Merck Favezelimab/Keytruda Trial Misses Endpoint

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Merck says the Phase 3 KEYFORM-007 trial of investigational favezelimab and Keytruda (pembrolizumab) failed to meet its primary endpoint (overall survival (OS)) in patients with previously treated PD-L1 positive microsatellite stable metastatic colorectal cancer. A final pre-specified analysis found that the favezelimab and pembrolizumab fixed-dose combination did not demonstrate an improvement in OS compared to standard of care regorafenib (Bayer’s Stivarga) or trifluridine and tipiracil hydrochloride (Taiho Oncology’s Lonsurf), the company says.

Keytruda is currently FDA-approved for treating patients with unresectable or metastatic microsatellite instability-high or mismatch repair deficient colorectal cancer as determined by an FDA-approved test.

Favezelimab is Merck’s investigational anti-lymphocyte activation gene-3 (LAG-3) antibody. “LAG-3 is a cell surface immunomodulatory receptor expressed on various immune cells that down-regulates T cell proliferation and activation,” the company says. “Favezelimab aims to restore T cell effector function by preventing LAG-3 from binding to its primary ligand, major histocompatibility complex (MHC) Class II molecules.”

Fixed-dose combination of favezelimab and pembrolizumab is being evaluated across multiple solid tumor types and in patients with relapsed or refractory classical Hodgkin lymphoma, it says.

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