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TerminatedNCT03598608Updated Jul 28, 2026

Study to Evaluate the Safety and Efficacy of a Combination of Favezelimab (MK-4280) and Pembrolizumab (MK-3475) in Participants With Hematologic Malignancies (MK-4280-003)

A Phase 1/2 interventional study of pembrolizumab and Favezelimab in Hodgkin Disease, Lymphoma, Non-Hodgkin and Lymphoma, B-Cell, sponsored by Merck Sharp & Dohme LLC. Terminated at 25 sites in 6 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-28.

Sponsored by Merck Sharp & Dohme LLC · Phase 1/2, Interventional, and Treatment

Why this study was terminated
Business Reason
Phase
Phase 1/2
Study type
Interventional
Enrollment
137
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study will evaluate the safety and efficacy of favezelimab (MK-4280) in combination with pembrolizumab (MK-3475) using a non-randomized study design in participants with the following hematological malignancies:

  • classical Hodgkin lymphoma (cHL)
  • diffuse large B-cell lymphoma (DLBCL)
  • indolent non-Hodgkin lymphoma (iNHL)

This study will also evaluate the safety and efficacy of pembrolizumab or favezelimab administered as monotherapy in participants with cHL using a 1:1 randomized study design.

The study will have 2 phases: a safety lead-in and an efficacy expansion phase. The recommended Phase 2 dose (RP2D) will be determined in the safety lead-in phase by evaluating dose-limiting toxicities.

There is no primary hypothesis for this study.

Read the detailed description

Per protocol amendment 7, the secondary serum concentration endpoints were removed and will not be reported.

02

Conditions studied

  • Hodgkin Disease
  • Lymphoma, Non-Hodgkin
  • Lymphoma, B-Cell

Keywords

  • programmed cell death 1 (PD-1, PD1)
  • programmed cell death ligand 1 (PD-L1, PDL1)
  • programmed cell death ligand 2 (PD-L2, PDL2)
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In context

Hodgkin Disease

885 studies on the registry are indexed under Hodgkin Disease; 132 are open to participants now.

This study's enrollment of 137 is above the median of 44 across 726 interventional studies indexed under Hodgkin Disease.

Browse Hodgkin Disease studies →

Lead sponsor

Merck Sharp & Dohme LLC is the lead sponsor of 2,114 studies on the registry; 133 are open to participants now.

Of its 489 completed or terminated interventional studies of FDA-regulated products, 362 (74%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Has measurable disease, defined as ≥1 lesion that can be accurately measured in 2 dimensions with diagnostic quality cross sectional anatomic imaging (computed tomography or magnetic resonance imaging). Minimum measurement must be >15 mm in the longest diameter or >10 mm in the short axis
  • Is able to provide a core or excisional tumor biopsy for biomarker analysis from an archival (within 3 months) or newly obtained biopsy at screening
  • Has a performance status of 0 or 1 on the Eastern Cooperative Oncology Group (ECOG)

Exclusion criteria

Exclusion Criteria:

  • Has known clinically active central nervous system (CNS) involvement
  • Has received prior therapy with an anti-lymphocyte activation gene-3 (LAG-3) antibody
  • Has received chimeric antigen receptors (CAR)-T-cell therapy for cHL and DLBCL Cohorts
  • Has received prior anticancer therapy or thoracic radiation therapy within 14 days before the first dose of study treatment
  • Has ≥Grade 2 non-hematological residual toxicities from prior therapy
  • Has had a prior anticancer monoclonal antibody within 4 weeks prior to study Day 1 or who has not recovered (i.e., ≤Grade 1 or at baseline) from AEs due to agents administered ≥4 weeks earlier
  • Has received a live vaccine within 30 days prior to first dose of study treatment. Administration of killed vaccines are allowed
  • Has received an investigational agent or used an investigational device within 4 weeks prior to intervention administration
  • Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy or any other form of immunosuppressive therapy within 7 days prior the first dose of study drug
  • Has a known additional malignancy that is progressing or requires active treatment with the exception of basal cell carcinoma of the skin, squamous cell carcinoma of the skin, or in situ cervical cancer that has undergone potentially curative therapy
  • Has active autoimmune disease that has required systemic treatment in past 2 years (i.e., with use of disease modifying agents, corticosteroids or immunosuppressive drugs)
  • Has a history of (non-infectious) pneumonitis that required steroids or current pneumonitis
  • Has an active infection requiring intravenous systemic therapy
  • Has a known history of human immunodeficiency virus (HIV) infection
  • Has known, active hepatitis B or hepatitis C infection
  • Is pregnant or breastfeeding, or expecting to conceive or father children within the projected duration of the study, starting with the screening visit through 120 days after the last dose of study treatment
  • Has had an allogeneic hematopoetic stem cell/solid organ transplantation within the last 5 years
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Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
137 participants (actual)

