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Pembrolizumab Dose C

Phase 1

Melanoma | Monoclonal antibody | Oncology |Merck & Company, Inc.|Last Updated: Feb 10, 2025

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Trial Design

RandomizedCONTROLLED
Total Trials1
Total Enrollment138

FDA Designations

PRIORITY_REVIEW

Clinical trial landscape

Pembrolizumab Dose C · 1 trial · 1 indication

Phase 1 1
NCT03665597Relative Bioavailability Study of Subcutaneous Injection Versus Intravenous Infusion of Pembrolizumab (MK-3475) in Participants With Advanced Melanoma (MK-3475-555/KEYNOTE-555)Melanoma
COMPLETED138 Analytics
PHASE1COMPLETED
Relative Bioavailability Study of Subcutaneous Injection Versus Intravenous Infusion of Pembrolizumab (MK-3475) in Participants With Advanced Melanoma (MK-3475-555/KEYNOTE-555)
MelanomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Area Under the Concentration-Time Curve (AUC) of Pembrolizumab - Cohort A
Cycles 1-3: Day 1 Predose and Days 2, 5, 10 and 15; Cycle 4: Day 1 Predose. Samples were also collected after IV infusion on Cycles 1-3: Day 1 ~0.5 hours after infusion and after SC injection on Days 3, 4, 6, and 7. Each cycle was 21 days.

AUC was defined as a measure of pembrolizumab exposure that was calculated as the product of plasma drug concentration and time. Blood samples were collected at designated time points and a pharmacokinetic (PK) model based on historical intravenous pembrolizumab PK data were used for the determination of the AUC of pembrolizumab. Geometric least-square mean (GM) and 95% confidence intervals were derived from mixed-effects model performed on natural log-transformed values. Data were reported by treatment received.

Maximum Plasma Concentration (Cmax) of Pembrolizumab - Cohort A
Cycles 1-3: Day 1 Predose and Days 2, 5, 10 and 15; Cycle 4: Day 1 Predose. Samples were also collected after IV infusion on Cycles 1-3: Day 1 ~0.5 hours after infusion and after SC injection on Days 3, 4, 6, and 7. Each cycle was 21 days.

Cmax was defined as the maximum concentration of pembrolizumab observed in plasma following a single dose. Blood samples were collected at designated time points and a PK model based on historical intravenous pembrolizumab PK data were used for the determination of the AUC of pembrolizumab. GM and 95% confidence intervals were derived from mixed-effects model performed on natural log-transformed values. Data were reported by treatment received.

Bioavailability (F) of Pembrolizumab - Cohort A
Cycles 1-3: Day 1 Predose and Days 2, 5, 10 and 15; Cycle 4: Day 1 Predose. Samples were also collected after IV infusion on Cycles 1-3: Day 1 ~0.5 hours after infusion and after SC injection on Days 3, 4, 6, and 7. Each cycle was 21 days.

Blood samples were collected at designated time points and a population PK model based on historical intravenous pembrolizumab PK data was used for the determination of the F of pembrolizumab. Per protocol, an integrated population PK analysis was performed and combined data for Cohort A was reported.

Absorption Rate Constant (Ka) of Pembrolizumab - Cohort A
Cycles 1-3: Day 1 Predose and Days 2, 5, 10 and 15; Cycle 4: Day 1 Predose. Samples were also collected after IV infusion on Cycles 1-3: Day 1 ~0.5 hours after infusion and after SC injection on Days 3, 4, 6, and 7. Each cycle was 21 days.

Blood samples were collected at designated time points and a population PK model based on historical intravenous pembrolizumab PK data was used for the determination of the Ka of pembrolizumab. Per protocol, an integrated population PK analysis was performed and combined data for Cohort A was reported. Participants in Cohort B weren't analyzed, per protocol.

Time of Maximum Plasma Concentration (Tmax) of Pembrolizumab - Cohort A
Cycles 1-3: Day 1 Predose and Days 2, 5, 10 and 15; Cycle 4: Day 1 Predose. Samples were also collected after IV infusion on Cycles 1-3: Day 1 ~0.5 hours after infusion and after SC injection on Days 3, 4, 6, and 7. Each cycle was 21 days.

Blood samples were collected at designated time points for the determination of the Tmax of pembrolizumab.

