Trial Outcomes & Findings for Pembrolizumab in Treating Patients With Bladder Cancer Undergoing Radical Cystectomy (NCT NCT03319745)

NCT ID: NCT03319745

Last Updated: 2024-06-25

Results Overview

The primary endpoint is a joint endpoint classifying patients as having a toxicity of concern (TOX), defined as the presence of any of these: 1) any 30-day grade 3 or higher surgical complication at least possibly related to the treatment, 2) any toxicity at least possibly related to the treatment that prevents surgery, or 3) death between the start of the study and the 30-day post-surgical assessment as long as it is at least possibly related to pembrolizumab or surgery.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

23 participants

Primary outcome timeframe

From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months

Results posted on

2024-06-25

Participant Flow

23 participants consented, 6 screen failed. 18 participants were found eligible to receive study treatment. 16 out of the 18 were able to undergo surgery.

Participant milestones

Participant milestones
Measure
Pembrolizumab
Participants receive pembrolizumab intravenously (IV) over 30 minutes on day 1. Treatment repeats every 3 weeks for up to 2 cycles in the absence of disease progression or unacceptable toxicity. About 4 weeks after treatment, participants then undergo radical cystectomy per standard of care.
Overall Study
STARTED
18
Overall Study
COMPLETED
16
Overall Study
NOT COMPLETED
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Pembrolizumab
Participants receive pembrolizumab intravenously (IV) over 30 minutes on day 1. Treatment repeats every 3 weeks for up to 2 cycles in the absence of disease progression or unacceptable toxicity. About 4 weeks after treatment, participants then undergo radical cystectomy per standard of care.
Overall Study
Death
1
Overall Study
Toxicity Precluding Surgery
1

Baseline Characteristics

Pembrolizumab in Treating Patients With Bladder Cancer Undergoing Radical Cystectomy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Pembrolizumab
n=18 Participants
Patients receive pembrolizumab intravenously (IV) over 30 minutes on day 1. Treatment repeats every 3 weeks for up to 2 cycles in the absence of disease progression or unacceptable toxicity. About 4 weeks after treatment, patients then undergo radical cystectomy per standard of care.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
9 Participants
n=5 Participants
Age, Categorical
>=65 years
9 Participants
n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
Sex: Female, Male
Male
14 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
16 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
Race (NIH/OMB)
White
17 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
18 participants
n=5 Participants

PRIMARY outcome

Timeframe: From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months

The primary endpoint is a joint endpoint classifying patients as having a toxicity of concern (TOX), defined as the presence of any of these: 1) any 30-day grade 3 or higher surgical complication at least possibly related to the treatment, 2) any toxicity at least possibly related to the treatment that prevents surgery, or 3) death between the start of the study and the 30-day post-surgical assessment as long as it is at least possibly related to pembrolizumab or surgery.

Outcome measures

Outcome measures
Measure
Pembrolizumab
n=18 Participants
Patients receive pembrolizumab intravenously (IV) over 30 minutes on day 1. Treatment repeats every 3 weeks for up to 2 cycles in the absence of disease progression or unacceptable toxicity. About 4 weeks after treatment, patients then undergo radical cystectomy per standard of care.
Toxicity for Safety Monitoring (TOX)
15 percentage of participants
Interval 3.0 to 33.0

SECONDARY outcome

Timeframe: Efficacy endpoint will be measured at time of surgery

Population: Only 16 participants were included in the analysis of this outcome as 2 of the 18 participants were unable to undergo surgery; therefore, we did not have their surgical specimens.

To explore anti-cancer immunological activity by evaluating surgical specimens for evidence of post-treatment and residual tumor compared to pre-treatment biopsy samples. The main mechanism for doing so will be via histopathologic review of the radical cystectomy specimen. MIBC participants are defined as responders if they achieve a pT1 stage or less. In the case of NMIBC a pT0 status will be used to identify complete response.

Outcome measures

Outcome measures
Measure
Pembrolizumab
n=16 Participants
Patients receive pembrolizumab intravenously (IV) over 30 minutes on day 1. Treatment repeats every 3 weeks for up to 2 cycles in the absence of disease progression or unacceptable toxicity. About 4 weeks after treatment, patients then undergo radical cystectomy per standard of care.
Efficacy Endpoint
5 Participants

Adverse Events

Pembrolizumab

Serious events: 9 serious events
Other events: 17 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Pembrolizumab
n=18 participants at risk
Patients receive pembrolizumab intravenously (IV) over 30 minutes on day 1. Treatment repeats every 3 weeks for up to 2 cycles in the absence of disease progression or unacceptable toxicity. About 4 weeks after treatment, patients then undergo radical cystectomy per standard of care.
Infections and infestations
Sepsis
5.6%
1/18 • Number of events 1 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Cardiac disorders
Myocarditis
5.6%
1/18 • Number of events 1 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Vascular disorders
Thromboemolic Event
16.7%
3/18 • Number of events 3 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Respiratory, thoracic and mediastinal disorders
Dyspnea
5.6%
1/18 • Number of events 1 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Musculoskeletal and connective tissue disorders
Myositis
5.6%
1/18 • Number of events 1 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Gastrointestinal disorders
Small Intestinal Leak
5.6%
1/18 • Number of events 1 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Renal and urinary disorders
Acute Pyelonephritis
5.6%
1/18 • Number of events 1 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Gastrointestinal disorders
Nausea/Vomiting
11.1%
2/18 • Number of events 2 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Gastrointestinal disorders
Abdominal Pain
5.6%
1/18 • Number of events 1 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Infections and infestations
Enterocolitis Infectious
5.6%
1/18 • Number of events 1 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Infections and infestations
Pelvic Infection
11.1%
2/18 • Number of events 2 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Renal and urinary disorders
UTI
11.1%
2/18 • Number of events 2 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Renal and urinary disorders
Ureteric Anastomotic Leak
5.6%
1/18 • Number of events 1 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Respiratory, thoracic and mediastinal disorders
Lung Infection
11.1%
2/18 • Number of events 2 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Respiratory, thoracic and mediastinal disorders
Pneumonitis
5.6%
1/18 • Number of events 1 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Gastrointestinal disorders
Anorexia
11.1%
2/18 • Number of events 2 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Metabolism and nutrition disorders
Dehydration
11.1%
2/18 • Number of events 2 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.

Other adverse events

Other adverse events
Measure
Pembrolizumab
n=18 participants at risk
Patients receive pembrolizumab intravenously (IV) over 30 minutes on day 1. Treatment repeats every 3 weeks for up to 2 cycles in the absence of disease progression or unacceptable toxicity. About 4 weeks after treatment, patients then undergo radical cystectomy per standard of care.
Renal and urinary disorders
UTI
16.7%
3/18 • Number of events 3 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Skin and subcutaneous tissue disorders
Pruritus
16.7%
3/18 • Number of events 3 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Investigations
ALK Increased
11.1%
2/18 • Number of events 2 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Blood and lymphatic system disorders
Anemia
77.8%
14/18 • Number of events 14 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
General disorders
Fatigue
50.0%
9/18 • Number of events 9 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Investigations
Hyponatremia
38.9%
7/18 • Number of events 7 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Renal and urinary disorders
Creatinine Increased
22.2%
4/18 • Number of events 4 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Investigations
Hypokalemia
16.7%
3/18 • Number of events 3 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Investigations
ALT Increased
16.7%
3/18 • Number of events 3 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Musculoskeletal and connective tissue disorders
Arthralgia
16.7%
3/18 • Number of events 3 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Gastrointestinal disorders
Nausea/Vomiting
16.7%
3/18 • Number of events 3 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Metabolism and nutrition disorders
Hypoalbuminemia
11.1%
2/18 • Number of events 2 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Gastrointestinal disorders
Ileus
11.1%
2/18 • Number of events 2 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Investigations
Lipase Increased
11.1%
2/18 • Number of events 2 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Cardiac disorders
Tachicardia
11.1%
2/18 • Number of events 2 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Blood and lymphatic system disorders
Platelet Count Decreased
11.1%
2/18 • Number of events 2 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Investigations
AST Increased
5.6%
1/18 • Number of events 1 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Musculoskeletal and connective tissue disorders
Back Pain
5.6%
1/18 • Number of events 1 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Gastrointestinal disorders
Bloating
5.6%
1/18 • Number of events 1 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
General disorders
Chills
5.6%
1/18 • Number of events 1 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Nervous system disorders
Confusion
5.6%
1/18 • Number of events 1 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Skin and subcutaneous tissue disorders
Dematitis
5.6%
1/18 • Number of events 1 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Gastrointestinal disorders
Diarrhea
5.6%
1/18 • Number of events 1 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Musculoskeletal and connective tissue disorders
Myalgia
5.6%
1/18 • Number of events 1 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Respiratory, thoracic and mediastinal disorders
Dyspnea
5.6%
1/18 • Number of events 1 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Blood and lymphatic system disorders
WBC Decreased
5.6%
1/18 • Number of events 1 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Nervous system disorders
Neuropathy
5.6%
1/18 • Number of events 1 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Nervous system disorders
Anxiety
5.6%
1/18 • Number of events 1 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Respiratory, thoracic and mediastinal disorders
Pleural Effusion
5.6%
1/18 • Number of events 1 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Nervous system disorders
Weakness
5.6%
1/18 • Number of events 1 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Skin and subcutaneous tissue disorders
Skin Rash
5.6%
1/18 • Number of events 1 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Investigations
Hyperuricemia
5.6%
1/18 • Number of events 1 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Investigations
Hypermagnesemia
5.6%
1/18 • Number of events 1 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Investigations
Hyperkalemia
5.6%
1/18 • Number of events 1 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Renal and urinary disorders
Hematuria
5.6%
1/18 • Number of events 1 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Renal and urinary disorders
Urinary Retention
5.6%
1/18 • Number of events 1 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
General disorders
Hot Flashes
5.6%
1/18 • Number of events 1 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Infections and infestations
Stoma Infection
5.6%
1/18 • Number of events 1 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.
Blood and lymphatic system disorders
Edema Limbs
5.6%
1/18 • Number of events 1 • From initiation of pembrolizumab, until 90 days post-surgery, up to a maximum of 5.5 months
From the time of initiation of pembrolizumab through 30 days after surgery, all adverse events must be reported by the investigator. Additionally, all adverse events meeting serious criteria, from time of treatment initiation through 90 days following cessation of study treatment, or 30 days following cessation of study treatment if the participant initiates new anti cancer therapy should be reported by the investigator.

Additional Information

Dr. Neema Navai

The University of Texas MD Anderson Cancer Center

Phone: (713) 792-3250

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place