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NCT02733159: PePS2

Pembrolizumab in Patients With Non-Small Cell Lung Cancer and a Performance Status 2

Completed Phase 2 Results posted Last updated 10 February 2025
What this trial tests

Phase 2 trial testing pembrolizumab in Carcinoma, Non-Small-Cell Lung in 62 participants. Completed in 5 February 2024.

Timeline
4 January 2017
Primary endpoint
7 February 2023
5 February 2024

Quick facts

Lead sponsorUniversity of Birmingham
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment62
Start date4 January 2017
Primary completion7 February 2023
Estimated completion5 February 2024
Sites10 locations across United Kingdom

Drugs / interventions tested

Conditions studied

Sponsor

University of Birmingham

Who can join

18 and older, any sex, with Carcinoma, Non-Small-Cell Lung. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Toxicity Rate Primary · Date of patient registration until 6 months after the administration of the last treatment (a maximum of 2 years treatment and 6 months followup after end of treatment)

Adverse events will be recorded in relation to each cycle of treatment and graded according to CTCAE criteria. The toxicity co-primary outcome measure for the trial is defined as the occurrence of a treatment-related dose delay or treatment discontinuation due to toxicity.

Patients Experiencing Toxicity Event
GroupValue95% CI
Pembrolizumab18
Patients Not Experiencing Toxicity Event
GroupValue95% CI
Pembrolizumab42
Durable Clinical Benefit Primary · ≥18 weeks, up to maximum of 2 years

Patients will have CT scans every 9 weeks from baseline until disease progression. On each occasion, overall tumour burden will be assessed using RECIST version 1.1. The efficacy co-primary outcome measure for the trial is durable clinical benefit defined as the occurrence of CR, PR or SD without prior progressive disease at or after the second scheduled CT scan (scheduled to occur at 18 weeks).

GroupValue95% CI
Pembrolizumab22
Pembrolizumab38
Objective Response Secondary · ≥18 weeks, up to maximum of 2 years

Objective response (OR) is the occurrence of Complete Response (CR) or Partial Response (PR) as the best overall response. OR will be based on responses confirmed using the subsequent 9-weekly scan but OR based on unconfirmed responses will also be reported.

GroupValue95% CI
Pembrolizumab44
Pembrolizumab16
Time to Progression Secondary · Time to progression up to 2 years

This is defined as the time from commencement of trial treatment to the date of CT scan when progressive disease first recorded. Patients with no recorded progression at the time of analysis or who die without recorded progression will be censored at the date of the CT scan when they were last recorded with an evaluable measure that was not progression.

GroupValue95% CI
Pembrolizumab11.94.13 – 27.8
Progression-free Survival Time Secondary · Progression-free survival time up to 2 years

This is defined as the time from commencement of trial treatment to the date of CT scan when progressive disease first recorded or date of death without previously recorded progression. Patients who are alive with no recorded progression at the time of analysis will be censored at the date of the CT scan when they were last recorded with an evaluable measure that was not progression.

GroupValue95% CI
Pembrolizumab4.393.48 – 9.9
Overall Survival Time Secondary · Survival time up to 2 years or date of death

This is defined as the time from commencement of trial treatment to the date of death. Patients who are alive at the time of analysis will be censored at the date last seen alive.

GroupValue95% CI
Pembrolizumab9.86.77 – 13
Duration of Objective Response Secondary · Survival time up to 2 years or date of death

This is defined as the time from commencement of trial treatment to the date of the subsequent CT scan when progressive disease is first confirmed or date of death without previously recorded progression. This outcome is calculated and reported separately for patients who achieve an Objective Response (OR) or Stable Disease (SD). Patients experiencing OR or SD who are alive with no recorded progression at the time of analysis will be censored at the date of the CT scan when they were last recorded with an evaluable measure that was not progression.

GroupValue95% CI
Pembrolizumab14.612.1 – NA
Duration of Stable Disease Secondary · Survival time up to 2 years or date of death

This is defined as the time from commencement of trial treatment to the date of the subsequent CT scan when progressive disease is first confirmed or date of death without previously recorded progression. This outcome is calculated and reported separately for patients who achieve an Objective Response (OR) or Stable Disease (SD). Patients experiencing OR or SD who are alive with no recorded progression at the time of analysis will be censored at the date of the CT scan when they were last recorded with an evaluable measure that was not progression.

GroupValue95% CI
Pembrolizumab4.393.97 – 6.77

Adverse events — posted to ClinicalTrials.gov

Time frame: Date of patient registration until 6 months after the administration of the last treatment (a maximum of 2 years treatment and 6 months followup after end of treatment). Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Pembrolizumab
Serious: 51/60 (85%)
Deaths: 48/60

Serious adverse events (48 terms)

