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NCT03553836 · OUTCOME

Recurrence-free Survival (RFS)

Safety and Efficacy of Pembrolizumab Compared to Placebo in Resected High-risk Stage II Melanoma (MK-3475-716/KEYNOTE-716) · Source last updated 2024-11-29

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

Measure
MEDIAN
Unit
Months
Interval / dispersion
95% Confidence Interval
Time frame
Up to ~32.7 months

What was measured

RFS was defined as the time from randomization to any of the following events: recurrence of melanoma at any site (local, in-transit or regional lymph nodes or distant recurrence) per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) or death due to any cause, whichever occurs first. Per protocol, final analysis for this primary outcome measure was performed using the initial pembrolizumab or placebo treatment with a protocol-specified analysis data cut-off date of June-21-2021.

Analysis population: All randomized participants.

Groups in this outcome

Pembrolizumab

Participants received 200 mg pembrolizumab (2 mg/kg for a maximum of 200 mg in pediatric participants) by intravenous (IV) infusion once every 3 weeks (Q3W; 21-day cycles) for up to 17 cycles (up to \~1 year) in Part 1.

Placebo

Participants received saline placebo by IV infusion Q3W (21-day cycles) for up to 17 cycles (up to \~1 year) in Part 1.

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

Analysis denominator · Participants

GroupSource count
Pembrolizumab487
Placebo489

Reported measurements

Source class 1
Values in Months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
PembrolizumabNANot reportedNANAMedian, Upper limit and lower limit not reached at the time of data cut-off due to insufficient number of participants with recurrence.
PlaceboNANot reported29.9NAMedian and Upper limit not reached at the time of data cut-off due to insufficient number of participants with recurrence.

Source statistical analyses

Group order, estimate direction, methods and comments are retained. No treatment ranking is inferred.

  1. ci Lower Limit
    0.45
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    0.82
    estimate Comment
    Hazard Ratio based on Cox regression model with Efron's method of tie handling with treatment as a covariate stratified by melanoma T Stage (T3b, T4a, T4b).
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    0.00046
    p Value Comment
    One-sided p-value based on log-rank test stratified by melanoma T Stage (T3b, T4a, T4b).
    param Type
    Hazard Ratio (HR)
    param Value
    0.61
    statistical Method
    Log Rank
Complete source fields
analyses
  1. ci Lower Limit
    0.45
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    0.82
    estimate Comment
    Hazard Ratio based on Cox regression model with Efron's method of tie handling with treatment as a covariate stratified by melanoma T Stage (T3b, T4a, T4b).
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    0.00046
    p Value Comment
    One-sided p-value based on log-rank test stratified by melanoma T Stage (T3b, T4a, T4b).
    param Type
    Hazard Ratio (HR)
    param Value
    0.61
    statistical Method
    Log Rank
classes
  1. categories
    1. measurements
      1. comment
        Median, Upper limit and lower limit not reached at the time of data cut-off due to insufficient number of participants with recurrence.
        group Id
        OG000
        lower Limit
        NA
        upper Limit
        NA
        value
        NA
      2. comment
        Median and Upper limit not reached at the time of data cut-off due to insufficient number of participants with recurrence.
        group Id
        OG001
        lower Limit
        29.9
        upper Limit
        NA
        value
        NA
denoms
  1. counts
    1. group Id
      OG000
      value
      487
    2. group Id
      OG001
      value
      489
    units
    Participants
description
RFS was defined as the time from randomization to any of the following events: recurrence of melanoma at any site (local, in-transit or regional lymph nodes or distant recurrence) per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) or death due to any cause, whichever occurs first. Per protocol, final analysis for this primary outcome measure was performed using the initial pembrolizumab or placebo treatment with a protocol-specified analysis data cut-off date of June-21-2021.
dispersion Type
95% Confidence Interval
groups
  1. description
    Participants received 200 mg pembrolizumab (2 mg/kg for a maximum of 200 mg in pediatric participants) by intravenous (IV) infusion once every 3 weeks (Q3W; 21-day cycles) for up to 17 cycles (up to \~1 year) in Part 1.
    id
    OG000
    title
    Pembrolizumab
  2. description
    Participants received saline placebo by IV infusion Q3W (21-day cycles) for up to 17 cycles (up to \~1 year) in Part 1.
    id
    OG001
    title
    Placebo
param Type
MEDIAN
population Description
All randomized participants.
reporting Status
POSTED
time Frame
Up to ~32.7 months
title
Recurrence-free Survival (RFS)
type
PRIMARY
unit Of Measure
Months

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Preserved source evidence · Not medical advice