable, and have not required steroids for at least 14 days prior to the first dose of study intervention.
  • History of (noninfectious) pneumonitis that required systemic steroids or current pneumonitis/interstitial lung disease.
  • Known history of an additional malignancy, except if the participant has undergone potentially curative therapy with no evidence of that disease recurrence for at least 3 years since initiation of that therapy. Note: The time requirement also does not apply to participants who underwent successful definitive resection of basal cell carcinoma of the skin, superficial bladder cancer, squamous cell carcinoma of the skin, in situ cervical cancer, or other in situ cancers.
  • Active autoimmune disease that has required systemic treatment in the past 2 years (i.e., with use of disease-modifying agents, corticosteroids, or immunosuppressive drugs). Replacement therapy (e.g., thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency, etc.) is allowed.
  • Diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (doses exceeding 10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy within 7 days prior the first dose of study intervention.
  • Has had allogeneic tissue/solid organ transplant.
  • Known history of human immunodeficiency virus (HIV) infection. HIV testing is not required unless mandated by the local health authority.
  • Known history of Hepatitis B or active Hepatitis C. No testing for Hepatitis B or Hepatitis C is required unless mandated by the local health authority.
  • History of a gastrointestinal condition or procedure that in the opinion of the investigator may affect oral drug absorption.
  • Active hemoptysis (at least 0.5 teaspoon of bright red blood) within 2 weeks prior to the first dose of study intervention.
  • Significant cardiovascular impairment within 12 months prior to the first dose of study intervention, including history of congestive heart failure greater than New York Heart Association (NYHA) Class II, unstable angina, myocardial infarction, cerebrovascular accident (CVA)/stroke, or cardiac arrhythmia associated with hemodynamic instability.
  • Known history of active tuberculosis.
  • Active infection requiring systemic therapy.
  • Has not recovered adequately from any toxicity and/or complication from major surgery prior to the first dose of study intervention.
  • Previously had a severe hypersensitivity reaction to treatment with a monoclonal antibody or has a known sensitivity to any component of lenvatinib or pembrolizumab, or as applicable, carboplatin, cisplatin, or pemetrexed.
  • +11 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (158)

El Camino Hospital Cancer Center ( Site 0529)

Mountain View, California, 94040, United States

Location

Yale University ( Site 0519)

New Haven, Connecticut, 06520-8028, United States

Location

Holy Cross Hospital ( Site 0512)

Fort Lauderdale, Florida, 33308, United States

Location

Mercy Health-Paducah Medical Oncology and Hematology ( Site 0570)

Paducah, Kentucky, 42003, United States

Location

Henry Ford Health System ( Site 0563)

Detroit, Michigan, 48202, United States

Location

Saint Lukes Cancer Institute ( Site 0541)

Kansas City, Missouri, 64111, United States

Location

Broome Oncology, LLC ( Site 0562)

Johnson City, New York, 13790, United States

Location

Sanford Health Roger Maris Cancer Center ( Site 0533)

Fargo, North Dakota, 58122, United States

Location

Stephenson Cancer Center ( Site 0504)

Oklahoma City, Oklahoma, 73104, United States

Location

Good Samaritan Hospital Corvallis ( Site 0521)

Corvallis, Oregon, 97330, United States

Location

Thomas Jefferson University Hospital ( Site 0548)

Philadelphia, Pennsylvania, 19107, United States

Location

Abington Hospital - Asplundh Cancer Center ( Site 0575)

Willow Grove, Pennsylvania, 19090, United States

Location

West Cancer Center - East Campus ( Site 0544)

Germantown, Tennessee, 38138, United States

Location

Parkland Health & Hospital System ( Site 0576)

Dallas, Texas, 75235, United States

Location

UT Southwestern Medical Center ( Site 0558)

Dallas, Texas, 75390, United States

Location

Utah Cancer Specialists ( Site 0523)

Salt Lake City, Utah, 84106, United States

Location

West Virginia University ( Site 0526)