Clearance (CL) of Pembrolizumab - Cohort A
Cycles 1-3: Day 1 Predose and Days 2, 5, 10 and 15; Cycle 4: Day 1 Predose. Samples were also collected after IV infusion on Cycles 1-3: Day 1 ~0.5 hours after infusion and after SC injection on Days 3, 4, 6, and 7. Each cycle was 21 days.

Blood samples were collected at designated time points and a population PK model based on historical intravenous pembrolizumab PK data was used for the determination of the CL of pembrolizumab. Per protocol, an integrated population PK analysis was performed and combined data for Cohort A was reported.

Central Volume of Distribution (Vc) of Pembrolizumab - Cohort A
Cycles 1-3: Day 1 Predose and Days 2, 5, 10 and 15; Cycle 4: Day 1 Predose. Samples were also collected after IV infusion on Cycles 1-3: Day 1 ~0.5 hours after infusion and after SC injection on Days 3, 4, 6, and 7. Each cycle was 21 days.

Blood samples were collected at designated time points and a population PK model based on historical intravenous pembrolizumab PK data was used for the determination of the Vc of pembrolizumab. Per protocol, an integrated population PK analysis was performed and combined data for Cohort A was reported.

Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) - Cohort B
Up to approximately 54 months

ORR was defined as the percentage of participants in the analysis population who had a Complete Response (CR: Disappearance of all target lesions) or Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions). Responses were based upon blinded independent central review (BICR) per RECIST 1.1. ORR was reported for participants in Cohort B.

Secondary Endpoints

Number of Participants Positive for Pembrolizumab Anti-Drug Antibody (ADA) Formation - Cohort A
Cycles 1-4 Day 1: Predose. Each cycle is 21 days. (Up to approximately 64 days)
Number of Participants Who Experienced One or More Adverse Event (AEs) - Cohort A
Up to approximately 27 months
Number of Participants Who Discontinued Study Treatment Due to an AE - Cohort A
Up to approximately 23 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelCROSSOVER
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Cohort A Pembrolizumab Treatment Sequence 1EXPERIMENTALParticipants receive a single dose of pembrolizumab in each 21-day cycle in the following sequence: Cycle 1 Day 1: pembrolizumab 165 mg/mL subcutaneously (SC); Cycle 2 Day 1: pembrolizumab 200 mg intravenously (IV); Cycle 3 Day 1: pembrolizumab 130 mg/mL SC; Cycle 4 Day 1 and every cycle thereafter, up to a total of 35 cycles (up to approximately 2 years), Day 1: pembrolizumab 200 mg IV.
Cohort A Pembrolizumab Treatment Sequence 2EXPERIMENTALParticipants receive a single dose of pembrolizumab in each 21-day cycle in the following sequence: Cycle 1 Day 1: pembrolizumab 165 mg/mL SC; Cycle 2 Day 1: pembrolizumab 130 mg/mL SC; Cycle 3 Day 1: pembrolizumab 200 mg IV; Cycle 4 Day 1 and every cycle thereafter, up to a total of 35 cycles (up to approximately 2 years), Day 1: pembrolizumab 200 mg IV.
Cohort A Pembrolizumab Treatment Sequence 3EXPERIMENTALParticipants receive a single dose of pembrolizumab in each 21-day cycle in the following sequence: Cycle 1 Day 1: pembrolizumab 130 mg/mL SC; Cycle 2 Day 1: pembrolizumab 165 mg/mL SC; Cycle 3 Day 1: pembrolizumab 200 mg IV; Cycle 4 Day 1 and every cycle thereafter, up to a total of 35 cycles (up to approximately 2 years), Day 1: pembrolizumab 200 mg IV.
Cohort A Pembrolizumab Treatment Sequence 4EXPERIMENTALParticipants receive a single dose of pembrolizumab in each 21-day cycle in the following sequence: Cycle 1 Day 1: pembrolizumab 200 mg SC; Cycle 2 Day 1: pembrolizumab 200 mg IV; Cycle 3 Day 1: pembrolizumab 130 mg/mL SC; Cycle 4 Day 1 and every cycle thereafter, up to a total of 35 cycles (up to approximately 2 years), Day 1: pembrolizumab Dose 200 mg IV.
Cohort A Pembrolizumab Treatment Sequence 5EXPERIMENTALParticipants receive a single dose of pembrolizumab in each 21-day cycle in the following sequence: Cycle 1 Day 1: pembrolizumab 200 mg IV; Cycle 2 Day 1: pembrolizumab 130 mg/mL SC; Cycle 3 Day 1: pembrolizumab 165 mg/mL SC: Cycle 4 Day 1 and every cycle thereafter, up to a total of 35 cycles (up to approximately 2 years), Day 1: pembrolizumab 200 mg IV.
Cohort A Pembrolizumab Treatment Sequence 6EXPERIMENTALParticipants receive a single dose of pembrolizumab in each 21-day cycle in the following sequence: Cycle 1 Day 1: pembrolizumab 200 mg IV; Cycle 2 Day 1: pembrolizumab 165 mg/mL SC; Cycle 3 Day 1: pembrolizumab 130 mg/mL SC; Cycle 4 Day 1 and every cycle thereafter, up to a total of 35 cycles (up to approximately 2 years), Day 1: pembrolizumab 200 mg IV.
Cohort B Pembrolizumab 400 mg IVEXPERIMENTALParticipants receive a single dose of pembrolizumab 400 mg IV on Day 1 of each 42-day cycle (every 6 weeks; Q6W) for up to 18 cycles (up to approximately 2 years).

