First-line Esophageal Carcinoma Study With Pembrolizumab Plus Chemo vs. Chemo (MK-3475-590/KEYNOTE-590)

NCT ID: NCT03189719

Last Updated: 2024-10-15

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

749 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-07-25

Study Completion Date

2023-07-10

Brief Summary

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The purpose of this trial is to evaluate efficacy and safety of pembrolizumab plus standard of care (SOC) chemotherapy with cisplatin and 5-fluorouracil (5-FU) versus placebo plus SOC chemotherapy with cisplatin and 5-FU as first-line treatment in participants with locally advanced or metastatic esophageal carcinoma.

The overall primary efficacy hypotheses are as follows:

1. In participants with esophageal squamous cell carcinoma (ESCC), participants whose tumors are programmed cell death-ligand 1 (PD-L1)-positive (defined as combined positive score \[CPS\] ≥10), ESCC participants whose tumors are PD-L1 positive (CPS ≥10), and in all participants, overall survival (OS) is superior with pembrolizumab plus SOC chemotherapy compared with placebo plus SOC chemotherapy.
2. In participants with ESCC, participants whose tumors are PD-L1 positive (CPS ≥10), and in all participants, progression-free survival (PFS) according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 as assessed by investigator is superior with pembrolizumab plus SOC chemotherapy compared with placebo plus SOC chemotherapy.

Detailed Description

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Conditions

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Esophageal Neoplasms

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Pembrolizumab + SOC

Participants receive pembrolizumab 200 mg intravenously (IV) every 3 weeks (Q3W) plus standard of care (SOC) chemotherapy with cisplatin 80 mg/m\^2 IV Q3W and 5-FU 800 mg/m\^2/day continuous IV infusion on Days 1 to 5 (120 hours) Q3W. All treatments will be administered on an outpatient basis beginning on Day 1 of each 3-week dosing cycle.

Group Type EXPERIMENTAL

Pembrolizumab

Intervention Type BIOLOGICAL

200 mg administered IV Q3W on Day 1 of each 3-week cycle, up to 35 administrations.

Cisplatin

Intervention Type DRUG

80 mg/m\^2 administered IV Q3W on Day 1 of each 3-week cycle. Duration of cisplatin treatment will be capped at 6 doses.

5-FU

Intervention Type DRUG

800 mg/m\^2/day (4000 mg/m\^2 total per cycle) administered as continuous IV infusion on Days 1 to 5 (120 hours) of each 3-week cycle, or per local standard for 5-FU administration, up to 35 administrations.

Placebo + SOC

Participants receive placebo to pembrolizumab (saline) IV Q3W plus SOC chemotherapy with cisplatin 80 mg/m\^2 IV Q3W and 5-FU 800 mg/m\^2/day continuous IV infusion on Days 1 to 5 (120 hours) Q3W. All treatments will be administered on an outpatient basis beginning on Day 1 of each 3-week dosing cycle.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo to pembrolizumab (saline) administered IV Q3W on Day 1 of each 3-week cycle, up to 35 administrations.

Cisplatin

Intervention Type DRUG

80 mg/m\^2 administered IV Q3W on Day 1 of each 3-week cycle. Duration of cisplatin treatment will be capped at 6 doses.

5-FU

Intervention Type DRUG

800 mg/m\^2/day (4000 mg/m\^2 total per cycle) administered as continuous IV infusion on Days 1 to 5 (120 hours) of each 3-week cycle, or per local standard for 5-FU administration, up to 35 administrations.

Interventions

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Pembrolizumab

200 mg administered IV Q3W on Day 1 of each 3-week cycle, up to 35 administrations.

Intervention Type BIOLOGICAL

Placebo

Placebo to pembrolizumab (saline) administered IV Q3W on Day 1 of each 3-week cycle, up to 35 administrations.

Intervention Type DRUG

Cisplatin

80 mg/m\^2 administered IV Q3W on Day 1 of each 3-week cycle. Duration of cisplatin treatment will be capped at 6 doses.

Intervention Type DRUG

5-FU

800 mg/m\^2/day (4000 mg/m\^2 total per cycle) administered as continuous IV infusion on Days 1 to 5 (120 hours) of each 3-week cycle, or per local standard for 5-FU administration, up to 35 administrations.

