Phase 2
N=66
A Study of Pembrolizumab (MK-3475) in Relapsed or Refractory Classical Hodgkin's Lymphoma (rrcHL) or Relapsed or Refractory Primary Mediastinal Large B-cell Lymphoma (rrPMBCL) (MK-3475-B68)
Hodgkin's Lymphoma · Primary Mediastinal Large B-cell Lymphoma (PMBCL)
Bottom Line
View on ClinicalTrials.gov: NCT04875195 ↗Enrolled (actual)
66
Serious AEs
7.6%
Results posted
Feb 2025
Primary outcome: Primary: Objective Response Rate (ORR) Per Lugano Classification as Assessed by Investigator — 66.7; 50.0 Percentage of Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- Pembrolizumab (Biological)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Merck Sharp & Dohme LLC
- Primary completion
- Dec 2023
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Objective Response Rate (ORR) Per Lugano Classification as Assessed by Investigator |
66.7; 50.0 | — |
| SECONDARY ORR Per Lugano Classification as Assessed by Blinded Independent Central Review (BICR) |
70.0; 66.7 | — |
| SECONDARY Duration of Response (DOR) Per Lugano Classification as Assessed by Investigator |
— | — |
| SECONDARY DOR Per Lugano Classification as Assessed by BICR |
— | — |
| SECONDARY Area Under the Curve (AUC) Early Cycle of Pembrolizumab |
NA | — |
| SECONDARY Area Under the Curve (AUC) Steady State of Pembrolizumab |
NA | — |
| SECONDARY Maximum Serum Concentration (Cmax) Early Cycle of Pembrolizumab |
127.5 | — |
| SECONDARY Maximum Serum Concentration (Cmax) Steady State of Pembrolizumab |
154.8 | — |
| SECONDARY Trough Serum Concentration (Ctrough) Early Cycle of Pembrolizumab |
17.9 | — |
| SECONDARY Trough Serum Concentration (Ctrough) Steady State of Pembrolizumab |
33.8 | — |
| SECONDARY Antidrug Antibody Levels (ADA) for Pembrolizumab |
62; 1; 1; 0 | — |
| SECONDARY Number of Participants Who Experienced an Adverse Event (AE) |
— | — |
| SECONDARY Number of Participants Who Discontinued Study Treatment Due to AE |
— | — |
Summary
The primary objective of the study is to evaluate the objective response rate (ORR), by cohort, rrcHL and rrPMBCL, as assessed by the investigator according to Lugano classification criteria 2014 in participants treated with pembrolizumab every six weeks (Q6W).
Eligibility Criteria
Inclusion Criteria
- Have a histologically confirmed diagnosis of cHL or PMBCL, according to the World Health Organization (WHO) classification [Swerdlow, S. H., et al 2008].
- Has radiographically measurable cHL or PMBCL disease as per Lugano classification with at least 1 nodal lesion (which has not been previously radiated) that is >15 mm in long axis, regardless of the length of the short axis, and/or extranodal lesion of >10 mm in long and short axis.
PMBCL-Specific Disease Characteristics:
- Have relapsed or refractory PMBCL and:
- Have relapsed after auto-stem cell transplant (SCT) or have failed to achieve a CR or PR within 60 days of auto-SCT. Participants may have received intervening therapy after auto-SCT for relapsed or refractory disease, in which case they must have relapsed after or be refractory to their last treatment.
OR
- For participants who are ineligible for auto-SCT, have received at least ≥2 lines of prior therapy and have failed to respond to or relapsed after their last line of treatment. At least 1 of the prior lines of therapy must contain a rituximab-based regimen.
Note: Participants should not need urgent cytoreductive therapy.
- Relapsed Disease: disease progression after achieving an overall response of PR or CR in response to the most recent therapy
- Refractory Disease: failure to achieve CR or PR to the most recent therapy.
cHL-Specific Disease Characteristics:
- Have relapsed or refractory cHL and:
- Have relapsed during their last cHL regimen after receiving at least 2 cycles of therapy or within 12 months after completing the last regimen for cHL.
OR
- Have received at least ≥1 line of prior multiagent therapy with/without brentuximab vedotin (excluding radiation) or auto-SCT for cHL and have failed to respond to or relapsed after their last line of treatment.
- Relapsed Disease: disease progression after achieving an overall response of PR or CR to the most recent therapy.
- Refractory Disease: failure to achieve CR or PR to the most recent therapy.
- A female participant is eligible to participate if she is not pregnant or breastfeeding, and at least one of the following conditions applies:
- Is not a woman of child bearing potential (WOCBP). OR
- Is a WOCBP and using a contraceptive method that is highly effective (with a failure rate of 60 days) or newly obtained (within 30 days) core or incisional biopsy at Screening which was not previously irradiated. Note: If no archival tissue is available, 2 new fresh core needle samples are required.
- Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1.
- Life expectancy >3 months.
- Adequate organ function.
Exclusion Criteria
- Has undergone solid organ transplant at any time, or prior allogeneic hematopoietic SCT within the last 5 years
- Has clinically significant (i.e., active) cardiovascular disease: cerebral vascular accident/stroke (<6 months prior to enrollment), myocardial infarction (<6 months prior to enrollment), unstable angina, congestive heart failure (New York Heart Association Classification Class ≥II), or serious cardiac arrhythmia requiring medication
- Has pericardial effusion or clinically significant pleural effusion
- Has a history of a second malignancy, unless potentially curative treatment has been completed with no evidence of malignancy for 2 years. Note: The time requirement does not apply to participants who underwent successful definitive resection of basal cell carcinoma of the skin, squamous cell carcinoma of the skin, superficial bladder cancer, in situ cervical cancer, or other in situ cancers
- Is receiving systemic steroid therapy (in dosing exceeding 10 mg daily of prednisone equivalent) <3 days prior to the first dose of study intervention. Note: Participants who receive daily steroid replacement therapy are an exception
- Has received prior monoclonal antibody within 4 weeks prior to first dose of study intervention or has not recovered (i.e., ≤Grade 1 or at bas
Data sourced from ClinicalTrials.gov (NCT04875195). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.