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Favezelimab/Pembrolizumab

Phase 3

Metastatic Urothelial Carcinoma | Monoclonal antibody | Oncology |Merck & Company, Inc.|Trials Updated: Sep 10, 2025

Favezelimab/Pembrolizumab development status

Highest phase Phase 3 (NCT05600309)
Phase scored for MRKPhase 1
Registered trials 9 across 1 sponsor since Mar 2016

Favezelimab/Pembrolizumab target and mechanism

Molecular targetLAG3
Target classInhibitor
ModalityMonoclonal antibody

Also known as MK-4280A

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials1
Total Enrollment390

FDA Designations

No designations recorded

Favezelimab/Pembrolizumab clinical trials

Favezelimab/Pembrolizumab · 1 trial · 2 indications

Phase 1 1
NCT05845814A Study of Efficacy and Safety of Pembrolizumab Plus Enfortumab Vedotin (EV) +/- Investigational Agents in First-Line Metastatic Urothelial Carcinoma (mUC) (MK-3475-04B/KEYMAKER-U04)Metastatic Urothelial Carcinoma
ACTIVE NOT_RECRUITING390 Analytics
PHASE1ACTIVE NOT_RECRUITING
A Study of Efficacy and Safety of Pembrolizumab Plus Enfortumab Vedotin (EV) +/- Investigational Agents in First-Line Metastatic Urothelial Carcinoma (mUC) (MK-3475-04B/KEYMAKER-U04)
Metastatic Urothelial CarcinomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Part 1: Objective Response Rate (ORR)
Up to ~4 years

ORR is defined as the percentage of participants who achieve a confirmed complete response (CR) or partial response (PR) per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 as assessed by blinded independent central review (BICR). ORR will be reported for participants in Part 1.

Part 1: Percentage of Participants experiencing an Adverse Event (AE)
Up to ~4 years

An AE is defined as any untoward medical occurrence in a participant administered study drug, which does not necessarily have to have a causal relationship with the study drug. The number of participants experiencing an AE in Part 1 will be reported.

Part 1: Percentage of Participants who Discontinue study interventions due to an AE
Up to ~4 years

An AE is defined as any untoward medical occurrence in a participant administered study drug, which does not necessarily have to have a causal relationship with the study drug. The number of participants who discontinue study interventions due to an AE in Part 1 will be reported.

Part 1: Percentage of Participants with Dose-limiting toxicities (DLT)
Up to 21 days

A DLT is defined as an event with toxicity including the type, severity, time of onset, time of resolution, and the probable association with study treatment that are not due to pre-existing conditions as defined by the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events, Version 5.0 (CTCAE 5.0). The number of participants who experience a DLT in Part 1 will be reported.

Part 2: Progression Free Survival (PFS)
Up to ~4 years

PFS is defined as the time from randomization to the first documented disease progression per RECIST 1.1 by BICR or death due to any cause, whichever occurs first. PFS will be reported for participants in Part 2.

Secondary Endpoints

Part 1: PFS
Up to ~4 years
Part 1: Duration of Response (DOR)
Up to ~4 years
Part 2: Overall Survival (OS)
Up to ~4 years
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Arm A: Coformulated favezelimab/pembrolizumab plus EVEXPERIMENTALParticipants will receive coformulated favezelimab/pembrolizumab (800 mg/200 mg) as an intravenous (IV) infusion on Day 1 of every 3-week cycle for up to \~2 years (35 cycles) and EV at 1.25 mg/kg, administered as an IV infusion on Days 1 and 8 of every 3-week cycle until disease progression, intolerable toxicity, or investigator decision.
Arm B: Coformulated vibostolimab/pembrolizumab plus EVEXPERIMENTALParticipants will receive coformulated vibostolimab/pembrolizumab (200 mg/200 mg) as an IV infusion on Day 1 of every 3-week cycle, for up to \~2 years (35 cycles) and EV at 1.25 mg/kg, administered as an IV infusion on Days 1 and 8 of every 3-week cycle until disease progression, intolerable toxicity, or investigator decision.
Arm C: Pembrolizumab plus EVACTIVE_COMPARATORParticipants will receive 200 mg pembrolizumab as an IV infusion on Day 1 of every 3-week cycle for up to \~2 years (35 cycles) and EV at 1.25 mg/kg, administered as an IV infusion on Days 1 and 8 of every 3-week cycle, until disease progression, intolerable toxicity, or investigator decision.

Interventions

NameTypeDescription
Coformulated favezelimab/pembrolizumabBIOLOGICALCoformulated favezelimab/pembrolizumab (800 mg/200 mg) IV infusion
Coformulated vibostolimab/pembrolizumabBIOLOGICALCoformulated vibostolimab/pembrolizumab (200 mg/200 mg) IV infusion
EVCOMBINATION_PRODUCT1.25 mg/kg IV infusion
PembrolizumabBIOLOGICAL200 mg IV infusion
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites47

Inclusion Criteria: * Must have histologically documented, locally advanced/metastatic urothelial carcinoma (la/mUC). * Participants with mixed histology are eligible provided the urothelial component is ≥50% (and \<10% plasmacytoid component) * Participants whose tumors contain any neuroendoc...

Countries:United StatesAustraliaCanadaChileFranceIsraelItalyNetherlandsSouth KoreaSpainTaiwanUnited Kingdom
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Frequently asked questions about Favezelimab/Pembrolizumab

What is favezelimab/pembrolizumab used for?

Favezelimab/pembrolizumab is being studied in metastatic urothelial carcinoma, a form of bladder cancer that has spread. It is an investigational coformulation being evaluated in the first-line treatment setting for this indication. It is not approved for any use and remains in clinical development.

What does favezelimab/pembrolizumab target?

Favezelimab/pembrolizumab targets LAG3, also known as lymphocyte activation gene 3. Favezelimab is a LAG3 inhibitor designed to block this immune checkpoint, while pembrolizumab targets PD-1. The coformulation combines both antibodies to potentially enhance antitumor immune responses.

Who is developing favezelimab/pembrolizumab?

Favezelimab/pembrolizumab is being developed by Merck & Company, Inc., which trades under the ticker MRK. Merck is the sponsor of the clinical program evaluating this coformulation in metastatic urothelial carcinoma.

What phase is favezelimab/pembrolizumab in?

Favezelimab/pembrolizumab is in Phase 1 clinical development. It is an investigational agent and has not been approved by the FDA or any regulatory authority for any indication. The ongoing trial is evaluating its safety and efficacy in metastatic urothelial carcinoma.

What clinical trials is favezelimab/pembrolizumab in?

Favezelimab/pembrolizumab is being studied in the Phase 1 trial NCT05845814, titled KEYMAKER-U04. This active, not recruiting study is evaluating pembrolizumab plus enfortumab vedotin with or without investigational agents, including favezelimab/pembrolizumab, in first-line metastatic urothelial carcinoma. It has an estimated enrollment of 390 participants across multiple countries.

Is favezelimab/pembrolizumab the same as MK-4280A?

Yes, favezelimab/pembrolizumab is also known as MK-4280A. Other names include coformulation favezelimab/pembrolizumab and coformulated favezelimab/pembrolizumab. These terms refer to the same investigational coformulation developed by Merck.