Study of Chemotherapy With Pembrolizumab (MK-3475) Followed by Maintenance With Olaparib (MK-7339) for the First-Line Treatment of Women With BRCA Non-mutated Advanced Epithelial Ovarian Cancer (EOC) (MK-7339-001/KEYLYNK-001/ENGOT-ov43/GOG-3036)

Sponsor
Merck Sharp & Dohme LLC (Industry)
Overall Status
Active, not recruiting
CT.gov ID
NCT03740165
Collaborator
European Network of Gynaecological Oncological Trial Groups (ENGOT) (Other), Gynecologic Oncology Group (Other)
1,284
227
3
77.4
5.7
0.1

Study Details

Study Description

Brief Summary

The purpose of this study is to assess the efficacy and safety of treatment with carboplatin/paclitaxel* PLUS pembrolizumab (MK-3475) and maintenance olaparib (MK-7339) in women with epithelial ovarian cancer (EOC), fallopian tube cancer, or primary peritoneal cancer.

The primary study hypotheses are that the combination of pembrolizumab plus carboplatin/paclitaxel* followed by continued pembrolizumab and maintenance olaparib is superior to carboplatin/paclitaxel alone with respect to Progression Free Survival (PFS) per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) in participants with programmed death-ligand 1 (PD-L1)-positive tumors (Combined Positive Score [CPS]≥10) and in all participants, and that the combination of pembrolizumab plus carboplatin/paclitaxel followed by continued pembrolizumab is superior to carboplatin/paclitaxel alone with respect to PFS per RECIST 1.1 in participants with PD-L1-positive tumors (CPS≥10) and in all participants.

Condition or Disease Intervention/Treatment Phase
Phase 3

Detailed Description

Following a lead-in period during which all participants receive a single 3-week cycle of carboplatin/paclitaxel*, participants will be randomly assigned in to one of three treatment arms:

  • Pembrolizumab + Olaparib,

  • Pembrolizumab + Placebo for Olaparib

  • Placebo for Pembrolizumab + Placebo for Olaparib

  • At Investigator's discretion and prior to participant randomization, one of the following carboplatin/paclitaxel regimens is to be selected:

  1. up to 5 cycles of carboplatin Area Under the Curve (AUC)5 or AUC6 AND paclitaxel 175 mg/m^2 on Day 1 of each 3-week cycle

  2. up to 5 cycles of carboplatin AUC5 or AUC6 on Day 1 of each 3-week cycle AND paclitaxel 80 mg/m^2 on Days 1, 8 and 15 of each 3-week cycle; or

  3. up to 5 cycles of carboplatin AUC2 or AUC2.7 AND paclitaxel 60 mg/m^2 on Days 1, 8 and 15 of each 3-week cycle.

Docetaxel may be considered for participants who experience either a severe hypersensitivity reaction to paclitaxel or an AE requiring discontinuation of paclitaxel only after consultation with the Sponsor. The recommended dose as determined by the Scottish Gynaecological Cancer Trials Group is Docetaxel 75 mg/m^2 Q3W plus carboplatin AUC 5 Q3W.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
1284 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Randomized Phase 3, Double-Blind Study of Chemotherapy With or Without Pembrolizumab Followed by Maintenance With Olaparib or Placebo for the First-Line Treatment of BRCA Non-mutated Advanced Epithelial Ovarian Cancer (EOC) (KEYLYNK-001 / ENGOT-ov43 / GOG-3036)
Actual Study Start Date :
Dec 18, 2018
Anticipated Primary Completion Date :
Oct 30, 2023
Anticipated Study Completion Date :
May 30, 2025

Arms and Interventions

Arm Intervention/Treatment
Experimental: Pembrolizumab + Olaparib

Participants receive carboplatin/paclitaxel via intravenous (IV) infusion for five 3-week cycles PLUS pembrolizumab 200 mg via IV infusion on Day 1 of each 3-week cycle for up to 35 cycles PLUS olaparib 300 mg via oral tablet twice each day (BID), starting with Cycle 7. Participants who experience severe hypersensitivity reaction to paclitaxel or an AE requiring discontinuation of paclitaxel may receive docetaxel (75 mg/m^2 Q3W) plus carboplatin AUC 5 Q3W after Sponsor consultation. Participants may also receive bevacizumab via IV infusion on Day 1 of each 3-week cycle at the Investigator's discretion.

Biological: Pembrolizumab
IV infusion
Other Names:
  • MK-3475
  • KEYTRUDA®
  • Drug: Carboplatin
    IV infusion
    Other Names:
  • PARAPLATIN®
  • Drug: Paclitaxel
    IV infusion
    Other Names:
  • TAXOL®
  • Drug: Olaparib
    Oral tablet
    Other Names:
  • MK-7339
  • LYNPARZA®
  • Biological: Bevacizumab
    IV infusion
    Other Names:
  • AVASTIN®
  • Drug: Docetaxel
    IV infusion

    Experimental: Pembrolizumab + Placebo for Olaparib

    Participants receive carboplatin/paclitaxel via IV infusion for five 3-week cycles starting in Cycle 1 PLUS pembrolizumab 200 mg via IV infusion on Day 1 of each 3-week cycle for up to 35 cycles PLUS placebo for olaparib via oral tablet BID, starting with Cycle 7. Participants who experience severe hypersensitivity reaction to paclitaxel or an AE requiring discontinuation of paclitaxel may receive docetaxel (75 mg/m^2 Q3W) plus carboplatin AUC 5 Q3W after Sponsor consultation. Participants may also receive bevacizumab via IV infusion on Day 1 of each 3-week cycle at the Investigator's discretion.

    Biological: Pembrolizumab
    IV infusion
    Other Names:
  • MK-3475
  • KEYTRUDA®
  • Drug: Carboplatin
    IV infusion
    Other Names:
  • PARAPLATIN®
  • Drug: Paclitaxel
    IV infusion
    Other Names:
  • TAXOL®
  • Drug: Placebo for olaparib
    Oral tablet

    Biological: Bevacizumab
    IV infusion
    Other Names:
  • AVASTIN®
  • Drug: Docetaxel
    IV infusion

    Active Comparator: Placebo for Pembrolizumab + Placebo for Olaparib

    Participants receive carboplatin/paclitaxel via IV infusion for five 3-week cycles PLUS placebo for pembrolizumab (normal saline or dextrose) via IV infusion on Day 1 of each 3-week cycle for up to 35 cycles PLUS placebo for olaparib via oral tablet BID, starting with Cycle 7. Participants who experience severe hypersensitivity reaction to paclitaxel or an AE requiring discontinuation of paclitaxel may receive docetaxel (75 mg/m^2 Q3W) plus carboplatin AUC 5 Q3W after Sponsor consultation. Participants may also receive bevacizumab via IV infusion on Day 1 of each 3-week cycle at the Investigator's discretion.

    Drug: Placebo for pembrolizumab
    IV infusion
    Other Names:
  • normal saline or dextrose
  • Drug: Carboplatin
    IV infusion
    Other Names:
  • PARAPLATIN®
  • Drug: Paclitaxel
    IV infusion
    Other Names:
  • TAXOL®
  • Drug: Placebo for olaparib
    Oral tablet

    Biological: Bevacizumab
    IV infusion
    Other Names:
  • AVASTIN®
  • Drug: Docetaxel
    IV infusion

    Outcome Measures

    Primary Outcome Measures

    1. Progression-Free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by the Investigator in Participants with Programmed Death-Ligand 1 (PD-L1)-Positive Tumors (Combined Positive Score [CPS]≥10) Tumors [Up to approximately 57 months]

      PFS is defined as the time from randomization to the first documented progressive disease (PD) per RECIST 1.1 based on Investigator assessment or death due to any cause, whichever occurs first. Per RECIST 1.1, PD is defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of ≥5 mm. Note: The appearance of one or more lesions and the unequivocal progression of non-target lesions is also considered PD. The PFS per RECIST 1.1 as assessed by the Investigator will be reported for participants with PD-L1-positive (CPS≥10) tumors.

    2. PFS Per RECIST 1.1 as Assessed by the Investigator in All Participants [Up to approximately 57 months]

      PFS is defined as the time from randomization to the first documented progressive disease (PD) per RECIST 1.1 based on Investigator assessment or death due to any cause, whichever occurs first. Per RECIST 1.1, PD is defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of ≥5 mm. Note: The appearance of one or more lesions and the unequivocal progression of non-target lesions is also considered PD. The PFS per RECIST 1.1 as assessed by the Investigator will be reported for all participants.

    Secondary Outcome Measures

    1. Overall Survival (OS) in All Participants [Up to approximately 6 years]

      OS is defined as the time from the date of randomization to death due to any cause. The OS will be reported for all participants.

    2. PFS Per RECIST 1.1 as Assessed by Blinded Independent Central Review (BICR) in Participants with PD-L1-Positive Tumors (CPS≥10) Tumors [Up to approximately 57 months]

      PFS is defined as the time from randomization to the first documented disease progression per RECIST 1.1 based on blinded independent central review assessment or death due to any cause, whichever occurs first. Per RECIST 1.1, PD is defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of ≥5 mm. Note: The appearance of one or more lesions and the unequivocal progression of non-target lesions is also considered PD. The PFS per RECIST 1.1 as assessed by blinded independent central review will be reported for participants with PD-L1-positive (CPS≥10) tumors.

    3. PFS Per RECIST 1.1 as Assessed by BICR in All Participants [Up to approximately 57 months]

      PFS is defined as the time from randomization to the first documented disease progression per RECIST 1.1 based on blinded independent central review assessment or death due to any cause, whichever occurs first. Per RECIST 1.1, PD is defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of ≥5 mm. Note: The appearance of one or more lesions and the unequivocal progression of non-target lesions is also considered PD. The PFS per RECIST 1.1 as assessed by blinded independent central review will be reported for all participants.

    4. PFS After Next-line Treatment (PFS2) Following Discontinuation of Study Treatment as Assessed by the Investigator in Participants with PD-L1-Positive Tumors (CPS≥10) Tumors [Up to approximately 78 months]

      PFS2 is defined as the time from randomization until PD on next-line treatment or death due to any cause, whichever occurs first. The PFS2 per Investigator assessment will be reported for participants with PD-L1-positive (CPS≥10) tumors.

    5. PFS2 Following Discontinuation of Study Treatment as Assessed by the Investigator in All Participants [Up to approximately 78 months]

      PFS2 is defined as the time from randomization until PD on next-line treatment or death due to any cause, whichever occurs first. The PFS2 per Investigator assessment will be reported for all participants.

    6. Number of Participants Who Experience an Adverse Event (AE) [Up to approximately 73 months]

      An AE is any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. The number of participants who experience an AE will be reported.

    7. Number of Participants Who Discontinue Study Treatment Due to an AE [Up to approximately 6 years]

      An AE is any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. The number of participants who discontinue study treatment due to an AE will be reported.

    8. Change from Baseline in Global Health Status/Quality of Life (GHS/QoL) Score Using Questions from the European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Core 30 (QLQ-C30) [Baseline and End of Study Participation (Up to approximately 6 years)]

      Participants are asked to answer 2 questions from the EORTC QLQ-C30 about their GHS: "How would you rate your overall health during the past week?" and "How would you rate your overall quality of life during the past week?" Responses are based on a 7-point scale (1=Very poor; 7=Excellent), with a higher score indicating a better global health status. The change from baseline in GHS/QoL score of participants will be reported.

    9. Change from Baseline in Abdominal and Gastrointestinal (Abdominal/GI) Symptoms Score Using the EORTC Quality of Life Questionnaire-Ovarian Cancer (QLQ-OV28) Abdominal/GI Symptom Scale [Baseline and End of Study Participation (Up to approximately 6 years)]

      Participants are asked to answer 6 questions from the EORTC QoL Questionnaire-Ovarian Cancer (QLQ-OV28) abdominal/GI symptom scale about abdominal pain, bloated feeling in abdomen/stomach, changes in clothing fit, changes in bowel habit, flatulence and stomach fullness when eating. Responses are based on a 4-point scale (1=Not at all; 4=Very much), with a lower score indicating better abdominal/GI symptoms. The change from baseline in abdominal/GI symptom score of participants will be reported.