Study arms

  • Experimental
    Part A: Favezelimab Dose A+pembrolizumab

    Participants receive 200 mg pembrolizumab by intravenous (IV) infusion followed by favezelimab Dose A by IV infusion on Day 1 of each 3-week cycle for up to 35 cycles (up to approximately 2 years).

    Biological: pembrolizumab · Biological: Favezelimab

  • Experimental
    Part A: Favezelimab Dose B+pembrolizumab

    Participants receive 200 mg pembrolizumab by IV infusion followed by favezelimab Dose B by IV infusion on Day 1 of each 3-week cycle for up to 35 cycles (up to approximately 2 years).

    Biological: pembrolizumab · Biological: Favezelimab

  • Experimental
    Part A: Favezelimab Dose C+Pembrolizumab

    Participants receive 200 mg pembrolizumab by IV infusion followed by favezelimab Dose C by IV infusion on Day 1 of each 3-week cycle for up to 35 cycles (up to approximately 2 years).

    Biological: pembrolizumab · Biological: Favezelimab

  • Experimental
    Part B: cHL-Combination Therapy

    Participants with cHL receive 200 mg pembrolizumab by IV infusion followed by the recommended Phase 2 dose (RP2D) of favezelimab by IV infusion on Day 1 of each 3-week cycle for up to 35 cycles (up to approximately 2 years).

    Biological: pembrolizumab · Biological: Favezelimab

  • Experimental
    Part B: DLBCL-Combination Therapy

    Participants with DLBCL receive 200 mg pembrolizumab by IV infusion followed by the RP2D of favezelimab by IV infusion on Day 1 of each 3-week cycle for up to 35 cycles (up to approximately 2 years).

    Biological: pembrolizumab · Biological: Favezelimab

  • Experimental
    Part B: iNHL-Combination Therapy

    Participants with iNHL receive 200 mg pembrolizumab by IV infusion followed by the RP2D of favezelimab by IV infusion on Day 1 of each 3-week cycle for up to 35 cycles (up to approximately 2 years).

    Biological: pembrolizumab · Biological: Favezelimab

  • Experimental
    Part B: Randomized cHL-Monotherapy

    Participants with cHL receive either pembrolizumab by IV infusion or the RP2D of favezelimab by IV infusion on Day 1 of each 3-week cycle (Q3W) for up to 35 cycles (up to approximately 2 years).

    Biological: pembrolizumab · Biological: Favezelimab

Interventions

  • Biologicalpembrolizumab

    Administered as an IV infusion every 3 weeks (Q3W)

    Also known as: KEYTRUDA®, MK-3475

  • BiologicalFavezelimab

    Administered as an IV infusion Q3W

    Also known as: MK-4280

06

What researchers measure

Primary outcomes

  1. Percentage of Participants Experiencing a Dose-limiting Toxicity (DLT)

    DLT will be defined as any drug-related adverse event (AE) observed during the DLT evaluation period (Cycle 1) that results in a change to a given dose or a delay in initiating the next cycle and reported as the percentage of participants experiencing a DLT defined by the National Cancer Institute Common Terminology for Adverse Events version 4.0.

