Pembrolizumab Plus Lenvatinib In Second Line and Third Line Malignant Pleural mesotheLioma Patients (PEMMELA)
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ClinicalTrials.gov Identifier: NCT04287829 |
Recruitment Status :
Recruiting
First Posted : February 27, 2020
Last Update Posted : January 17, 2023
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Sponsor:
The Netherlands Cancer Institute
Collaborator:
Merck Sharp & Dohme LLC
Information provided by (Responsible Party):
The Netherlands Cancer Institute
Tracking Information | |||||||||
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First Submitted Date ICMJE | November 15, 2019 | ||||||||
First Posted Date ICMJE | February 27, 2020 | ||||||||
Last Update Posted Date | January 17, 2023 | ||||||||
Actual Study Start Date ICMJE | March 1, 2021 | ||||||||
Estimated Primary Completion Date | December 5, 2024 (Final data collection date for primary outcome measure) | ||||||||
Current Primary Outcome Measures ICMJE |
Objective response rate defined by Modified RECIST 1.1 criteria for pleural mesothelioma [ Time Frame: Through study completion, an average of 1 year ] Complete response and partial response
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Original Primary Outcome Measures ICMJE |
Objective response rate defined by Modified (i)RECIST criteria for pleural mesothelioma [ Time Frame: Through study completion, an average of 1 year ] Complete response and partial response
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Change History | |||||||||
Current Secondary Outcome Measures ICMJE |
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Original Secondary Outcome Measures ICMJE | Same as current | ||||||||
Current Other Pre-specified Outcome Measures |
Immunological status [ Time Frame: before study and after 6 weeks of treatment ] The immunological status in the tumors before study and after 6 weeks of treatment with pembrolizumab +lenvatinib. This research will include PD-L1 status, mutational load and other potential biomarkers (e.g. micro vessel density count).
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Original Other Pre-specified Outcome Measures | Same as current | ||||||||
Descriptive Information | |||||||||
Brief Title ICMJE | Pembrolizumab Plus Lenvatinib In Second Line and Third Line Malignant Pleural mesotheLioma Patients | ||||||||
Official Title ICMJE | PEMbrolizumab Plus Lenvatinib In Second Line And Third Line Malignant Pleural MEsotheLiomA Patients(PEMMELA) | ||||||||
Brief Summary | There is no standard second line treatment in malignant pleural mesothelioma (MPM). Pembrolizumab has shown to be active in in small phase II studies in MPM. Its activity however, is limited, with a response rate up to 20%. Since the arrival of nivolumab plus ipilimumab as first line standard of care treatment in mesothelioma, no treatment options are investigated in this group of patients in the second line. So, there is a need for new treatment combinations with drugs that might exhibit a synergistic interaction with pembrolizumab. | ||||||||
Detailed Description | There is no standard second line treatment in malignant pleural mesothelioma (MPM). Pembrolizumab has shown to be active in in small phase II studies in MPM. Its activity however, is limited, with a response rate up to 20%. So, there is a need for new treatment combinations with drugs that might exhibit a synergistic interaction with pembrolizumab. The mechanisms of actions of lenvatinib, which has a broad spectrum of activities, predicts many synergistic interactions with PD-1 blocking. The aim of this study is to characterize the potential clinical activity, toxicity and biomarkers of outcome of pembrolizumab - lenvatinib in patients with recurrent MPM. | ||||||||
Study Type ICMJE | Interventional | ||||||||
Study Phase ICMJE | Phase 2 | ||||||||
Study Design ICMJE | Allocation: N/A Intervention Model: Single Group Assignment Masking: None (Open Label) Primary Purpose: Treatment |
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Condition ICMJE | Mesotheliomas Pleural | ||||||||
Intervention ICMJE |
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Study Arms ICMJE | Experimental: pembrolizumab and lenvatinib
Patients will receive pembrolizumab 200mg/iv (fixed dose) every 3 weeks and lenvatinib 20mg QD in a three weekly cycle. Treatment continues until disease progression by modified RECIST 1.1 for MPM, severe toxicity, serious intercurrent illness, patient request for discontinuation, need or use for any other anti-cancer agent other than protocol treatment, except for palliative radiotherapy, for a maximum period of 35 cycles Interventions:
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Publications * | Not Provided | ||||||||
* Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline. |
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Recruitment Information | |||||||||
Recruitment Status ICMJE | Recruiting | ||||||||
Estimated Enrollment ICMJE |
58 | ||||||||
Original Estimated Enrollment ICMJE |
36 | ||||||||
Estimated Study Completion Date ICMJE | December 5, 2024 | ||||||||
Estimated Primary Completion Date | December 5, 2024 (Final data collection date for primary outcome measure) | ||||||||
Eligibility Criteria ICMJE | Inclusion Criteria:
Exclusion Criteria:
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Sex/Gender ICMJE |
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Ages ICMJE | 18 Years and older (Adult, Older Adult) | ||||||||
Accepts Healthy Volunteers ICMJE | No | ||||||||
Contacts ICMJE |
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Listed Location Countries ICMJE | Netherlands | ||||||||
Removed Location Countries | |||||||||
Administrative Information | |||||||||
NCT Number ICMJE | NCT04287829 | ||||||||
Other Study ID Numbers ICMJE | N19PEM | ||||||||
Has Data Monitoring Committee | No | ||||||||
U.S. FDA-regulated Product |
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IPD Sharing Statement ICMJE |
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Current Responsible Party | The Netherlands Cancer Institute | ||||||||
Original Responsible Party | Same as current | ||||||||
Current Study Sponsor ICMJE | The Netherlands Cancer Institute | ||||||||
Original Study Sponsor ICMJE | Same as current | ||||||||
Collaborators ICMJE | Merck Sharp & Dohme LLC | ||||||||
Investigators ICMJE |
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PRS Account | The Netherlands Cancer Institute | ||||||||
Verification Date | September 2022 | ||||||||
ICMJE Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP |