MedPath

Pembrolizumab (MK-3475) Plus Epacadostat vs Standard of Care in mRCC (KEYNOTE-679/ECHO-302)

Phase 3
Active, not recruiting
Conditions
Renal Cell Carcinoma (RCC)
Interventions
Registration Number
NCT03260894
Lead Sponsor
Incyte Corporation
Brief Summary

The purpose of this study was to evaluate the efficacy and safety of pembrolizumab plus epacadostat compared to sunitinib or pazopanib in participants with locally advanced/metastatic renal cell carcinoma (mRCC) with a clear cell component who have not received prior systemic therapy for their mRCC.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
129
Inclusion Criteria
  • Histologic confirmation of locally advanced or metastatic RCC with a clear-cell component with or without sarcomatoid features.
  • Must not have received any prior systemic therapy for their mRCC.
  • Measurable disease based on RECIST v1.1.
  • Archival tumor tissue sample or newly obtained core or excisional biopsy of a tumor lesion as required.
  • Karnofsky performance status ≥ 70%.
  • Adequate organ function per protocol-defined criteria.
Exclusion Criteria
  • Use of protocol-defined prior/concomitant therapy.
  • Currently receiving or has received an investigational treatment as part of a study of an investigational agent or has used an investigational device within 4 weeks before randomization.
  • History of severe hypersensitivity reaction to study treatments or their excipients.
  • Active autoimmune disease that has required systemic treatment in past 2 years.
  • Known additional malignancy that has progressed or has required active treatment in the last 3 years.
  • Known active central nervous system metastases and/or carcinomatous meningitis.
  • History of (noninfectious) pneumonitis that required steroids or current pneumonitis.
  • History or presence of an abnormal electrocardiogram that, in the investigator's opinion, is clinically meaningful.
  • Significant cardiac event within 12 months before Cycle 1 Day 1.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Pembrolizumab + EpacadostatEpacadostat-
SoC (Sunitinib or Pazopanib)SunitinibStandard of care (SoC) (sunitinib or pazopanib monotherapy).
SoC (Sunitinib or Pazopanib)PazopanibStandard of care (SoC) (sunitinib or pazopanib monotherapy).
Pembrolizumab + EpacadostatPembrolizumab-
Primary Outcome Measures
NameTimeMethod
Objective Response Rate (ORR) of Pembrolizumab + Epacadostat Versus Standard of Care (SOC)Minimum up to 6 months

ORR was defined as the percentage of participants who had complete response (CR) or partial response (PR) per RECIST v1.1 by investigator determination.

Secondary Outcome Measures
NameTimeMethod
Safety and Tolerability of Pembrolizumab + Epacadostat Versus SOC as Measured by the Number of Participants Experiencing Adverse Events (AEs)Data reported from start of study to data cutoff 28-Feb-2019, up to 15 months.

AE is defined as any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment.

Safety and Tolerability of Pembrolizumab + Epacadostat Versus SOC as Measured by the Number of Participants Discontinuing Study Drug Due to AEsData reported from start of study to data cutoff 28-Feb-2019, up to 15 months.

AE is defined as any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment.

Trial Locations

Locations (140)

Cedars-Sinai Medical Center

🇺🇸

Los Angeles, California, United States

Rush University Medical Center

🇺🇸

Chicago, Illinois, United States

Sunnybrook Health Sciences, Odette Cancer Centre

🇨🇦

Toronto, Ontario, Canada

Massachusetts General Hospital

🇺🇸

Boston, Massachusetts, United States

Dana Farber Cancer Institute

🇺🇸

Boston, Massachusetts, United States

Hokkaido University Hospital

🇯🇵

Sapporo, Hokkaido, Japan

Ivanovo regional oncology dispensary

🇷🇺

Ivanovo, Russian Federation

Utah Cancer Specialists

🇺🇸

Salt Lake City, Utah, United States

Huntsman Cancer Institute

🇺🇸

Salt Lake City, Utah, United States

Jewish General Hospital

🇨🇦

Montréal, Quebec, Canada

Yamaguchi University Hospital

🇯🇵

Ube, Yamaguchi, Japan

Nippon Medical School Hospital

🇯🇵

Tokyo, Japan

Russian Scientific Center of Roentgenoradiology

🇷🇺

Moscow, Russian Federation

Fundacion Arturo Lopez Perez FALP

🇨🇱

Santiago, Chile

Southeast Nebraska Hematology & Oncology Consultants, P.C.

🇺🇸

Lincoln, Nebraska, United States

The West Clinic, P.C.

🇺🇸

Germantown, Tennessee, United States

University of Tennessee Erlanger Oncology & Hematology

🇺🇸

Chattanooga, Tennessee, United States

Pinnacle Oncology Hematology

🇺🇸

Scottsdale, Arizona, United States

Sapporo Medical University Hospital

🇯🇵

Sapporo, Hokkaido, Japan

Kyushu University Hospital

🇯🇵

Fukuoka, Japan

Sorlandet sykehus HF

🇳🇴

Kristiansand, Norway

Republican Clinical Oncology Dispensary of Republic of Bashkortostan

🇷🇺

Ufa, Russian Federation

National Cheng Kung University Hospital

🇨🇳

Tainan, Taiwan

Ege Universitesi Tıp Fakultesi

🇹🇷

Izmir, Turkey

MI Kryviy Rih Center of Dnipropetrovsk Regional Council

🇺🇦

Kryvyi Rih, Dnipropetrovsk Region, Ukraine

Clinica Alemana de Osorno

🇨🇱

Osorno, Region De Los Lagos, Chile

Pontificia Universidad Catolica de Chile

🇨🇱

Santiago, Chile

Hospital Clinico Vina del Mar

🇨🇱

Vina del Mar, Chile

Keio University Hospital

🇯🇵

Tokyo, Japan

St Olavs Hospital

🇳🇴

Trondheim, Norway

China Medical University Hospital

🇨🇳

Taichung, Taiwan

Ankara Numune Education and Research Hospital

🇹🇷

Ankara, Turkey

Tom Baker Cancer Centre

🇨🇦

Calgary, Alberta, Canada

Cabrini Health

🇦🇺

Malvern, Victoria, Australia

Saitama Medical University International Medical Center

🇯🇵

Hidaka, Saitama, Japan

CIUSSS de la Mauricie-et-du-Centre-du-Quebec

🇨🇦

Trois-Rivières, Quebec, Canada

National Cancer Center Hospital East

🇯🇵

Kashiwa, Chiba, Japan

Sykehuset Oestfold

🇳🇴

Gralum, Norway

Chang Gung Med Foundation. Kaohsiung Branch

🇨🇳

Kaohsiung, Taiwan

Hacettepe University Medical Faculty

🇹🇷

Ankara, Turkey

The Royal Marsden NHS Foundation Trust.

