Evidence map›Paper›PMID 41747221›Full record

Trial reportCancer research communications2026

Lenvatinib plus Pembrolizumab for Patients with Previously Treated Advanced Gastric, Biliary Tract, or Pancreatic Cancer: Results from the Phase II LEAP-005 Study.

Mariano Ponz-Sarvisé, Sun Young Rha, Carlos A Gomez-Roca, Laura Ortega Morán, Sanjeev Gill, Giampaolo Tortora, Ravit Geva, Esma Saada-Bouzid, Armando Santoro, Tae Won Kim and 10 more

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Cancer research communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03797326 (A Multicenter, Open-label Phase 2 Study of Lenvatinib), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03797326 phase2completednot on this map

A Multicenter, Open-label Phase 2 Study of Lenvatinib (E7080/MK-7902) Plus Pembrolizumab (MK-3475) in Previously Treated Subjects With Selected Solid Tumors (LEAP-005)

TypeinterventionalSponsorMerck Sharp & Dohme LLCRan2019 to 2024Enrolled611ConditionsAdvanced Solid Tumors, Triple Negative Breast Cancer, Ovarian Cancer, Gastric CancerArmsPembrolizumab, Lenvatinib
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Review
  3. [Immunotherapy and Targeted Therapy for Advanced Biliary Tract Cancer].The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2026
    Review
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Mariano Ponz-SarviséDepartment of Medical Oncology and Program in Solid Tumors, Cancer Center Clínica Universidad de Navarra (CCUN), Cima-Universidad de Navarra, Pamplona, Spain.ORCID 0000-0002-3240-729X
Sun Young RhaYonsei Cancer Center, Yonsei University College of Medicine, Seoul, Republic of Korea.ORCID 0000-0002-2512-4531
Carlos A Gomez-RocaInstitut Universitaire du Cancer de Toulouse Oncopole , Toulouse, France.ORCID 0000-0002-8043-2529
Laura Ortega MoránDepartment of Medical Oncology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.ORCID 0000-0003-0456-7322
Sanjeev GillThe Alfred Hospital , Melbourne, Australia.ORCID 0009-0004-4946-9114
Giampaolo TortoraMedical Oncology, Fondazione Policlinico A Gemelli IRCCS, Rome, Italy.ORCID 0000-0002-1378-4962
Ravit GevaTel Aviv Sourasky Medical Center , Tel Aviv, Israel.ORCID 0000-0002-5380-4948
Esma Saada-BouzidEarly Phase Trial Unit, Centre Antoine Lacassagne, Nice, France.ORCID 0009-0002-3924-286X
Armando SantoroIRCCS, Humanitas Research Hospital, Milan, Italy.ORCID 0000-0003-1709-9492
Tae Won KimDepartment of Oncology, Asan Medical Center, University of Ulsan, Seoul, Republic of Korea.ORCID 0000-0001-9522-1997
Daniel HeudoblerUniversity Hospital Regensburg , Regensburg, Germany.ORCID 0000-0002-8790-4584
Corina E DutcusEisai Inc., Nutley, New Jersey.ORCID 0000-0003-3483-716X
Chinyere E OkparaEisai Ltd., Hatfield, United Kingdom.ORCID 0000-0002-5621-9138
Razi GhoriMerck & Co., Inc., Rahway, New Jersey.ORCID 0009-0004-3095-8612
Yiwei ZhangMerck & Co., Inc., Rahway, New Jersey.ORCID 0009-0007-0544-6094
Amir VajdiMerck & Co., Inc., Rahway, New Jersey.ORCID 0000-0001-8271-8566
E J DettmanMerck & Co., Inc., Rahway, New Jersey.ORCID 0000-0002-0059-836X
Fan JinMerck & Co., Inc., Rahway, New Jersey.ORCID 0009-0006-7975-0016
Roman GroisbergMerck & Co., Inc., Rahway, New Jersey.ORCID 0000-0001-8970-7675
Ronnie Shapira-FrommerElla Lemelbaum Institute for Immuno-Oncology, Sheba Medical Center, Ramat Gan, Israel.ORCID 0000-0001-6170-080X

Funding

MSD Sharp and Dohme (MSD)
6 · The paper itself

Abstract

purposePatients with gastric cancer, biliary tract cancer (BTC), and pancreatic ductal adenocarcinoma (PDAC) have poor survival outcomes and limited second- or later-line treatment options. Certain drugs targeting vascular endothelial growth factor (VEGF) or programmed cell death protein 1 (PD-1) signaling pathways are currently used in these cancers in specific circumstances; however, there remains a need for novel treatment combinations. LEAP-005 is a multicohort, open-label, phase II study that evaluated lenvatinib (multitargeted inhibitor of tyrosine kinases, including VEGF) plus pembrolizumab (anti-PD-1 monoclonal antibody) in select previously treated solid tumors. PATIENTS AND

methodsParticipants with previously treated, advanced gastric cancer, BTC, and PDAC were enrolled in cohorts C, F, and G of LEAP-005, respectively, and received lenvatinib 20 mg/day orally plus pembrolizumab 200 mg i.v. every 3 weeks. Primary endpoints were objective response rate (ORR) and safety.

resultsOf 99, 102, and 103 total participants enrolled in cohorts C, F, and G, respectively, median times from first dose of study treatment to data cutoff (February 6, 2023) were 23.7, 24.2, and 19.5 months. ORRs (95% confidence interval) by blinded independent central review were 15.2% (8.7%-23.8%) in cohort C, 17.6% (10.8%-26.4%) in cohort F, and 7.8% (3.4%-14.7%) in cohort G. Grade 3 to 5 treatment-related adverse events occurred in 54.5% of participants in cohort C, and grade 3 to 4 (no grade 5) occurred in 60.8% and 59.2% of participants in cohorts F and G, respectively.

conclusionsLenvatinib plus pembrolizumab demonstrated modest antitumor activity and a manageable safety profile in previously treated, advanced gastric cancer, BTC, and PDAC. SIGNIFICANCE: In the phase II LEAP-005 study, lenvatinib plus pembrolizumab showed modest antitumor activity and a manageable safety profile in participants with previously treated gastrointestinal-related cancers. Exploratory analyses in participants with BTC indicated higher ORRs in participants with targetable alterations versus those without.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsBiliary Tract NeoplasmsPancreatic NeoplasmsPhenylurea CompoundsQuinolinesStomach NeoplasmsAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedAntibodies, Monoclonal, HumanizedlenvatinibpembrolizumabPhenylurea CompoundsQuinolines

Identifiers

PMID41747221
PMCPMC13018779

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.