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Spots Global Cancer Trial Database for Study of First-line Pembrolizumab (MK-3475) With Lenvatinib (MK-7902/E7080) in Urothelial Carcinoma Cisplatin-ineligible Participants Whose Tumors Express Programmed Cell Death-Ligand 1 and in Participants Ineligible for Platinum-containing Chemotherapy (MK-7902-011/E7080-G000-317/ LEAP-011)

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Trial Identification

Brief Title: Study of First-line Pembrolizumab (MK-3475) With Lenvatinib (MK-7902/E7080) in Urothelial Carcinoma Cisplatin-ineligible Participants Whose Tumors Express Programmed Cell Death-Ligand 1 and in Participants Ineligible for Platinum-containing Chemotherapy (MK-7902-011/E7080-G000-317/ LEAP-011)

Official Title: A Phase 3, Randomized, Double-blind Study to Compare the Efficacy and Safety of Pembrolizumab (MK-3475) in Combination With Lenvatinib (E7080/MK-7902) Versus Pembrolizumab and Placebo as First Line Treatment for Locally Advanced or Metastatic Urothelial Carcinoma in Cisplatin-ineligible Participants Whose Tumors Express PD-L1, and in Participants Ineligible for Any Platinum-containing Chemotherapy Regardless of PD-L1 Expression (LEAP-011)

Study ID: NCT03898180

Study Description

Brief Summary: The purpose of this study is to evaluate the efficacy and safety of lenvatinib (MK-7902/E7080) in combination with pembrolizumab (MK-3475) in the treatment of cisplatin-ineligible participants with a Programmed Cell Death-Ligand 1 (PD-L1) Combined Positive Score (CPS) ≥10, or in participants ineligible for any platinum-containing chemotherapy regardless of CPS, with advanced/unresectable or metastatic urothelial carcinoma (UC). The primary hypotheses for this study are that: 1. Pembrolizumab + lenvatinib is superior to pembrolizumab + placebo with respect to Progression-free Survival (PFS) per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) by blinded independent central review (BICR), and 2. Pembrolizumab + lenvatinib is superior to pembrolizumab + placebo with respect to Overall Survival (OS). With Amendment 3 (effective: September \[Sep\]-24-2021) participants discontinued lenvatinib and placebo; participants who remained on treatment in the study arms received open-label pembrolizumab. With Amendment 3 the external Data Monitoring Committee was discontinued. With Amendment 4 (effective: December-5-2022) Second Course will no longer be offered. Any participant receiving Second Course treatment prior to initiation of Amendment 4 will be able to complete treatment as planned. With Amendment 4 study participation will end after the final administration of pembrolizumab. Participants who either complete 35 administrations of pembrolizumab or discontinue pembrolizumab will discontinue from the study following the safety follow-up visit. AEs and spontaneously reported pregnancies will be reported and followed per protocol. All participants in efficacy follow-up prior to initiation of Amendment 4 will stop efficacy assessments and be discontinued from the study. All participants in survival follow-up prior to initiation of Amendment 4 are considered to have completed the study and should have a final survival contact. The overall study ends when the last participant completes the last study-related contact or visit, withdraws from the study, or is lost to follow-up.

Detailed Description:

Eligibility

Minimum Age: 18 Years

Eligible Ages: ADULT, OLDER_ADULT

Sex: ALL

Healthy Volunteers: No

Locations

Banner MD Anderson Cancer Center ( Site 0016), Gilbert, Arizona, United States

Community Cancer Institute ( Site 0777), Clovis, California, United States

University of California Irvine Medical Center ( Site 0078), Orange, California, United States

John Wayne Cancer Institute ( Site 0017), Santa Monica, California, United States

Northwest Georgia Oncology Centers PC ( Site 0707), Marietta, Georgia, United States

University of Chicago ( Site 0039), Chicago, Illinois, United States

Joliet Oncology Hematology ( Site 0091), Joliet, Illinois, United States

Quincy Medical Group ( Site 0022), Quincy, Illinois, United States

New England Cancer Specialists ( Site 0047), Scarborough, Maine, United States

Karmanos Cancer Institute ( Site 0712), Detroit, Michigan, United States

Mercy Hospital Saint Louis - David C. Pratt Cancer Center ( Site 0095), Saint Louis, Missouri, United States

Comprehensive Cancer Centers of Nevada ( Site 0005), Las Vegas, Nevada, United States

St. Peter's Hospital Cancer Care Center ( Site 0042), Albany, New York, United States

Laura and Isaac Perlmutter Cancer Center at NYU Langone Health ( Site 0002), New York, New York, United States

