A Study of Pembrolizumab (MK-3475) Versus Paclitaxel for Participants With Advanced Gastric/Gastroesophageal Junction Adenocarcinoma That Progressed After Therapy With Platinum and Fluoropyrimidine (MK-3475-061/KEYNOTE-061)
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ClinicalTrials.gov Identifier: NCT02370498 |
Recruitment Status :
Completed
First Posted : February 25, 2015
Results First Posted : November 20, 2018
Last Update Posted : June 6, 2022
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Sponsor:
Merck Sharp & Dohme LLC
Information provided by (Responsible Party):
Merck Sharp & Dohme LLC
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Study Type | Interventional |
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Study Design | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: None (Open Label); Primary Purpose: Treatment |
Conditions |
Gastric Adenocarcinoma Gastroesophageal Junction Adenocarcinoma |
Interventions |
Biological: pembrolizumab Drug: paclitaxel |
Enrollment | 592 |
Participant Flow
Recruitment Details | After 20 March 2016, enrollment was limited to programmed cell death ligand 1 (PD-L1) positive participants. |
Pre-assignment Details | Of 592 participants that were randomized to trial, 570 received treatment. At the time of the primary analysis data cut-off, 89 participants are ongoing in the study. |
Arm/Group Title | Pembrolizumab | Paclitaxel |
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Arm/Group Description | Participants receive 200 mg intravenous (IV) pembrolizumab on Day 1 of each 21-day cycle, for up to 35 administrations (approximately 2 years). | Participants receive paclitaxel 80 mg/m^2 IV, on Days 1, 8, and 15 of each 28-day cycle until disease progression or unacceptable toxicity. |
Period Title: Overall Study | ||
Started | 296 | 296 |
Treated | 294 | 276 |
PD-L1 Positive Participants | 196 | 199 |
Completed | 0 | 0 |
Not Completed | 296 | 296 |
Reason Not Completed | ||
Adverse Event | 10 | 8 |
Death | 263 | 265 |
Protocol Violation | 1 | 2 |
Withdrawal by Subject | 7 | 12 |
Sponsor's decision | 15 | 9 |
Baseline Characteristics
Arm/Group Title | Pembrolizumab | Paclitaxel | Total | |
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Arm/Group Description | Participants receive 200 mg IV pembrolizumab on Day 1 of each 21-day cycle, for up to 35 administrations (approximately 2 years). | Participants receive paclitaxel 80 mg/m^2 IV, on Days 1, 8, and 15 of each 28-day cycle until disease progression or unacceptable toxicity. | Total of all reporting groups | |
Overall Number of Baseline Participants | 296 | 296 | 592 | |
Baseline Analysis Population Description |
[Not Specified]
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Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
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Number Analyzed | 296 participants | 296 participants | 592 participants | |
60.7 (12.0) | 59.6 (11.7) | 60.2 (11.9) | ||
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 296 participants | 296 participants | 592 participants | |
Female |
94 31.8%
|
88 29.7%
|
182 30.7%
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Male |
202 68.2%
|
208 70.3%
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410 69.3%
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Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 296 participants | 296 participants | 592 participants | |
Hispanic or Latino |
27 9.1%
|
24 8.1%
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51 8.6%
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Not Hispanic or Latino |
269 90.9%
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272 91.9%
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541 91.4%
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Unknown or Not Reported |
0 0.0%
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0 0.0%
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0 0.0%
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Race (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 296 participants | 296 participants | 592 participants | |
American Indian or Alaska Native |
4 1.4%
|
3 1.0%
|
7 1.2%
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Asian |
93 31.4%
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91 30.7%
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184 31.1%
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|
Native Hawaiian or Other Pacific Islander |
0 0.0%
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0 0.0%
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0 0.0%
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Black or African American |
4 1.4%
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2 0.7%
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6 1.0%
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White |
193 65.2%
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198 66.9%
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391 66.0%
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More than one race |
2 0.7%
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2 0.7%
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4 0.7%
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Unknown or Not Reported |
0 0.0%
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0 0.0%
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0 0.0%
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Region of Enrollment
Measure Type: Number Unit of measure: Participants |
Number Analyzed | 296 participants | 296 participants | 592 participants |
Europe/Israel/North America/Australia | 190 | 187 | 377 | |
Asia | 88 | 89 | 177 | |
Rest of World | 18 | 20 | 38 | |
PD-L1 Status
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 296 participants | 296 participants | 592 participants |
Positive |
196 66.2%
|
199 67.2%
|
395 66.7%
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Negative |
99 33.4%
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96 32.4%
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195 32.9%
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Unknown |
1 0.3%
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1 0.3%
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2 0.3%
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Time To Progression (TTP) on first-line therapy
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 296 participants | 296 participants | 592 participants | |
<6 months |
186 62.8%
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182 61.5%
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368 62.2%
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≥6 months |
110 37.2%
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114 38.5%
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224 37.8%
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Outcome Measures
Adverse Events
Limitations and Caveats
[Not Specified]
More Information
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts
the PI's rights to discuss or publish trial results after the trial is completed.
The Sponsor must have the opportunity to review all proposed abstracts, manuscripts or presentations regarding this trial 45 days prior to submission for publication/presentation. Any information identified by the Sponsor as confidential must be deleted prior to submission; this confidentiality does not include efficacy and safety results. Sponsor review can be expedited to meet publication timelines.
Results Point of Contact
Name/Title: | Senior Vice President, Global Clinical Development |
Organization: | Merck Sharp & Dohme LLC |
Phone: | 1-800-672-6372 |
EMail: | ClinicalTrialsDisclosure@merck.com |
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: | Merck Sharp & Dohme LLC |
ClinicalTrials.gov Identifier: | NCT02370498 |
Other Study ID Numbers: |
3475-061 152988 ( Registry Identifier: JAPIC ) MK-3475-061 ( Other Identifier: Merck Protocol Number ) 2014-005241-45 ( EudraCT Number ) |
First Submitted: | February 23, 2015 |
First Posted: | February 25, 2015 |
Results First Submitted: | October 22, 2018 |
Results First Posted: | November 20, 2018 |
Last Update Posted: | June 6, 2022 |