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Favezelimab

Phase 1

Neoplasms | Monoclonal antibody | Oncology |Merck & Company, Inc.|Last Updated: May 30, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
CONTROLLEDBiomarker
Total Trials1
Total Enrollment481
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02720068Study of Favezelimab (MK-4280) as Monotherapy and in Combination With Pembrolizumab (MK-3475) With or Without Chemotherapy or Lenvatinib (MK-7902) AND Favezelimab/Pembrolizumab (MK-4280A) as Monotherapy in Adults With Advanced Solid Tumors (MK-4280-001)PHASE1 COMPLETED 481May 2, 2016Mar 15, 2024May 30, 2025 -
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Study Endpoints
Primary Endpoints
Number of Participants Who Experienced a Dose-Limiting Toxicity (DLT)
Up to 21 days (Cycle 1)

DLTs were assessed during the first cycle (21 days) \& were defined as: Grade (Gr) 4 nonhematologic toxicity; Gr 4 hematologic toxicity lasting ≥7 days, except Gr 4 thrombocytopenia of any duration or Gr 3 thrombocytopenia associated with bleeding; Gr 3 nonhematologic toxicity lasting ≥3 days despite optimal supportive care (with exceptions); Gr 3 or 4 nonhematologic lab abnormality (if medical intervention was required, lead to hospitalization, or persisted for \>1 week); Gr 3 or 4 febrile neutropenia; any drug-related AE that caused the participant to discontinue treatment during Cycle 1; Grade 5 toxicity; Any treatment-related toxicity that causes ≥2-week delay in initiation of Cycle 2.

Number of Participants Who Experienced an Adverse Event (AE)
Up to approximately 31.3 months

An AE was defined as any untoward medical occurrence in a participant administered study treatment and which did not necessarily have to have a causal relationship with this treatment. The number of participants who experienced an AE is presented.

Number of Participants Who Discontinued Study Treatment Due to an AE
Up to approximately 28.3 months

An AE was defined as any untoward medical occurrence in a participant administered study treatment and which did not necessarily have to have a causal relationship with this treatment. The number of participants who discontinued study treatment due to an AE is presented.