    10. Time to First Subsequent Anti-cancer Treatment (TFST) [Up to approximately 6 years]

      TFST is defined as the time from randomization to initiation of first subsequent anti-cancer treatment or death due to any cause, whichever occurs first. The TFST will be reported.

    11. Time to Second Subsequent Anti-cancer Treatment (TSST) [Up to approximately 6 years]

      TSST is defined as the time from randomization to initiation of second subsequent anti-cancer treatment or death due to any cause, whichever occurs first. The TSST will be reported.

    12. Time to Discontinuation of Study Treatment or Death (TDT) [Up to approximately 6 years]

      TDT is defined as the time from the date of randomization to discontinuation of study treatment or death due to any cause, whichever occurs first. The TDT will be reported.

    13. Pathological Complete Response (pCR) Rate [Up to approximately 30 months]

      pCR is defined as all surgical specimens collected during the interval debulking surgery are microscopically negative for malignancy. The pCR rate for all surgical specimens will be reported.

    14. Time Without Symptom of Disease Progression or Toxicity of Treatment (TWiST) [Up to approximately 6 years]

      TWiST is defined as the time from randomization to disease progression or treatment-related toxicity, whichever occurs first. The TWiST will be reported.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    Female
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Has histologically confirmed International Federation of Gynecology and Obstetrics (FIGO) Stage III or Stage IV EOC (high-grade predominantly serous, endometrioid (any grade), carcinosarcoma, mixed mullerian with high-grade serous component, clear cell, or low-grade serous OC), primary peritoneal cancer, or fallopian tube cancer

    • Has just completed primary debulking surgery or is eligible for primary debulking surgery or is a potential candidate for interval debulking surgery

    • Is a candidate for carboplatin and paclitaxel chemotherapy, to be administered in the adjuvant or neoadjuvant setting

    • Candidates for neoadjuvant chemotherapy, has a cancer antigen 125 (CA-125) (kilounits/L):carcinoembryonic antigen (CEA; ng/mL) ratio greater than or equal to 25

    • Is able to provide a newly obtained core or excisional biopsy of a tumor lesion for prospective testing of BRCA1/2 and Programmed Cell Death-Ligand 1 (PD-L1) tumor markers status prior to randomization

    • Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1, as assessed within 7 days prior to initiating chemotherapy in the lead-in period and within 3 days prior to Day 1 of Cycle 1

    • Female participants are not pregnant, not breastfeeding, and at least 1 of the following conditions applies: a.) Not a woman of childbearing potential (WOCBP) OR b.) Is a WOCBP and using a contraceptive method that is highly effective, with low user dependency, or be abstinent from heterosexual intercourse as their preferred and usual lifestyle, during the Treatment Period and for at least 120 days following the last dose of pembrolizumab (or pembrolizumab placebo) and bevacizumab (if administered), at least 180 days following the last dose of olaparib (or olaparib placebo), and at least 210 days following the last dose of chemotherapy and agrees not to donate eggs (ova, oocytes) to others or freeze/store for her own use for the purpose of reproduction during this period. The investigator should evaluate the potential for contraceptive method failure in relationship to the first dose of study treatment. A WOCBP must have a negative highly sensitive pregnancy test within either 24 hours (urine) or 72 hours (serum) before the first dose of study treatment. If a urine test cannot be confirmed as negative, a serum pregnancy test is required. The investigator is responsible for review of medical history, menstrual history, and recent sexual activity to decrease the risk for inclusion of a woman with an early undetected pregnancy. Contraceptive use by women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies

    • Has adequate organ function

    Exclusion Criteria:
    • Has mucinous, germ cell, or borderline tumor of the ovary

    • Has a known or suspected deleterious mutation (germline or somatic) in either BRCA1 or BRCA2

    • Has a history of non-infectious pneumonitis that required treatment with steroids or currently has pneumonitis

    • Has either myelodysplastic syndrome (MDS)/acute myeloid leukemia (AML) or has features suggestive of MDS/AML

    • Has a known additional malignancy that is progressing or has required active treatment in the last 3 years Note: Participants with basal cell carcinoma of the skin, squamous cell carcinoma of the skin, or carcinoma in situ (e.g. ductal carcinoma in situ, cervical carcinoma in situ) that has undergone potentially curative therapy are not excluded.

    • Has ongoing Grade 3 or Grade 4 toxicity, excluding alopecia, following chemotherapy administered during the lead-in period

    • Has known active central nervous system metastases and/or carcinomatous meningitis. Participants with brain metastases may participate provided they were previously treated (except with chemotherapy) and are radiologically stable, clinically stable, and no steroids were used for the management of symptoms related to brain metastases within 14 days prior to randomization. Stable brain metastases should be established prior to the first dose of study medication lead-in chemotherapy

    • Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (dosing >10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy within 7 days prior to randomization

    • Has an active autoimmune disease that has required systemic treatment in the past 2 years (i.e., with use of disease modifying agents, corticosteroids or immunosuppressive drugs) Note: Replacement therapy (e.g. thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency) is not considered a form of systemic treatment and is allowed.

    • Has a known history of active tuberculosis (TB; Bacillus Tuberculosis)

    • Has an active infection requiring systemic therapy

    • Has received colony-stimulating factors (eg, granulocyte colony stimulating factor [G-CSF], granulocyte macrophage colony-stimulating factor [GM-CSF] or recombinant erythropoietin) within 4 weeks prior to receiving chemotherapy during the lead-in period

    • Is considered to be of poor medical risk due to a serious, uncontrolled medical disorder, non-malignant systemic disease or active, uncontrolled infection

    • Has had surgery to treat borderline tumors, early stage EOC, or early stage fallopian tube cancer <6 months prior to screening

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

    • Has a known history of hepatitis B (defined as hepatitis B surface antigen [HBsAg] reactive) or known active hepatitis C virus (defined as HCV RNA [qualitative] is detected) infection. Testing for hepatitis B or hepatitis C is required at screening only if mandated by local health authority. Note: Participants with a history of hepatitis B but who are HBsAg negative are eligible for the study

    • Is either unable to swallow orally administered medication or has a gastrointestinal (GI) disorder affecting absorption (e.g. gastrectomy, partial bowel obstruction, malabsorption)

    • Has uncontrolled hypertension

    • Has current, clinically relevant bowel obstruction (including sub-occlusive disease), abdominal fistula or GI perforation, related to underlying EOC (for participants receiving bevacizumab)

    • Has a history of hemorrhage, hemoptysis or active GI bleeding within 6 months prior to randomization (for participants receiving bevacizumab)

    • Is a WOCBP who has a positive urine pregnancy test within 72 hours before the first dose of chemotherapy in the lead-in period and within 72 hours prior to Day 1 of Cycle 1, is pregnant or breastfeeding, or is expecting to conceive children within the projected duration of the study, starting with screening through 120 days following the last dose of pembrolizumab (or pembrolizumab placebo) and bevacizumab (if administered), at least 180 days following the last dose of olaparib (or olaparib placebo), and at least 210 days following the last dose of chemotherapy

    • Has received prior treatment for any stage of OC, including radiation or systemic anti-cancer therapy (e.g. chemotherapy, hormonal therapy, immunotherapy, investigational therapy)

    • Has received prior therapy with an anti-Programmed Cell Death-1 (anti-PD-1), anti-PD-L1, or anti-PD-L2 agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor (e.g. cytotoxic T lymphocyte antigen-4 [CTLA-4], OX 40, CD137)

    • Has received prior therapy with either olaparib or any other poly(adenosine-ribose) polymerase (PARP) inhibitor

    • Has intraperitoneal chemotherapy planned or has been administered as first-line therapy

    • Has received a live vaccine within 30 days prior to the first dose of study treatment on Day 1 of Cycle 1

    • Has severe hypersensitivity (≥Grade 3) to pembrolizumab, olaparib, carboplatin, paclitaxel or bevacizumab (if using) and/or any of their excipients

    • Is currently receiving either strong (e.g. itraconazole, telithromycin, clarithromycin, protease inhibitors boosted with ritonavir or cobicistat, indinavir, saquinavir, nelfinavir, boceprevir, telaprevir) or moderate (eg, ciprofloxacin, erythromycin, diltiazem, fluconazole, verapamil) inhibitors of cytochrome P450 (CYP)3A4 that cannot be discontinued for the duration of the study

    • Is currently receiving either strong (e.g. phenobarbital, phenytoin, rifampicin, rifabutin, rifapentine, carbamazepine, nevirapine, and St John's Wort) or moderate (e.g. bosentan, efavirenz, modafinil) inducers of CYP3A4 that cannot be discontinued for the duration of the study

    • Has received whole blood transfusions in the last 120 days prior to randomization

    • Is currently participating or has participated in a study of an investigational agent or has used an investigational device within 4 weeks (28 days) of starting chemotherapy in the Lead-in Period

    • Has resting electrocardiogram (ECG) indicating uncontrolled, potentially reversible cardiac conditions or participant has congenital long QT syndrome

    • Has had an allogenic tissue/solid organ transplant, has received previous allogenic bone-marrow transplant, or has received double umbilical cord transplantation

    • Either has had major surgery within 3 weeks of randomization or has not recovered from any effects of any major surgery

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 University of Alabama at Birmingham (UAB) ( Site 0036) Birmingham Alabama United States 35233
    2 University of Arizona Cancer Center ( Site 0074) Tucson Arizona United States 85719
    3 Disney Family Cancer Center ( Site 0042) Burbank California United States 91505
    4 Kaiser Permanente Oncology Clinical Trial -Oakland ( Site 0077) Oakland California United States 94611
    5 Kaiser Permanente Oncology Clinical Trials-Roseville ( Site 0084) Roseville California United States 95661
    6 Kaiser Permanente Oncology Clinical Trials-Sacramento ( Site 0083) Sacramento California United States 95814
    7 Kaiser Permanente Oncology Clinical Trial - San Francisco ( Site 0078) San Francisco California United States 94115
    8 Kaiser Permanente Oncology Clinical Trial - Santa Clara ( Site 0079) Santa Clara California United States 95051
    9 Kaiser Permanente N. CA Regional Oncology Clinical Trials ( Site 0008) Vallejo California United States 94589
    10 Kaiser Permanente Oncology Clinical Trial - Walnut Creek ( Site 0080) Walnut Creek California United States 94596
    11 Smilow Cancer Center at Yale-New Haven ( Site 0057) New Haven Connecticut United States 06511
    12 Sarasota Memorial Hospital ( Site 0023) Sarasota Florida United States 34239
    13 Emory School of Medicine ( Site 0053) Atlanta Georgia United States 30322
    14 Northeast Georgia Medical Center ( Site 0029) Gainesville Georgia United States 30501
    15 Memorial Health University Medical Center ( Site 0011) Savannah Georgia United States 31404
    16 Rush University Medical Center ( Site 0019) Chicago Illinois United States 60612
    17 University of Chicago ( Site 0049) Chicago Illinois United States 60637
    18 Dr. Sudarshan K. Sharma, LTD ( Site 0061) Hinsdale Illinois United States 60521
    19 Saint Vincent Hospital and Health Center ( Site 0012) Indianapolis Indiana United States 46260
    20 University of Iowa Hospital and Clinics ( Site 0005) Iowa City Iowa United States 52242
    21 University of Kentucky ( Site 0045) Lexington Kentucky United States 40536
    22 Weinberg Cancer Institute at Franklin Square ( Site 0035) Baltimore Maryland United States 21237
    23 Saint Dominic - Jackson Memorial Hospital ( Site 0072) Jackson Mississippi United States 39216
    24 Washington University - School of Medicine ( Site 0062) Saint Louis Missouri United States 63110
    25 Nebraska Methodist Hospital ( Site 0063) Omaha Nebraska United States 68114
    26 Dartmouth Hitchcock Medical Center ( Site 0024) Lebanon New Hampshire United States 03756
    27 MD Anderson Cancer Center at Cooper ( Site 0067) Camden New Jersey United States 08103
    28 Holy Name Medical Center ( Site 0037) Teaneck New Jersey United States 07666
    29 Northwell Health- Monter Cancer Center ( Site 0075) Lake Success New York United States 11042
    30 Sanford Roger Maris Cancer Center ( Site 0082) Fargo North Dakota United States 58122
    31 Miami Valley Hospital [Dayton, OH] ( Site 0073) Centerville Ohio United States 45459
    32 Oncology/Hematology Care Clinical Trials, LLC ( Site 8001) Cincinnati Ohio United States 45242
    33 The Bing Cancer Center ( Site 0044) Columbus Ohio United States 43214
    34 OSU Wexner Medical Center ( Site 0076) Hilliard Ohio United States 43026
    35 Women and Infants Hospital [Providence, RI] ( Site 0039) Providence Rhode Island United States 02905
    36 Sanford Gynecology Oncology ( Site 0004) Sioux Falls South Dakota United States 57104
    37 Texas Oncology, P.A. - Bedford ( Site 8005) Bedford Texas United States 76022
    38 Texas Oncology-Dallas Presbyterian Hospital ( Site 8004) Dallas Texas United States 75231
    39 Parkland Hospital ( Site 0081) Dallas Texas United States 75235
    40 UT Southwestern Medical Center ( Site 0046) Dallas Texas United States 75390
    41 Texas Oncology, P.A. Texas Oncology-Tyler ( Site 8006) Tyler Texas United States 75702
    42 Virginia Cancer Specialists, PC ( Site 8003) Gainesville Virginia United States 20155
    43 MEDICAL COLLEGE OF WISCONSIN ( Site 0064) Milwaukee Wisconsin United States 53226
    44 St George Hospital ( Site 2207) Kogarah New South Wales Australia 2217
    45 Cairns and Hinterland Hospital and Health Service ( Site 2201) Cairns Queensland Australia 4870
    46 Ballarat Health Services ( Site 2202) Ballarat Victoria Australia 3350
    47 Monash Health ( Site 2204) Clayton Victoria Australia 3168
    48 Sunshine Hospital. ( Site 2205) St Albans Victoria Australia 3021
    49 Imelda Ziekenhuis Bonheiden ( Site 0301) Bonheiden Antwerpen Belgium 1932
    50 UZ Leuven Campus Gasthuisberg ( Site 0306) Leuven Antwerpen Belgium 3000
    51 Cliniques Universitaires Saint-Luc ( Site 0312) Brussels Bruxelles-Capitale, Region De Belgium 1200
    52 Grand Hopital de Charleroi ( Site 0302) Charleroi Hainaut Belgium 6000
    53 CHU de Liege ( Site 0310) Liège Liege Belgium 4000
    54 Jessa Ziekenhuis ( Site 0309) Hasselt Limburg Belgium 3500
    55 Centre Hospitalier de l'Ardenne ( Site 0303) Libramont Luxembourg Belgium 6800
    56 AZ Maria Middelares Gent ( Site 0300) Gent Oost-Vlaanderen Belgium 9000
    57 UZ Gent ( Site 0307) Gent Oost-Vlaanderen Belgium 9000
    58 Instituto do Cancer do Ceara ( Site 2707) Fortaleza Ceara Brazil 60430-230
    59 Hospital Araujo Jorge Associacao de Combate ao Cancer de Goias ( Site 2708) Goiania Goias Brazil 74605-070
    60 Hospital Erasto Gaertner ( Site 2716) Curitiba Parana Brazil 82520-060
    61 Hospital de Caridade de Ijui ( Site 2712) Ijui Rio Grande Do Sul Brazil 98700-000
    62 Hospital Bruno Born ( Site 2704) Lajeado Rio Grande Do Sul Brazil 95900-000
    63 Hospital Nossa Senhora Da Conceicao ( Site 2703) Porto Alegre Rio Grande Do Sul Brazil 91350-200
    64 Instituto Nacional de Cancer Hospital do Cancer II ( Site 2700) Rio de Janeiro Brazil 20220-410
    65 Instituto do Cancer do Estado de Sao Paulo - ICESP ( Site 2714) Sao Paulo Brazil 01246-000
    66 Clinica de Pesquisas e Ctro de Estudos Onc. Ginecol. e Mamaria Ltda ( Site 2706) Sao Paulo Brazil 01317-000
    67 Real e Benemerita Associacao Portuguesa de Beneficencia ( Site 2710) Sao Paulo Brazil 01321-001
    68 Tom Baker Cancer Centre ( Site 0200) Calgary Alberta Canada T2N 4N2
    69 Kingston Health Sciences Centre ( Site 0207) Kingston Ontario Canada K7L 2V7
    70 The Credit Valley Hospital ( Site 0206) Mississauga Ontario Canada L5M 2N1
    71 Princess Margaret Hospital.. ( Site 0202) Toronto Ontario Canada M5G 2M9
    72 CIUSSS du Saguenay-Lac-St-Jean ( Site 0218) Chicoutimi Quebec Canada G7H 5H6
    73 CIUSSS de l Est de L Ile de Montreal - Hopital Maisonneuve-Rosemont ( Site 0219) Montreal Quebec Canada H1T 2M4
    74 Centre Hospitalier de l Universite de Montreal - CHUM ( Site 0208) Montreal Quebec Canada H2X 0A9
    75 Royal Victoria Hospital McGill University Health Centre ( Site 0211) Montreal Quebec Canada H4A 3J1
    76 Centro Investigación del Cáncer James Lind ( Site 2810) Temuco Araucania Chile 4780000
    77 Centro de Investigacion y desarrollo Oncologico SpA - CIDO SpA ( Site 2808) Temuco Araucania Chile 4810218
    78 Fundacion Arturo Lopez Perez FALP ( Site 2800) Santiago Region M. De Santiago Chile 7500922
    79 Sociedad Oncovida S.A. ( Site 2807) Santiago Region M. De Santiago Chile 7510032
    80 Iram Cancer Research ( Site 2809) Santiago Region M. De Santiago Chile 7630370
    81 Pontificia Universidad Catolica de Chile ( Site 2805) Santiago Region M. De Santiago Chile 8330032
    82 Oncocentro ( Site 2801) Vina del Mar Valparaiso Chile 2520598
    83 Centro Oncologico Antofagasta ( Site 2804) Antofagasta Chile 1240000
    84 Biomelab S A S ( Site 2900) Barranquilla Atlantico Colombia 080002
    85 Sociedad de Oncología Y Hematología del Cesar S.A.S. ( Site 2913) Valledupar Cesar Colombia 200001
    86 Oncomedica S.A. ( Site 2911) Monteria Cordoba Colombia 230002
    87 Instituto Nacional de Cancerologia E.S.E ( Site 2910) Bogota Distrito Capital De Bogota Colombia 110321
    88 Clinica Colsanitas S.A. Sede Clinica Universitaria Colombia ( Site 2912) Bogota Distrito Capital De Bogota Colombia 111321
    89 Centro Medico Imbanaco de Cali S.A ( Site 2909) Cali Valle Del Cauca Colombia 760042
    90 Hemato Oncologos S.A. ( Site 2906) Cali Valle Del Cauca Colombia 760042
    91 Fakultni nemocnice Brno ( Site 0404) Brno Brno-mesto Czechia 602 00
    92 Fakultni nemocnice Ostrava ( Site 0403) Ostrava-Poruba Moravskoslezsky Kraj Czechia 708 52
    93 Vseobecna fakultni nemocnice v Praze ( Site 0400) Praha Praha, Hlavni Mesto Czechia 120 00
    94 Nemocnice Na Bulovce ( Site 0401) Praha Praha, Hlavni Mesto Czechia 180 81
    95 Fakultni nemocnice Olomouc ( Site 0402) Olomouc Czechia 779 00
    96 Hopital Prive Jean Mermoz ( Site 0607) Lyon Auvergne France 69008
    97 Centre Paul Strauss ( Site 0615) Strasbourg Bas-Rhin France 67065
    98 Hopital de la Timone ( Site 0617) Marseille Bouches-du-Rhone France 13005
    99 CHU de Brest -Site Hopital Morvan ( Site 0616) Brest Bretagne France 29200
    100 Institut de Cancerologie du Gard - CHU Caremeau ( Site 0610) Nimes Gard France 30029
    101 Institut de Cancerologie Lucien Neuwirth ( Site 0613) Saint-Priest-en-Jarez Loire France 42270
    102 Centre D Oncologie de Gentilly ( Site 0609) Nancy Meurthe-et-Moselle France 54100
    103 Institut Gustave Roussy ( Site 0600) Villejuif Val-de-Marne France 94800
    104 Hopital Tenon ( Site 0612) Paris France 75020
    105 Marienhospital Stuttgart Vincenz von Paul Kliniken gGmbH ( Site 0707) Stuttgart Baden-Wurttemberg Germany 70199
    106 Klinikum Rechts der Isar. Technischen Universitaet Muenchen ( Site 0710) Muenchen Bayern Germany 72074
    107 Uniklinik RWTH Aachen ( Site 0718) Aachen Nordrhein-Westfalen Germany 52074
    108 Gynaekologisches Zentrum ( Site 0712) Bonn Nordrhein-Westfalen Germany 53111
    109 Klinikum Dortmund gGmbH ( Site 0717) Dortmund Nordrhein-Westfalen Germany 44137
    110 Universitaetsklinikum Duesseldorf ( Site 0704) Duesseldorf Nordrhein-Westfalen Germany 40225
    111 HELIOS Klinikum Krefeld ( Site 0715) Krefeld Nordrhein-Westfalen Germany 47805
    112 Universitaetsklinikum Muenster ( Site 0720) Muenster Nordrhein-Westfalen Germany 48149
    113 Caritas Klinikum Saarbruecken St. Theresia ( Site 0702) Saarbruecken Saarland Germany 66113
    114 Klinikum Chemnitz gGmbH ( Site 0711) Chemnitz Sachsen Germany 09116
    115 Staedtisches Krankenhaus Kiel GmbH ( Site 0709) Kiel Schleswig-Holstein Germany 24116
    116 Charite Campus Virchow-Klinikum - CVK ( Site 0700) Berlin Germany 13353
    117 Pecsi Tudomanyegyetem Klinikai Kozpont ( Site 0805) Pecs Baranya Hungary 7624
    118 Borsod-Abauj-Zemplen Megyei Korhaz es Egyetemi Oktato Korhaz ( Site 0802) Miskolc Borsod-Abauj-Zemplen Hungary 1051
    119 Orszagos Onkologiai Intezet ( Site 0800) Budapest Hungary 1122
    120 Uzsoki Utcai Korhaz ( Site 0803) Budapest Hungary 1145
    121 Debreceni Egyetem Klinikai Kozpont ( Site 0801) Debrecen Hungary 4032
    122 Soroka Medical Center ( Site 1006) Beer-Sheva Israel 8410101
    123 Hillel Yaffe Medical Center ( Site 1011) Hadera Israel 3810101
    124 Carmel Medical Center ( Site 1007) Haifa Israel 3436212
    125 Rambam Medical Center ( Site 1002) Haifa Israel 3525408
    126 Edith Wolfson Medical Center ( Site 1003) Holon Israel 5822012
    127 Shaare Zedek Medical Center ( Site 1005) Jerusalem Israel 9103102
    128 Rabin Medical Center ( Site 1004) Petah Tikva Israel 4941492
    129 Chaim Sheba Medical Center ( Site 1000) Ramat Gan Israel 5262000
    130 Sourasky Medical Center ( Site 1001) Tel Aviv Israel 6423906
    131 IRCCS Giovanni Paolo II. Ospedale Oncologico ( Site 1108) Bari Abruzzo Italy 70124
    132 Istituto Europeo di Oncologia ( Site 1100) Milano Lombardia Italy 20141
    133 A.O.U. Citta della Salute e della Scienza di Torino ( Site 1104) Torino Piemonte Italy 10126
    134 Istituto Oncologico Veneto IRCCS ( Site 1113) Padova Veneto Italy 35128
    135 Sacro Cuore di Gesu Fatebenefratelli ( Site 1112) Benevento Italy 82100
    136 Ospedale Cannizzaro ( Site 1110) Catania Italy 95126
    137 ASST Lecco. Ospedale A. Manzoni ( Site 1101) Lecco Italy 23900
    138 Fondazione IRCCS Istituto Nazionale dei Tumori di Milano ( Site 1115) Milano Italy 20133
    139 A.O.U. Federico II di Napoli ( Site 1107) Napoli Italy 80131
    140 Azienda Ospedaliera Policlinico Umberto I ( Site 1111) Roma Italy 00161
    141 Policlinico Universitario Gemelli ( Site 1105) Roma Italy 00168
    142 Presidio Ospedaliero Santa Chiara ( Site 1109) Trento Italy 38122
    143 A.O. Univ. S. M. della Misericordia ( Site 1114) Udine Italy 33100
    144 National Cancer Center Hospital East ( Site 2602) Kashiwa Chiba Japan 277-8577
    145 National Hospital Organization Shikoku Cancer Center ( Site 2601) Matsuyama Ehime Japan 791-0280
    146 Ehime University Hospital ( Site 2600) Toon Ehime Japan 791-0295
    147 Gunma Prefectural Cancer Center ( Site 2609) Ota Gunma Japan 373-8550
    148 Hokkaido University Hospital ( Site 2607) Sapporo Hokkaido Japan 060-8648
    149 Iwate Medical University Hospital ( Site 2606) Shiwa-gun Iwate Japan 028-3695
    150 St. Marianna University School of Medicine Hospital ( Site 2613) Kawasaki Kanagawa Japan 216-8511
    151 University of the Ryukyus Hospital ( Site 2616) Nakagami-gun Okinawa Japan 903-0215
    152 Saitama Medical University International Medical Center ( Site 2604) Hidaka Saitama Japan 350-1298
    153 Saitama Cancer Center ( Site 2614) Kitaadachi-gun Saitama Japan 362-0806
    154 National Defense Medical College Hospital ( Site 2608) Tokorozawa Saitama Japan 359-8513
    155 Kyorin University Hospital ( Site 2610) Mitaka Tokyo Japan 181-8611
    156 Kagoshima City Hospital ( Site 2612) Kagoshima Japan 890-8760
    157 Niigata Cancer Center Hospital ( Site 2618) Niigata Japan 951-8566
    158 Osaka International Cancer Institute ( Site 2617) Osaka Japan 541-8567
    159 National Cancer Center Hospital ( Site 2605) Tokyo Japan 104-0045
    160 Seoul National University Bundang Hospital ( Site 2404) Seongnam-si Kyonggi-do Korea, Republic of 13620
    161 Seoul National University Hospital ( Site 2403) Seoul Korea, Republic of 03080
    162 Severance Hospital Yonsei University Health System ( Site 2400) Seoul Korea, Republic of 03722
    163 Asan Medical Center ( Site 2402) Seoul Korea, Republic of 05505
    164 Samsung Medical Center ( Site 2401) Seoul Korea, Republic of 06351
    165 Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy w Warszawie ( Warszawa Mazowieckie Poland 02-781
    166 Bialostockie Centrum Onkologii ( Site 1412) Bialystok Podlaskie Poland 15-027
    167 Szpitale Pomorskie Sp. z o.o. ( Site 1407) Gdynia Pomorskie Poland 81-519
    168 Narodowy Instytut Onkologii - Oddzial w Gliwicach ( Site 1406) Gliwice Slaskie Poland 44-102
    169 Swietokrzyskie Centrum Onkologii SPZOZ ( Site 1410) Kielce Swietokrzyskie Poland 25-734
    170 Szpital Kliniczny im. Przemienienia Panskiego Uniwersytetu Medycznego im. K. Marcinkowskiego w Pozna Poznan Wielkopolskie Poland 61-848
    171 Arkhangelsk Clinical Oncological Dispensary ( Site 1508) Arkhangelsk Arkhangel Skaya Oblast Russian Federation 163045
    172 Republican Clinical Oncology Dispensary of Republic of Bashkortostan ( Site 1507) Ufa Baskortostan, Respublika Russian Federation 450054
    173 A. Tsyb Medical Radiological Research Center ( Site 1513) Obninsk Kaluzskaja Oblast Russian Federation 249036
    174 FSBI National Medical Oncology Research Center n.a. N.N. Blokhina ( Site 1500) Moscow Moskva Russian Federation 115478
    175 FSCC of Special Types of Med. Care and Technologies ( Site 1503) Moscow Moskva Russian Federation 115682
    176 Medical Rehabilitation Center ( Site 1502) Moscow Moskva Russian Federation 125367
    177 City Clinical Oncology Center ( Site 1505) Saint Petersburg Sankt-Peterburg Russian Federation 198255
    178 National Medical Research Center of Oncology N.A. N.N. Petrov ( Site 1504) Saint-Petersburg Sankt-Peterburg Russian Federation 197758
