Trial of Pembrolizumab for Advanced Penile Squamous Cell Carcinoma
Condition: Penile Squamous Cell Carcinoma
MeSH terms: Carcinoma; Carcinoma, Squamous Cell
Intervention: Pembrolizumab
Intervention description: Pembrolizumab will be administered intravenously every 3 weeks.
Intervention MeSH terms: Pembrolizumab
Phase: Phase 2
Study type: Interventional
Primary purpose: Treatment
Intervention model: Single Group Assignment
Masking: None (Open Label)
Enrollment: 6.0
Sex: Male
Minimum age: 18 Years
Healthy volunteers: No
Keywords: penile cancer; Pembrolizumab; penile squamous cell carcinoma; squamous cell cancer

Summary:

      Penile squamous cell carcinoma (PSCC) is relatively rare but exhibits higher incidences in
      less developed countries. PSCC is a highly aggressive malignancy characterized by early
      spread. Pembrolizumab has recently been FDA-approved for the treatment of melanoma but will
      serve as the investigational agent for this penile cancer study.
    

Eligibility criteria:

        Inclusion Criteria:

          1. Locally advanced unresectable or metastatic stage 4 (i.e. T4 or N3 or M1) PSCC

          2. Radiologic evidence for progressive disease after ≥1 prior chemotherapy regimen

          3. Be at least 18 years of age on day of signing informed consent.

          4. Have measurable disease based on RECIST 1.1.

          5. Have a performance status of 0-2 on the Eastern Cooperative Oncology Group (ECOG)
             Performance Scale.

          6. Demonstrate adequate organ function with all screening labs being performed within 14
             days of treatment initiation.

               -  Absolute neutrophil count (ANC) ≥1,500 /microLiters (mcL)

               -  Platelets ≥100,000/mcL

               -  Hemoglobin ≥9 g/dL or ≥5.6 mmol/L without transfusion or erythropoietin
                  dependency (within 7 days of assessment)

               -  Serum creatinine ≤1.5 X upper limit of normal (ULN); alternately measured or
                  calculated creatinine clearance ≥30 mL/min with creatinine levels >1.5 X
                  institutional ULN (GFR can also be used in place of creatinine or CrCl)

               -  Serum total bilirubin ≤1.5 X ULN or direct bilirubin ≤ ULN for subjects with
                  total bilirubin levels >1.5 ULN

               -  Aspartate Transaminase (AST), also known as Serum Glutamic-Oxaloacetic
                  Transaminase (SGOT) and Alanine Aminotransferase (ALT), also known as Serum
                  Glutamic-Pyruvic Transaminase (SGPT) ≤ 2.5 X ULN or ≤ 5 X ULN for subjects with
                  liver metastases

               -  Albumin >2.5 mg/dL

               -  International Normalized Ratio (INR) or Prothrombin Time (PT) ≤1.5 X ULN unless
                  subject is receiving anticoagulant therapy as long as PT or PTT is within
                  therapeutic range of intended use of anticoagulants

               -  Activated Partial Thromboplastin Time (aPTT) ≤1.5 X ULN unless subject is
                  receiving anticoagulant therapy as long as PT or PTT is within therapeutic range
                  of intended use of anticoagulants

          7. Subjects should agree to use an adequate method of contraception starting with the
             first dose of study therapy through 120 days after the last dose of study therapy

          8. Formalin-fixed paraffin embedded (FFPE) tumor tissue from previous biopsy is
             requested, but not mandatory.

          9. Be willing and able to provide written informed consent/assent for the trial.

        Exclusion Criteria:

          1. Is currently participating and receiving study therapy or has participated in a study
             of an investigational agent and received study therapy or used an investigational
             device within 4 weeks of the first dose of treatment.

          2. Has a diagnosis of immunodeficiency or is receiving systemic steroid therapy or any
             other form of immunosuppressive therapy within 7 days prior to the first dose of trial
             treatment.

          3. Has a known history of active Bacillus Tuberculosis (TB)

          4. Hypersensitivity to Pembrolizumab or any of its excipients.

          5. Has had a prior anti-cancer monoclonal antibody (mAb) within 4 weeks prior to study
             Day 1 or who has not recovered (i.e., ≤ Grade 1 or at baseline) from adverse events
             due to agents administered more than 4 weeks earlier.

          6. Has had prior chemotherapy, targeted small molecule therapy, or radiation therapy
             within 2 weeks prior to study Day 1 or who has not recovered (i.e., ≤ Grade 1 or at
             baseline) from adverse events due to a previously administered agent.

               -  Note: Subjects with ≤ Grade 2 neuropathy are an exception to this criterion and
                  may qualify for the study.

               -  Note: If subject received major surgery, they must have recovered adequately from
                  the toxicity and/or complications from the intervention prior to starting
                  therapy.

          7. Has a known additional malignancy that is progressing or requires active treatment.
             Exceptions include basal cell carcinoma of the skin or squamous cell carcinoma of the
             skin that has undergone potentially curative therapy or in situ cervical cancer.

          8. Has known active central nervous system (CNS) metastases and/or carcinomatous
             meningitis. Subjects with previously treated brain metastases may participate provided
             they are stable (without evidence of progression by imaging for at least four weeks
             prior to the first dose of trial treatment and any neurologic symptoms have returned
             to baseline), have no evidence of new or enlarging brain metastases, and are not using
             steroids for at least 7 days prior to trial treatment. This exception does not include
             carcinomatous meningitis which is excluded regardless of clinical stability.

          9. Has active autoimmune disease that has required systemic treatment in 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.

         10. Has known history of, or any evidence of active, non-infectious pneumonitis.

         11. Has an active infection requiring systemic therapy.

         12. Has a history or current evidence of any condition, therapy, or laboratory abnormality
             that might confound the results of the trial, interfere with the subject's
             participation for the full duration of the trial, or is not in the best interest of
             the subject to participate, in the opinion of the treating investigator.

         13. Has known psychiatric or substance abuse disorders that would interfere with
             cooperation with the requirements of the trial.

         14. Is pregnant expecting to father children within the projected duration of the trial,
             starting with the pre-screening or screening visit through 120 days after the last
             dose of trial treatment.

         15. Has received prior therapy with an anti-Programmed Cell Death-1 (PD-1), anti-PD-Ligand
             1 (L1), or anti-PD-Ligand 2 (L2) agent.

         16. Has a known history of Human Immunodeficiency Virus (HIV) (HIV 1/2 antibodies).

         17. Has known active Hepatitis B (e.g., HBsAg reactive) or Hepatitis C (HCV) (e.g., HCV
             RNA [qualitative] is detected).

         18. Has known active Tuberculosis infection.

         19. Has received a live vaccine within 30 days of planned start of study therapy. Note:
             Seasonal influenza vaccines for injection are generally inactivated flu vaccines and
             are allowed; however intranasal influenza vaccines (e.g., Flu-Mist®) are live
             attenuated vaccines, and are not allowed.