Pembrolizumab in Treating Patients With HIV and Relapsed, Refractory, or Disseminated Malignant Neoplasms
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|ClinicalTrials.gov Identifier: NCT02595866|
Recruitment Status : Recruiting
First Posted : November 4, 2015
Last Update Posted : January 7, 2019
|Condition or disease||Intervention/treatment||Phase|
|AIDS-Related Non-Hodgkin Lymphoma Classic Hodgkin Lymphoma HIV Infection Locally Advanced Malignant Neoplasm Locally Advanced Malignant Solid Neoplasm Metastatic Malignant Neoplasm Metastatic Malignant Solid Neoplasm Recurrent Hepatocellular Carcinoma Recurrent Hodgkin Lymphoma Recurrent Kaposi Sarcoma Recurrent Lung Non-Small Cell Carcinoma Recurrent Malignant Neoplasm Recurrent Melanoma of the Skin Recurrent Non-Hodgkin Lymphoma Refractory Hodgkin Lymphoma Refractory Malignant Neoplasm Refractory Malignant Solid Neoplasm Stage IIIA Cutaneous Melanoma AJCC v7 Stage IIIA Hepatocellular Carcinoma AJCC v7 Stage IIIA Non-Small Cell Lung Cancer AJCC v7 Stage IIIB Cutaneous Melanoma AJCC v7 Stage IIIB Hepatocellular Carcinoma AJCC v7 Stage IIIB Lung Non-Small Cell Cancer AJCC v7 Stage IIIC Cutaneous Melanoma AJCC v7 Stage IIIC Hepatocellular Carcinoma AJCC v7 Stage IV Cutaneous Melanoma AJCC v6 and v7 Stage IV Non-Small Cell Lung Cancer AJCC v7 Stage IVA Hepatocellular Carcinoma AJCC v7 Stage IVB Hepatocellular Carcinoma AJCC v7||Other: Laboratory Biomarker Analysis Biological: Pembrolizumab||Phase 1|
Show Detailed Description
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||60 participants|
|Intervention Model:||Single Group Assignment|
|Masking:||None (Open Label)|
|Official Title:||Phase I Study of MK-3475 (Pembrolizumab) in Patients With Human Immunodeficiency Virus (HIV) and Relapsed/Refractory or Disseminated Malignant Neoplasm|
|Actual Study Start Date :||February 3, 2016|
|Estimated Primary Completion Date :||July 1, 2020|
Experimental: Treatment (pembrolizumab and cART)
Patients receive pembrolizumab IV over 30 minutes on day 1. Patients continue receiving their recommended combination antiretroviral therapy orally daily. Courses repeat every 21 days for up to 2 years in the absence of disease progression or unacceptable toxicity.
Other: Laboratory Biomarker Analysis
- Frequency of observed adverse events (AEs) graded using Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 (version 5.0 beginning April 1, 2018) [ Time Frame: Up to 90 days after the last dose of trial treatment ]Safety and tolerability will be assessed by summarizing all relevant parameters including AEs, serious AEs (SAEs), laboratory tests, vital signs, and electrocardiogram measurements. All summaries will be presented for each cohort and overall. If the numbers are sufficient, the results may additionally be stratified by tumor type.
- Incidence of immune-related events of clinical interest (ECIs), which include the occurrence of grade 2 or higher AEs using CTCAE version 4.0 (version 5.0 beginning April 1, 2018) [ Time Frame: Up to 90 days after the last dose of trial treatment ]Any AE of unknown etiology associated with study therapy will be evaluated to determine if it is possibly an ECI of a potentially immunologic etiology or related to combination antiretroviral therapy (cART). All summaries will be presented for each cohort and overall. If the numbers are sufficient, the results may additionally be stratified by tumor type.