🇬🇧

Sutton, Surrey, United Kingdom

National Taiwan University Hospital

🇨🇳

Taipei, Taiwan

Leningrad Regional Oncology Dispensary

🇷🇺

Saint Petersburg, Leningrad Region, Vsevolozhsky District, Russian Federation

Baskent Universitesi Adana Dr. Turgut Noyan Uygulama ve Arastirma Merkezi

🇹🇷

Adana, Turkey

Istanbul Universitesi Onkoloji Enstitusu

🇹🇷

Istanbul, Turkey

Dnipropetrovsk Regional Hospital n.a. I.I. Mechnikov

🇺🇦

Dnipropetrovs'k, Ukraine

MI Precarpathian Clinical Oncology Center

🇺🇦

Ivano-Frankivs'k, Ukraine

National Medical Research Radiology Centre

🇷🇺

Moscow, Russian Federation

Hospital Parc Tauli

🇪🇸

Sabadell, Barcelona, Spain

UC Davis Comprehensive Cancer Center

🇺🇸

Sacramento, California, United States

A.O. Cardarelli

🇮🇹

Napoli, Italy

Scottsdale Healthcare

🇺🇸

Scottsdale, Arizona, United States

Arizona Oncology Associates PC- HOPE

🇺🇸

Tucson, Arizona, United States

UC Irvine Comprehensive Cancer Center/Chao Family Comprehensive Cancer Center

🇺🇸

Orange, California, United States

Fiona Stanley Hospital

🇦🇺

Murdoch, Australia

Woodlands Medical Specialists, PA

🇺🇸

Pensacola, Florida, United States

Northside Hospital

🇺🇸

Atlanta, Georgia, United States

Atlanta Cancer Care - Conyers

🇺🇸

Conyers, Georgia, United States

Northwest Georgia Oncology Centers Pc

🇺🇸

Marietta, Georgia, United States

Memorial Sloan Kettering Cancer Center

🇺🇸

New York, New York, United States

Levine Cancer Institute

🇺🇸

Charlotte, North Carolina, United States

Willamette Valley Cancer Institute and Research Center

🇺🇸

Eugene, Oregon, United States

Shenandoah Oncology, P.C.

🇺🇸

Winchester, Virginia, United States

Oncology & Hematology Associates of Southwest Virginia, Inc., DBA Blue Ridge Cancer Care

