Esophageal Squamous Cell CarcinomaPhase 1/2NCT05319730
A Study to Evaluate Investigational Agents With or Without Pembrolizumab (MK-3475) in Participants With Advanced Esophageal Cancer Previously Exposed to Programmed Cell Death 1 Protein (PD-1)/ Programmed Cell Death Ligand 1 (PD-L1) Treatment (MK-3475-06B)
A Phase 1/2 study testing Paclitaxel, Irinotecan and Pembrolizumab in people with Esophageal Squamous Cell Carcinoma, run by Merck Sharp & Dohme LLC at 58 sites in 14 countries.
Trial summary
This is a Phase 1/2, multicenter, randomized, open-label umbrella platform study to evaluate the safety and efficacy of investigational agents with or without pembrolizumab and/or chemotherapy, for the treatment of participants with second line (2L) esophageal squamous cell carcinoma (ESCC) who have previously been… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Esophageal Squamous Cell Carcinoma
- What is being tested?
- Paclitaxel, Irinotecan and Pembrolizumab
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 230 participants
- Where
- 58 sitesin 14 countries
- Study dates
- 16 May 2023to 10 Apr 2029
- Phase
- Phase 1/2
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologically or cytologically confirmed diagnosis of metastatic or locally advanced unresectable esophageal squamous cell carcinoma (ESCC)
- Has experienced investigator documented radiographic or clinical disease progression on one prior line of standard therapy, that includes a platinum agent and previous exposure to an anti-programmed cell death 1 (PD1)/programmed cell death ligand 1 (PD-L1) based immune oncology (IO) therapy
- Has provided an archival or most recent tumor tissue sample obtained as part of clinical practice
- Participants who have adverse events (AEs) due to previous anticancer therapies must have recovered to ≤Grade 1 or baseline. Participants with endocrine-related AEs who are adequately treated with hormone replacement or participants who have ≤Grade 2 neuropathy are eligible
Who cannot join
- Direct invasion into adjacent organs such as the aorta or trachea
- Has experienced weight loss >10% over approximately 2 months prior to first dose of study therapy
- Has history of documented severe dry eye syndrome, severe Meibomian gland disease and/or blepharitis, or severe corneal disease that prevents/delays corneal healing
- Has active inflammatory bowel disease requiring immunosuppressive medication or previous history of inflammatory bowel disease
- Has received an investigational agent or has used an investigational device within 4 weeks prior to study intervention administration
- Known additional malignancy that is progressing or has required active treatment within the past 3 years, except basal cell carcinoma of the skin, squamous cell carcinoma of the skin, or carcinoma in situ that has undergone potentially curative therapy
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- Known active central nervous system (CNS) metastases and/or carcinomatous meningitis
- Participants with human immunodeficiency virus (HIV) with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease
- History of allogenic tissue/solid organ transplant
- Clinically significant cardiovascular disease within 12 months from first dose of study intervention
- Has risk for significant gastrointestinal (GI) bleeding such as a serious nonhealing wound, peptic ulcer, or bone fracture within 28 days prior to allocation/randomization, significant bleeding disorders, vasculitis, or has had a significant bleeding episode from the GI tract within 12 weeks prior to allocation/randomization
Trial locations and contacts
58 sites in 14 countries. Contact the study team or a site near you to ask about taking part.
58 sites in 14 countries
China8 sites, 8 recruiting
- Recruiting
Beijing Cancer hospital-Digestive Oncology ( Site 3500)
Beijing, Beijing Municipality, 100142
Study Coordinator, 010-88121122
- Recruiting
Zhejiang Cancer Hospital-Thoracic oncology ( Site 3511)
Hangzhou, Zhejiang, 310022
Study Coordinator, 86 13858182310
- Recruiting
Anhui Provincial Hospital ( Site 3501)
Hefei, Anhui, 230001
Study Coordinator, +8613955195511
- Recruiting
First Huai'an Hospital Affiliated to Nanjing Medical University ( Site 3506)
Huai'an, Jiangsu, 223300
Study Coordinator, 0517-84992012
- Recruiting
Shanghai Chest Hospital-Esophageal surgery department ( Site 3513)
Shanghai, Shanghai Municipality, 200030
Study Coordinator, +86 21 22200000
- Recruiting
The First Affiliated Hospital of Xiamen University ( Site 3516)
Xiamen, Fujian, 361003
Study Coordinator, +865922139767
- Recruiting
The First Affiliated Hospital of Xinxiang Medical University-Oncology ( Site 3510)
Xinxiang, Henan, 453100
Study Coordinator, 8613663030446
- Recruiting
Henan Cancer Hospital ( Site 3518)
Zhengzhou, Henan, 450008
Study Coordinator, +8637165587625
Taiwan7 sites, 6 recruiting
- Recruiting
Chang Gung Memorial Hospital at Kaohsiung ( Site 4003)
Kaohsiung Niao Sung Dist, Kaohsiung, 83301
Study Coordinator, +88677317123x3267
- Recruiting
China Medical University Hospital ( Site 4007)
Taichung, 404332
Study Coordinator, +886975680932
- Recruiting
Taichung Veterans General Hospital-Radiation Oncology ( Site 4008)
Taichung, 407
Study Coordinator, +886423592525
- Completed
National Cheng Kung University Hospital ( Site 4001)
Tainan, 704
- Recruiting
National Taiwan University Hospital ( Site 4000)
Taipei, 10002
Study Coordinator, +886223123456
- Recruiting
Taipei Veterans General Hospital ( Site 4005)
Taipei, 112
Study Coordinator, +8862287121212573
- Recruiting
Chang Gung Medical Foundation-Linkou Branch ( Site 4006)
Taoyuan, 33305
Study Coordinator, +88633281200
Turkey (Türkiye)7 sites, 4 recruiting
- Recruiting
Adana Medical Park Seyhan Hastanesi-Medikal Onkoloji ( Site 3417)
Adana, 01140
Study Coordinator, 00902124444484
- Completed
Hacettepe Universite Hastaneleri-oncology hospital ( Site 3402)
Ankara, 06230
- Completed
Memorial Ankara Hastanesi-Medical Oncology ( Site 3408)
Ankara, 06520
- Recruiting
Ankara Bilkent City Hospital-Medical Oncology ( Site 3405)
Ankara, 06800
Study Coordinator, 90 312 552 60 00
- Recruiting
Atatürk Üniversitesi-onkoloji ( Site 3416)
Erzurum, 25070
Study Coordinator, +904423447232
- Recruiting
TC Saglik Bakanligi Goztepe Prof. Dr. Suleyman Yalcin Sehir Hastanesi-oncology ( Site 3403)
Istanbul, 34722
Study Coordinator, 00902166065200
- Completed
I.E.U. Medical Point Hastanesi-Oncology ( Site 3406)
Izmir, 35575
Italy6 sites, 5 recruiting
- Recruiting
IRCCS - Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori"-Oncologia Medica ( Site 3207)
Meldola, Emilia-Romagna, 47014
Study Coordinator, 0543739100
- Recruiting
Fondazione IRCCS Istituto Nazionale dei Tumori-Struttura Complessa Oncologia Medica 1 ( Site 3200)
Milan, Lombardy, 20133
Study Coordinator, 390223903835
- Recruiting
Ospedale San Raffaele-Oncologia Medica ( Site 3202)
Milan, 20132
Study Coordinator, +390226437615
- Completed
Istituto Europeo di Oncologia IRCCS-Divisione di Sviluppo di Nuovi Farmaci per Terapie Innovative ( Site 3201)
Milan, 20141
- Recruiting
Istituto Oncologico Veneto IRCCS-Oncologia Medica 1 ( Site 3203)
Padova, Veneto, 35128
Study Coordinator, 390498215910
- Recruiting
Azienda Ospedaliero Universitaria Pisana ( Site 3206)
Pisa, Tuscany, 56126
Study Coordinator, +39050992454
United States5 sites, 4 recruiting
- Recruiting
Hematology-Oncology Associates of Central NY, P.C. ( Site 4925)
East Syracuse, New York, 13057
Study Coordinator, 315-472-7504
- Recruiting
UCLA Hematology/Oncology - Santa Monica ( Site 4905)
Los Angeles, California, 90404
Study Coordinator, 310-570-1453
- Completed
Columbia University Irving Medical Center-CUIMC Herbert Irving Comprehensive Cancer Center Clinical ( Site 4907)
New York, New York, 10032
- Recruiting
UPMC Hillman Cancer Center-UPMC ( Site 4904)
Pittsburgh, Pennsylvania, 15232
Study Coordinator, 816-898-9413
- Recruiting
University of Arizona Cancer Center-University of Arizona Cancer Center ( Site 4927)
Tucson, Arizona, 85719
Study Coordinator, 520-621-2449
Japan5 sites, 5 recruiting
- Recruiting
National Cancer Center Hospital ( Site 3700)
Chuo-ku, Tokyo, 104-0045
Study Coordinator, +81-3-3542-2511
- Recruiting
National Cancer Center Hospital East ( Site 3701)
Kashiwa, Chiba, 277-8577
Study Coordinator, +81-4-7133-1111
- Recruiting
Saitama Prefectural Cancer Center ( Site 3703)
Kitaadachi-gun, Saitama, 3620806
Study Coordinator, +81-48-722-1111
- Recruiting
Shizuoka Cancer Center ( Site 3704)
Nagaizumi-cho,Sunto-gun, Shizuoka, 411-8777
Study Coordinator, +81-55-989-5222
- Recruiting
Aichi Cancer Center ( Site 3702)
Nagoya, Aichi-ken, 464-8681
Study Coordinator, +81-52-762-6111
Chile4 sites, 3 recruiting
- Recruiting
FALP-UIDO ( Site 4400)
Santiago, Region M. de Santiago, 7500921
Study Coordinator, 56224205098
- Recruiting
Centro de Oncología de Precisión-Oncology ( Site 4404)
Santiago, Region M. de Santiago, 7560908
Study Coordinator, +56225189885
- Completed
Clínica las Condes ( Site 4403)
Santiago, Region M. de Santiago, 7591047
- Recruiting
Clínica UC San Carlos de Apoquindo ( Site 4405)
Santiago, Region M. de Santiago, 7620002
Study Coordinator, +56934271024
Germany4 sites, 1 recruiting
- Completed
Charité Campus Virchow-Klinikum-Klinik Hämatologie Onkologie Tumorimmunologie ( Site 4804)
Berlin, 13353
- Completed
Universitaetsklinikum Duesseldorf ( Site 4802)
Düsseldorf, North Rhine-Westphalia, 40225
- Recruiting
HOPE Hamburg/Norddeutsches Studienzentrum fuer Innovative Onkologie ( Site 4807)
Erdgeschoss, Free and Hanseatic City of Hamburg, 22297
Study Coordinator, + 4940360352246
- Completed
Institut für Klinisch Onkologische Forschung-Klink für Onkologie und Hämatologie ( Site 4801)
Frankfurt am Main, Hesse, 60488
Brazil3 sites, 3 recruiting
- Recruiting
Liga Norte Riograndense Contra o Câncer ( Site 4303)
Natal, Rio Grande do Norte, 59062-000
Study Coordinator, +55 84 4009-5595
- Recruiting
Hospital Nossa Senhora da Conceição ( Site 4301)
Porto Alegre, Rio Grande do Sul, 91350-200
Study Coordinator, +5551985833768
- Recruiting
ICESP - INSTITUTO DO CÂNCER DO ESTADO DE SÃO PAULO ( Site 4300)
São Paulo, 01246-000
Study Coordinator, +551138934656
Thailand3 sites, 3 recruiting
- Recruiting
Faculty of Medicine Siriraj Hospital ( Site 4102)
Bangkoknoi, Bangkok, 10700
Study Coordinator, +6624194488
- Recruiting
Songklanagarind hospital ( Site 4105)
Hat Yai, Changwat Songkhla, 90110
Study Coordinator, +6674451469
- Recruiting
Chulalongkorn University ( Site 4104)
Pathumwan, Bangkok, 10330
Study Coordinator, +ุ6622564533
South Korea2 sites, 2 recruiting
- Recruiting
Asan Medical Center-Department of Oncology ( Site 3901)
Seoul, 05505
Study Coordinator, +82230107179
- Recruiting
Samsung Medical Center-Division of Hematology/Oncology ( Site 3900)
Seoul, 06351
Study Coordinator, +82234106518
Switzerland2 sites, 2 recruiting
- Recruiting
Kantonsspital Graubünden-Medizin ( Site 4700)
Chur, Kanton Graubünden, 7000
Study Coordinator, +41 81 256 61 11
- Recruiting
Hôpitaux Universitaires de Genève (HUG) ( Site 4702)
Geneva, Canton of Geneva, 1211
Study Coordinator, +41 22 372 29 01
Norway1 site, 1 recruiting
- Recruiting
Oslo universitetssykehus, Radiumhospitalet ( Site 4501)
Oslo, 0379
Study Coordinator, 4723026600
Singapore1 site, 1 recruiting
- Recruiting
National University Hospital ( Site 3800)
Singapore, South West, 119074
Study Coordinator, +65 6908 2222
About this study
Official title: A Phase 1/2 Open-Label, Umbrella Platform Design Study of Investigational Agents With or Without Pembrolizumab (MK-3475) and/or Chemotherapy in Participants With Advanced Esophageal Cancer Previously Exposed to PD-1/PD-L1 Treatment (KEYMAKER-U06): Substudy 06B
This is a Phase 1/2, multicenter, randomized, open-label umbrella platform study to evaluate the safety and efficacy of investigational agents with or without pembrolizumab and/or chemotherapy, for the treatment of participants with second line (2L) esophageal squamous cell carcinoma (ESCC) who have previously been exposed to PD-1/PD-L1 based treatment.
Read the detailed description
The master protocol is MK-3475-U06.
As of Protocol Amendment 5, the Pembrolizumab Plus MK-4830 Plus Paclitaxel/Irinotecan arm and the Pembrolizumab Plus MK-4830 Plus Lenvatinib arm are no longer actively enrolling participants.
- Conditions
- Esophageal Squamous Cell Carcinoma
- Being tested
- Paclitaxel, Irinotecan, Pembrolizumab, MK-4830, Lenvatinib
- Keywords
- Esophageal cancer, Programmed Cell Death 1 (PD1, PD-1), Programmed Cell Death 1 Ligand 1 (PDL-1, PD-L1), Programmed Cell Death 1 Ligand 2 (PDL-2, PD-L2)
- Medical subject headings
- Esophageal Squamous Cell Carcinoma, Esophageal Neoplasms, Parkinson Disease 4, Autosomal Dominant Lewy Body
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PaclitaxelDrug
80-100 mg/m^2 IV infusion, administered on days 1, 8, and 15 of every 28-day cycle.
IrinotecanDrug
180 mg/m^2 IV infusion, administered on day 1 of every 14-day cycle.
PembrolizumabBiological
Also called MK-3475, KEYTRUDA®
200 mg IV infusion, administered every Q3W up to 35 infusions.
MK-4830Biological
Also called anti-immunoglobulin-like transcript 4 (anti-ILT4)
800 mg IV infusion, administered Q3W up to 35 infusions.
LenvatinibDrug
Also called MK-7902, LENVIMA®
20 mg oral administration every day.
Sacituzumab tirumotecanBiological
Also called SKB264, MK-2870, sac-TMT
4 mg/kg or 5 mg/kg IV infusion on Days 1, 15, and 29 of each 42-day cycle.
AntihistamineDrug
Administered per product label.
H2 Receptor AntagonistDrug
Administered per product label.
Acetaminophen (or equivalent)Drug
Administered per product label.
Dexamethasone (or equivalent)Drug
Administered per product label.
Steroid Mouthwash (dexamethasone or equivalent)Drug
Administered per product label.
Supportive care measuresDrug
Participants are allowed to take supportive care measures for the management of adverse events associated with study intervention at the discretion of the investigator. Artificial tear drops or ointment may be given as a supportive care for Ocular Surface Toxicity.
| Study group | Role | What they receive |
|---|---|---|
| Paclitaxel or irinotecan | Active comparator | Participants receive paclitaxel 80-100 mg/m^2 intravenously (IV) on Days 1, 8, and 15 every 28-day cycle until progressive disease (PD) or discontinuation, or irinotecan 180 mg/m^2 IV on day 1 of every 14-day cycle until PD or discontinuation. Receives: Drug: Paclitaxel; Drug: Irinotecan |
| Pembrolizumab + MK-4830 + paclitaxel or irinotecan | Experimental | Participants receive pembrolizumab 200 mg IV once every 3 weeks (Q3W) for up to 35 cycles (cycle=21 days) or until PD or discontinuation + MK-4830 800 mg IV Q3W up to 35 infusions + paclitaxel 80-100 mg/m^2 IV on Days 1, 8, and 15 every 28-day cycle until PD or discontinuation or irinotecan 180 mg/m^2 180 mg/m^2 on day 1 every 14-day cycle until PD or discontinuation. Receives: Drug: Paclitaxel; Drug: Irinotecan; Biological: Pembrolizumab; Biological: MK-4830 |
| Pembrolizumab + MK-4830 + lenvatinib | Experimental | Participants receive pembrolizumab 200 mg IV Q3W up to 35 cycles (cycle=21 days) until PD or discontinuation + MK-4830 800 mg IV Q3W up to 35 infusions + lenvatinib 20 mg oral administration every day until PD or discontinuation. Receives: Biological: Pembrolizumab; Biological: MK-4830; Drug: Lenvatinib |
| Sacituzumab tirumotecan 4 mg/kg | Experimental | Participants will receive 4 mg/kg of sacituzumab tirumotecan via IV infusion on Days 1, 15, and 29 of each 42-day cycle until discontinuation. Receives: Biological: Sacituzumab tirumotecan; Drug: Antihistamine; Drug: H2 Receptor Antagonist; Drug: Acetaminophen (or equivalent); Drug: Dexamethasone (or equivalent); Drug: Steroid Mouthwash (dexamethasone or equivalent); Drug: Supportive care measures |
| Sacituzumab tirumotecan 5 mg/kg | Experimental | Participants will receive 5 mg/kg of sacituzumab tirumotecan via IV infusion on Days 1, 15, and 29 of each 42-day cycle until discontinuation. Receives: Biological: Sacituzumab tirumotecan; Drug: Antihistamine; Drug: H2 Receptor Antagonist; Drug: Acetaminophen (or equivalent); Drug: Dexamethasone (or equivalent); Drug: Steroid Mouthwash (dexamethasone or equivalent); Drug: Supportive care measures |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants Experiencing Dose-Limiting Toxicities (DLTs) During Safety Lead-in Phase
A DLT is defined as any drug-related AE according to the National Cancer Institute Common Terminology for Adverse Events (NCI CTCAE) Version 5.0, observed during the DLT evaluation period that results in a change to a given dose or a delay in initiating the next cycle.
Measured: Up to approximately 3 weeks
Number of Participants Who Experienced an Adverse Event (AE) During Safety Lead-in Phase
An AE is 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.
Measured: Up to approximately 3 weeks
Number of Participants Who Discontinue Study Treatment Due to an AE During Safety Lead-in Phase
An AE is defined as 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 who discontinue study treatment due to an AE will be presented.
Measured: Up to approximately 3 weeks
Objective Response Rate (ORR)
ORR is defined as the percentage of participants with 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) per Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST 1.1). The percentage of participants who experience CR or PR as assessed by Blinded Independent Central Review (BICR) will be presented.
Measured: Up to approximately 48 months
Secondary outcomes (5)
Progression-Free Survival (PFS)
PFS is defined as the time from allocation to the first documented progressive disease (PD) as assessed by RECIST 1.1 or death due to any cause, whichever occurs first. PD is 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. The appearance of one or more new lesions is also considered PD. PFS as assessed by BICR will be presented.
Measured: Up to approximately 70 months
Duration of Response (DOR)
For participants who demonstrate a confirmed 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) per RECIST 1.1, DOR is defined as the time from first documented evidence of CR or PR until progressive disease (PD) or death. Per RECIST 1.1, 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. DOR as assessed by BICR will be presented.
Measured: Up to approximately 70 months
Overall Survival (OS)
OS is defined as the time from the date of allocation to death from any cause.
Measured: Up to approximately 70 months
Number of Participants Experiencing at Least One Adverse Event (AE) During the Efficacy Phase
An AE is 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.
Measured: Up to approximately 70 months
Number of Participants Who Discontinue Study Treatment Due to An AE During the Efficacy Phase
An AE is 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.
Measured: Up to approximately 70 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Apr 2022
- Study start16 May 2023
- Primary completion11 Jun 2027 (estimated)
- Study completion10 Apr 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Esophageal Squamous Cell CarcinomaStudies of the same condition, open and under way.
- More trials run by Merck Sharp & Dohme LLCThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1/2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 230 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Merck Sharp & Dohme LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Merck Sharp & Dohme LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05319730
- Sponsor's protocol ID
- 3475-06B
- Other IDs
- jRCT2031220582, 2023-505189-26-00, U1111-1291-1987, MK-3475-06B, KEYMAKER-U06B, 2021-005443-76, 2023
- Status last verified
- Oct 2026
- First submitted
- 1 Apr 2022
- Last updated
- 7 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf
Study at a glance
From the registry record, last updated by the sponsor on 7 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1/2 Open-Label, Umbrella Platform Design Study of Investigational Agents With or Without Pembrolizumab (MK-3475) and/or Chemotherapy in Participants With Advanced Esophageal Cancer Previously Exposed to PD-1/PD-L1 Treatment (KEYMAKER-U06): Substudy 06B
- ClinicalTrials.gov ID
- NCT05319730
- Acronym / sponsor ID
- 3475-06B
- Conditions
- Esophageal Squamous Cell Carcinoma
- Keywords
- Esophageal cancer, Programmed Cell Death 1 (PD1, PD-1), Programmed Cell Death 1 Ligand 1 (PDL-1, PD-L1), Programmed Cell Death 1 Ligand 2 (PDL-2, PD-L2)
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 230 participants (estimated)
- Lead sponsor
- Merck Sharp & Dohme LLCIndustry (pharma, biotech, devices)
- Study start
- 16 May 2023 (actual)
- Primary completion
- 11 Jun 2027 (estimated)
- Study completion
- 10 Apr 2029 (estimated)
- First posted
- 8 Apr 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a Phase 1/2, multicenter, randomized, open-label umbrella platform study to evaluate the safety and efficacy of investigational agents with or without pembrolizumab and/or chemotherapy, for the treatment of participants with second line (2L) esophageal squamous cell carcinoma (ESCC) who have previously been exposed to PD-1/PD-L1 based treatment.
Detailed description
The master protocol is MK-3475-U06.
As of Protocol Amendment 5, the Pembrolizumab Plus MK-4830 Plus Paclitaxel/Irinotecan arm and the Pembrolizumab Plus MK-4830 Plus Lenvatinib arm are no longer actively enrolling participants.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| Paclitaxel or irinotecan | Active comparator | Drug: Paclitaxel, Drug: IrinotecanParticipants receive paclitaxel 80-100 mg/m^2 intravenously (IV) on Days 1, 8, and 15 every 28-day cycle until progressive disease (PD) or discontinuation, or irinotecan 180 mg/m^2 IV on day 1 of every 14-day cycle until PD or discontinuation. |
| Pembrolizumab + MK-4830 + paclitaxel or irinotecan | Experimental | Drug: Paclitaxel, Drug: Irinotecan, Biological: Pembrolizumab, Biological: MK-4830Participants receive pembrolizumab 200 mg IV once every 3 weeks (Q3W) for up to 35 cycles (cycle=21 days) or until PD or discontinuation + MK-4830 800 mg IV Q3W up to 35 infusions + paclitaxel 80-100 mg/m^2 IV on Days 1, 8, and 15 every 28-day cycle until PD or discontinuation or irinotecan 180 mg/m^2 180 mg/m^2 on day 1 every 14-day cycle until PD or discontinuation. |
| Pembrolizumab + MK-4830 + lenvatinib | Experimental | Biological: Pembrolizumab, Biological: MK-4830, Drug: LenvatinibParticipants receive pembrolizumab 200 mg IV Q3W up to 35 cycles (cycle=21 days) until PD or discontinuation + MK-4830 800 mg IV Q3W up to 35 infusions + lenvatinib 20 mg oral administration every day until PD or discontinuation. |
| Sacituzumab tirumotecan 4 mg/kg | Experimental | Biological: Sacituzumab tirumotecan, Drug: Antihistamine, Drug: H2 Receptor Antagonist, Drug: Acetaminophen (or equivalent), Drug: Dexamethasone (or equivalent), Drug: Steroid Mouthwash (dexamethasone or equivalent), Drug: Supportive care measuresParticipants will receive 4 mg/kg of sacituzumab tirumotecan via IV infusion on Days 1, 15, and 29 of each 42-day cycle until discontinuation. |
| Sacituzumab tirumotecan 5 mg/kg | Experimental | Biological: Sacituzumab tirumotecan, Drug: Antihistamine, Drug: H2 Receptor Antagonist, Drug: Acetaminophen (or equivalent), Drug: Dexamethasone (or equivalent), Drug: Steroid Mouthwash (dexamethasone or equivalent), Drug: Supportive care measuresParticipants will receive 5 mg/kg of sacituzumab tirumotecan via IV infusion on Days 1, 15, and 29 of each 42-day cycle until discontinuation. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Histologically or cytologically confirmed diagnosis of metastatic or locally advanced unresectable esophageal squamous cell carcinoma (ESCC)
- Has experienced investigator documented radiographic or clinical disease progression on one prior line of standard therapy, that includes a platinum agent and previous exposure to an anti-programmed cell death 1 (PD1)/programmed cell death ligand 1 (PD-L1) based immune oncology (IO) therapy
- Has provided an archival or most recent tumor tissue sample obtained as part of clinical practice
- Participants who have adverse events (AEs) due to previous anticancer therapies must have recovered to ≤Grade 1 or baseline. Participants with endocrine-related AEs who are adequately treated with hormone replacement or participants who have ≤Grade 2 neuropathy are eligible
Key exclusion criteria (11 listed)
- Direct invasion into adjacent organs such as the aorta or trachea
- Has experienced weight loss >10% over approximately 2 months prior to first dose of study therapy
- Has history of documented severe dry eye syndrome, severe Meibomian gland disease and/or blepharitis, or severe corneal disease that prevents/delays corneal healing
- Has active inflammatory bowel disease requiring immunosuppressive medication or previous history of inflammatory bowel disease
- Has received an investigational agent or has used an investigational device within 4 weeks prior to study intervention administration
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Paclitaxel80-100 mg/m^2 IV infusion, administered on days 1, 8, and 15 of every 28-day cycle. | Drug | Paclitaxel or irinotecan, Pembrolizumab + MK-4830 + paclitaxel or irinotecan |
| Irinotecan180 mg/m^2 IV infusion, administered on day 1 of every 14-day cycle. | Drug | Paclitaxel or irinotecan, Pembrolizumab + MK-4830 + paclitaxel or irinotecan |
| PembrolizumabAlso: MK-3475, KEYTRUDA®200 mg IV infusion, administered every Q3W up to 35 infusions. | Biological | Pembrolizumab + MK-4830 + lenvatinib, Pembrolizumab + MK-4830 + paclitaxel or irinotecan |
| MK-4830Also: anti-immunoglobulin-like transcript 4 (anti-ILT4)800 mg IV infusion, administered Q3W up to 35 infusions. | Biological | Pembrolizumab + MK-4830 + lenvatinib, Pembrolizumab + MK-4830 + paclitaxel or irinotecan |
| LenvatinibAlso: MK-7902, LENVIMA®20 mg oral administration every day. | Drug | Pembrolizumab + MK-4830 + lenvatinib |
| Sacituzumab tirumotecanAlso: SKB264, MK-2870, sac-TMT4 mg/kg or 5 mg/kg IV infusion on Days 1, 15, and 29 of each 42-day cycle. | Biological | Sacituzumab tirumotecan 4 mg/kg, Sacituzumab tirumotecan 5 mg/kg |
| AntihistamineAdministered per product label. | Drug | Sacituzumab tirumotecan 4 mg/kg, Sacituzumab tirumotecan 5 mg/kg |
| H2 Receptor AntagonistAdministered per product label. | Drug | Sacituzumab tirumotecan 4 mg/kg, Sacituzumab tirumotecan 5 mg/kg |
| Acetaminophen (or equivalent)Administered per product label. | Drug | Sacituzumab tirumotecan 4 mg/kg, Sacituzumab tirumotecan 5 mg/kg |
| Dexamethasone (or equivalent)Administered per product label. | Drug | Sacituzumab tirumotecan 4 mg/kg, Sacituzumab tirumotecan 5 mg/kg |
| Steroid Mouthwash (dexamethasone or equivalent)Administered per product label. | Drug | Sacituzumab tirumotecan 4 mg/kg, Sacituzumab tirumotecan 5 mg/kg |
| Supportive care measuresParticipants are allowed to take supportive care measures for the management of adverse events associated with study intervention at the discretion of the investigator. Artificial tear drops or ointment may be given as a supportive care for Ocular Surface Toxicity. | Drug | Sacituzumab tirumotecan 4 mg/kg, Sacituzumab tirumotecan 5 mg/kg |
Primary outcome
Number of Participants Experiencing Dose-Limiting Toxicities (DLTs) During Safety Lead-in Phase
Time frame: Up to approximately 3 weeks
A DLT is defined as any drug-related AE according to the National Cancer Institute Common Terminology for Adverse Events (NCI CTCAE) Version 5.0, observed during the DLT evaluation period that results in a change to a given dose or a delay in initiating the next cycle.
Number of Participants Who Experienced an Adverse Event (AE) During Safety Lead-in Phase
Time frame: Up to approximately 3 weeks
An AE is 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.
Number of Participants Who Discontinue Study Treatment Due to an AE During Safety Lead-in Phase
Time frame: Up to approximately 3 weeks
An AE is defined as 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 who discontinue study treatment due to an AE will be presented.
Objective Response Rate (ORR)
Time frame: Up to approximately 48 months
ORR is defined as the percentage of participants with 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) per Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST 1.1). The percentage of participants who experience CR or PR as assessed by Blinded Independent Central Review (BICR) will be presented.
5 secondary outcomes
Progression-Free Survival (PFS)
Time frame: Up to approximately 70 months
Duration of Response (DOR)
Time frame: Up to approximately 70 months
Overall Survival (OS)
Time frame: Up to approximately 70 months
Number of Participants Experiencing at Least One Adverse Event (AE) During the Efficacy Phase
Time frame: Up to approximately 70 months
Number of Participants Who Discontinue Study Treatment Due to An AE During the Efficacy Phase
Time frame: Up to approximately 70 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Oct 2026.
- Merck Clinical Trials InformationLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Medical Director study director
Merck Sharp & Dohme LLC
58 sites in 14 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing Paclitaxel, Irinotecan and Pembrolizumab in people with Esophageal Squamous Cell Carcinoma, run by Merck Sharp & Dohme LLC at 58 sites in 14 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 7 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 58 sites in China, Taiwan, Turkey (Türkiye), Italy, United States and 9 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Toll Free Number (1-888-577-8839, Trialsites@msd.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of Participants Experiencing Dose-Limiting Toxicities (DLTs) During Safety Lead-in Phase (time frame: Up to approximately 3 weeks). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Oct 2026.