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NCT01704287 · OUTCOME

Best Overall Response (BOR) - Initial Treatment Period

Study of Pembrolizumab (MK-3475) Versus Chemotherapy in Participants With Advanced Melanoma (MK-3475-002/P08719/KEYNOTE-002) · Source last updated 2020-05-18

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
NUMBER
Unit
Percentage of Participants
Interval / dispersion
Not reported
Time frame
Up to approximately 36 months (Through Final Analysis database cutoff date of 16-Nov-2015)

What was measured

BOR was assessed by independent radiology review using RECIST 1.1 and was recorded from randomization until the last imaging assessment in this period. Response categories included: Complete Response (CR): disappearance of all target lesions; Partial Response (PR): at least a 30% decrease in the sum of diameters of target lesions; Progressive Disease (PD): at least a 20% increase in the sum of diameters of target lesions; and Stable Disease (SD): neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. BOR for the Initial Treatment Period was based on IRO. BOR for participants during the Initial Treatment Period is presented.

Analysis population: The analysis population consisted of all randomized participants. Participants were included in the initial treatment group to which they were randomized for the efficacy analysis.

Groups in this outcome

Pembrolizumab 2 mg/kg

Participants were initially randomized to receive pembrolizumab 2 mg/kg IV Q3W. With Amendment 03, this dosing was discontinued and all study participants were to be treated with fixed-dose open label pembrolizumab 200 mg IV Q3W. Participants were to receive study drug until discontinuation due to progression of disease, toxicity, or choice. (Up to \~66 months)

Pembrolizumab 10 mg/kg

Participants were initially randomized to receive pembrolizumab 10 mg/kg IV Q3W. With Amendment 03, this dosing was discontinued and all study participants were to be treated with fixed-dose open label pembrolizumab 200 mg IV Q3W. Participants were to receive study drug until discontinuation due to progression of disease, toxicity, or choice. (Up to \~66 months)

Investigator-Choice Chemotherapy (ICC)

Participants were initially randomized to receive 1 of 4 possible chemotherapy regimens decided at the treating institution (carboplatin+paclitaxel, paclitaxel alone, dacarbazine, or temozolomide). Participants were to receive study drug until discontinuation due to progression of disease, toxicity, or choice. (Up to \~66 months)

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Pembrolizumab 2 mg/kg180
Pembrolizumab 10 mg/kg181
Investigator-Choice Chemotherapy (ICC)179

Reported measurements

Complete Response
Values in Percentage of Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Pembrolizumab 2 mg/kg3.3Not reported16.429.0Not reported
Pembrolizumab 10 mg/kg7.2Not reported21.334.7Not reported
Investigator-Choice Chemotherapy (ICC)0.0Not reported1.98.6Not reported
Partial Response
Values in Percentage of Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Pembrolizumab 2 mg/kg18.9Not reportedNot reportedNot reportedNot reported
Pembrolizumab 10 mg/kg20.4Not reportedNot reportedNot reportedNot reported
Investigator-Choice Chemotherapy (ICC)4.5Not reportedNot reportedNot reportedNot reported
Stable Disease
Values in Percentage of Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Pembrolizumab 2 mg/kg16.7Not reportedNot reportedNot reportedNot reported
Pembrolizumab 10 mg/kg14.9Not reportedNot reportedNot reportedNot reported
Investigator-Choice Chemotherapy (ICC)19.0Not reportedNot reportedNot reportedNot reported
Progressive Disease
Values in Percentage of Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Pembrolizumab 2 mg/kg46.7Not reportedNot reportedNot reportedNot reported
Pembrolizumab 10 mg/kg47.5Not reportedNot reportedNot reportedNot reported
Investigator-Choice Chemotherapy (ICC)61.5Not reportedNot reportedNot reportedNot reported
Not Evaluable
Values in Percentage of Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Pembrolizumab 2 mg/kg13.3Not reportedNot reportedNot reportedNot reported
Pembrolizumab 10 mg/kg9.9Not reportedNot reportedNot reportedNot reported
Investigator-Choice Chemotherapy (ICC)15.1Not reportedNot reportedNot reportedNot reported
No Disease
Values in Percentage of Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Pembrolizumab 2 mg/kg0.6Not reportedNot reportedNot reportedNot reported
Pembrolizumab 10 mg/kg0.0Not reportedNot reportedNot reportedNot reported
Investigator-Choice Chemotherapy (ICC)0.0Not reportedNot reportedNot reportedNot reported
No Assessment
Values in Percentage of Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Pembrolizumab 2 mg/kg0.6Not reportedNot reportedNot reportedNot reported
Pembrolizumab 10 mg/kg0.0Not reportedNot reportedNot reportedNot reported
Investigator-Choice Chemotherapy (ICC)0.0Not reportedNot reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        16.4
        upper Limit
        29.0
        value
        3.3
      2. group Id
        OG001
        lower Limit
        21.3
        upper Limit
        34.7
        value
        7.2
      3. group Id
        OG002
        lower Limit
        1.9
        upper Limit
        8.6
        value
        0.0
    title
    Complete Response
  2. categories
    1. measurements
      1. group Id
        OG000
        value
        18.9
      2. group Id
        OG001
        value
        20.4
      3. group Id
        OG002
        value
        4.5
    title
    Partial Response
  3. categories
    1. measurements
      1. group Id
        OG000
        value
        16.7
      2. group Id
        OG001
        value
        14.9
      3. group Id
        OG002
        value
        19.0
    title
    Stable Disease
  4. categories
    1. measurements
      1. group Id
        OG000
        value
        46.7
      2. group Id
        OG001
        value
        47.5
      3. group Id
        OG002
        value
        61.5
    title
    Progressive Disease
  5. categories
    1. measurements
      1. group Id
        OG000
        value
        13.3
      2. group Id
        OG001
        value
        9.9
      3. group Id
        OG002
        value
        15.1
    title
    Not Evaluable
  6. categories
    1. measurements
      1. group Id
        OG000
        value
        0.6
      2. group Id
        OG001
        value
        0.0
      3. group Id
        OG002
        value
        0.0
    title
    No Disease
  7. categories
    1. measurements
      1. group Id
        OG000
        value
        0.6
      2. group Id
        OG001
        value
        0.0
      3. group Id
        OG002
        value
        0.0
    title
    No Assessment
denoms
  1. counts
    1. group Id
      OG000
      value
      180
    2. group Id
      OG001
      value
      181
    3. group Id
      OG002
      value
      179
    units
    Participants
description
BOR was assessed by independent radiology review using RECIST 1.1 and was recorded from randomization until the last imaging assessment in this period. Response categories included: Complete Response (CR): disappearance of all target lesions; Partial Response (PR): at least a 30% decrease in the sum of diameters of target lesions; Progressive Disease (PD): at least a 20% increase in the sum of diameters of target lesions; and Stable Disease (SD): neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. BOR for the Initial Treatment Period was based on IRO. BOR for participants during the Initial Treatment Period is presented.
groups
  1. description
    Participants were initially randomized to receive pembrolizumab 2 mg/kg IV Q3W. With Amendment 03, this dosing was discontinued and all study participants were to be treated with fixed-dose open label pembrolizumab 200 mg IV Q3W. Participants were to receive study drug until discontinuation due to progression of disease, toxicity, or choice. (Up to \~66 months)
    id
    OG000
    title
    Pembrolizumab 2 mg/kg
  2. description
    Participants were initially randomized to receive pembrolizumab 10 mg/kg IV Q3W. With Amendment 03, this dosing was discontinued and all study participants were to be treated with fixed-dose open label pembrolizumab 200 mg IV Q3W. Participants were to receive study drug until discontinuation due to progression of disease, toxicity, or choice. (Up to \~66 months)
    id
    OG001
    title
    Pembrolizumab 10 mg/kg
  3. description
    Participants were initially randomized to receive 1 of 4 possible chemotherapy regimens decided at the treating institution (carboplatin+paclitaxel, paclitaxel alone, dacarbazine, or temozolomide). Participants were to receive study drug until discontinuation due to progression of disease, toxicity, or choice. (Up to \~66 months)
    id
    OG002
    title
    Investigator-Choice Chemotherapy (ICC)
param Type
NUMBER
population Description
The analysis population consisted of all randomized participants. Participants were included in the initial treatment group to which they were randomized for the efficacy analysis.
reporting Status
POSTED
time Frame
Up to approximately 36 months (Through Final Analysis database cutoff date of 16-Nov-2015)
title
Best Overall Response (BOR) - Initial Treatment Period
type
SECONDARY
unit Of Measure
Percentage of Participants

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Preserved source evidence · Not medical advice