- Incidence of cART-related ECIs of grade 2 or higher AEs using CTCAE version 4.0 (version 5.0 beginning April 1, 2018) [ Time Frame: Up to 90 days after the last dose of trial treatment ]Any AE of unknown etiology associated with study therapy will be evaluated to determine if it is possibly an ECI of a potentially immunologic etiology or related to cART. All summaries will be presented for each cohort and overall. If the numbers are sufficient, the results may additionally be stratified by tumor type.
- Objective response rate defined as the proportion of patients who have achieved completer response (CR) or partial response (PR) [ Time Frame: Up to 1 year ]Assessed according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1, "Lugano Criteria" for Malignant Lymphoma or other tumor-specific criteria. Analyzed using Clopper-Pearson 95% confidence intervals.
- Progression-free survival using RECIST 1.1, "Lugano Criteria" for Malignant Lymphoma or other tumor-specific criteria [ Time Frame: From the first dose of study drug to progressive disease or death, whichever occurs earlier, assessed up to 1 year ]Summarized statistically using Kaplan-Meier method.
- Duration of response defined in participants experiencing CR or PR using RECIST 1.1, "Lugano Criteria" for malignant lymphoma or other tumor-specific criteria [ Time Frame: Interval between the date of first response (CR/PR) and the date of progression, assessed up to 1 year ]Summarized statistically using Kaplan-Meier method.
- Overall survival [ Time Frame: From the first dose of study drug to death due to any cause, assessed up to 1 year ]Summarized statistically using Kaplan-Meier method.
- Best objective response rate (partial response + completion response) as determined by modified Acquired Immunodeficiency Syndrome (AIDS) Clinical Trials Group (ACTG) criteria (Cohort 4) [ Time Frame: Up to 1 year ]
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02595866
|United States, California|
|Zuckerberg San Francisco General Hospital||Recruiting|
|San Francisco, California, United States, 94110|
|Contact: Chia-Ching (Jackie) Wang 415-476-4082 Paul.Couey@ucsf.edu|
|Principal Investigator: Chia-Ching (Jackie) Wang|
|UCSF Medical Center-Parnassus||Recruiting|
|San Francisco, California, United States, 94143|
|Contact: Lawrence Fong 877-827-3222|
|Principal Investigator: Lawrence Fong|
|United States, Connecticut|
|New Haven, Connecticut, United States, 06520|
|Contact: Mario Sznol 203-785-5702|
|Principal Investigator: Mario Sznol|
|United States, Louisiana|
|Louisiana State University Health Science Center||Recruiting|
|New Orleans, Louisiana, United States, 70112|
|Contact: Thomas M. Reske 504-568-2428 firstname.lastname@example.org|
|Principal Investigator: Thomas M. Reske|
|United States, Maryland|
|Johns Hopkins University/Sidney Kimmel Cancer Center||Suspended|
|Baltimore, Maryland, United States, 21287|
|National Institutes of Health Clinical Center||Recruiting|
|Bethesda, Maryland, United States, 20892|
|Contact: Robert Yarchoan 800-411-1222|
|Principal Investigator: Robert Yarchoan|
|United States, New York|
|Roswell Park Cancer Institute||Recruiting|
|Buffalo, New York, United States, 14263|
|Contact: Marc S. Ernstoff 800-767-9355 email@example.com|
|Principal Investigator: Marc S. Ernstoff|
|Laura and Isaac Perlmutter Cancer Center at NYU Langone||Recruiting|
|New York, New York, United States, 10016|
|Contact: Mohammad Maher Abdul-Hay 212-263-4434 firstname.lastname@example.org|
|Principal Investigator: Mohammad Maher Abdul-Hay|
|Mount Sinai Hospital||Suspended|
|New York, New York, United States, 10029|
|United States, Washington|
|Cancer Immunotherapy Trials Network||Recruiting|
|Seattle, Washington, United States, 98109|
|Contact: Thomas S. Uldrick 206-667-7485 email@example.com|
|Principal Investigator: Thomas S. Uldrick|
|Principal Investigator:||Thomas Uldrick||Cancer Immunotherapy Trials Network|