- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04241185
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)
April 19, 2024 updated by: Merck Sharp & Dohme LLC
A Phase 3, Randomized, Double-blind, Placebo-controlled Clinical Trial to Study the Efficacy and Safety of Pembrolizumab (MK-3475) in Combination With Chemoradiotherapy (CRT) Versus CRT Alone in Participants With Muscle-invasive Bladder Cancer (MIBC) (KEYNOTE-992)
This study is designed to assess the antitumor efficacy and safety of pembrolizumab in combination with chemoradiotherapy (CRT) versus CRT alone in participants with muscle-invasive bladder cancer (MIBC).
The primary hypothesis is that pembrolizumab + chemoradiotherapy is superior to placebo + chemoradiotherapy with respect to bladder intact event-free survival.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
- Drug: Pembrolizumab
- Radiation: Conventional Radiotherapy (Bladder only)
- Radiation: Conventional Radiotherapy (Bladder and pelvic nodes)
- Radiation: Hypofractionated Radiotherapy (Bladder only)
- Drug: Cisplatin
- Drug: Fluorouracil (5-FU)
- Drug: Mitomycin C (MMC)
- Drug: Gemcitabine
- Drug: Placebo to Pembrolizumab
Study Type
Interventional
Enrollment (Estimated)
636
Phase
- Phase 3
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Toll Free Number
- Phone Number: 1-888-577-8839
- Email: Trialsites@merck.com
Study Locations
-
-
New South Wales
-
Liverpool, New South Wales, Australia, 2170
- Completed
- Liverpool Hospital ( Site 0220)
-
St Leonards, New South Wales, Australia, 2065
- Recruiting
- GenesisCare North Shore ( Site 0217)
-
Contact:
- Study Coordinator
- Phone Number: 61294631172
-
-
Victoria
-
Clayton, Victoria, Australia, 3168
- Completed
- Monash Medical Centre ( Site 0216)
-
Heidelberg, Victoria, Australia, 3084
- Recruiting
- Austin Health ( Site 0218)
-
Contact:
- Study Coordinator
- Phone Number: 610420381848
-
-
Western Australia
-
Nedlands, Western Australia, Australia, 6009
- Completed
- Sir Charles Gairdner Hospital ( Site 0223)
-
-
-
-
-
Antofagasta, Chile, 1240000
- Recruiting
- Bradford Hill Norte ( Site 7052)
-
Contact:
- Study Coordinator
- Phone Number: 56994198125
-
-
Los Rios
-
Valdivia, Los Rios, Chile, 5112129
- Recruiting
- Oncocentro Valdivia ( Site 7055)
-
Contact:
- Study Coordinator
- Phone Number: +56992195434
-
-
Region M. De Santiago
-
Santiago, Region M. De Santiago, Chile, 8420383
- Recruiting
- Bradfordhill-Clinical Area ( Site 7051)
-
Contact:
- Study Coordinator
- Phone Number: +56998744662
-
Santiago, Region M. De Santiago, Chile, 7500921
- Recruiting
- FALP ( Site 7056)
-
Contact:
- Study Coordinator
- Phone Number: +56956075934
-
-
Valparaiso
-
Viña del Mar, Valparaiso, Chile, 2520598
- Recruiting
- ONCOCENTRO APYS-ACEREY ( Site 7054)
-
Contact:
- Study Coordinator
- Phone Number: +56992369820
-
-
-
-
-
Olomouc, Czechia, 77900
- Recruiting
- Fakultni nemocnice Olomouc ( Site 0559)
-
Contact:
- Study Coordinator
- Phone Number: +420588444295
-
Praha 5, Czechia, 150 06
- Recruiting
- 2. LF UK a FN Motol ( Site 0555)
-
Contact:
- Study Coordinator
- Phone Number: +420266084516
-
Praha 8, Czechia, 180 81
- Completed
- Nemocnice Na Bulovce ( Site 0556)
-
-
-
-
Hovedstaden
-
Herlev, Hovedstaden, Denmark, 2730
- Completed
- Herlev og Gentofte Hospital. ( Site 0401)
-
-
Syddanmark
-
Odense, Syddanmark, Denmark, 5000
- Completed
- Odense Universitetshospital ( Site 0403)
-
-
-
-
Harjumaa
-
Tallin, Harjumaa, Estonia, 13419
- Recruiting
- North Estonia Medical Centre Foundation ( Site 0081)
-
Contact:
- Study Coordinator
- Phone Number: +3726172323
-
-
Tartumaa
-
Tartu, Tartumaa, Estonia, 51014
- Recruiting
- Tartu University Hospital ( Site 0079)
-
Contact:
- Study Coordinator
- Phone Number: +3727318815
-
-
-
-
-
Paris, France, 75005
- Recruiting
- Institut Curie ( Site 0112)
-
Contact:
- Study Coordinator
- Phone Number: +33172389445
-
Paris, France, 75018
- Recruiting
- A.P.H. Paris. Hopital Bichat Claude Bernard ( Site 0115)
-
Contact:
- Study Coordinator
- Phone Number: +33140258935
-
-
Provence-Alpes-Cote-d Azur
-
Avignon, Provence-Alpes-Cote-d Azur, France, 84918
- Recruiting
- Institut Sainte Catherine ( Site 0121)
-
Contact:
- Study Coordinator
- Phone Number: +33490276090
-
-
Somme
-
Amiens, Somme, France, 80000
- Recruiting
- CHU Amiens Picardie Site Sud Amiens ( Site 0123)
-
Contact:
- Study Coordinator
- Phone Number: +3332022087996
-
-
-
-
-
Guatemala, Guatemala, 01010
- Recruiting
- Centro de Investigaciones Clinicas de Latinoamerica S.A. - CELAN ( Site 0146)
-
Contact:
- Study Coordinator
- Phone Number: +502 42142081
-
Guatemala, Guatemala, 01010
- Recruiting
- Oncomedica ( Site 0145)
-
Contact:
- Study Coordinator
- Phone Number: 50222781268
-
Guatemala, Guatemala, 01015
- Recruiting
- Grupo Medico Angeles ( Site 0143)
-
Contact:
- Study Coordinator
- Phone Number: +50223857572
-
Guatemala, Guatemala, 01016
- Recruiting
- Medi-K Cayala ( Site 0142)
-
Contact:
- Study Coordinator
- Phone Number: +50223752222
-
Quetzaltenango, Guatemala, 09002
- Recruiting
- Centro Medico Integral De Cancerología (CEMIC) ( Site 0144)
-
Contact:
- Study Coordinator
- Phone Number: +50259458053
-
-
-
-
-
Debrecen, Hungary, 4032
- Recruiting
- Debreceni Egyetem Klinikai Kozpont ( Site 0097)
-
Contact:
- Study Coordinator
- Phone Number: +3652255585
-
Kaposvar, Hungary, 7400
- Recruiting
- Somogy Megyei Kaposi Mor Oktato Korhaz ( Site 0091)
-
Contact:
- Study Coordinator
- Phone Number: +36306554043
-
-
Bacs-Kiskun
-
Kecskemét, Bacs-Kiskun, Hungary, 6000
- Recruiting
- Bacs-Kiskun Megyei Korhaz-Onkoradiologiai Kozpont ( Site 0095)
-
Contact:
- Study Coordinator
- Phone Number: +3676516719
-
-
Borsod-Abauj-Zemplen
-
Miskolc, Borsod-Abauj-Zemplen, Hungary, 3526
- Recruiting
- BAZ Megyei Korhaz. Klinikai Onkologia es Sugarterapias Centrum ( Site 0092)
-
Contact:
- Study Coordinator
- Phone Number: +3646515200
-
-
Gyor-Moson-Sopron
-
Gyor, Gyor-Moson-Sopron, Hungary, 9024
- Recruiting
- Petz Aladar Megyei Oktato Korhaz ( Site 0099)
-
Contact:
- Study Coordinator
- Phone Number: +3696507900
-
-
-
-
-
Be'er Sheva, Israel, 8400000
- Recruiting
- Soroka Medical Center-Oncology ( Site 7031)
-
Contact:
- Study Coordinator
- Phone Number: +972508946244
-
Haifa, Israel, 3109601
- Recruiting
- Rambam Health Care Campus-Oncology Division ( Site 0088)
-
Contact:
- Study Coordinator
- Phone Number: +97247773811
-
Jerusalem, Israel, 9112001
- Recruiting
- Hadassah Medical Center. Ein Kerem ( Site 0086)
-
Contact:
- Study Coordinator
- Phone Number: +97226776760
-
Petah Tikva, Israel, 4941492
- Recruiting
- Rabin Medical Center ( Site 7032)
-
Contact:
- Study Coordinator
- Phone Number: +97239378101
-
Ramat Gan, Israel, 5262000
- Recruiting
- Chaim Sheba Medical Center ( Site 0087)
-
Contact:
- Study Coordinator
- Phone Number: +97235302542
-
Tel Aviv, Israel, 6423906
- Recruiting
- Sourasky Medical Center ( Site 0089)
-
Contact:
- Study Coordinator
- Phone Number: +97236973413
-
-
-
-
-
Firenze, Italy, 50134
- Recruiting
- AOU Careggi ( Site 0191)
-
Contact:
- Study Coordinator
- Phone Number: +390557947019
-
Macerata, Italy, 62100
- Recruiting
- Ospedale Civile di Macerata ( Site 0190)
-
Contact:
- Study Coordinator
- Phone Number: +3907332572881
-
Milano, Italy, 20133
- Recruiting
- Fondazione IRCCS Istituto Nazionale dei Tumori di Milano ( Site 0186)
-
Contact:
- Study Coordinator
- Phone Number: +390223903818
-
Modena, Italy, 41124
- Completed
- Azienda Ospedaliero - Universitaria Policlinico di Modena ( Site 0188)
-
Napoli, Italy, 80131
- Recruiting
- Istituto Nazionale Tumori IRCCS Fondazione Pascale ( Site 0192)
-
Contact:
- Study Coordinator
- Phone Number: +390815903637
-
-
Lazio
-
Roma, Lazio, Italy, 00128
- Completed
- Fondazione Policlinico Universitario Campus Bio-Medico-Radiation Oncology ( Site 7041)
-
-
Lombardia
-
Milano, Lombardia, Italy, 20132
- Recruiting
- Ospedale San Raffaele ( Site 0194)
-
Contact:
- Study Coordinator
- Phone Number: +390226435668
-
-
Puglia
-
Bari, Puglia, Italy, 70124
- Recruiting
- IRCCS Giovanni Paolo II. Ospedale Oncologico ( Site 0193)
-
Contact:
- Study Coordinator
- Phone Number: +390805555355
-
-
-
-
-
Nagasaki, Japan, 852-8501
- Active, not recruiting
- Nagasaki University Hospital ( Site 0600)
-
Tokyo, Japan, 113-8677
- Recruiting
- Tokyo Metropolitan Komagome Hospital ( Site 0606)
-
Contact:
- Study Coordinator
- Phone Number: +81-3-3823-2101
-
Tokyo, Japan, 113-8519
- Recruiting
- Tokyo Medical and Dental University Hospital ( Site 0601)
-
Contact:
- Study Coordinator
- Phone Number: +81338136111
-
-
Aomori
-
Hirosaki, Aomori, Japan, 036-8563
- Recruiting
- Hirosaki University Hospital ( Site 0602)
-
Contact:
- Study Coordinator
- Phone Number: +81172335111
-
-
Ibaraki
-
Tsukuba, Ibaraki, Japan, 305-8576
- Recruiting
- University of Tsukuba Hospital ( Site 0605)
-
Contact:
- Study Coordinator
- Phone Number: +81298533900
-
-
Osaka
-
Takatsuki, Osaka, Japan, 5698686
- Recruiting
- Osaka Medical and Pharmaceutical University Hospital ( Site 0604)
-
Contact:
- Study Coordinator
- Phone Number: +81726831221
-
-
-
-
-
Seoul, Korea, Republic of, 02841
- Completed
- Korea University Anam Hospital ( Site 0205)
-
Seoul, Korea, Republic of, 03722
- Recruiting
- Severance Hospital Yonsei University Health System ( Site 0201)
-
Contact:
- Study Coordinator
- Phone Number: +82222288138
-
-
Kyonggi-do
-
Gyeonggi-do, Kyonggi-do, Korea, Republic of, 10408
- Recruiting
- National Cancer Center ( Site 0202)
-
Contact:
- Study Coordinator
- Phone Number: +82319203679
-
Seongnam-si, Kyonggi-do, Korea, Republic of, 13620
- Recruiting
- Seoul National University Bundang Hospital ( Site 0204)
-
Contact:
- Study Coordinator
- Phone Number: +82317877071
-
-
Seoul
-
Songpagu, Seoul, Korea, Republic of, 05505
- Recruiting
- Asan Medical Center ( Site 0200)
-
Contact:
- Study Coordinator
- Phone Number: +82230105614
-
-
Taejon-Kwangyokshi
-
Daejeon, Taejon-Kwangyokshi, Korea, Republic of, 35015
- Recruiting
- Chungnam National University Hospital ( Site 0203)
-
Contact:
- Study Coordinator
- Phone Number: +82422808369
-
-
-
-
-
Riga, Latvia, LV1002
- Recruiting
- Pauls Stradins Clinical University Hospital ( Site 0073)
-
Contact:
- Study Coordinator
- Phone Number: +37129262596
-
-
-
-
-
Kuala Lumpur, Malaysia, 59100
- Recruiting
- University Malaya Medical Centre ( Site 0236)
-
Contact:
- Study Coordinator
- Phone Number: +60379492120
-
Kuala Lumpur, Malaysia, 50586
- Completed
- Hospital Kuala Lumpur ( Site 0238)
-
-
Kelantan
-
Kubang Kerian, Kelantan, Malaysia, 16150
- Recruiting
- Hospital Universiti Sains Malaysia ( Site 0237)
-
Contact:
- Study Coordinator
- Phone Number: +6097676684
-
-
Pulau Pinang
-
Penang, Pulau Pinang, Malaysia, 10990
- Recruiting
- Hospital Pulau Pinang ( Site 0239)
-
Contact:
- Study Coordinator
- Phone Number: +6042225768
-
-
-
-
Noord-Holland
-
Amsterdam, Noord-Holland, Netherlands, 1066 CX
- Recruiting
- Netherlands Cancer Institute (NKI) ( Site 0183)
-
Contact:
- Study Coordinator
- Phone Number: +31205122569
-
-
Zuid-Holland
-
Rotterdam, Zuid-Holland, Netherlands, 3015 GD
- Recruiting
- Erasmus MC ( Site 0182)
-
Contact:
- Study Coordinator
- Phone Number: +31107041505
-
-
-
-
Malopolskie
-
Krakow, Malopolskie, Poland, 31-826
- Recruiting
- Szpital Specjalistyczny im. Ludwika Rydygiera w Krakowie ( Site 0153)
-
Contact:
- Study Coordinator
- Phone Number: 48606751459
-
-
Mazowieckie
-
Siedlce, Mazowieckie, Poland, 08-110
- Recruiting
- Mazowiecki Szpital Wojewódzki w Siedlcach ( Site 0154)
-
Contact:
- Study Coordinator
- Phone Number: +48603936331
-
-
Zachodniopomorskie
-
Koszalin, Zachodniopomorskie, Poland, 75-581
- Recruiting
- Szpital Wojewodzki im. Mikolaja Kopernika ( Site 0152)
-
Contact:
- Study Coordinator
- Phone Number: +48943488931
-
-
-
-
-
Coimbra, Portugal, 3000-075
- Recruiting
- Centro Hospitalar e Universitario de Coimbra ( Site 0306)
-
Contact:
- Study Coordinator
- Phone Number: +351239400457
-
Lisboa, Portugal, 1449-005
- Recruiting
- CHLO, EPE - Hospital de Sao Francisco Xavier ( Site 0302)
-
Contact:
- Study Coordinator
- Phone Number: +351210431703
-
Lisboa, Portugal, 1649-035
- Recruiting
- Centro Hospitalar Lisboa Norte EPE - Hospital de Santa Maria ( Site 0305)
-
Contact:
- Study Coordinator
- Phone Number: +351217805000
-
-
Lisboa
-
Loures, Lisboa, Portugal, 2674-514
- Recruiting
- Hospital Beatriz Angelo ( Site 0303)
-
Contact:
- Study Coordinator
- Phone Number: +351219847200
-
-
-
-
-
Ponce, Puerto Rico, 00716
- Recruiting
- Advance Urology and Laparoscopic Center ( Site 0281)
-
Contact:
- Study Coordinator
- Phone Number: 7872843333
-
San Juan, Rio Piedras, Puerto Rico, 00935
- Recruiting
- PAN American Center Oncologic ( Site 0280)
-
Contact:
- Study Coordinator
- Phone Number: 7874073333
-
-
-
-
-
Bucuresti, Romania, 022548
- Recruiting
- S.C.Focus Lab Plus S.R.L ( Site 0253)
-
Contact:
- Study Coordinator
- Phone Number: +40721298677
-
Cluj, Romania, 400015
- Recruiting
- Institutul Oncologic-Oncologie Medicala ( Site 0256)
-
Contact:
- Study Coordinator
- Phone Number: 40745646368
-
Iasi, Romania, 700483
- Completed
- Institutul Regional de Oncologie Iasi ( Site 0255)
-
-
Cluj
-
Cluj Napoca, Cluj, Romania, 400015
- Recruiting
- Institutul Oncologic Prof.Dr. Ion Chiricuta Cluj-Napoca ( Site 0249)
-
Contact:
- Study Coordinator
- Phone Number: +40745976913
-
Cluj-Napoca, Cluj, Romania, 407280
- Recruiting
- S.C. Radiotherapy Center Cluj S.R.L ( Site 0252)
-
Contact:
- Study Coordinator
- Phone Number: +40742206212
-
-
Dolj
-
Craiova, Dolj, Romania, 200542
- Recruiting
- S.C. Centrul de Oncologie Sf. Nectarie SRL ( Site 0248)
-
Contact:
- Study Coordinator
- Phone Number: +40727774974
-
-
Timis
-
Timisoara, Timis, Romania, 300239
- Recruiting
- Policlinica Oncomed SRL ( Site 0254)
-
Contact:
- Study Coordinator
- Phone Number: +40745100495
-
-
-
-
-
Sevilla, Spain, 41013
- Recruiting
- HOSPITAL UNIVERSITARIO VIRGEN DEL ROCIO-Medical Oncology ( Site 0106)
-
Contact:
- Study Coordinator
- Phone Number: +34955013068
-
-
Barcelona
-
L Hospitalet De Llobregat, Barcelona, Spain, 08908
- Recruiting
- Instituto Catalan de Oncologia - ICO ( Site 0103)
-
Contact:
- Study Coordinator
- Phone Number: +34932607744
-
-
Valenciana, Comunitat
-
Valencia, Valenciana, Comunitat, Spain, 46026
- Recruiting
- Hospital La Fe de Valencia ( Site 0105)
-
Contact:
- Study Coordinator
- Phone Number: +34961244188
-
-
-
-
-
Kaohsiung, Taiwan, 83301
- Recruiting
- Kaohsiung Chang Gung Memorial Hospital ( Site 0209)
-
Contact:
- Study Coordinator
- Phone Number: 88677317123
-
Taichung, Taiwan, 407
- Recruiting
- Taichung Veterans General Hospital ( Site 0213)
-
Contact:
- Study Coordinator
- Phone Number: +8886423592525
-
Tainan, Taiwan, 70403
- Completed
- National Cheng Kung University Hospital ( Site 0208)
-
Taipei, Taiwan, 10002
- Recruiting
- National Taiwan University Hospital ( Site 0210)
-
Contact:
- Study Coordinator
- Phone Number: +886223123456
-
Taipei, Taiwan, 112
- Recruiting
- Taipei Veterans General Hospital ( Site 0211)
-
Contact:
- Study Coordinator
- Phone Number: +886228757519304
-
Taoyuan, Taiwan, 333
- Recruiting
- Chang Gung Medical Foundation.Linkou Branch ( Site 0212)
-
Contact:
- Study Coordinator
- Phone Number: +886 3-3281200 ext8825
-
-
Tainan
-
Tainan City, Tainan, Taiwan, 71004
- Recruiting
- Chi Mei Medical Center ( Site 0215)
-
Contact:
- Study Coordinator
- Phone Number: +88662812811
-
-
-
-
-
Ankara, Turkey, 06010
- Recruiting
- University of Health Sciences,Gulhane School of Medicine-Oncology ( Site 0509)
-
Contact:
- Study Coordinator
- Phone Number: 905366401020
-
Ankara, Turkey, 06100
- Recruiting
- Ankara Universitesi Tip Fakultesi. ( Site 0502)
-
Contact:
- Study Coordinator
- Phone Number: +905337483275
-
Istanbul, Turkey, 34098
- Recruiting
- Istanbul Uni. Cerrahpasa Tip Fakultesi ( Site 0501)
-
Contact:
- Study Coordinator
- Phone Number: +905333682319
-
Istanbul, Turkey, 34147
- Recruiting
- T.C. Saglik Bakanligi Turkiye Kamu Hastaneleri Kurumu - Baki-Istanbul Bakirkoy Sadi Konuk Training (
-
Contact:
- Study Coordinator
- Phone Number: +905326761078
-
Istanbul, Turkey, 34722
- Recruiting
- Göztepe Prof. Dr. Süleyman Yalçın Şehir Hastanesi-oncology ( Site 0504)
-
Contact:
- Study Coordinator
- Phone Number: +905063509061
-
Izmir, Turkey, 35100
- Recruiting
- Ege University Medical Faculty ( Site 0508)
-
Contact:
- Study Coordinator
- Phone Number: +905337360674
-
Trabzon, Turkey, 61080
- Recruiting
- Karadeniz Teknik Universitesi Tip Fakultesi ( Site 0503)
-
Contact:
- Study Coordinator
- Phone Number: +905052180361
-
-
-
-
-
Kyiv, Ukraine, 03115
- Suspended
- Kyiv City Clinical Oncology Center ( Site 0135)
-
-
Dnipropetrovska Oblast
-
Dnipro, Dnipropetrovska Oblast, Ukraine, 49055
- Suspended
- Clinical oncology dispensary of Dnipro ( Site 0133)
-
-
Kharkivska Oblast
-
Kharkiv, Kharkivska Oblast, Ukraine, 61024
- Suspended
- Grigoriev Institute for medical Radiology NAMS of Ukraine ( Site 0139)
-
Kharkiv, Kharkivska Oblast, Ukraine, 61070
- Suspended
- MNPE Regional Center of Oncology ( Site 0134)
-
-
Kirovohradska Oblast
-
Kropyvnytskiy, Kirovohradska Oblast, Ukraine, 25011
- Suspended
- Ukranian Center of TomoTherapy ( Site 0140)
-
-
Kyivska Oblast
-
Kyiv, Kyivska Oblast, Ukraine, 03022
- Suspended
- SNPE National Cancer Institute ( Site 0136)
-
-
-
-
-
Darlington, United Kingdom, DL3 6HX
- Recruiting
- Darlington Memorial Hospital NHS Trust ( Site 0446)
-
Contact:
- Study Coordinator
- Phone Number: +441325743654
-
-
Denbighshire
-
Rhyl, Denbighshire, United Kingdom, LL18 5UJ
- Completed
- Betsi Cadwaladr University Health Board ( Site 0447)
-
-
Devon
-
Torquay, Devon, United Kingdom, TQ2 7AA
- Recruiting
- South Devon Healthcare Foundation Trust. Torbay Hospital ( Site 0444)
-
Contact:
- Study Coordinator
- Phone Number: +441803614567
-
-
Lancashire
-
Preston, Lancashire, United Kingdom, PR2 9HT
- Recruiting
- Royal Preston Hospital ( Site 0449)
-
Contact:
- Study Coordinator
- Phone Number: 441772523191
-
-
London, City Of
-
London, London, City Of, United Kingdom, NW1 2PG
- Recruiting
- University College London Hospitals NHS Foundation Trust ( Site 0445)
-
Contact:
- Study Coordinator
- Phone Number: +4420 3456 7014
-
London, London, City Of, United Kingdom, SW3 6JJ
- Recruiting
- The Royal Marsden NHS Foundation Trust. ( Site 0442)
-
Contact:
- Study Coordinator
- Phone Number: +442078082788
-
-
Nottinghamshire
-
Nottingham, Nottinghamshire, United Kingdom, NG5 1PB
- Completed
- Nottingham University Hospital NHS Trust ( Site 0250)
-
-
-
-
District of Columbia
-
Washington, District of Columbia, United States, 20010
- Recruiting
- Washington Cancer Institute at MedStar Washington Hospital Center ( Site 0041)
-
Contact:
- Study Coordinator
- Phone Number: 202-877-9386
-
-
Florida
-
Bay Pines, Florida, United States, 33744
- Active, not recruiting
- Bay Pines VA Medical Center ( Site 0055)
-
Orlando, Florida, United States, 32804
- Completed
- AdventHealth Orlando-AdventHealth Medical Group Hematology & Oncology at Orlando ( Site 0004)
-
-
Kentucky
-
Louisville, Kentucky, United States, 40207
- Completed
- Norton Cancer Institute ( Site 0044)
-
Pikeville, Kentucky, United States, 41501
- Completed
- Pikeville Medical Center ( Site 0009)
-
-
Maryland
-
Baltimore, Maryland, United States, 21201
- Completed
- Baltimore VA Medical Center ( Site 0054)
-
-
Missouri
-
Saint Louis, Missouri, United States, 63110
- Active, not recruiting
- Washington University ( Site 0003)
-
-
New Jersey
-
Florham Park, New Jersey, United States, 07932
- Recruiting
- Summit Medical Group Cancer Center ( Site 6008)
-
Contact:
- Study Coordinator
- Phone Number: 855-413-2220
-
Hackensack, New Jersey, United States, 07601
- Recruiting
- John Theurer Cancer Center at Hackensack University Medical Center ( Site 0005)
-
Contact:
- Study Coordinator
- Phone Number: 551-996-1379
-
-
New York
-
Albany, New York, United States, 12206
- Recruiting
- New York Oncology Hematology P.C ( Site 0024)
-
Contact:
- Study Coordinator
- Phone Number: 518-489-3612
-
Buffalo, New York, United States, 14203
- Recruiting
- Roswell Park Cancer Institute ( Site 6009)
-
Contact:
- Study Coordinator
- Phone Number: 716-845-4922
-
Mineola, New York, United States, 11501
- Recruiting
- Winthrop University Hospital ( Site 0069)
-
Contact:
- Study Coordinator
- Phone Number: 516-289-3772
-
New York, New York, United States, 10016
- Recruiting
- New York University Perlmutter Cancer Center ( Site 0001)
-
Contact:
- Study Coordinator
- Phone Number: 212-731-6455
-
-
Ohio
-
Cleveland, Ohio, United States, 44195
- Recruiting
- Cleveland Clinic ( Site 0062)
-
Contact:
- Study Coordinator
- Phone Number: 866-223-8100
-
-
Pennsylvania
-
Bala-Cynwyd, Pennsylvania, United States, 19004
- Recruiting
- MidLantic urology ( Site 0070)
-
Contact:
- Study Coordinator
- Phone Number: 610-667-0458
-
-
South Carolina
-
Greenville, South Carolina, United States, 29607
- Completed
- Saint Francis Cancer Center ( Site 0026)
-
Myrtle Beach, South Carolina, United States, 29572
- Recruiting
- Carolina Urologic Research Center ( Site 0002)
-
Contact:
- Study Coordinator
- Phone Number: 843-449-1010 ext. 257
-
-
Texas
-
San Antonio, Texas, United States, 78229
- Recruiting
- Urology San Antonio Research ( Site 6010)
-
Contact:
- Study Coordinator
- Phone Number: 832-472-5482
-
-
Virginia
-
Fairfax, Virginia, United States, 22031
- Completed
- Inova Schar Cancer Institute ( Site 6006)
-
-
West Virginia
-
Charleston, West Virginia, United States, 25304
- Recruiting
- West Virginia University - Charleston Area Medical Center ( Site 6003)
-
Contact:
- Study Coordinator
- Phone Number: 304-388-5432
-
-
Wisconsin
-
Milwaukee, Wisconsin, United States, 53226
- Recruiting
- Froedtert and Medical College of Wisconsin ( Site 0022)
-
Contact:
- Study Coordinator
- Phone Number: 414-805-8900
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Has a histologically confirmed initial diagnosis of muscle-invasive bladder cancer (MIBC) with predominant urothelial histology
- Has clinically nonmetastatic bladder cancer (N0M0)
- Has planned and is eligible to receive chemoradiotherapy (CRT) and one of the protocol-specified radiosensitizing chemotherapy regimens
- Has Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2
- Demonstrates adequate organ function
Male participants are eligible to participate if they agree to the following during the intervention period and for at least 90 days after the last dose of CRT treatment:
- Refrain from donating sperm
- Be abstinent from heterosexual intercourse as their preferred and usual lifestyle (abstinent on a long term and persistent basis) and agree to remain abstinent; or must agree to use contraception unless confirmed to be azoospermic
A female participant is eligible to participate if she is not pregnant or breastfeeding, and at least one of the following conditions applies:
- Is not a woman of childbearing potential (WOCBP)
- Is a WOCBP and using a contraceptive method that is highly effective (with a failure rate of <1% per year), with low user dependency or be abstinent from heterosexual intercourse as their preferred and usual lifestyle (abstinent on a long term and persistent basis), during the intervention period and for at least 180 days the time needed to eliminate each study intervention after the last dose of study intervention; and agrees not to donate eggs (ova, oocytes) to others or freeze/store for her own use for the purpose of reproduction during this period. The length of time required to continue contraception for each study intervention is as follows: MK-3475 - 120 days and CRT - 180 days
Exclusion Criteria:
- Has the presence of diffuse carcinoma in situ (CIS) (multiple foci of CIS) throughout the bladder
- Has the presence of urothelial carcinoma (UC) at any site outside of the urinary bladder in the previous 2 years except for Ta stage/T1 stage/CIS of the upper tract if the participant has undergone a complete nephroureterectomy
- Has a known additional malignancy that is progressing or has required active therapy within the past 3 years, except basal cell carcinoma of the skin, squamous cell carcinoma of the skin, superficial bladder cancer or other carcinoma in situ that has undergone potentially curative therapy
- Has the presence of bilateral hydronephrosis
- Has limited bladder function with frequency of small amounts of urine (< 30 mL), urinary incontinence, or requires self-catheterization or a permanent indwelling catheter
- Has received prior pelvic/local radiation therapy or any antineoplastic treatment for muscle-invasive bladder cancer (MIBC). Treatment for non-muscle invasive bladder cancer (NMIBC) with intravesical instillation therapy that was completed ≥28 days prior to randomization is allowed. Prior systemic treatment of NMIBC is not permitted.
- Received prior therapy with an anti-PD-1 (programmed cell death protein 1), anti-PD-L1 (programmed death-ligand 1), or anti-PD-L2 (programmed cell death 1 ligand 2), or with an agent directed to another stimulatory or coinhibitory T-cell receptor (e.g., CTLA-4 [cytotoxic T-lymphocyte-associated protein 4], OX 40, or CD137 [cluster of differentiation 137])
- Has received a live vaccine within 30 days before the first dose of study medication
- Is currently participating in or has participated in a study of an investigational agent or has used an investigational device within 4 weeks before the first dose of study medication
- Has known severe hypersensitivity (≥Grade 3) to the selected chemotherapy regimen, and/or any of their excipients and excipients of pembrolizumab
- Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (in dosing exceeding 10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy within 7 days before the first dose of study medication
- Has an active autoimmune disease that has required systemic treatment in the past 2 years (ie, with use of disease modifying agents, corticosteroids or immunosuppressive drugs). Replacement therapy (eg, thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency) is not considered a form of systemic treatment and is allowed
- Has a history of non-infectious pneumonitis that required steroids or has current pneumonitis
- Has an active infection requiring systemic therapy
- Has a known history of human immunodeficiency virus (HIV) infection
- Has a known history of hepatitis B or known active hepatitis C virus infection
- Has a known history of active tuberculosis (TB; Bacillus tuberculosis)
- Has a known psychiatric or substance abuse disorder that would interfere with the participant's ability to cooperate with the requirements of the study
- Has had an allogenic tissue/solid organ transplant
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Pembrolizumab + Chemotherapy + Radiotherapy
Participants receive pembrolizumab plus one of three chemotherapy regimens chosen by investigator, plus one of three radiotherapy regimens chosen by investigator.
|
400 mg of IV (intravenous) pembrolizumab once every 6 weeks.
