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Tyrosine Kinase Inhibitor
Pembrolizumab + Lenvatinib for Advanced Cervical Cancer
Phase 2
Recruiting
Led By Samir Khleif, MD
Research Sponsored by Georgetown University
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Female participants who are at least 18 years of age on the day of signing informed consent with histologically confirmed diagnosis of locally advanced or metastatic cervical cancer will be enrolled in this study.
Creatinine OR Measured or calculated creatinine clearance (GFR can also be used in place of creatinine or CrCl) ≤1.5 × ULN OR ≥30 mL/min for participant with creatinine levels >1.5 × institutional ULN
Must not have
Has a known history of Hepatitis B (defined as Hepatitis B surface antigen [HBsAg] reactive) or known active Hepatitis C virus (defined as HCV RNA [qualitative] is detected) infection. Note: no testing for Hepatitis B and Hepatitis C is required unless mandated by local health authority.
Has significant cardiovascular impairment: history of congestive heart failure greater than New York Heart Association (NYHA) Class II, unstable angina, myocardial infarction or stroke within 6 months of the first dose of study drug, or cardiac arrhythmia requiring medical treatment at Screening.
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 2 years
Awards & highlights
No Placebo-Only Group
Summary
This trial is testing a combination of two drugs to treat patients with cervical cancer that has spread and failed to respond to first line therapy. The hypothesis is that the combination of the two drugs will be more effective than either drug alone.
Who is the study for?
This trial is for women at least 18 years old with advanced cervical cancer that worsened after first-line therapy. They must have measurable disease, provide a tumor tissue sample, and have proper organ function. Women of childbearing potential must agree to contraception guidelines. Exclusions include severe allergies to the drugs tested, recent other treatments or vaccines, certain health conditions like uncontrolled blood pressure or active infections.
What is being tested?
The trial tests pembrolizumab combined with lenvatinib in patients with advanced cervical cancer who didn't respond well to initial treatment. It's believed this combo could counteract VEGF-mediated immunosuppression and improve patient response.
What are the potential side effects?
Possible side effects may include immune system reactions leading to inflammation in various organs, infusion-related reactions, fatigue, digestive issues such as malabsorption or gastrointestinal disorders, increased risk of infection due to lowered immunity.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I am a woman over 18 with advanced or metastatic cervical cancer.
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My kidney function, measured by creatinine or GFR, is within the required range.
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My cancer has worsened or I couldn't tolerate my first treatment.
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I am not able to become pregnant.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I have a history of Hepatitis B or active Hepatitis C.
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I do not have serious heart problems like recent heart attacks or severe heart failure.
Select...
I have an immune system disorder or have been on high-dose steroids or other immune-weakening medicines recently.
Select...
I have been diagnosed with HIV.
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I have or had lung inflammation not caused by infection, treated with steroids.
Select...
My blood pressure is high despite taking medication.
Select...
I have an autoimmune disease treated with strong medication in the last 2 years.
Select...
I have been treated with drugs targeting PD-1, PD-L1, or PD-L2.
Select...
I am currently being treated for an infection.
Select...
I have a condition that affects how my body absorbs medication.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ up to 2 years
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 2 years
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Objective Response Rate
Secondary study objectives
Duration of response
Incidence of adverse events
Incidence of study drug discontinuation due to Adverse Events
+2 moreSide effects data
From 2024 Phase 3 trial • 804 Patients • NCT0304099964%
Radiation skin injury
63%
Stomatitis
58%
Anaemia
56%
Nausea
48%
Dry mouth
45%
Constipation
45%
Weight decreased
44%
Dysphagia
42%
Neutrophil count decreased
33%
Dysgeusia
33%
Vomiting
32%
Fatigue
31%
White blood cell count decreased
28%
Hypomagnesaemia
26%
Decreased appetite
25%
Hypothyroidism
25%
Hypokalaemia
24%
Lymphocyte count decreased
24%
Platelet count decreased
