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Phase 2 Completed N=295 Randomized Treatment

Safety and Tolerability of Pembrolizumab (MK-3475) + Pegylated Interferon Alfa-2b and Pembrolizumab+ Ipilimumab in Participants With Advanced Melanoma or Renal Cell Carcinoma (MK-3475-029/KEYNOTE-29)

Source: ClinicalTrials.gov NCT02089685 ↗
Enrolled (actual)
295
Serious AEs
50.7%
Results posted
May 2022
Primary outcomePrimary: Percentage of Participants With Dose-limiting Toxicities (DLTs) (Part 1A) — 36.4; 25; 20; 0.0 Percentage of Participants

Summary

This study is being done to analyze the safety, tolerability, and efficacy of treatment for advanced melanoma (MEL) and renal cell carcinoma (RCC) using combination regimens of pembrolizumab + pegylated interferon alfa-2b (PegIFN-2b) and pembrolizumab + ipilimumab (IPI). The primary hypothesis is that these combinations will be sufficiently well-tolerated to permit continued clinical investigation.

Outcome Measures

OutcomeResultp-value
PRIMARY
Percentage of Participants With Dose-limiting Toxicities (DLTs) (Part 1A)
36.4; 25; 20; 0.0; 66.7
PRIMARY
Percentage of Participants Experiencing Adverse Events (AEs)
100.0; 100.0; 100.0; 99.3; 100.0; 100.0
PRIMARY
Percentage of Participants Discontinuing Study Drug Due to AEs
40.9; 50.0; 66.7; 37.3; 19.6; 37.3
PRIMARY
Percentage of Participants Experiencing Adverse Events of Special Interest (AEOSIs) (Parts 1B and 1C)
60.8; 45.1; 56.9
PRIMARY
Percentage of Participants Experiencing Grade 3-5 Drug-related AEs (Part 1C)
27.5; 43.1
PRIMARY
Objective Response Rate (ORR) (Part 1C)
69.6; 76.7
PRIMARY
Progression-free Survival (PFS) (Part 2)
SECONDARY
Objective Response Rate (ORR) (Part 1B)
65.8
SECONDARY
ORR by Programmed-death Receptor-ligand 1 (PD-L1) Status Using RECIST 1.1 (Parts 1B and 1C)
67.8; 75.0; 85.2; 52.2; 53.8; 63.6
SECONDARY
Percentage of Participants With an Ordinal Response, Estimated by a Best Overall Response of VGPR or MPR (Parts 1B and 1C)
6.2; 8.7; 23.3; 24.0; 28.3; 20.9
SECONDARY
Duration of Response (DOR) (Parts 1B and 1C)
NA; NA; NA
SECONDARY
Progression-free Survival (PFS) (Parts 1B and 1C)
NA; NA; NA
SECONDARY
Overall Survival (OS) (Parts 1B and 1C)
NA; NA; NA
SECONDARY
PFS by PD-L1 Status Using RECIST 1.1 (Parts 1B and 1C)
NA; NA; NA; 20.7; 23.1; 13.8
SECONDARY
OS by PD-L1 Status Using RECIST 1.1 (Parts 1B and 1C)
NA; NA; NA; NA; 32.8; NA
SECONDARY
Percentage of Participants Experiencing Grade 3-5 DRAEs (Parts 1A and 1B)
90.9; 71.4; 66.7; 70.6
SECONDARY
ORR (Part 2)

Eligibility Criteria

Inclusion Criteria

  • Histologically- or cytologically-confirmed diagnosis of advanced/unresectable or metastatic MEL or RCC (Part 1A only) with predominantly clear cell elements
  • Previously untreated stage III/IV advanced or metastatic MEL (Part 1C only)
  • MEL subjects may be treatment naïve or may have received prior lines of therapy for metastatic disease (Parts 1A and 1B)
  • RCC subjects must have received ≥1 prior line of therapy for metastatic disease (Part 1A)
  • Measurable disease as defined by RECIST 1.1
  • Must provide a tumor sample (archival or newly obtained biopsy) that is adequate for determination of PD (programmed cell death)-Ligand 1 status by immunohistochemistry at a central pathology laboratory prior to enrollment. Note: Adequacy of the tumor sample for PD-Ligand 1 testing is not required prior to enrollment in Part 1C
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
  • Adequate organ function
  • Resolution of toxic effect(s) of the most recent prior chemotherapy to Grade 1 or less (Parts 1A and 1B) and/or recovered from major surgery or radiation therapy
  • Female participants of childbearing potential must be willing to use adequate contraception during the course of the study through 120 days after the last dose of study drug
  • Male participants must 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 drug

Exclusion Criteria

  • Uveal or ocular MEL
  • Prior therapy with an anti-programmed cell death (anti-PD)-1, anti-PD-Ligand 1, anti-PD-Ligand 2 or with an agent directed to another co-inhibitory T-cell receptor or has previously participated in a pembrolizumab clinical trial. Note: In Part 1C, participants may have received anti-PD-1 and/or anti-Cytotoxic T-lymphocyte-associated antigen 4 (anti-CTLA-4) as part of their neo/adjuvant treatment.
  • Has received prior anti-cancer therapy, monoclonal antibody, chemotherapy, or an investigational agent or device within 4 weeks or 5 half-lives (whichever is longer) before first dose of trial drug or not recovered (≤ Grade 1 or at baseline) from AEs due to previously administered agents (Parts 1A and 1B)
  • Diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (dosing exceeding 10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy within 7 days prior to the first dose of study drug
  • Known additional malignancy that is progressing or requires active treatment with the exception of early stage cancers (carcinoma in situ or Stage 1) treated with curative intent, basal cell carcinoma of the skin, squamous cell carcinoma of the skin, or in situ cervical cancer or in situ breast cancer that has undergone potentially curative therapy
  • Known active central nervous system (CNS) metastases and/or carcinomatous meningitis
  • Severe hypersensitivity to any pembrolizumab excipients
  • Active autoimmune disease requiring systemic treatment in the past 2 years
  • History of (non-infectious) pneumonitis that required steroids or has current pneumonitis
  • Active infection requiring systemic therapy
  • Pregnant or breastfeeding, or expecting to conceive or father children within the projected duration of the trial from screening through 120 days after the last dose of study drug
  • Prior therapy with interferon alfa (in neoadjuvant, adjuvant, or metastatic settings) (Part 1A only)
  • Uncontrolled thyroid dysfunction
  • Uncontrolled diabetes mellitus.
  • Known history of human immunodeficiency virus (HIV)
  • Known history of or is positive for Hepatitis B or Hepatitis C
  • Received a live vaccine within 30 days prior to first dose of study drug
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02089685). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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