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← Zynyz: metastatic Merkel cell carcinoma

NCT02267603 · STUDY IN CONTEXT

Pembrolizumab in Treating Patients With Advanced Merkel Cell Cancer

Draft scope assessment: unclear. Attached because the study's own record describes metastatic disease. The study was not selected for this indication by its sponsor, and its eligibility has not been reconciled against this page in full. Found because this study's registry identifier is printed in an FDA approval notice, an FDA product label or an NCI summary held by this site. The citing document and the exact position of the identifier inside it are recorded. Being cited is not a statement that the study supports this treatment.

Read the full study record and all posted results →

Linked outcomes

Measures are not ranked. Open each original source section for treatment groups, denominators, units and results.

exploratory · NOT_POSTED

This will include immunohistochemical and gene expression analysis focusing on delineating the immune components and immunologic milieu within the tumor before therapy.

Source null

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primary · POSTED

ORR will be estimated as the number of responders as a percent of the number of eligible participants who received at least one dose of treatment. If a substantial amount of data is missing, analyses will be performed using parametric generalized linear models fit by maximum likelihood. A generalized linear model for the ORR will use a binomial error distribution. The model will include as covariates all available baseline predictors of the missing outcomes. Responses to continued pembrolizumab will be chronicled and reported.

Source null

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secondary · POSTED

Survival curves for PFS will be estimated using the Kaplan-Meier method. Assessed percentage of participants with progression free survival up to 16 months.

Source null

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secondary · POSTED

Survival curves for DOR will be estimated using the Kaplan-Meier method.

Thirty participants with durable response were assessed by RECIST 1.1.

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secondary · POSTED

Survival curves for OS will be estimated using the Kaplan-Meier method.

Source null

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secondary · POSTED

Safety will be assessed by quantifying the toxicities and grades experienced by subjects including serious AEs (SAEs) and events of clinical interest. Safety and tolerability will be assessed by clinical review of all relevant parameters including AEs, laboratory tests, vital signs, and electrocardiogram measurements. Assessed number of participants who experienced grade 3 to 5 adverse events.

Source null

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Reported safety

Serious events are not the same as severe events. Compare the original safety groups and their at-risk populations.

Open the study safety table →

Quality of life and patient-reported measures

No linked quality-of-life measure is recorded for this setting and study.

Full draft applicability and source-link record
trial
release id
clinical-indications-draft-1
disease state id
ds-merkel-cell-carcinoma-zynyz-f58ead3f
nct id
NCT02267603
trial label
Pembrolizumab in Treating Patients With Advanced Merkel Cell Cancer
applicability
unclear
applicability note
Attached because the study's own record describes metastatic disease. The study was not selected for this indication by its sponsor, and its eligibility has not been reconciled against this page in full.
curation status
draft
reviewed by
Source null
reviewed at
Source null
created at
2026-09-10T00:00:00Z
provenance class
regulator-cited
discovery note
Found because this study's registry identifier is printed in an FDA approval notice, an FDA product label or an NCI summary held by this site. The citing document and the exact position of the identifier inside it are recorded. Being cited is not a statement that the study supports this treatment.
outcome Count
6
harms Count
1
qol Count
0
outcomes
  1. release id
    clinical-indications-draft-1
    disease state id
    ds-merkel-cell-carcinoma-zynyz-f58ead3f
    nct id
    NCT02267603
    outcome key
    om-0005
    source section id
    NCT02267603-om-0005
    source outcome index
    5
    endpoint
    Immune Correlates of the Clinical Activity of Pembrolizumab
    endpoint definition
    This will include immunohistochemical and gene expression analysis focusing on delineating the immune components and immunologic milieu within the tumor before therapy.
    time origin
    Baseline
    analysis role
    exploratory
    reporting status
    NOT_POSTED
    data cutoff
    Source null
    population note
    Source null
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  2. release id
    clinical-indications-draft-1
    disease state id
    ds-merkel-cell-carcinoma-zynyz-f58ead3f
    nct id
    NCT02267603
    outcome key
    om-0000
    source section id
    NCT02267603-om-0000
    source outcome index
    0
    endpoint
    Objective Response Rate (ORR) Defined as the Proportion of Patients Who Have Achieved Complete Response (CR) or Partial Response (PR) According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1
    endpoint definition
    ORR will be estimated as the number of responders as a percent of the number of eligible participants who received at least one dose of treatment. If a substantial amount of data is missing, analyses will be performed using parametric generalized linear models fit by maximum likelihood. A generalized linear model for the ORR will use a binomial error distribution. The model will include as covariates all available baseline predictors of the missing outcomes. Responses to continued pembrolizumab will be chronicled and reported.
    time origin
    Up to 3 years
    analysis role
    primary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    Source null
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  3. release id
    clinical-indications-draft-1
    disease state id
    ds-merkel-cell-carcinoma-zynyz-f58ead3f
    nct id
    NCT02267603
    outcome key
    om-0001
    source section id
    NCT02267603-om-0001
    source outcome index
    1
    endpoint
    Progression-free Survival (PFS) Using RECIST 1.1
    endpoint definition
    Survival curves for PFS will be estimated using the Kaplan-Meier method. Assessed percentage of participants with progression free survival up to 16 months.
    time origin
    Time from start of treatment to time of progression or death, whichever occurs first, assessed up to 16 months
    analysis role
    secondary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    Source null
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  4. release id
    clinical-indications-draft-1
    disease state id
    ds-merkel-cell-carcinoma-zynyz-f58ead3f
    nct id
    NCT02267603
    outcome key
    om-0002
    source section id
    NCT02267603-om-0002
    source outcome index
    2
    endpoint
    Duration of Response (DOR)
    endpoint definition
    Survival curves for DOR will be estimated using the Kaplan-Meier method.
    time origin
    Time interval between the date of first response (CR/PR) and the date of progression, assessed up to 3 years
    analysis role
    secondary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    Thirty participants with durable response were assessed by RECIST 1.1.
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  5. release id
    clinical-indications-draft-1
    disease state id
    ds-merkel-cell-carcinoma-zynyz-f58ead3f
    nct id
    NCT02267603
    outcome key
    om-0003
    source section id
    NCT02267603-om-0003
    source outcome index
    3
    endpoint
    Overall Survival (OS)
    endpoint definition
    Survival curves for OS will be estimated using the Kaplan-Meier method.
    time origin
    Time interval between the start of treatment to death due to any cause, assessed up to 60 months.
    analysis role
    secondary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    Source null
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  6. release id
    clinical-indications-draft-1
    disease state id
    ds-merkel-cell-carcinoma-zynyz-f58ead3f
    nct id
    NCT02267603
    outcome key
    om-0004
    source section id
    NCT02267603-om-0004
    source outcome index
    4
    endpoint
    Incidence of Adverse Events (AEs) Graded Using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0
    endpoint definition
    Safety will be assessed by quantifying the toxicities and grades experienced by subjects including serious AEs (SAEs) and events of clinical interest. Safety and tolerability will be assessed by clinical review of all relevant parameters including AEs, laboratory tests, vital signs, and electrocardiogram measurements. Assessed number of participants who experienced grade 3 to 5 adverse events.
