NCT04662710

Brief Summary

The purpose of this study is to assess the efficacy and safety of lenvatinib (E7080/MK-7902) plus pembrolizumab (MK-3475) plus chemotherapy compared with chemotherapy alone in participants with advanced/metastatic gastroesophageal cancer. The primary study hypotheses are that lenvatinib plus pembrolizumab plus chemotherapy is superior to chemotherapy alone for both overall survival (OS) and progression-free survival (PFS) per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) as assessed by blinded independent central review (BICR), in participants with programmed cell death-ligand 1 (PD-L1) Combined Positive Score (CPS) ≥1 and in all participants.

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
895

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Dec 2020

Longer than P75 for phase_3

Geographic Reach
23 countries

171 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

December 4, 2020

Completed
6 days until next milestone

First Posted

Study publicly available on registry

December 10, 2020

Completed
20 days until next milestone

Study Start

First participant enrolled

December 30, 2020

Completed
3.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 29, 2024

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

November 28, 2025

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

March 30, 2026

Completed
Last Updated

April 28, 2026

Status Verified

April 1, 2026

Enrollment Period

3.8 years

First QC Date

December 4, 2020

Results QC Date

October 6, 2025

Last Update Submit

April 9, 2026

Conditions

Keywords

Programmed Cell Death-1 (PD1, PD-1)Programmed Death-Ligand 1 (PDL1, PD-L1)

Outcome Measures

Primary Outcomes (7)

  • Part 1: Number of Participants With Dose Limiting Toxicities (DLTs)

    A DLT was defined as a specific adverse event graded for toxicity using the Common Terminology Criteria for Adverse Events (CTCAE) v5.0. Hematologic DLTs included Grade 4 neutropenia lasting for ≥7 days, Grade 3 or Grade 4 febrile neutropenia, Grade 3 thrombocytopenia with bleeding, Grade 4 thrombocytopenia, or Grade 4 anemia. Nonhematologic DLTs included any other Grade 4 or Grade 5 toxicity, Grade 3 toxicities lasting \>3 days (excluding nausea, vomiting, and diarrhea controlled by medical intervention within 72 hours, and Grade 3 rash in the absence of desquamation with no mucosal involvement), Grade 3 hypertension not able to be controlled by medication, ≥ Grade 3 gastrointestinal perforation, ≥Grade 3 wound dehiscence requiring medical or surgical intervention, any grade thromboembolic event, or any Grade 3 nonhematologic laboratory value if medical intervention was required or the abnormality led to hospitalization. The number of participants in Part 1 with DLTs is reported.

    Up to ~21 days

  • Part 1: Number of Participants With Adverse Events (AEs)

    An AE is any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. The number of participants in Part 1 with AEs is reported

    Up to ~44 months

  • Part 1: Number of Participants Who Discontinued Study Treatment Due to an AE

    An AE is any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. The number of participants in Part 1 that discontinued study treatment due to an AE is reported.

    Up to ~29 months

  • Part 2: Overall Survival (OS) in Participants With Programmed Cell Death Ligand 1 (PD-L1) Combined Positive Score (CPS) ≥1

    OS is defined as the time from randomization to death due to any cause. OS is reported by treatment arm for PD-L1 CPS ≥1 participants in Part 2.

    Up to ~41 months

  • Part 2: OS in All Participants

    OS is defined as the time from randomization to death due to any cause. OS is reported by treatment arm for all participants in Part 2.

    Up to ~41 months

  • Part 2: Progression-Free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) in Participants With PD-L1 CPS ≥1

    PFS is defined as the time from randomization to the first documented progressive disease (PD) per RECIST 1.1 by BICR or death from any cause, whichever occurs first. Per RECIST 1.1 modified to follow a maximum of 10 target lesions and a maximum of 5 target lesions per organ, PD is defined as at least a 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 at least 5 mm. The appearance of one or more new lesions is also considered PD. PFS is reported by treatment arm for PD-L1 CPS ≥1 participants in Part 2.

    Up to ~29 months

  • Part 2: PFS Per RECIST 1.1 as Assessed by BICR in All Participants

    PFS is defined as the time from randomization to the first documented PD per RECIST 1.1 by BICR or death from any cause, whichever occurs first. Per RECIST 1.1 modified to follow a maximum of 10 target lesions and a maximum of 5 target lesions per organ, PD is defined as at least a 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 at least 5 mm. The appearance of one or more new lesions is also considered PD. PFS is reported by treatment arm for all participants in Part 2.

    Up to ~29 months

Secondary Outcomes (6)

  • Part 2: Objective Response Rate (ORR) Per RECIST 1.1 as Assessed by BICR in Participants With PD-L1 CPS ≥1

    Up to ~29 months

  • Part 2: ORR Per RECIST 1.1 as Assessed by BICR in All Participants

    Up to ~29 months

  • Part 2: Duration of Response (DOR) Per RECIST 1.1 as Assessed by BICR in Participants With PD-L1 CPS ≥1

    Up to ~41 months

  • Part 2: DOR Per RECIST 1.1 as Assessed by BICR in All Participants

    Up to ~41 months

  • Part 2: Number of Participants With AEs

    Up to ~41 months

  • +1 more secondary outcomes

Study Arms (2)

Lenvatinib + Pembrolizumab + Chemotherapy

EXPERIMENTAL

Participants receive lenvatinib administered orally (PO) every day (QD) in combination with pembrolizumab intravenously (IV) every 6 weeks (Q6W) plus chemotherapy with either capecitabine and oxaliplatin (CAPOX) or chemotherapy with 5-FU, leucovorin, and oxaliplatin (mFOLFOX6). Induction with lenvatinib 8 mg QD plus pembrolizumab (400 mg Q6W) plus chemotherapy (CAPOX or mFOLFOX6) will be administered for 2 cycles (approximately 12 weeks), followed by consolidation with lenvatinib 20 mg QD plus pembrolizumab (400 mg Q6W) for 16 cycles. A cycle is 6 weeks (42 days).

Biological: PembrolizumabBiological: LenvatinibDrug: OxaliplatinDrug: CapecitabineDrug: Leucovorin (or Levoleucovorin)Drug: 5-FU

Chemotherapy

EXPERIMENTAL

Participants receive chemotherapy with either CAPOX Q3W or mFOLFOX6 Q2W. A cycle is 6 weeks (42 days).

Drug: OxaliplatinDrug: CapecitabineDrug: Leucovorin (or Levoleucovorin)Drug: 5-FU

Interventions

PembrolizumabBIOLOGICAL

400 mg Q6W by IV infusion

Also known as: MK-3475, Keytruda®
Lenvatinib + Pembrolizumab + Chemotherapy
LenvatinibBIOLOGICAL

Administered PO QD, 8 mg induction/20 mg consolidation.

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

130 mg/m\^2 administered by IV infusion on Day 1 of Weeks 1 and 4 of each Q6W cycle as part of CAPOX chemotherapy, or 85 mg/m\^2 administered by IV infusion on Day 1 and Week 1, 3 and 5 of each Q6W cycle as part of mFOLFOX6 chemotherapy.

ChemotherapyLenvatinib + Pembrolizumab + Chemotherapy

1000 mg/m\^2 administered PO twice daily (BID) on Days 1-14, 22-35 of each Q6W cycle as part of CAPOX chemotherapy.

ChemotherapyLenvatinib + Pembrolizumab + Chemotherapy

Administered by IV infusion at 400 mg/m\^2 (leucovorin) or 200 mg/m\^2 (levoleucovorin) on Day 1, and Week 1, 3 and 5 of each Q6W cycle as part of mFOLFOX6 chemotherapy.

ChemotherapyLenvatinib + Pembrolizumab + Chemotherapy
5-FUDRUG

400 mg/m\^2 bolus IV infusion followed by 2400 mg/m\^2 continuous IV infusion administered on Day 1, and Week 1, 3, 5, of each Q2W cycle as part of mFOLFOX6 chemotherapy.

ChemotherapyLenvatinib + Pembrolizumab + Chemotherapy

Eligibility Criteria

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

You may qualify if:

  • Has histologically and/or cytologically confirmed diagnosis of previously untreated, locally advanced unresectable or metastatic gastroesophageal adenocarcinoma
  • Is not expected to require tumor resection during the treatment course
  • Has gastroesophageal adenocarcinoma that is not human epidermal growth factor receptor 2 (HER-2)/neu positive
  • Has measurable disease as defined by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 by scan with IV contrast as determined by the local site investigator
  • Male participants agree to refrain from donating sperm and agree to either remain abstinent from heterosexual intercourse as their preferred and usual lifestyle OR agree to use contraception, during the intervention period and for ≥7 days after last dose of lenvatinib or 90 days after last dose of chemotherapy-whichever comes last
  • Female participants not pregnant or breastfeeding are eligible to participate if not a women of childbearing potential (WOCBP), or if a WOCBP they either use a contraceptive method that is highly effective OR remain abstinent from heterosexual intercourse as their preferred and usual lifestyle, and do not donate eggs (ova, oocytes) to others or freeze/store for their own use, and abstain from breastfeeding during the intervention period through 120 days after last dose of pembrolizumab, 30 days after last dose of lenvatinib, or 180 days after last dose of chemotherapy-whichever occurs last
  • Has a performance status of 0 or 1 on the Eastern Cooperative Oncology Group (ECOG) Performance Scale within 3 days prior to the first dose of study treatment
  • Has adequately controlled blood pressure with or without antihypertensive medications
  • Has adequate organ function

You may not qualify if:

  • Has had previous therapy for locally advanced unresectable or metastatic gastric/gastroesophageal junction (GEJ) esophageal adenocarcinoma
  • Has had major surgery within 28 days prior to first dose of study interventions
  • Has had radiotherapy within 14 days of randomization
  • Has a known additional malignancy that is progressing or has required active treatment within the past 5 years
  • Has known central nervous system (CNS) metastases and/or carcinomatous meningitis
  • Has severe hypersensitivity (≥Grade 3) to treatment with an monoclonal antibody (mAb) or known sensitivity or intolerance to any component of lenvatinib, pembrolizumab, study chemotherapy agents and/or to any excipients, murine proteins, or platinum containing products
  • Has had an allogeneic tissue/solid organ transplant
  • Has perforation risks or significant gastrointestinal (GI) bleeding
  • Has GI obstruction, poor oral intake (CAPOX participants), or difficulty in taking oral medication (CAPOX participants)
  • Has received prior therapy with an anti-programmed cell death 1 (PD-1), anti-PD-L1, or anti-PD-L2 agent or with an agent directed to another stimulatory or coinhibitory T-cell receptor
  • Has received prior therapy with anti- vascular endothelial growth factor (VEGF) tyrosine kinase inhibitor or anti-VEGF mAb
  • Has received a live or live-attenuated vaccine within 30 days before the first dose of study drug
  • Has an active autoimmune disease that has required systemic treatment in past 2 years (i.e., with use of disease modifying agents, corticosteroids or immunosuppressive drugs)
  • Has radiographic evidence of encasement or invasion of a major blood vessel, or of intratumoral cavitation
  • Has inadequate cardiac function
  • +7 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (177)

UCLA Hematology/Oncology - Santa Monica ( Site 0003)

Los Angeles, California, 90404, United States

Location

Georgetown University Medical Center ( Site 0009)

Washington D.C., District of Columbia, 20007, United States

Location

James Graham Brown Cancer Center ( Site 0017)

Louisville, Kentucky, 40202, United States

Location

Johns Hopkins University ( Site 0052)

Baltimore, Maryland, 21224, United States

Location

Dana Farber Cancer Center ( Site 0019)

Boston, Massachusetts, 02215, United States

Location

UMASS Memorial Medical Center ( Site 0020)

Worcester, Massachusetts, 01655, United States

Location

Henry Ford Health System ( Site 0023)

Detroit, Michigan, 48202, United States

Location

Cancer and Hematology Centers of Western Michigan ( Site 0025)

Grand Rapids, Michigan, 49503, United States

Location

Washington University School of Medicine ( Site 0027)

St Louis, Missouri, 63110, United States

Location

Mount Sinai Hospital ( Site 0051)

New York, New York, 10029, United States

Location

Memorial Sloan Kettering Cancer Center ( Site 0032)

New York, New York, 10065, United States

Location

AHN West Penn Hospital-AHN Esophageal and Lung Institute ( Site 0058)

Pittsburgh, Pennsylvania, 15224, United States

Location

IDIM Instituto de Diagnostico e Investigaciones Metabolicas ( Site 0202)

Caba, Buenos Aires, C1012AAR, Argentina

Location

Instituto Medico Alexander Fleming ( Site 0208)

