A Study of Coformulated Favezelimab/Pembrolizumab (MK-4280A) Versus Standard of Care in Subjects With Previously Treated Metastatic PD-L1 Positive Colorectal Cancer (MK-4280A-007)
A Phase 3 Study of MK-4280A (Coformulated Favezelimab [MK-4280] Plus Pembrolizumab [MK-3475]) Versus Standard of Care in Previously Treated Metastatic PD-L1 Positive Colorectal Cancer (KEYFORM-007)
6 other identifiers
interventional
441
21 countries
152
Brief Summary
The purpose of this study is to assess the safety and efficacy of coformulated favezelimab/pembrolizumab (MK-4280A) in participants with metastatic colorectal cancer. The study will also compare MK-4280A with the standard of care treatment of regorafenib and TAS-102 (trifluridine and tipiracil). The primary study hypothesis is that coformulated favezelimab/pembrolizumab (MK-4280A) is superior to standard of care with respect to overall survival.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3 colorectal-cancer
Started Nov 2021
152 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
September 29, 2021
CompletedFirst Posted
Study publicly available on registry
October 1, 2021
CompletedStudy Start
First participant enrolled
November 10, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 15, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
February 21, 2025
CompletedResults Posted
Study results publicly available
September 17, 2025
CompletedSeptember 17, 2025
August 1, 2025
2.8 years
September 29, 2021
July 31, 2025
August 28, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Overall Survival (OS)
OS was defined as the time from randomization to death due to any cause.
Up to approximately 33 months
Secondary Outcomes (13)
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)
Up to approximately 21 months
Objective Response Rate (ORR) Per RECIST 1.1 as Assessed by BICR
Up to approximately 21 months
Duration of Response (DOR) Per RECIST 1.1 as Assessed by BICR
Up to approximately 21 months
Number of Participants Who Experienced at Least One Adverse Event (AE)
Up to approximately 31 months
Number of Participants Who Discontinued Study Treatment Due to an AE
Up to approximately 28 months
- +8 more secondary outcomes
Study Arms (2)
Favezelimab/Pembrolizumab
EXPERIMENTALParticipants will receive coformulated favezelimab/pembrolizumab (800 mg/200 mg) intravenously (IV) on Day 1, then every 3 weeks (Q3W), for up to 35 infusions.
Standard of Care (Regorafenib or TAS-102)
ACTIVE COMPARATORAt the Investigator's choice, participants will receive 160 mg regorafenib orally daily on Days 1-12 of each 28-day cycle or 35 mg/m\^2 TAS-102 orally twice daily on Days 1-5 and Days 8-12 of each 28-day cycle.
Interventions
Coformulated favezelimab/pembrolizumab (800 mg/200 mg), IV infusion
Eligibility Criteria
You may qualify if:
- Has a histologically confirmed colorectal adenocarcinoma that is metastatic and unresectable.
- Has measurable disease per RECIST 1.1 as assessed by the local site investigator.
- Has been previously treated for the disease and radiographically progressed on or after or could not tolerate standard treatment.
- Submits an archival (≤ 5 years) or newly obtained tumor tissue sample or newly obtained tumor tissue sample that has not been previously irradiated.
- Has an Eastern Cooperative Oncology Group Performance Score (ECOG PS) of 0 to 1 within 10 days prior to first dose of study intervention.
- Has a life expectancy of at least 3 months, based on the investigator assessment.
- Has the ability to swallow and retain oral medication and not have any clinically significant gastrointestinal abnormalities that might alter absorption.
- Has adequate organ function.
You may not qualify if:
- Has previously been found to have deficient mismatch repair/microsatellite instability-high (dMMR/MSI-H) tumor status.
- Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis or leptomeningeal disease.
- Has a history of acute or chronic pancreatitis.
- Has neuromuscular disorders associated with an elevated creatine kinase (eg, inflammatory myopathies, muscular dystrophy, amyotrophic lateral sclerosis, spinal muscular atrophy).
- Has clinically significant cardiovascular disease within 12 months from first dose of study intervention, including New York Heart Association Class III or IV congestive heart failure, unstable angina, myocardial infarction, cerebral vascular accident, or cardiac arrhythmia associated with hemodynamic instability.
- Has urine protein greater than or equal to 1g/24h.
- A woman of childbearing potential who has a positive urine/serum pregnancy test within 24/72 hours prior to the first dose of study intervention.
- Has received prior therapy with an anti-programmed cell death 1 (PD-1), anti-programmed death ligand 1 (PD-L1), or anti-programmed cell death ligand 2 (PD-L2), anti-lymphocyte activation gene 3 (LAG-3) antibody, with a tyrosine kinase inhibitor (TKI; eg, lenvatinib) other than rapidly accelerated fibrosarcoma (RAF) inhibitors (binimetinib is permitted if combined with a RAF inhibitor), or with an agent directed to another stimulatory or coinhibitory T-cell receptor (eg, cytotoxic T-lymphocyte-associated protein 4, OX-40, cluster of differentiation \[CD\] 137).
- Has previously received regorafenib or TAS-102.
- Has received prior systemic anticancer therapy including investigational agents within 28 days before randomization.
- Has received prior radiotherapy within 2 weeks of start of study intervention. 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-CNS disease.
- Has received a live or live-attenuated vaccine within 30 days before the first dose of study intervention.
- Has a known additional malignancy that is progressing or has required active treatment within the past 3 years.
- Has severe hypersensitivity (≥Grade 3) to pembrolizumab and/or any of its excipients.
- Has an active autoimmune disease that has required systemic treatment in past 2 years.
- +6 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (152)
Georgetown University Hospital ( Site 1148)
Washington D.C., District of Columbia, 20007, United States
Sibley Memorial Hospital ( Site 1143)
Washington D.C., District of Columbia, 20016, United States
Northwest Georgia Oncology Centers, a Service of Wellstar Cobb Hospital-Research ( Site 1118)
Marietta, Georgia, 30060, United States
Norton Cancer Institute ( Site 1139)
Louisville, Kentucky, 40217, United States
Rutgers Cancer Institute of New Jersey ( Site 1105)
New Brunswick, New Jersey, 08903, United States
Memorial Sloan Kettering Cancer Center ( Site 1703)
New York, New York, 10065, United States
Oregon Health & Science University ( Site 1141)
Portland, Oregon, 97239, United States
MUSC Hollings Cancer Center ( Site 1715)
Charleston, South Carolina, 29425, United States
The West Clinic, PLLC dba West Cancer Center ( Site 1149)
Germantown, Tennessee, 38138, United States
UT Southwestern Medical Center ( Site 1709)
Dallas, Texas, 75390-9063, United States
Intermountain Medical Center ( Site 1707)
Murray, Utah, 84107, United States
Inova Schar Cancer Institute ( Site 1130)
Fairfax, Virginia, 22031, United States
VCU Health Adult Outpatient Pavillion ( Site 1712)
Richmond, Virginia, 23219, United States
Blue Ridge Cancer Care ( Site 1718)
Roanoke, Virginia, 24014, United States
Seattle Cancer Care Alliance ( Site 1107)
Seattle, Washington, 98109, United States
Westmead Hospital ( Site 0057)
Westmead, New South Wales, 2145, Australia
Royal Brisbane and Women s Hospital ( Site 0058)
Herston, Queensland, 4029, Australia
Queen Elizabeth Hospital ( Site 0050)
Woodville South, South Australia, 5011, Australia
Frankston Hospital ( Site 0056)
Frankston, Victoria, 3199, Australia
Western Health-Sunshine & Footscray Hospitals ( Site 0052)
St Albans, Victoria, 3021, Australia
St John of God Subiaco Hospital ( Site 0051)
Perth, Western Australia, 6008, Australia
London Regional Cancer Program - London HSC ( Site 0154)
London, Ontario, N6A 5W9, Canada
The Ottawa Hospital ( Site 0151)
Ottawa, Ontario, K1H 8L6, Canada
Princess Margaret Cancer Centre-Division of Medical Oncology and Hematology ( Site 0155)
Toronto, Ontario, M5G 2M9, Canada
IC La Serena Research ( Site 0202)
La Serena, Coquimbo Region, 1720430, Chile
Clinica Puerto Montt ( Site 0211)
Port Montt, Los Lagos Region, 5500656, Chile
Fundacion Arturo Lopez Perez FALP ( Site 0208)
Santiago, Region M. de Santiago, 7500921, Chile
Oncovida ( Site 0209)
Santiago, Region M. de Santiago, 7510032, Chile
Clínica Vespucio ( Site 0205)
Santiago, Region M. de Santiago, 8241479, Chile
Pontificia Universidad Catolica de Chile ( Site 0206)
Santiago, Region M. de Santiago, 8330032, Chile
Bradfordhill ( Site 0200)
Santiago, Region M. de Santiago, 8420383, Chile
Centro Investigacion Cancer James Lind ( Site 0204)
Temuco, Región de la Araucanía, 4800827, Chile
The Second Affiliated Hospital of Anhui Medical University ( Site 1179)
Hefei, Anhui, 230601, China
Chongqing Cancer Hospital ( Site 1151)
Chongqing, Chongqing Municipality, 400030, China
Fujian Province Cancer Hospital ( Site 1178)
Fuzhou, Fujian, 350014, China
Sun Yat-Sen University Cancer Center ( Site 1150)
Guangzhou, Guangdong, 510060, China
Southern Medical University Nanfang Hospital ( Site 1154)
Guangzhou, Guangdong, 510515, China
The Sixth Affiliated Hospital of Sun Yat-sen University ( Site 1159)
Guangzhou, Guangdong, 510655, China
Guangxi Medical University Affiliated Tumor Hospital ( Site 1158)
Nanning, Guangxi, 531021, China
Hainan General Hospital ( Site 1177)
Haikou, Hainan, 570311, China
Wuhan Union Hospital Cancer Center ( Site 1162)
Wuhan, Hubei, 430022, China
Hubei Cancer Hospital ( Site 1152)
Wuhan, Hubei, 430079, China
Xiangya Hospital Central South University ( Site 1171)
Changsha, Hunan, 410008, China
Hunan Cancer Hospital ( Site 1174)
Changsha, Hunan, 410013, China
The Third Xiangya Hospital of Central South University ( Site 1175)
Changsha, Hunan, 410013, China
Changzhou Cancer Hospital-Department of Oncology ( Site 1183)
Changzhou, Jiangsu, 213000, China
Affiliated Hospital of Jiangnan University(Wuxi Fourth People's Hospital ) ( Site 1185)
Wuxi, Jiangsu, 214122, China
Jilin Cancer Hospital ( Site 1163)
Changchun, Jilin, 130012, China
Jinan Central Hospital ( Site 1167)
Jinan, Shandong, 250000, China
Shanghai Tenth People's Hospital ( Site 1170)
Shanghai, Shanghai Municipality, 200072, China
Fudan University Shanghai Cancer Center ( Site 1176)
Shanghai, Shanghai Municipality, 201321, China
West China Hospital Sichuan University ( Site 1172)
Chengdu, Sichuan, 332001, China
Tianjin Medical University Cancer Institute and Hospital ( Site 1161)
Tianjin, Tianjin Municipality, 300060, China
Yunnan Province Cancer Hospital-Colorectal surgery ( Site 1169)
Kunming, Yunnan, 650106, China
Zhejiang Cancer Hospital ( Site 1180)
Hangzhou, Zhejiang, 310005, China
Sir Run Run Shaw Hospital-Medical Oncology ( Site 1173)
Hangzhou, Zhejiang, 310018, China
Masarykuv onkologicky ustav ( Site 1203)
Brno, Brno-mesto, 656 53, Czechia
Fakultni nemocnice v Motole ( Site 1201)
Prague, Praha, Hlavni Mesto, 150 06, Czechia
Fakultni nemocnice Hradec Kralove ( Site 1207)
Hradec Králové, 500 05, Czechia
Fakultni nemocnice Olomouc ( Site 1204)
Olomouc, 779 00, Czechia
Fakultni nemocnice Kralovske Vinohrady ( Site 1208)
Prague, 100 34, Czechia
Fakultni Thomayerova nemocnice ( Site 1205)
Prague, 140 59, Czechia
Fakultni nemocnice Na Bulovce ( Site 1202)
Prague, 180 81, Czechia
CHU Bordeaux Haut-Leveque ( Site 0305)
Pessac, Gironde, 33604, France
CHU Hotel Dieu Nantes ( Site 0303)
Nantes, Pays de la Loire Region, 44093, France
Institut du Cancer Avignon-Provence ( Site 0306)
Avignon, Vaucluse, 84000, France
CHU Poitiers ( Site 0304)
Poitiers, Vienne, 86021, France
Hopital Europeen Georges Pompidou ( Site 0300)
Paris, 75015, France
LMU Klinikum Grosshadern der Universitaet Muenchen ( Site 1253)
Munich, Bavaria, 81377, Germany
Philipps-Universitaet Marburg. ( Site 1252)
Marburg, Hesse, 35043, Germany
Klinikum Wolfsburg ( Site 1256)
Wolfsburg, Lower Saxony, 38440, Germany
Johanniter Krankenhaus Bonn ( Site 1254)
Bonn, North Rhine-Westphalia, 53113, Germany
Kliniken Maria Hilf GmbH ( Site 1255)
Mönchengladbach, North Rhine-Westphalia, 41063, Germany
Universitätsklinikum Halle ( Site 1251)
Halle, Saxony-Anhalt, 06120, Germany
Katholisches Marienkrankenhaus gGmbH ( Site 1257)
Hamburg, 22087, Germany
Assuta Ashdod Public ( Site 0507)
Ashdod, 7747629, Israel
Rambam Health Care Campus-Oncology Division ( Site 0500)
Haifa, 3109601, Israel
Bnei Zion Medical Center ( Site 0506)
Haifa, 3339419, Israel
Hadassa Ein Karem Medical Center ( Site 0504)
Jerusalem, 9112001, Israel
Rabin Medical Center ( Site 0503)
Petah Tikva, 4941492, Israel
Chaim Sheba Medical Center ( Site 0501)
Ramat Gan, 5262000, Israel
Sourasky Medical Center ( Site 0502)
Tel Aviv, 6423906, Israel
Policlinico Gemelli di Roma ( Site 0552)
Roma, Abruzzo, 00168, Italy
IRCCS Casa Sollievo della Sofferenza ( Site 0554)
San Giovanni Rotondo, Foggia, 71013, Italy
Istituto Clinico Humanitas - Cancer Center ( Site 0555)
Rozzano, Milano, 20089, Italy
A.O. di Rilievo Nazionale e di alta Specializzazione Garibaldi ( Site 0553)
Catania, 95122, Italy
ASST Grande Ospedale Metropolitano Niguarda ( Site 0550)
Milan, 20162, Italy
Universita degli Studi della Campania Luigi Vanvitelli-UOC Oncoematologia ( Site 0556)
Napoli, 80131, Italy
National Cancer Center Hospital East ( Site 0600)
Kashiwa, Chiba, 277-8577, Japan
Kagawa University Hospital ( Site 0608)
Kita-gun, Kagawa-ken, 761-0793, Japan
Kindai University Hospital ( Site 0607)
Sayama, Osaka, 5898511, Japan
Saitama Prefectural Cancer Center ( Site 0603)
Kitaadachi-gun, Saitama, 362-0806, Japan
Shizuoka Cancer Center ( Site 0605)
Sunto-gun,, Shizuoka, 411-8777, Japan
National Hospital Organization Kyushu Cancer Center ( Site 0609)
Fukuoka, 811-1395, Japan
National Cancer Center Hospital ( Site 0601)
Tokyo, 104-0045, Japan
Japanese Foundation for Cancer Research ( Site 0602)
Tokyo, 135-8550, Japan
Pantai Hospital Kuala Lumpur ( Site 1303)
Bangsar, Kuala Lumpur, 59100, Malaysia
Institut Kanser Negara - National Cancer Institute ( Site 1302)
Putrajaya, Putrajaya, 62250, Malaysia
Beacon Hospital Sdn Bhd ( Site 1305)
Petaling Jaya, Selangor, 46050, Malaysia
University Malaya Medical Centre ( Site 1301)
Kuala Lumpur, 59100, Malaysia
Akershus universitetssykehus ( Site 1352)
Loerenskog, Akershus, 1478, Norway
St Olavs Hospital ( Site 1354)
Trondheim, Sor-Trondelag, 7030, Norway
Universitetssykehuset i Nord Norge. ( Site 1355)
Tromsø, Troms, 9019, Norway
Helse Bergen HF - Haukeland univeritetssykehus ( Site 1353)
Bergen, Vestfold, 5053, Norway
Oslo Universitetssykehus HF. Ulleval ( Site 1351)
Oslo, 0450, Norway
Republican Clinical Oncology Dispensary of Republic of Bashkortostan ( Site 0871)
Ufa, Baskortostan, Respublika, 450054, Russia
SRBHI of Kirov Region Center of Oncology and medical radiology ( Site 0854)
Kirov, Kirov Oblast, 105094, Russia
Main Military Clinical Hospital n.a. N.N.Burdenko ( Site 0870)
Moscow, Moscow, 105094, Russia
FSBI-FRCC of Special Types Med. Care and Technologies FMBA of Russia ( Site 0851)
Moscow, Moscow, 115682, Russia
City Hospital #40 ( Site 0853)
Saint Petersburg, Sankt-Peterburg, 197706, Russia
Clinical Research Center of specialized types medical care-Oncology ( Site 0860)
Saint Petersburg, Sankt-Peterburg, 197758, Russia
Tomsk National Research Medical Center of Russian Academy of Sciences ( Site 0872)
Tomsk, Tomsk Oblast, 634045, Russia
Yaroslavl Regional SBIH Clinical Oncology Hospital ( Site 0850)
Yaroslavl, Yaroslavl Oblast, 150054, Russia
SHBI "Leningrad Regional Clinical Oncology Dispensary n.a. L.D. Roman"-Clinical Trials Department (
Saint Petersburg, 188663, Russia
Cancer Care Langenhoven Drive Oncology Centre ( Site 1504)
Port Elizabeth, Eastern Cape, 6045, South Africa
Sandton Oncology Medical Group PTY LTD ( Site 1501)
Sandton, Gauteng, 2196, South Africa
Cape Town Oncology Trials Pty Ltd ( Site 1506)
Kraaifontein, Western Cape, 7570, South Africa
Cancercare Rondebosch Oncology ( Site 1509)
Rondebosch, Western Cape, 7700, South Africa
Asan Medical Center ( Site 0650)
Songpagu, Seoul, 05505, South Korea
Seoul National University Hospital ( Site 0653)
Seoul, 03080, South Korea
Severance Hospital ( Site 0652)
Seoul, 03722, South Korea
Samsung Medical Center ( Site 0651)
Seoul, 06351, South Korea
Hospital Universitari Vall d Hebron ( Site 0900)
Barcelona, 08035, Spain
Hospital Sant Pau i la Santa Creu ( Site 0905)
Barcelona, 08041, Spain
Hospital Clinico San Carlos ( Site 0902)
Madrid, 28040, Spain
Hospital Universitario 12 de Octubre ( Site 0901)
Madrid, 28041, Spain
Hospital Universitario Virgen Macarena ( Site 0906)
Seville, 41009, Spain
Chang Gung Medical Foundation - Kaohsiung ( Site 0956)
Kaohsiung City, Changhua, 833, Taiwan
China Medical University Hospital ( Site 0953)
Taichung, 40447, Taiwan
National Cheng Kung University Hospital ( Site 0955)
Tainan, 704, Taiwan
National Taiwan University Hospital ( Site 0950)
Taipei, 10048, Taiwan
Taipei Veterans General Hospital ( Site 0951)
Taipei, 11217, Taiwan
Chang Gung Medical Foundation. Linkou ( Site 0952)
Taoyuan District, 333, Taiwan
Baskent Universitesi Dr. Turgut Noyan Uygulama ve Arastirma Merkezi ( Site 1007)
Adana, 01120, Turkey (Türkiye)
Acibadem Adana Hastanesi ( Site 1008)
Adana, 01130, Turkey (Türkiye)
Gulhane Egitim ve Arastirma Hastanesi ( Site 1009)
Ankara, 06010, Turkey (Türkiye)
Hacettepe Universitesi Tip Fakultesi ( Site 1003)
Ankara, 06230, Turkey (Türkiye)
Ankara Sehir Hastanesi ( Site 1005)
Ankara, 06800, Turkey (Türkiye)
Antalya Egitim ve Arastirma Hastanesi ( Site 1010)
Antalya, 07100, Turkey (Türkiye)
Goztepe Prof.Dr. Suleyman Yalcin Sehir Hastanesi ( Site 1002)
Istanbul, 34722, Turkey (Türkiye)
Ege Universitesi Tip Fakultesi Hastanesi ( Site 1006)
Izmir, 35100, Turkey (Türkiye)
Municipal Non-Profit Enterprise City Clinical Hospital 4 of Dnipro City Council ( Site 1657)
Dnipro, Dnipropetrovsk Oblast, 49102, Ukraine
MI Precarpathian Clinical Oncology Center ( Site 1654)
Ivano-Frankivsk, Ivano-Frankivsk Oblast, 76018, Ukraine
Ukrainian Center of Tomotherapy ( Site 1658)
Kropyvnytskyi, Kirovohrad Oblast, 25011, Ukraine
Odessa Regional Clinical Hospital ( Site 1664)
Odesa, Odesa Oblast, 65025, Ukraine
University College London Hospitals NHS Foundation Trust ( Site 1056)
London, Camden, WC1E 6AG, United Kingdom
Royal Marsden NHS Foundation Trust ( Site 1064)
London, London, City of, SW3 6JJ, United Kingdom
Imperial College Healthcare NHS Trust - Hammersmith Hospital ( Site 1052)
London, London, City of, W12 0HS, United Kingdom
Royal Marsden NHS Trust ( Site 1063)
Sutton, London, City of, SM25PT, United Kingdom
University Hospital Coventry & Warwickshire ( Site 1062)
Coventry, Warwickshire, CV2 2DX, United Kingdom
Velindre Cancer Centre ( Site 1058)
Cardiff, United Kingdom
Leeds Teaching Hospitals NHS Trust ( Site 1050)
Leeds, LS9 7TF, United Kingdom
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 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Masking Details
- None (Open-label)
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 29, 2021
First Posted
October 1, 2021
Study Start
November 10, 2021
Primary Completion
August 15, 2024
Study Completion
February 21, 2025
Last Updated
September 17, 2025
Results First Posted
September 17, 2025
Record last verified: 2025-08
Data Sharing
- IPD Sharing
- Will share
https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf