Study of Pembrolizumab (MK-3475) Plus Enzalutamide Versus Placebo Plus Enzalutamide in Participants With Metastatic Castration-resistant Prostate Cancer (mCRPC) (MK-3475-641/KEYNOTE-641)
3期
已完成
NCT03834493
| 适应症 | Prostatic Neoplasms |
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| 分期 | 3期 |
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| 申办方 | Merck Sharp & Dohme LLC |
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| 状态 | 已完成 |
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| 受试者人数 | 1,244 人 |
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| 干预(药物) | Pembrolizumab, Enzalutamide |
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| 开始日期 | 2019年7月28日 |
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| 完成日期 | 2022年12月12日 |
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| 结果公布日 | 2023年12月20日 |
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摘要
The purpose of this study is to assess the efficacy and safety of the combination of pembrolizumab (MK-3475) and enzalutamide in the treatment of men with metastatic castration-resistant prostate cancer (mCRPC) who have not received chemotherapy for mCRPC, are abiraterone-naïve, or are intolerant to or progressed on abiraterone acetate. There are two primary study hypotheses. Hypothesis 1: The combination of pembrolizumab plus enzalutamide is superior to placebo plus enzalutamide with respect to Overall Survival (OS). Hypothesis 2: The combination of pembrolizumab plus enzalutamide is superior to placebo plus enzalutamide with respect to Radiographic Progression-free Survival (rPFS) per Prostate Cancer Working Group (PCWG)-modified Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as assessed by blinded independent central review.
Overall Survival (OS)
Up to 40 months (through database cut-off date of 12-Dec-2022) · Months
| Pembrolizumab + Enzalutamide | 24.7 Months |
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| Placebo + Enzalutamide | 27.3 Months |
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| p-value | 0.6621 |
| Hazard Ratio (HR) | 1.04 (95% CI 0.88–1.22) |
Radiographic Progression-free Survival (rPFS) Per Prostate Cancer Working Group (PCWG)-Modified Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review
Up to 40 months (through database cut-off date of 12-Dec-2022) · Months
| Pembrolizumab + Enzalutamide | 10.4 Months |
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| Placebo + Enzalutamide | 9.0 Months |
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| p-value | 0.4073 |
| Hazard Ratio (HR) | 0.98 (95% CI 0.84–1.14) |
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本页整理自 ClinicalTrials.gov 的公开数据,不构成医疗建议,也不构成投资建议。请务必咨询专业医师。