ClinicalTrials.gg
TerminatedNCT04964960Updated Oct 31, 2025Results posted

Pembro+Chemo in Brain Mets

A Phase 2 interventional study of Pembrolizumab and Nab paclitaxel in Lung Cancer, Lung Cancer Metastatic and Brain Cancer, sponsored by John L. Villano, MD, PhD. Terminated at 1 site in United States. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2025-10-31.

Sponsored by John L. Villano, MD, PhD · Phase 2, Interventional, and Treatment

Why this study was terminated
Slow Accrual

Help build ClinicalTrials.gg — short surveys, remote interviews or testing, in your language. Take part →

Phase
Phase 2
Study type
Interventional
Enrollment
3
Allocation
Not applicable
Ages
18 Years to 85 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 39 studies testing pembrolizumab in Lung Neoplasms — 10 open to participants now, 22 under way, 9 of them phase 3. pembrolizumab · Lung Neoplasms.

Enrollment
35th of 39
3 · median 46
Started
2022
with 2 others
Phase 2
22 of 39
5 open now
Registered
20th of 39
by date

Among the 39 studies testing pembrolizumab in Lung Neoplasms, this one is the 35th largest by enrollment, is one of 3 that started in 2022, is one of 22 in phase 2, and was the 20th registered.

Lung Neoplasms

5,423 studies on the registry are indexed under Lung Neoplasms; 1,345 are open to participants now.

Browse Lung Neoplasms studies →

Open to participants now

10 of the 39 studies testing pembrolizumab in Lung Neoplasms are open now, in 12 countries. Recruiting first, the newest first:

5 more — sign in →

By country, each count listing its studies:

All 10 open studies →

About pembrolizumab

pembrolizumab: first FDA approval 2014 (KEYTRUDA), first EMA approval 2015. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 995 Lung Neoplasms studies recruiting now, 682 (69%) set no upper age limit and 142 (14%) stop at 75 or younger; 45 take children under 18; 142 take healthy volunteers.

This study: 18 Years to 85 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 39 studies testing pembrolizumab in Lung Neoplasms, or all of them as a file.
02

Study summary

The goal of this study is to evaluate whether providing Pembrolizumab prolongs survival and preserves quality of life while minimizing side effects for patients with NSCLC with untreated asymptomatic brain metastasis.

03

Conditions studied

  • Lung Cancer
  • Lung Cancer Metastatic
  • Brain Cancer
  • Cancer
04

Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Non-small cell lunch cancer (NSLC) with untreated asymptomatic
  • NSLC lacks oncogenic driver mutations
  • Absence of new onset neurological symptoms
  • Presence of fewer than ten intracranial lesions
  • Each lesion measures three centimeters or less
  • of greater than three months
  • Adequate organ and marrow function
  • Ability to understand and willingness to sign a written document

Exclusion criteria

Exclusion Criteria:

  • Presence of oncogenic driver mutations
  • located within 10mm of the optic chiasm or optic nerve, or within the brainstem
  • Known .
  • Midline shift
  • Serious non-healing wound, ulcer or bone fracture
  • Baseline inability to participate or complete neurocognitive testing
  • Major surgical procedure (including craniotomy and open brain ) or significant traumatic injury within 14 days prior to registration
  • Receipt of a non-CNS minor surgical procedure (e.g. core biopsy or fine needle aspiration) within three days prior to registration
  • History of allergic reactions attributed to monoclonal antibodies (mAb), compounds of similar chemical or biologic composition to Pembrolizumab
  • cardiovascular disease
  • Patients with uncontrolled intercurrent illness
  • Patients with psychiatric illness/social situations that would limit compliance with study requirements
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
3 participants (actual)

Study arms

  • Experimental
    Pembrolizumab with standard of care chemotherapy treatment

    Patients will receive 200mg or 400mg of Pembrolizumab (standard of care dosing at the discretion of treating physician) over thirty minutes on day 1 every three or six weeks with standard of care chemotherapy treatment (carboplatin, pemetrexed, paclitaxel, nab-paclitaxel).