Secondary Endpoints
Objective Response Rate (ORR) for Part B Participants
Up to approximately 92 months
Area Under the Curve From Time 0 to Infinity (AUC0-inf) of Favezelimab
Predose, 2 hours post start of infusion, and post infusion on Day 1 of cycles 1-4 and 8; Day 2 postdose in cycle 1; Days 8 and 15 in cycles 2, 4, and 8; and at the discontinuation and safety follow-up visit if performed prior to the end of Cycle 8
Area Under the Curve From Time 0 to 21 Days (AUC0-21 Days) of Favezelimab
Predose, 2 hours post start of infusion, and post infusion on Day 1 of cycles 1-4 and 8; Day 2 postdose in cycle 1; Days 8 and 15 in cycles 2, 4, and 8; and at the discontinuation and safety follow-up visit if performed prior to the end of Cycle 8
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Part A: Favezelimab 7 mg MonotherapyEXPERIMENTALParticipants received favezelimab 7 mg intravenous (IV) infusion on Day 1 of each 21-day cycle.
Part A: Favezelimab 21 mg MonotherapyEXPERIMENTALParticipants received favezelimab 21 mg IV infusion on Day 1 of each 21-day cycle.
Part A: Favezelimab 70 mg MonotherapyEXPERIMENTALParticipants received favezelimab 70 mg IV infusion on Day 1 of each 21-day cycle.
Part A: Favezelimab 210 mg MonotherapyEXPERIMENTALParticipants received favezelimab 210 mg IV infusion on Day 1 of each 21-day cycle.
Part A: Favezelimab 700 mg MonotherapyEXPERIMENTALParticipants received favezelimab 700 mg IV infusion on Day 1 of each 21-day cycle.
Part A: Favezelimab 7 mg + Pembrolizumab 200 mgEXPERIMENTALParticipants received favezelimab 7 mg IV infusion on Day 1 of each 21-day cycle PLUS pembrolizumab 200 mg IV infusion administered sequentially on Day 1 of each 21-day cycle.
Part A: Favezelimab 21 mg + Pembrolizumab 200 mgEXPERIMENTALParticipants received favezelimab 21 mg IV infusion on Day 1 of each 21-day cycle PLUS pembrolizumab 200 mg IV infusion administered sequentially on Day 1 of each 21-day cycle.
Part A: Favezelimab 70 mg + Pembrolizumab 200 mgEXPERIMENTALParticipants received favezelimab 70 mg IV infusion on Day 1 of each 21-day cycle PLUS pembrolizumab 200 mg IV infusion administered sequentially on Day 1 of each 21-day cycle.
Part A: Favezelimab 210 mg + Pembrolizumab 200 mgEXPERIMENTALParticipants received favezelimab 210 mg IV infusion on Day 1 of each 21-day cycle PLUS pembrolizumab 200 mg IV infusion administered sequentially on Day 1 of each 21-day cycle.
Part A: Favezelimab 700 mg + Pembrolizumab 200 mgEXPERIMENTALParticipants received favezelimab 700 mg IV infusion on Day 1 of each 21-day cycle PLUS pembrolizumab 200 mg IV infusion administered sequentially on Day 1 of each 21-day cycle.
Part B: Favezelimab 800 mg Monotherapy (Arm 1)EXPERIMENTALParticipants received favezelimab 800 mg monotherapy IV infusion on Day 1 of each 21-day cycle.
Part B: Favezelimab 200 mg + Pembrolizumab 200 mg (Arm 2A)EXPERIMENTALParticipants received favezelimab 200 mg IV infusion on Day 1 of each 21-day cycle PLUS pembrolizumab 200 mg IV infusion administered sequentially on Day 1 of each 21-day cycle.
Part B: Favezelimab 700 mg + Pembrolizumab 200 mg (Arm 2B)EXPERIMENTALParticipants received favezelimab 700 mg IV infusion on Day 1 of each 21-day cycle PLUS pembrolizumab 200 mg IV infusion administered sequentially on Day 1 of each 21-day cycle.
Part B: Favezelimab 800 mg + Pembrolizumab 200 mg (Arm 2C)EXPERIMENTALParticipants received favezelimab 800 mg IV infusion on Day 1 of each 21-day cycle PLUS pembrolizumab 200 mg IV infusion administered sequentially on Day 1 of each 21-day cycle.
Part B: Favezelimab 800 mg + Pembrolizumab 200 mg + mFOLFOX7 (Arm 3)EXPERIMENTALParticipants received favezelimab 800 mg IV infusion on Day 1 of each 21-day cycle PLUS pembrolizumab 200 mg IV infusion administered sequentially on Day 1 of each 21-day cycle PLUS mFOLFOX7 (oxaliplatin 85 mg/m\^2 IV, leucovorin \[calcium folinate\] 400 mg/m\^2 IV, and fluorouracil \[5-FU\] 2400 mg/m\^2 IV over 46 to 48 hours, every 2 weeks \[Q2W\]).
Part B: Favezelimab 800 mg + Pembrolizumab 200 mg + FOLFIRI (Arm 4)EXPERIMENTALParticipants received favezelimab 800 mg IV infusion on Day 1 of each 21-day cycle PLUS pembrolizumab 200 mg IV infusion administered sequentially on Day 1 of each 21-day cycle PLUS FOLFIRI (irinotecan 180 mg/m\^2 IV, leucovorin \[calcium folinate\] 400 mg/m\^2 IV and 5-FU 2400 mg/m\^2 IV over 46 to 48 hours, Q2W).
Part B: MK-4280A (Arm 5)EXPERIMENTALParticipants received MK-4280A, a coformulation of favezelimab 800 mg + pembrolizumab 200 mg IV infusion on Day 1 of each 21-day cycle.
Part B: Favezelimab 800 mg + Pembrolizumab 200 mg + Lenvatinib 20 mg (Arm 6)EXPERIMENTALParticipants received favezelimab 800 mg IV infusion on Day 1 of each 21-day cycle PLUS pembrolizumab 200 mg IV infusion administered sequentially on Day 1 of each 21-day cycle PLUS oral lenvatinib 20 mg once daily.
Interventions
NameTypeDescription
FavezelimabBIOLOGICALIV infusion
PembrolizumabBIOLOGICALIV infusion
OxaliplatinDRUGIV infusion
IrinotecanDRUGIV infusion
Leucovorin (Calcium Folinate)DRUGIV infusion
Fluorouracil [5-FU]DRUGIV infusion
Favezelimab/PembrolizumabBIOLOGICALIV infusion
LenvatinibDRUGOral
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Part A and Part B: Has histologically or cytologically-confirmed metastatic solid tumor. * Has measurable disease by immune-related Response Evaluation Criteria in Solid Tumors (irRECIST) 1.1 criteria. * Has a performance status of 0 or 1 on the Eastern Cooperative Oncology Gr...

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