September 18, 2015
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September 21, 2015
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March 27, 2020
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May 4, 2020
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December 10, 2021
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October 13, 2015
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April 11, 2019 (Final data collection date for primary outcome measure)
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- Overall Survival in Participants With Programmed Cell Death Ligand 1 (PD-L1) With Combined Positive Score (CPS) ≥10 [ Time Frame: Up to approximately 36 months (through Final Analysis database cutoff date of 11-April-2019) ]
Overall survival (OS) was defined as the time from randomization to death due to any cause.
- Overall Survival in Participants With PD-L1 CPS ≥1 [ Time Frame: Up to approximately 36 months (through Final Analysis database cutoff date of 11-April-2019) ]
Overall survival (OS) was defined as the time from randomization to death due to any cause.
- Overall Survival in All Participants [ Time Frame: Up to approximately 36 months (through Final Analysis database cutoff date of 11-April-2019) ]
Overall survival (OS) was defined as the time from randomization to death due to any cause.
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- Progression Free Survival (PFS) [ Time Frame: Up to 28 months ]
- Overall Survival (OS) [ Time Frame: Up to 28 months ]
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- Overall Response Rate Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) in Participants With PD-L1 CPS ≥10 [ Time Frame: Up to approximately 36 months (through Final Analysis database cutoff date of 11-April-2019) ]
Overall Response Rate (ORR), based on a Blinded Independent Central Review (BICR) assessment per RECIST 1.1, was defined as the percentage of participants who had a confirmed Complete Response (CR: Disappearance of all target lesions) or a Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions).
- Overall Response Rate Per RECIST 1.1 in Participants With PD-L1 CPS ≥1 [ Time Frame: Up to approximately 36 months (through Final Analysis database cutoff date of 11-April-2019) ]
Overall Response Rate (ORR), based on BICR assessment per RECIST 1.1, was defined as the percentage of participants who had a confirmed Complete Response (CR: Disappearance of all target lesions) or a Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions).
- Overall Response Rate Per RECIST 1.1 in All Participants [ Time Frame: Up to approximately 36 months (through Final Analysis database cutoff date of 11-April-2019) ]
Overall Response Rate (ORR), based on BICR assessment per RECIST 1.1, was defined as the percentage of participants who had a confirmed Complete Response (CR: Disappearance of all target lesions) or a Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions).
- Progression-Free Survival Per RECIST 1.1 in Participants With PD-L1 CPS ≥10 [ Time Frame: Up to approximately 36 months (through Final Analysis database cutoff date of 11-April-2019) ]
Progression-Free Survival (PFS), based on BICR assessment per RECIST 1.1, was defined as the time from randomization to the first documented progressive disease (PD) or death due to any cause, whichever occurred first. Per RECIST 1.1, PD was defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of ≥5 mm. The appearance of one or more new lesions was also considered PD.
- Progression-Free Survival Per RECIST 1.1 in Participants With PD-L1 CPS ≥1 [ Time Frame: Up to approximately 36 months (through Final Analysis database cutoff date of 11-April-2019) ]
Progression-Free Survival (PFS), based on BICR assessment per RECIST 1.1, was defined as the time from randomization to the first documented progressive disease (PD) or death due to any cause, whichever occurred first. Per RECIST 1.1, PD was defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of ≥5 mm. The appearance of one or more new lesions was also considered PD.
- Progression-Free Survival Per RECIST 1.1 in All Participants [ Time Frame: Up to approximately 36 months (through Final Analysis database cutoff date of 11-April-2019) ]
Progression-Free Survival (PFS), based on BICR assessment per RECIST 1.1, was defined as the time from randomization to the first documented progressive disease (PD) or death due to any cause, whichever occurred first. Per RECIST 1.1, PD was defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of ≥5 mm. The appearance of one or more new lesions was also considered PD.
- Duration of Response Per RECIST 1.1 in Participants With PD-L1 CPS ≥10 Who Had a Confirmed Response [ Time Frame: Up to approximately 36 months (from time of first documented evidence of CR or PR through Final Analysis database cutoff date of 11-April-2019) ]
For participants with PD-L1 CPS ≥10 who demonstrated a confirmed Complete Response (CR: disappearance of all target lesions) or Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1, Duration of Response (DOR) was defined as the time from first documented evidence of a CR or PR until progressive disease (PD) or death. DOR for participants who had not progressed or died at the time of analysis was to be censored at the date of their last tumor assessment. Per RECIST 1.1, PD was defined as at least a 20% increase in the sum of diameters of target lesions as well as an absolute increase of at least a 5 mm in the sum of diameters. The appearance of one or more new lesions was also considered PD. DOR assessments were based on BICR.
- Duration of Response Per RECIST 1.1 in Participants With PD-L1 CPS ≥1 Who Had a Confirmed Response [ Time Frame: Up to approximately 36 months (from time of first documented evidence of CR or PR through Final Analysis database cutoff date of 11-April-2019) ]
For participants with PD-L1 CPS ≥1 who demonstrated a confirmed Complete Response (CR: disappearance of all target lesions) or Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1, Duration of Response (DOR) was defined as the time from first documented evidence of a CR or PR until progressive disease (PD) or death. DOR for participants who had not progressed or died at the time of analysis was to be censored at the date of their last tumor assessment. Per RECIST 1.1, PD was defined as at least a 20% increase in the sum of diameters of target lesions as well as an absolute increase of at least a 5 mm in the sum of diameters. The appearance of one or more new lesions was also considered PD. DOR assessments were based on BICR.
- Duration of Response Per RECIST 1.1 in All Participants Who Had a Confirmed Response [ Time Frame: Up to approximately 36 months (from time of first documented evidence of CR or PR through Final Analysis database cutoff date of 11-April-2019) ]
For participants who demonstrated a confirmed Complete Response (CR: disappearance of all target lesions) or Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1, Duration of Response (DOR) was defined as the time from first documented evidence of a CR or PR until progressive disease (PD) or death. DOR for participants who had not progressed or died at the time of analysis was to be censored at the date of their last tumor assessment. Per RECIST 1.1, PD was defined as at least a 20% increase in the sum of diameters of target lesions as well as an absolute increase of at least a 5 mm in the sum of diameters. The appearance of one or more new lesions was also considered PD. DOR assessments were based on BICR.
- Disease Control Rate Per RECIST 1.1 in Participants With PD-L1 CPS ≥10 [ Time Frame: Up to approximately 36 months (through Final Analysis database cutoff date of 11-April-2019) ]
Disease Control Rate (DCR), based on BICR assessment per RECIST 1.1, was defined as the percentage of participants who had a Complete Response (CR: Disappearance of all target lesions) or Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions) or Stable Disease for at least 24 weeks (SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for Progressive Disease [PD: At least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 mm. The appearance of one or more new lesions was also considered PD.])
- Disease Control Rate Per RECIST 1.1 in Participants With PD-L1 CPS ≥1 [ Time Frame: Up to approximately 36 months (through Final Analysis database cutoff date of 11-April-2019) ]
Disease Control Rate (DCR), based on BICR assessment per RECIST 1.1, was defined as the percentage of participants who had a Complete Response (CR: Disappearance of all target lesions) or Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions) or Stable Disease for at least 24 weeks (SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for Progressive Disease [PD: At least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 mm. The appearance of one or more new lesions was also considered PD.])
- Disease Control Rate Per RECIST 1.1 in All Participants [ Time Frame: Up to approximately 36 months (through Final Analysis database cutoff date of 11-April-2019) ]
Disease Control Rate (DCR), based on BICR assessment per RECIST 1.1, was defined as the percentage of participants who had a Complete Response (CR: Disappearance of all target lesions) or Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions) or Stable Disease for at least 24 weeks (SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for Progressive Disease [PD: At least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 mm. The appearance of one or more new lesions was also considered PD.])
- Number of Participants Who Experienced One or More Adverse Events [ Time Frame: Up to approximately 60 months ]
An adverse event (AE) is any untoward medical occurrence in a study participant administered a pharmaceutical product that does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to the medicinal product.
- Number of Participants Who Discontinued Study Treatment Due to an Adverse Event [ Time Frame: Up to approximately 60 months ]
An adverse event (AE) is any untoward medical occurrence in a study participant administered a pharmaceutical product that does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to the medicinal product.
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- Overall Response Rate (ORR) [ Time Frame: Up to 28 months ]
- Disease Control Rate (DCR) [ Time Frame: Up to 28 months ]
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Not Provided
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Not Provided
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Study of Single Agent Pembrolizumab (MK-3475) Versus Single Agent Chemotherapy for Metastatic Triple Negative Breast Cancer (MK-3475-119/KEYNOTE-119)
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A Randomized Open-Label Phase III Study of Single Agent Pembrolizumab Versus Single Agent Chemotherapy Per Physician's Choice for Metastatic Triple Negative Breast Cancer (mTNBC) - (KEYNOTE-119)
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In this study, participants with metastatic triple negative breast cancer (mTNBC) will be randomly assigned to receive either single agent pembrolizumab or single agent chemotherapy chosen by the treating physician (Treatment of Physician's Choice, TPC) in accordance with local regulations and guidelines, consisting of either capecitabine, eribulin, gemcitabine, or vinorelbine. The primary study hypothesis is that pembrolizumab extends overall survival compared to TPC.
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Not Provided
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Interventional
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Phase 3
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Allocation: Randomized Intervention Model: Parallel Assignment Masking: None (Open Label) Primary Purpose: Treatment
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Metastatic Triple Negative Breast Cancer
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- Biological: pembrolizumab
- Drug: capecitabine
Other Name: XELODA®
- Drug: eribulin
Other Name: HALAVEN®
- Drug: gemcitabine
Other Name: GEMZAR®
- Drug: vinorelbine
Other Name: NAVELBINE®
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- Experimental: Pembrolizumab
Participants receive pembrolizumab 200 mg intravenously (IV) every 3 weeks (Q3W) for up to 35 administrations (up to ~2 years). Qualified participants who receive first course of pembrolizumab but continue to experience disease progression may, at investigator's discretion, initiate a second course of pembrolizumab at 200 mg IV Q3W for up to 17 administrations (up to ~1 year).
Intervention: Biological: pembrolizumab
- Active Comparator: Chemotherapy
Participants receive capecitabine, eribulin, gemcitabine, or vinorelbine as TPC in accordance with local regulations and guidelines.
Interventions:
- Drug: capecitabine
- Drug: eribulin
- Drug: gemcitabine
- Drug: vinorelbine
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Winer EP, Lipatov O, Im SA, Goncalves A, Munoz-Couselo E, Lee KS, Schmid P, Tamura K, Testa L, Witzel I, Ohtani S, Turner N, Zambelli S, Harbeck N, Andre F, Dent R, Zhou X, Karantza V, Mejia J, Cortes J; KEYNOTE-119 investigators. Pembrolizumab versus investigator-choice chemotherapy for metastatic triple-negative breast cancer (KEYNOTE-119): a randomised, open-label, phase 3 trial. Lancet Oncol. 2021 Apr;22(4):499-511. doi: 10.1016/S1470-2045(20)30754-3. Epub 2021 Mar 4.
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Completed
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622
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600
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November 10, 2020
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April 11, 2019 (Final data collection date for primary outcome measure)
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Inclusion Criteria:
- Centrally confirmed Stage IV/M1 mTNBC
- Newly obtained tumor biopsy from metastatic site
- Central determination of programmed cell death ligand 1 (PD-L1) tumor status
- Received either one or two prior systemic treatments for metastatic breast cancer and have documented disease progression on or after the most recent therapy
- Previously treated with an anthracycline and/or taxane in the neoadjuvant/adjuvant or metastatic setting
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 within 10 days prior to study start
- Adequate organ function
Exclusion Criteria:
- Participation in another clinical trial within 4 weeks
- Monoclonal antibody (mAb) for direct anti-neoplastic treatment within 4 weeks
- Chemotherapy, targeted small molecule therapy, or radiation therapy within at least 2 weeks
- Active autoimmune disease that required systemic treatment in the past 2 years
- Diagnosed with immunodeficiency or receiving systemic steroid therapy or another form of immunosuppressive therapy within 7 days
- Known additional malignancy that required treatment or progressed in last 5 years
- Known active brain metastases and/or carcinomatous meningitis
- Prior therapy with an anti-programmed cell death (PD)-1, anti-PD-ligand-1 (anti-PD-L1), anti-PD-L2 agent or with an agent directed to another co-inhibitory T-cell receptor (e.g. cytotoxic T-lymphocyte associated protein 4 [CTLA-4], OX-40, CD137) or previously participated in any pembrolizumab (MK-3475) clinical studies
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Sexes Eligible for Study: |
All |
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18 Years and older (Adult, Older Adult)
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No
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Contact information is only displayed when the study is recruiting subjects
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Not Provided
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Argentina, Australia, Belgium, Brazil, Colombia, France, Germany, Guatemala, Hong Kong, Ireland, Italy, Japan, Korea, Republic of, Malaysia, Mexico, Netherlands, New Zealand, Peru, Philippines, Poland, Russian Federation, Singapore, South Africa, Spain, Sweden, Switzerland, Taiwan, Thailand, Turkey, United Kingdom, United States
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NCT02555657
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3475-119 2015-001020-27 ( EudraCT Number ) 153082 ( Registry Identifier: JAPIC-CTI ) MK-3475-119 ( Other Identifier: Merck ) KEYNOTE-119 ( Other Identifier: Merck )
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Yes
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Studies a U.S. FDA-regulated Drug Product: |
Yes |
Studies a U.S. FDA-regulated Device Product: |
No |
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Plan to Share IPD: |
Yes |
Plan Description: |
http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf |
URL: |
http://engagezone.msd.com/ds_documentation.php |
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Merck Sharp & Dohme LLC
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Same as current
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Merck Sharp & Dohme LLC
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Same as current
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Not Provided
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Study Director: |
Medical Director |
Merck Sharp & Dohme LLC |
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Merck Sharp & Dohme LLC
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November 2021
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