Pembrolizumab/Placebo Plus Trastuzumab Plus Chemotherapy in Human Epidermal Growth Factor Receptor 2 Positive (HER2+) Advanced Gastric or Gastroesophageal Junction (GEJ) Adenocarcinoma (MK-3475-811/KEYNOTE-811)

PHASE3Active, not recruitingINTERVENTIONAL
Enrollment

738

Participants

Timeline

Start Date

October 5, 2018

Primary Completion Date

March 20, 2024

Study Completion Date

November 12, 2025

Conditions
Gastric NeoplasmsGastroesophageal Junction Adenocarcinoma
Interventions
BIOLOGICAL

Pembrolizumab

200 mg on Day 1 of each 3-week cycle as an IV infusion.

BIOLOGICAL

Placebo

Solution for IV infusion on Day 1 of each 3-week cycle.

DRUG

Cisplatin

80 mg/m\^2 on Day 1 of each 3-week cycle as an IV infusion, administered as part of FP chemotherapy regimen.

DRUG

5-FU

800 mg/m\^2/day continuous on Days 1-5 of each 3-week cycle (120 hours or per local standard), administered as part of FP chemotherapy regimen.

DRUG

Oxaliplatin

130 mg/m\^2 on Day 1 of each 3-week cycle over 2 hours as an IV infusion, administered as part of CAPOX chemotherapy regimen and as part of SOX chemotherapy regimen.

DRUG

Capecitabine

1000 mg/m\^2 as oral capsules BID on Days 1-14 of each 3-week cycle, administered as part of CAPOX chemotherapy regimen.

DRUG

S-1

Combination product of tegafur, CDHP, and Oxo. Oral capsules BID on Days 1-14 of each 3-week cycle based on body surface area (BSA): \<1.25 m\^2 BSA =40 mg, 1.25 to \<1.5 m\^2 BSA=50 mg, ≥1.5 m\^2 BSA=60 mg. Administered as part of SOX chemotherapy regimen.

BIOLOGICAL

Trastuzumab

8 mg/kg loading dose and then 6 mg/kg maintenance dose administered IV on day 1 of each 3-week cycle.

Trial Locations (192)

1023

Auckland City Hospital ( Site 2300), Auckland

2145

Westmead Hospital ( Site 2200), Westmead

2170

Liverpool Hospital ( Site 2206), Liverpool

2500

Southern Medical Day Care Centre ( Site 2207), Wollongong

3168

Monash Health ( Site 2202), Clayton

10065

Memorial Sloan-Kettering Cancer Center ( Site 0017), New York

10604

Memorial Sloan-Kettering Cancer Center at West Harrison ( Site 0065), Harrison

13353

Charite-Universitaetsmedizin Berlin Campus Virchow-Klinikum ( Site 1026), Berlin

14642

University of Rochester ( Site 0041), Rochester

15212

Allegheny General Hospital ( Site 0053), Pittsburgh

19124

Cancer Treatment Centers of America-Eastern Regional Medical Center ( Site 0025), Philadelphia

20141

IEO Istituto Europeo di Oncologia ( Site 1105), Milan

20249

Facharztzentrum Eppendorf ( Site 1025), Hamburg

22030

Trakya Universitesi Tip Fakultesi ( Site 2015), Edirne

22763

Asklepios Klinik Altona ( Site 1000), Hamburg

24014

Oncology & Hematology Assoc. SW Virginia, Inc., DBA Blue Ridge Cancer Care ( Site 8000), Roanoke

24125

Humanitas Gavazzeni ( Site 1106), Bergamo

25030

Hopital Jean Minjoz Besancon ( Site 0901), Besançon

25240

Ataturk Universitesi Tip Fakultesi Hastanesi ( Site 2000), Erzurum

27710

Duke Cancer Institute ( Site 0042), Durham

28034

Hospital Universitario Ramon y Cajal ( Site 1400), Madrid

28204

Levine Cancer Institute ( Site 0015), Charlotte

28211

Klinikum Bremen Nord ( Site 1017), Bremen

28223

Hospital Universitario Quiron Madrid ( Site 1407), Pozuelo de Alarcón

29200

C.H.R.U. de Brest - Hopital Morvan ( Site 0913), Brest

30265

Southeastern Regional Medical Center, Inc. ( Site 0058), Newnan

30625

Medizinische Hochschule Hannover ( Site 1019), Hanover

33011

Hospital Universitario Central de Asturias ( Site 1402), Oviedo

33136

University of Miami Sylvester Comprehensive Cancer Center - Plantation ( Site 0026), Miami

34098

Istanbul Universitesi Cerrahpasa Tip Fakultesi ( Site 2001), Istanbul

35128

Istituto Oncologico Veneto ( Site 1101), Padua

35340

Dokuz Eylul Universitesi Tip Fakultesi Hastanesi ( Site 2011), Izmir

39008

Hospital Universitario Marques de Valdecilla ( Site 1405), Santander

41124

Azienda Ospedaliero - Universitaria Policlinico di Modena ( Site 1102), Modena

44280

Malatya Inonu Universitesi Tip Fakultesi Hastanesi ( Site 2009), Malatya

44805

Institut de Cancerologie de l Ouest Centre Rene Gauducheau ( Site 0902), Saint-Herblain

49102

City Clinical Hosp.4 of DCC ( Site 2102), Dnipro

50048

MI Kryviy Rih Center of Dnipropetrovsk Regional Council ( Site 2101), Kryviy Rih

54290

Sakarya Universitesi Egitim ve Arastirma Hastanesi ( Site 2012), Sakarya

55404

Minnesota Oncology Hematology, PA ( Site 8001), Minneapolis

56126

AUOP Ospedale Santa Chiara ( Site 1100), Pisa

57104

Sanford Hematology Oncology-Sioux Falls SD ( Site 0004), Sioux Falls

59000

Centre Oscar Lambret ( Site 0911), Lille

60099

Midwestern Regional Medical Center, Inc. ( Site 0059), Zion

61070

Communal non profit enterprise Regional Clinical Oncology Center ( Site 2112), Kharkiv

63110

Washington University School of Medicine ( Site 0040), St Louis

65055

MI Odessa Regional Oncological Centre ( Site 2108), Odesa

65100

Ospedale Civile Spirito Santo ( Site 1104), Pescara

67098

HUS Hopital Hautepierre ( Site 0910), Strasbourg

69008

Centre Leon Berard ( Site 0904), Lyon

69104

Medical Centre LLC Oncolife ( Site 2103), Zaporizhzhya

72076

Innere Medizin I, Universitaetsklinikum Tuebingen ( Site 1020), Tübingen

74078

SLK-Kliniken Heilbronn ( Site 1015), Heilbronn

74133

CTCA Southwestern ( Site 0060), Tulsa

75012

CHU Hopital Saint Antoine ( Site 0905), Paris

76000

CHU de Rouen ( Site 0912), Rouen

76018

MI Precarpathian Clinical Oncology Center ( Site 2105), Ivano-Frankivsk

77030

University of Texas MD Anderson Cancer Center ( Site 0001), Houston

79031

Lviv State Oncology Regional Treatment and Diagnostic Center ( Site 2106), Lviv

80131

A.O.U. Universita degli Studi della Campania-Luigi Vanvitelli ( Site 1103), Napoli

81675

Klinikum rechts der Isar der Technischen Universitaet ( Site 1027), Munich

88100

Universita Magna Graecia di Catanzaro ( Site 1107), Catanzaro

90095

UCLA Hematology/Oncology - Westwood (Building 200 Suite 120) ( Site 0045), Los Angeles

92868

UC Irvine Medical Center/Chao Family Comprehensive Cancer Center ( Site 0050), Orange

93940

Pacific Cancer Care ( Site 0063), Monterey

94805

Institut Gustave Roussy ( Site 0900), Villejuif

98109

Seattle Cancer Care Alliance ( Site 0038), Seattle

100032

Peking Union Medical College Hospital ( Site 2419), Beijing

100071

Fifth Medical Center of CPLA General Hospital ( Site 2415), Beijing

100142

Beijing Cancer Hospital ( Site 2413), Beijing

115478

Blokhin National Medical Oncology ( Site 1805), Moscow

130021

The First Hospital Of Jilin University ( Site 2402), Changchun

142110

Podolsky City Clinical Hospital ( Site 1817), Podolsk

150081

Harbin Medical University Cancer Hospital ( Site 2407), Harbin

188663

Leningrad Regional Oncology Center ( Site 1800), Saint Petersburg

197758

Scientific Research Oncology Institute n.a. N.N.Petrov ( Site 1801), Saint Petersburg

198255

St Petersburg City Clinical Oncology Dispensary ( Site 1812), Saint Petersburg

200032

Fudan University Shanghai Cancer Center ( Site 2424), Shanghai

Zhongshan Hospital affiliated to Fudan University ( Site 2401), Shanghai

200080

Shanghai General Hospital ( Site 2404), Shanghai

210009

Jiangsu Cancer Hospital ( Site 2432), Nanjing

310003

The First Affiliated Hospital.Zhejiang University ( Site 2408), Hangzhou

310016

Sir Run Run Shaw Hospital ( Site 2412), Hangzhou

310022

Zhejiang Cancer Hospital ( Site 2409), Hangzhou

350014

Fujian Provincial Cancer Hospital ( Site 2418), Fuzhou

350025

900 Hospital of the Joint ( Site 2420), Fuzhou

361003

The First Affiliated Hospital of Xiamen University ( Site 2431), Xiamen

410008

Xiangya Hospital Central-South University ( Site 2426), Changsha

443011

Medical University REAVIZ ( Site 1816), Samara

450008

Henan Cancer Hospital ( Site 2400), Zhengzhou

450054

Republican Clinical Oncology Dispensary of Republic of Bashkortostan ( Site 1807), Ufa