Oklahoma Cancer Specialists and Research Institute, LLC ( Site 0774), Tulsa, Oklahoma, United States

Thomas Jefferson University Hospital ( Site 0051), Philadelphia, Pennsylvania, United States

Medical University of South Carolina-Hollings Cancer Center ( Site 0029), Charleston, South Carolina, United States

Baylor Scott & White Medical Center - Temple ( Site 0706), Temple, Texas, United States

Virginia Cancer Institute ( Site 0099), Richmond, Virginia, United States

Seattle Cancer Care Alliance ( Site 0003), Seattle, Washington, United States

Cancer Care Northwest ( Site 0009), Spokane, Washington, United States

Centro de Oncologia e Investigacion Buenos Aires COIBA ( Site 0577), Berazategui, Buenos Aires, Argentina

Centro de Urología CDU ( Site 0590), Buenos Aires, Caba, Argentina

Instituto Medico Alexander Fleming ( Site 0578), Buenos Aires, Caba, Argentina

Centro de Investigaciones Clinicas - Clinica Viedma ( Site 0585), Viedma, Rio Negro, Argentina

Centro Oncológico de Rosario ( Site 0584), Rosario, Santa Fe, Argentina

Instituto de Investigaciones Metabolicas ( Site 0589), Buenos Aires, , Argentina

Centro Medico Dra De Salvo ( Site 0593), Buenos Aires, , Argentina

CEMAIC ( Site 0581), Cordoba, , Argentina

Centro Oncologico de Integracion Regional. COIR ( Site 0576), Mendoza, , Argentina

Macquarie University ( Site 0151), North Ryde, New South Wales, Australia

Mater Misericordiae Ltd ( Site 0158), South Brisbane, Queensland, Australia

Monash Health ( Site 0160), Clayton, Victoria, Australia

Peninsula Health Frankston Hospital ( Site 0153), Frankston, Victoria, Australia

Austin Health-Austin Hospital ( Site 0154), Heidelberg, Victoria, Australia

Hamilton Health Sciences-Juravinski Cancer Centre ( Site 0101), Hamilton, Ontario, Canada

Lakeridge Health ( Site 0103), Oshawa, Ontario, Canada

Sunnybrook Research Institute ( Site 0106), Toronto, Ontario, Canada

CIUSSS de l Estrie Centre Hospitalier Universitaire de Sherbrooke ( Site 0102), Sherbrooke, Quebec, Canada

CHUQ-Univ Laval-Hotel Dieu de Quebec ( Site 0104), Quebec, , Canada

Peking University First Hospital ( Site 0726), Beijing, Beijing, China

Fifth Medical Center of CPLA General Hospital ( Site 0732), Beijing, Beijing, China

Peking University Third Hospital ( Site 0727), Beijing, Beijing, China

Chongqing Cancer Hospital ( Site 0741), Chongging, Chongqing, China

The First Affiliated Hospital of Xiamen University ( Site 0743), Xiamen, Fujian, China

Sun Yat-Sen University Cancer Center ( Site 0752), Guangdong, Guangdong, China

The First Affiliated Hospital of Guangzhou Medical University ( Site 0749), Guangzhou, Guangdong, China

Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University ( Site 0746), Guangzhou, Guangdong, China

Harbin Medical University Cancer Hospital ( Site 0750), Harbin, Heilongjiang, China

Hubei Cancer Hospital ( Site 0744), Wuhan, Hubei, China

Hunan Cancer Hospital ( Site 0745), Changsha, Hunan, China

Nanjing Drum Tower Hospital ( Site 0737), Nanjing, Jiangsu, China

Fudan University Shanghai Cancer Center ( Site 0721), Shanghai, Shanghai, China

Zhongshan Hospital Fudan University ( Site 0725), Shanghai, Shanghai, China

The First Affiliated Hospital of Xi an Jiaotong University ( Site 0738), Xian, Shanxi, China

Cancer Hospital Affiliated to Xinjiang Medical University ( Site 0751), Urumqi, Xinjiang, China

Second Affiliated Hospital, Zhejiang University ( Site 0734), Hangzhou, Zhejiang, China

Zhejiang Provincial People's Hospital ( Site 0735), Hangzhou, Zhejiang, China

Rigshospitalet ( Site 0680), Copenhagen, Hovedstaden, Denmark

Herlev Hospital ( Site 0681), Herlev, Hovedstaden, Denmark

Aarhus Universitets hospital ( Site 0683), Aarhus N, Midtjylland, Denmark

Aalborg Universitets Hospital ( Site 0684), Aalborg, Nordjylland, Denmark

Odense Universitetshospital ( Site 0682), Odense, Syddanmark, Denmark

CHU Poitiers ( Site 0253), Poitiers, Ain, France

Institut de Cancerologie Strasbourg Europe ( Site 0232), Strasbourg, Alsace, France

Hopital de la Timone ( Site 0246), Marseille, Bouches-du-Rhone, France

CHIC Quimper ( Site 0245), Quimper, Finistere, France

CHU de Bordeaux- Hopital Saint Andre ( Site 0235), Bordeaux, Gironde, France

Clinique Pasteur ( Site 0252), Tolouse, Haute-Garonne, France

Centre de Cancerologie du Grand Montpellier ( Site 0249), Montpellier, Languedoc-Roussillon, France

Centre Rene Gauducheau ICO ( Site 0250), Saint Herblain, Loire-Atlantique, France

Institut de Cancerologie de l Ouest Site Paul Papin ( Site 0236), Angers, Maine-et-Loire, France

Centre D Oncologie de Gentilly ( Site 0240), Nancy, Meurthe-et-Moselle, France

Centre Hospitalier de la Cote Basque ( Site 0239), Bayonne, Pyrenees-Atlantiques, France

Centre Leon Berard ( Site 0244), Lyon, Rhone, France

Institut Gustave Roussy ( Site 0243), Villejuif, Val-de-Marne, France

CHD Vendee-onco-hematologie ( Site 0251), La Roche sur Yon, Vendee, France

Institut Curie ( Site 0237), Paris, , France

Klinikum der Eberhard-Karls-Universitaet Tuebingen ( Site 0271), Tuebingen, Baden-Wurttemberg, Germany

Universitaetsklinikum Giessen und Marburg GmbH ( Site 0284), Marburg, Hessen, Germany

Helios Kliniken Schwerin GmbH ( Site 0278), Schwerin, Mecklenburg-Vorpommern, Germany

Universitaetsmedizin Goettingen ( Site 0281), Gottingen, Niedersachsen, Germany

Universitaetsklinikum Essen ( Site 0274), Essen, Nordrhein-Westfalen, Germany

Staedtisches Krankenhaus Kiel GmbH ( Site 0285), Kiel, Schleswig-Holstein, Germany

Universitaetsklinikum Schleswig-Holstein-Campus Lubeck ( Site 0277), Luebeck, Schleswig-Holstein, Germany

Universitaetsklinikum Hamburg-Eppendorf ( Site 0282), Hamburg, , Germany

Bacs-Kiskun Megyei Korhaz ( Site 0510), Kecskemet, Bacs-Kiskun, Hungary

Borsod-Abaúj-Zemplén Megyei Központi Kórház és Egyetemi Okta-Klinikai Onkológiai és Sugárterápiás Ce, Miskolc, Borsod-Abauj-Zemplen, Hungary

Jasz Nagykun Szolnok Megyei Hetenyi Geza Korhaz Rendelointezet ( Site 0507), Szolnok, Jasz-Nagykun-Szolnok, Hungary

Markusovszky Egyetemi Oktatokorhaz ( Site 0502), Szombathely, Vas, Hungary

Bajcsy Zsilinszki Korhaz es Rendelointezet ( Site 0509), Budapest, , Hungary

Orszagos Onkologiai Intezet ( Site 0503), Budapest, , Hungary

Uzsoki Utcai Korhaz ( Site 0508), Budapest, , Hungary

Somogy Megyei Kaposi Mor Oktato Korhaz ( Site 0504), Kaposvar, , Hungary

Ha Emek Medical Center ( Site 0560), Afula, , Israel

Assuta Ashdod Public ( Site 0562), Ashdod, , Israel

Rambam Medical Center ( Site 0552), Haifa, , Israel

Shaare Zedek Medical Center ( Site 0559), Jerusalem, , Israel

Hadassah Ein Kerem Medical Center ( Site 0558), Jerusalem, , Israel

Meir Medical Center ( Site 0554), Kfar Saba, , Israel

Rabin Medical Center ( Site 0553), Petach-Tikwa, , Israel

Sheba Medical Center ( Site 0551), Ramat Gan, , Israel

Sourasky Medical Center ( Site 0561), Tel Aviv, , Israel

Assaf Harofeh Medical Center ( Site 0556), Zerifin, , Israel

Ospedale San Raffaele-Oncologia Medica ( Site 0309), Milano, Lombardia, Italy

ASST Grande Ospedale Metropolitano Niguarda ( Site 0307), Milano, Lombardia, Italy

Centro di Riferimento Oncologico CRO ( Site 0304), Aviano, Pordenone, Italy

Istituto Tumori Giovanni Paolo II ( Site 0306), Bari, , Italy

Policlinico S. Orsola - Malpighi (Bologna) ( Site 0302), Bologna, , Italy

Azienda Ospedaliera per l Emergenza Cannizzaro ( Site 0305), Catania, , Italy

Fondazione IRCCS Istituto Nazionale dei Tumori di Milano ( Site 0301), Milano, , Italy

Azienda Ospedaliera Santa Maria ( Site 0303), Terni, , Italy

Ospedale Borgo Roma-Oncologia ( Site 0308), Verona, , Italy

Hirosaki University Hospital ( Site 0123), Hirosaki, Aomori, Japan

National Cancer Center Hospital East ( Site 0128), Kashiwa, Chiba, Japan

Ehime University Hospital ( Site 0137), Toon, Ehime, Japan

Sapporo Medical University Hospital ( Site 0122), Sapporo, Hokkaido, Japan

University of Tsukuba Hospital ( Site 0126), Tsukuba, Ibaraki, Japan

Kitasato University Hospital ( Site 0129), Sagamihara, Kanagawa, Japan

Nara Medical University Hospital ( Site 0133), Kashihara, Nara, Japan

Saitama Medical University International Medical Center ( Site 0125), Hidaka, Saitama, Japan

Yamaguchi University Hospital ( Site 0135), Ube, Yamaguchi, Japan

Akita University Hospital ( Site 0124), Akita, , Japan

Chiba Cancer Center ( Site 0127), Chiba, , Japan

Nagasaki University Hospital ( Site 0136), Nagasaki, , Japan

Osaka City University Hospital ( Site 0132), Osaka, , Japan

Tokushima University Hospital ( Site 0134), Tokushima, , Japan

Medical Hospital, Tokyo Medical And Dental University ( Site 0130), Tokyo, , Japan

Chonnam National University Hwasun Hospital ( Site 0194), Hwasun Gun, Jeonranamdo, Korea, Republic of

National Cancer Center ( Site 0196), Goyang-si, Kyonggi-do, Korea, Republic of

Chungnam National University Hospital ( Site 0195), Daejeon, Taejon-Kwangyokshi, Korea, Republic of

Korea University Anam Hospital ( Site 0197), Seoul, , Korea, Republic of

Seoul National University Hospital ( Site 0191), Seoul, , Korea, Republic of

Severance Hospital ( Site 0192), Seoul, , Korea, Republic of

Veterans Health Service Medical Center ( Site 0198), Seoul, , Korea, Republic of

Samsung Medical Center ( Site 0193), Seoul, , Korea, Republic of

Ziekenhuis Rijnstate ( Site 0342), Arnhem, Gelderland, Netherlands

Maastricht Universitair Medisch Centrum - MUMC ( Site 0334), Maastricht, Limburg, Netherlands

VieCuri Medisch Centrum ( Site 0340), Venlo, Limburg, Netherlands

Amphia Ziekenhuis Breda ( Site 0331), Breda, Noord-Brabant, Netherlands

Deventer Ziekenhuis ( Site 0341), Deventer, Overijssel, Netherlands

Haga Ziekenhuis ( Site 0333), Den Haag, Zuid-Holland, Netherlands

Erasmus MC ( Site 0332), Rotterdam, Zuid-Holland, Netherlands

St. Antonius Ziekenhuis ( Site 0335), Utrecht, , Netherlands

Uniwersytecki Szpital Kliniczny im. Jana Mikulicza-Radeckiego ( Site 0535), Wroclaw, Dolnoslaskie, Poland

Szpital Wojewodzki ( Site 1062), Tarnow, Malopolskie, Poland

Europejskie Centrum Zdrowia Otwock ( Site 0532), Otwock, Mazowieckie, Poland

Urologica Praktyka Lekarska Adam Marcheluk ( Site 0543), Siedlce, Mazowieckie, Poland

Luxmed Onkologia sp. z o. o. ( Site 0541), Warszawa, Mazowieckie, Poland

Szpital Miejski im. Jana Pawła II w Bielsku-Białej ( Site 0542), Bielsko-Biala, Slaskie, Poland

GBUZ Leningrad Regional Clinical Oncology Dispensary ( Site 0426), Kuzmolovskiy Settlement, Leningradskaya Oblast, Russian Federation

Russian Scientific Center of Roentgenoradiology ( Site 0424), Moscow, Moskva, Russian Federation

Central Clinical Hospital with Polyclinic ( Site 0415), Moscow, Moskva, Russian Federation

