NCT05116189 · OUTCOME
PFS Per RECIST 1.1 by Blinded Independent Central Review (BICR) in Participants With PD-L1 CPS ≥1
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 ~38 months
What was measured
PFS is defined as the time from randomization to the first documented disease progression per RECIST 1.1 based on blinded independent central review assessment or death due to any cause, whichever occurs first. Per RECIST 1.1, PD is defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of ≥5 mm. The appearance of one or more lesions and the unequivocal progression of non-target lesions is also considered PD. The PFS per RECIST 1.1 as assessed by blinded independent central review (BICR) in participants with PD-L1 CPS ≥1 is reported here. PFS was calculated using the product-limit (Kaplan-Meier) method for censored data.
Analysis population: The analysis population includes all randomized participants with PD-L1 positive tumors (CPS≥1). Participants were analyzed in the treatment group to which they are randomized.
Groups in this outcome
Pembrolizumab + Paclitaxel ± Bevacizumab
Participants receive pembrolizumab 400 mg via intravenous (IV) infusion on Day 1 of each 6-week cycle for up to 18 cycles (approximately 2 years) PLUS paclitaxel 80 mg/m\^2 via IV infusion on Days 1, 8, and 15 of each 3-week cycle until intolerance or disease progression. Participants who experience severe hypersensitivity reaction to paclitaxel or an adverse event requiring discontinuation of paclitaxel may receive docetaxel (75 mg/m\^2 every 3 weeks \[Q3W\]) after Sponsor consultation. Participants may also receive bevacizumab 10 mg/kg via IV infusion of each 2-week cycle until intolerance, disease progression, or at the Investigator's discretion.
Placebo + Paclitaxel ± Bevacizumab
Participants receive placebo via IV infusion on Day 1 of each 6-week cycle for up to 18 cycles (approximately 2 years) PLUS paclitaxel 80 mg/m\^2 via IV infusion on Days 1, 8, and 15 of each 3-week cycle until intolerance or disease progression. Participants who experience severe hypersensitivity reaction to paclitaxel or an adverse event requiring discontinuation of paclitaxel may receive docetaxel (75 mg/m\^2 every 3 weeks \[Q3W\]) after Sponsor consultation. Participants may also receive bevacizumab 10 mg/kg via IV infusion of each 2-week cycle until intolerance, disease progression, or at the Investigator's discretion.
| Group | Source count |
|---|---|
| Pembrolizumab + Paclitaxel ± Bevacizumab | 234 |
| Placebo + Paclitaxel ± Bevacizumab | 232 |
Reported measurements
Source class 1
| Group | Value | Spread | Lower | Upper | Comment |
|---|---|---|---|---|---|
| Pembrolizumab + Paclitaxel ± Bevacizumab | 8.5 | Not reported | 8.1 | 10.4 | Not reported |
| Placebo + Paclitaxel ± Bevacizumab | 7.6 | Not reported | 6.2 | 8.3 | Not reported |
Source statistical analyses
- ci Lower Limit
- 0.60
- ci Num Sides
- TWO_SIDED
- ci Pct Value
- 0.95
- ci Upper Limit
- 0.93
- estimate Comment
- HR \& 95% CI is based on Cox regression model with Efron's method of tie handling with treatment as a covariate stratified by planned bevacizumab use (yes vs no), region (US vs EU vs ROW) and PD-L1 status (CPS \<1 vs CPS 1 to \<10 vs CPS \>=10).
- group Description
- The hazard ratio (HR) and 95% confidence interval (CI) is based on Cox regression model with Efron's method of tie handling with treatment as a covariate stratified by planned bevacizumab use in the study (yes vs no), region (US vs EU vs ROW) and PD-L1 status (CPS \<1 vs CPS 1 to \<10 vs CPS \>=10). One-sided p-value based on log-rank test stratified by planned bevacizumab use in the study (yes vs no), region (US vs EU vs ROW) and PD-L1 status (CPS \<1 vs CPS 1 to \<10 vs CPS \>=10).
- group Ids
- OG000
- OG001
- non Inferiority Type
- SUPERIORITY
- p Value
- 0.0051
- p Value Comment
- One-sided p-value based on log-rank test stratified by planned bevacizumab use in the study (yes vs no), region (US vs EU vs ROW) and PD-L1 status (CPS \<1 vs CPS 1 to \<10 vs CPS \>=10).
