Safety and Efficacy Study of Pembrolizumab (MK-3475) as Monotherapy in the Adjuvant Treatment of Renal Cell Carcinoma Post Nephrectomy (MK-3475-564/KEYNOTE-564)



Status:Recruiting
Conditions:Cancer
Therapuetic Areas:Oncology
Healthy:No
Age Range:18 - Any
Updated:3/29/2019
Start Date:June 9, 2017
End Date:December 28, 2025
Contact:Toll Free Number
Email:Trialsites@merck.com
Phone:1-888-577-8839

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A Phase III, Randomized, Double-Blind, Placebo-Controlled Clinical Trial of Pembrolizumab (MK-3475) as Monotherapy in the Adjuvant Treatment of Renal Cell Carcinoma Post Nephrectomy (KEYNOTE-564)

The purpose of this study is to evaluate the safety and efficacy of pembrolizumab (MK-3475)
in the adjuvant treatment of adult participants who have undergone nephrectomy and have
intermediate-high risk, high risk, or M1 no evidence of disease (M1 NED) renal cell carcinoma
(RCC) with clear cell component.

The primary study hypothesis is that pembrolizumab is superior to placebo with respect to
Disease-free Survival (DFS) as assessed by the Investigator in male and female participants
with intermediate-high risk, high risk and M1 NED RCC.

Participants will be assigned to receive study treatment until disease recurrence,
unacceptable adverse events (AEs), intercurrent illness that prevents further administration
of treatment, Investigator's decision to withdraw the participant, noncompliance with study
treatment or procedural requirements, administrative reasons requiring cessation of
treatment, or until the participant has received 17 cycles of study treatment (approximately
1 year). Each cycle is 3 weeks long.

Inclusion Criteria:

- Has histologically confirmed diagnosis of RCC with clear cell component with or
without sarcomatoid features.

- Female participants of childbearing potential must be willing to use an adequate
method of contraception, for the course of the study through 120 days after the last
dose of study treatment.

- Male participants of childbearing potential must agree to use an adequate method of
contraception, starting with the first dose of study treatment through 120 days after
the last dose of study treatment.

- Has intermediate-high risk, high risk, or M1 NED RCC as defined by the following
pathological tumor-node-metastasis and Fuhrman grading status:

1. Intermediate-high risk RCC: pT2, Grade 4 or sarcomatoid, N0, M0; pT3, Any Grade,
N0, M0

2. High risk RCC: pT4, Any Grade N0, M0; pT, Any stage, Any Grade, N+, M0

3. M1 NED RCC participants who present not only with the primary kidney tumor but
also solid, isolated, soft tissue metastases that can be completely resected at
one of the following: the time of nephrectomy (synchronous) or, ≤1 year from
nephrectomy (metachronous).

- Has received no prior systemic therapy for advanced RCC.

- Has undergone a partial nephroprotective or radical complete nephrectomy (and complete
resection of solid, isolated, soft tissue metastatic lesion(s) in M1 NED participants)
with negative surgical margins.

- Must have undergone a nephrectomy and/or metastasectomy ≥28 days prior to signing
informed consent and ≤12 weeks prior to randomization.

- Must be tumor-free as assessed by the Investigator and validated by either computed
tomography (CT) or magnetic resonance imaging (MRI) scan of the brain and chest,
abdomen, and pelvis and a bone scan ≤28 days from randomization.

- Must have provided adequate tissue per the following: Nephrectomy only: tissue from
nephrectomy (required); Synchronous M1 NED: tissue from nephrectomy (required) AND,
metastasectomy tissue (if available); Metachronous M1 NED: tissue from metastasectomy
(required) AND, nephrectomy tissue (if available).

- Has an Eastern Cooperative Oncology Group Performance Status (ECOG PS) score of 0 or
1.

- Has adequate organ function.

Exclusion Criteria:

- Has had major surgery, other than nephrectomy and/or resection of pre-existing
metastases for M1 NED participants, within 12 weeks prior to randomization.

- Has received prior radiotherapy for RCC.

- Has pre-existing brain or bone metastatic lesions.

- Has residual thrombus post nephrectomy in the vena renalis or vena cava.

- 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 the first dose of study treatment.

- Has an active autoimmune disease that has required systemic treatment in past 2 years
(i.e., with use of disease modifying agents, corticosteroids, or immunosuppressive
drugs). Replacement therapy is allowed.

- Has a known additional malignancy that is progressing or required active treatment ≤3
years ago. 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 prostate cancer, or in situ
breast cancer that has undergone potentially curative therapy.

- Has a history of (non-infectious) pneumonitis that required steroids or has current
pneumonitis.

- Has an active infection requiring systemic therapy.

- Has a history of, or is currently on, dialysis.

- Has a known history of human immunodeficiency virus (HIV) infection.

- Has known active hepatitis B or hepatitis C virus infection.

- Has a known history of active tuberculosis (Bacillus tuberculosis).

- Has had a prior solid organ transplant.

- Has severe hypersensitivity (≥ Grade 3) to pembrolizumab and/or any of its excipients.

- 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 treatment.

- Has received prior therapy with an anti-programmed cell death protein 1 (anti-PD-1),
anti-programmed cell death-ligand 1 (anti-PD-L1), or anti-PD-L2 agent or with an agent
directed to another co-inhibitory T-cell receptor (i.e., cytotoxic
T-lymphocyte-associated protein 4 [CTLA-4], OX-40, CD137 [tumor necrosis factor
receptor superfamily member 9 (TNFRSF9)]) or has previously participated in a Merck
pembrolizumab (MK-3475) clinical trial.