Intervention Type DRUG

Other Intervention Names

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MK-3475

Eligibility Criteria

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Inclusion Criteria

* Has histologically- or cytologically-confirmed diagnosis of locally advanced unresectable or metastatic adenocarcinoma or squamous cell carcinoma of the esophagus or advanced/metastatic Siewert type 1 adenocarcinoma of the esophagogastric junction (EGJ)
* Has measurable disease per RECIST 1.1 as determined by the local site investigator/radiology assessment
* Eastern Cooperative Group (ECOG) performance status of 0 to 1
* Can provide either a newly obtained or archival tissue sample for PD-L1 by immunohistochemistry analysis
* Female participants of childbearing potential must have a negative urine or serum pregnancy test within 72 hours prior to randomization and be willing to use an adequate method of contraception (e.g. abstinence, intrauterine device, diaphragm with spermicide, etc.) for the course of the study through 120 days after the last dose of study treatment and up to 180 days after last dose of cisplatin
* Male participants of childbearing potential must agree to use an adequate method of contraception (e.g. abstinence, vasectomy, male condom, etc.) starting with the first dose of study treatment through 120 days after the last dose of study treatment and up to 180 days after last dose of cisplatin, and refrain from donating sperm during this period
* Has adequate organ function

Exclusion Criteria

* Has locally advanced esophageal carcinoma that is resectable or potentially curable with radiation therapy (as determined by local investigator)
* Has had previous therapy for advanced/metastatic adenocarcinoma or squamous cell cancer of the esophagus or advanced/metastatic Siewert type 1 adenocarcinoma of the EGJ
* Has had major surgery, open biopsy, or significant traumatic injury within 28 days prior to randomization, or anticipation of the need for major surgery during the course of study treatment
* Has a known additional malignancy that is progressing or requires active treatment. Exceptions include early-stage cancers (carcinoma in situ or Stage 1) treated with curative intent, basal cell carcinoma of the skin, squamous cell carcinoma of the skin, in situ cervical cancer, in situ breast cancer that has undergone potentially curative therapy, and in situ or intramucosal pharyngeal cancer
* Has known active central nervous system metastases and/or carcinomatous meningitis.
* Has an active autoimmune disease that has required systemic treatment in past 2 years
* Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (in dosing exceeding 10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy within 7 days prior to the first dose of study treatment, or has a history of organ transplant, including allogeneic stem cell transplant
* Has a history of (non-infectious) pneumonitis that required steroids or has current pneumonitis, or has an active infection requiring systemic therapy
* Is pregnant or breastfeeding, or expecting to conceive or father children within the projected duration of the study, starting with the screening visit through 120 days after the last dose of study medication and up to 180 days after last dose of cisplatin
* Has received prior therapy with an anti-programmed cell death protein-1 (anti-PD-1), anti-PD-L1, or anti-PD-L2 agent or with an agent directed to another co-inhibitory T-cell receptor or has previously participated in a pembrolizumab (MK-3475) clinical trial
* Has severe hypersensitivity (≥ Grade 3) to any study treatment (pembrolizumab, cisplatin, or 5-FU) and/or any of its excipients
* Has a known history of active tuberculosis (TB; Mycobacterium tuberculosis) or human immunodeficiency virus (HIV) infection
* Has known history of or is positive for hepatitis B or hepatitis C
* Has received a live vaccine within 30 days prior to the first dose of study treatment
* Has had radiotherapy within 14 days of randomization. Participants who received radiotherapy \>14 days prior to randomization must have completely recovered from any radiotherapy-related AEs/toxicities
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Merck Sharp & Dohme LLC

Locations

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Kaiser Permanente Southern California ( Site 0003)

West Los Angeles, California, United States

Site Status

The University of Chicago Medical Center ( Site 0001)

Chicago, Illinois, United States

Site Status

University of Kansas ( Site 0029)

Westwood, Kansas, United States

Site Status

University of Maryland Medical Center ( Site 0013)

Baltimore, Maryland, United States

Site Status

Dana Farber Cancer Center ( Site 0009)

