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NCT03631784: KEYNOTE-799

A Trial of Pembrolizumab in Combination With Chemotherapy and Radiotherapy in Stage III NSCLC (KEYNOTE-799, MK-3475-799)

Completed Phase 2 Results posted Last updated 25 March 2025
What this trial tests

Phase 2 trial testing Pembrolizumab 200 mg in Non-small Cell Lung Cancer in 216 participants. Completed in 19 March 2024.

Timeline
19 October 2018
Primary endpoint
18 October 2021
19 March 2024

Quick facts

Lead sponsorMerck Sharp & Dohme LLC
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment216
Start date19 October 2018
Primary completion18 October 2021
Estimated completion19 March 2024
Sites56 locations across France, New Zealand, Russia, United Kingdom, Germany, Poland, South Korea, Australia

Drugs / interventions tested

Conditions studied

Sponsor

Merck Sharp & Dohme LLC — full company profile →

Who can join

18 and older, any sex, with Non-small Cell Lung Cancer. 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.

Percentage of Participants Who Developed Grade 3 or Higher Pneumonitis Primary · Up to approximately 3 years

Pneumonitis included the MedDRA preferred terms for radiation pneumonitis are acute interstitial pneumonitis, autoimmune lung disease, interstitial lung disease, pneumonitis, idiopathic pneumonia syndrome, organizing pneumonia, and immune-mediated pneumonitis. As per common terminology criteria for Adverse Events, version 4.0, pneumonitis was graded as follows: Grade (Gr) 1- asymptomatic, clinical or diagnostic observations only; intervention not indicated; Gr 2- symptomatic, medical intervention indicated, limiting instrumental activities of daily living (ADL); Gr 3- severe symptoms; limiting

GroupValue95% CI
Pembrolizumab + cCRT + Paclitaxel + Carboplatin8.04.3 – 13.6
Pembrolizumab + cCRT + Pemetrexed + Cisplatin6.93.3 – 12.5
Overall Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) Primary · Up to approximately 3 years

ORR was defined as the percentage of participants who experienced a complete response (CR; disappearance of all target lesions) or a partial response (PR; at least a 30% decrease in the sum of diameters of target lesions) and was assessed using modified RECIST 1.1 by blinded independent central review (BICR).

GroupValue95% CI
Pembrolizumab + cCRT + Paclitaxel + Carboplatin71.462.1 – 79.6
Pembrolizumab + cCRT + Pemetrexed + Cisplatin75.566.0 – 83.5
Progression Free Survival (PFS) Per Response Criteria in Solid Tumors Version 1.1 (RECIST 1.1) Secondary · Up to approximately 5 1/2 years

PFS was defined as the time from the first dose of study treatment to the date of the first documentation of disease progression, as determined by BICR per RECIST 1.1 or death due to any cause (whichever occurred first). Disease progression was defined as at least 20 percent (%) increase (including an absolute increase of at least 5 millimeters \[mm\]) in the sum of diameter of target lesions, taking as reference the smallest sum, and/or unequivocal progression of existing non-target lesions, and/or appearance of 1 or more new lesions. PFS was estimated and analyzed using the product-limit (Ka

GroupValue95% CI
Pembrolizumab + cCRT + Paclitaxel + Carboplatin29.016.6 – 48.5
Pembrolizumab + cCRT + Pemetrexed + Cisplatin45.317.9 – NA
Overall Survival (OS) Secondary · Up to approximately 5 1/2 years

OS is defined as the time from enrollment to death due to any cause. OS was estimated and analyzed using the product-limit (Kaplan-Meier) method for censored data.

GroupValue95% CI
Pembrolizumab + cCRT + Paclitaxel + Carboplatin35.626.1 – 44.2
Pembrolizumab + cCRT + Pemetrexed + Cisplatin56.741.1 – NA
Number of Participants Who Experienced an Adverse Event (AE) Secondary · Up to approximately 1 1/2 years

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. The number of participants with at least one AE was assessed.

GroupValue95% CI
Pembrolizumab + cCRT + Paclitaxel + Carboplatin108
Pembrolizumab + cCRT + Pemetrexed + Cisplatin101
Number of Participants Who Discontinued From Study Treatment Due to an AE Secondary · Up to approximately 1 year

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. The number of participants who discontinued treatment due to an AE was assessed.

GroupValue95% CI
Pembrolizumab + cCRT + Paclitaxel + Carboplatin48
Pembrolizumab + cCRT + Pemetrexed + Cisplatin26

Adverse events — posted to ClinicalTrials.gov

Time frame: For adverse events: Up to ~ 1 1/2 years. All-cause mortality (ACM): Up to ~ 5 1/2 years. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Pembrolizumab + cCRT + Paclitaxel + Carboplatin
Serious: 66/112 (59%)
Deaths: 72/112
Pembrolizumab + cCRT + Pemetrexed + Cisplatin
Serious: 46/102 (45%)
Deaths: 49/104

Serious adverse events (107 terms)

ReactionSystemPembrolizumab + cCRT + Pac…Pembrolizumab + cCRT + Pem…
PneumoniaInfections and infestations
PyrexiaGeneral disorders
PneumonitisRespiratory, thoracic and mediastinal disorders
Febrile neutropeniaBlood and lymphatic system disorders
SepsisInfections and infestations
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
AnaemiaBlood and lymphatic system disorders
Radiation oesophagitisInjury, poisoning and procedural complications
Radiation pneumonitisInjury, poisoning and procedural complications
Supraventricular tachycardiaCardiac disorders
DiarrhoeaGastrointestinal disorders
NauseaGastrointestinal disorders
OesophagitisGastrointestinal disorders
AstheniaGeneral disorders
FatigueGeneral disorders
Anaphylactic reactionImmune system disorders
COVID-19 pneumoniaInfections and infestations
Neutropenic sepsisInfections and infestations
Pneumocystis jirovecii pneumoniaInfections and infestations
DehydrationMetabolism and nutrition disorders
Acute kidney injuryRenal and urinary disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
Autoimmune haemolytic anaemiaBlood and lymphatic system disorders
HaematotoxicityBlood and lymphatic system disorders
Other adverse events (72 terms — click to expand)