Morgantown, West Virginia, 26506, United States

Location

Centro de Oncologia e Investigacion Buenos Aires COIBA ( Site 0367)

Berazategui, Buenos Aires, B1884BBF, Argentina

Location

Instituto de Investigaciones Clinicas Mar del Plata ( Site 0371)

Mar del Plata, Buenos Aires, B7600FZO, Argentina

Location

CEMIC ( Site 0370)

Buenos Aires, Buenos Aires F.D., C1431FWO, Argentina

Location

Sanatorio Parque ( Site 0365)

Rosario, Santa Fe Province, S2000DSV, Argentina

Location

Hospital Aleman ( Site 0368)

Buenos Aires, C1118AAT, Argentina

Location

Instituto Medico Especializado Alexander Fleming ( Site 0369)

Buenos Aires, C1426ANZ, Argentina

Location

CEMAIC ( Site 0374)

Córdoba, X5008HHW, Argentina

Location

CER San Juan Centro Polivalente de Asistencia e Investigacion Clinica ( Site 0372)

San Juan, J5402DIL, Argentina

Location

Blacktown Hospital Western Sydney Local Health District ( Site 0008)

Blacktown, New South Wales, 2148, Australia

Location

Port Macquarie Base Hospital ( Site 0001)

Port Macquarie, New South Wales, 2444, Australia

Location

Chris OBrien Lifehouse ( Site 0006)

Sydney, New South Wales, 2050, Australia

Location

Westmead Hospital ( Site 0009)

Sydney, New South Wales, 2145, Australia

Location

Cairns Hospital ( Site 0002)

Cairns, Queensland, 4870, Australia

Location

The Prince Charles Hospital ( Site 0010)

Chermside, Queensland, 4032, Australia

Location

Ballarat Health Services ( Site 0003)

Ballarat, Victoria, 3350, Australia

Location

Moncton Hospital - Horizon Health Network ( Site 0410)

Moncton, New Brunswick, E1C 6Z8, Canada

Location

Juravinski Cancer Centre ( Site 0407)

Hamilton, Ontario, L8V 1C3, Canada

Location

Kingston Health Sciences Centre ( Site 0414)

Kingston, Ontario, K7L 2V7, Canada

Location

Lakeridge Health ( Site 0406)

Oshawa, Ontario, L1G 2B9, Canada

Location

Sault Area Hospital ( Site 0413)

Sault Ste. Marie, Ontario, P6B 0A8, Canada

Location

Hopital Cite de la Sante de Laval ( Site 0400)

Laval, Quebec, H7M 3L9, Canada

Location

CIUSSS Ouest de l Ile - St-Mary s Hospital ( Site 0412)

Montreal, Quebec, H3T 1M5, Canada

Location

CHU de Quebec-Universite Laval-Hotel Dieu de Quebec ( Site 0403)

Québec, Quebec, G1R 2J6, Canada

Location

CIUSSS de la Mauricie et du Centre du Quebec ( Site 0408)

Trois-Rivières, Quebec, G8Z 3R9, Canada

Location

Clinica Universidad Catolica del Maule ( Site 0385)

Talca, Maule Region, 3465584, Chile

Location

OrlandiOncologia ( Site 0381)

Santiago, Region M. de Santiago, 7500713, Chile

Location

Fundacion Arturo Lopez Perez FALP ( Site 0383)

Santiago, Region M. de Santiago, 7500921, Chile

Location

Pontificia Universidad Catolica de Chile ( Site 0382)

Santiago, Region M. de Santiago, 8330032, Chile

Location

Bradford Hill Centro de Investigaciones Clinicas ( Site 0387)

Santiago, Region M. de Santiago, 8420383, Chile

Location

Centro de Investigacion y desarrollo Oncologico SpA - CIDO SpA ( Site 0380)

Temuco, Región de la Araucanía, 4810218, Chile

Location

Oncocentro ( Site 0384)

