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Active, not recruitingNCT06504394Updated Feb 9, 2026

A Study to Evaluate the Safety and Efficacy of Pembrolizumab (MK-3475) Coformulated With Berahyaluronidase Alfa (MK-3475A) in Participants With Relapsed or Refractory Classical Hodgkin Lymphoma (rrcHL) or Relapsed or Refractory Primary Mediastinal Large B-cell Lymphoma (rrPMBCL)(MK-3475A-F65)

A Phase 2 interventional study of Pembrolizumab (+) Berahyaluronidase alfa in Classical Hodgkin Lymphoma Recurrent, Classical Hodgkin Lymphoma Refractory and Primary Mediastinal Large B-cell Lymphoma Recurrent, sponsored by Merck Sharp & Dohme LLC. Active, not recruiting at 29 sites in 11 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-02-09.

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

Phase
Phase 2
Study type
Interventional
Enrollment
66
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The primary purpose of the study is to assess the pharmacokinetics (PK) profile of pembrolizumab following subcutaneous (SC) injection of pembrolizumab coformulated with hyaluronidase, and to evaluate the objective response rate (ORR) of pembrolizumab (+) berahyaluronidase alfa SC in adult participants with Relapsed or Refractory Classical Hodgkin Lymphoma (rrcHL) or Relapsed or Refractory Primary Mediastinal Large B-cell Lymphoma (rrPMBCL). There is no formal hypothesis to be tested for this study.

02

Conditions studied

  • Classical Hodgkin Lymphoma Recurrent
  • Classical Hodgkin Lymphoma Refractory
  • Primary Mediastinal Large B-cell Lymphoma Recurrent
  • Primary Mediastinal Large B-cell Lymphoma Refractory

Keywords

  • Programmed Cell Death-1 (PD1, PD-1)
  • Programmed Death-Ligand 1 (PDL1, PD-L1)
  • Programmed Cell Death-2 (PD2, PD-2)
  • Programmed Death-Ligand 2 (PDL2, PD-L2)
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In context

Parkinson Disease 4, Autosomal Dominant Lewy Body

152 studies on the registry are indexed under Parkinson Disease 4, Autosomal Dominant Lewy Body; 34 are open to participants now.

This study's planned enrollment of 66 is below the median of 302 across 141 interventional studies indexed under Parkinson Disease 4, Autosomal Dominant Lewy Body.

Browse Parkinson Disease 4, Autosomal Dominant Lewy Body 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

The main inclusion criteria include but are not limited to the following:

  • Histologically confirmed diagnosis of classical Hodgkin lymphoma (cHL) or primary mediastinal B-cell lymphoma (PMBCL)
  • Radiographically measurable cHL or PMBCL disease assessed by investigator as per Lugano classification
  • Have a life expectancy of >3 months
  • Human immunodeficiency virus (HIV)-infected participants must have well controlled HIV on antiretroviral therapy (ART)
  • Participants who are hepatitis B surface antigen (HBsAg) positive are eligible if they have received hepatitis B virus (HBV) antiviral therapy for at least 4 weeks, and have undetectable HBV viral load before enrollment
  • Participants with history of hepatitis C virus (HCV) infection are eligible if they have completed curative antiviral therapy at least 4 weeks before enrollment and HCV viral load is undetectable at screening
  • Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1 assessed within 7 days before or on the day of the first dose of study intervention

Exclusion criteria

Exclusion Criteria:

The main exclusion criteria include but are not limited to the following:

  • Has clinically significant (i.e., active) cardiovascular disease
  • Has pericardial effusion or clinically significant pleural effusion
  • Has known additional malignancy that is progressing or has required active treatment within the past 2 years
  • Diagnosis of immunodeficiency or is receiving systemic steroid therapy or any other form of immunosuppressive therapy within 7 days prior to the first dose of study intervention
  • Received prior monoclonal antibody within 4 weeks prior to first dose of study intervention or has not recovered (i.e., ≤Grade 1 or at baseline) from adverse events (AEs) due to agents administered more than 4 weeks earlier
  • Received prior therapy with an anti-programmed cell death 1 protein (anti-PD-1), anti-programmed cell death ligand 1 (anti-PD-L1), or anti-programmed cell death ligand 2 (anti-PD-L2) agent, or with an agent directed to another stimulatory or coinhibitory T-cell receptor
  • Received prior systemic anticancer therapy including investigational agents within 4 weeks before the first dose of study intervention
  • Received prior radiotherapy within 2 weeks of start of study intervention, or has radiation-related toxicities, requiring corticosteroids
  • Received a live or live-attenuated vaccine within 30 days before first dose of study intervention
  • Is receiving systemic antineoplastic chemotherapy, immunotherapy, or biological therapy not specified in this protocol
  • Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis
  • Active autoimmune disease that has required systemic treatment in the past 2 years
  • History of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease
  • Active infection requiring systemic therapy except certain protocol-specified therapies
  • Concurrent active hepatitis B and hepatitis C virus infection
  • Has undergone solid organ transplant at any time, or prior allogeneic hematopoietic stem cell transplant (SCT) within the last 5 years
05

Study design

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

Study arms

  • Experimental
    Pembrolizumab Coformulated With Hyaluronidase

    Participants with rrCHL and rrPMBCL receive pembrolizumab coformulated with hyaluronidase subcutaneous (SC) injection on Day 1 of each 6-week cycle (Q6W) for up to 18 cycles (approximately 2 years) until documented disease progression per investigator assessment.

    Biological: Pembrolizumab (+) Berahyaluronidase alfa

Interventions

  • BiologicalPembrolizumab (+) Berahyaluronidase alfa

    SC injection

    Also known as: MK-3475A

06

What researchers measure

Primary outcomes

  1. Objective Response Rate (ORR) per Lugano Classification Criteria as Assessed by Investigator

    ORR is defined as the percentage of the participants who had complete response (CR) or partial response (PR) and will be evaluated using computed tomography (CT) and positron emission tomography (PET)-CT. Response was assessed based on the International Working Group Criteria: Lugano Classification (Cheson et al, Journal of Clinical Oncology, 2014). CR is complete metabolic (no/minimal fluorodeoxyglucose \[FDG\] uptake) and radiologic response (target lesions regress to ≤1.5 cm in longest transverse diameter of a lesion) and no new lesions. PR is partial metabolic (moderate/high FDG uptake) and radiologic response (≥50% decrease in sum of product diameters for multiple lesions of up to 6 target measurable nodes and extranodal sites, no increase in lesions, and spleen regressed by \>50% in length beyond normal). The percentage of participants who experience CR or PR as assessed by investigator will be presented.

    Time frame: Up to approximately 48 months

  2. Maximum Concentration (Cmax) of Pembrolizumab After Administration of SC Pembrolizumab Coformulated with Hyaluronidase

    Blood samples will be collected at designated timepoints for the determination of Cmax. Cmax is defined as the peak concentration of pembrolizumab after administration of SC pembrolizumab coformulated with hyaluronidase.

    Time frame: At designated time points (up to ~6 weeks)

  3. Lowest Plasma Concentration (Ctrough) of Pembrolizumab After Administration of SC Pembrolizumab Coformulated with Hyaluronidase

    Blood samples will be collected at designated timepoints for the determination of Ctrough. Ctrough is defined as the lowest concentration of pembrolizumab after administration of SC pembrolizumab coformulated with hyaluronidase.

    Time frame: At designated time points (up to ~6 weeks)

  4. Area Under the Concentration-Time Curve of Pembrolizumab After Administration of SC Pembrolizumab Coformulated with Hyaluronidase from Week 0-Week 6 (AUC0-6weeks)

    Blood samples will be collected at designated timepoints for the determination of AUC0-6weeks. AUC0-6 weeks is defined as area under concentration time curve over a 6-week dosing interval of pembrolizumab after administration of SC pembrolizumab coformulated with hyaluronidase.