Ciudad Autonoma de Buenos Aires, Buenos Aires, C1426ANZ, Argentina

Location

Fundacion Favaloro ( Site 0201)

Buenos Aires, C1093AAS, Argentina

Location

Hospital Aleman ( Site 0210)

Buenos Aires, C1118AAT, Argentina

Location

Hospital Municipal de Gastroenterologia Dr. Bonorino Udaondo ( Site 0207)

Buenos Aires, C1264AAA, Argentina

Location

CEMIC ( Site 0209)

Buenos Aires, C1431FWO, Argentina

Location

Hospital Privado de Cordoba ( Site 0204)

Córdoba, X5016KEH, Argentina

Location

Nepean Hospital ( Site 2305)

Kingswood, New South Wales, 2747, Australia

Location

Wollongong Hospital ( Site 2307)

Wollongong, New South Wales, 2500, Australia

Location

Royal Brisbane and Women s Hospital ( Site 2304)

Herston, Queensland, 4029, Australia

Location

Hollywood Private Hospital-Medical Oncology ( Site 2308)

Nedlands, Western Australia, 6009, Australia

Location

CHU UCL Namur Site de Godinne ( Site 1005)

Yvoir, Namur, 5530, Belgium

Location

UZ Gent ( Site 1002)

Ghent, Oost-Vlaanderen, 9000, Belgium

Location

UZ Leuven ( Site 1004)

Leuven, Vlaams-Brabant, 3000, Belgium

Location

AZ Delta ( Site 1006)

Roeselare, West-Vlaanderen, 8800, Belgium

Location

Queen Elizabeth II Health Sciences Centre ( Site 0101)

Halifax, Nova Scotia, B3H 2Y9, Canada

Location

Hamilton Health Sciences - Juravinski Site ( Site 0106)

Hamilton, Ontario, L8V 5C2, Canada

Location

CIUSSS de l Estrie - CHUS - Centre Hosp. Univ. Sherbrooke ( Site 0103)

Sherbrooke, Quebec, J1H 5N4, Canada

Location

Centro Investigación del Cáncer James Lind ( Site 0414)

Temuco, Araucania, Temuco, Chile

Location

IC La Serena Research ( Site 0410)

La Serena, Coquimbo Region, 1720430, Chile

Location

Clinica Universidad Catolica del Maule ( Site 0411)

Talca, Maule Region, 3460000, Chile

Location

Fundacion Arturo Lopez Perez FALP ( Site 0403)

Santiago, Region M. de Santiago, 7500836, Chile

Location

Clínica San Carlos de Apoquindo Red Salud UC Christus ( Site 0407)

Santiago, Region M. de Santiago, 7550000, Chile

Location

Bradfordhill ( Site 0404)

Santiago, Region M. de Santiago, 8420383, Chile

Location

Anhui Provincial Hospital ( Site 2415)

Hefei, Anhui, 230001, China

Location

Cancer Hospital Chinese Academy of Medical Sciences ( Site 2403)

Beijing, Beijing Municipality, 100021, China

Location

Beijing Cancer Hospital ( Site 2453)

Beijing, Beijing Municipality, 100035, China

Location

Fujian Provincial Cancer Hospital ( Site 2408)

Fuzhou, Fujian, 350014, China

Location

The 900th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army ( Si

Fuzhou, Fujian, 350025, China

Location

The First Affiliated Hospital of Xiamen University ( Site 2420)

Xiamen, Fujian, 361003, China

Location

The First Affiliated Hospital of Xiamen University ( Site 2446)

Xiamen, Fujian, 361003, China

Location

Zhongshan Hospital Affiliated to Xiamen University ( Site 2421)

Xiamen, Fujian, 361004, China

Location

First Hospital of Lanzhou University ( Site 2417)

Lanzhou, Gansu, 730000, China

Location

Nanfang Hospital ( Site 2456)

Guangzhou, Guangdong, 510000, China

Location

The Affiliated Hospital Of Hainan Medical University-Cancer rehabilitation and palliative treatment

Haikou, Hainan, 570102, China

Location

Fourth Hospital Of Hebei Medical University ( Site 2441)

Shijiazhuang, Hebei, 050011, China

Location

Harbin Medical University Cancer Hospital ( Site 2410)

Harbin, Heilongjiang, 150081, China

Location

Henan Cancer Hospital ( Site 2443)

