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NCT Number: NCT06377540

MT2022-60: Ph 2 Study of Pembro+ BEAM With ASCT for Relapsed Hodgkin Lymphoma

This is a Phase 2 single arm study to evaluate efficacy and safety of Pembrolizumab before with BEAM ASCT followed by Pembrolizumab maintenance for 1 year. Patients will receive 200 mg Pembrolizumab Q3week starting at day - 28 before stem cell transplant until 1 year after autologous stem cell transplant.

Recruiting

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Masonic Cancer Center

Minneapolis, Minnesota, 55455, United States

Location status: Recruiting

Location contact

Sanjal Desai, MD

CONTACT

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Eligible for autologous stem cell transplant (ASCT) with BEAM conditioning regimen
  • KPS greater than 70 or ECOG ≤ 1
  • Adequate organ function and blood counts within 14 days of study registration
  • Participants who are HBsAg positive are eligible if they have received HBV anti-viral therapy for at least 4 weeks, and have undetectable HBV viral load prior to randomization.
  • Participants with a history of HCV infection are eligible if HCV viral load is undetectable at screening.
  • HIV-infected participants must have well-controlled HIV on ART

Exclusion criteria

  • Patients with prior history of any grade 2 or higher autoimmune reaction to PD-1 inhibitors, necessitating permanent discontinuation of the PD-1 inhibitor or necessitating systemic immunosuppressants.
  • Has received prior radiotherapy within 2 weeks of start of study intervention or radiation-related toxicities requiring corticosteroids.
  • Has received a live vaccine or live-attenuated vaccine within 30 days before the first dose of study intervention. Administration of killed vaccines is allowed.
  • Has received any chemotherapy within 3 weeks prior to the first dose of study intervention
  • Has known active CNS disease.
  • History of or active autoimmune disease, or other syndrome that requires systemic steroids or autoimmune agents. Exceptions: Participants with vitiligo, resolved childhood asthma or atopy, hypothyroidism, or Sjogren's syndrome, as well as participants requiring only intranasal steroids, intermittent use of bronchodilators, local steroid injections, or physiologic replacement doses of prednisone (≤ 10 mg/d) may enroll.
  • Has had an allogenic tissue/solid organ transplant.
  • Pregnant or breastfeeding as agents used in this study are Pregnancy Category D (positive evidence of risk). Females of childbearing potential must have a negative pregnancy test (serum or urine) within 14 days of study registration

Treatment and study plan

Pembrolizumab

Drug

Patients will receive 200 mg Pembrolizumab on Day -28 and Day -6 by IV infusion.

Pembrolizumab 200 mg IV will resume at day 30+ after ASCT every 3 weeks for 1 year.

Other names: Keytruda; MK-3475

Autologous Stem Cell Transplant

Procedure

On day 0 the stem cells will be infused immediately after thawing over 15-60 minutes per institutional guidelines.

Other names: ASCT

carmustine

Drug

Patient will receive a single dose of BCNU on day -6, dose of 300 mg/m2 by IV infusion.

Other names: BCNU, BICNU

etoposide

Drug

Etoposide will be given at dose 100 mg/m2 BID intravenously on days -5, - 4, -3, and -2.

Cytarabine

Drug

Cytarabine will be given at dose 100 mg/m2 BID intravenously on days -5, -4, - 3, and -2.

Other names: Ara-C

melphalan

Drug

Melphalan will be given at dose of 140 mg/m2 intravenously on day -1 in a single 20 minute infusion; dose will be based on actual body weight but capped at 3.6 mg/kg as part of BEAM conditioning.

Primary outcomes

  1. Progression free survival (PFS)

    Time frame: Baseline to 1 year post-ASCT

    Number of participants with progression free survival at 1 year post transplant.

    Time from date of study enrollment to date of first documented progression, or death. Patients who do not progress or die at the time of analysis will be censored at their last known date alive.

Secondary outcomes

  1. Overall survival (OS)

    Time frame: Baseline to 2 years post-ASCT

    Time from date of study enrollment to date of death. Patients who do not die at the time of analysis will be censored at their last known date alive.

  2. Progression-free survival (PFS)

    Time frame: Baseline to 2 years post-ASCT

    Number of participants with progression free survival at 1 year post transplant.

    Time from date of study enrollment to date of first documented progression, or death. Patients who do not progress or die at the time of analysis will be censored at their last known date alive.

  3. Non-relapse mortality (NRM)

    Time frame: Day 100 post-ASCT

    Number of participants experiencing death without relapse.

  4. Overall Survival (OS)

    Time frame: Baseline to 5 year post-ASCT

    Time from date of study enrollment to date of death. Patients who do not die at the time of analysis will be censored at their last known date alive.

  5. Complete Radiologic Response Rate

    Time frame: Day 28

    Participants experiencing complete radiologic response rate at day 28 post-ASCT.

Study contacts

Contact information is provided by the study sponsor or research team.

Roberta Nicklow

CONTACT

[email protected]

Sanjal Desai

CONTACT

[email protected]

612-625-5469

Sponsors and collaborators

Lead sponsor

Masonic Cancer Center, University of Minnesota

Other

Registry information

Official study title

MT2022-60: A Phase II Study of Pembrolizumab+ BEAM Conditioning Regimen Before Autologous Stem Cell Transplant (ASCT) Followed by Pembrolizumab Maintenance in Patients of Relapsed or Refractory Classic Hodgkin Lymphoma

Important dates

Study start
2024
Primary completion
2026
Study completion
2027
First posted
Apr 22, 2024
Registry last updated
Jul 6, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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