    time origin
    Up to 90 days post-treatment
    analysis role
    secondary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    Source null
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
arms
  1. release id
    clinical-indications-draft-1
    disease state id
    ds-merkel-cell-carcinoma-zynyz-f58ead3f
    nct id
    NCT02267603
    outcome key
    om-0000
    arm key
    OG000
    arm label
    Treatment (Pembrolizumab)
    regimen
    Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 24 months in the absence of disease progression\* or unacceptable toxicity. \* NOTE: Patients with confirmed disease progression may continue to receive treatment if they are otherwise clinically stable until there is an increase in tumor burden of 25% or more following initial confirmation of progression. Under exceptional circumstances, and with protocol P.I. and CITN P.I. approval, patients may receive treatment beyond 2 years. Laboratory Biomarker Analysis: Ancillary studies Pembrolizumab: Given IV
    analyzed count
    50
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT02267603-om-0000#groups/OG000
  2. release id
    clinical-indications-draft-1
    disease state id
    ds-merkel-cell-carcinoma-zynyz-f58ead3f
    nct id
    NCT02267603
    outcome key
    om-0001
    arm key
    OG000
    arm label
    Treatment (Pembrolizumab)
    regimen
    Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 24 months in the absence of disease progression\* or unacceptable toxicity. \* NOTE: Patients with confirmed disease progression may continue to receive treatment if they are otherwise clinically stable until there is an increase in tumor burden of 25% or more following initial confirmation of progression. Under exceptional circumstances, and with protocol P.I. and CITN P.I. approval, patients may receive treatment beyond 2 years. Laboratory Biomarker Analysis: Ancillary studies Pembrolizumab: Given IV
    analyzed count
    50
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT02267603-om-0001#groups/OG000
  3. release id
    clinical-indications-draft-1
    disease state id
    ds-merkel-cell-carcinoma-zynyz-f58ead3f
    nct id
    NCT02267603
    outcome key
    om-0002
    arm key
    OG000
    arm label
    Treatment (Pembrolizumab)
    regimen
    Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 24 months in the absence of disease progression\* or unacceptable toxicity. \* NOTE: Patients with confirmed disease progression may continue to receive treatment if they are otherwise clinically stable until there is an increase in tumor burden of 25% or more following initial confirmation of progression. Under exceptional circumstances, and with protocol P.I. and CITN P.I. approval, patients may receive treatment beyond 2 years. Laboratory Biomarker Analysis: Ancillary studies Pembrolizumab: Given IV
    analyzed count
    30
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT02267603-om-0002#groups/OG000
  4. release id
    clinical-indications-draft-1
    disease state id
    ds-merkel-cell-carcinoma-zynyz-f58ead3f
    nct id
    NCT02267603
    outcome key
    om-0003
    arm key
    OG000
    arm label
    Treatment (Pembrolizumab)
    regimen
    Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 24 months in the absence of disease progression\* or unacceptable toxicity. \* NOTE: Patients with confirmed disease progression may continue to receive treatment if they are otherwise clinically stable until there is an increase in tumor burden of 25% or more following initial confirmation of progression. Under exceptional circumstances, and with protocol P.I. and CITN P.I. approval, patients may receive treatment beyond 2 years. Laboratory Biomarker Analysis: Ancillary studies Pembrolizumab: Given IV
    analyzed count
    50
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT02267603-om-0003#groups/OG000
  5. release id
    clinical-indications-draft-1
    disease state id
    ds-merkel-cell-carcinoma-zynyz-f58ead3f
    nct id
    NCT02267603
    outcome key
    om-0004
    arm key
    OG000
    arm label
    Treatment (Pembrolizumab)
    regimen
    Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 24 months in the absence of disease progression\* or unacceptable toxicity. \* NOTE: Patients with confirmed disease progression may continue to receive treatment if they are otherwise clinically stable until there is an increase in tumor burden of 25% or more following initial confirmation of progression. Under exceptional circumstances, and with protocol P.I. and CITN P.I. approval, patients may receive treatment beyond 2 years. Laboratory Biomarker Analysis: Ancillary studies Pembrolizumab: Given IV
    analyzed count
    50
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT02267603-om-0004#groups/OG000
harms
  1. release id
    clinical-indications-draft-1
    disease state id
    ds-merkel-cell-carcinoma-zynyz-f58ead3f
    nct id
    NCT02267603
    harm key
    EG000
    source section id
    NCT02267603-ae
    event group key
    EG000
    event group label
    Treatment (Pembrolizumab)
    serious affected
    22
    serious at risk
    50
    other affected
    50
    other at risk
    50
    frequency threshold
    1
    collection period
    Serious Adverse Events and other (not including serious) adverse events were assessed for up to 36 months. All cause mortality was assessed for up to 60 months.
    event definition
    Source null
    undenominated note
    Source null
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
quality of life
    setting source links

      Preserved source evidence · Not medical advice