Clinical Trials /

Safety and Efficacy of Pembrolizumab Compared to Placebo in Resected High-risk Stage II Melanoma (MK-3475-716/KEYNOTE-716)

NCT03553836

Description:

This 2-part study will evaluate the safety and efficacy of pembrolizumab (MK-3475) compared to placebo in participants with surgically resected high-risk Stage II melanoma. Participants in Part 1 will receive either pembrolizumab or placebo in a double-blind design for up to 17 cycles (each cycle = 21 days). Participants who receive placebo or who stop treatment after receiving 17 cycles of pembrolizumab in Part 1, do not experience disease recurrence within 6 months of completing pembrolizumab in Part 1, and do not stop treatment with pembrolizumab for disease recurrence or intolerability, may be eligible to receive up to 35 additional cycles of pembrolizumab in Part 2 in an open-label design. The primary hypothesis of this study is that pembrolizumab increases recurrence-free survival (RFS) compared to placebo.

Related Conditions:
  • Cutaneous Melanoma
Recruiting Status:

Active, not recruiting

Phase:

Phase 3

Trial Eligibility

Document

Title

  • Brief Title: Safety and Efficacy of Pembrolizumab Compared to Placebo in Resected High-risk Stage II Melanoma (MK-3475-716/KEYNOTE-716)
  • Official Title: Adjuvant Therapy With Pembrolizumab Versus Placebo in Resected High-risk Stage II Melanoma: A Randomized, Double-blind Phase 3 Study (KEYNOTE-716)

Clinical Trial IDs

  • ORG STUDY ID: 3475-716
  • SECONDARY ID: 2018-000669-35
  • SECONDARY ID: MK-3475-716
  • SECONDARY ID: KEYNOTE-716
  • SECONDARY ID: 205203
  • NCT ID: NCT03553836

Conditions

  • Melanoma

Interventions

DrugSynonymsArms
PembrolizumabKEYTRUDA®, MK-3475Pembrolizumab

Purpose

This 2-part study will evaluate the safety and efficacy of pembrolizumab (MK-3475) compared to placebo in participants with surgically resected high-risk Stage II melanoma. Participants in Part 1 will receive either pembrolizumab or placebo in a double-blind design for up to 17 cycles (each cycle = 21 days). Participants who receive placebo or who stop treatment after receiving 17 cycles of pembrolizumab in Part 1, do not experience disease recurrence within 6 months of completing pembrolizumab in Part 1, and do not stop treatment with pembrolizumab for disease recurrence or intolerability, may be eligible to receive up to 35 additional cycles of pembrolizumab in Part 2 in an open-label design. The primary hypothesis of this study is that pembrolizumab increases recurrence-free survival (RFS) compared to placebo.

Trial Arms

NameTypeDescriptionInterventions
PembrolizumabExperimentalPediatric participants receive 2 mg/kg (200 mg maximum) pembrolizumab by intravenous (IV) infusion every 3 weeks (Q3W; 21-day cycles) for up to 17 cycles (up to ~1 year) in a double-blind design in Part 1. Adult participants receive 200 mg pembrolizumab by IV infusion Q3W (21-day cycles) for up to 17 cycles (up to ~1 year) in a double-blind design in Part 1. Participants that complete 17 cycles of pembrolizumab and experience disease recurrence may be eligible to receive additional cycles of pembrolizumab in Part 2 in an open-label design. In Part 2, participants will receive up to 17 cycles (up to ~1 year) of pembrolizumab for local/distant recurrence following disease resection or up to 35 cycles (up to ~2 years) of pembrolizumab for unresectable disease recurrence. Participants with distant metastasis who undergo complete resection will receive 17 cycles (up to ~1 year) of pembrolizumab but can receive up to 35 cycles (up to ~2 years) of pembrolizumab under certain circumstances.
  • Pembrolizumab
PlaceboPlacebo ComparatorParticipants receive saline placebo by IV infusion Q3W (21-day cycles) for up to 17 cycles (up to ~1 year) in a double-blind design in Part 1. Participants that complete 17 cycles of placebo and experience disease recurrence may be eligible to receive pembrolizumab in Part 2 in an open-label design. In Part 2, participants will receive up to 17 cycles (up to ~1 year) of pembrolizumab for local/distant recurrence following disease resection or up to 35 cycles (up to ~2 years) of pembrolizumab for disease that cannot be resected or metastatic disease.
  • Pembrolizumab

Eligibility Criteria

        Inclusion:

          -  Has surgically resected and histologically/pathologically confirmed new diagnosis of
             Stage IIB or IIC cutaneous melanoma per American Joint Committee on Cancer (AJCC) 8th
             edition guidelines

          -  Has not been previously treated for melanoma beyond complete surgical resection

          -  Has ≤12 weeks between final surgical resection and randomization

          -  Has no evidence of metastatic disease on imaging as determined by investigator

          -  Has a performance status of 0 or 1 on the Eastern Cooperative Oncology Group (ECOG)
             Performance Scale or Lansky Play-Performance Scale (LPS) score ≥50 for participants
             ≤16 years old, or a Karnofsky Performance Scale (KPS) score ≥50 for participants >16
             and <18 years old

          -  Has recovered adequately from toxicity and/or complications from surgery prior to
             study start

          -  Female participants must not be pregnant or breastfeeding, and must agree to use
             contraception during the treatment period and for at least 120 days after the last
             dose of study treatment if they are a woman of childbearing potential (WOCBP)

        Exclusion:

          -  Has a known additional malignancy that is progressing or has required active
             antineoplastic therapy (including hormonal) within the past 5 years with the exception
             of basal cell carcinoma of the skin, squamous cell carcinoma of the skin, or carcinoma
             in situ (e.g., breast carcinoma, cervical cancer in situ) that have undergone
             potentially curative therapy

          -  Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy
             or any other form of immunosuppressive therapy within 7 days prior to the first dose
             of study treatment

          -  Has recovered adequately from major surgery or the toxicity and/or complications from
             the intervention prior to starting study treatment

          -  WOCBP who has a positive urine pregnancy test within 72 hours prior to randomization.
             If the urine test is positive or cannot be confirmed as negative, a serum pregnancy
             test will be required

          -  Has received prior therapy with an anti-Programmed Cell Death Receptor 1 (PD-1),
             anti-Programmed Cell Death Receptor Ligand 1 (PD-L1) or anti-Programmed Cell Death
             Receptor Ligand 2 ( PD-L2) agent or with an agent directed to another stimulatory or
             coinhibitory T-cell receptor (e.g., cytotoxic T-lymphocyte-associated protein 4
             (CTLA-4), OX-40, CD137)

          -  Has received prior systemic anti-cancer therapy for melanoma including investigational
             agents

          -  Has received a live vaccine within 30 days prior to the first dose of study treatment

          -  Is currently participating in or has participated in a study of an investigational
             agent or has used an investigational device within 4 weeks prior to the first dose of
             study treatment

          -  Has severe hypersensitivity (≥Grade 3) to any excipients of pembrolizumab

          -  Has an active autoimmune disease that has required systemic treatment in the past 2
             years

          -  Has a history of (noninfectious) pneumonitis that required steroids or has current
             pneumonitis

          -  Has an active infection requiring systemic therapy

          -  Has a known history of human immunodeficiency virus (HIV) infection

          -  Has a known history of Hepatitis B (defined as Hepatitis B surface antigen reactive)
             or known active Hepatitis C virus (defined as Hepatitis C virus ribonucleic acid
             ((RNA)) [qualitative] is detected) infection

          -  Has a history of active tuberculosis (Bacillus tuberculosis)

          -  Has a history or current evidence of any condition, therapy, or laboratory abnormality
             that might confound the results of the study, interfere with the participant's
             participation for the full duration of the study, or is not in the best interest of
             the participant to participate, in the opinion of the treating investigator

          -  Has a known psychiatric or substance abuse disorder that would interfere with the
             participant's ability to cooperate with the requirements of the study

          -  Has had an allogeneic tissue/solid organ transplant
      
Maximum Eligible Age:N/A
Minimum Eligible Age:12 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Recurrence-free Survival (RFS)
Time Frame:Up to 4 Years
Safety Issue:
Description:RFS is defined as the time from randomization to any of the following events: recurrence of melanoma at any site (local, in-transit or regional lymph nodes or distant recurrence) per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) or death due to any cause.

Secondary Outcome Measures

Measure:Distant Metastasis-free Survival (DMFS)
Time Frame:Up to 9 Years
Safety Issue:
Description:DMFS is defined as the time from randomization to the first diagnosis of a distant metastasis per RECIST 1.1. Distant metastasis refers to cancer that has spread from the original (primary) tumor and beyond local tissues and lymph nodes to distant organs or distant lymph nodes.
Measure:Overall Survival (OS)
Time Frame:Up to 15 Years
Safety Issue:
Description:OS is the time from randomization to death due to any cause.
Measure:Incidence of Adverse Events (AEs)
Time Frame:From time of signing the informed consent form (ICF) until the end of follow-up (up to approximately 39 months)
Safety Issue:
Description:Percentage of participants experiencing an AE defined as any unfavorable and unintended sign, symptom, disease, or worsening of preexisting condition temporally associated with study therapy and irrespective of causality to study therapy.
Measure:Incidence of Discontinuations
Time Frame:From time of signing the ICF until the end of study treatment (up to approximately 36 months)
Safety Issue:
Description:Percentage of participants discontinuing study drug due to an AE.

Details

Phase:Phase 3
Primary Purpose:Interventional
Overall Status:Active, not recruiting
Lead Sponsor:Merck Sharp & Dohme Corp.

Trial Keywords

  • Programmed Cell Death Receptor 1 (PD1)
  • Programmed Cell Death Receptor 1 (PD-1)
  • Programmed Cell Death Receptor Ligand 1 (PDL1)
  • Programmed Cell Death Receptor Ligand 1 (PD-L1)

Last Updated

August 24, 2021