Status:

TERMINATED

EF-36/Keynote B36: A Pilot, Randomized, Open-label Study of Tumor Treating Fields (TTFields, 150 kHz) Concomitant With Pembrolizumab for First Line Treatment of Advanced or Metastatic Non-small Cell Lung Cancer

Lead Sponsor:

NovoCure GmbH

Collaborating Sponsors:

Merck Sharp & Dohme LLC

Conditions:

Non-small Cell Lung Cancer

Eligibility:

All Genders

22+ years

Phase:

PHASE2

Brief Summary

This is a multicenter, randomized, open-label study of Tumor Treating Fields (TTFields) at 150 kHz to the thorax using the NovoTTF-200T System with IV pembrolizumab in subjects previously untreated fo...

Detailed Description

TTFields have demonstrated significant activity in vitro and in NSCLC pre-clinical models, both as a single modality treatment and concomitant with chemotherapies and PD-1 inhibitors. TTFields have de...

Eligibility Criteria

Inclusion

  • Histologically or cytologically confirmed diagnosis of stage III or metastatic NSCLC without EGFR sensitizing mutation or ALK translocation
  • Age ≥ 22 years
  • Have a PD-L1 positive (TPS≥1%) tumor by local laboratory assessment
  • Have evaluable (measureable or non-measureable) disease in thorax per RECIST 1.1
  • ECOG performance status of 0 to 1
  • Have not received prior treatments for metastatic or current advanced NSCLC. Palliative treatment is allowed and subjects who received adjuvant, neoadjuvant chemotherapy or chemoradiotherapy with curative intent for non-metastatic disease are eligible if therapy completed at least 12 months prior to the development of metastatic or current advanced disease.
  • Life expectancy of at least 3 months
  • Able to operate the NovoTTF-200T device

Exclusion

  • Has known active or untreated CNS metastases and/or carcinomatous meningitis
  • Has an EGFR sensitizing mutation and/ or ALK translocation
  • Can be treated with curative intent with either surgical resection and/or chemoradiation
  • Has received prior therapy with an anti-PD-1, anti-PD-L1, or anti-PD-L2 agent or an agent directed to another stimulatory or co-inhibitory T cell receptor within the past 12 months
  • Has received prior systemic anti-cancer therapy for metastatic or current advanced NSCLC (palliative radiotherapy is allowed)
  • Being unable to operate the NovoTTF-200T device independently or with the help of a caregiver
  • Pregnancy or breastfeeding
  • Received live vaccine in the past 30 days or had major surgery in the last 3 weeks
  • Is expected to require any other form of systemic or localized antineoplastic therapy while on study

Key Trial Info

Start Date :

July 12 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

January 10 2025

Estimated Enrollment :

15 Patients enrolled

Trial Details

Trial ID

NCT04892472

Start Date

July 12 2021

End Date

January 10 2025

Last Update

April 23 2025

Active Locations (24)

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Page 1 of 6 (24 locations)

1

Central Alabama Research

Birmingham, Alabama, United States, 35209

2

Palo Verde Cancer Specialists

Glendale, Arizona, United States, 85304

3

Mayo Clinic

Phoenix, Arizona, United States, 85054

4

Long Beach Memorial Medical Center

Long Beach, California, United States, 90806