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MK-3475 in Combination With MRI-guided Laser Ablation in Recurrent Malignant Gliomas

A Phase I/II Study Testing the Safety, Toxicities, and Efficacy of MK-3475 in Combination With MRI-guided Laser Ablation in Recurrent Malignant Gliomas

Status
Completed
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02311582
Enrollment
55
Registered
2014-12-08
Start date
2015-08-05
Completion date
2024-04-15
Last updated
2025-05-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Malignant Glioma

Brief summary

The blood brain barrier (BBB) is a major obstacle to drug delivery in the treatment of malignant brain tumors including glioblastoma multiforme (GBM). MRI-guided laser ablation (MLA) has been noted to disrupt peritumoral the blood brain barrier (BBB), which may then lead to increased access of new tumor antigens to the lymphovascular system and vice versa of immune effector cells to the tumor for effective activation of the immune system, and tumor infiltration, respectively. Therefore, the combination of MK-3475 and MLA as proposed in this protocol is hypothesized to create a therapeutic combinatorial effect in which MLA increases material access to promote immune activation and then MK-3475 maximizes these tumor-specific immune reactions to impart effective tumor control.

Interventions

BIOLOGICALMK-3475

Patients currently on pembrolizumab beyond the 2 year/35 cycle limit at the time of the approval of Amendment 13 (approved 07/28/2021) may continue to receive pembrolizumab unless there is progression, toxicity or agreement by the patient and PI to come off therapy. Participants who discontinue pembrolizumab after receiving 35 doses are eligible for retreatment with pembrolizumab if they progress during follow-up provided they meet the requirements. Participants may receive an additional 17 cycles (12 months) of pembrolizumab during the Second Course Phase (Retreatment).

MLA is a minimally invasive laser surgery, which employs a small incision in the scalp and skull, through which a thin laser probe is inserted and guided by MR imaging to the core of the tumor mass where it delivers hyperthermic ablation from the core to the rim.

Sponsors

Merck Sharp & Dohme LLC
CollaboratorINDUSTRY
Washington University School of Medicine
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Intervention model description

As of Amendment 12, patients enrolled in the phase II portion of this trial will no longer be randomized. These patients will undergo MLA followed by MK-3475 treatment.

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Phase I: Histologically confirmed grade III or IV malignant glioma. * Phase II: Histologically confirmed grade IV malignant glioma (GBM). \*Note: GBM variants and suspected secondary GBM are allowed for both phase I and phase II. * Unequivocal evidence of tumor progression as documented by biopsy or brain MRI scan per RANO criteria. * There must be an interval of at least 12 weeks from the completion of standard front-line therapy to study registration unless there is unequivocal evidence for tumor recurrence per RANO criteria. When the interval is less than 12 weeks, the use of perfusion imaging and/or PET scan is allowed to differentiate between unequivocal evidence of tumor recurrence and pseudoprogression. Standard front-line therapy is as described below: * For grade IV malignant gliomas (GBM): Standard front line therapy for newly diagnosed GBM must include maximal feasible surgical resection (biopsy alone allowed), radiotherapy, and temozolomide chemotherapy. If the tumor was initially diagnosed as either a grade II or III tumor and now has recurred or progressed as a grade IV GBM, it will be considered a secondary recurrent grade IV GBM and will be eligible for this study as long as prior treatment included maximal feasible surgical resection (biopsy alone allowed), radiotherapy, and temozolomide chemotherapy. * For grade III malignant gliomas with 1p 19q codeletions: Standard front line therapy for newly diagnosed grade III malignant gliomas must include maximal feasible surgical resection (biopsy alone allowed), radiotherapy, and chemotherapy (PCV or temozolomide). If the patient did not receive any or all components of the standard front line therapy as detailed above for newly diagnosed grade III gliomas and the tumor then recurred or progressed, s/he must first receive at least one prior standard therapy or any appropriate combination of the components of standard therapy as detailed above and must experience further recurrence or progression before s/he is deemed eligible for this study. If the tumor was initially diagnosed as a grade II glioma with 1p 19q codeletions and now has recurred or progressed as a grade III tumor, it will be considered a secondary recurrent grade III glioma with 1p 19q codeletions and will be eligible for this study as long as prior treatment included maximal feasible surgical resection (biopsy alone allowed), radiotherapy, and chemotherapy (PCV or temozolomide). * For grade III malignant gliomas without 1p 19q codeletions: Standard front-line therapy for newly diagnosed grade III malignant gliomas must include maximal feasible surgical resection (biopsy alone allowed), radiotherapy, and temozolomide chemotherapy. If the tumor was initially diagnosed as a grade II glioma without 1p 19q codeletions and now has recurred or progressed as a grade III tumor, it will be considered a secondary recurrent grade III glioma without 1p 19q codeletions and will be eligible for this study as long as prior treatment included maximal feasible surgical resection (biopsy alone allowed), radiotherapy, and temozolomide chemotherapy. * Candidate for MLA based on the size, location, and shape of the recurrent tumor as determined by the performing neurosurgeon. Surgical resection/debulking prior to MLA is allowed per standard of care but is not required; if the patient undergoes resection or debulking, it must have occurred at least 3 weeks prior to the first dose of MK-3475. For Phase II: if surgical resection/debulking prior to MLA is not indicated, a biopsy of the tumor will be done at the same time of MLA to obtain tumor tissue for both diagnostic purposes and immune monitoring. * Patients who have undergone a resection for recurrence will be eligible. In those who have undergone a gross total resection, the MLA will be directed at treating a peritumoral margin of 0.5-1cm surrounding the resection cavity to disrupt the BBB and potentially increase access of MK-3475 to the peritumoral infiltrating glioma cells. * At least 18 years of age. * Karnofsky ≥ 60% * Normal bone marrow and organ function as defined below: * ANC ≥ 1,500/mcL * Platelets ≥ 100,000/mcL * Hemoglobin ≥ 9 g/dL or ≥ 5.6 mmol/L * Serum creatinine ≤ 1.5 x IULN OR creatinine clearance by Cockcroft-Gault ≥ 60 mL/min for patients with serum creatinine \> 1.5 x IULN * Serum total bilirubin ≤ 1.5 x IULN OR direct bilirubin ≤ IULN for patients with total bilirubin \> 1.5 x IULN * AST (SGOT) and ALT (SGPT) ≤ 2.5 x IULN (or ≤ 5 x IULN for patients with liver metastases) * INR or PT ≤ 1.5 x IULN unless patient is receiving anticoagulant therapy as long as PT or PTT is within therapeutic range of intended use of anticoagulants * aPTT ≤ 1.5 x IULN unless patient is receiving anticoagulant therapy as long as PT or PTT is within therapeutic range of intended use of anticoagulants * Sexually active women of childbearing potential and men must agree to use contraception (as described in the protocol) prior to study entry, for the duration of study participation, and for 120 days after last dose of MK-3475. Should a woman become pregnant or suspect she is pregnant while participating in this study, she must inform her treating physician immediately. * Patients with the ability to understand and willingness to sign an IRB approved written informed consent document will be enrolled into the trial. However, should a patient lose their ability to consent while participating in this study and s/he is still receiving clinical benefit from participation, s/he may continue on study with the consent of a Legally Authorized Representative.

Exclusion criteria

* Prior treatment with any anti-angiogenic agent (including bevacizumab). * Prior treatment with an anti-PD-1, anti-PD-L1, anti-PD-L2, or anti-CD137, or anti-cytotoxic T-lymphocyte-associated antigen-4 (CTLA-4) antibody (including ipilimumab or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways). * Prior treatment with a monoclonal antibody within 4 weeks prior to the first dose of MK-3475 or has not recovered (i.e. ≤ grade 1 or at baseline) from adverse events due to agents administered more than 4 weeks earlier. * Prior chemotherapy, targeted small molecule therapy, or radiation therapy within 2 weeks prior to the first dose of MK-3475 or has not recovered (i.e. ≤ grade 1 or at baseline) from adverse events due to a previously administered agent. * Note: patients with ≤ grade 2 neuropathy are an exception to this criterion and may qualify for the study. * Note: if a patient underwent major surgery, s/he must have recovered adequately from the toxicity and/or complications from the intervention prior to starting therapy. * Candidates for curative resection or urgent surgical procedure(s) needed. * Presence of infratentorial lesions, brainstem lesions, or lesions that are less than 5 mm from the hyophysis or cranial nerves. * Multifocal gliomas that are bilateral. Patients with unilateral multifocal gliomas may be eligible if their multifocal disease can be treated effectively and safely in a single MLA procedure. * Presence of leptomeningeal metastases. * Recent (within 8 weeks) history of CNS hemorrhage unless the hemorrhage is located within the tumor that will be removed en total during surgical debulking or ablated during MLA. * Requires therapeutic doses of anticoagulants unless anticoagulation can be safely discontinued before surgery per standard practice (e.g. first DVD for which anticoagulation has been at least 3 months and repeat imaging demonstrates resolution of DVT) or an IVC filter can be used in place of anticoagulation. Subjects are permitted to resume anticoagulation following surgery per discretion of treating physician and/or site SOPs * Received prior local therapy (stereotactic radiosurgery, brachytherapy, or carmustine wafers) to the proposed area of MLA treatment. * Received a live vaccine or live-attenuated vaccine within 30 days prior to the first dose of MK-3475. Administration of killed vaccines is allowed. * Currently receiving any other investigational agents or has participated in a study of an investigational agent or using an investigational device within 3 weeks of the first dose of MK-3475. * A history of allergic reactions attributed to compounds of similar chemical or biologic composition to MK-3475 or other agents used in the study. * Dexamethasone \> 4 mg daily at the time of registration * Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (in dosing exceeding 10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy within 7 days prior to the first dose of trial treatment (with the exception of daily dexamethasone ≤ 4 mg). * Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, uncontrolled hypertension, or psychiatric illness/social situations that would limit compliance with study requirements. * Has an active autoimmune disease requiring systemic treatment within the past 2 years (i.e. with use of disease modifying agents, corticosteroids, or immunosuppressive drugs). Replacement therapy (e.g. thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency, etc.) is not considered a form of systemic treatment. * Has a history of (non-infectious) pneumonitis/interstitial lung disease that required steroids or current pneumonitis/interstitial lung disease. * Pregnant and/or breastfeeding. Patient must have a negative serum or urine pregnancy test within 72 hours of study entry. * Known history of hepatitis B (e.g.,defined as hepatitis B surface antigen \[HBsAg\] reactive) or known active hepatitis C virus (e.g.,defined as HCV RNA \[qualitative\] is detected) infection. * Known history of active TB (bacillus tuberculosis). * Known history of HIV (HIV 1/2 antibodies).

Design outcomes

Primary

MeasureTime frameDescription
Maximum Tolerated Dose (MTD) of MK-3475 When Combined With MLA - Phase I OnlyCompletion of Cycle 1 (each cycle is 3 weeks)The MTD is defined as the dose level immediately below the dose level at which 2 patients of a cohort (of 2 to 6 patients) experienced dose-limiting toxicity during the first cycle. Dose escalations will proceed until the MTD has been reached, or failing that, 200 mg of MK-3475 every 3 weeks will be considered the MTD.
Progression-free Survival (PFS) - Phase II OnlyThrough completion of follow-up (median length of follow-up 338 days, full range 43-2468 days).PFS is defined as the duration of time from start of treatment to time of progression or death, whichever occurs first.

Secondary

MeasureTime frameDescription
Anti-glioma Immune Response Before and After MK-3475 With MLA - Phase II OnlyUp to 26 months
Correlate Intratumoral Expression of PD-L1 and the Frequency of Glioma Cell-specific Cytotoxic T Cells With PFS - Phase II Only6 months
Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyThrough 90 days after completion of treatment (up to 168 weeks)* The descriptions and grading scales found in the revised NCI Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 will be utilized for all toxicity reporting * The only toxicities that will not be collected are those that are clearly related to MLA and/or surgery AND ALSO not related to MK-3475 * Adverse events will be tracked from start of treatment through 30 days following the last day of study treatment. Serious adverse events will be tracked for 90 days following the last dose of study treatment.
Identify PD-1-dependent Biomarkers in Glioma Cell-specific T Cells That Negatively Correlate With the Frequency of Glioma Cell-specific Cytotoxic T Cells and PFS - Phase II OnlyUp to 2 years after completion of treatment (estimated to be up to 272 weeks)
Identify PD-1-dependent Biomarkers in Glioma Cell-specific T Cells That Negatively Correlate With the Frequency of Glioma Cell-specific Cytotoxic T Cells and OS - Phase II OnlyUp to 2 years after completion of treatment (estimated to be up to 272 weeks)
Correlate Intratumoral Expression of PD-L1 and the Frequency of Glioma Cell-specific Cytotoxic T Cells With OS - Phase II OnlyUp to 2 years after completion of treatment (estimated to be up to 272 weeks)
Overall Survival (OS) - Phase II OnlyThrough completion of follow-up (median length of follow-up 338 days, full range 43-2468 days).OS is defined as the duration of time from start of treatment to time of death.

Countries

United States

Participant flow

Participants by arm

ArmCount
Phase I: MK-3475 + MLA Dose Level 1
MK-3475 will be given at 100 mg intravenously (IV) every 3 weeks starting no more than 1 week after MLA until progression or unacceptable toxicity.
3
Phase I: MK-3475 + MLA Dose Level 2
MK-3475 will be given at 150 mg intravenously (IV) every 3 weeks starting no more than 1 week after MLA until progression or unacceptable toxicity.
3
Phase I: MK-3475 + MLA Dose Level 3
MK-3475 will be given at 200 mg intravenously (IV) every 3 weeks starting no more than 1 week after MLA until progression or unacceptable toxicity.
3
Phase II: MK-3475 + MLA
MK-3475 will be given at 200 mg intravenously (IV) every 3 weeks no more than 1 week after MLA, or no more than 1 week after biopsy (if no surgical debulking). This dose was determined in the Phase I portion of the trial.
36
Phase II: MK-3475 Only
MK-3475 will be given at 200 mg intravenously (IV) every 3 weeks beginning 3 weeks after surgical debulking or no more than 1 week after biopsy (if no surgical debulking). This dose was determined in the Phase I portion of the trial.
10
Total55

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004
Overall StudyWas enrolled but did not receive any MK-3475 treatment00064

Baseline characteristics

CharacteristicPhase II: MK-3475 + MLAPhase I: MK-3475 + MLA Dose Level 1Phase I: MK-3475 + MLA Dose Level 2Phase I: MK-3475 + MLA Dose Level 3TotalPhase II: MK-3475 Only
Age, Continuous60 years57 years41 years67 years57 years56.5 years
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
36 Participants2 Participants3 Participants3 Participants54 Participants10 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants1 Participants0 Participants0 Participants1 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
1 Participants0 Participants0 Participants0 Participants1 Participants0 Participants
Race (NIH/OMB)
Black or African American
1 Participants0 Participants0 Participants0 Participants1 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
34 Participants3 Participants3 Participants3 Participants53 Participants10 Participants
Region of Enrollment
United States
36 participants3 participants3 participants3 participants55 participants10 participants
Sex: Female, Male
Female
19 Participants2 Participants1 Participants2 Participants31 Participants7 Participants
Sex: Female, Male
Male
17 Participants1 Participants2 Participants1 Participants24 Participants3 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
3 / 32 / 31 / 326 / 305 / 6
other
Total, other adverse events
3 / 33 / 33 / 330 / 306 / 6
serious
Total, serious adverse events
3 / 32 / 32 / 315 / 302 / 6

Outcome results

Primary

Maximum Tolerated Dose (MTD) of MK-3475 When Combined With MLA - Phase I Only

The MTD is defined as the dose level immediately below the dose level at which 2 patients of a cohort (of 2 to 6 patients) experienced dose-limiting toxicity during the first cycle. Dose escalations will proceed until the MTD has been reached, or failing that, 200 mg of MK-3475 every 3 weeks will be considered the MTD.

Time frame: Completion of Cycle 1 (each cycle is 3 weeks)

ArmMeasureValue (NUMBER)
Phase I: MK-3475 + MLAMaximum Tolerated Dose (MTD) of MK-3475 When Combined With MLA - Phase I Only200 mg
Primary

Progression-free Survival (PFS) - Phase II Only

PFS is defined as the duration of time from start of treatment to time of progression or death, whichever occurs first.

Time frame: Through completion of follow-up (median length of follow-up 338 days, full range 43-2468 days).

Population: Participants are evaluable for this outcome measure if they were treated in the Phase II portion of the trial (includes Phase II MK-3475 + MLA and Phase II MK-3475 Only) and at the MTD in Phase I (MK-3475 + MLA Dose Level 3). The Phase I MTD is included with the Phase II MK-3475 + MLA arm since the patients received the same dosing of treatment.

ArmMeasureValue (MEDIAN)
Phase I: MK-3475 + MLAProgression-free Survival (PFS) - Phase II Only5.3 months
Phase II: MK-3475 OnlyProgression-free Survival (PFS) - Phase II Only2.1 months
Secondary

Anti-glioma Immune Response Before and After MK-3475 With MLA - Phase II Only

Time frame: Up to 26 months

Population: Patients underwent pre-LITT surgery or biopsy concurrent with LITT with resulting tissue (no minimum tissue volume requirement) first determining eligibility \& any remaining tissue made available for the analyses listed in the secondary outcome measures. In practice, concurrent local biopsy was heavily favored over two stage surgeries for study participants. Biopsy provided comparatively smaller volumes of tissue \&, unfortunately ended up not providing adequate tissue for this analysis.

Secondary

Correlate Intratumoral Expression of PD-L1 and the Frequency of Glioma Cell-specific Cytotoxic T Cells With OS - Phase II Only

Time frame: Up to 2 years after completion of treatment (estimated to be up to 272 weeks)

Population: Patients underwent pre-LITT surgery or biopsy concurrent with LITT with resulting tissue (no minimum tissue volume requirement) first determining eligibility \& any remaining tissue made available for the analyses listed in the secondary outcome measures. In practice, concurrent local biopsy was heavily favored over two stage surgeries for study participants. Biopsy provided comparatively smaller volumes of tissue \&, unfortunately ended up not providing adequate tissue for this analysis.

Secondary

Correlate Intratumoral Expression of PD-L1 and the Frequency of Glioma Cell-specific Cytotoxic T Cells With PFS - Phase II Only

Time frame: 6 months

Population: Patients underwent pre-LITT surgery or biopsy concurrent with LITT with resulting tissue (no minimum tissue volume requirement) first determining eligibility \& any remaining tissue made available for the analyses listed in the secondary outcome measures. In practice, concurrent local biopsy was heavily favored over two stage surgeries for study participants. Biopsy provided comparatively smaller volumes of tissue \&, unfortunately ended up not providing adequate tissue for this analysis.

Secondary

Identify PD-1-dependent Biomarkers in Glioma Cell-specific T Cells That Negatively Correlate With the Frequency of Glioma Cell-specific Cytotoxic T Cells and OS - Phase II Only

Time frame: Up to 2 years after completion of treatment (estimated to be up to 272 weeks)

Population: Patients underwent pre-LITT surgery or biopsy concurrent with LITT with resulting tissue (no minimum tissue volume requirement) first determining eligibility \& any remaining tissue made available for the analyses listed in the secondary outcome measures. In practice, concurrent local biopsy was heavily favored over two stage surgeries for study participants. Biopsy provided comparatively smaller volumes of tissue \&, unfortunately ended up not providing adequate tissue for this analysis.

Secondary

Identify PD-1-dependent Biomarkers in Glioma Cell-specific T Cells That Negatively Correlate With the Frequency of Glioma Cell-specific Cytotoxic T Cells and PFS - Phase II Only

Time frame: Up to 2 years after completion of treatment (estimated to be up to 272 weeks)

Population: Patients underwent pre-LITT surgery or biopsy concurrent with LITT with resulting tissue (no minimum tissue volume requirement) first determining eligibility \& any remaining tissue made available for the analyses listed in the secondary outcome measures. In practice, concurrent local biopsy was heavily favored over two stage surgeries for study participants. Biopsy provided comparatively smaller volumes of tissue \&, unfortunately ended up not providing adequate tissue for this analysis.

Secondary

Overall Survival (OS) - Phase II Only

OS is defined as the duration of time from start of treatment to time of death.

Time frame: Through completion of follow-up (median length of follow-up 338 days, full range 43-2468 days).

Population: Participants are evaluable for this outcome measure if they were treated in the Phase II portion of the trial (includes Phase II MK-3475 + MLA and Phase II MK-3475 Only) and at the MTD in Phase I (MK-3475 + MLA Dose Level 3). The Phase I MTD is included with the Phase II MK-3475 + MLA arm since the patients received the same dosing of treatment.

ArmMeasureValue (MEDIAN)
Phase I: MK-3475 + MLAOverall Survival (OS) - Phase II Only11.8 months
Phase II: MK-3475 OnlyOverall Survival (OS) - Phase II Only5.2 months
Secondary

Toxicity Profile of MK-3475 in Combination With MLA - Phase I Only

* The descriptions and grading scales found in the revised NCI Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 will be utilized for all toxicity reporting * The only toxicities that will not be collected are those that are clearly related to MLA and/or surgery AND ALSO not related to MK-3475 * Adverse events will be tracked from start of treatment through 30 days following the last day of study treatment. Serious adverse events will be tracked for 90 days following the last dose of study treatment.

Time frame: Through 90 days after completion of treatment (up to 168 weeks)

Population: Participants in Phase II were not evaluable for this outcome measure.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 memory impairment0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 rectal hemorrhage0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 infusion related reaction0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 cough1 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 lactic acidosis0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 pain0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 speech aphasia0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 lethargy1 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 appendicitis1 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 sepsis0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 bronchial infection0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 dyspnea1 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 leukocytosis0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 muscle weakness - left sided1 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 pneumonia1 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 word-finding difficulty1 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 muscle weakness - right sided0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 nasal congestion0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 diarrhea0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 vomiting1 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 tachycardia0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 blood bilirubin increased0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 dry skin0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 nausea1 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 agitation0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 lymphocyte count decreased0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 hyperhidrosis0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 blurred vision1 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 platelet count decreased2 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 peripheral motor neuropathy0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 cellulitis0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 weight loss0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 rash0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 urinary tract infection1 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 white blood cell decreased2 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 anxiety1 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 drooping eyes0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 hyperglycemia3 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 edema face0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 skin ulceration0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 hyperglycemia0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 lightheadedness1 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 reading comprehension difficulty1 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 planned left craniectomy0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 floaters1 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 confusion0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 edema limbs0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 hypoalbuminemia0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 hot flashes1 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 cold0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 hyponatremia0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 intracranial hemorrhage0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 glaucoma0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 arthritis0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 oral pain0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 hypertension0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 back pain0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 insomnia0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 urinary tract infection0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 chest wall pain0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 alanine aminotransferase increased0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 pressure around eyes0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 dystonia0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 hypotension1 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 dysphagia1 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 generalized muscle weakness0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 fatigue1 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 joint effusion1 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 pulmonary embolism0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 seizure1 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 right visual field cut0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 muscle weakness - right sided0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 hematuria0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 diarrhea0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 muscle weakness - upper limb0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 wound from fall0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 fall0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 pain in extremity0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 fracture0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 swollen eyes0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 altered mental status0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 fever0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 alkaline phosphatase increased0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 cognitive disturbance1 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 creatinine increased1 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 bruising0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 dizziness1 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 urinary incontinence0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 abdominal pain0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 edema cerebral0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 hyperkalemia0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 hypernatremia0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 expressive aphasia0 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 anemia1 Participants
Phase I: MK-3475 + MLAToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 headache1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 bruising1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 headache1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 intracranial hemorrhage0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 diarrhea0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 lethargy1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 lightheadedness0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 memory impairment0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 diarrhea3 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 peripheral motor neuropathy1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 fall1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 reading comprehension difficulty0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 seizure1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 dysphagia0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 speech aphasia0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 word-finding difficulty0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 agitation1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 nausea0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 anxiety0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 fracture0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 confusion0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 insomnia1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 oral pain0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 hematuria0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 urinary incontinence0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 cough1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 rectal hemorrhage0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 dyspnea0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 wound from fall0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 nasal congestion1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 dry skin1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 vomiting0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 hyperhidrosis0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 pneumonia0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 rash1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 skin ulceration1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 edema face1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 planned left craniectomy0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 hot flashes0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 edema limbs0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 hypertension0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 hypotension0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 pulmonary embolism1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 fatigue2 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 alanine aminotransferase increased1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 appendicitis0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 creatinine increased0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 fever1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 cellulitis0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 infusion related reaction1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 pain0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 lactic acidosis0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 bronchial infection0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 muscle weakness - left sided1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 leukocytosis0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 muscle weakness - right sided1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 sepsis0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 alkaline phosphatase increased1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 blood bilirubin increased0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 tachycardia1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 anemia1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 lymphocyte count decreased3 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 platelet count decreased0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 blurred vision0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 weight loss0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 white blood cell decreased1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 hyperglycemia1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 drooping eyes0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 hyperglycemia0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 urinary tract infection0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 hyperkalemia0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 hypernatremia0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 floaters0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 hypoalbuminemia1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 hyponatremia0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 arthritis0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 glaucoma0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 back pain1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 chest wall pain1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 dystonia1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 pressure around eyes0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 generalized muscle weakness0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 joint effusion0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 urinary tract infection1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 muscle weakness - right sided0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 right visual field cut0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 muscle weakness - upper limb0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 cold1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 pain in extremity1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 altered mental status1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 swollen eyes0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 cognitive disturbance0 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 dizziness1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 edema cerebral1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 abdominal pain1 Participants
Phase II: MK-3475 OnlyToxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 expressive aphasia1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 generalized muscle weakness1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 cellulitis1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 cold0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 pneumonia0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 sepsis1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 urinary tract infection0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 urinary tract infection0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 bruising1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 fall2 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 wound from fall1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 anemia1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 lactic acidosis1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 leukocytosis1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 tachycardia0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 blurred vision1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 drooping eyes1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 floaters0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 glaucoma1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 pressure around eyes1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 right visual field cut1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 swollen eyes1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 abdominal pain0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 diarrhea1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 diarrhea0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 dysphagia0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 nausea0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 oral pain1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 rectal hemorrhage1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 vomiting0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 edema limbs1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 fatigue1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 fever0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 infusion related reaction0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 pain1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 appendicitis0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 bronchial infection1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 muscle weakness - left sided0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 alanine aminotransferase increased0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 alkaline phosphatase increased0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 blood bilirubin increased1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 creatinine increased1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 lymphocyte count decreased2 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 platelet count decreased1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 weight loss1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 white blood cell decreased0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 hyperglycemia0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 hyperglycemia1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 hyperkalemia1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 hypernatremia1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 hypoalbuminemia0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 hyponatremia1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 arthritis1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 back pain1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 chest wall pain0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 dystonia0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 joint effusion0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 muscle weakness - right sided0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 muscle weakness - right sided1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 muscle weakness - upper limb1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 pain in extremity0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 altered mental status0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 cognitive disturbance0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 dizziness1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 edema cerebral0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 expressive aphasia0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 headache2 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 intracranial hemorrhage1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 lethargy0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 lightheadedness0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 memory impairment1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 peripheral motor neuropathy0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 reading comprehension difficulty0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 seizure0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 speech aphasia1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 word-finding difficulty0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 agitation0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 anxiety1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 confusion1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 insomnia0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 hematuria2 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 urinary incontinence1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 cough1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 dyspnea1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 nasal congestion0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 dry skin1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 hyperhidrosis1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 rash0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 skin ulceration0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 planned left craniectomy1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 hot flashes1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 hypertension1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 hypotension0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 pulmonary embolism0 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 1/2 edema face1 Participants
Phase I: MK-3475 + MLA Dose Level 3Toxicity Profile of MK-3475 in Combination With MLA - Phase I OnlyGrade 3/4/5 fracture1 Participants

Source: ClinicalTrials.gov · Data processed: Feb 28, 2026