Substudy 06E: Umbrella Study of Combination Therapies in Esophageal Cancer (MK-3475-06E/KEYMAKER-U06)
Condition(s) studied
Investigational drug(s) / intervention(s)
Pembrolizumab: IV infusion
I-DXd: IV infusion
Leucovorin: IV infusion
Levoleucovorin: IV infusion
5-Fluorouracil (5-FU): IV Infusion
Oxaliplatin: IV infusion
Sacituzumab tirumotecan: IV infusion
Rescue Medication: Includes 5-HT3 receptor antagonist, NK-1 receptor antagonist, and corticosteroid for Arms 2, 3, and 4, and H1 receptor antagonist, H2 receptor antagonist, acetaminophen, dexamethasone, and steroid mouthwash for Arm 5, administered per approved product label
Study summary
Researchers are looking for new ways to treat esophageal squamous cell carcinoma (ESCC). ESCC is a type of cancer that starts in certain cells that line the esophagus. The esophagus is the tube that connects the throat to the stomach. This study will look at ESCC that is either locally advanced unresectable, which means it has spread into tissue near where it started and cannot be completely removed by surgery, or metastatic, which means it has spread to other body parts.
Available treatments for these types of ESCC include pembrolizumab and chemotherapy. Pembrolizumab is an immunotherapy, which is a treatment that helps the immune system fight cancer. Chemotherapy is medicine that destroys cancer cells or stops them from growing.
Researchers want to learn about giving pembrolizumab and investigational agents, with or without chemotherapy to treat ESCC. Ifinatamab deruxtecan (I-DXd), is an antibody-drug conjugate (ADC). An ADC attaches to a protein on cancer cells and delivers treatment to destroy those cells.
The main goal of this study is to learn about the safety of investigational agents and pembrolizumab with or without chemotherapy and if people tolerate them. Researchers also want to learn how cancer responds (gets smaller or goes away) to the study treatments.
Eligibility
Primary outcome measure(s)
- Percentage of Participants who Experience Dose Limiting Toxicities (DLTs) During the Safety Lead-In Phase — Up to approximately 28 days
Percentage of participants experiencing toxicities that are possibly, probably, or definitely related to study intervention; that meet pre-defined severity criteria; and result in a change in the given dose. - Percentage of Participants who Experience an Adverse Event (AE) — Up to approximately 77 months
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. The percentage of participants who experience an AE will be reported. - Objective Response Rate (ORR) — Up to approximately 77 months
ORR is defined as a confirmed complete response (CR: the 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 (RECIST) 1.1 as assessed by blinded independent central review (BICR). The percentage of participants who experience CR or PR as assessed by BICR will be presented.
Trial sites (49)
| Facility | City | Region | Status |
|---|---|---|---|
| UPMC Hillman Cancer Center ( Site 1904) | Pittsburgh | Pennsylvania | Recruiting |
| Liga Norte Riograndense Contra o Cancer ( Site 1301) | Natal | Rio Grande do Norte | Recruiting |
| Hospital Nossa Senhora da Conceicao ( Site 1300) | Porto Alegre | Rio Grande do Sul | Recruiting |
| IBCC - Instituto Brasileiro de Controle do Cancer ( Site 1303) | São Paulo | São Paulo | Recruiting |
| ICESP - INSTITUTO DO CÂNCER DO ESTADO DE SÃO PAULO ( Site 1302) | São Paulo | Brazil | Recruiting |