Zhengzhou, Henan, 450008, China

Location

Hubei Cancer Hospital ( Site 2429)

Wuhan, Hubei, 430079, China

Location

Hunan Cancer Hospital ( Site 2440)

Changsha, Hunan, 410006, China

Location

Changzhou Cancer Hospital-Department of Oncology ( Site 2458)

Changzhou, Jiangsu, 213000, China

Location

Nanjing Drum Tower Hospital ( Site 2419)

Nanjing, Jiangsu, 210008, China

Location

Nantong Tumor Hospital-Digestive Oncology ( Site 2464)

Nantong, Jiangsu, 226361, China

Location

Jilin Cancer Hospital ( Site 2438)

Changchun, Jilin, 130012, China

Location

Tang Du Hospital ( Site 2432)

Xi'an, Shaanxi, 710038, China

Location

LinYi Cancer Hospital-Gastrology department ( Site 2463)

Linyi, Shandong, 276000, China

Location

Shanghai General Hospital ( Site 2424)

Shanghai, Shanghai Municipality, 200080, China

Location

Shanghai East Hospital ( Site 2455)

Shanghai, Shanghai Municipality, 200120, China

Location

Tianjin Medical University Cancer Institute & Hospital ( Site 2447)

Tianjin, Tianjin Municipality, 300060, China

Location

Cancer Hospital Affiliated to Xinjiang Medical University ( Site 2428)

Ürümqi, Xinjiang, 830011, China

Location

The First Affiliated Hospital of Zhejiang University ( Site 2414)

Hangzhou, Zhejiang, 310009, China

Location

Sir Run Run Shaw Hospital ( Site 2412)

Hangzhou, Zhejiang, 310016, China

Location

Clinica de la Costa S.A.S. ( Site 0502)

Barranquilla, Atlántico, 080020, Colombia

Location

Clinica Colsanitas S.A. Sede Clinica Universitaria Colombia ( Site 0501)

Bogotá, Bogota D.C., 111321, Colombia

Location

Sociedad de Oncología Y Hematología del Cesar S.A.S. ( Site 0508)

Valledupar, Cesar Department, 200001, Colombia

Location

Oncomedica S.A. ( Site 0507)

Montería, Departamento de Córdoba, 230002, Colombia

Location

Instituto Cancerologico de Narino Ltda ( Site 0504)

Pasto, Departamento de Nariño, 520001, Colombia

Location

Oncologos del Occidente S.A. ( Site 0525)

Pereira, Risaralda Department, 660001, Colombia

Location

CIMCA-Hemato-Oncology ( Site 0601)

San José, Provincia de San José, 10103, Costa Rica

Location

Hospital Metropolitano - Sede Lindora-Metropolitano Research Institute Sede Lindora ( Site 0602)

Santa Ana, Provincia de San José, 10903, Costa Rica

Location

Hôpital Edouard Herriot ( Site 1116)

Lyon, Auvergne-Rhône-Alpes, 69003, France

Location

Centre Francois Baclesse ( Site 1107)

Caen, Calvados, 14076, France

Location

Centre Georges Francois Leclerc ( Site 1106)

Dijon, Cote-d Or, 21079, France

Location

CHU Bordeaux Haut-Leveque ( Site 1110)

Pessac, Gironde, 33604, France

Location

Centre Hospitalier Annecy Genevois ( Site 1117)

Epagny Metz-Tessy, Haute-Savoie, 74370, France

Location

CHU Hotel Dieu Nantes ( Site 1101)

Nantes, Pays de la Loire Region, 44093, France

Location

Hopital Henri Mondor ( Site 1105)

Créteil, Val-de-Marne, 94010, France

Location

Institut du Cancer Avignon-Provence ( Site 1103)

Avignon, Vaucluse, 84918, France

Location

Hopital Saint Louis ( Site 1100)

Paris, 75010, France

Location

CHU Hopital Saint Antoine ( Site 1102)

Paris, 75012, France

Location

Klinikum Rechts der Isar der TU Muenchen ( Site 1200)

Muechen, Bavaria, 81675, Germany

Location

Universitaetsklinikum Regensburg ( Site 1203)

Regensburg, Bavaria, 93053, Germany

Location

Krankenhaus Nordwest ( Site 1205)

Frankfurt am Main, Hesse, 60488, Germany

Location

Medizinische Hochschule Hannover ( Site 1210)

Hanover, Lower Saxony, 30625, Germany

Location

Universitaetsklinikum Leipzig ( Site 1211)

Leipzig, Saxony, 04103, Germany

Location

Charite Berlin Campus Virchow-Klinikum ( Site 1202)

Berlin, 13353, Germany

Location

Facharztzentrum Eppendorf ( Site 1201)

Hamburg, 20249, Germany

Location

Clinica Privada Dr Rixci Ramirez Fallas ( Site 0702)

Guatemala City, 01010, Guatemala

Location

Oncologika S.A. ( Site 0704)

Guatemala City, 01010, Guatemala

Location

Oncomedica ( Site 0701)

Guatemala City, 01010, Guatemala

Location

Soluciones Gastrointestinales S.A. ( Site 0706)

Guatemala City, 01010, Guatemala

Location

Sanatorio Nuestra Senora del Pilar ( Site 0705)

Guatemala City, 01015, Guatemala

Location

Medi-K Cayala ( Site 0700)

Guatemala City, 01016, Guatemala

Location

Prince of Wales Hospital ( Site 2503)

Hong Kong, Hong Kong

Location

Princess Margaret Hospital. ( Site 2502)

Hong Kong, Hong Kong

Location

Queen Mary Hospital ( Site 2501)

Hong Kong, Hong Kong

Location

St James Hospital ( Site 1400)

Dublin, Leinster, Dublin 8, Ireland

Location

Beaumont Hospital ( Site 1402)

Dublin, Dublin 9, Ireland

Location

Soroka Medical Center ( Site 1507)

Beersheba, 8410101, Israel

Location

Hillel Yaffe Medical Center ( Site 1503)

Hadera, 3810004, Israel

Location

Rambam Health Care Campus-Oncology Division ( Site 1502)

Haifa, 3109601, Israel

Location

Hadassah Ein Kerem Medical Center ( Site 1501)

Jerusalem, 9112001, Israel

Location

Meir Medical Center ( Site 1504)

Kfar Saba, 4428164, Israel

Location

Rabin Medical Center ( Site 1506)

Petah Tikva, 4941492, Israel

Location

Sourasky Medical Center ( Site 1500)

Tel Aviv, 6423906, Israel

Location

Istituto Scientifico Romagnolo per Studio e Cura Tumori IRST ( Site 1608)

Meldola, Abruzzo, 47014, Italy

Location

Presidio Ospedaliero Universitario Santa Maria della Misericordia ( Site 1609)

Udine, Friuli Venezia Giulia, 33100, Italy

Location

Fondazione IRCCS Istituto Nazionale dei Tumori-Struttura Complessa Oncologia Medica 1 ( Site 1610)

Milan, Lombardy, 20133, Italy

Location

Humanitas Research Hospital ( Site 1600)

Rozzano, Lombardy, 20089, Italy

Location

AULSS8 Berica-Ospedale S.Bortolo ( Site 1607)

Vicenza, Veneto, 36100, Italy

Location

Azienda Ospedaliera Mater Domini-Translational Oncology Unit ( Site 1611)

Catanzaro, 88100, Italy

Location

IRCCS Ospedale San Raffaele di Milano ( Site 1603)

Milan, 20132, Italy

Location

A.O.U. Universita degli Studi della Campania-Luigi Vanvitelli ( Site 1604)

Naples, 80131, Italy

Location

Aichi Cancer Center Hospital ( Site 2603)

Nagoya, Aichi-ken, 464-8681, Japan

Location

National Cancer Center Hospital East ( Site 2601)

Kashiwa, Chiba, 277-8577, Japan

Location

National Hospital Organization Shikoku Cancer Center ( Site 2610)

Matsuyama, Ehime, 791-0280, Japan

Location

Hyogo Cancer Center ( Site 2621)

Akashi, Hyōgo, 673-8558, Japan

Location

Kobe City Medical Center General Hospital ( Site 2606)

Kobe, Hyōgo, 650-0047, Japan

Location

Ibaraki Prefectural Central Hospital ( Site 2618)

Kasama, Ibaraki, 309-1793, Japan

Location

Kagawa University Hospital ( Site 2611)

Kita-gun, Kagawa-ken, 761-0793, Japan

Location

Kanagawa Cancer Center ( Site 2608)

Yokohama, Kanagawa, 241-8515, Japan

Location

Kansai Medical University Hospital ( Site 2622)

Hirakata, Osaka, 573-1191, Japan

Location

Kindai University Hospital ( Site 2600)

Sayama, Osaka, 5898511, Japan

Location

Saitama Cancer Center ( Site 2604)

Kitaadachi-gun, Saitama, 362-0806, Japan

Location

National Hospital Organization Kyushu Cancer Center ( Site 2609)

Fukuoka, 811-1395, Japan

Location

Hiroshima City Hiroshima Citizens Hospital ( Site 2612)

Hiroshima, 730-8518, Japan

Location

Osaka International Cancer Institute ( Site 2607)

Osaka, 5418567, Japan

Location

National Cancer Center Hospital ( Site 2602)

Tokyo, 104-0045, Japan

Location

The Cancer Institute Hospital of JFCR ( Site 2605)

Tokyo, 135-8550, Japan

Location

Przychodnia Lekarska KOMED ( Site 1701)

Konin, Greater Poland Voivodeship, 62-500, Poland

Location

Szpital Kliniczny im. Heliodora Swiecickiego Uniwers Medyczn ( Site 1703)

Poznan, Greater Poland Voivodeship, 60-780, Poland

Location

Dolnoslaskie Centrum Onkologii. ( Site 1712)

Wroclaw, Lower Silesian Voivodeship, 53-413, Poland

Location

Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie ( Site 1704)

Warsaw, Masovian Voivodeship, 02-034, Poland

Location

Wojewodzki Szpital im. Sw. Ojca Pio w Przemyslu ( Site 1702)

Przemyśl, Podkarpackie Voivodeship, 37-700, Poland

Location

Chelyabinsk Regional Clinical Oncological Dispensary ( Site 1816)

Chelyabinsk, Chelyabinsk Oblast, 454087, Russia

Location

National Medical and Surgical Center n.a.N.I.Pirogov ( Site 1805)

Moscow, Moscow, 105203, Russia

Location

Blokhin National Medical Oncology ( Site 1800)

Moscow, Moscow, 115478, Russia

Location

Central Clinical Hospital with Polyclinic ( Site 1801)

Moscow, Moscow, 121359, Russia

Location

Medical University REAVIZ ( Site 1814)

Samara, Samara Oblast, 443011, Russia

Location

Leningrad Regional Oncology Center ( Site 1810)

Saint Petersburg, Sankt-Peterburg, 188663, Russia

Location

Scientific Research Oncology Institute n.a. N.N.Petrov ( Site 1809)

Saint Petersburg, Sankt-Peterburg, 197758, Russia

Location

St Petersburg City Clinical Oncology Dispensary ( Site 1808)

Saint Petersburg, Sankt-Peterburg, 198255, Russia

Location

Yaroslavl Regional SBIH Clinical Oncology Hospital ( Site 1821)

Yaroslavl, Yaroslavl Oblast, 150054, Russia

Location

Hallym University Sacred Heart Hospital ( Site 2806)

Anyang-si, Kyonggi-do, 14068, South Korea

Location

Seoul National University Bundang Hospital ( Site 2804)

Seongnam-si, Kyonggi-do, 13620, South Korea

Location

Asan Medical Center ( Site 2802)

Songpagu, Seoul, 05505, South Korea

Location

Konyang University ( Site 2807)

Daejeon, Taejon-Kwangyokshi, 35365, South Korea

Location

Seoul National University Hospital ( Site 2803)

Seoul, 03080, South Korea

Location

Severance Hospital Yonsei University Health System ( Site 2800)

Seoul, 03722, South Korea

Location

Gangnam Severance Hospital ( Site 2805)

Seoul, 06273, South Korea

Location

Samsung Medical Center ( Site 2801)

Seoul, 06351, South Korea

Location

Korea University Guro Hospital ( Site 2808)

Seoul, 08308, South Korea

Location

Hospital Universitario Marques de Valdecilla ( Site 1902)

Santander, Cantabria, 39008, Spain

Location

Hospital Universitario General de Asturias ( Site 1901)

Oviedo, Principality of Asturias, 33011, Spain

Location

Hospital General Universitari Vall d Hebron ( Site 1907)

Barcelona, 08035, Spain

Location

Hospital General Gregorio Maranon de Madrid ( Site 1904)

Madrid, 28007, Spain

Location

China Medical University Hospital ( Site 2903)

Taichung, 40447, Taiwan

Location

National Cheng Kung University Hospital ( Site 2904)

Tainan, 704, Taiwan

Location

National Taiwan University Hospital ( Site 2901)

Taipei, 10048, Taiwan

Location

Chang Gung Medical Foundation. Linkou ( Site 2902)

Taoyuan District, 333, Taiwan

Location

Sakarya Universitesi Tip Fakultesi ( Site 2007)

Sakarya, Istanbul, 54290, Turkey (Türkiye)

Location

Hacettepe Universitesi Tip Fakultesi Hastanesi ( Site 2003)

Ankara, 06100, Turkey (Türkiye)

Location

Memorial Ankara Hastanesi ( Site 2004)

Ankara, 06520, Turkey (Türkiye)

Location

Trakya Universitesi Tip Fakultesi ( Site 2000)

Edirne, 22030, Turkey (Türkiye)

Location

Ataturk Universitesi Tip Fakultesi Hastanesi ( Site 2005)

Erzurum, 25240, Turkey (Türkiye)

Location

Istanbul Universitesi Cerrahpasa Tip Fakultesi ( Site 2002)

Istanbul, 34098, Turkey (Türkiye)

Location

Ege Universitesi Tip Fakultesi Hastanesi ( Site 2001)

Izmir, 35040, Turkey (Türkiye)

Location

Addenbrooke's Hospital ( Site 2200)

Cambridge, Cambridgeshire, CB2 0QQ, United Kingdom

Location

Ninewells Hospital and Medical School ( Site 2207)

Dundee, Dundee City, DD1 9SY, United Kingdom

Location

The Beatson West of Scotland Cancer Centre ( Site 2204)

Glasgow, Glasgow City, G12 0YN, United Kingdom

Location

University College London Hospitals NHS Foundation Trust ( Site 2201)

London, London, City of, NW1 2BU, United Kingdom

Location

Royal Marsden NHS Foundation Trust ( Site 2202)

London, London, City of, SW3 6JJ, United Kingdom

Location

Royal Marsden NHS Trust ( Site 2203)

Sutton, Surrey, SM2 5PT, United Kingdom

Location

University Hospital Coventry and Warwickshire NHS Trust ( Site 2205)

Coventry, Warwickshire, CV2 2DX, United Kingdom

Location

The Christie NHS Foundation Trust ( Site 2209)

Manchester, M20 4BX, United Kingdom

Location

Related Publications (1)

  • Shitara K, Lorenzen S, Li J, Bai Y, Fernandez MG, Aguilar M, Shoji H, Reyes-Cosmelli F, Pena YR, Corrales L, Wyrwicz L, Eyzaguirre DA, Pan Y, Ryu MH, Cohen DJ, Wainberg ZA, Ku G, Tabernero J, Van Cutsem E, Qin SK, Oh DY, Xu J, Liang LW, Bordia S, Bhagia P, Rha SY; LEAP-015 Investigators. Lenvatinib Plus Pembrolizumab and Chemotherapy Versus Chemotherapy in Advanced Metastatic Gastroesophageal Adenocarcinoma: The Phase III, Randomized LEAP-015 Study. J Clin Oncol. 2025 Aug;43(22):2502-2514. doi: 10.1200/JCO-25-00748. Epub 2025 May 31.

Related Links

MeSH Terms

Conditions

Parkinson Disease 4, Autosomal Dominant Lewy Body

Interventions

pembrolizumablenvatinibOxaliplatinCapecitabineLeucovorinLevoleucovorinFluorouracil

Intervention Hierarchy (Ancestors)

Coordination ComplexesOrganic ChemicalsDeoxycytidineCytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsUracilPyrimidinonesDeoxyribonucleosidesNucleosidesNucleic Acids, Nucleotides, and NucleosidesFormyltetrahydrofolatesTetrahydrofolatesFolic AcidPterinsPteridinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingCoenzymesEnzymes and Coenzymes

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
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 4, 2020

First Posted

December 10, 2020

Study Start

December 30, 2020

Primary Completion

October 29, 2024

Study Completion

March 30, 2026

Last Updated

April 28, 2026

Results First Posted

November 28, 2025

Record last verified: 2026-04

Data Sharing

IPD Sharing
Will share

https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf

More information

Locations