A Study of Pembrolizumab (MK-3475) Plus Carboplatin and Paclitaxel as First-line Treatment of Recurrent/Metastatic Head and Neck Squamous Cell Carcinoma (MK-3475-B10/KEYNOTE B10)
- Conditions
- Squamous Cell Carcinoma of Head and Neck
- Interventions
- Registration Number
- NCT04489888
- Lead Sponsor
- Merck Sharp & Dohme LLC
- Brief Summary
The goal of this study is to evaluate the efficacy and safety of pembrolizumab combined with carboplatin and paclitaxel as first-line treatment in participants with recurrent/metastatic head and neck squamous cell carcinoma (R/M HNSCC). No statistical hypothesis will be tested in this study.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 101
- Has histologically or cytologically-confirmed diagnosis of R/M HNSCC that is considered incurable by local therapies
- Male participants refrain from donating sperm plus are abstinent from heterosexual intercourse or agree to use contraception during the intervention period and for at least 95 days after carboplatin/paclitaxel
- Female participants are not pregnant or breastfeeding and are either not a woman of child-bearing potential (WOCBP) or use a contraceptive method that is highly effective or are abstinent from heterosexual intercourse during the intervention period and for at least 120 days after pembrolizumab or 30 days after paclitaxel or 6 months after carboplatin whichever occurs last, and agree not to donate or freeze eggs during this period
- Has adequate organ function
- Has disease that is suitable for local therapy administered with curative intent
- Has a life expectancy of less than 3 months and/or has rapidly progressive disease
- Has a diagnosed and/or treated additional malignancy within 5 years prior to allocation with the exception of curatively treated basal cell carcinoma of the skin, squamous cell carcinoma of the skin, curatively resected in situ cervical cancer and curatively resected in situ breast cancer
- Has received a live or live-attenuated vaccine within 30 days prior to the first dose of study intervention
- 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 intervention
- Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis
- Has a history of or current non-infectious pneumonitis/interstitial lung disease that requires steroids
- Has an active infection requiring systemic therapy
- Has a known history of human immunodeficiency virus (HIV) infection
- Has a known history of Hepatitis B or Hepatitis C virus infection
- Has had an allogenic tissue/solid organ transplant
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Pembrolizumab + Carboplatin + Paclitaxel Paclitaxel Participants will receive pembrolizumab plus carboplatin plus paclitaxel. Pembrolizumab will be administered via intravenous (IV) infusion at a dose of 200 mg on Day 1 of each 21-day cycle for up to 35 cycles (up to \~2 years). Carboplatin will be administered via IV infusion at area under curve (AUC) 5 mg/mL/minute on Day 1 of each 21-day cycle for up to 6 cycles (up to \~4 months). At investigator's choice, paclitaxel will be administered via IV infusion at a dose of 100 mg/m\^2 on Day 1 and Day 8 of each 21-day cycle for up to 6 cycles (up to \~4 months) or at a dose of 175 mg/m\^2 on Day 1 of each 21-day cycle for up to 6 cycles (up to \~4 months). Pembrolizumab + Carboplatin + Paclitaxel Carboplatin Participants will receive pembrolizumab plus carboplatin plus paclitaxel. Pembrolizumab will be administered via intravenous (IV) infusion at a dose of 200 mg on Day 1 of each 21-day cycle for up to 35 cycles (up to \~2 years). Carboplatin will be administered via IV infusion at area under curve (AUC) 5 mg/mL/minute on Day 1 of each 21-day cycle for up to 6 cycles (up to \~4 months). At investigator's choice, paclitaxel will be administered via IV infusion at a dose of 100 mg/m\^2 on Day 1 and Day 8 of each 21-day cycle for up to 6 cycles (up to \~4 months) or at a dose of 175 mg/m\^2 on Day 1 of each 21-day cycle for up to 6 cycles (up to \~4 months). Pembrolizumab + Carboplatin + Paclitaxel Pembrolizumab Participants will receive pembrolizumab plus carboplatin plus paclitaxel. Pembrolizumab will be administered via intravenous (IV) infusion at a dose of 200 mg on Day 1 of each 21-day cycle for up to 35 cycles (up to \~2 years). Carboplatin will be administered via IV infusion at area under curve (AUC) 5 mg/mL/minute on Day 1 of each 21-day cycle for up to 6 cycles (up to \~4 months). At investigator's choice, paclitaxel will be administered via IV infusion at a dose of 100 mg/m\^2 on Day 1 and Day 8 of each 21-day cycle for up to 6 cycles (up to \~4 months) or at a dose of 175 mg/m\^2 on Day 1 of each 21-day cycle for up to 6 cycles (up to \~4 months).
- Primary Outcome Measures
Name Time Method Objective Response Rate (ORR) Up to ~25 months ORR was defined as the percentage of participants who had a 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, taking as reference the baseline sum of diameters) per Response Evaluation Criteria in Solid Tumors Update and Clarification 1.1 (RECIST 1.1) which was adjusted for this study to include a maximum of 10 target lesions and a maximum of 5 target lesions per organ. The percentage of participants who experienced a CR or PR as assessed by blinded independent central review based on RECIST 1.1 was presented.
- Secondary Outcome Measures
Name Time Method Progression-free Survival (PFS) Up to ~25 months PFS was defined as the time from first dose of study treatment 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 have demonstrated an absolute increase of ≥5 mm. The appearance of one or more new lesions was also considered PD. RECIST 1.1 was been adjusted for this study to include a maximum of 10 target lesions and a maximum of 5 target lesions per organ. PFS as assessed by blinded independent central review based on RECIST 1.1 was from product-limit (Kaplan-Meier) method for censored data.