    Drug: Pembrolizumab · Drug: Nab paclitaxel · Drug: Paclitaxel · Drug: Pemetrexed · Drug: Carboplatin

Interventions

  • Pembrolizumab is an immunotherapy that can help fight certain cancers.

    Also known as: Keytruda

  • Nab-paclitaxel is a taxane derivative that is an albumin-bound paclitaxel nanoparticle formulation that promotes microtubule assembly.

  • Paclitaxel is a taxane derivative that promotes microtubule assembly by enhancing the action of tubulin dimers, stabilizing existing microtubules, and inhibiting their disassembly, interfering with the late G2 mitotic phase, and inhibiting cell replication.

  • Pemetrexed is an antifolate agent that disrupts folate-dependent metabolic processes essential for cell replication.

  • Carboplatin is a platinum compound alkylating agent which covalently binds to DNA and interferes with the function of DNA by producing interstrand DNA cross-links.

06

What researchers measure

Primary outcomes

  1. Disease Control Rate

    Intracranial benefit defined as stable disease, partial response, and complete response

    Time frame: 6 months (baseline to 6 months)

Secondary outcomes

  1. Number of Participants With Overall Survival at 12-month Post-enrollment

    Overall survival at 12-month post-enrollment

    Time frame: 12 months

  2. Change in Extracranial Disease Control

    Extracranial disease control rate (systemic): includes stable disease, partial response, and complete response.

    Time frame: 12 months (6 months post-enrollment, 12 months post-enrollment)

  3. Change in Patient-reported Cognitive Functioning - Functional Assessment of Cancer Therapy-Cognitive (FACT-Cog)

    The FACT-Cog questionnaire was developed to assess perceived cognitive function and impact on quality of life (QOL) in cancer patients. The level of perceived cognitive impairments is measured on a four-point Likert scale (4 = several times a day to 0 = never) FACT-Cog has been widely administered across clinical settings and validated across different cultures and languages. Subjects can complete it in 5 minutes. A higher score indicates a better quality of life/cognitive function.

    Time frame: 12 months (Baseline and 12 months post enrollment)

  4. Change in Quality of Life - Functional Assessment of Cancer Therapy-Brain (FACT-Br)

    The FACT-Br is a commonly used instrument measuring general quality of life (QOL) that reflects symptoms or problems associated with brain malignancies across 5 subscales. The level of well-being is measured on a four-point Likert scale (4 = very much to 0 = not at all). The measure yields information about total quality of life, as well as information about the dimensions of physical well-being, social/family well-being, emotional well-being, functional well-being, and disease-specific concerns. The score range is 0-200 where a higher score indicated a better quality of life. The FACT-Br is written at the 4th grade reading level, and subjects can complete it in 5-10 minutes.

    Time frame: 12 months (Baseline and 12 months post enrollment)

  5. Change in Quality of Life - FACIT Fatigue Scale (FACIT-F)

    FACIT-F is a short, 13-item, easy to administer tool that measures an individual's level of fatigue during their usual daily activities over the past week. The level of fatigue is measured on a four-point Likert scale (4 = not at all fatigued to 0 = very much fatigued) with a score range of 0-52. Subjects can complete the questionnaire in 2-3 minutes and the higher the score, the better the quality of life.

    Time frame: 12 months (Baseline and 12 months post enrollment)

  6. Change in Mild Cognitive Impairment (MoCA)

    Neurocognitive functioning will be evaluated utilizing the Montreal Cognitive Assessment (MoCA). MoCA assesses different cognitive domains: attention and concentration, executive functions, memory, language, visuoconstructional skills, conceptual thinking, calculations, and orientation. Participants will complete the MoCA (estimated time 10 minutes). The MoCA is scored to obtain an item total, scores can range from 0 to 30 and score of 26 or above is considered normal.

    Time frame: 12 months (Baseline and 12 months post enrollment)

  7. Change in Performance Status

    Participant performance status will be evaluated utilizing the Eastern Cooperative Oncology Group (ECGO) performance status instrument. Performance status is graded from 0-5 where lower scores indicate better performance/patient daily living abilities.

    Time frame: 12 months (Baseline and 12 months post enrollment)

Other outcomes

  1. Immune Based Biomarker Activity

    PD-1 and several immune-based markers, such as cytotoxic T cells, will be measured and summarized descriptively. Correlations with PD-1 and between markers will be estimated using Pearson or Spearman's correlation coefficient. Exploratory association of these biological markers with DCR will be performed using two-group comparison tests. Adjustment for multiple testing due to several immune-based markers will be considered using Holm's p-value adjustment method.

    Time frame: 12 weeks (Baseline, 6 weeks after baseline, 6 weeks after prior collection)

07

Results

Posted Oct 21, 2024

Participant flow

Participant flow — Overall Study
MilestonePembrolizumab with standard of care chemotherapy treatment
Started3
Completed1
Not completed2
Withdrew: Withdrawal by subject1
Withdrew: Did not complete cycles1

Outcome measures

PrimaryDisease Control Rate

Intracranial benefit defined as stable disease, partial response, and complete response

Time frame:
6 months (baseline to 6 months)
Reported as:
Count of participants · Participants
Disease Control Rate
ParticipantsPembrolizumab with standard of care chemotherapy treatment
Stable Disease0
Complete Response2
Partial Response0
SecondaryNumber of Participants With Overall Survival at 12-month Post-enrollment

Overall survival at 12-month post-enrollment

Time frame:
12 months
Reported as:
Count of participants · Participants
Number of Participants With Overall Survival at 12-month Post-enrollment
ParticipantsPembrolizumab with standard of care chemotherapy treatment
Number of Participants With Overall Survival at 12-month Post-enrollment1
SecondaryChange in Extracranial Disease Control

Extracranial disease control rate (systemic): includes stable disease, partial response, and complete response.

Time frame:
12 months (6 months post-enrollment, 12 months post-enrollment)
Reported as:
Count of participants · Participants
Change in Extracranial Disease Control
ParticipantsPembrolizumab with standard of care chemotherapy treatment
Change in Extracranial Disease Control1
SecondaryChange in Patient-reported Cognitive Functioning - Functional Assessment of Cancer Therapy-Cognitive (FACT-Cog)

The FACT-Cog questionnaire was developed to assess perceived cognitive function and impact on quality of life (QOL) in cancer patients. The level of perceived cognitive impairments is measured on a four-point Likert scale (4 = several times a day to 0 = never) FACT-Cog has been widely administered across clinical settings and validated across different cultures and languages. Subjects can complete it in 5 minutes. A higher score indicates a better quality of life/cognitive function.

Time frame:
12 months (Baseline and 12 months post enrollment)
Reported as:
Mean · score on a scale

No measurements were reported for this outcome.

SecondaryChange in Quality of Life - Functional Assessment of Cancer Therapy-Brain (FACT-Br)

The FACT-Br is a commonly used instrument measuring general quality of life (QOL) that reflects symptoms or problems associated with brain malignancies across 5 subscales. The level of well-being is measured on a four-point Likert scale (4 = very much to 0 = not at all). The measure yields information about total quality of life, as well as information about the dimensions of physical well-being, social/family well-being, emotional well-being, functional well-being, and disease-specific concerns. The score range is 0-200 where a higher score indicated a better quality of life. The FACT-Br is written at the 4th grade reading level, and subjects can complete it in 5-10 minutes.

Time frame:
12 months (Baseline and 12 months post enrollment)
Reported as:
Mean · score on a scale

No measurements were reported for this outcome.

SecondaryChange in Quality of Life - FACIT Fatigue Scale (FACIT-F)

FACIT-F is a short, 13-item, easy to administer tool that measures an individual's level of fatigue during their usual daily activities over the past week. The level of fatigue is measured on a four-point Likert scale (4 = not at all fatigued to 0 = very much fatigued) with a score range of 0-52. Subjects can complete the questionnaire in 2-3 minutes and the higher the score, the better the quality of life.

