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OncoMatch/Clinical Trials/NCT05064280

Phase II Study of Pembrolizumab in Combination With Lenvatinib in Patients With TNBC, NSCLC, and Other Tumor Types and Brain Metastases

Is NCT05064280 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Pembrolizumab and Lenvatinib for brain metastases.

Phase 2RecruitingM.D. Anderson Cancer CenterNCT05064280Data as of May 2026

Treatment: Pembrolizumab · LenvatinibThis is a single-center, open-label, multi-cohort Phase II study evaluating the efficacy and safety of pembrolizumab in combination with lenvatinib in patients with solid tumors and brain metastases. The study will be comprised of 3 patient cohorts: triple negative breast cancer (TNBC), non-small cell lung cancer (NSCLC), and solid tumor types other than TNBC and NSCLC. Cohort 3 will be comprised of solid tumor types with established (e.g., renal cell carcinoma \[RCC\], endometrial cancer) or preliminary clinical evidence (e.g., gastric cancer, colorectal cancer) of efficacy of programmed cell death-1 (PD-1) and angiogenesis inhibitors. The study will be conducted using a Simon's optimal two-stage design, and approximately 87 patients will be enrolled concurrently (n=29 per cohort). The primary endpoint is intracranial objective response rate (ORR) as assessed by the modified Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.

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Extracted eligibility criteria

Biomarker criteria

Excluded: EGFR any mutation

Has NSCLC with an oncogenic driver mutation (mutation[s] in EGFR, ERBB2, or BRAF V600E; fusion/rearrangement[s] in ALK, ROS1, NTRK, or RET; or MET amplification). KRAS or PIK3CA mutation are allowed.

Excluded: HER2 (ERBB2) any mutation

Has NSCLC with an oncogenic driver mutation (mutation[s] in EGFR, ERBB2, or BRAF V600E; fusion/rearrangement[s] in ALK, ROS1, NTRK, or RET; or MET amplification). KRAS or PIK3CA mutation are allowed.

Excluded: BRAF V600E

Has NSCLC with an oncogenic driver mutation (mutation[s] in EGFR, ERBB2, or BRAF V600E; fusion/rearrangement[s] in ALK, ROS1, NTRK, or RET; or MET amplification). KRAS or PIK3CA mutation are allowed.

Excluded: ALK fusion

fusion/rearrangement[s] in ALK, ROS1, NTRK, or RET

Excluded: ROS1 fusion

fusion/rearrangement[s] in ALK, ROS1, NTRK, or RET

Excluded: NTRK fusion

fusion/rearrangement[s] in ALK, ROS1, NTRK, or RET

Excluded: RET fusion

fusion/rearrangement[s] in ALK, ROS1, NTRK, or RET

Excluded: MET amplification

MET amplification

Disease stage

Metastatic disease required

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Cannot have received: lenvatinib (lenvatinib)

Has received prior therapy with lenvatinib

Cannot have received: antiangiogenic tyrosine kinase inhibitor

Has received prior therapy with ... other antiangiogenic tyrosine kinase inhibitor alone or in combination with a PD-1/PD-L1 inhibitor

Lab requirements

Blood counts

Absolute neutrophil count ≥1000/µL (no G-CSF support within 2 weeks); Platelet count ≥100,000/µL (no transfusion within 2 weeks); Hemoglobin ≥9.0 g/dL; INR/PT/aPTT ≤1.5 × ULN

Kidney function

Creatinine clearance ≥50 mL/min

Liver function

Total bilirubin ≤1.5 × ULN (≤2.0 × ULN if hepatic metastases present); AST and ALT ≤2.5 × ULN (≤5.0 × ULN if hepatic metastases present)

Cardiac function

No significant cardiac impairment (NYHA >II, unstable angina, MI or stroke within 6 months, arrhythmia requiring treatment); QTcF ≤480 ms

Has adequate organ function ... see criteria; Has significant cardiac impairment including but not limited to history of congestive heart failure greater than New York Heart Association Class II ... QTcF >480 ms [excluded]

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • M D Anderson Cancer Center · Houston, Texas

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