454087

Chelyabinsk Regional Clinical Oncological Dispensary ( Site 1815), Chelyabinsk

510080

Guangdong General Hospital ( Site 2433), Guangzhou

830001

Cancer Hospital Affiliated to Xinjiang Medical University ( Site 2430), Ürümqi

3109601

Rambam Health Care Campus ( Site 1606), Haifa

3460000

Clinica Universidad Catolica del Maule ( Site 0305), Talca

4428132

Meir Medical Center ( Site 1609), Kfar Saba

4780000

Centro Investigación del Cáncer James Lind ( Site 0300), Temuco

4941492

Rabin Medical Center ( Site 1602), Petah Tikva

5265601

Chaim Sheba Medical Center. ( Site 1607), Ramat Gan

5822012

Edith Wolfson Medical Center ( Site 1605), Holon

6423906

Sourasky Medical Center ( Site 1601), Tel Aviv

7500921

Fundacion Arturo Lopez Perez FALP ( Site 0302), Santiago

7620002

Pontificia Universidad Catolica de Chile ( Site 0301), Santiago

8380455

Instituto Nacional del Cancer ( Site 0303), Santiago

8410101

Soroka University Medical Center ( Site 1603), Beersheba

9112001

Hadassah Ein Kerem Medical Center ( Site 1604), Jerusalem

02215

Beth Israel Deaconess Medical Center ( Site 0070), Boston

Dana-Farber Cancer Institute [Boston, MA] ( Site 0010), Boston

07748

Memorial Sloan Kettering Cancer Center- Monmouth ( Site 0071), Middletown

60430-230

Instituto do Cancer do Ceara ( Site 0208), Fortaleza

41253-190

Hospital Sao Rafael ( Site 0209), Salvador

80810-050

CIONC - Centro Integrado de Oncologia de Curitiba ( Site 0205), Curitiba

98700 000

Hospital de Caridade de Ijui ( Site 0202), Ijuí

91350-200

Hospital Nossa Senhora da Conceicao ( Site 0203), Porto Alegre

88034-000

CEPON - Centro de Pesquisas Oncologicas ( Site 0200), Florianópolis

20231-050

Instituto Nacional do Cancer Jose Alencar Gomes da Silva INCA ( Site 0201), Rio de Janeiro

03102-002

IBCC - Instituto Brasileiro de Controle do Cancer ( Site 0204), São Paulo

Unknown

Klinikum Ludwigsburg ( Site 1014), Ludwigsburg

01307

Universitaetsklinikum Carl Gustav Carus der Technischen Univ ( Site 1001), Dresden

04103

Universitaetsklinikum Leipzig AOeR ( Site 1007), Leipzig

01010

Celan SA ( Site 0504), Guatemala City

Oncomedica ( Site 0500), Guatemala City

01015

Grupo Angeles SA ( Site 0501), Guatemala City

Nucare Center ( Site 0506), Guatemala City

01016

Medi-K Cayala ( Site 0505), Guatemala City

09001

Centro Regional de Sub Especialidades Medicas SA ( Site 0502), Quetzaltenango

D08NHY1

Saint James's Hospital ( Site 1505), Dublin

D09 V2N0

Beaumont Hospital ( Site 1506), Dublin

D24 NR0A

Tallaght University Hospital ( Site 1513), Dublin

464-8681

Aichi Cancer Center Hospital ( Site 2617), Nagoya

277-8577

National Cancer Center Hospital East ( Site 2605), Kashiwa

791-0280

National Hospital Organization Shikoku Cancer Center ( Site 2615), Matsuyama

373-8550

Gunma Prefectural Cancer Center ( Site 2602), Ohta

673-8558

Hyogo Cancer Center ( Site 2619), Akashi

650-0047

Kobe City Medical Center General Hospital ( Site 2614), Kobe

309-1793

Ibaraki Prefectural Central Hospital ( Site 2611), Kasama

761-0793

Kagawa University Hospital ( Site 2604), Kita-gun

241-8515

Kanagawa Cancer Center ( Site 2603), Yokohama

989-6183

Osaki Citizen Hospital ( Site 2626), Ōsaki

573-1191

Kansai Medical University Hospital ( Site 2618), Hirakata

589-8511

Kindai University Hospital ( Site 2616), Sayama

565-0871

Osaka University Hospital ( Site 2600), Suita

362-0806

Saitama Cancer Center ( Site 2620), Kitaadachi-gun

411-8777

Shizuoka Cancer Center Hospital and Research Institute ( Site 2607), Sunto-gun

320-0834

Tochigi Cancer Center ( Site 2627), Utsunomiya

181-8611

Kyorin University Hospital ( Site 2608), Mitaka

260-8717

Chiba Cancer Center ( Site 2623), Chiba

811-1395

National Hospital Organization Kyushu Cancer Center ( Site 2609), Fukuoka

501-1194

Gifu University Hospital ( Site 2621), Gifu

730-8518

Hiroshima City Hiroshima Citizens Hospital ( Site 2625), Hiroshima

860-8556

Kumamoto University Hospital ( Site 2601), Kumamoto

951-8566

Niigata Cancer Center Hospital ( Site 2622), Niigata

540-0006

National Hospital Organization - Osaka National Hospital - Institute For Clinical Research ( Site 26, Osaka

541-8567

Osaka International Cancer Institute ( Site 2613), Osaka

558-8558

Osaka General Medical Center ( Site 2624), Osaka

104-0045

National Cancer Center Hospital ( Site 2612), Tokyo

105-8470

Toranomon Hospital ( Site 2628), Tokyo

113-8677

Tokyo Metropolitan Komagome Hospital ( Site 2606), Tokyo

135-8550

The Cancer Institute Hospital of JFCR ( Site 2610), Tokyo

62-500

Przychodnia Lekarska Komed ( Site 1716), Konin

50-556

Uniwersytecki Szpital Kliniczny im. J. M. Radeckiego we Wroclawiu ( Site 1705), Wroclaw

53-413

Dolnoslaskie Centrum Onkologii. ( Site 1712), Wroclaw

20-080

Samodzielny Publiczny Szpital Kliniczny Nr 1 w Lublinie ( Site 1709), Lublin

02-781

Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy w Warszawie (, Warsaw

81-519

Szpital Morski im. PCK. Szpitale Pomorskie Sp. Z o.o ( Site 1715), Gdynia

83-400

Szpital Specjalistyczny w Koscierzynie Sp. z o.o. ( Site 1708), Kościerzyna

43-300

Beskidzkie Centrum Onkologii im. Jana Pawla II ( Site 1710), Bielsko-Biala

03080

Seoul National University Hospital ( Site 2703), Seoul

03722

Severance Hospital Yonsei University Health System ( Site 2700), Seoul

05505

Asan Medical Center ( Site 2702), Seoul

06351

Samsung Medical Center ( Site 2701), Seoul

03203

Hospital General Universitario de Elche ( Site 1404), Elche

08916

Hospital Germans Trias i Pujol. ICO de Badalona ( Site 1410), Badalona

08035

Hospital General Universitari Vall d Hebron ( Site 1401), Barcelona

01370

Adana Sehir Hastanesi ( Site 2002), Adana

06100

Hacettepe Universitesi Tip Fakultesi Hastanesi ( Site 2017), Ankara

06200

Abdurrahman Yurtaslan Onkoloji Egitim ve Arastirma Hastanesi ( Site 2006), Ankara

08173

Medical Center Asklepion LLC ( Site 2115), Khodosovka

03022

Clinic of National Cancer Institute ( Site 2104), Kyiv

03126

Medical and Diagnostic Centre LLC Dobryi Prognoz ( Site 2114), Kyiv

03115

Kyiv City Clinical Oncology Centre ( Site 2110), Kyiv

DE22 3NE

Royal Hospital in Derby ( Site 1514), Derby

DD1 9SY

Ninewells Hospital and Medical School ( Site 1504), Dundee

HU16 5JQ

Castle Hill Hospital ( Site 1501), Cottingham

NW1 2PG

University College London Hospital NHS Foundation Trust ( Site 1508), London

SW17 0QT

St Georges University Hospitals NHS Foundation Trust. ( Site 1500), London

SM2 5PT

Royal Marsden Hospital ( Site 1510), Sutton

SW3 6JJ

Royal Marsden NHS Foundation Trust ( Site 1512), London

M20 4BX

The Christie Hospital NHS Foundation Trust ( Site 1503), Manchester

HA6 2RN

Mount Vernon Cancer Centre ( Site 1507), Northwood

WS2 9PS

Manor Hospital Walsall England ( Site 1515), Walsall

All Listed Sponsors
lead

Merck Sharp & Dohme LLC

INDUSTRY