Viña del Mar, Región de Valparaíso, 2520598, Chile

Location

Centro Oncologico Antofagasta ( Site 0386)

Antofagasta, 1240000, Chile

Location

Peking Union Medical College Hospital ( Site 0108)

Beijing, Beijing Municipality, 100006, China

Location

Cancer Hospital Chinese Academy of Medical Science ( Site 0117)

Beijing, Beijing Municipality, 100021, China

Location

Beijing Cancer Hospital ( Site 0120)

Beijing, Beijing Municipality, 100036, China

Location

The Second Hospital Affiliated to AMU ( Site 0119)

Chongqing, Chongqing Municipality, 400037, China

Location

First Affiliated Hospital of The Third Military Medical University ( Site 0118)

Chongqing, Chongqing Municipality, 400038, China

Location

Fujian Provincial Cancer Hospital ( Site 0102)

Fuzhou, Fujian, 350014, China

Location

Southern Medical University Nanfang Hospital ( Site 0121)

Guangzhou, Guangdong, 510515, China

Location

The Third Affiliated Hospital of Harbin Medical University ( Site 0100)

Harbin, Heilongjiang, 150081, China

Location

Henan Cancer Hospital ( Site 0112)

Zhengzhou, Henan, 450008, China

Location

Wuhan Union Hospital Cancer Center-Cancer Center ( Site 0123)

Wuhan, Hubei, 430022, China

Location

Hubei Cancer Hospital ( Site 0122)

Wuhan, Hubei, 430079, China

Location

Jilin Cancer Hospital ( Site 0115)

Changchun, Jilin, 130103, China

Location

Zhongshan Hospital Fudan University ( Site 0103)

Shanghai, Shanghai Municipality, 200032, China

Location

Shanghai Pulmonary Hospital ( Site 0101)

Shanghai, Shanghai Municipality, 200443, China

Location

Tianjin Medical University Cancer Institute & Hospital ( Site 0111)

Tianjin, Tianjin Municipality, 300060, China

Location

Cancer Hospital Affiliated to Xinjiang Medical University ( Site 0110)

Urumuqi, Xinjiang, 830000, China

Location

The First Affiliated Hospital Zhejiang University ( Site 0109)

Hangzhou, Zhejiang, 310003, China

Location

Zhejiang Cancer Hospital ( Site 0113)

Hangzhou, Zhejiang, 310022, China

Location

The First Affiliated Hospital of Wenzhou Medical University ( Site 0124)

Wenzhou, Zhejiang, 325000, China

Location

Hopital Cardiologique Louis Pradel ( Site 0141)

Bron, Auvergne-Rhône-Alpes, 69500, France

Location

Centre Paul Strauss ( Site 0144)

Strasbourg, Bas-Rhin, 67065, France

Location

Hopital Nord du Marseille ( Site 0147)

Marseille, Bouches-du-Rhone, 13015, France

Location

Hopital Foch ( Site 0145)

Suresnes, Hauts-de-Seine, 92151, France

Location

Centre de Cancerologie du Grand Montpellier ( Site 0142)

Montpellier, Herault, 34070, France

Location

Hopital Laennec ( Site 0146)

Nantes, Loire-Atlantique, 44093, France

Location

Hopital Robert Schuman ( Site 0143)

Vantoux, Moselle, 57070, France

Location

L'hopital Nord-Ouest - Centre Hospitalier de Villefranche sur Saone ( Site 0149)

Villefranche-sur-Saône, Rhone, 69655, France

Location

Hopital Cochin ( Site 0140)

Paris, 75014, France

Location

Klinikum Esslingen GmbH ( Site 0164)

Esslingen am Neckar, Baden-Wurttemberg, 73730, Germany

Location

Krankenhaus Nordwest ( Site 0169)

Frankfurt am Main, Hesse, 60488, Germany

Location

Pius Hospital Oldenburg ( Site 0170)

Oldenburg, Lower Saxony, 26121, Germany

Location

Uniklinik RWTH Aachen ( Site 0160)

Aachen, North Rhine-Westphalia, 52074, Germany

Location

Universitaetsklinikum des Saarlandes ( Site 0165)

Homburg, Saarland, 66421, Germany

Location

Krankenhaus Martha Maria Halle-Doelau ( Site 0166)

Halle, Saxony-Anhalt, 06120, Germany

Location

LungenClinic Grosshansdorf GmbH ( Site 0171)

Großhansdorf, Schleswig-Holstein, 22927, Germany

Location

Hamato-Onkologie Hamburg Prof. Laack und Partner ( Site 0161)

Hamburg, 20251, Germany

Location

Soroka Medical Center ( Site 0222)

Beersheba, 8410101, Israel

Location

Rambam Medical Center ( Site 0223)

Haifa, 3109601, Israel

Location

Shaare Zedek Medical Center-Oncology ( Site 0229)

Jerusalem, 9013102, Israel

Location

Meir Medical Center ( Site 0221)

Kfar Saba, 4428164, Israel

Location

Holy Family Hospital ( Site 0228)

Nazareth, 1641101, Israel

Location

Rabin Medical Center ( Site 0224)

Petah Tikva, 4941492, Israel

Location

Sheba Medical Center ( Site 0220)

Ramat Gan, 5262000, Israel

Location

Sourasky Medical Center ( Site 0225)

Tel Aviv, 6423906, Israel

Location

Shamir Medical Center-Assaf Harofeh ( Site 0227)

Ẕerifin, 70300, Israel

Location

National Hospital Organization Nagoya Medical Center ( Site 0017)

Nagoya, Aichi-ken, 460-0001, Japan

Location

Fujita Health University Hospital ( Site 0016)

Toyoake, Aichi-ken, 470-1192, Japan

Location

National Cancer Center Hospital East ( Site 0024)

Kashiwa, Chiba, 277-8577, Japan

Location

Kanazawa University Hospital ( Site 0018)

Kanazawa, Ishikawa-ken, 920-8641, Japan

Location

Osaka Habikino Medical Center ( Site 0020)

Habikino, Osaka, 583-8588, Japan

Location

Kansai Medical University Hospital ( Site 0022)

Hirakata, Osaka, 573-1191, Japan

Location

Niigata Cancer Center Hospital ( Site 0019)

Niigata, 951-8566, Japan

Location

National Cancer Center Hospital ( Site 0026)

Tokyo, 104-0045, Japan

Location

Tokyo Metropolitan Komagome Hospital ( Site 0015)

Tokyo, 113-8677, Japan

Location

The Cancer Institute Hospital of JFCR ( Site 0021)

Tokyo, 135-8550, Japan

Location

Wakayama Medical University Hospital ( Site 0025)

Wakayama, 641-8510, Japan

Location

Tauranga Hospital ( Site 0004)

Tauranga, Bay of Plenty, 3112, New Zealand

Location

Auckland City Hospital ( Site 0011)

Auckland, 1023, New Zealand

Location

Pleszewskie Centrum Medyczne w Pleszewie Sp. z o.o. ( Site 0615)

Pleszew, Greater Poland Voivodeship, 63-300, Poland

Location

MED-POLONIA Sp. z o.o. ( Site 0609)

Poznan, Greater Poland Voivodeship, 60-693, Poland

Location

Centrum Onkologii im.prof. F. Lukaszczyka w Bydgoszczy ( Site 0601)

Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-796, Poland

Location

Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie ( Site 0603)

Warsaw, Masovian Voivodeship, 02-781, Poland

Location

Szpital Wojewodzki im. Mikolaja Kopernika ( Site 0602)

Koszalin, West Pomeranian Voivodeship, 75-581, Poland

Location

Wojewodzkie Wielospecjalistyczne Centrum Onkologii i Traumatologii ( Site 0613)