| Clínica Puerto Montt ( Site 1406) | Port Montt | Los Lagos Region | Recruiting |
| Fundación Arturo López Pérez ( Site 1400) | Santiago | Region M. de Santiago | Recruiting |
| Centro de Oncología de Precisión ( Site 1402) | Santiago | Region M. de Santiago | Recruiting |
| Clínica UC San Carlos de Apoquindo ( Site 1403) | Santiago | Region M. de Santiago | Recruiting |
| Bradfordhill ( Site 1401) | Santiago | Region M. de Santiago | Recruiting |
| Bradford Hill Norte ( Site 1405) | Antofagasta | Chile | Recruiting |
| The Second Affiliated Hospital of Anhui Medical University ( Site 9511) | Hefei | Anhui | Recruiting |
| Beijing Cancer Hospital ( Site 9500) | Beijing | Beijing Municipality | Recruiting |
| The First Affiliated Hospital of Xiamen University ( Site 9503) | Xiamen | Fujian | Recruiting |
| Henan Cancer Hospital ( Site 9509) | Zhengzhou | Henan | Recruiting |
| Xuzhou Central Hospital ( Site 9512) | Xuzhou | Jiangsu | Recruiting |
| The First Affiliated Hospital of Nanchang University ( Site 9505) | Nanchang | Jiangxi | Recruiting |
| Masarykuv onkologicky ustav-Klinika komplexni onkologicke pece ( Site 9000) | Brno | Brno-mesto | Recruiting |
| C.H.R.U. de Brest - Hopital Cavale Blanche ( Site 9104) | Brest | Finistere | Recruiting |
| CHU Lille - Institut Coeur Poumon ( Site 9100) | Lille | Nord | Recruiting |
| Pitie Salpetriere University Hospital ( Site 9102) | Paris | France | Recruiting |
| NCT-Department of Medical Oncology ( Site 1809) | Heidelberg | Baden-Wurttemberg | Recruiting |
| HOPE Hamburg/Norddeutsches Studienzentrum fuer Innovative Onkologie ( Site 1807) | Erdgeschoss | Free and Hanseatic City of Hamburg | Recruiting |
| Universitaetsklinikum Duesseldorf ( Site 1808) | Düsseldorf | North Rhine-Westphalia | Recruiting |
| Universitätsklinikum Carl Gustav Carus - Medical Oncology ( Site 1806) | Dresden | Saxony | Recruiting |
| Ospedale San Raffaele-Oncologia Medica ( Site 9201) | Milan | Lombardy | Recruiting |
| Istituto Oncologico Veneto IRCCS ( Site 9202) | Padova | Veneto | Recruiting |
| Aichi Cancer Center ( Site 9702) | Nagoya | Aichi-ken | Recruiting |
| National Cancer Center Hospital East ( Site 9701) | Kashiwa | Chiba | Recruiting |
| National Cancer Center Hospital ( Site 9700) | Chūō | Tokyo | Recruiting |
| Oslo Universitetssykehus Radiumhospitalet ( Site 1501) | Oslo | Norway | Recruiting |
| National University Hospital ( Site 9800) | Singapore | Central Singapore | Recruiting |
| National Cancer Center ( Site 9902) | Goyang-si | Kyonggi-do | Recruiting |
| Asan Medical Center ( Site 9901) | Seoul | South Korea | Recruiting |
| Samsung Medical Center ( Site 9900) | Seoul | South Korea | Recruiting |
| Kantonsspital Graubuenden ( Site 1700) | Chur | Kanton Graubünden | Recruiting |
| Hopitaux Universitaires de Geneve HUG. ( Site 1701) | Geneva | Switzerland | Recruiting |
| Kaohsiung Medical University Chung-Ho Memorial Hospital ( Site 1009) | Kaoshiung | Kaohsiung | Recruiting |
| Kaohsiung Chang Gung Memorial Hospital ( Site 1003) | Kaohsiung City | Taiwan | Recruiting |
| China Medical University Hospital ( Site 1007) | Taichung | Taiwan | Recruiting |
+ 9 more sites — see the full list on the official registry below.
On this site
📄 Keytruda (pembrolizumab) drug profile →More Merck Sharp & Dohme LLC trials in Italy
Other trials for the same condition
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
View NCT06780111 on ClinicalTrials.gov ↗ ← All trials in Italy