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Active, not recruitingNCT06041802Updated Feb 17, 2026

A Study of Pembrolizumab (+) Berahyaluronidase Alfa (MK-3475A) (Pembrolizumab Formulated With Berahyaluronidase Alfa (MK-5180)) in Japanese Participants With Recurrent or Metastatic Cutaneous Squamous Cell Carcinoma (R/M cSCC) or Locally Advanced (LA) Unresectable cSCC (MK-3475A-E39)

A Phase 2 interventional study of Pembrolizumab (+) Berahyaluronidase alfa in Squamous Cell Carcinoma, sponsored by Merck Sharp & Dohme LLC. Active, not recruiting at 18 sites in Japan. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-02-17.

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

Phase
Phase 2
Study type
Interventional
Enrollment
19
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the efficacy, safety, and tolerability of subcutaneous (SC) pembrolizumab (+) berahyaluronidase alfa in Japanese participants with recurrent or metastatic cutaneous squamous cell carcinoma or locally advanced unresectable cSCC. The primary hypothesis is that pembrolizumab (+) berahyaluronidase alfa will result in greater than 10% objective response rate (ORR) per Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST 1.1) as assessed by Blinded Independent Central Review (BICR).

02

Conditions studied

  • Squamous Cell Carcinoma

Keywords

  • Programmed Cell Death-1 (PD1, PD-1)
  • Programmed Cell Death 1 Ligand 1(PDL1, PD-L1)
  • Programmed Cell Death 1 Ligand 2 (PDL2, PD-L2)
03

In context

Carcinoma, Squamous Cell

1,772 studies on the registry are indexed under Carcinoma, Squamous Cell; 412 are open to participants now.

This study's planned enrollment of 19 is below the median of 44 across 1,414 interventional studies indexed under Carcinoma, Squamous Cell.

Browse Carcinoma, Squamous Cell 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

The key inclusion and exclusion criteria include but are not limited to the following:

Inclusion criteria

Inclusion Criteria:

  • Has histologically confirmed cSCC by the investigator as the primary site of malignancy
  • R/M cSCC cohort only: Has metastatic disease, defined as disseminated disease distant to the initial/primary site of diagnosis, and/or has locally recurrent disease that has been previously treated (with either surgery or radiotherapy) and is not curable by either surgery or radiotherapy
  • LA unresectable cSCC cohort only: Is ineligible for surgical resection
  • LA unresectable cSCC cohort only: Has received prior radiation therapy (RT) to index site or has been deemed to be not eligible for RT
  • LA unresectable cSCC cohort only: Has received prior systemic therapy for curative intent are eligible regardless of regimen
  • Has a life expectancy of greater than 3 months
  • Must provide archival tumor tissue sample or newly obtained core or excisional biopsy of a tumor lesion not previously irradiated

Exclusion criteria

Exclusion Criteria:

  • Has cSCC that can be cured with surgical resection, radiotherapy, or with a combination of surgery and radiotherapy.
  • Has any other histologic type of skin cancer other than invasive squamous cell carcinoma as the primary disease under study
  • Has received prior systemic anticancer therapy including investigation agents within 4 weeks before allocation
  • Has not adequately recovered from major surgery or has ongoing surgical complications
  • Received prior radiotherapy within 2 weeks of study intervention, or had radiation-related toxicities, requiring corticosteroids
  • Received a live or live-attenuated vaccine within 30 days before the first dose of study intervention
  • Known additional malignancy that is progressing or has required active treatment within the past 2 years
  • Has an ongoing active infection requiring systemic therapy
  • Has a history of human immunodeficiency virus (HIV) infection
  • Has an active autoimmune disease that has required systemic treatment in past 2 years
  • Has history of allogenic tissue/organ transplant
05

Study design

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

Study arms

  • Experimental
    Pembrolizumab (+) Berahyaluronidase alfa

    Participants will receive pembrolizumab (+) berahyaluronidase alfa subcutaneously for up to 18 administrations.

    Biological: Pembrolizumab (+) Berahyaluronidase alfa

Interventions

  • BiologicalPembrolizumab (+) Berahyaluronidase alfa

    Pembrolizumab (+) Berahyaluronidase alfa is a fixed-dose formulation of pembrolizumab and berahyaluronidase alfa for SC administration.

