Trial Outcomes & Findings for A Study of Pembrolizumab in Combination With Cisplatin and Pemetrexed in Advanced Malignant Pleural Mesothelioma (MPM) (MK-3475-A17) (NCT NCT04153565)

NCT ID: NCT04153565

Last Updated: 2025-07-17

Results Overview

DLTs were assessed during Cycle 1 (21 days) and defined as any of the following, if considered by investigator to be related to any of the study interventions: Grade 4 hematologic toxicities, except neutropenia and febrile neutropenia; Grade 4 neutropenia lasting \>7 days despite appropriate supportive treatment; Grade 4 febrile neutropenia only if the event considered as clinically significant by investigator and sponsor; any Grade 4 non-hematologic toxicity (except laboratory test abnormal including transient electrolyte abnormalities); any Grade 3 non-hematologic toxicity lasting \>72 hours despite appropriate supportive treatment (not laboratory); and any Grade 4 laboratory test value abnormality; any Grade 3 laboratory test value abnormality lasting \>7 days; delay in start of second course of more than 2 weeks (more than 35 days after the first dose) due to toxicity related to study procedures; any Grade 5 toxicity.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

19 participants

Primary outcome timeframe

Up to 3 weeks (through Cycle 1 [21 days])

Results posted on

2025-07-17

Participant Flow

Participant milestones

Participant milestones
Measure
Pembrolizumab + Pemetrexed + Cisplatin
Participants received pembrolizumab 200 mg intravenously (IV) every 3 weeks (Q3W) in combination with pemetrexed 500 mg/m\^2 IV and cisplatin 75 mg/m\^2 IV for 4-6 cycles, followed by pembrolizumab 200 mg/m\^2 IV monotherapy Q3W for up to 35 cycles from the first dose of the study treatment (approximately 2 years). Each cycle was 21 days.
Overall Study
STARTED
19
Overall Study
COMPLETED
6
Overall Study
NOT COMPLETED
13

Reasons for withdrawal

Reasons for withdrawal
Measure
Pembrolizumab + Pemetrexed + Cisplatin
Participants received pembrolizumab 200 mg intravenously (IV) every 3 weeks (Q3W) in combination with pemetrexed 500 mg/m\^2 IV and cisplatin 75 mg/m\^2 IV for 4-6 cycles, followed by pembrolizumab 200 mg/m\^2 IV monotherapy Q3W for up to 35 cycles from the first dose of the study treatment (approximately 2 years). Each cycle was 21 days.
Overall Study
Death
13

Baseline Characteristics

A Study of Pembrolizumab in Combination With Cisplatin and Pemetrexed in Advanced Malignant Pleural Mesothelioma (MPM) (MK-3475-A17)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Pembrolizumab + Pemetrexed + Cisplatin
n=19 Participants
Participants received pembrolizumab 200 mg intravenously (IV) every 3 weeks (Q3W) in combination with pemetrexed 500 mg/m\^2 IV and cisplatin 75 mg/m\^2 IV for 4-6 cycles, followed by pembrolizumab 200 mg/m\^2 IV monotherapy Q3W for up to 35 cycles from the first dose of the study treatment (approximately 2 years). Each cycle was 21 days.
Age, Continuous
67.8 Years
STANDARD_DEVIATION 7.6 • n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
Sex: Female, Male
Male
15 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
19 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
19 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
0 Participants
n=5 Participants
Race (NIH/OMB)
White
0 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

PRIMARY outcome

Timeframe: Up to 3 weeks (through Cycle 1 [21 days])

Population: All participants who received at least 1 dose of study intervention and who met the criteria for DLT evaluability by finishing Cycle 1 without a DLT or having experienced a DLT

DLTs were assessed during Cycle 1 (21 days) and defined as any of the following, if considered by investigator to be related to any of the study interventions: Grade 4 hematologic toxicities, except neutropenia and febrile neutropenia; Grade 4 neutropenia lasting \>7 days despite appropriate supportive treatment; Grade 4 febrile neutropenia only if the event considered as clinically significant by investigator and sponsor; any Grade 4 non-hematologic toxicity (except laboratory test abnormal including transient electrolyte abnormalities); any Grade 3 non-hematologic toxicity lasting \>72 hours despite appropriate supportive treatment (not laboratory); and any Grade 4 laboratory test value abnormality; any Grade 3 laboratory test value abnormality lasting \>7 days; delay in start of second course of more than 2 weeks (more than 35 days after the first dose) due to toxicity related to study procedures; any Grade 5 toxicity.

