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NCT05008224: KEYNOTE-C11

Study of Safety and Efficacy of Pembrolizumab and Chemotherapy in Participants With Newly Diagnosed Classical Hodgkin Lymphoma (cHL) (MK-3475-C11/KEYNOTE-C11)

Completed Phase 2 Results posted Last updated 6 June 2025
What this trial tests

Phase 2 trial testing Pembrolizumab in Classical Hodgkin Lymphoma in 146 participants. Completed in 26 May 2024.

Timeline
7 October 2021
Primary endpoint
11 October 2023
26 May 2024

Quick facts

Lead sponsorMerck Sharp & Dohme LLC
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsequential
Maskingnone
Primary purposetreatment
Enrollment146
Start date7 October 2021
Primary completion11 October 2023
Estimated completion26 May 2024
Sites48 locations across France, Italy, Russia, Chile, Israel, Poland, Canada, Australia

Drugs / interventions tested

Conditions studied

Sponsor

Merck Sharp & Dohme LLC — full company profile →

Who can join

18 and older, any sex, with Classical Hodgkin Lymphoma. 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.

Complete Response (CR) Rate at the End of Study Intervention as Assessed by Blinded Independent Central Review (BICR) Per Lugano 2014 Response Criteria Primary · Up to approximately 24 months

CR rate was assessed by BICR using Computed Tomography (CT) and PET scan according to Lugano 2014 response criteria (Cheson, B.D. et al, Journal of Clinical Oncology, 2014). At each timepoint, CR was determined by combining the anatomic response, metabolic response, and clinical data. The criteria for CR included complete metabolic (no/minimal 2-fluorodeoxyglucose \[FDG\] uptake) and radiologic response (target lesions regress to ≤1.5 cm in longest transverse diameter of a lesion) and no new lesions. Per protocol, participants who discontinued study intervention during pembrolizumab monotherap

GroupValue95% CI
Pembrolizumab Monotherapy + AVD Chemotherapy/escBEACOPP Chemotherapy + Pembrolizumab Consolidation67.058.9 – 74.7
CR Rate at the End of Study Intervention as Assessed by Investigator Per Lugano 2014 Response Criteria Secondary · Up to approximately 31 months

CR rate was assessed by the investigator using CT and PET scan according to Lugano 2014 response criteria (Cheson, B.D. et al, Journal of Clinical Oncology, 2014). At each timepoint, CR was determined by combining the anatomic response, metabolic response, and clinical data. The criteria for CR included complete metabolic (no/minimal FDG uptake) and radiologic response (target lesions regress to ≤1.5 cm in longest transverse diameter of a lesion) and no new lesions. Per protocol, participants who discontinued study intervention during pembrolizumab monotherapy, chemotherapy, or pembrolizumab c

GroupValue95% CI
Pembrolizumab Monotherapy + AVD Chemotherapy/escBEACOPP Chemotherapy + Pembrolizumab Consolidation71.963.9 – 79.0
Duration of Complete Response (DurCR) as Assessed by BICR Per Lugano 2014 Response Criteria Secondary · Up to approximately 31 months

DurCR was defined as the time from CR to progressive disease (PD) or death due to any cause, whichever came first. CR was assessed by BICR using CT and PET scan according to Lugano 2014 response criteria (Cheson, B.D. et al, Journal of Clinical Oncology, 2014). At each timepoint, CR was determined by combining the anatomic response, metabolic response, and clinical data. The criteria for CR included complete metabolic (no/minimal FDG uptake) and radiologic response (target lesions regress to ≤1.5 cm in longest transverse diameter of a lesion) and no new lesions. PD was defined as uptake modera

GroupValue95% CI
Pembrolizumab Monotherapy + AVD Chemotherapy/escBEACOPP Chemotherapy + Pembrolizumab ConsolidationNANA – NA
Rate of PET Negativity Assessed by BICR According to the FDG-PET 5-point Scale After Administration of Pembrolizumab Monotherapy (PET Scan 2) Secondary · Up to approximately 10 weeks

