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NCT01704287 · OUTCOME

Best Overall Response (BOR) - Switch-to-Pembrolizumab 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

The BOR was assessed using RECIST 1.1 and was recorded from the start of the second line of study drug (pembrolizumab) 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. For the switch-to-pembrolizumab treatment groups, BOR was based on independent review committee (IRC) assessment. The BOR for switched-to pembrolizumab treatment groups is presented.

Analysis population: The analysis population consisted of all randomized participants in ICC who switched to receiving pembrolizumab. Participants were included in the treatment group to which they were re-randomized (switched) for this efficacy analysis.

Groups in this outcome

ICC→Pembrolizumab 2 mg/kg

Participants who were initially randomized to ICC, subsequently experienced confirmed progressive disease (PD) and met all switching criteria at study treatment Week 12, had the opportunity to switch to receive pembrolizumab 2 mg/kg or 10 mg/kg. Participants received 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 PD, toxicity, or choice. (Up to \~66 months)

ICC→Pembrolizumab 10 mg/kg

Participants who were initially randomized to ICC, subsequently experienced confirmed progressive disease (PD) and met all switching criteria at study treatment Week 12, had the opportunity to switch to receive pembrolizumab 2 mg/kg or 10 mg/kg. Participants received 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 PD, 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
ICC→Pembrolizumab 2 mg/kg53
ICC→Pembrolizumab 10 mg/kg45

Reported measurements

Complete Response
Values in Percentage of Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
ICC→Pembrolizumab 2 mg/kg1.9Not reportedNot reportedNot reportedNot reported
ICC→Pembrolizumab 10 mg/kg4.4Not reportedNot reportedNot reportedNot reported
Partial Response
Values in Percentage of Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
ICC→Pembrolizumab 2 mg/kg17.0Not reportedNot reportedNot reportedNot reported
ICC→Pembrolizumab 10 mg/kg13.3Not reportedNot reportedNot reportedNot reported
Stable Disease
Values in Percentage of Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
ICC→Pembrolizumab 2 mg/kg15.1Not reportedNot reportedNot reportedNot reported
ICC→Pembrolizumab 10 mg/kg11.1Not reportedNot reportedNot reportedNot reported
Progressive Disease
Values in Percentage of Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
ICC→Pembrolizumab 2 mg/kg54.7Not reportedNot reportedNot reportedNot reported
ICC→Pembrolizumab 10 mg/kg55.6Not reportedNot reportedNot reportedNot reported
Not Evaluable
Values in Percentage of Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
ICC→Pembrolizumab 2 mg/kg11.3Not reportedNot reportedNot reportedNot reported
ICC→Pembrolizumab 10 mg/kg13.3Not reportedNot reportedNot reportedNot reported
No Assessment
Values in Percentage of Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
ICC→Pembrolizumab 2 mg/kg0.0Not reportedNot reportedNot reportedNot reported
ICC→Pembrolizumab 10 mg/kg2.2Not reportedNot reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        value
        1.9
      2. group Id
        OG001
        value
        4.4
    title
    Complete Response
  2. categories
    1. measurements
      1. group Id
        OG000
        value
        17.0
      2. group Id
        OG001
        value
        13.3
    title
    Partial Response
  3. categories
    1. measurements
      1. group Id
        OG000
        value
        15.1
      2. group Id
        OG001
        value
        11.1
    title
    Stable Disease
  4. categories
    1. measurements
      1. group Id
        OG000
        value
        54.7
      2. group Id
        OG001
        value
        55.6
    title
    Progressive Disease
  5. categories
    1. measurements
      1. group Id
        OG000
        value
        11.3
      2. group Id
        OG001
        value
        13.3
    title
    Not Evaluable
  6. categories
    1. measurements
      1. group Id
        OG000
        value
        0.0
      2. group Id
        OG001
        value
        2.2
    title
    No Assessment
denoms
  1. counts
    1. group Id
      OG000
      value
      53
    2. group Id
      OG001
      value
      45
    units
    Participants
description
The BOR was assessed using RECIST 1.1 and was recorded from the start of the second line of study drug (pembrolizumab) 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. For the switch-to-pembrolizumab treatment groups, BOR was based on independent review committee (IRC) assessment. The BOR for switched-to pembrolizumab treatment groups is presented.
groups
  1. description
    Participants who were initially randomized to ICC, subsequently experienced confirmed progressive disease (PD) and met all switching criteria at study treatment Week 12, had the opportunity to switch to receive pembrolizumab 2 mg/kg or 10 mg/kg. Participants received 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 PD, toxicity, or choice. (Up to \~66 months)
    id
    OG000
    title
    ICC→Pembrolizumab 2 mg/kg
  2. description
    Participants who were initially randomized to ICC, subsequently experienced confirmed progressive disease (PD) and met all switching criteria at study treatment Week 12, had the opportunity to switch to receive pembrolizumab 2 mg/kg or 10 mg/kg. Participants received 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 PD, toxicity, or choice. (Up to \~66 months)
    id
    OG001
    title
    ICC→Pembrolizumab 10 mg/kg
param Type
NUMBER
population Description
The analysis population consisted of all randomized participants in ICC who switched to receiving pembrolizumab. Participants were included in the treatment group to which they were re-randomized (switched) for this 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) - Switch-to-Pembrolizumab Treatment Period
type
SECONDARY
unit Of Measure
Percentage of Participants

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Preserved source evidence · Not medical advice