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A Phase 2/3 Randomized, Open-label Study of MK-1045 in Combination With Rituximab in Participants With 1L Follicular Lymphoma

Status: Recruiting
Location: See all (24) locations...
Intervention Type: Biological, Drug
Study Type: Interventional
Study Phase: Phase 2/Phase 3
SUMMARY

Researchers are looking for new ways to treat follicular lymphoma (FL). A standard (usual) treatment for FL includes a targeted therapy called rituximab and chemotherapy. In this study, researchers want to learn if giving a study medicine called MK-1045 and rituximab can treat FL. MK-1045 is a type of treatment called immunotherapy. The goals of this study are to learn: * About the safety of MK-1045 and rituximab, and if people tolerate them when given together * If people who receive MK-1045 and rituximab have the cancer go away * If people who receive MK-1045 and rituximab live longer without their cancer getting worse compared to those who receive standard treatment (rituximab and chemotherapy)

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Has biopsy-proven, previously untreated, histologically confirmed cluster of differentiation (CD)19-positive and CD20-positive classical follicular lymphoma (FL), with Ann Arbor Stage II-IV disease and a Follicular Lymphoma International Prognostic Index (FLIPI) score of 2-5.

• Has radiographically measurable disease per the Lugano Response Criteria.

• Has provided a newly obtained core or excisional biopsy or archival tissue of a tumor lesion not previously irradiated.

• If human immunodeficiency virus (HIV)-positive, has well-controlled HIV on antiretroviral therapy (ART).

• If hepatitis B surface antigen (HBsAg)-positive, has undetectable hepatitis B virus (HBV) viral load and has received HBV antiviral therapy for at least 4 weeks and will continue it.

• If history of hepatitis C virus (HCV) infection, has undetectable HCV viral load.

Locations
United States
California
City of Hope - Duarte Cancer Center ( Site 1301)
RECRUITING
Duarte
Kentucky
University of Kentucky ( Site 1303)
RECRUITING
Lexington
North Carolina
Duke Cancer Center Clinic 1B/C Onc/Heme ( Site 1307)
RECRUITING
Durham
Tennessee
SCRI Oncology Partners ( Site 7000)
RECRUITING
Nashville
Other Locations
Argentina
Instituto Alexander Fleming ( Site 0105)
RECRUITING
Ciudad Autonoma De Buenos Aires
Hospital Privado Universitario de Córdoba ( Site 0102)
RECRUITING
Córdoba
Sanatorio Nuestra Senora del Rosario ( Site 0104)
RECRUITING
Rosario
Australia
Box Hill Hospital ( Site 0201)
RECRUITING
Box Hill
China
Beijing Cancer hospital ( Site 0501)
RECRUITING
Beijing
Fudan University Shanghai Cancer Center ( Site 0504)
RECRUITING
Shanghai
Israel
Hadassah Medical Center ( Site 0701)
RECRUITING
Jerusalem
Sheba Medical Center ( Site 0702)
RECRUITING
Ramat Gan
Sourasky Medical Center ( Site 0704)
RECRUITING
Tel Aviv
Republic of Korea
Samsung Medical Center ( Site 0801)
RECRUITING
Seoul
Spain
Institut Català d'Oncologia (ICO) - Badalona ( Site 0904)
RECRUITING
Badalona
Hospital Universitari Vall de Hebron ( Site 0903)
RECRUITING
Barcelona
Hospital Universitario Gregorio Maranon ( Site 0902)
RECRUITING
Madrid
Hospital Virgen de la Victoria ( Site 0905)
RECRUITING
Málaga
Hospital Universitario de Salamanca ( Site 0906)
RECRUITING
Salamanca
Taiwan
National Taiwan University Hospital ( Site 1001)
RECRUITING
Taipei
Chang Gung Medical Foundation-Linkou Branch ( Site 1002)
RECRUITING
Taoyuan
Turkey
Hacettepe Universite Hastaneleri ( Site 1110)
RECRUITING
Ankara
Sisli Florence Nightingale Hastanesi ( Site 1112)
RECRUITING
Istanbul
Ondokuz Mayıs Universitesi ( Site 1113)
RECRUITING
Samsun
Contact Information
Primary
Toll Free Number
Trialsites@msd.com
1-888-577-8839
Time Frame
Start Date: 2026-06-22
Estimated Completion Date: 2035-07-23
Participants
Target number of participants: 960
Treatments
Experimental: Part 1: MK-1045 plus Rituximab (or biosimilar)
Participants will receive escalating doses of MK-1045 (from 2 mg to 90 mg) once weekly (QW) for up to approximately 12 months. Participants will also receive 375 mg/m\^2 rituximab (or biosimilar) once every 4 weeks (Q4W) for up to approximately 6 months.
Experimental: Part 2: MK-1045 plus Rituximab (or biosimilar)
Participants will receive MK-1045 QW at the dose determined in Part 1 for up to approximately 12 months. Participants will also receive 375 mg/m\^2 rituximab (or biosimilar) Q4W for up to approximately 6 months.
Experimental: Part 2: Physician's Choice of Chemotherapy plus Rituximab (or biosimilar)
Participants will receive physician's choice of: 90 mg/m\^2 bendamustine on Days 1 and 2 of each 4-week cycle for up to 6 cycles (up to approximately 6 months) plus 375 mg/m\^2 rituximab (or biosimilar) Q4W for up to approximately 6 months OR 750 mg/m\^2 cyclophosphamide, 50 mg/m\^2 doxorubicin, and 1.4 mg/m\^2 vincristine on day 1 of each 3-week cycle (Q3W) and 100 mg/m\^2 prednisone (or prednisolone) once daily on days 1 through 5 Q3W for up to 6 cycles (up to approximately 4 months) plus 375 mg/m\^2 rituximab (or biosimilar) Q3W for up to approximately 4 months OR 750 mg/m\^2 cyclophosphamide and 1.4 mg/m\^2 vincristine Q3W and 40 mg/day prednisone (or prednisolone) once daily on days 1 through 5 of each 3-week cycle for up to 6 cycles (up to approximately 4 months) plus 375 mg/m\^2 rituximab (or biosimilar) Q3W for up to approximately 6 months.
Sponsors
Leads: Merck Sharp & Dohme LLC

This content was sourced from clinicaltrials.gov

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