Actively Recruiting

Phase 2
Age: 18Years +
All Genders
ID06669572

Lenvatinib Plus Pembrolizumab for Unresectable or Metastatic Anorectal Squamous Cell Carcinoma After First Line Chemotherapy

Led by University of Chicago · Updated on 2026-04-15

35

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the safety and effectiveness of combining lenvatinib and pembrolizumab to treat patients with anorectal squamous cell carcinoma that has spread to other parts of the body and has not responded to standard care. This Phase II study focuses on patients whose cancer has worsened after initial treatment, including chemotherapy or chemoradiation. The goal is to understand how well this combination works in this advanced cancer setting. Participants will receive lenvatinib orally once daily at a dose of 20 mg, along with pembrolizumab given as an intravenous infusion of 200 mg every three weeks. Pembrolizumab treatment will continue for up to two years or a maximum of 35 cycles. This is a single-arm trial, meaning all enrolled patients will receive this combination treatment without comparison to another group. During the study, participants will undergo assessments to monitor tumor response using specific criteria, safety evaluations, and overall health status. Researchers will measure outcomes such as the objective response rate at the end of treatment, disease control, progression-free survival, and overall survival for up to two years after treatment ends. The total participation period can last up to two years or more depending on treatment duration and follow-up monitoring.

CONDITIONS

Brief Title

Lenvatinib and Pembrolizumab to Treat Patients With Anal or Rectum Cancer That Has Gotten Worse After Initial Treatment

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Confirmed diagnosis of anorectal squamous cell carcinoma as per American Joint Committee on Cancer 8th edition
  • Unresectable locally advanced or metastatic disease after progression on first line chemotherapy or chemoradiation
  • Prior chemoradiation therapy allowed
  • Measurable disease based on standard criteria
  • Prior immunotherapy with Retifanlimab allowed but not required
Not Eligible

You will not qualify if you...

  • Prior treatment with anti-PD-1, anti-PD-L1, or anti-PD-L2 agents except Retifanlimab
  • History of serious immunotherapy-related side effects requiring permanent treatment stop
  • Active autoimmune disease requiring ongoing immunosuppressive therapy such as disease-modifying antirheumatic drugs

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Treatment

Duration - Up to 2 years (maximum 35 cycles)

Participants receive lenvatinib orally once daily and pembrolizumab as an IV infusion every 3 weeks for up to 2 years.

Pembrolizumab IV infusions every 3 weeks; daily oral lenvatinib

Trial Site Locations

Total: 1 location

1

University of Chicago Medicine Comprehensive Cancer Center

Chicago, Illinois, United States, 60637

Actively Recruiting

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Research Team

C

Clinical Trials Intake

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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