Lodz, Łódź Voivodeship, 93-513, Poland

Location

Leningrad Regional Oncology Center ( Site 0271)

Saint Petersburg, Leningradskaya Oblast', 197758, Russia

Location

City Clinical Hospital 1 na. NI. Pirogov ( Site 0270)

Moscow, Moscow, 119049, Russia

Location

Central Clinical Hospital with outpatient Clinic ( Site 0262)

Moscow, Moscow, 121359, Russia

Location

National Medical Research Radiology Centre ( Site 0260)

Moscow, Moscow, 125284, Russia

Location

FSAI Treatment and Rehabilitation Centre of the MoH and SD of RF ( Site 0264)

Moscow, Moscow, 125367, Russia

Location

Moscow Regional Oncological Dispensary ( Site 0274)

Balashikha, Moscow Oblast, 143900, Russia

Location

Nizhniy Novgorod Region Oncology Dispensary ( Site 0272)

Nizhny Novgorod, Nizhny Novgorod Oblast, 603081, Russia

Location

Omsk Clinical Oncology Dispensary ( Site 0267)

Omsk, Omsk Oblast, 644013, Russia

Location

First Pavlov State Medical University of Saint Petersburg-Department of Oncology ( Site 0273)

Saint Petersburg, Sankt-Peterburg, 197022, Russia

Location

Scientific Research Oncology Institute n.a. N.N.Petrov ( Site 0269)

Saint Petersburg, Sankt-Peterburg, 197758, Russia

Location

SAHI Republican Clinical Oncological Dispensary of the MoH of RT ( Site 0261)

Kazan', Tatarstan, Respublika, 420029, Russia

Location

National Cancer Center ( Site 0061)

Goyang-si, Kyonggi-do, 10408, South Korea

Location

The Catholic University of Korea St. Vincent s Hospital ( Site 0064)

Gyeonggi-do, Kyonggi-do, 16247, South Korea

Location

Chungbuk National University Hospital ( Site 0062)

Cheongju-si, North Chungcheong, 28644, South Korea

Location

Severance Hospital Yonsei University Health System ( Site 0063)

Seoul, 03722, South Korea

Location

ICO L Hospitalet ( Site 0234)

L'Hospitalet de Llobregat, Barcelona, 08907, Spain

Location

Complejo Hospitalario Universitario A Coruna ( Site 0239)

A Coruña, La Coruna, 15006, Spain

Location

Hospital Universitario Insular de Gran Canaria ( Site 0244)

Las Palmas de Gran Canaria, Las Palmas, 35001, Spain

Location

Hospital General Universitario de Valencia ( Site 0231)

Valencia, Valenciana, Comunitat, 46014, Spain

Location

Hospital Universitario La Fe ( Site 0233)

Valencia, Valenciana, Comunitat, 46026, Spain

Location

Hospital General Universitario de Alicante ( Site 0240)

Alicante, 03010, Spain

Location

Hospital Santa Creu i Sant Pau ( Site 0241)

Barcelona, 08025, Spain

Location

Hospital General Universitario Gregorio Maranon ( Site 0237)

Madrid, 28009, Spain

Location

Hospital Clinico San Carlos ( Site 0235)

Madrid, 28040, Spain

Location

Hospital Universitario La Paz ( Site 0236)

Madrid, 28046, Spain

Location

Complejo Hospitalario de Malaga ( Site 0238)

Málaga, 29010, Spain

Location

Hospital Universitario Miguel Servet ( Site 0242)

Zaragoza, 50009, Spain

Location

Cukurova Universitesi Tıp Fakultesi Balcalı Hastanesi ( Site 0314)

Adana, 01330, Turkey (Türkiye)

Location

Hacettepe Universitesi Tıp Fakultesi ( Site 0316)

Ankara, 06100, Turkey (Türkiye)

Location

Ankara Universitesi Tip Fakultesi. ( Site 0317)

Ankara, 06620, Turkey (Türkiye)