The rate of PET negativity was defined as the percentage of participants considered negative on the FDG-PET 5-point scale, as assessed by BICR according to Lugano 2014 response criteria (Cheson, B.D. et al, Journal of Clinical Oncology, 2014). Participants were assigned a single score on the FDG-PET 5-point scale measuring FDG uptake (1 = no uptake above background, 2 = uptake above background but ≤ mediastinum, 3 = uptake \> mediastinum but ≤ liver, 4 = uptake moderately \> liver, 5 = uptake markedly \> liver or new FDG-positive lesions). Higher scores corresponded to greater uptake (greater

GroupValue95% CI
Pembrolizumab Monotherapy19.9
Rate of PET Negativity Assessed by BICR According to the FDG-PET 5-point Scale After Administration of Pembrolizumab Monotherapy and AVD Chemotherapy (PET Scan 3) Secondary · Up to approximately 5 months

The rate of PET negativity was defined as the percentage of participants considered negative on the FDG-PET 5-point scale, as assessed by BICR according to Lugano 2014 response criteria (Cheson, B.D. et al, Journal of Clinical Oncology, 2014). Participants were assigned a single score on the FDG-PET 5-point scale measuring FDG uptake (1 = no uptake above background, 2 = uptake above background but ≤ mediastinum, 3 = uptake \> mediastinum but ≤ liver, 4 = uptake moderately \> liver, 5 = uptake markedly \> liver or new FDG-positive lesions). Higher scores corresponded to greater uptake (greater

GroupValue95% CI
Pembrolizumab Monotherapy + AVD Chemotherapy70.5
Number of Participants Who Experienced an Adverse Event (AE) Secondary · Up to approximately 31 months

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. Per protocol, collection and reporting of AEs was based on the study treatment received by the participant (pembrolizumab, AVD chemotherapy, or escBEACOPP chemotherapy) at the time of the event. The numb

GroupValue95% CI
Pembrolizumab Monotherapy and Consolidation135
AVD Chemotherapy132
escBEACOPP Chemotherapy17
Number of Participants Who Discontinued Study Treatment Due to an AE Secondary · Up to approximately 17 months

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. Per protocol, collection and reporting of AEs was based on the study treatment received by the participant (pembrolizumab, AVD chemotherapy, or escBEACOPP chemotherapy) at the time of the event. The numb

GroupValue95% CI
Pembrolizumab Monotherapy and Consolidation15
AVD Chemotherapy1
escBEACOPP Chemotherapy0

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to approximately 31 months. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Pembrolizumab Monotherapy and Consolidation
Serious: 26/146 (18%)
Deaths: 0/146
AVD Chemotherapy
Serious: 26/136 (19%)
Deaths: 3/136
escBEACOPP Chemotherapy
Serious: 6/17 (35%)
Deaths: 0/17

Serious adverse events (44 terms)

ReactionSystemPembrolizumab Monotherapy …AVD ChemotherapyescBEACOPP Chemotherapy
Febrile neutropeniaBlood and lymphatic system disorders
PyrexiaGeneral disorders
Immune-mediated encephalitisNervous system disorders
ConstipationGastrointestinal disorders
Mucosal inflammationGeneral disorders
Cytokine release syndromeImmune system disorders
COVID-19Infections and infestations
Meningitis asepticInfections and infestations
PneumoniaInfections and infestations
RashSkin and subcutaneous tissue disorders
AnaemiaBlood and lymphatic system disorders
NeutropeniaBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
Atrial fibrillationCardiac disorders
Cardiac tamponadeCardiac disorders
Myocardial infarctionCardiac disorders
DiarrhoeaGastrointestinal disorders
Rectal haemorrhageGastrointestinal disorders
VomitingGastrointestinal disorders
ChillsGeneral disorders
CholelithiasisHepatobiliary disorders
Immune-mediated hepatitisHepatobiliary disorders
AppendicitisInfections and infestations
Campylobacter gastroenteritisInfections and infestations
Device related sepsisInfections and infestations
Other adverse events (73 terms — click to expand)

ReactionSystemPembrolizumab Monotherapy …AVD ChemotherapyescBEACOPP Chemotherapy
Neutrophil count decreasedInvestigations
NauseaGastrointestinal disorders
ConstipationGastrointestinal disorders
PyrexiaGeneral disorders
COVID-19Infections and infestations
Alanine aminotransferase increasedInvestigations
White blood cell count decreasedInvestigations
FatigueGeneral disorders
PruritusSkin and subcutaneous tissue disorders
AnaemiaBlood and lymphatic system disorders
NeutropeniaBlood and lymphatic system disorders
HeadacheNervous system disorders
AlopeciaSkin and subcutaneous tissue disorders
Peripheral sensory neuropathyNervous system disorders
HyperthyroidismEndocrine disorders
DiarrhoeaGastrointestinal disorders
Bone painMusculoskeletal and connective tissue disorders
Neuropathy peripheralNervous system disorders
VomitingGastrointestinal disorders
ArthralgiaMusculoskeletal and connective tissue disorders
EosinophiliaBlood and lymphatic system disorders
HypothyroidismEndocrine disorders
AstheniaGeneral disorders
Upper respiratory tract infectionInfections and infestations
Lymphocyte count decreasedInvestigations
RashSkin and subcutaneous tissue disorders
Abdominal pain upperGastrointestinal disorders
Aspartate aminotransferase increasedInvestigations
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
InsomniaPsychiatric disorders
CoughRespiratory, thoracic and mediastinal disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
LeukopeniaBlood and lymphatic system disorders
Abdominal painGastrointestinal disorders
Mucosal inflammationGeneral disorders
ThrombocytopeniaBlood and lymphatic system disorders
Oral painGastrointestinal disorders
StomatitisGastrointestinal disorders
ChillsGeneral disorders
Blood thyroid stimulating hormone increasedInvestigations

Most-reported serious reactions: Febrile neutropenia, Pyrexia, Immune-mediated encephalitis, Constipation, Mucosal inflammation, Cytokine release syndrome, COVID-19, Meningitis aseptic.

Data from ClinicalTrials.gov NCT05008224 adverse events section.

Sponsor's own description

The purpose of this study is to evaluate the safety and efficacy of pembrolizumab (MK-3475) monotherapy, followed by chemotherapy, followed by pembrolizumab consolidation. The primary hypothesis of the study is that the complete response (CR) rate at the end of study intervention according to Lugano 2014 response criteria is higher than conventional chemotherapy.

Publications & conference data

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

  1. Sequential pembrolizumab and AVD are highly effective at any PD-L1 expression level in untreated Hodgkin lymphoma.
    Allen PB, Lu X, Chen Q, O'Shea K, et al · · 2023 · cited 31× · PMID 36083129 · DOI 10.1182/bloodadvances.2022008116
  2. Advances in Hodgkin Lymphoma Treatment: From Molecular Biology to Clinical Practice.
    Benevolo Savelli C, Bisio M, Legato L, Fasano F, et al · · 2024 · cited 14× · PMID 38791909 · DOI 10.3390/cancers16101830
  3. Checkpoint inhibition in hematologic malignancies.
    Tsumura A, Levis D, Tuscano JM. · · 2023 · cited 14× · PMID 37920162 · DOI 10.3389/fonc.2023.1288172
  4. Incorporating novel agents into frontline treatment of Hodgkin lymphoma.
    Thiruvengadam SK, Herrera AF. · · 2022 · cited 3× · PMID 36485085 · DOI 10.1182/hematology.2022000363
  5. Application of interim PET-CT in first-line treatment decision-making for lymphoma.
    Huang L, Zhao Y, He J. · · 2023 · cited 1× · PMID 37752092 · DOI 10.1631/jzus.b2200644
  6. [Pseudoprogression caused by first-line treatment of classical Hodgkin's lymphoma with PD-1 inhibitor: a case report and literature review].
    Wang WJ, Ke Y, Li J, Liu P. · · 2021 · PMID 35045678 · DOI 10.3760/cma.j.issn.0253-2727.2021.12.014

Verify or expand the search:

Other trials of Pembrolizumab

Trials testing the same drug.

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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/NCT05008224.

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