Boston, Massachusetts, United States

Site Status

Henry Ford Cancer Center ( Site 0018)

Detroit, Michigan, United States

Site Status

Washington University School of Medicine ( Site 0031)

St Louis, Missouri, United States

Site Status

Roswell Park Cancer Institute ( Site 0004)

Buffalo, New York, United States

Site Status

Weill Cornell Medical College ( Site 0024)

New York, New York, United States

Site Status

University Hospitals Cleveland Medical Center ( Site 0002)

Cleveland, Ohio, United States

Site Status

UPMC Cancer Center/Hillman Cancer Center ( Site 0015)

Pittsburgh, Pennsylvania, United States

Site Status

University of Tennessee Medical Center Knoxville ( Site 0017)

Knoxville, Tennessee, United States

Site Status

Centro de Investigaciones Clinicas - Clinica Viedma ( Site 0603)

Viedma, Río Negro Province, Argentina

Site Status

Hospital Aleman ( Site 0605)

Buenos Aires, , Argentina

Site Status

Hospital Municipal de Gastroenterologia Dr. Bonorino Udaondo ( Site 0602)

Buenos Aires, , Argentina

Site Status

Sanatorio Allende - Cordoba ( Site 0604)

Córdoba, , Argentina

Site Status

Hospital Privado Centro Medico Cordoba ( Site 0601)

Córdoba, , Argentina

Site Status

Blacktown Hospital ( Site 2000)

Blacktown, New South Wales, Australia

Site Status

Liverpool Hospital. ( Site 2001)

Liverpool, New South Wales, Australia

Site Status

Princess Alexandra Hospital ( Site 2005)

Woolloongabba, Queensland, Australia

Site Status

Eastern Health ( Site 2002)

Box Hill, Victoria, Australia

Site Status

Peter MacCallum Cancer Centre ( Site 2003)

Melbourne, Victoria, Australia

Site Status

CETUS Hospital Dia Oncologia ( Site 0208)

Belo Horizonte, Minas Gerais, Brazil

Site Status

Inst de Medicina Integral Professor Fernando Figueira- IMIP ( Site 0210)

Recife, Pernambuco, Brazil

Site Status

Instituto Nacional do Cancer Jose Alencar Gomes da Silva INCA ( Site 0209)

Rio de Janeiro, Rio de Janeiro, Brazil

Site Status

Hospital Sao Vicente de Paulo ( Site 0204)

Passo Fundo, Rio Grande do Sul, Brazil

Site Status

Uniao Brasileira de Educacao e Assistencia Hospital Sao Lucas da Pucrs ( Site 0201)

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

Clinica de Hematologia e Oncologia Viver Ltda ( Site 0211)

Santa Maria, Rio Grande do Sul, Brazil

Site Status

Fundacao Faculdade Regional de Medicina de Sao Jose do Rio Preto. ( Site 0203)

São José do Rio Preto, São Paulo, Brazil

Site Status

Hospital Alemao Oswaldo Cruz ( Site 0207)

São Paulo, São Paulo, Brazil

Site Status

Hospital de Clinicas de Porto Alegre ( Site 0200)

Porto Alegre, , Brazil

Site Status

Instituto do Cancer de Sao Paulo - ICESP ( Site 0206)

São Paulo, , Brazil

Site Status

Tom Baker Cancer Centre ( Site 0503)

Calgary, Alberta, Canada

Site Status

Cross Cancer Institute ( Site 0502)

Edmonton, Alberta, Canada

Site Status

CancerCare Manitoba ( Site 0500)

Winnipeg, Manitoba, Canada

Site Status

Juravinski Cancer Center ( Site 0508)

Hamilton, Ontario, Canada

Site Status

The Ottawa Hospital - Cancer Care ( Site 0501)

Ottawa, Ontario, Canada

Site Status

Princess Margaret Cancer Centre ( Site 0505)

Toronto, Ontario, Canada

Site Status

CISSS de la Monteregie-Centre ( Site 0504)

Greenfield Park, Quebec, Canada

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Jewish General Hospital ( Site 0507)

Montreal, Quebec, Canada

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Hospital Regional de Concepcion Dr. Guillermo Grant Benavente ( Site 1003)