Medical Rehabilitation Center ( Site 0411), Moscow, Moskva, Russian Federation

Murmansk Regional Oncology Dispensary ( Site 0420), Murmansk, Murmanskaya Oblast, Russian Federation

Volga District Medical Center Federal Medical and Biological Agency ( Site 0413), Nizhny Novgorod, Nizhegorodskaya Oblast, Russian Federation

Omsk Clinical Oncology Dispensary ( Site 0418), Omsk, Omskaya Oblast, Russian Federation

Clinical Hospital Saint Luka ( Site 0421), Saint-Petersburg, Sankt-Peterburg, Russian Federation

Yaroslavl Regional SBIH Clinical Oncology Hospital ( Site 0414), Yaroslavl, Yaroslavskaya Oblast, Russian Federation

Institut Catala d Oncologia Hospital Germans Trias i Pujol ( Site 0351), Badalona, Barcelona, Spain

ICO L Hospitalet ( Site 0361), Hospitalet de Llobregat, Barcelona, Spain

Xarxa Assistencial Universitaria Manresa ( Site 0354), Manresa, Barcelona, Spain

Hospital Teresa Herrera - Chuac ( Site 0357), A Coruna, La Coruna, Spain

Hospital Universitario HM Sanchinarro ( Site 0356), Madrid, Madrid, Comunidad De, Spain

Hospital Infanta Cristina ( Site 0355), Badajoz, , Spain

Hospital General Universitari Vall d Hebron ( Site 0358), Barcelona, , Spain

Hospital La Princesa ( Site 0862), Madrid, , Spain

Hospital Universitario Gregorio Maranon ( Site 0352), Madrid, , Spain

Kaohsiung Medical University Chung-Ho Memorial Hospital ( Site 0216), Kaoshiung, Kaohsiung, Taiwan

Kaohsiung Chang Gung Memorial Hospital ( Site 0217), Kaohsiung, , Taiwan

China Medical University Hospital ( Site 0213), Taichung, , Taiwan

Taichung Veterans General Hospital ( Site 0214), Taichung, , Taiwan

National Cheng Kung University Hospital ( Site 0215), Tainan, , Taiwan

National Taiwan University Hospital ( Site 0211), Taipei, , Taiwan

Taipei Veterans General Hospital ( Site 0212), Taipei, , Taiwan

Cukurova Universitesi Tıp Fakultesi Balcalı Hastanesi ( Site 0457), Adana, , Turkey

Ankara Sehir Hastanesi ( Site 0455), Ankara, , Turkey

Antalya Memorial Hospital Department of Medical Oncology ( Site 0461), Antalya, , Turkey

Istanbul Universitesi Cerrahpasa Tip Fakultesi ( Site 0454), Istanbul, , Turkey

Göztepe Prof. Dr. Süleyman Yalçın Şehir Hastanesi-oncology ( Site 0459), Istanbul, , Turkey

Ege Universitesi Tulay Aktas Onkoloji Hastanesi ( Site 0462), İzmir, , Turkey

Necmettin Erbakan Universitesi Meram Tip Fakultesi Hastanesi ( Site 0456), Konya, , Turkey

Sakarya Universitesi Tip Fakultesi Arastirma Hastanesi ( Site 0460), Sakarya, , Turkey

Weston Park Hospital ( Site 0387), Sheffield, Derbyshire, United Kingdom

Queens Hospital-Purple Zone ( Site 0377), Romford, Essex, United Kingdom

Lister Hospital ( Site 0376), Stevenage, Hertfordshire, United Kingdom

Kent and Canterbury Hospital ( Site 0390), Canterbury, Kent, United Kingdom

Royal Preston Hospital ( Site 0379), Preston, Lancashire, United Kingdom

Saint Bartholomew s Hospital - London ( Site 0386), London, London, City Of, United Kingdom

University College London Hospital NHS Foundation Trust ( Site 0380), London, London, City Of, United Kingdom

Imperial Healthcare NHS Trust Charing Cross Hospital ( Site 0378), London, London, City Of, United Kingdom

Nottingham University Hospital NHS Trust ( Site 0383), Nottingham, , United Kingdom

Derriford Hospital ( Site 0388), Plymouth, , United Kingdom

Royal Stoke University Hospital Univ. Hosps of North Midlands NHST ( Site 0392), Stoke-on-Trent, , United Kingdom

Contact Details

Name: Medical Director

Affiliation: Merck Sharp & Dohme LLC

Role: STUDY_DIRECTOR

Useful links and downloads for this trial

Clinicaltrials.gov

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