    179 Republican Clinical Oncology Dispensary of Tatarstan MoH ( Site 1509) Kazan Tatarstan, Respublika Russian Federation 420029
    180 Cancer Care Langenhoven Drive Oncology Centre ( Site 1701) Port Elizabeth Eastern Cape South Africa 6045
    181 Groote Schuur Hospital ( Site 1704) Cape Town Gauteng South Africa 7925
    182 Wits Clinical Research ( Site 1702) Johannesburg Gauteng South Africa 2193
    183 Department of Medical Oncology ( Site 1703) Pretoria Gauteng South Africa 0002
    184 Curo Oncology ( Site 1710) Pretoria Gauteng South Africa 0031
    185 Wilgers Oncology Centre ( Site 1705) Pretoria Gauteng South Africa 0081
    186 Little Company of Mary Hospital ( Site 1700) Pretoria Gauteng South Africa 0181
    187 Sandton Oncology Medical Group PTY LTD ( Site 1712) Sandton Gauteng South Africa 2196
    188 The Oncology Centre ( Site 1709) Durban Kwazulu-Natal South Africa 4091
    189 Cancercare ( Site 1706) Cape Town Western Cape South Africa 7700
    190 Outeniqua Cancercare Oncology Unit ( Site 1708) George Western Cape South Africa 6530
    191 Cape Town Oncology Trials Pty Ltd ( Site 1707) Kraaifontein Western Cape South Africa 7570
    192 Instituto Catalan de Oncologia ICO - Hospital Duran i Reynals ( Site 1603) Hospitalet de Llobregat Barcelona Spain 08909
    193 Xarxa Assistencial Universitaria Manresa ( Site 1605) Manresa Barcelona Spain 08243
    194 Hospital de Terrassa ( Site 1606) Terrassa Barcelona Spain 08227
    195 Hospital Universitario de Donostia ( Site 1602) Donostia Gipuzkoa Spain 20014
    196 Complejo Hospitalario Universitario A Coruna. CHUAC ( Site 1608) A Coruna La Coruna Spain 15006
    197 Instituto Valenciano de Oncologia ( Site 1601) Valencia Valenciana, Comunitat Spain 46009
    198 Hospital General Universitario de Valencia ( Site 1610) Valencia Valenciana, Comunitat Spain 46014
    199 Hospital Provincial San Pedro de Alcantara ( Site 1607) Caceres Spain 10003
    200 Hospital Universitario Lucus Augusti ( Site 1609) Lugo Spain 27003
    201 Clinica Universitaria de Navarra ( Site 1600) Madrid Spain 28027
    202 Hospital Universitario Virgen del Rocio ( Site 1604) Sevilla Spain 41013
    203 Changhua Christian Hospital ( Site 2507) Changhua Taiwan 50006
    204 China Medical University Hospital ( Site 2506) Taichung Taiwan 40447
    205 Taichung Veterans General Hospital ( Site 2510) Taichung Taiwan 40705
    206 National Cheng Kung University Hospital ( Site 2508) Tainan Taiwan 704
    207 National Taiwan University Hospital ( Site 2502) Taipei Taiwan 10002
    208 MacKay Memorial Hospital ( Site 2500) Taipei Taiwan 10449
    209 Taipei Veterans General Hospital ( Site 2503) Taipei Taiwan 11217
    210 Linkou Chang Gung Memorial Hospital ( Site 2501) Taoyuan Taiwan 333
    211 Istanbul Acibadem University Atakent Hospital ( Site 1902) Kucukcekmece Istanbul Turkey 34303
    212 Etlik Zubeyde Hanim Kadin Hastaliklari Egitim ve Arastirma Hastanesi ( Site 1903) Ankara Turkey 06050
    213 Ankara UTF Cebeci Arastırma ve Uygulama Hastanesi ( Site 1905) Ankara Turkey 06590
    214 Akdeniz Universitesi Tıp Fakultesi ( Site 1901) Antalya Turkey 07070
    215 Uludag Universitesi Tip Fakultesi ( Site 1904) Bursa Turkey 16059
    216 Istanbul Universitesi Istanbul Tip Fakultesi ( Site 1900) Istanbul Turkey 34093
    217 Bakirkoy Sadi Konuk Egitim ve Arastirma Hastanesi ( Site 1907) Istanbul Turkey 34147
    218 Medipol Universite Hastanesi ( Site 1909) Istanbul Turkey 34214
    219 Sakarya Universitesi Tip Fakultesi Hastanesi ( Site 1906) Sakarya Turkey 54290
    220 MI Precarpathian Clinical Oncology Center ( Site 2181) Ivano-Frankivsk Ivano-Frankivska Oblast Ukraine 76018
    221 Grigoriev Institute for medical Radiology NAMS of Ukraine ( Site 2180) Kharkiv Kharkivska Oblast Ukraine 61024
    222 Municipal non-profit Enterprise Khmelnytskyi Regional Antitu-Gynecological Oncology department, Poli Khmelnytskyi Khmelnytska Oblast Ukraine 29009
    223 Lviv State Oncology Regional Treatment and Diagnostic Center ( Site 2170) Lviv Lvivska Oblast Ukraine 79031
    224 MI Odessa Regional Oncological Centre ( Site 2121) Odesa Odeska Oblast Ukraine 65055
    225 RMI - Sumy Regional Clinical Oncology Dispensary ( Site 2191) Sumy Sumska Oblast Ukraine 40022
    226 Central City Clinical Hospital ( Site 2150) Uzhgorod Zakarpatska Oblast Ukraine 88000
    227 Kyiv City Clinical Oncological Center ( Site 2140) Kyiv Ukraine 03115

    Sponsors and Collaborators

    • Merck Sharp & Dohme LLC
    • European Network of Gynaecological Oncological Trial Groups (ENGOT)
    • Gynecologic Oncology Group

    Investigators

    • Study Director: Medical Director, Merck Sharp & Dohme LLC

    Study Documents (Full-Text)

    None provided.

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    Merck Sharp & Dohme LLC
    ClinicalTrials.gov Identifier:
    NCT03740165
    Other Study ID Numbers:
    • 7339-001
    • ENGOT-ov43
    • MK-7339-001
    • KEYLYNK-001
    • 194619
    • GOG-3036
    • 2018-001973-25
    First Posted:
    Nov 14, 2018
    Last Update Posted:
    Aug 25, 2022
    Last Verified:
    Aug 1, 2022
    Individual Participant Data (IPD) Sharing Statement:
    Yes
    Plan to Share IPD:
    Yes
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Merck Sharp & Dohme LLC
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Aug 25, 2022