23%
Oropharyngeal pain
23%
Blood creatinine increased
22%
Diarrhoea
22%
Odynophagia
20%
Hypoacusis
20%
Alanine aminotransferase increased
20%
Hyponatraemia
19%
Tinnitus
19%
Oral candidiasis
19%
Asthenia
16%
Pyrexia
16%
Cough
15%
Aspartate aminotransferase increased
15%
Rash
14%
Insomnia
13%
Acute kidney injury
13%
Pharyngeal inflammation
13%
Pruritus
12%
Dysphonia
12%
Gamma-glutamyltransferase increased
11%
Pneumonia
11%
Dehydration
10%
Hyperthyroidism
10%
Hypoalbuminaemia
10%
Hypocalcaemia
10%
Headache
10%
Productive cough
9%
Neck pain
9%
Peripheral sensory neuropathy
8%
Gastrooesophageal reflux disease
8%
Hiccups
8%
Hyperglycaemia
8%
Hyperuricaemia
8%
Dizziness
8%
Hypophosphataemia
7%
Urinary tract infection
7%
Ear pain
7%
Localised oedema
7%
Hyperkalaemia
7%
Erythema
7%
Oral pain
6%
Abdominal pain upper
6%
Arthralgia
6%
Anxiety
6%
Febrile neutropenia
6%
Dyspepsia
6%
Saliva altered
5%
Back pain
5%
Oedema peripheral
5%
Hypertension
5%
Dyspnoea
4%
Nasopharyngitis
4%
Alopecia
4%
Dry skin
3%
Sepsis
3%
Pneumonia aspiration
3%
Trismus
3%
Pneumonitis
3%
Laryngeal oedema
2%
Malnutrition
2%
Pharyngeal haemorrhage
2%
Cellulitis
1%
Septic shock
1%
Systemic infection
1%
Clostridium difficile colitis
1%
Cardiac arrest
1%
Death
1%
Bronchitis
1%
Hepatitis
1%
Immune-mediated hepatitis
1%
Oesophagitis
1%
General physical health deterioration
1%
Hypophagia
1%
Tumour haemorrhage
1%
Cerebrovascular accident
1%
Syncope
1%
Acute respiratory failure
1%
Aspiration
1%
Colitis
1%
Mouth haemorrhage
1%
Hypersensitivity
1%
Acute myocardial infarction
1%
Abscess neck
1%
Device related infection
1%
Stoma site infection
1%
Vascular device infection
1%
Wound infection
1%
Hypercalcaemia
1%
Pulmonary embolism
1%
Respiratory failure
100%
80%
60%
40%
20%
0%
Study treatment Arm
Pembrolizumab + CRT Followed by Pembrolizumab
Placebo + CRT Followed by Placebo
Awards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
1Treatment groups
Experimental Treatment
Group I: Pembrolizumab with LenvatinibExperimental Treatment2 Interventions
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Pembrolizumab
2017
Completed Phase 3
~3150
Lenvatinib
2017
Completed Phase 4
~2070
Find a Location
Who is running the clinical trial?
Georgetown UniversityLead Sponsor
348 Previous Clinical Trials
137,267 Total Patients Enrolled
Merck Sharp & Dohme LLCIndustry Sponsor
4,015 Previous Clinical Trials
5,186,298 Total Patients Enrolled
Samir Khleif, MDPrincipal InvestigatorGeorgetown University
1 Previous Clinical Trials
54 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I have a history of Hepatitis B or active Hepatitis C.I do not have serious heart problems like recent heart attacks or severe heart failure.My brain metastases are stable, and I haven't needed steroids for 14 days.I haven't had cancer treatment or major surgery in the last 4 weeks and have recovered from side effects.I am fully active or restricted in physically strenuous activity but can do light work.My organs are functioning well, tested within the last 28 days.I had radiotherapy over 2 weeks ago, with no ongoing side effects and haven't needed steroids.I have another cancer besides skin or in situ cancers that needed treatment in the last 3 years.My cancer can be measured by scans and has grown in previously treated areas.I have not received a live vaccine within the last 30 days.My blood clotting tests are within normal limits, or if I'm on blood thinners, they're in the therapeutic range.I have an immune system disorder or have been on high-dose steroids or other immune-weakening medicines recently.I am a woman over 18 with advanced or metastatic cervical cancer.My kidney function, measured by creatinine or GFR, is within the required range.My cancer has worsened or I couldn't tolerate my first treatment.I can provide a recent or past biopsy of my tumor that hasn't been radiated.You have a severe allergic reaction (Grade 3 or higher) to pembrolizumab or lenvatinib, or any ingredients in these medications.I have been diagnosed with HIV.I have or had lung inflammation not caused by infection, treated with steroids.My blood pressure is high despite taking medication.I have an autoimmune disease treated with strong medication in the last 2 years.I have been treated with drugs targeting PD-1, PD-L1, or PD-L2.I am currently being treated for an infection.I am not pregnant, not breastfeeding, and meet one of the specific conditions.My liver function tests are within the required range.I have a bleeding disorder or am at high risk for severe bleeding.I am not able to become pregnant.I have a condition that affects how my body absorbs medication.
Research Study Groups:
This trial has the following groups:- Group 1: Pembrolizumab with Lenvatinib
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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