ReactionSystemPembrolizumab + cCRT + Pac…Pembrolizumab + cCRT + Pem…
NauseaGastrointestinal disorders
AnaemiaBlood and lymphatic system disorders
AstheniaGeneral disorders
FatigueGeneral disorders
AlopeciaSkin and subcutaneous tissue disorders
NeutropeniaBlood and lymphatic system disorders
CoughRespiratory, thoracic and mediastinal disorders
Decreased appetiteMetabolism and nutrition disorders
ConstipationGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
DysphagiaGastrointestinal disorders
OesophagitisGastrointestinal disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
PyrexiaGeneral disorders
RashSkin and subcutaneous tissue disorders
VomitingGastrointestinal disorders
Neutrophil count decreasedInvestigations
HypothyroidismEndocrine disorders
Radiation pneumonitisInjury, poisoning and procedural complications
InsomniaPsychiatric disorders
ThrombocytopeniaBlood and lymphatic system disorders
ArthralgiaMusculoskeletal and connective tissue disorders
PneumonitisRespiratory, thoracic and mediastinal disorders
Platelet count decreasedInvestigations
Weight decreasedInvestigations
PruritusSkin and subcutaneous tissue disorders
LeukopeniaBlood and lymphatic system disorders
DyspepsiaGastrointestinal disorders
Neuropathy peripheralNervous system disorders
Radiation oesophagitisInjury, poisoning and procedural complications
Blood creatinine increasedInvestigations
HeadacheNervous system disorders
LymphopeniaBlood and lymphatic system disorders
PneumoniaInfections and infestations
Peripheral sensory neuropathyNervous system disorders
TinnitusEar and labyrinth disorders
OdynophagiaGastrointestinal disorders
Lymphocyte count decreasedInvestigations
White blood cell count decreasedInvestigations
MyalgiaMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Pneumonia, Pyrexia, Pneumonitis, Febrile neutropenia, Sepsis, Pulmonary embolism, Anaemia, Radiation oesophagitis.

Data from ClinicalTrials.gov NCT03631784 adverse events section.

Sponsor's own description

This is a trial in adult participants with unresectable, locally advanced, Stage III non-small cell lung cancer (NSCLC) treated with pembrolizumab in combination with platinum doublet chemotherapy and standard thoracic radiotherapy followed by pembrolizumab monotherapy. The primary hypothesis of the trial is that within each platinum doublet chemotherapy cohort, the percentage of participants who develop Grade 3 or higher pneumonitis is ≤10% and estimation of objective response rate (ORR) by blinded independent central review (BICR).

Publications & conference data

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

  1. Non-small cell lung cancer in China.
    Chen P, Liu Y, Wen Y, Zhou C. · · 2022 · cited 479× · PMID 36075878 · DOI 10.1002/cac2.12359
  2. Radiotherapy combined with immunotherapy: the dawn of cancer treatment.
    Zhang Z, Liu X, Chen D, Yu J. · · 2022 · cited 463× · PMID 35906199 · DOI 10.1038/s41392-022-01102-y
  3. Improvement of the anticancer efficacy of PD-1/PD-L1 blockade via combination therapy and PD-L1 regulation.
    Wu M, Huang Q, Xie Y, Wu X, et al · · 2022 · cited 336× · PMID 35279217 · DOI 10.1186/s13045-022-01242-2
  4. Pembrolizumab Plus Concurrent Chemoradiation Therapy in Patients With Unresectable, Locally Advanced, Stage III Non-Small Cell Lung Cancer: The Phase 2 KEYNOTE-799 Nonrandomized Trial.
    Jabbour SK, Lee KH, Frost N, Breder V, et al · · 2021 · cited 185× · PMID 34086039 · DOI 10.1001/jamaoncol.2021.2301
  5. The cutting-edge progress of immune-checkpoint blockade in lung cancer.
    Zhou F, Qiao M, Zhou C. · · 2021 · cited 177× · PMID 33177696 · DOI 10.1038/s41423-020-00577-5
  6. SBRT combined with PD-1/PD-L1 inhibitors in NSCLC treatment: a focus on the mechanisms, advances, and future challenges.
    Chen Y, Gao M, Huang Z, Yu J, et al · · 2020 · cited 125× · PMID 32723363 · DOI 10.1186/s13045-020-00940-z
  7. Management of locally advanced non-small cell lung cancer: State of the art and future directions.
    Miao D, Zhao J, Han Y, Zhou J, et al · · 2024 · cited 99× · PMID 37985191 · DOI 10.1002/cac2.12505
  8. Enhance the Immune Checkpoint Inhibitors Efficacy with Radiotherapy Induced Immunogenic Cell Death: A Comprehensive Review and Latest Developments.
    Procureur A, Simonaggio A, Bibault JE, Oudard S, et al · · 2021 · cited 49× · PMID 33567530 · DOI 10.3390/cancers13040678

Verify or expand the search:

Other trials of Pembrolizumab 200 mg

Trials testing the same drug.

Other recruiting trials for Non-small Cell Lung Cancer

Currently open trials in the same condition.

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Trials by the same sponsor.

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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/NCT03631784.

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