Time frame:
12 months (Baseline and 12 months post enrollment)

No measurements were reported for this outcome.

SecondaryChange in Mild Cognitive Impairment (MoCA)

Neurocognitive functioning will be evaluated utilizing the Montreal Cognitive Assessment (MoCA). MoCA assesses different cognitive domains: attention and concentration, executive functions, memory, language, visuoconstructional skills, conceptual thinking, calculations, and orientation. Participants will complete the MoCA (estimated time 10 minutes). The MoCA is scored to obtain an item total, scores can range from 0 to 30 and score of 26 or above is considered normal.

Time frame:
12 months (Baseline and 12 months post enrollment)

No measurements were reported for this outcome.

SecondaryChange in Performance Status

Participant performance status will be evaluated utilizing the Eastern Cooperative Oncology Group (ECGO) performance status instrument. Performance status is graded from 0-5 where lower scores indicate better performance/patient daily living abilities.

Time frame:
12 months (Baseline and 12 months post enrollment)

No measurements were reported for this outcome.

Other pre-specifiedImmune Based Biomarker Activity

PD-1 and several immune-based markers, such as cytotoxic T cells, will be measured and summarized descriptively. Correlations with PD-1 and between markers will be estimated using Pearson or Spearman's correlation coefficient. Exploratory association of these biological markers with DCR will be performed using two-group comparison tests. Adjustment for multiple testing due to several immune-based markers will be considered using Holm's p-value adjustment method.

Time frame:
12 weeks (Baseline, 6 weeks after baseline, 6 weeks after prior collection)

Results for this outcome have not been posted.

Adverse events

Collected over 12 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Pembrolizumab with standard of care chemotherapy treatment1/3 (33.3%)0/3 (0%)2/3 (66.7%)
Most frequent other events
Showing 10 of 20
Most frequent other events
EventPembrolizumab with standard of care chemotherapy treatment
FatigueGeneral disorders2/3
Atrial FibrillationCardiac disorders1/3
Cardiac disorders - OtherCardiac disorders1/3
PalpitationsCardiac disorders1/3
NauseaGastrointestinal disorders1/3
ConstipationGastrointestinal disorders1/3
Flu like symptomsGeneral disorders1/3
OtherGeneral disorders1/3
SinusitisInfections and infestations1/3
Tooth infectionInfections and infestations1/3

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Pembrolizumab with standard of care chemotherapy treatment
<=18 years0
Between 18 and 65 years1
>=65 years2
Sex: Female, Male
Sex: Female, Male(Participants)Pembrolizumab with standard of care chemotherapy treatment
Female2
Male1
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Pembrolizumab with standard of care chemotherapy treatment
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American1
White2
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)Pembrolizumab with standard of care chemotherapy treatment
United States3
08

Study locations

1 site
  • University of Kentucky, Markey Cancer Center
    Lexington, Kentucky 40536, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from May 2022 to primary completion in Jun 2023, 13 months.

Results were first posted in Oct 2024, 1 year 4 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 6, 2021
First posted
Jul 16, 2021
StartActual
May 19, 2022
Primary completionActual
Jun 19, 2023
CompletionActual
Dec 19, 2023
Results first posted
Oct 21, 2024
Last update
Oct 31, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 31, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04964960
Lead sponsor
John L. Villano, MD, PhD
Responsible party
John L. Villano, MD, PhD (Principal Investigator, University of Kentucky) — Sponsor-investigator
First posted
Jul 16, 2021
Start date
May 19, 2022
Primary completion
Jun 19, 2023
Completion
Dec 19, 2023
Results posted
Oct 21, 2024
Last update
Oct 31, 2025

Study contacts

John Villano, MD, PhD
principal investigator · University of Kentucky

Oversight

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

Not currently enrolling

This study is terminated, as verified in Oct 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Pembrolizumab

Start the discussion