Duration of Response (DOR) Up to ~25 months For participants who demonstrated a confirmed Complete Response (CR: Disappearance of all target lesions) or confirmed Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters) per RECIST 1.1, DOR was defined as the time from first documented evidence of CR or PR until disease progression or death due to any cause, whichever occurred first. RECIST 1.1 was adjusted for this study to include a maximum of 10 target lesions and a maximum of 5 target lesions per organ. The DOR as assessed by blinded independent central review based on RECIST 1.1 was presented.
Overall Survival (OS) Up to ~25 months OS was defined as the time from first dose of study treatment to death due to any cause. PFS as assessed by blinded independent central review based on RECIST 1.1 was from product-limit (Kaplan-Meier) method for censored data.
Percentage of Participants Who Experience an Adverse Event (AE) Up to ~25 months An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The percentage of participants who experienced an AE was reported.
Percentage of Participants Who Discontinued Study Treatment Due to an AE Up to ~25 months An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The percentage of participants who discontinued study treatment due to an AE was reported.
Trial Locations
- Locations (35)
Washington University School of Medicine ( Site 0240)
🇺🇸Saint Louis, Missouri, United States
Perlmutter Cancer Center at NYU Langone Hospital - Long Island ( Site 0262)
🇺🇸Mineola, New York, United States
UPMC Hillman Cancer Center ( Site 0253)
🇺🇸Pittsburgh, Pennsylvania, United States
Abington Hospital - Asplundh Cancer Center ( Site 0229)
🇺🇸Willow Grove, Pennsylvania, United States
Hospital Provincial del Centenario ( Site 0304)
🇦🇷Rosario, Santa Fe, Argentina
Fundación Respirar ( Site 0306)
🇦🇷Buenos Aires, Argentina
Instituto Medico Especializado Alexander Fleming ( Site 0301)
🇦🇷Buenos Aires, Argentina
Gold Coast University Hospital ( Site 0103)
🇦🇺Southport, Queensland, Australia
The Townsville Hospital ( Site 0105)
🇦🇺Douglas, Queensland, Australia
Centro Regional Integrado de Oncologia ( Site 0403)
🇧🇷Fortaleza, Ceara, Brazil
ONCOSITE - Centro de Pesquisa Clinica em Oncologia ( Site 0406)
🇧🇷Ijui, Rio Grande Do Sul, Brazil
Real e Benemerita Associacao Portuguesa de Beneficencia ( Site 0401)
🇧🇷Sao Paulo, Brazil
Liga Norte Riograndense Contra o Cancer ( Site 0404)
🇧🇷Natal, Rio Grande Do Norte, Brazil
Tom Baker Cancer Center ( Site 0014)
🇨🇦Calgary, Alberta, Canada
Dr. H. Bliss Murphy Cancer Centre ( Site 0001)
🇨🇦Saint John S, Newfoundland and Labrador, Canada
Princess Margaret Cancer Centre ( Site 0005)
🇨🇦Toronto, Ontario, Canada
CIUSSS de l Estrie - CHUS - Centre Hosp. Univ. Sherbrooke ( Site 0003)
🇨🇦Sherbrooke, Quebec, Canada
Regions Hospital ( Site 0227)
🇺🇸Saint Paul, Minnesota, United States
St Vincents Hospital Melbourne ( Site 0101)
🇦🇺Fitzroy, Victoria, Australia
Charleston Oncology ( Site 0231)
🇺🇸Charleston, South Carolina, United States
Virginia Commonwealth University ( Site 0233)
🇺🇸Richmond, Virginia, United States
Baptist MD Anderson Cancer Center ( Site 0215)
🇺🇸Jacksonville, Florida, United States
Helen F. Graham Cancer Center & Research Institute ( Site 0214)
🇺🇸Newark, Delaware, United States
Novant Health Presbyterian ( Site 0261)
🇺🇸Charlotte, North Carolina, United States
Centro Medico San Roque ( Site 0302)
🇦🇷San Miguel de Tucuman, Tucuman, Argentina
Instituto do Cancer do Estado de Sao Paulo - ICESP ( Site 0402)
🇧🇷Sao Paulo, Brazil
A.C. Camargo Cancer Center ( Site 0405)
🇧🇷Sao Paulo, Brazil
Erie County Medical Center-Head & Neck Surgery and Plastic & Reconstructive Surgery ( Site 0268)
🇺🇸Buffalo, New York, United States
Orange Health Services ( Site 0106)
🇦🇺Orange, New South Wales, Australia
IDIM Instituto de Diagnostico e Investigaciones Metabolicas ( Site 0303)
🇦🇷Buenos Aires, Argentina
Cancer Centre of Southeastern Ontario at Kingston General Hospital ( Site 0004)
🇨🇦Kingston, Ontario, Canada
Yale-New Haven Hospital-Yale Cancer Center ( Site 0265)
🇺🇸New Haven, Connecticut, United States
Orlando Health, Inc. ( Site 0216)
🇺🇸Orlando, Florida, United States
Novant Health Forsyth Medical Center ( Site 0266)
🇺🇸Winston-Salem, North Carolina, United States
CETUS Hospital Dia Oncologia ( Site 0400)
🇧🇷Belo Horizonte, Minas Gerais, Brazil