    Time frame: At designated time points (up to ~6 weeks)

Secondary outcomes

  1. Duration of Response (DOR) per Lugano Classification Criteria as Assessed by Investigator

    For participants who demonstrate a confirmed complete response (CR) or partial response (PR), DOR is defined as the time from CR or PR to documented disease progression or death. Participants are assessed using computed tomography (CT) and positron emission tomography (PET)-CT and response was evaluated based on the Lugano Classification (Cheson et al, Journal of Clinical Oncology, 2014). CR is complete metabolic (no/minimal fluorodeoxyglucose \[FDG\] uptake) and radiologic response (target lesions regress to ≤1.5 cm in longest transverse diameter of a lesion) and no new lesions. PR is partial metabolic (moderate/high FDG uptake) and radiologic response (≥50% decrease in sum of product diameters (SPD) for multiple lesions of up to 6 target measurable nodes and extranodal sites, no increase in lesions, and spleen regressed by \>50% in length beyond normal). DOR as assessed by the investigator will be presented.

    Time frame: Up to approximately 48 months

  2. Number of Participants with Antidrug Antibodies (ADA) Level of Pembrolizumab After Administration of SC Pembrolizumab Coformulated with Hyaluronidase

    Blood samples will be collected at designated time points for the determination of the presence or absence of ADA of pembrolizumab after administration of SC pembrolizumab coformulated with hyaluronidase. The number of participants who develop ADA will be reported.

    Time frame: At designated timepoints (Up to approximately 27 months)

  3. Maximum Concentration (Cmax) of Pembrolizumab After Administration of SC Pembrolizumab Coformulated with Hyaluronidase at Steady-State

    Blood samples will be collected at designated timepoints for the determination of Cmax. Cmax is defined as the peak concentration of pembrolizumab after administration of SC pembrolizumab coformulated with hyaluronidase at steady-state.

    Time frame: At designated time points (up to ~6 weeks)

  4. Lowest Plasma Concentration (Ctrough) of Pembrolizumab After Administration of SC Pembrolizumab Coformulated with Hyaluronidase at Steady-State

    Blood samples will be collected at designated timepoints for the determination of Ctrough. Ctrough is defined as the lowest concentration of pembrolizumab after administration of SC pembrolizumab coformulated with hyaluronidase at steady-state.

    Time frame: At designated time points (up to ~6 weeks)

  5. Area Under the Concentration-Time Curve of Pembrolizumab After Administration of SC Pembrolizumab coformulated with Hyaluronidase from Week 0-Week 6 (AUC0-6weeks) at Steady-State

    Blood samples will be collected at designated timepoints for the determination of AUC0-6weeks. AUC0-6 weeks is defined as area under concentration time curve over a 6-week dosing interval of pembrolizumab coformulated with hyaluronidase at steady-state.

    Time frame: At designated time points (up to ~6 weeks)

  6. Number of Participants Experiencing an Adverse Event (AE)

    An AE is defined as any untoward medical occurrence in a participant administered a study treatment which did not necessarily have to have a causal relationship with this treatment. An AE could be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of study treatment, whether or not considered related to the study treatment. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a pre-existing condition that is temporally associated with the use of study treatment, is also an AE. The number of participants who experience an AE will be reported.

    Time frame: Up to approximately 30 months

  7. Number of Participants Discontinuing Study Treatment due to an Adverse Event (AE)

    An AE is defined as any untoward medical occurrence in a participant administered a study treatment which did not necessarily have to have a causal relationship with this treatment. An AE could be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of study treatment, whether or not considered related to the study treatment. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a pre-existing condition that is temporally associated with the use of study treatment, is also an AE. The number of participants who discontinue study treatment due to an AE will be reported.

