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Tyrosine Kinase Inhibitor

Pembrolizumab + Lenvatinib for Melanoma

Phase 3
Waitlist Available
Research Sponsored by Merck Sharp & Dohme Corp.
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Has documentation of BRAF V600-activating mutation status or consent to BRAF V600 mutation testing during the Screening period
Has histologically or cytologically confirmed melanoma
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to approximately 46 months
Awards & highlights

Study Summary

This trial will compare the safety and efficacy of pembrolizumab and lenvatinib to pembrolizumab and placebo as first-line treatment in adults with no prior systemic therapy for their advanced melanoma.

Who is the study for?
Adults with advanced melanoma who haven't had systemic therapy can join this trial. They must have a biopsy-proven diagnosis, adequate organ function, and controlled blood pressure. Women can't be pregnant or breastfeeding, and men must use contraception. Exclusions include ocular melanoma, certain heart conditions, recent major surgery or radiotherapy, active infections like tuberculosis or hepatitis B/C, HIV infection, and known allergies to similar drugs.Check my eligibility
What is being tested?
The study is testing the effectiveness of pembrolizumab combined with lenvatinib versus pembrolizumab with a placebo in treating advanced melanoma as a first-line treatment. The main goals are to see if the drug combo improves progression-free survival (how long patients live without their cancer getting worse) and overall survival compared to just pembrolizumab.See study design
What are the potential side effects?
Possible side effects may include high blood pressure from lenvatinib; immune-related issues such as inflammation in organs due to pembrolizumab; fatigue; digestive problems; skin reactions; liver dysfunction; kidney problems; changes in thyroid hormone levels.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I have records of my BRAF V600 mutation status or agree to testing.
Select...
My melanoma diagnosis was confirmed through lab tests.
Select...
I am fully active or can carry out light work.
Select...
My blood pressure is ≤150/90 mmHg, and my medication hasn't changed recently.
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My melanoma cannot be surgically removed and is in stage III or IV.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to approximately 46 months
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to approximately 46 months for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Overall Survival (OS)
Progression-free Survival (PFS) as Assessed by Blinded Independent Central Review (BICR) Per Modified Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1)
Secondary outcome measures
Change From Baseline in European Organization for Research and Treatment of Cancer [EORTC] Quality of Life Questionnaire-Core 30 [QLQ-C30] Global Health Status (GHS)/Quality of Life (QoL) Score
Change From Baseline in European Organization for Research and Treatment of Cancer [EORTC] Quality of Life Questionnaire-Core 30 [QLQ-C30] Physical Function (PF) Score
Duration of Response (DOR) as Assessed by BICR Per RECIST 1.1
+5 more

Side effects data

From 2024 Phase 2 trial • 57 Patients • NCT03004183
21%
Fatigue
13%
Nausea
11%
Back pain
9%
Shortness of Breath
9%
Anemia
9%
Abdominal pain
9%
Diarrhea
7%
Pneumonia
7%
Kidney Injury and/or Infection
7%
Dyspnea
7%
Weight Loss
5%
Malnutrition, Hypercalcemia and Weakness
5%
Pneumothorax
5%
Intractable pain, back pain, hip pain
5%
Activated partial thromboplastin time prolonged
4%
Pleural effusion
4%
Atrial fibrillation with rapid ventricular response
2%
Thrombocytopenia
2%
Respiratory failure
2%
Skin rash
2%
colitis
100%
80%
60%
40%
20%
0%
Study treatment Arm
Single Arm

Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: Pembrolizumab+LenvatinibExperimental Treatment2 Interventions
Participants receive pembrolizumab 200 mg via intravenous (IV) infusion on Day 1 of each 3-week cycle for up to 35 administrations (up to approximately 2 years) PLUS lenvatinib 20 mg via oral capsule daily for up to at least 2 years.
Group II: Pembrolizumab+PlaceboActive Control2 Interventions
Participants receive pembrolizumab 200 mg via IV infusion on Day 1 of each 3-week cycle for up to 35 administrations (up to approximately 2 years) PLUS placebo for lenvatinib via oral capsule daily for up to at least 2 years.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Pembrolizumab
FDA approved
Lenvatinib
FDA approved

Find a Location

Who is running the clinical trial?

Merck Sharp & Dohme Corp.Lead Sponsor
2,286 Previous Clinical Trials
4,581,148 Total Patients Enrolled
31 Trials studying Melanoma
8,788 Patients Enrolled for Melanoma
Merck Sharp & Dohme LLCLead Sponsor
3,886 Previous Clinical Trials
5,053,897 Total Patients Enrolled
120 Trials studying Melanoma
21,008 Patients Enrolled for Melanoma
Eisai Inc.Industry Sponsor
515 Previous Clinical Trials
153,346 Total Patients Enrolled
14 Trials studying Melanoma
1,014 Patients Enrolled for Melanoma

Media Library

Lenvatinib (Tyrosine Kinase Inhibitor) Clinical Trial Eligibility Overview. Trial Name: NCT03820986 — Phase 3
Melanoma Research Study Groups: Pembrolizumab+Placebo, Pembrolizumab+Lenvatinib
Melanoma Clinical Trial 2023: Lenvatinib Highlights & Side Effects. Trial Name: NCT03820986 — Phase 3
Lenvatinib (Tyrosine Kinase Inhibitor) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03820986 — Phase 3

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What are the goals that this medical study hopes to achieve?

"The primary objective of this study, which will be measured over a period of Up to approximately 36 months, is Overall Survival (OS). Additionally, this study will be assessing secondary outcomes including Time to True Deterioration (TTD) Based on Change from Baseline in European Organization for Research and Treatment of Cancer [EORTC] Quality of Life Questionnaire-Core 30 [QLQ-C30] in Global Health Status (GHS) Score and Time to True Deterioration (TTD) Based on Change from Baseline in European Organization for Research and Treatment of Cancer [EORTC] Quality of Life Questionnaire-"

Answered by AI

How many different hospitals are administering this trial?

"There are a total of 22 sites enrolling patients for this trial, including Lions Gate Hospital (Site 0662) in North Vancouver, OHSU Center for Health & Healing (Site 0731) in Portland, and Centre Hospitalier de l Universite de Montreal - CHUM (Site 0652) in Montreal."

Answered by AI

Are we still looking for candidates to enroll in this experiment?

"This research is not actively recruiting patients at this current moment. The listing was first posted on March 12th, 2019 and was updated on August 22nd, 2020. There are 781 clinical trials recruiting patients with melanoma and 1077 studies recruiting patients that have been treated with Pembrolizumab."

Answered by AI

Pembrolizumab is usually given to patients for what purpose?

"Pembrolizumab is an immunotherapy drug used to treat patients with unresectable melanoma, malignant neoplasms, and microsatellite instability high."

Answered by AI

Could you explain the possible risks associated with Pembrolizumab?

"Pembrolizumab has been studied in Phase 3 clinical trials, meaning that there is evidence of both efficacy and safety. Consequently, our team at Power has rated Pembrolizumab as a 3 on our safety scale."

Answered by AI

Could you please give me a rundown of other Pembrolizumab investigations?

"Pembrolizumab was first trialed a decade ago, in 2010, at City of Hope. Since then, there have been 298 completed clinical trials worldwide. As of now, 1077 clinical trials are ongoing, with a significant portion based in North Vancouver, British Columbia."

Answered by AI

How many guinea pigs are enrolling in this human experiment?

"This study is not recruiting at the moment, according to the latest update from August 22nd, 2022. The study was first posted on March 12th, 2019. There are 781 other trials actively recruiting patients with melanoma and 1077 trials for Pembrolizumab if you are interested in participating in other clinical studies."

Answered by AI
~111 spots leftby Apr 2025