Efficacy and Safety of Pembrolizumab (MK-3475) in Combination With Chemoradiotherapy (CRT) Versus CRT Alone in Muscle-invasive Bladder Cancer (MIBC) (MK-3475-992/KEYNOTE-992)

PHASE3Active, not recruitingINTERVENTIONAL
Enrollment

520

Participants

Timeline

Start Date

May 19, 2020

Primary Completion Date

January 31, 2027

Study Completion Date

November 1, 2031

Conditions
Urinary Bladder Neoplasms
Interventions
DRUG

Pembrolizumab

400 mg of IV (intravenous) pembrolizumab once every 6 weeks.

RADIATION

Conventional Radiotherapy (Bladder only)

64 Gy of radiation administered to participant's bladder only. Thirty-two fractions will be administered over 6.5 weeks.

RADIATION

Conventional Radiotherapy (Bladder and pelvic nodes)

64 Gy of radiation administered to participant's bladder and pelvic nodes. Thirty-two fractions will be administered over 6.5 weeks.

RADIATION

Hypofractionated Radiotherapy (Bladder only)

55 Gy of radiation administered to participant's bladder only. Twenty fractions will be administered over 4 weeks.

DRUG

Cisplatin

35 mg of cisplatin per cubic meter of body volume, administered once weekly via IV infusion.

DRUG

Fluorouracil (5-FU)

5-FU administered via IV infusion at a dose of 500 mg per cubic meter of body volume on Days 1-5 and 22-26.

DRUG

Mitomycin C (MMC)

MMC administered via IV infusion at a dose of 12 mg per cubic meter of body volume on Day 1.

DRUG

Gemcitabine

Gemcitabine administered via IV infusion at a dose of 27 mg per cubic meter of body volume twice weekly.

DRUG

Placebo to Pembrolizumab

Placebo to intravenous (IV) pembrolizumab administered once every 6 weeks.

Trial Locations (126)

1051

Egeszsegugyi Tudomanyos Tanacs Klinikai Farmakologiai Etikai Bizottsaga ( Site 0095), Budapest

2065

GenesisCare North Shore ( Site 0217), St Leonards

2170

Liverpool Hospital ( Site 0220), Liverpool

2730

Herlev og Gentofte Hospital. ( Site 0401), Herlev

3084

Austin Health ( Site 0218), Heidelberg

3168

Monash Medical Centre ( Site 0216), Clayton

3526

BAZ Megyei Korhaz. Klinikai Onkologia es Sugarterapias Centrum ( Site 0092), Miskolc

4032

Debreceni Egyetem Klinikai Kozpont ( Site 0097), Debrecen

5000

Odense Universitetshospital ( Site 0403), Odense

6009

Sir Charles Gairdner Hospital ( Site 0223), Nedlands

7400

Somogy Megyei Kaposi Mor Oktato Korhaz ( Site 0091), Kaposvár

9024

Petz Aladar Megyei Oktato Korhaz ( Site 0099), Győr

10016

New York University Perlmutter Cancer Center ( Site 0001), New York

10408

National Cancer Center ( Site 0202), Gyeonggi-do

10990

Hospital Pulau Pinang ( Site 0239), George Town

11501

Winthrop University Hospital ( Site 0069), Mineola

12206

New York Oncology Hematology P.C ( Site 0024), Albany

13419

North Estonia Medical Centre Foundation ( Site 0081), Tallinn

13620

Seoul National University Bundang Hospital ( Site 0204), Seongnam-si

14263

Roswell Park Cancer Institute ( Site 6009), Buffalo

16150

Hospital Universiti Sains Malaysia ( Site 0237), Kubang Kerian

19004

MidLantic urology ( Site 0070), Bala-Cynwyd

20010

Washington Cancer Institute at MedStar Washington Hospital Center ( Site 0041), Washington D.C.