Interventions

NameTypeDescription
Pembrolizumab Dose CBIOLOGICAL165 mg/mL administered to a final dose of 285 mg via subcutaneous injection
Pembrolizumab Dose ABIOLOGICAL130 mg/mL administered to a final dose of 285 mg via subcutaneous injection
Pembrolizumab Dose BBIOLOGICAL200 mg administered via intravenous infusion
Pembrolizumab Dose DBIOLOGICAL400 mg administered via intravenous infusion
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites15

Inclusion Criteria: * Has histologically or cytologically confirmed diagnosis of advanced melanoma. * Has unresectable Stage III or Stage IV melanoma, as per American Joint Committee on Cancer (AJCC) staging system not amenable to local therapy. * Has been untreated for advanced or metastatic disea...

Countries:AustraliaSouth AfricaSpainSweden
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Frequently asked questions about Pembrolizumab Dose C

What is Pembrolizumab Dose C used for in melanoma?

Pembrolizumab Dose C is an investigational monoclonal antibody being studied for the treatment of advanced melanoma. It is a specific dose formulation of pembrolizumab, a PD-1 inhibitor, evaluated in a clinical trial for participants with this condition. The drug is still in clinical development and has not been approved for this use.

Who makes Pembrolizumab Dose C?

Pembrolizumab Dose C is developed by Merck & Company, Inc., a pharmaceutical company traded on the New York Stock Exchange under the ticker MRK. The company is conducting clinical research on this drug for the treatment of melanoma.

What phase is Pembrolizumab Dose C in?

Pembrolizumab Dose C is in Phase 1 clinical development. It is an investigational drug, meaning it has not been approved by regulatory authorities. The drug is being studied for safety, tolerability, and pharmacokinetics in patients with advanced melanoma.

What clinical trials is Pembrolizumab Dose C in?

Pembrolizumab Dose C is being studied in one completed Phase 1 clinical trial, NCT03665597, titled "Relative Bioavailability Study of Subcutaneous Injection Versus Intravenous Infusion of Pembrolizumab (MK-3475) in Participants With Advanced Melanoma (MK-3475-555/KEYNOTE-555)." The trial enrolled 138 participants and was conducted in Australia, South Africa, Spain, and Sweden.

How does Pembrolizumab Dose C work?

Pembrolizumab Dose C is a monoclonal antibody that targets the PD-1 receptor, a protein on immune cells that can suppress the immune response against tumors. By blocking PD-1, the drug aims to enhance the body's immune system to fight cancer cells. This mechanism is being evaluated in the treatment of melanoma.

Is Pembrolizumab Dose C the same as pembrolizumab?

Pembrolizumab Dose C is a specific dose formulation of pembrolizumab, which is also known as MK-3475. It is being studied to compare the bioavailability of subcutaneous injection versus intravenous infusion of the drug. The trial is part of the KEYNOTE-555 study program.