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Study of raludotatug deruxtecan, ifinatamab deruxtecan and docetaxel in patients with previously treated stage IV squamous non-small cell lung cancer

Verified siteRegistered drugNo placebo
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What is this trial about?

A plain-language summary of the goals, design and what participants do

This clinical trial focuses on treating patients with Stage IV Squamous Non-Small Cell Lung Cancer who have previously received other treatments. The study will test three different medications: Raludotatug Deruxtecan (also known as MK-5909), Ifinatamab Deruxtecan (also known as MK-2400), and Docetaxel. These medications are given through intravenous infusion, which means they are delivered directly into the bloodstream through a vein.

The main purpose of this study is to determine how well these treatments work in fighting lung cancer and to evaluate their safety when used individually. The medications will be administered over a period of up to 24 months, with different dosing schedules for each drug. Raludotatug Deruxtecan will be given at doses up to 5.6 mg per kilogram of body weight, Ifinatamab Deruxtecan at doses up to 12 mg per kilogram, and Docetaxel at doses up to 75 mg per square meter of body surface area.

During the study, doctors will monitor how the cancer responds to treatment and track any side effects that may occur. The study will measure how many patients' tumors shrink or disappear, how long the treatment effects last, how long patients live without their cancer getting worse, and overall survival time. This research is part of a larger study called KEYMAKER-U01, which is investigating various treatment options for lung cancer.

The research process

The trial runs in 5 steps – from screening to follow-up. Each step says what happens and what the team monitors.

  1. Step 1

    Initial screening and eligibility confirmation

    Medical evaluation to confirm stage IV squamous non-small cell lung cancer diagnosis

    Verification of previous treatments including anti-PD-(L)1 treatment and platinum-based chemotherapy

    Assessment of disease progression using medical imaging

  2. Step 2

    Treatment assignment

    Random assignment to one of three treatment groups:

    Group 1: Raludotatug Deruxtecan given through intravenous infusion

    Group 2: Ifinatamab Deruxtecan given through intravenous infusion

    Group 3: Docetaxel given through intravenous infusion

  3. Step 3

    Treatment period

    Regular visits to receive assigned medication through intravenous infusion

    Monitoring of treatment response through medical imaging

    Regular health assessments to check for side effects

    Documentation of any adverse reactions to the treatment

  4. Step 4

    Response evaluation

    Regular assessment of tumor response using medical imaging

    Evaluation of how long the treatment remains effective

    Monitoring of cancer progression

    Assessment of overall health status

  5. Step 5

    Long-term follow-up

    Continued monitoring of health status

    Regular check-ups to assess long-term treatment effects

    Documentation of survival outcomes

    Study participation continues until March 2032

Who can join the trial?

7 criteria

  • Must have confirmed Stage IV squamous non-small cell lung cancer through tissue or cell examination
  • Must show disease progression after receiving two types of previous treatments: - Treatment targeting PD-L1 (a protein that helps control immune system responses) - Platinum-based chemotherapy (a standard type of cancer treatment)
  • Must be an adult (18 years or older)
  • Both men and women can participate
  • If living with HIV, must have the condition well controlled with antiviral medications
  • If positive for Hepatitis B, must have: - Been on antiviral treatment for at least 4 weeks - No detectable virus in blood tests
  • If having a history of Hepatitis C, must have no detectable virus in blood tests

Who cannot join the trial?

13 criteria

  • Patients with a history of small cell lung cancer (a different type of lung cancer)
  • Patients who have received any prior systemic cancer therapy for stage IV disease
  • Patients with active or untreated brain metastases (cancer that has spread to the brain)
  • Patients with known autoimmune diseases (conditions where the immune system attacks healthy cells)
  • Patients who have received live vaccines within 30 days before starting the study treatment
  • Patients with active infections requiring systemic treatment
  • Patients with uncontrolled cardiovascular disease (serious heart conditions)
  • Pregnant or breastfeeding women
  • Patients participating in other clinical trials within 30 days before this study
  • Patients with known hypersensitivity to the study medications
  • Patients unable to swallow oral medications
  • Patients with severe liver or kidney dysfunction
  • Patients with uncontrolled diabetes or other serious medical conditions
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Investigated drugs

Based on the provided data, I cannot extract specific medications or therapies, as the trial data does not contain information about the products or treatments used. The trial appears to be an umbrella study for investigating treatments in patients with squamous non-small cell lung cancer (NSCLC), but the specific medications or investigational agents are not listed in the provided data. To properly list and describe the medications, I would need information about the actual treatments being studied in this trial.

What is already known about the treatment

Based on the provided clinical trial data, as it doesn't specify any particular medication names or substances, I cannot create detailed medication descriptions. The trial document only mentions that it's a Phase 2 umbrella study with "investigational agents" for Stage IV Squamous Non-Small Cell Lung Cancer, but doesn't name the specific medications being tested. If you could provide information about the specific investigational agents being used in this KEYMAKER-U01 trial, I would be happy to create detailed medication descriptions in the requested format: Medication Name – description Please provide additional details about the specific medications involved in this clinical trial for a proper description.

Investigated diseases

Stage IV Squamous Non-Small Cell Lung Cancer - A form of lung cancer that begins in the flat cells (squamous cells) lining the larger airways of the lungs and has spread extensively throughout the body. This type of cancer develops from the epithelial cells of the lung tissue and is characterized by the distinctive appearance of squamous cells under microscopic examination. The disease progresses through the lungs and can form secondary tumors in other parts of the body. At stage IV, the cancer has spread beyond the lungs to other organs or areas of the body. This condition affects the normal functioning of the lungs and can impact other organs where the cancer has spread.
Trial detailsLast updated 2 Oct 2026
Age18+ yearsPhasePhase IITrial ID2024-518839-11-00Protocol codeMK-3475-01IEstimated enrolment158 patientsSponsorMerck Sharp & Dohme LLC

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