Location

Ankara Sehir Hastanesi ( Site 0323)

Ankara, 06800, Turkey (Türkiye)

Location

Istanbul Universitesi Cerrahpasa Tip Fakultesi ( Site 0312)

Istanbul, 34098, Turkey (Türkiye)

Location

Göztepe Prof. Dr. Süleyman Yalçın Şehir Hastanesi-oncology ( Site 0310)

Istanbul, 34722, Turkey (Türkiye)

Location

Ege Universitesi Tip Fakultesi ( Site 0313)

Izmir, 35100, Turkey (Türkiye)

Location

Inonu Universitesi Medical Fakultesi ( Site 0318)

Malatya, 44280, Turkey (Türkiye)

Location

Cambridge University Hospitals NHS Trust ( Site 0293)

Cambridge, Cambridgeshire, CB2 0QQ, United Kingdom

Location

North Middlesex University Hospital NHS Trust ( Site 0291)

London, London, City of, N18 1QX, United Kingdom

Location

Guys and St Thomas NHS Foundation Trust ( Site 0280)

London, London, City of, SE1 9RT, United Kingdom

Location

St Georges University Hospitals NHS Foundation Trust. ( Site 0292)

London, London, City of, SW17 0QT, United Kingdom

Location

Aberdeen Royal Infirmary ( Site 0288)

Aberdeen, Scotland, AB25 2ZN, United Kingdom

Location

Leeds Teaching Hospital NHS Trust. St. James University Hospital ( Site 0276)

Leeds, LS9 7TF, United Kingdom

Location

Leicester Royal Infirmary ( Site 0284)

Leicester, LE1 5WW, United Kingdom

Location

Christie NHS Foundation Trust ( Site 0275)

Manchester, M20 4BX, United Kingdom

Location

The Clatterbridge Cancer Centre NHS Foundation Trust ( Site 0286)

Metropolitan Borough of Wirral, CH63 4JY, United Kingdom

Location

Nottingham City Hospital Campus ( Site 0287)

Nottingham, NG5 1PB, United Kingdom

Location

Related Publications (1)

  • Herbst RS, Cho BC, Zhou C, Burotto M, Dols MC, Sendur MAN, Moiseyenko V, Casarini I, Nishio M, Hui R, Pons-Tostivint E, Dudnik J, Ahmed S, Okpara CE, Dutcus C, Yin L, Luo Y, Chirovsky D, Bhagwati N, Abreu DR. Lenvatinib Plus Pembrolizumab, Pemetrexed, and a Platinum as First-Line Therapy for Metastatic Nonsquamous NSCLC: Phase 3 LEAP-006 Study. J Thorac Oncol. 2025 Sep;20(9):1302-1314. doi: 10.1016/j.jtho.2025.05.016. Epub 2025 May 24.

Related Links

MeSH Terms

Conditions

Parkinson Disease 4, Autosomal Dominant Lewy Body

Interventions

pembrolizumabCarboplatinCisplatinPemetrexedlenvatinib

Intervention Hierarchy (Ancestors)

Coordination ComplexesOrganic ChemicalsChlorine CompoundsInorganic ChemicalsNitrogen CompoundsPlatinum CompoundsGuanineHypoxanthinesPurinonesPurinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsGlutamatesAmino Acids, AcidicAmino AcidsAmino Acids, Peptides, and ProteinsAmino Acids, Dicarboxylic

Results Point of Contact

Title
Senior Vice President, Global Clinical Development
Organization
Merck Sharp & Dohme LLC

Study Officials

  • Medical Director

    Merck Sharp & Dohme LLC

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 1, 2019

First Posted

February 4, 2019

Study Start

March 25, 2019

Primary Completion

August 11, 2023

Study Completion

August 30, 2024

Last Updated

February 5, 2026

Results First Posted

February 21, 2025

Record last verified: 2025-12

Data Sharing

IPD Sharing
Will share

http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf

More information

Locations