Actively Recruiting

Early Phase 1
Age: 18Years +
All Genders
NCT04645602

Merck IIT: RRP Pembro and Lenvatinib

Led by Yale University · Updated on 2026-04-16

20

Participants Needed

1

Research Sites

123 weeks

Total Duration

On this page

Sponsors

Y

Yale University

Lead Sponsor

E

Eisai Inc.

Collaborating Sponsor

AI-Summary

What this Trial Is About

This research study is studying Lenvatinib in combination with Pembrolizumab in people with human papillomavirus (HPV)-associated recurrent respiratory papillomatosis (RRP). The names of the study drugs involved in this study are: * Pembrolizumab * Lenvatinib

CONDITIONS

Official Title

Merck IIT: RRP Pembro and Lenvatinib

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Histologically or cytologically confirmed respiratory papillomas with lung involvement
  • Measurable or non-measurable pulmonary disease based on RECIST 1.1
  • For non-measurable lung disease, lesions must also be present in larynx or trachea with more than 3 surgeries in past 12 months
  • Provide tissue from a new biopsy within 6 weeks before first study drug dose or an archived specimen if new biopsy not possible
  • Confirmed HPV-associated lesions by in-situ hybridization or PCR testing
  • Age 18 years or older
  • ECOG performance status of 0 or 1
  • Adequate organ and marrow function based on specified blood counts and lab values
  • Cardiac function classified as New York Heart Association class 2B or better
  • Controlled blood pressure (systolic  140 mmHg and diastolic  90 mmHg) with stable medications
  • Female participants of childbearing potential must have negative pregnancy test within 28 days before first dose
  • Women of childbearing potential must agree to use 2 birth control methods or abstain from heterosexual activity during treatment and for 120 days after last pembrolizumab dose or 30 days after last lenvatinib dose
  • Male participants must agree to use contraception or abstain from heterosexual intercourse during treatment and for 7 days after last lenvatinib dose
  • Ability to complete medication and blood pressure diaries
  • Willingness and ability to sign informed consent
Not Eligible

You will not qualify if you...

  • Prior systemic anti-cancer therapy or investigational agents within 4 weeks before enrollment
  • Prior radiotherapy within 2 weeks before study treatment
  • Major surgery within 3 weeks before first study dose or inadequate wound healing
  • Live vaccine within 30 days before first study dose
  • Participation in another investigational study within 4 weeks before first study dose
  • Immunodeficiency or chronic systemic steroid/immunosuppressive therapy within 7 days before first dose
  • Active progressing malignancy requiring treatment in past 3 years, except certain indolent cancers
  • History of severe allergic reactions to pembrolizumab, lenvatinib, or their components
  • Active autoimmune disease requiring systemic treatment in past 2 years
  • History or current pneumonitis requiring steroids
  • Active infection requiring systemic therapy
  • Known HIV infection
  • Known active Hepatitis B or C infection
  • Active tuberculosis
  • Urine protein  1 g/24 hours or significant proteinuria
  • Uncorrected electrolyte abnormalities
  • Significant cardiovascular disease within 12 months including heart failure NYHA class >2B, recent heart attack or stroke
  • Reduced left ventricular ejection fraction below normal
  • Prolonged QTcF interval >480 msec
  • Bleeding or clotting disorders or risk for severe bleeding
  • History of colitis
  • Gastrointestinal malabsorption affecting lenvatinib absorption
  • Grade 3 or higher gastrointestinal or non-gastrointestinal fistula
  • Active hemoptysis within 3 weeks before first study dose
  • History of posterior reversible encephalopathy syndrome
  • Conditions or situations that may interfere with study participation or results
  • Psychiatric or social issues limiting compliance
  • Pregnant or breastfeeding, or planning pregnancy during study and 120 days after last dose

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Yale University

New Haven, Connecticut, United States, 06510

Actively Recruiting

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Research Team

S

Sara Pai

CONTACT

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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