    Also known as: MK-3475A

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What researchers measure

Primary outcomes

  1. Objective Response Rate (ORR)

    ORR is defined as the percentage of participants with Complete Response (CR: disappearance of all target lesions) or Partial Response (PR: at least a 30% decrease in the sum of diameters of target lesions) per Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST 1.1). The percentage of participants who experience CR or PR as assessed by Blinded Independent Central Review (BICR) will be presented.

    Time frame: Up to approximately 40 months

Secondary outcomes

  1. Duration of Response (DOR)

    For participants who demonstrate CR (disappearance of all target lesions) or PR (at least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1, DOR is defined as the time from first documented evidence of CR or PR until progressive disease (PD) or death. Per RECIST 1.1, PD is defined as at least a 20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered PD. DOR as assessed by BICR will be presented.

    Time frame: Up to approximately 40 months

  2. Disease Control Rate (DCR)

    DCR is defined, per RECIST 1.1, as the percentage of participants who demonstrate a confirmed CR (disappearance of all target lesions), PR (at least a 30% decrease in the sum of diameters of target lesions), or stable disease (SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD \[at least a 20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered PD.\]).The DCR as assessed by BICR will be presented.

    Time frame: Up to approximately 40 months

  3. Overall Survival (OS)

    OS is defined as the time from first dose of study treatment to death due to any cause.

    Time frame: Up to approximately 40 months

  4. Number of Participants who Experience an Adverse Event (AE)

    An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The number of participants who experience at least one AE will be reported.

    Time frame: Up to approximately 28 months

  5. Number of Participants who Discontinue Due to an AE

    An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The number of participants who discontinue study treatment due to an AE will be reported.

    Time frame: Up to approximately 25 months

07

Study locations

18 sites
  • Nagoya University Hospital ( Site 0003)
    Nagoya, Aichi-ken 466-8560, Japan
  • Sapporo Medical University Hospital ( Site 0002)
    Sapporo, Hokkaido 060-8543, Japan
  • Yokohama City University Hospital ( Site 0016)
    Yokohama, Kanagawa 236-0004, Japan
  • Tohoku University Hospital ( Site 0019)
    Sendai, Miyagi 980-8574, Japan
  • Shinshu University Hospital ( Site 0011)
    Matsumoto, Nagano 390-8621, Japan
  • Niigata Cancer Center Hospital ( Site 0005)
    Niigata, Niigata 951-8566, Japan
  • Saitama Medical University International Medical Center ( Site 0008)
    Hidaka, Saitama 350-1298, Japan
  • Shimane University Hospital ( Site 0014)
    Izumo, Shimane 693-8501, Japan
  • Shizuoka Cancer Center ( Site 0004)
    Nagaizumi-cho,Sunto-gun, Shizuoka 411-8777, Japan
  • National Cancer Center Hospital ( Site 0007)
    Chuo-ku, Tokyo 104-0045, Japan
  • Cancer Institute Hospital of JFCR ( Site 0018)
    Koto, Tokyo 135-8550, Japan
  • Chiba University Hospital ( Site 0001)
    Chiba, 260-8677, Japan
  • National Hospital Organization Kyushu Cancer Center ( Site 0017)
    Fukuoka, 811-1395, Japan
  • National Hospital Organization Kagoshima Medical Center ( Site 0013)
    Kagoshima, 892-0853, Japan
  • University Hospital,Kyoto Prefectural University of Medicine ( Site 0012)
    Kyoto, 602-8566, Japan
  • Osaka Prefectural Hospital Organization Osaka International Cancer Institute ( Site 0009)
    Osaka, 541-8567, Japan
  • Keio University Hospital ( Site 0010)
    Tokyo, 1608582, Japan
  • Wakayama Medical University Hospital ( Site 0015)
    Wakayama, 641-8510, Japan
08

References and documents

Individual participant data

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

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06041802
Lead sponsor
Merck Sharp & Dohme LLC
Responsible party
Sponsor
First posted
Sep 18, 2023
Start date
Oct 20, 2023
Primary completion
Mar 31, 2028 (estimated)
Completion
Mar 31, 2028 (estimated)
Last update
Feb 17, 2026

Study contacts

Medical Director
study director · Merck Sharp & Dohme LLC

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Feb 2026. You cannot join it, but the record below documents what was studied.

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