Outcome measures

Outcome measures
Measure
Pembrolizumab + Pemetrexed + Cisplatin
n=18 Participants
Participants received pembrolizumab 200 mg intravenously (IV) every 3 weeks (Q3W) in combination with pemetrexed 500 mg/m\^2 IV and cisplatin 75 mg/m\^2 IV for 4-6 cycles, followed by pembrolizumab 200 mg/m\^2 IV monotherapy Q3W for up to 35 cycles from the first dose of the study treatment (approximately 2 years). Each cycle was 21 days.
Number of Participants Who Experienced a Dose-limiting Toxicity (DLT) During Cycle 1, Per Common Terminology Criteria for Adverse Events (AEs), Version 5.0 (CTCAE)
2 Participants

PRIMARY outcome

Timeframe: Up to approximately 34 months

Population: All participants who received at least 1 dose of study intervention

An AE was defined as any untoward medical occurrence in a participant administered a study treatment which did not necessarily have to have a causal relationship with this treatment. An AE could be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of study treatment, whether or not considered related to the study treatment. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a pre-existing condition that was temporally associated with the use of study treatment, was also an AE.

Outcome measures

Outcome measures
Measure
Pembrolizumab + Pemetrexed + Cisplatin
n=19 Participants
Participants received pembrolizumab 200 mg intravenously (IV) every 3 weeks (Q3W) in combination with pemetrexed 500 mg/m\^2 IV and cisplatin 75 mg/m\^2 IV for 4-6 cycles, followed by pembrolizumab 200 mg/m\^2 IV monotherapy Q3W for up to 35 cycles from the first dose of the study treatment (approximately 2 years). Each cycle was 21 days.
Number of Participants With One or More Adverse Events (AEs)
19 Participants

PRIMARY outcome

Timeframe: Up to approximately 2 years

Population: All participants who received at least 1 dose of study intervention

An AE was defined as any untoward medical occurrence in a participant administered a study treatment which did not necessarily have to have a causal relationship with this treatment. An AE could be any unfavourable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of study treatment, whether or not considered related to the study treatment. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a pre-existing condition that was temporally associated with the use of study treatment, was also an AE.

Outcome measures

Outcome measures
Measure
Pembrolizumab + Pemetrexed + Cisplatin
n=19 Participants
Participants received pembrolizumab 200 mg intravenously (IV) every 3 weeks (Q3W) in combination with pemetrexed 500 mg/m\^2 IV and cisplatin 75 mg/m\^2 IV for 4-6 cycles, followed by pembrolizumab 200 mg/m\^2 IV monotherapy Q3W for up to 35 cycles from the first dose of the study treatment (approximately 2 years). Each cycle was 21 days.
Number of Participants Discontinuing Study Treatment Due to an AE
6 Participants

SECONDARY outcome

Timeframe: Up to approximately 31 months

Population: All participants who received at least 1 dose of study intervention

ORR was defined as the percentage of participants who have a Complete Response (CR: disappearance of target and non-target lesions and normalization of tumor markers) or a Partial Response (PR: at least a 30% decrease in the sum of diameters of target lesions). ORR was based on modified Response Evaluation Criteria In Solid Tumors (RECIST) for Malignant Pleural Mesothelioma (MPM) as assessed by investigator.

Outcome measures

Outcome measures
Measure
Pembrolizumab + Pemetrexed + Cisplatin
n=19 Participants
Participants received pembrolizumab 200 mg intravenously (IV) every 3 weeks (Q3W) in combination with pemetrexed 500 mg/m\^2 IV and cisplatin 75 mg/m\^2 IV for 4-6 cycles, followed by pembrolizumab 200 mg/m\^2 IV monotherapy Q3W for up to 35 cycles from the first dose of the study treatment (approximately 2 years). Each cycle was 21 days.
Objective Response Rate (ORR)
73.7 Percentage of participants
Interval 48.8 to 90.9

SECONDARY outcome

Timeframe: Up to approximately 31 months

Population: All participants who received at least 1 dose of study intervention

DCR was defined as the percentage of participants who had a Complete Response (CR: disappearance of target and non-target lesions and normalization of tumor markers) or Partial Response (PR: at least a 30% decrease in the sum of diameters of target lesions) or Stable Disease (SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease \[PD: at least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 mm. The appearance of one or more new lesions was also considered PD.\]) DCR was based on modified RECIST for MPM as assessed by investigator.

Outcome measures

Outcome measures
Measure
Pembrolizumab + Pemetrexed + Cisplatin
n=19 Participants
Participants received pembrolizumab 200 mg intravenously (IV) every 3 weeks (Q3W) in combination with pemetrexed 500 mg/m\^2 IV and cisplatin 75 mg/m\^2 IV for 4-6 cycles, followed by pembrolizumab 200 mg/m\^2 IV monotherapy Q3W for up to 35 cycles from the first dose of the study treatment (approximately 2 years). Each cycle was 21 days.
Disease Control Rate (DCR)
94.7 Percentage of participants
Interval 74.0 to 99.9

SECONDARY outcome

Timeframe: Up to approximately 31 months

Population: All participants who received at least 1 dose of study intervention and demonstrated a confirmed response (CR or PR)

For participants who demonstrate a confirmed complete response (CR: disappearance of target and non-target lesions and normalization of tumor markers) or confirmed Partial Response (PR: at least a 30% decrease in the sum of diameters of target lesions), DOR was defined as the time from first documented evidence of CR or PR until disease progression or death. DOR was based on modified RECIST for MPM as assessed by investigator.

Outcome measures

Outcome measures
Measure
Pembrolizumab + Pemetrexed + Cisplatin
n=14 Participants
Participants received pembrolizumab 200 mg intravenously (IV) every 3 weeks (Q3W) in combination with pemetrexed 500 mg/m\^2 IV and cisplatin 75 mg/m\^2 IV for 4-6 cycles, followed by pembrolizumab 200 mg/m\^2 IV monotherapy Q3W for up to 35 cycles from the first dose of the study treatment (approximately 2 years). Each cycle was 21 days.
Duration of Response (DOR)
16.8 Months
Interval 3.0 to
NA=DOR upper limit not reached at time of data cutoff due to insufficient number of responding participants with relapse

Adverse Events

Pembrolizumab + Pemetrexed + Cisplatin

Serious events: 7 serious events
Other events: 19 other events
Deaths: 13 deaths

Serious adverse events

Serious adverse events
Measure
Pembrolizumab + Pemetrexed + Cisplatin
n=19 participants at risk
Participants received pembrolizumab 200 mg intravenously (IV) every 3 weeks (Q3W) in combination with pemetrexed 500 mg/m\^2 IV and cisplatin 75 mg/m\^2 IV for 4-6 cycles, followed by pembrolizumab 200 mg/m\^2 IV monotherapy Q3W for up to 35 cycles from the first dose of the study treatment (approximately 2 years). Each cycle was 21 days.
Blood and lymphatic system disorders
Febrile neutropenia
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Eye disorders
Uveitis
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
General disorders
Pyrexia
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Infections and infestations
COVID-19
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Nervous system disorders
Facial paralysis
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Respiratory, thoracic and mediastinal disorders
Pneumonitis
10.5%
2/19 • Number of events 2 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Infections and infestations
Pneumonia bacterial
10.5%
2/19 • Number of events 2 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.

