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OncoMatch/Clinical Trials/NCT06493019

Study of Pembrolizumab, Carboplatin, Paclitaxel, and Radiation for the Treatment of Early-Stage Anal Cancer

Is NCT06493019 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Pembrolizumab and Paclitaxel for anal cancer.

Phase 2RecruitingDustin DemingNCT06493019Data as of May 2026

Treatment: Pembrolizumab · Paclitaxel · Carboplatin · PembrolizumabA single arm phase II study of pembrolizumab, carboplatin, paclitaxel, and radiation for the treatment of early-stage anal cancer. There are 2 treatments phases and then surveillance. The first treatment phase is the chemoradiation phase (Cycle 1-6, weekly cycles) which is followed by the maintenance phase (Cycle 7-14, 6 week cycles).

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Extracted eligibility criteria

Disease stage

Required: Stage I (T1N0), IIA (T2N0), IIB (T1/2N1), IIIA (T3 N0/1), IIIB/C (T4 N0/1) IF <5CM (AJCC version 9)

Histologically proven stage I (T1N0), IIA (T2N0), IIB (T1/2N1), or IIIA (T3 N0/1) invasive squamous cell carcinoma of the anus by AJCC version 9. Stage IIIB/C (T4 N0/1) cancers will also be eligible if less than 5cm in diameter.

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: anti-PD-1 therapy

Has had prior anti-PD1 immune checkpoint blockade.

Cannot have received: investigational drug/device for anal cancer

Has received any investigational drug or used an investigational device for the treatment of anal cancer within 30 days prior to registration.

Lab requirements

Blood counts

WBC ≥ 1500 /mm^3; ANC ≥ 1500/mm^3; Hemoglobin ≥ 9 g/dL; Platelets ≥ 100,000 g/dL

Kidney function

Creatinine ≤ 1.5 × ULN OR measured/calculated creatinine clearance (GFR can also be used in place of creatinine or CrCl) ≥30 mL/min for creatinine levels >1.5 × institutional ULN

Liver function

Total bilirubin ≤ 1.5 × ULN OR direct bilirubin ≤ULN for participants with total bilirubin levels >1.5 × ULN; AST ≤ 2.5 × ULN; ALT ≤ 2.5 × ULN

Demonstrate adequate organ function as defined below. All screening labs to be obtained within 30 days prior to registration. * White blood cell (WBC) ≥ 1500 /mm^3 * Absolute Neutrophil Count (ANC) ≥ 1500/mm^3 * Hemoglobin (Hgb)a ≥ 9 g/dL * Platelets (Plt) ≥ 100,000 g/dL * Creatinine ≤ 1.5 × upper limit of normal (ULN) OR Measured or calculated creatinine clearance (GFR can also be used in place of creatinine or CrCl) ≥30 mL/min for creatinine levels >1.5 × institutional ULN * Total bilirubin ≤ 1.5 × ULN OR direct bilirubin ≤ULN for participants with total bilirubin levels >1.5 × ULN * Aspartate aminotransferase (AST) ≤ 2.5 × ULN * Alanine aminotransferase (ALT) ≤ 2.5 × ULN

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

US trial sites

  • Indiana University Melvin and Bren Simon Comprehensive Cancer Center · Indianapolis, Indiana
  • University of Maryland · Baltimore, Maryland
  • Rutgers Cancer Institute of New Jersey · New Brunswick, New Jersey
  • University of Wisconsin · Madison, Wisconsin

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