Concepción, , Chile

Site Status

Pontificia Universidad Catolica de Chile ( Site 1001)

Santiago, , Chile

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Hospital Clinico Universidad de Chile ( Site 1002)

Santiago, , Chile

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Clinica Alemana de Temuco ( Site 1006)

Temuco, , Chile

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Anhui Provincial Hospital ( Site 0106)

Hefei, Anhui, China

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The First Affiliated Hospital of Anhui Medical University ( Site 0112)

Hefei, Anhui, China

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Peking Union Medical College Hospital ( Site 0123)

Beijing, Beijing Municipality, China

Site Status

The First Affiliated Hospital of Xiamen University ( Site 0119)

Xiamen, Fujian, China

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Guangdong General Hospital ( Site 0103)

Guangzhou, Guangdong, China

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The Affiliated Tumour Hospital of Harbin Medical University ( Site 0102)

Harbin, Heilongjiang, China

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Tongji Medical College Huazhong University of Science and Technology ( Site 0109)

Wuhan, Hubei, China

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Hunan Cancer Hospital ( Site 0105)

Changsha, Hunan, China

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PLA Cancer Centre of Nanjing Bayi Hospital ( Site 0110)

Nanjing, Jiangsu, China

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Zhongda Hospital Southeast University ( Site 0125)

Nanjing, Jiangsu, China

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Jilin Cancer Hospital ( Site 0101)

Changchun, Jilin, China

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The First Affiliated Hospital of Xi an Jiaotong University ( Site 0120)

Xi'an, Shannxi, China

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Zhejiang Cancer Hospital ( Site 0116)

Hangzhou, Zhejiang, China

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Beijing Cancer Hospital ( Site 0100)

Beijing, , China

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Fujian Provincial Cancer Hospital ( Site 0104)

Fuzhou, , China

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Shanghai Chest Hospital ( Site 0111)

Shanghai, , China

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Fudan University Shanghai Cancer Center ( Site 0108)

Shanghai, , China

Site Status

Renji Hospital Shanghai Jiaotong University School of Medicine ( Site 0114)

Shanghai, , China

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Henan Cancer Hospital ( Site 0107)

Zhengzhou, , China

Site Status

Rodrigo Botero SAS ( Site 2703)

Medellín, Antioquia, Colombia

Site Status

Oncomedica S.A. ( Site 2701)

Montería, Departamento de Córdoba, Colombia

Site Status

CIMCA Centro de Investigacion y Manejo del Cancer ( Site 2600)

San José, , Costa Rica

Site Status

Policlinico San Bosco ( Site 2602)

San José, , Costa Rica

Site Status

ICIMED - Instituto de Investigacion en Ciencias Medicas ( Site 2601)

San José, , Costa Rica

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Rigshospitalet ( Site 2301)

Copenhagen, , Denmark

Site Status

Odense Universitetshospital ( Site 2300)

Odense, , Denmark

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Centre Leon Berard ( Site 0307)

Lyon, Cedex 8, France

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CHU Brest - Institut de Cancerologie et d Hematologie ( Site 0305)

Brest, , France

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Centre Francois Baclesse ( Site 0310)

Caen, , France

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Centre Oscar Lambret ( Site 0304)

Lille, , France

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Institut du Cancer de Montpellier ( Site 0306)

Montpellier, , France

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CHU de Nantes - Hotel Dieu ( Site 0303)

Nantes, , France

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Institut Mutualiste Montsouris ( Site 0300)

Paris, , France

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CHU de Saint Etienne Hopital Nord ( Site 0309)

Saint-Etienne, , France

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Staedtisches Klinikum Dresden ( Site 1507)

Dresden, , Germany

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Haematologisch-Onkologische Praxis Eppendorf Facharztzentrum Eppendorf - Hope ( Site 1502)

Hamburg, , Germany

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Universitaetsklinikum Leipzig ( Site 1501)

Leipzig, , Germany

Site Status

Klinikum Ludwigsburg ( Site 1509)

Ludwigsburg, , Germany

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Universitatsklinikum Mannheim GmbH ( Site 1504)

Mannheim, , Germany

Site Status

Klinik fuer Haematologie. Onkologie und Gastroenterologie ( Site 1508)

Mönchengladbach, , Germany

Site Status

III. Medizinische Klinik Klinikum rechts der Isar ( Site 1506)

München, , Germany

Site Status

Centro de Investigacion Oncologica ( Site 1402)

Guatemala City, , Guatemala

Site Status

Oncomedica ( Site 1400)

Guatemala City, , Guatemala

Site Status

Grupo Medico Angeles ( Site 1401)

Guatemala City, , Guatemala

Site Status

Medi-K Cayala ( Site 1404)

Guatemala City, , Guatemala

Site Status

Centro Regional de Sub Especialidades Medicas SA ( Site 1403)

Quetzaltenango, , Guatemala

Site Status

Humanity Health Research Centre ( Site 1603)

Hong Kong, , Hong Kong

Site Status

Pamela Youde Nethersole Eastern Hospital ( Site 1601)

Hong Kong, , Hong Kong

Site Status

Princess Margaret Hospital. ( Site 1602)

Hong Kong, , Hong Kong

Site Status

Queen Mary Hospital ( Site 1600)

Hong Kong, , Hong Kong

Site Status

Aichi Cancer Center Hospital ( Site 0902)

Nagoya, Aichi-ken, Japan

Site Status

National Cancer Center Hospital East ( Site 0908)

Kashiwa, Chiba, Japan

Site Status

National Hospital Organization Shikoku Cancer Center ( Site 0901)

Matsuyama, Ehime, Japan

Site Status

Hokkaido University Hospital ( Site 0916)

Sapporo, Hokkaido, Japan

Site Status

Hyogo Cancer Center ( Site 0913)

Akashi, Hyōgo, Japan

Site Status

Kobe City Medical Center General Hospital ( Site 0929)

Kobe, Hyōgo, Japan

Site Status

Ibaraki Prefectural Central Hospital ( Site 0918)

Kasama, Ibaraki, Japan

Site Status

University of Tsukuba Hospital ( Site 0910)

Tsukuba, Ibaraki, Japan

Site Status

Kagawa University Hospital ( Site 0915)

Kita-gun, Kagawa-ken, Japan

Site Status

St. Marianna University School of Medicine Hospital ( Site 0903)

Kawasaki, Kanagawa, Japan

Site Status

Kanagawa Cancer Center ( Site 0921)

Yokohama, Kanagawa, Japan

Site Status

Oita University Hospital ( Site 0930)

Yufu, Oita Prefecture, Japan

Site Status

Kansai Medical University Hospital ( Site 0931)

Hirakata, Osaka, Japan

Site Status

Kindai University Hospital ( Site 0917)

Sayama, Osaka, Japan

Site Status

Osaka University Hospital ( Site 0911)

Suita, Osaka, Japan

Site Status

Osaka Medical College Hospital ( Site 0925)

Takatsuki, Osaka, Japan

Site Status

Saitama Cancer Center ( Site 0926)

Kitaadachi-gun, Saitama, Japan

Site Status

Shizuoka Cancer Center Hospital and Research Institute ( Site 0914)

Sunto-gun, Shizuoka, Japan

Site Status

Kyorin University Hospital ( Site 0905)

Mitaka, Tokyo, Japan

Site Status

Chiba University Hospital ( Site 0909)

Chiba, , Japan

Site Status

Chiba Cancer Center ( Site 0900)

Chiba, , Japan

Site Status

National Hospital Organization Kyushu Cancer Center ( Site 0906)

Fukuoka, , Japan

Site Status

Kyushu University Hospital ( Site 0922)

Fukuoka, , Japan

Site Status

Gifu University Hospital ( Site 0920)

Gifu, , Japan

Site Status

Kumamoto University Hospital ( Site 0919)

Kumamoto, , Japan

Site Status

Niigata Cancer Center Hospital ( Site 0924)

Niigata, , Japan

Site Status

Osaka International Cancer Institute ( Site 0923)

Osaka, , Japan

Site Status

Osaka General Medical Center ( Site 0912)

Osaka, , Japan

Site Status

National Cancer Center Hospital ( Site 0907)

Tokyo, , Japan

Site Status

The Cancer Institute Hospital of JFCR ( Site 0904)

Tokyo, , Japan

Site Status

Keio University Hospital ( Site 0927)

Tokyo, , Japan

Site Status

Beacon International Specialist Centre ( Site 1803)

Petaling Jaya, Selangor, Malaysia

Site Status

Hospital Kuala Lumpur ( Site 1805)

Kuala Lumpur, , Malaysia

Site Status

University Malaya Medical Centre ( Site 1802)

Kuala Lumpur, , Malaysia

Site Status

Instituto Regional de Enfermedades Neoplasicas del Sur IRENSUR ( Site 1702)

Arequipa, , Peru

Site Status

Hospital Nacional Guillermo Almenara Irigoyen ( Site 1701)

Lima, , Peru

Site Status

Instituto Nacional de Enfermedades Neoplasicas ( Site 1705)

Lima, , Peru

Site Status

S C Pelican Impex SRL ( Site 2403)

Oradea, Bihor County, Romania

Site Status

S.C. Radiotherapy Center Cluj S.R.L ( Site 2407)

Comuna Floresti, Cluj, Romania

Site Status

S.C. Centrul de Oncologie Sf. Nectarie SRL ( Site 2404)

Craiova, Dolj, Romania

Site Status

S.C.Focus Lab Plus S.R.L ( Site 2401)

Bucharest, Sector 2, Romania

Site Status

S C Oncocenter Oncologie Medicala S R L ( Site 2405)

Timișoara, Timiș County, Romania

Site Status

S.C.Gral Medical S.R.L ( Site 2406)

Bucharest, , Romania

Site Status

Spitalul Clinic Judetean De Urgenta Constanta ( Site 2402)

Constanța, , Romania

Site Status

SBHCI RCOD of MHC RB ( Site 0407)

Ufa, Bashkortostan Republic, Russia

Site Status

Leningrad Regional Oncology Center ( Site 0405)

Saint Petersburg, Vsevolzhsk District, Russia

Site Status

National Medical and Surgical Center n.a. N.I.Pirogov ( Site 0402)

Moscow, , Russia

Site Status

N.N. Blokhin NMRCO ( Site 0401)

Moscow, , Russia

Site Status

Scientific Research Oncology Institute n.a. N.N.Petrov ( Site 0406)

Saint Petersburg, , Russia

Site Status

St Petersburg City Clinical Oncology Dispensary ( Site 0409)

Saint Petersburg, , Russia

Site Status

Tomsk Scientific Research Institute of Oncology ( Site 0403)

Tomsk, , Russia

Site Status

Cancer Care Langenhoven Drive Oncology Centre ( Site 2501)

Port Elizabeth, Eastern Cape, South Africa

Site Status

The Medical Oncology Centre of Rosebank ( Site 2506)

Johannesburg, Gauteng, South Africa

Site Status

WITS Clinical Research CMJAH Clinical Trial Site ( Site 2500)

Parktown, Gauteng, South Africa

Site Status

The Oncology Centre ( Site 2502)

Durban, KwaZulu-Natal, South Africa

Site Status

Cape Town Oncology Trials Pty Ltd ( Site 2508)

Cape Town, Western Cape, South Africa

Site Status

Outeniqua Cancercare Oncology Unit ( Site 2504)

George, Western Cape, South Africa

Site Status

Clinton Oncology Centre ( Site 2505)

Alberton, , South Africa

Site Status

National Cancer Center ( Site 1304)

Goyang-si, Gyeonggi-do, South Korea

Site Status

Chonnam National University Hwasun Hospital ( Site 1305)

Hwasun Gun, Jeollanam-do, South Korea

Site Status

Seoul National University Cancer Hospital ( Site 1301)

Seoul, , South Korea

Site Status

Severance Hospital Yonsei University Health System ( Site 1302)

Seoul, , South Korea

Site Status

Asan Medical Center ( Site 1303)

Seoul, , South Korea

Site Status

Samsung Medical Center ( Site 1300)

Seoul, , South Korea

Site Status

Hosp. Gral. Universitari Germans Trias i Pujol ( Site 0701)

Badalona, Barcelona, Spain

Site Status

Hospital Universitario Central de Asturias ( Site 0708)

Oviedo, Principality of Asturias, Spain

Site Status

Hospital Universitari Vall d Hebron ( Site 0702)

Barcelona, , Spain

Site Status

Hospital Universitario Reina Sofia ( Site 0706)

Córdoba, , Spain

Site Status

Hospital Ramon y Cajal ( Site 0703)

Madrid, , Spain

Site Status

Hospital Universitario La Paz ( Site 0700)

Madrid, , Spain

Site Status

Complejo Hospitalario Virgen De La Victoria ( Site 0705)

Málaga, , Spain

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Chang Gung Med Foundation. Kaohsiung Branch ( Site 1906)

Kaohsiung City, , Taiwan

Site Status

Taipei Medical University Shuang Ho Hospital ( Site 1908)

New Taipei City, , Taiwan

Site Status

China Medical University Hospital ( Site 1904)

Taichung, , Taiwan

Site Status

Kuang Tien General Hospital ( Site 1909)

Taichung, , Taiwan

Site Status

National Cheng Kung University Hospital ( Site 1905)

Tainan City, , Taiwan

Site Status

Chi Mei Medical Center Liuying ( Site 1907)

Tainan City, , Taiwan

Site Status

National Taiwan University Hospital ( Site 1900)

Taipei, , Taiwan

Site Status

Koo Foundation Sun Yat-Sen Cancer Center ( Site 1902)

Taipei, , Taiwan

Site Status

Chang Gung Medical Foundation. Linkou ( Site 1903)

Taoyuan District, , Taiwan

Site Status

Bumrungrad International Hospital ( Site 2203)

Bangkok, , Thailand

Site Status

Chulalongkorn Hospital ( Site 2201)

Bangkok, , Thailand

Site Status

Ramathibodi Hospital. ( Site 2202)

Bangkok, , Thailand

Site Status

Phramongkutklao Hospital ( Site 2205)

Bangkok, , Thailand

Site Status

Songklanagarind Hospital ( Site 2204)

Songkhla, , Thailand

Site Status

Adana Sehir Hastanesi ( Site 0802)

Adana, , Turkey (Türkiye)

Site Status

Ankara Sehir Hastanesi ( Site 0808)

Ankara, , Turkey (Türkiye)

Site Status

Istanbul Medeniyet Universitesi Goztepe EAH ( Site 0807)

Istanbul, , Turkey (Türkiye)

Site Status

Istanbul Universitesi Cerrahpasa Tip Fakultesi ( Site 0804)

Istanbul, , Turkey (Türkiye)

Site Status

Marmara Universitesi Pendik Egitim ve Arastirma Hastanesi ( Site 0801)

Istanbul, , Turkey (Türkiye)

Site Status

Medical Park Izmir Hastanesi ( Site 0800)

Izmir, , Turkey (Türkiye)

Site Status

Inonu Universitesi Turgut Ozal Tip Merkezi ( Site 0803)

Malatya, , Turkey (Türkiye)

Site Status

Lothian University Hospitals NHS Trust ( Site 1101)

Edinburgh, Mid Lothian, United Kingdom

Site Status

St Luke's Cancer Centre ( Site 1102)

Guildford, , United Kingdom

Site Status

The Christie NHS Foundation Trust ( Site 1100)

Manchester, , United Kingdom

Site Status

Countries

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United States Argentina Australia Brazil Canada Chile China Colombia Costa Rica Denmark France Germany Guatemala Hong Kong Japan Malaysia Peru Romania Russia South Africa South Korea Spain Taiwan Thailand Turkey (Türkiye) United Kingdom

References

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Mansoor W, Joo S, Norquist JM, Kato K, Sun JM, Shah MA, Enzinger P, Adenis A, Doi T, Kojima T, Metges JP, Li Z, Kim SB, Cho BC, Sunpaweravong P, Alsina M, Goekkurt E, Suryawanshi S, Shah S, Shen L. Health-related quality-of-life analysis from KEYNOTE-590: pembrolizumab plus chemotherapy versus chemotherapy for advanced esophageal cancer. Oncologist. 2024 Oct 3;29(10):e1324-e1335. doi: 10.1093/oncolo/oyae087.

Reference Type DERIVED
PMID: 38815152 (View on PubMed)

Kato K, Kojima T, Hara H, Tsuji A, Yasui H, Muro K, Satoh T, Ogata T, Ishihara R, Goto M, Baba H, Nishina T, Han S, Iwakami K, Yatsuzuka N, Doi T. First-line pembrolizumab plus chemotherapy for advanced/metastatic esophageal cancer: 1-year extended follow-up in the Japanese subgroup of the phase 3 KEYNOTE-590 study. Esophagus. 2024 Jul;21(3):306-318. doi: 10.1007/s10388-024-01053-z. Epub 2024 Apr 12.

Reference Type DERIVED
PMID: 38607538 (View on PubMed)

Zhang Y, Li C, Du K, Pengkhun N, Huang Z, Gong M, Li Y, Liu X, Li L, Wang D, Wang C, Chen F, Li J. Comparative analysis of immune checkpoint inhibitors in first-line treatment of esophageal squamous cell carcinoma: a network meta-analysis. Immunotherapy. 2023 Jul;15(10):737-750. doi: 10.2217/imt-2022-0236. Epub 2023 May 4.

Reference Type DERIVED
PMID: 37139963 (View on PubMed)

Kojima T, Hara H, Tsuji A, Yasui H, Muro K, Satoh T, Ogata T, Ishihara R, Goto M, Baba H, Nishina T, Han S, Sakata T, Yatsuzuka N, Doi T, Kato K. First-line pembrolizumab + chemotherapy in Japanese patients with advanced/metastatic esophageal cancer from KEYNOTE-590. Esophagus. 2022 Oct;19(4):683-692. doi: 10.1007/s10388-022-00920-x. Epub 2022 Jun 7.

Reference Type DERIVED
PMID: 35668304 (View on PubMed)

Zhu Y, Liu K, Ding D, Zhou Y, Peng L. Pembrolizumab Plus Chemotherapy as First-Line Treatment for Advanced Esophageal Cancer: A Cost-Effectiveness Analysis. Adv Ther. 2022 Jun;39(6):2614-2629. doi: 10.1007/s12325-022-02101-9. Epub 2022 Apr 8.

Reference Type DERIVED
PMID: 35394255 (View on PubMed)

Sun JM, Shen L, Shah MA, Enzinger P, Adenis A, Doi T, Kojima T, Metges JP, Li Z, Kim SB, Cho BC, Mansoor W, Li SH, Sunpaweravong P, Maqueda MA, Goekkurt E, Hara H, Antunes L, Fountzilas C, Tsuji A, Oliden VC, Liu Q, Shah S, Bhagia P, Kato K; KEYNOTE-590 Investigators. Pembrolizumab plus chemotherapy versus chemotherapy alone for first-line treatment of advanced oesophageal cancer (KEYNOTE-590): a randomised, placebo-controlled, phase 3 study. Lancet. 2021 Aug 28;398(10302):759-771. doi: 10.1016/S0140-6736(21)01234-4.

Reference Type DERIVED
PMID: 34454674 (View on PubMed)

Kato K, Shah MA, Enzinger P, Bennouna J, Shen L, Adenis A, Sun JM, Cho BC, Ozguroglu M, Kojima T, Kostorov V, Hierro C, Zhu Y, McLean LA, Shah S, Doi T. KEYNOTE-590: Phase III study of first-line chemotherapy with or without pembrolizumab for advanced esophageal cancer. Future Oncol. 2019 Apr;15(10):1057-1066. doi: 10.2217/fon-2018-0609. Epub 2019 Feb 8.

Reference Type DERIVED
PMID: 30735435 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

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Related Links

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Other Identifiers

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173739

Identifier Type: REGISTRY

Identifier Source: secondary_id

MK-3475-590

Identifier Type: OTHER

Identifier Source: secondary_id

KEYNOTE-590

Identifier Type: OTHER

Identifier Source: secondary_id

2017-000958-19

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

3475-590

Identifier Type: -

Identifier Source: org_study_id

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