Ramat Gan

Researchers are evaluating new treatment options for advanced renal cell carcinoma (RCC), focusing on ways to control cancer growth and spread. This study compares the effects of combining two targeted therapies, belzutifan and zanzalintinib, to belzutifan alone in people with advanced RCC who have previously received certain therapies. The goal is to see if the combination can help patients live longer overall and without their cancer worsening. Participants will receive oral tablets of belzutifan combined either with zanzalintinib or a placebo that looks like zanzalintinib. This is a Phase 3, randomized, double-blind study, meaning neither the participants nor the researchers know which treatment is being given until the study ends. The study focuses on people with advanced RCC who have progressed after prior treatments involving PD-1/L1 and VEGF-TKI therapies. Throughout the study, participants will be monitored for how long they live without their cancer progressing (progression-free survival) for up to about 30 months and overall survival for up to about 50 months. Researchers will conduct evaluations to assess the cancer's response and monitor safety. Participation involves regular assessments, and the total monitoring period can last up to several years to gather important information about the treatments' effects and tolerability.

Researchers are studying whether combining calderasib, a targeted therapy for the KRAS G12C mutation, with subcutaneous pembrolizumab can treat non-small cell lung cancer (NSCLC). The study aims to determine if people receiving calderasib with pembrolizumab live longer without their cancer growing or spreading compared to those receiving pembrolizumab with chemotherapy. This is a phase 3, randomized, open-label, multicenter clinical trial focusing on participants with advanced or metastatic nonsquamous NSCLC carrying the KRAS G12C mutation. Participants will receive one of two treatment combinations. One group will take calderasib orally along with subcutaneous pembrolizumab and berahyaluronidase alfa injections. The other group will receive subcutaneous pembrolizumab combined with chemotherapy drugs pemetrexed and a platinum-based drug, either carboplatin or cisplatin, administered by intravenous infusion. These treatments are given as first-line therapy, and the study evaluates their safety and effectiveness. During the study, researchers will monitor participants for progression-free survival, especially focusing on those with at least 1% PD-L1 tumor proportion score, for up to approximately 48 months. Participants will undergo regular assessments to track cancer progression and response to treatment. Safety and efficacy data will be collected throughout the study to understand how well the treatments work and their side effects over time.

Researchers are evaluating new treatment options for adults with locally advanced or metastatic colorectal cancer that cannot be removed by surgery and has a specific KRAS G12C gene mutation. This study compares the safety and effectiveness of adding calderasib and cetuximab, both targeted therapies, to a standard chemotherapy regimen called mFOLFOX6. The goal is to see if this combination can help patients live longer without their cancer growing or spreading compared to current treatments that may include mFOLFOX6 with or without bevacizumab. The study has two parts. It involves treatment with calderasib taken as an oral tablet, cetuximab given according to standard procedures, and mFOLFOX6 chemotherapy combining oxaliplatin, leucovorin/levofolinate calcium, and 5-fluorouracil. Some participants may receive bevacizumab or a bevacizumab biosimilar as part of the comparison. The treatments are given following approved dosing schedules. This design allows researchers to assess the safety and tolerability of these drug combinations in treating this type of colorectal cancer with the KRAS G12C mutation. Participants will be monitored for side effects, treatment tolerability, and cancer progression over a period that may last up to about 44 months. Researchers will track outcomes such as how many participants experience dose-limiting toxicities or adverse events, how many stop treatment due to side effects, and progression-free survival time. Assessments include health evaluations, laboratory tests, and imaging to observe cancer status. This long-term follow-up aims to understand both safety and effectiveness of the treatment combinations.

Researchers are investigating new treatments for extensive-stage small cell lung cancer (ES-SCLC), a type of lung cancer that has spread within or beyond the lungs. This trial evaluates the safety and effectiveness of combining two study medicines, gocatamig and ifinatamab deruxtecan (I-DXd), with or without standard chemotherapy and immunotherapy. Gocatamig is a T-cell engager therapy that helps the immune system target cancer cells, while I-DXd is an antibody drug conjugate designed to deliver cancer-killing agents directly to tumor cells. Participants will receive different treatment combinations based on the study part and arm to which they are assigned. Treatments include intravenous administration of gocatamig, I-DXd, atezolizumab, carboplatin, and etoposide. Rescue medications may be given as needed to manage side effects such as cytokine release syndrome or infusion reactions. Participants may be assigned to various treatment groups either per investigator choice or randomized, with some receiving maintenance treatments after initial induction therapy. Throughout the study, participants will be monitored for safety, including the occurrence of adverse events and dose-limiting toxicities, for up to about 58 months. Researchers will also assess tumor response by measuring cancer size changes. Other evaluations include biopsies, imaging scans, and clinical assessments to determine how well participants tolerate the treatments and how their cancer responds. The total duration of participation and follow-up will vary depending on the study phase and treatment arm.

Researchers are evaluating a new treatment called ifinatamab deruxtecan (I-DXd) for men with metastatic castration-resistant prostate cancer (mCRPC). This study compares I-DXd to chemotherapy to see if it helps people live longer overall and live longer without their cancer worsening. It is a Phase 3, open-label trial focused on patients who have progressed on prior therapies and have evidence of metastatic disease. Participants receive either I-DXd through an intravenous infusion every 3 weeks or docetaxel chemotherapy administered every 3 weeks. Prednisone tablets are also given daily as part of the treatment plan. Before each I-DXd dose, premedication is provided to help prevent nausea and vomiting using a combination of drugs such as corticosteroids and anti-nausea medicines. Treatment continues until disease progression, unacceptable side effects, or other reasons to stop. During the study, researchers monitor overall survival and how long patients live without their cancer progressing, for up to about 36 months. Participants undergo tumor tissue collection, scans, and assessments to track disease status and side effects. Safety is closely watched throughout treatment. The study includes men aged 18 and older with confirmed prostate cancer and metastatic disease who have previously received certain hormone therapies but no prior taxane chemotherapy for mCRPC.

Researchers are evaluating the safety and effectiveness of ifinatamab deruxtecan (I-DXd) alone or combined with other treatments in people with metastatic castration-resistant prostate cancer (mCRPC). This study aims to understand how well patients tolerate the treatment, find a safe dose for combining I-DXd with other drugs, and measure prostate-specific antigen (PSA) levels during treatment. The study is part of a larger master screening protocol and includes patients with confirmed prostate adenocarcinoma who have progressive disease despite prior therapies. Participants receive treatments including I-DXd given through intravenous infusion, sometimes combined with other drugs such as docetaxel (IV), MK-5684, abiraterone, or enzalutamide (all oral). Before each I-DXd dose, patients take premedication to prevent nausea and vomiting. The study includes both a safety lead-in phase and an efficacy phase, with ongoing monitoring for side effects and tolerability. The combination therapies are carefully dosed and scheduled according to the study protocol. During the study, participants undergo regular assessments to monitor side effects, measure PSA response, and track any dose-limiting toxicities. Safety is closely followed, particularly during the first 21 days for combination treatments, and throughout up to 54 months for long-term outcomes. Researchers also observe if participants discontinue treatment due to adverse events. The study requires ongoing visits and evaluations to ensure participant health and collect data on treatment effects over time.

Researchers are studying intismeran autogene combined with pembrolizumab to see if it can stop advanced melanoma, a type of skin cancer that has spread and cannot be removed by surgery, from growing or spreading. This Phase 2 study compares this combination to pembrolizumab with a placebo, aiming to find out if the new treatment helps people live longer without cancer progression. Immunotherapy, which helps the immune system fight cancer, is a standard treatment for advanced melanoma, and intismeran autogene is designed to boost the immune response against a person's specific cancer. Participants receive either intismeran autogene or a placebo through intramuscular injection, along with pembrolizumab given as an intravenous infusion. The study is randomized, double-blind, and controlled, meaning neither participants nor researchers know who gets the active treatment or placebo. This design helps to better understand the effects of intismeran autogene when combined with pembrolizumab. During the study, researchers will monitor participants for up to about 36 months to measure progression-free survival, which means the length of time participants live without the cancer worsening. Assessments include imaging scans to track tumor changes, tumor tissue collection for biomarker analysis, and documentation of any side effects. Participants may also have their mutation status checked and will be observed for safety throughout the study period.

Researchers are studying MK-1084, a targeted therapy, to see if it can treat advanced or metastatic non-squamous non-small cell lung cancer (NSCLC) with KRAS G12C mutations. This substudy is part of the larger KEYMAKER-U01 master protocol and aims to evaluate the safety of MK-1084 in combination with other treatments and how well the cancer responds to these therapies in patients who have already received prior treatments. Participants receive MK-1084 orally along with other treatments including patritumab deruxtecan, sacituzumab tirumotecan, and cetuximab, all given through intravenous infusions. Some participants may also receive rescue medications such as antihistamines, acetaminophen, dexamethasone, or steroid mouthwash to help prevent chemotherapy-induced nausea and vomiting. The study includes a phase 1b/2 design with rolling arms to assess these investigational agents in previously treated patients. During the study, participants are monitored for adverse events, dose-limiting toxicities, and treatment discontinuations due to side effects for up to about 5 years. Researchers measure how many participants experience tumor shrinkage or disappearance (objective response rate). Tissue samples and biopsies are collected before treatment to confirm KRAS G12C mutation status. The study includes ongoing safety and effectiveness evaluations throughout the treatment and follow-up periods.

Researchers are evaluating the safety and tolerability of MK-4716, a drug being studied alone or in combination with other treatments, in people with certain advanced or metastatic solid tumors that have a KRAS alteration. This phase 1, open-label study focuses on participants with locally advanced unresectable or metastatic solid tumors or metastatic non-small cell lung cancer. The study aims to understand how well MK-4716 is tolerated and its safety profile, including monitoring for dose-limiting toxicities and adverse events. Participants receive MK-4716 orally, either as monotherapy or combined with pembrolizumab or cetuximab, both given by intravenous infusion. Different study arms target specific patient groups: one arm includes MK-4716 alone or with cetuximab for solid tumors with KRAS alteration, while another arm combines MK-4716 with pembrolizumab for untreated metastatic non-small cell lung cancer with KRAS alteration. The study includes a dose escalation phase to determine safe dosing. Throughout the study, participants are regularly monitored for side effects, adverse events, and any reasons for stopping the study treatments over approximately five years. Researchers track dose-limiting toxicities within about 28 days of treatment and assess safety, pharmacokinetics, and efficacy. Participants must have measurable disease and the ability to take oral medication to join the trial.

Researchers are evaluating MK-8294, a targeted therapy designed to treat various advanced solid tumors, including head and neck squamous cell carcinoma, cervical squamous cell carcinoma, esophageal squamous cell carcinoma, triple-negative breast cancer, estrogen receptor/progesterone receptor positive, HER2-negative breast cancer, endometrial, and bladder cancer. This phase 1 open-label study aims to assess the safety of MK-8294, determine how well participants can tolerate it, and identify the highest dose that can be safely administered. The study includes participants who have previously failed standard treatments, lack standard treatment options, or cannot tolerate standard therapy. Participants receive MK-8294 through intravenous infusions at increasing doses ranging from 30 micrograms to 70 milligrams. The study involves monitoring participants for dose-limiting toxicities and adverse events over the course of treatment, which may last up to approximately two years. Additionally, a CD8 PET tracer is administered via IV infusion as part of the study procedures. During their participation, individuals will undergo regular safety assessments, including monitoring for adverse events and treatment tolerability. Researchers will track any dose-limiting toxicities within about 35 days and continue to observe adverse events and reasons for discontinuation for up to two years. The study involves various evaluations such as laboratory tests and imaging to assess safety and treatment effects throughout the study period.