ReactionSystemPembrolizumab
DyspneaRespiratory, thoracic and mediastinal disorders
Other - DeathRespiratory, thoracic and mediastinal disorders
General disorders
DiarrheaGastrointestinal disorders
Other - DeathNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Back painMusculoskeletal and connective tissue disorders
AnorexiaMetabolism and nutrition disorders
FeverGeneral disorders
Lung infectionInfections and infestations
HypoxiaRespiratory, thoracic and mediastinal disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
PneumonitisRespiratory, thoracic and mediastinal disorders
Other - Shortness of BreathRespiratory, thoracic and mediastinal disorders
ConfusionPsychiatric disorders
HypercalcemiaMetabolism and nutrition disorders
StrokeNervous system disorders
Vestibular disorderEar and labyrinth disorders
Acute kidney injuryRenal and urinary disorders
Adrenal insufficiencyEndocrine disorders
Alanine aminotransferase increasedInvestigations
AtaxiaNervous system disorders
Atrial fibrillationCardiac disorders
Cardiac arrestCardiac disorders
Other - DeathCardiac disorders
DizzinessNervous system disorders
Other adverse events (240 terms — click to expand)

ReactionSystemPembrolizumab
FatigueGeneral disorders
DyspneaRespiratory, thoracic and mediastinal disorders
CoughRespiratory, thoracic and mediastinal disorders
AnorexiaMetabolism and nutrition disorders
ConstipationGastrointestinal disorders
NauseaGastrointestinal disorders
DiarrheaGastrointestinal disorders
VomitingGastrointestinal disorders
Back painMusculoskeletal and connective tissue disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
Lung infectionInfections and infestations
Urinary tract infectionInfections and infestations
FeverGeneral disorders
PainGeneral disorders
HypothyroidismEndocrine disorders
Edema limbsGeneral disorders
Other - Chest infectionInfections and infestations
Upper respiratory infectionInfections and infestations
HypomagnesemiaMetabolism and nutrition disorders
HyponatremiaMetabolism and nutrition disorders
DizzinessNervous system disorders
Dry skinSkin and subcutaneous tissue disorders
AnemiaBlood and lymphatic system disorders
MalaiseGeneral disorders
HeadacheNervous system disorders
HypoxiaRespiratory, thoracic and mediastinal disorders
InsomniaPsychiatric disorders
Acute kidney injuryRenal and urinary disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
Other - HaemoptysisRespiratory, thoracic and mediastinal disorders
Atrial fibrillationCardiac disorders
Abdominal painGastrointestinal disorders
Non-cardiac chest painGeneral disorders
Skin infectionInfections and infestations
FallInjury, poisoning and procedural complications
Creatinine increasedInvestigations
Weight lossInvestigations
HypokalemiaMetabolism and nutrition disorders
Chronic kidney diseaseRenal and urinary disorders
Productive coughRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Dyspnea, Other - Death, , Diarrhea, Other - Death, Back pain, Anorexia, Fever.

Data from ClinicalTrials.gov NCT02733159 adverse events section.

Sponsor's own description

This study is to determine that pembrolizumab is safe and tolerable at the selected dose for the treatment of Non-Small Cell Lung Cancer (NSCLC) in patients with a performance status of 2. All patients will receive pembrolizumab.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Pembrolizumab in patients with non-small-cell lung cancer of performance status 2 (PePS2): a single arm, phase 2 trial.
    Middleton G, Brock K, Savage J, Mant R, et al · · 2020 · cited 125× · PMID 32199466 · DOI 10.1016/s2213-2600(20)30033-3
  2. EPSILoN: A Prognostic Score for Immunotherapy in Advanced Non-Small-Cell Lung Cancer: A Validation Cohort.
    Prelaj A, Ferrara R, Rebuzzi SE, Proto C, et al · · 2019 · cited 64× · PMID 31817541 · DOI 10.3390/cancers11121954
  3. Clinical factors associated with early progression and grade 3-4 toxicity in patients with advanced non-small-cell lung cancers treated with nivolumab.
    Dumenil C, Massiani MA, Dumoulin J, Giraud V, et al · · 2018 · cited 45× · PMID 29684049 · DOI 10.1371/journal.pone.0195945
  4. Performance Status and Age as Predictors of Immunotherapy Outcomes in Advanced Non-Small-Cell Lung Cancer.
    Ahmed T, Lycan T, Dothard A, Ehrlichman P, et al · · 2020 · cited 36× · PMID 32089478 · DOI 10.1016/j.cllc.2020.01.001
  5. Performance Status Restriction in Phase III Cancer Clinical Trials.
    Abi Jaoude J, Kouzy R, Mainwaring W, Lin TA, et al · · 2020 · cited 35× · PMID 33022640 · DOI 10.6004/jnccn.2020.7578
  6. New PDL1 inhibitors for non-small cell lung cancer: focus on pembrolizumab.
    Bylicki O, Paleiron N, Rousseau-Bussac G, Chouaïd C. · · 2018 · cited 12× · PMID 30038505 · DOI 10.2147/ott.s154606
  7. Immune checkpoint blockade for advanced non-small cell lung cancer: challenging clinical scenarios.
    Tay R, Prelaj A, Califano R. · · 2018 · cited 11× · PMID 29951301 · DOI 10.21037/jtd.2018.01.80
  8. Risk and safety profile in checkpoint inhibitors on non-small-cel lung cancer: A systematic review.
    Majernikova SM. · · 2024 · cited 4× · PMID 38932682 · DOI 10.1080/21645515.2024.2365771

Verify or expand the search:

Other trials of pembrolizumab

Trials testing the same drug.

Other recruiting trials for Carcinoma, Non-Small-Cell Lung

Currently open trials in the same condition.

Other University of Birmingham trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02733159.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing