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Pembrolizumab Combinations for Small Cell Lung Cancer
Study Summary
This trial will study the safety and efficacy of pembrolizumab in combination with investigational agents in people with anti-PD-1/PD-L1 refractory ES-SCLC who need second-line treatment. The trial will have two parts: a safety lead-in to determine safety and tolerability for experimental combinations of investigational agents without an established recommended phase 2 dose (RP2D), and an efficacy evaluation.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowTimeline
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Trial Design
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Who is running the clinical trial?
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- I have provided a sample of my tumor that has not been treated with radiation.You are expected to live for more than 3 months.I haven't had cancer treatment or experimental drugs in the last 4 weeks.I have not had a serious wound, ulcer, or bone fracture that hasn't healed in the last 28 days.I have an autoimmune disease but haven't needed strong medication for it in the last 2 years, except for basic hormone replacements.My small cell lung cancer worsened after initial chemotherapy and immunotherapy.I have not had any major bleeding or blood clot events in the last 3 months.My scans show my tumor is affecting major blood vessels or has hollow areas.I am a man and will not have unprotected sex or will use contraception during and for 7 days after my treatment, unless I'm receiving specific immunotherapies.I am currently being treated for an infection.I have an immune system disorder or have been on high-dose steroids or other immune-weakening medicines recently.I have brain metastases but am stable and either treated or untreated but asymptomatic.I have another cancer that is getting worse or was treated in the last 3 years.I was taken off a PD-1/L1 inhibitor due to side effects.I've had lung radiation of more than 30 Gray in the last 6 months.I have fluid buildup in my abdomen, chest, or around my heart.My small cell lung cancer worsened after treatment with a PD-1/PD-L1 inhibitor.My cancer can be measured by scans.I have or had lung inflammation that needed steroids.I had a gastrointestinal perforation less than 6 months ago.I have been diagnosed with HIV.I have received an organ or tissue transplant from another person.My small cell lung cancer diagnosis is confirmed and I need second-line therapy.I have a history of or currently have a neurological disorder related to cancer.I am not pregnant, breastfeeding, and if able to bear children, I am using birth control or abstaining from sex.I haven't had serious heart problems or major blood clot events in the last year.I had radiotherapy less than 2 weeks before starting the study treatment.I have a condition that affects how my body absorbs medication taken by mouth.I have a severe fistula.My small cell lung cancer is at stage IV.I have not had a live vaccine in the last 30 days.I have a history of inflammatory bowel disease.I have not had major surgery in the last 3 weeks.I have coughed up bright red blood recently.You currently have active hepatitis B or C.You've had a very bad allergic reaction to the study drug or any of its ingredients.I am Hepatitis B positive but have been on HBV antiviral therapy for over 4 weeks with an undetectable viral load.I will not breastfeed during the treatment and for 4 months after, or 1 week after taking lenvatinib, whichever is later.I am fully active or restricted in physically strenuous activity but can do light work.I had Hepatitis C but my viral load is now undetectable.I have had one treatment for small cell lung cancer.I have been treated with specific immune or targeted cancer therapies before.My blood pressure is ≤150/90 mm Hg and stable for the last week.
- Group 1: Coformulation Pembrolizumab/Quavonlimab
- Group 2: Coformulation Pembrolizumab/Quavonlimab + Lenvatinib
- Group 3: Coformulation Pembrolizumab/Quavonlimab + MK-4830
- Group 4: Coformulation Favezelimab/Pembrolizumab
- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
Frequently Asked Questions
Is this experiment still accessible to participants?
"Per the available records on clinicaltrials.gov, this study is presently recruiting participants; it was first published on August 19th 2021 and most recently updated November 23rd 2022."
What is the estimated enrollment for this experiment?
"This trial necessitates 80 candidates that match the prerequisites for inclusion. Richmond's Virginia Cancer Institute (Site 0169) and Atlanta's Georgia Cancer Specialists ( Site 0156) are two potential locations for participation."
What medical conditions can be addressed with the coformulation of favezelimab and pembrolizumab?
"Coformulation favezelimab/pembrolizumab can be used to treat individuals with unresectable melanoma, microsatellite instability high status and a heightened risk of relapse."
What data have been gathered from research involving coformulation favezelimab/pembrolizumab?
"Currently, the quantity of studies tracking the efficacy of coformulation favezelimab/pembrolizumab is 1,032. Of these trials, 134 are in Phase 3 and 37,065 locations have opened up to participate in research related to this treatment. The majority of these sites are located in Sacramento California."
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