🇺🇸

Roanoke, Virginia, United States

Calvary Mater Newcastle

🇦🇺

Waratah, New South Wales, Australia

Canberra Hospital

🇦🇺

Garran, Australian Capital Territory, Australia

Westmead Hospital

🇦🇺

Westmead, New South Wales, Australia

Centro de pesquisa Porto Alegre

🇧🇷

Porto Alegre, Florianopolis, Brazil

Centro Avancado de Tratamento Oncologico - CENANTRON -

🇧🇷

Belo Horizonte, Brazil

Fundacao Pio XII - Hospital de Cancer de Barretos

🇧🇷

Barretos, Sao Paulo, Brazil

Instituto do Cancer de Sao Paulo - ICESP

🇧🇷

São Paulo, Sao Paulo, Brazil

Hospital de Clinicas de Porto Alegre

🇧🇷

Porto Alegre, Brazil

CHU de Quebec-Universite Laval-Hotel Dieu de Quebec

🇨🇦

Quebec, Canada

Hopital Saint Andre

🇫🇷

Bordeaux, France

Centre Antoine Lacassagne

🇫🇷

Nice, Cedex 2, France

CHU Besancon - Hopital Jean Minjoz

🇫🇷

Besançon, France

Centre Francois Baclesse

🇫🇷

Caen, France

Hopital Prive Toulon Hyeres Sainte Marguerite

🇫🇷

Hyeres, France

Hopital Europeen Georges Pompidou

🇫🇷

Paris, France

CHU de Strasbourg - Nouvel Hopital Civil

🇫🇷

Strasbourg, France

Institut Gustave Roussy

🇫🇷

Villejuif, France

Clinique Sainte Anne

🇫🇷

Strasbourg, France

Hospices Civils de Lyon Centre Hospitalier Lyon Sud

🇫🇷

Pierre Benite, France

Helios Klinikum Berlin Buch

🇩🇪

Berlin, Germany

Universitaetsklinikum der Technischen Universitaet Dresden

🇩🇪

Dresden, Germany

Universitaetsklinikum Frankfurt

🇩🇪

Frankfurt am Main, Germany

Universitaetsklinikum Essen

🇩🇪

Essen, Germany

Medizinische Hochschule Hannover

🇩🇪

Hannover, Germany

Universitaetsklinikum Magdeburg. Klinik fuer Urologie

🇩🇪

Magdeburg, Germany

Universitaetsklinikum Jena

🇩🇪

Jena, Germany

Orszagos Onkologiai Intezet

🇭🇺

Budapest, Pest, Hungary

Universitaetsklinikum Tuebingen

🇩🇪

Tuebingen, Germany

Zala Megyei Szent Rafael Korhaz

🇭🇺

Zalaegerszeg, Pozva, Hungary

Somogy Megyei Kaposi Mor Oktato Korhaz

🇭🇺

Kaposvar, Hungary

Borsod-Abauj-Zemplen Megyei Korhaz es Egyetemi Oktato Korhaz

🇭🇺

Miskolc, Hungary

Jasz Nagykun Szolnok Megyei Hetenyi Geza Korhaz Rendelointezet

🇭🇺

Szolnok, Hungary

University Hospital Waterford

🇮🇪

Waterford, Ireland

Markusovszky Egyetemi Oktatokorhaz

🇭🇺

Szombathely, Hungary

Adelaide & Meath Hospital

🇮🇪

Dublin, Ireland

Medical Oncology Ospedale San Donato

🇮🇹

Arezzo, Italy

Fondazione IRCCS Istituto Nazionale dei Tumori

🇮🇹

Milano, Italy

Azienda Ospedaliera San Camillo Forlanini

🇮🇹

Roma, Italy

Azienda Ospedaliera-Spedali Civili

🇮🇹

Brescia, Italy

Policlinico San Matteo

🇮🇹

Pavia, Italy

Nagoya University Hospital

🇯🇵

Nagoya, Aichi, Japan

Nara Medical University Hospital

🇯🇵

Kashihara, Nara, Japan

Kindai University Hospital

🇯🇵

Osakasayama, Osaka, Japan

Niigata University Medical & Dental Hospital

🇯🇵

Niigata, Japan

Akita University Hospital

🇯🇵

Akita, Japan

Toranomon Hospital

🇯🇵

Tokyo, Japan

Chonnam National University Hwasun Hospital

🇰🇷

Hwasun, Jeollanam Do, Korea, Republic of

Severance Hospital Yonsei University Health System

🇰🇷

Seoul, Korea, Republic of

Samsung Medical Center

🇰🇷

Seoul, Korea, Republic of

Auckland City Hospital

🇳🇿

Auckland, Grafton, New Zealand

Helse Bergen HF Haukeland sykehus

🇳🇴

Bergen, Norway

Akershus University Hospital

🇳🇴

Lørenskog, Norway

Oslo universitetssykehus

🇳🇴

Oslo, Norway

Universitetssykehuset i Nord Norge. Kreftavdelingen

🇳🇴

Tromsø, Norway

Central Clinical Hospital with outpatient Clinic

🇷🇺

Moscow, Russian Federation

Hospital General Universitario Gregorio Maranon

🇪🇸

Madrid, Spain

Hospital del Mar

🇪🇸

Barcelona, Spain

Hospital Germans Trias i Pujol

🇪🇸

Barcelona, Spain

Hospital Universitario HM Sanchinarro

🇪🇸

Madrid, Spain

Instituto Valenciano de Oncologia

🇪🇸

Valencia, Spain

Hospital Clinico Universitario de Santiago

🇪🇸

Santiago de Compostela, Spain

Taipei Veterans General Hospital

🇨🇳

Taipei, Taiwan

Istanbul Medeniyet Universitesi Goztepe EAH

🇹🇷

Istanbul, Turkey

Namik Kemal Universitesi Tip Fakultesi

🇹🇷

Tekirdag, Turkey

RMI Sumy Regional Clinical Oncology Dispensary

🇺🇦

Sumy, Ukraine

Dnipropetrovsk City Multidiscipline Clinical Hosp. 4 of DRC

🇺🇦

Dnipropetrovs'k, Ukraine

Beatson Institute of Cancer Research

🇬🇧

Glasgow, United Kingdom

Western General Hospital

🇬🇧

Edinburgh, United Kingdom

Barts Health NHS Trust - St Bartholomew s Hospital

🇬🇧

London, United Kingdom

The Royal Marsden Foundation Trust

🇬🇧

London, United Kingdom

The Christie NHS Foundation Trust

🇬🇧

Manchester, United Kingdom

Kingston Health Sciences Centre - KGH Site

🇨🇦

Kingston, Ontario, Canada

US Oncology and Research

🇺🇸

The Woodlands, Texas, United States

New York Oncology Hematology P.C

🇺🇸

Albany, New York, United States

Asan Medical Center

🇰🇷

Seoul, Korea, Republic of

Hospital Sao Jose

🇧🇷

São Paulo, Sao Paulo, Brazil

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