- Has received prior anticancer therapy, monoclonal antibody, chemotherapy, or an
investigational agent or device within 4 weeks or 5 half-lives (whichever is longer)
before first dose of study treatment or not recovered (i.e., must be ≤ Grade 1 or at
Baseline) from AEs due to previously administered agents.

- Has received a live vaccine within 30 days prior to the first dose of study treatment.

- Is currently participating in or has participated in a study of an investigational
agent or has used an investigational device within 4 weeks prior to the first dose of
study treatment.
We found this trial at
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Durham, North Carolina 27710
(919) 684-8111
Phone: 919-681-9822
Duke University Younger than most other prestigious U.S. research universities, Duke University consistently ranks among...
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1201 Camino de Salud Northeast
Albuquerque, New Mexico 87131
(505) 272-4946
Phone: 505-925-0478
University of New Mexico Cancer Center It’s been 40 years since the New Mexico State...
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330 Brookline Ave
Boston, Massachusetts 02215
617-667-7000
Phone: 617-632-9245
Beth Israel Deaconess Medical Center Beth Israel Deaconess Medical Center (BIDMC) is one of the...
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3550 Jerome Avenue
Bronx, New York 10467
(718) 920-4321
Phone: 718-405-8405
Montefiore Medical Center As the academic medical center and University Hospital for Albert Einstein College...
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3900 W Avera Drive
Sioux Falls, South Dakota 57108
(605) 322-4700
Phone: 605-322-3018
Avera Cancer Institute Avera, the health ministry of the Benedictine and Presentation Sisters, is a...
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Ames, Iowa 50010
Phone: 515-239-2621
McFarland Clinic, PC It has been over 65 years since the founders of McFarland Clinic...
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500 S State St
Ann Arbor, Michigan 48109
(734) 764-1817
Phone: 734-232-0753
University of Michigan The University of Michigan was founded in 1817 as one of the...
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Aurora, Colorado 80012
Phone: 713-245-0474
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Austin, Texas 78731
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Baltimore, Maryland 21237
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Billings, Montana 59102
Phone: 406-238-6290
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Boca Raton, Florida 33486
Phone: 561-955-5630
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450 Brookline Avenue
Boston, Massachusetts 02215
Phone: 617-632-5261
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Bradenton, Florida 34205
Phone: 941-792-0340
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Charleston, South Carolina 29403
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171 Ashley Avenue
Charleston, South Carolina 29425
843-792-1414
Phone: 843-792-2306
Medical University of South Carolina The Medical University of South Carolina (MUSC) has grown from...
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5053 Wooster Rd
Cincinnati, Ohio 45226
(513) 751-2273
Phone: 713-245-0474
Oncology Hematology Care Our more than 60 physicians and advanced practice providers throughout neighborhood offices...
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Dallas, Texas 75246
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2201 Inwood Rd
Dallas, Texas 75235
(214) 645-8300
Phone: 410-502-4658
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Denton, Texas 76210
Phone: 281-863-6712
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2799 W Grand Blvd
Detroit, Michigan 48202
(313) 916-2600
Phone: 313-916-1784
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Detroit, Michigan 48201
Phone: 313-576-9703
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Easton, Pennsylvania 18045
Phone: 484-503-4157
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Edina, Minnesota 55435
Phone: 612-672-5233
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1717 13th St
Everett, Washington 98201
(425) 297-5500
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Providence Regional Cancer Partnership Founded in 2007, the Providence Regional Cancer Partnership is the result...
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Iowa City, Iowa 52242
Phone: 319-356-4568
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9280 W. Sunset Road Suite 100
Las Vegas, Nevada 89148
702.952.1251
Phone: 702-952-1251
Comprehensive Cancer Centers of Nevada Comprehensive Cancer Centers of Nevada (CCCN) is the award-winning multidisciplinary...
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1441 Eastlake Ave
Los Angeles, California 90033
(323) 865-3000
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600 Highland Ave.
Madison, Wisconsin 53792
(608) 263-6400
Phone: 608-263-7107
University of Wisconsin Carbone Cancer Center UW Carbone Cancer Center holds the unique distinction of...
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Marietta, Georgia 30060
Phone: 770-281-5156
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Minneapolis, Minnesota 55404
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Nashville, Tennessee 37209
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Niles, Illinois 60714
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5900 Lake Wright Dr
Norfolk, Virginia 23502
(757) 466-8683
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Virginia Oncology Associates Virginia Oncology Associates is an oncology and hematology practice of physicians, specializing...
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Omaha, Nebraska 68114
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Paris, Texas 75460
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Pensacola, Florida 32503
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Philadelphia, Pennsylvania 19104
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Phoenix, Arizona 85016
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Rockville, Maryland 20850
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860 Boulevard Oroño
Rosario, Santa Fe 2000
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Royal Oak, Michigan 48073
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Saint Louis Park, Minnesota 55426
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San Antonio, Texas 78229
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2219 Bath Street
Santa Barbara, California 93105
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825 Eastlake Avenue East
Seattle, Washington 98109
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Spokane, Washington 99218
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6001 North Mayfair Street
Spokane, Washington 99208
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Waco, Texas 76712
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3800 Reservoir Rd NW
Washington, District of Columbia 20007
(202) 687-7695
Phone: 202-687-1116
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2811 Tieton Drive
Yakima, Washington 98902
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