    Time frame: Up to approximately 2 years

07

Study locations

29 sites
  • University of Iowa-Holden Comprehensive Cancer Center ( Site 0115)
    Iowa City, Iowa 52242, United States
  • University of Iowa - Waukee ( Site 0111)
    Waukee, Iowa 50263, United States
  • Comprehensive Cancer Centers of Nevada ( Site 0114)
    Las Vegas, Nevada 89169, United States
  • Clinical Research Alliance ( Site 0101)
    Westbury, New York 11590, United States
  • Westmead Hospital ( Site 0901)
    Westmead, New South Wales 2145, Australia
  • Biocenter ( Site 0203)
    Concepción, Biobio 4070196, Chile
  • IC La Serena Research ( Site 0204)
    La Serena, Coquimbo Region 1720430, Chile
  • FALP ( Site 0207)
    Santiago, Region M. de Santiago 7500921, Chile
  • Clínica Inmunocel ( Site 0201)
    Santiago, Region M. de Santiago 7580206, Chile
  • Bradfordhill-Clinical Area ( Site 0202)
    Santiago, Region M. de Santiago 8420383, Chile
  • Universitaetsklinikum Essen ( Site 1302)
    Essen, North Rhine-Westphalia 45147, Germany
  • Health Pharma Professional Research S.A. de C.V: ( Site 0403)
    Mexico City, Mexico City 03100, Mexico
  • Centro de Investigacion Clinica de Oaxaca ( Site 0405)
    Oaxaca City, 68020, Mexico
  • Auckland City Hospital ( Site 1001)
    Auckland, 1023, New Zealand
  • Pratia MCM Krakow ( Site 0503)
    Krakow, Lesser Poland Voivodeship 30-727, Poland
  • Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - P-Kilinka Onkologii I Hematologii ( Site 0501)
    Warsaw, Masovian Voivodeship 02-781, Poland
  • Uniwersyteckie Centrum Kliniczne-Klinika Hematologii i Transplantologii ( Site 0502)
    Gdansk, Pomeranian Voivodeship 80-214, Poland
  • Narodowy Instytut Onkologii - Oddzial w Gliwicach ( Site 0504)
    Gliwice, Silesian Voivodeship 44-102, Poland
  • Seoul National University Hospital-Oncology ( Site 1101)
    Seoul, 03080, South Korea
  • Institut Català d'Oncologia - L'Hospitalet-Haematology Department ( Site 0703)
    L'Hospitalet Del Llobregat, Barcelona 08908, Spain
  • Hospital Universitario de Salamanca ( Site 0702)
    Salamanca, Castille and León 37007, Spain
  • Hospital Universitario 12 de Octubre-Hemathology and hemotherapy ( Site 0701)
    Madrid, 28041, Spain
  • Ankara Universitesi Tıp Fakultesi Hastanesi ( Site 0801)
    Ankara, 06100, Turkey (Türkiye)
  • Hacettepe Universite Hastaneleri ( Site 0802)
    Ankara, 06230, Turkey (Türkiye)
  • Ondokuz Mayıs Universitesi ( Site 0803)
    Samsun, 55270, Turkey (Türkiye)
  • Glan Clwyd Hospital ( Site 0602)
    Bodelwyddan, Denbighshire LL18 5UJ, United Kingdom
  • University College London Hospital ( Site 0605)
    London, London, City of NW1 2PG, United Kingdom
  • Churchill Hospital ( Site 0604)
    Oxford, Oxfordshire OX3 7LE, United Kingdom
  • The Christie NHS Foundation Trust ( Site 0603)
    Manchester, m20 4bx, United Kingdom
08

References and documents

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 Feb 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06504394
Lead sponsor
Merck Sharp & Dohme LLC
Responsible party
Sponsor
First posted
Jul 16, 2024
Start date
Oct 14, 2024
Primary completion
Nov 8, 2028 (estimated)
Completion
Nov 8, 2028 (estimated)
Last update
Feb 9, 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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