Other adverse events

Other adverse events
Measure
Pembrolizumab + Pemetrexed + Cisplatin
n=19 participants at risk
Participants received pembrolizumab 200 mg intravenously (IV) every 3 weeks (Q3W) in combination with pemetrexed 500 mg/m\^2 IV and cisplatin 75 mg/m\^2 IV for 4-6 cycles, followed by pembrolizumab 200 mg/m\^2 IV monotherapy Q3W for up to 35 cycles from the first dose of the study treatment (approximately 2 years). Each cycle was 21 days.
Blood and lymphatic system disorders
Anaemia
57.9%
11/19 • Number of events 11 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Blood and lymphatic system disorders
Febrile neutropenia
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Blood and lymphatic system disorders
Lymphopenia
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Blood and lymphatic system disorders
Neutropenia
31.6%
6/19 • Number of events 13 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Cardiac disorders
Atrial fibrillation
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Ear and labyrinth disorders
Vertigo
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Endocrine disorders
Hypothyroidism
10.5%
2/19 • Number of events 2 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Gastrointestinal disorders
Abdominal discomfort
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Gastrointestinal disorders
Constipation
68.4%
13/19 • Number of events 15 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Gastrointestinal disorders
Diarrhoea
52.6%
10/19 • Number of events 12 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Gastrointestinal disorders
Lip dry
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Gastrointestinal disorders
Nausea
84.2%
16/19 • Number of events 21 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Gastrointestinal disorders
Stomatitis
10.5%
2/19 • Number of events 2 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Gastrointestinal disorders
Vomiting
10.5%
2/19 • Number of events 2 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
General disorders
Malaise
47.4%
9/19 • Number of events 11 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
General disorders
Oedema peripheral
10.5%
2/19 • Number of events 2 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
General disorders
Pyrexia
21.1%
4/19 • Number of events 5 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Hepatobiliary disorders
Hepatic function abnormal
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Immune system disorders
Hypersensitivity
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Infections and infestations
Gingivitis
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Infections and infestations
Herpes zoster
10.5%
2/19 • Number of events 2 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Investigations
Alanine aminotransferase increased
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Investigations
Amylase increased
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Investigations
Blood creatinine increased
10.5%
2/19 • Number of events 2 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Investigations
C-reactive protein increased
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Investigations
Creatinine renal clearance decreased
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Investigations
Lipase increased
10.5%
2/19 • Number of events 4 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Investigations
Lymphocyte count decreased
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Investigations
Neutrophil count decreased
21.1%
4/19 • Number of events 10 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Investigations
Weight decreased
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Investigations
White blood cell count decreased
36.8%
7/19 • Number of events 12 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Metabolism and nutrition disorders
Decreased appetite
26.3%
5/19 • Number of events 5 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Metabolism and nutrition disorders
Hyperglycaemia
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Metabolism and nutrition disorders
Hyperkalaemia
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Metabolism and nutrition disorders
Hypoalbuminaemia
10.5%
2/19 • Number of events 2 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Metabolism and nutrition disorders
Hyponatraemia
21.1%
4/19 • Number of events 8 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Metabolism and nutrition disorders
Hypophosphataemia
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Metabolism and nutrition disorders
Type 2 diabetes mellitus
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Musculoskeletal and connective tissue disorders
Arthralgia
15.8%
3/19 • Number of events 3 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Musculoskeletal and connective tissue disorders
Arthritis
10.5%
2/19 • Number of events 3 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Musculoskeletal and connective tissue disorders
Back pain
15.8%
3/19 • Number of events 3 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour associated fever
10.5%
2/19 • Number of events 2 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Nervous system disorders
Cognitive disorder
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Nervous system disorders
Dysgeusia
36.8%
7/19 • Number of events 10 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Nervous system disorders
Neuropathy peripheral
10.5%
2/19 • Number of events 2 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Nervous system disorders
Tremor
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Psychiatric disorders
Delirium
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Psychiatric disorders
Insomnia
21.1%
4/19 • Number of events 4 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Renal and urinary disorders
Renal impairment
15.8%
3/19 • Number of events 3 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Respiratory, thoracic and mediastinal disorders
Epistaxis
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Respiratory, thoracic and mediastinal disorders
Hiccups
26.3%
5/19 • Number of events 11 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Respiratory, thoracic and mediastinal disorders
Hypoxia
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Respiratory, thoracic and mediastinal disorders
Pneumonitis
15.8%
3/19 • Number of events 3 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Respiratory, thoracic and mediastinal disorders
Pneumothorax
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Skin and subcutaneous tissue disorders
Decubitus ulcer
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Skin and subcutaneous tissue disorders
Dry skin
26.3%
5/19 • Number of events 5 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Skin and subcutaneous tissue disorders
Eczema
10.5%
2/19 • Number of events 3 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Skin and subcutaneous tissue disorders
Rash
31.6%
6/19 • Number of events 9 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Skin and subcutaneous tissue disorders
Skin ulcer
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Vascular disorders
Hypertension
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Vascular disorders
Vascular pain
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Infections and infestations
Nasopharyngitis
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.
Infections and infestations
Pharyngitis
5.3%
1/19 • Number of events 1 • Up to approximately 34 months
All-cause mortality table includes all allocated participants. Serious and other AEs include all participants who received at least 1 dose of study intervention. Medical Dictionary for Regulatory Activities (MedDRA) preferred terms "Neoplasm progression", "Malignant neoplasm progression" and "Disease progression" not related to study treatment are excluded as AEs.

Additional Information

Senior Vice President, Global Clinical Development

Merck Sharp& Dohme LLC

Phone: 1-800-672-6372

Results disclosure agreements

  • Principal investigator is a sponsor employee If publication activity is not directed by the Sponsor, the investigator agrees to submit all manuscripts or abstracts to the Sponsor before submission. This allows the Sponsor to protect proprietary information and to provide comments.
  • Publication restrictions are in place

Restriction type: OTHER