    Time frame: Cycle 1 (up to 21 days)

  2. Percentage of Participants Experiencing an Adverse Event (AE)

    Percentage of participants experiencing an AE defined as any unfavorable and unintended sign, symptom, disease, or worsening of preexisting condition temporally associated with study therapy and irrespective of causality to study treatment

    Time frame: From time of signing informed consent form (ICF) until the end of follow-up (up to approximately 27 months)

  3. Percentage of Participants with Treatment Discontinuations Due to an AE

    Percentage of participants discontinuing study treatment due to an AE

    Time frame: From time of signing informed consent form (ICF) until the end of study treatment (up to approximately 24 months)

Secondary outcomes

  1. Objective Response Rate (ORR)

    ORR is defined as the percentage of participants in the analysis population who had a Complete Response or a Partial Response per lymphoma disease response criteria (Cheson et. al., 2007) as assessed by the investigator.

    Time frame: Up to approximately 24 months

07

Study locations

25 sites
  • Banner MD Anderson Cancer Center ( Site 0020)
    Gilbert, Arizona 85234, United States
  • City of Hope ( Site 0001)
    Duarte, California 91010, United States
  • Ronald Reagan UCLA Medical Center (Radiological Sciences) ( Site 0007)
    Los Angeles, California 90095, United States
  • Pacific Cancer Care ( Site 0006)
    Monterey, California 93940, United States
  • University of California San Francisco ( Site 0023)
    San Francisco, California 94143, United States
  • Dana Farber Cancer Institute ( Site 0002)
    Boston, Massachusetts 02215, United States
  • Fox Chase Cancer Center ( Site 0019)
    Philadelphia, Pennsylvania 19111, United States
  • Texas Oncology-Austin Midtown ( Site 8002)
    Austin, Texas 78705, United States
  • Concord Repatriation & General Hospital ( Site 0203)
    Concord, New South Wales 2139, Australia
  • Princess Alexandra Hospital ( Site 0204)
    Woollongabba, Queensland 4102, Australia
  • Monash Health ( Site 0201)
    Clayton, Victoria 3168, Australia
  • St Vincent s Hospital (Melbourne) Limited ( Site 0202)
    Fitzroy, Victoria 3065, Australia
  • BC Cancer ( Site 0107)
    Vancouver, British Columbia V5Z 1L3, Canada
  • CancerCare Manitoba ( Site 0101)
    Winnipeg, Manitoba R3E 0V9, Canada
  • Princess Margaret Cancer Centre ( Site 0100)
    Toronto, Ontario M5G 2M9, Canada
  • Jewish General Hospital ( Site 0105)
    Montreal, Quebec H3T 1E2, Canada
  • U. klinikum Koeln AOER ( Site 0326)
    Cologne, North Rhine-Westphalia 50937, Germany
  • Universitaetsklinikum Leipzig AOeR ( Site 0327)
    Leipzig, Saxony 4103, Germany
  • Rambam Medical Center ( Site 0382)
    Haifa, 3109601, Israel
  • Hadassah Ein Karem Jerusalem ( Site 0383)
    Jerusalem, 9112001, Israel
  • Chaim Sheba Medical Center. ( Site 0380)
    Ramat Gan, 5262001, Israel
  • Sourasky Medical Center ( Site 0381)
    Tel Aviv, 6423906, Israel
  • A.O. Universitaria Policlinico S. Orsola-Malpighi ( Site 0351)
    Bologna, Emilia-Romagna 40138, Italy
  • Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori ( Site 0354)
    Meldola, Forli-Cesena 47014, Italy
  • Humanitas-U.O di Oncologia medica ed Ematologia ( Site 0352)
    Rozzano, Milano 20089, Italy
08

References and documents

Publications

  • Armand P, Zinzani PL, Timmerman J, Johnson NA, Lavie D, Thiagarajan K, Topp BG, Pillai P, Herrera AF. Estimating efficacy of favezelimab plus pembrolizumab relative to pembrolizumab in anti-PD-1-refractory Hodgkin lymphoma. Blood Adv. 2025 Oct 14;9(19):4987-4995. doi: 10.1182/bloodadvances.2024014654. PubMed 40668662 ↗

Individual participant data

Plan to share: Yes — https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 28, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03598608
Lead sponsor
Merck Sharp & Dohme LLC
Responsible party
Sponsor
First posted
Jul 26, 2018
Start date
Oct 17, 2018
Primary completion
Jan 28, 2026
Completion
Jan 28, 2026
Last update
Jul 28, 2026

Study contacts

Medical Director
study director · Merck Sharp & Dohme LLC

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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