20132

Ospedale San Raffaele ( Site 0194), Milan

20133

Fondazione IRCCS Istituto Nazionale dei Tumori di Milano ( Site 0186), Milan

21201

Baltimore VA Medical Center ( Site 0054), Baltimore

22031

Inova Schar Cancer Institute ( Site 6006), Fairfax

25011

Ukranian Center of TomoTherapy ( Site 0140), Kropyvnytskiy

25304

West Virginia University - Charleston Area Medical Center ( Site 6003), Charleston

29572

Carolina Urologic Research Center ( Site 0002), Myrtle Beach

29607

Saint Francis Cancer Center ( Site 0026), Greenville

32804

AdventHealth Orlando-AdventHealth Medical Group Hematology & Oncology at Orlandoc ( Site 0004), Orlando

33744

Bay Pines VA Medical Center ( Site 0055), Bay Pines

34098

Istanbul Uni. Cerrahpasa Tip Fakultesi ( Site 0501), Istanbul

34147

T.C. Saglik Bakanligi Turkiye Kamu Hastaneleri Kurumu - Baki-Istanbul Bakirkoy Sadi Konuk Training (, Istanbul

34722

Göztepe Prof. Dr. Süleyman Yalçın Şehir Hastanesi-oncology ( Site 0504), Istanbul

35015

Chungnam National University Hospital ( Site 0203), Daejeon

35100

Ege University Medical Faculty ( Site 0508), Izmir

40207

Norton Cancer Institute ( Site 0044), Louisville

41013

HOSPITAL UNIVERSITARIO VIRGEN DEL ROCIO-Medical Oncology ( Site 0106), Seville

41124

Azienda Ospedaliero - Universitaria Policlinico di Modena ( Site 0188), Modena

41501

Pikeville Medical Center ( Site 0009), Pikeville

44111

Fairview Hospital-Moll Cancer Center ( Site 6013), Cleveland

44124

Cleveland Clinic - Hillcrest Hospital-Hillcrest Hospital Cancer Center ( Site 6012), Mayfield Heights

44195

Cleveland Clinic Main ( Site 0062), Cleveland

46026

Hospital La Fe de Valencia ( Site 0105), Valencia

49055

Clinical oncology dispensary of Dnipro ( Site 0133), Dnipro

50134

AOU Careggi ( Site 0191), Florence

50586

Hospital Kuala Lumpur ( Site 0238), Kuala Lumpur

51014

Tartu University Hospital ( Site 0079), Tartu

53226

Froedtert and Medical College of Wisconsin ( Site 0022), Milwaukee

59100

University Malaya Medical Centre ( Site 0236), Kuala Lumpur

61024

Grigoriev Institute for medical Radiology NAMS of Ukraine ( Site 0139), Kharkiv

61070

MNPE Regional Center of Oncology ( Site 0134), Kharkiv

61080

Karadeniz Teknik Universitesi Tip Fakultesi ( Site 0503), Trabzon

62100

Ospedale Civile di Macerata ( Site 0190), Macerata

63110

Washington University ( Site 0003), St Louis

70124

IRCCS Giovanni Paolo II. Ospedale Oncologico ( Site 0193), Bari

75005

Institut Curie ( Site 0112), Paris

75018

A.P.H. Paris. Hopital Bichat Claude Bernard ( Site 0115), Paris

77900

Fakultni nemocnice Olomouc ( Site 0559), Olomouc

78229

Urology San Antonio Research ( Site 6010), San Antonio

80000

CHU Amiens Picardie Site Sud Amiens ( Site 0123), Amiens

80131

Istituto Nazionale Tumori IRCCS Fondazione Pascale ( Site 0192), Napoli

84918

Institut Sainte Catherine ( Site 0121), Avignon

200542

S.C. Centrul de Oncologie Sf. Nectarie SRL ( Site 0248), Craiova

300239

Policlinica Oncomed SRL ( Site 0254), Timișoara

400015

Institutul Oncologic Prof.Dr. Ion Chiricuta Cluj-Napoca ( Site 0249), Cluj-Napoca

Institutul Oncologic-Oncologie Medicala ( Site 0256), Cluj-Napoca

407280

S.C. Radiotherapy Center Cluj S.R.L ( Site 0252), Cluj-Napoca

700483

Institutul Regional de Oncologie Iasi ( Site 0255), Iași

1240000

Bradford Hill Norte ( Site 7052), Antofagasta

2520598

ONCOCENTRO APYS-ACEREY ( Site 7054), Viña del Mar

3109601

Rambam Health Care Campus-Oncology Division ( Site 0088), Haifa

5112129

Oncocentro Valdivia ( Site 7055), Valdivia

5262000

Chaim Sheba Medical Center ( Site 0087), Ramat Gan

5698686

Osaka Medical and Pharmaceutical University Hospital ( Site 0604), Takatsuki

6423906

Sourasky Medical Center ( Site 0089), Tel Aviv

7500921

FALP ( Site 7056), Santiago

8400000

Soroka Medical Center-Oncology ( Site 7031), Beersheba

8420383

Bradfordhill-Clinical Area ( Site 7051), Santiago

9112001

Hadassah Medical Center. Ein Kerem ( Site 0086), Jerusalem

07932

Summit Medical Group Cancer Center ( Site 6008), Florham Park

07601

John Theurer Cancer Center at Hackensack University Medical Center ( Site 0005), Hackensack