- param Type
- Hazard Ratio (HR)
- param Value
- 0.75
- statistical Method
- Log Rank
Complete source fields
- analyses
- ci Lower Limit
- 0.60
- ci Num Sides
- TWO_SIDED
- ci Pct Value
- 0.95
- ci Upper Limit
- 0.93
- estimate Comment
- HR \& 95% CI is based on Cox regression model with Efron's method of tie handling with treatment as a covariate stratified by planned bevacizumab use (yes vs no), region (US vs EU vs ROW) and PD-L1 status (CPS \<1 vs CPS 1 to \<10 vs CPS \>=10).
- group Description
- The hazard ratio (HR) and 95% confidence interval (CI) is based on Cox regression model with Efron's method of tie handling with treatment as a covariate stratified by planned bevacizumab use in the study (yes vs no), region (US vs EU vs ROW) and PD-L1 status (CPS \<1 vs CPS 1 to \<10 vs CPS \>=10). One-sided p-value based on log-rank test stratified by planned bevacizumab use in the study (yes vs no), region (US vs EU vs ROW) and PD-L1 status (CPS \<1 vs CPS 1 to \<10 vs CPS \>=10).
- group Ids
- OG000
- OG001
- non Inferiority Type
- SUPERIORITY
- p Value
- 0.0051
- p Value Comment
- One-sided p-value based on log-rank test stratified by planned bevacizumab use in the study (yes vs no), region (US vs EU vs ROW) and PD-L1 status (CPS \<1 vs CPS 1 to \<10 vs CPS \>=10).
- param Type
- Hazard Ratio (HR)
- param Value
- 0.75
- statistical Method
- Log Rank
- classes
- categories
- measurements
- group Id
- OG000
- lower Limit
- 8.1
- upper Limit
- 10.4
- value
- 8.5
- group Id
- OG001
- lower Limit
- 6.2
- upper Limit
- 8.3
- value
- 7.6
- denoms
- counts
- group Id
- OG000
- value
- 234
- group Id
- OG001
- value
- 232
- units
- Participants
- description
- PFS is defined as the time from randomization to the first documented disease progression per RECIST 1.1 based on blinded independent central review assessment or death due to any cause, whichever occurs first. Per RECIST 1.1, PD is defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of ≥5 mm. The appearance of one or more lesions and the unequivocal progression of non-target lesions is also considered PD. The PFS per RECIST 1.1 as assessed by blinded independent central review (BICR) in participants with PD-L1 CPS ≥1 is reported here. PFS was calculated using the product-limit (Kaplan-Meier) method for censored data.
- dispersion Type
- 95% Confidence Interval
- groups
- description
- Participants receive pembrolizumab 400 mg via intravenous (IV) infusion on Day 1 of each 6-week cycle for up to 18 cycles (approximately 2 years) PLUS paclitaxel 80 mg/m\^2 via IV infusion on Days 1, 8, and 15 of each 3-week cycle until intolerance or disease progression. Participants who experience severe hypersensitivity reaction to paclitaxel or an adverse event requiring discontinuation of paclitaxel may receive docetaxel (75 mg/m\^2 every 3 weeks \[Q3W\]) after Sponsor consultation. Participants may also receive bevacizumab 10 mg/kg via IV infusion of each 2-week cycle until intolerance, disease progression, or at the Investigator's discretion.
- id
- OG000
- title
- Pembrolizumab + Paclitaxel ± Bevacizumab
- description
- Participants receive placebo via IV infusion on Day 1 of each 6-week cycle for up to 18 cycles (approximately 2 years) PLUS paclitaxel 80 mg/m\^2 via IV infusion on Days 1, 8, and 15 of each 3-week cycle until intolerance or disease progression. Participants who experience severe hypersensitivity reaction to paclitaxel or an adverse event requiring discontinuation of paclitaxel may receive docetaxel (75 mg/m\^2 every 3 weeks \[Q3W\]) after Sponsor consultation. Participants may also receive bevacizumab 10 mg/kg via IV infusion of each 2-week cycle until intolerance, disease progression, or at the Investigator's discretion.
- id
- OG001
- title
- Placebo + Paclitaxel ± Bevacizumab
- param Type
- MEDIAN
- population Description
- The analysis population includes all randomized participants with PD-L1 positive tumors (CPS≥1). Participants were analyzed in the treatment group to which they are randomized.
- reporting Status
- POSTED
- time Frame
- Up to ~38 months
- title
- PFS Per RECIST 1.1 by Blinded Independent Central Review (BICR) in Participants With PD-L1 CPS ≥1
- type
- SECONDARY
- unit Of Measure
- Months
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Preserved source evidence · Not medical advice
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