150 06

2. LF UK a FN Motol ( Site 0555), Prague

180 81

Nemocnice Na Bulovce ( Site 0556), Prague

01010

Centro de Investigaciones Clinicas de Latinoamerica S.A. - CELAN ( Site 0146), Guatemala City

Oncomedica ( Site 0145), Guatemala City

01015

Grupo Medico Angeles ( Site 0143), Guatemala City

01016

Medi-K Cayala ( Site 0142), Guatemala City

09002

Centro Medico Integral De Cancerología (CEMIC) ( Site 0144), Quetzaltenango

4941 492

Rabin Medical Center ( Site 7032), Petah Tikva

00128

Fondazione Policlinico Universitario Campus Bio-Medico-Radiation Oncology ( Site 7041), Rome

036-8563

Hirosaki University Hospital ( Site 0602), Hirosaki

305-8576

University of Tsukuba Hospital ( Site 0605), Tsukuba

852-8501

Nagasaki University Hospital ( Site 0600), Nagasaki

113-8519

Institute of Science Tokyo Hospital ( Site 0601), Tokyo

113-8677

Tokyo Metropolitan Komagome Hospital ( Site 0606), Tokyo

LV1002

Pauls Stradins Clinical University Hospital ( Site 0073), Riga

1066 CX

Netherlands Cancer Institute (NKI) ( Site 0183), Amsterdam

3015 GD

Erasmus MC ( Site 0182), Rotterdam

31-826

Szpital Specjalistyczny im. Ludwika Rydygiera w Krakowie ( Site 0153), Krakow

08-110

Mazowiecki Szpital Wojewódzki w Siedlcach ( Site 0154), Siedlce

75-581

Szpital Wojewodzki im. Mikolaja Kopernika ( Site 0152), Koszalin

2674-514

Unidade Local de Saude Loures-Odivelas - Hospital Beatriz Angelo ( Site 0303), Loures

3000-075

Centro Hospitalar e Universitario de Coimbra ( Site 0306), Coimbra

1449-005

Unidade Local de Saude Lisboa Ocidental - Hospital de São Francisco Xavier ( Site 0302), Lisbon

1649-035

Unidade Local de Saude de Santa Maria - Hospital de Santa Maria ( Site 0305), Lisbon

00716

Advance Urology and Laparoscopic Center ( Site 0281), Ponce

00935

PAN American Center Oncologic ( Site 0280), San Juan, Rio Piedras

013812

MEMORIAL HEALTHCARE INTERNATIONAL S.R.L. ( Site 0253), Bucharest

05505

Asan Medical Center ( Site 0200), Songpagu

02841

Korea University Anam Hospital ( Site 0205), Seoul

03722

Severance Hospital Yonsei University Health System ( Site 0201), Seoul

08908

Instituto Catalan de Oncologia - ICO ( Site 0103), L'Hospitalet de Llobregat

06010

University of Health Sciences,Gulhane School of Medicine-Oncology ( Site 0509), Ankara

06100

Ankara Universitesi Tip Fakultesi. ( Site 0502), Ankara

03022

SNPE National Cancer Institute ( Site 0136), Kyiv

03115

Kyiv City Clinical Oncology Center ( Site 0135), Kyiv

LL18 5UJ

Betsi Cadwaladr University Health Board ( Site 0447), Rhyl

TQ2 7AA

South Devon Healthcare Foundation Trust. Torbay Hospital ( Site 0444), Torquay

PR2 9HT

Royal Preston Hospital ( Site 0449), Preston

NW1 2PG

University College London Hospitals NHS Foundation Trust ( Site 0445), London

SW3 6JJ

The Royal Marsden NHS Foundation Trust. ( Site 0442), London

NG5 1PB

Nottingham University Hospital NHS Trust ( Site 0250), Nottingham

DL3 6HX

Darlington Memorial Hospital NHS Trust ( Site 0446), Darlington

All Listed Sponsors
lead

Merck Sharp & Dohme LLC

INDUSTRY