Other Names:
64 Gy of radiation administered to participant's bladder only.
Thirty-two fractions will be administered over 6.5 weeks.
64 Gy of radiation administered to participant's bladder and pelvic nodes.
Thirty-two fractions will be administered over 6.5 weeks.
55 Gy of radiation administered to participant's bladder only.
Twenty fractions will be administered over 4 weeks.
35 mg of cisplatin per cubic meter of body volume, administered once weekly via IV infusion.
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.
MMC administered via IV infusion at a dose of 12 mg per cubic meter of body volume on Day 1.
Gemcitabine administered via IV infusion at a dose of 27 mg per cubic meter of body volume twice weekly.
|
Placebo Comparator: Placebo + Chemotherapy + Radiotherapy
Participants receive placebo to pembrolizumab plus one of three chemotherapy regimens chosen by investigator, plus one of three radiotherapy regimens chosen by investigator.
|
64 Gy of radiation administered to participant's bladder only.
Thirty-two fractions will be administered over 6.5 weeks.
64 Gy of radiation administered to participant's bladder and pelvic nodes.
Thirty-two fractions will be administered over 6.5 weeks.
55 Gy of radiation administered to participant's bladder only.
Twenty fractions will be administered over 4 weeks.
35 mg of cisplatin per cubic meter of body volume, administered once weekly via IV infusion.
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.
MMC administered via IV infusion at a dose of 12 mg per cubic meter of body volume on Day 1.
Gemcitabine administered via IV infusion at a dose of 27 mg per cubic meter of body volume twice weekly.
Placebo to intravenous (IV) pembrolizumab administered once every 6 weeks.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Bladder Intact Event-Free Survival (BI-EFS)
Time Frame: Up to approximately 71 months
|
BI-EFS is defined as the time from randomization to any of the following events: residual/recurrent MIBC post-chemoradiotherapy (CRT), nodal or distant metastases as assessed by computerized tomography (CT) and CT urography (CTU) or magnetic resonance urography (MRU) per blinded independent central review (BICR) and/or biopsy results assessed by central pathology review, radical cystectomy, or death due to any cause.
If biopsy is not feasible due to participant safety, the imaging alone will be sufficient.
The BI-EFS for all participants will be presented.
|
Up to approximately 71 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Overall Survival (OS)
Time Frame: Up to approximately 83 months
|
Time from randomization to death due to any cause.
|
Up to approximately 83 months
|
Metastasis-Free Survival (MFS)
Time Frame: Up to approximately 83 months
|
MFS is defined as the time from randomization to the first documented occurrence of nodal or distant metastases as assessed by CT and CTU or MRU per BICR and/or biopsy results assessed by central pathology review If biopsy is not feasible due to participant safety, the imaging alone will be sufficient.
|
Up to approximately 83 months
|
Time to Occurrence of Non-Muscle-Invasive Bladder Cancer (NMIBC)
Time Frame: Up to approximately 83 months
|
Time to occurrence of low-grade disease, defined as the time from randomization until the development of NMIBC, will be presented.
|
Up to approximately 83 months
|
Number of Participants Who Experienced an Adverse Event (AE)
Time Frame: Up to approximately 83 months
|
An AE is any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment.
The number of participants who experience an AE will be presented.
|
Up to approximately 83 months
|
Number of Participants Who Discontinued Study Intervention Due to an AE
Time Frame: Up to approximately 1 year
|
An AE is any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment.
The number of participants who discontinue study treatment due to an AE will be presented.
|
Up to approximately 1 year
|
Change from Baseline in the Global Health Status/Quality of Life (Items 29 and 30) Combined Score on the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30)
Time Frame: Baseline and up to approximately 83 months
|
The EORTC-QLQ-C30 is a 30-item questionnaire developed to assess the quality of life of cancer patients.
Participant responses to the questions "How would you rate your overall health during the past week?"
and "How would you rate your overall quality of life during the past week?"
are scored on a 7-point scale (1=Very Poor to 7=Excellent).
A higher score indicates a better overall outcome.
The change from baseline in Global Health Status/Quality of Life (EORTC QLQ-C30 Items 29 and 30) combined score will be presented.
|
Baseline and up to approximately 83 months
|
Change from Baseline in Physical Functioning (Items 1-5) Combined Score on the EORTC QLQ-C30
Time Frame: Baseline and up to approximately 83 months
|
EORTC-QLQ-C30 is a 30-item questionnaire developed to assess the quality of life of cancer patients.
Participant responses to 5 questions about their physical functioning are scored on a 4-point scale (1=Not at All to 4=Very Much).
A higher score indicates a better quality of life.
The change from baseline in Physical Functioning (EORTC QLQ-C30 Items 1-5) combined score will be presented.
|
Baseline and up to approximately 83 months
|
Change from Baseline in Urinary, Bowel, and Sexual Domains of the Bladder Cancer Index (BCI)
Time Frame: Baseline and up to approximately 83 months
|
The BCI is a validated, condition-specific health questionnaire assessing quality of life among participants with bladder cancer.
The BCI contains 36 items which assess 3 domains (urinary, bowel, and sexual) with function and bother subdomains.
Scores range from 0 to 100 with higher scores corresponding to better functioning and health-related quality of life.
The change from baseline in the combined scores of the urinary, bowel, and sexual domains of the BCI will be presented.
|
Baseline and up to approximately 83 months
|
Change from Baseline in the Visual Analog Score (VAS) of the European Quality of Life (EuroQoL)-5 Dimensions, 5-level Questionnaire (EQ-5D-5L)
Time Frame: Baseline and up to approximately 83 months
|
The EQ-5D-5L VAS records the respondent's self-rated health on a 10 cm vertical, visual analogue scale.
It is rated by the respondent on a scale 0 to 100, with 0 being "the worst health you can imagine" and 100 being "the best health you can imagine".
The change from baseline in EQ-5D-5L VAS will be presented.
|
Baseline and up to approximately 83 months
|
Time to Deterioration (TTD) in the Global Health Status/Quality of Life (Items 29 and 30) Combined Score on the EORTC QLQ-C30
Time Frame: Up to approximately 83 months
|
The EORTC-QLQ-C30 is a 30-item questionnaire developed to assess the quality of life of cancer patients.
Participant responses to the questions "How would you rate your overall health during the past week?"
and "How would you rate your overall quality of life during the past week?"
are scored on a 7-point scale (1=Very Poor to 7=Excellent).
A higher score indicates a better overall outcome.
TTD in Global Health Status/Quality of Life is defined as the time from baseline to the first onset of a 10 point or greater decrease from baseline in the Global Health Status/Quality of Life (EORTC QLQ-C30 Items 29 and 30) combined score, with or without subsequent confirmation.
|
Up to approximately 83 months
|
TTD in Physical Functioning (Items 1-5) Combined Score on the EORTC QLQ-C30
Time Frame: Up to approximately 83 months
|
EORTC-QLQ-C30 is a 30-item questionnaire developed to assess the quality of life of cancer patients.
Participant responses to 5 questions about their physical functioning are scored on a 4-point scale (1=Not at All to 4=Very Much).
A higher score indicates a better quality of life.
TTD in Physical Functioning (EORTC QLQ-C30 Items 1-5) combined score is defined as the time from baseline (at randomization) to the first onset of a ≥10-point decrease with confirmation by the subsequent visit of a ≥10-point decrease in physical functioning Items 1 to 5 scale scores.
|
Up to approximately 83 months
|
TTD in Urinary, Bowel, and Sexual Domains of the BCI
Time Frame: Up to approximately 83 months
|
The BCI is a validated, condition-specific health questionnaire assessing quality of life among participants with bladder cancer.
The BCI contains 36 items which assess 3 domains (urinary, bowel, and sexual) with function and bother subdomains.
Scores range from 0 to 100 with higher scores corresponding to better functioning and health-related quality of life.
TTD in BCI is defined as a 6, 7, and 7 points or greater worsening from baseline for urinary, bowel, and sexual domains, respectively, with or without subsequent confirmation, under a right-censoring rule.
|
Up to approximately 83 months
|
TTD in the VAS of the EQ-5D-5L
Time Frame: Up to approximately 83 months
|
The EQ-5D-5L VAS records the respondent's self-rated health on a 10 cm vertical, visual analogue scale.
It is rated by the respondent on a scale 0 to 100, with 0 being "the worst health you can imagine" and 100 being "the best health you can imagine".
TTD in EQ-5D-5L VAS is defined as the time from baseline to the first onset of a 7 point or greater decrease from baseline in EQ-5D-5L VAS, with or without subsequent confirmation, under a right-censoring rule.
|
Up to approximately 83 months
|
Time to Cystectomy
Time Frame: Up to approximately 83 months
|
Time to cystectomy is defined as time from a participant's randomization to date of cystectomy.
|
Up to approximately 83 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Director: Medical Director, Merck Sharp & Dohme LLC
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Helpful Links
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
May 19, 2020
Primary Completion (Estimated)
June 10, 2029
Study Completion (Estimated)
June 10, 2031
Study Registration Dates
First Submitted
January 22, 2020
First Submitted That Met QC Criteria
January 22, 2020
First Posted (Actual)
January 27, 2020
Study Record Updates
Last Update Posted (Actual)
April 22, 2024
Last Update Submitted That Met QC Criteria
April 19, 2024
Last Verified
April 1, 2024
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Neoplasms
- Urologic Neoplasms
- Urogenital Neoplasms
- Neoplasms by Site
- Urologic Diseases
- Urinary Bladder Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Urogenital Diseases
- Male Urogenital Diseases
- Urinary Bladder Neoplasms
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Nucleic Acid Synthesis Inhibitors
- Enzyme Inhibitors
- Antimetabolites, Antineoplastic
- Antimetabolites
- Antineoplastic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Alkylating Agents
- Antineoplastic Agents, Immunological
- Antibiotics, Antineoplastic
- Immune Checkpoint Inhibitors
- Fluorouracil
- Pembrolizumab
- Mitomycins
- Mitomycin
- Gemcitabine
Other Study ID Numbers
- 3475-992
- MK-3475-992 (Other Identifier: Merck Protocol Number)
- 205383 (Registry Identifier: JAPIC-CTI)
- 2019-004023-20 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
YES
IPD Plan Description
http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Urinary Bladder Neoplasms
-
Peking University First HospitalRecruitingUrinary Bladder Cancer | Bladder Cancer | Bladder Neoplasms | Bladder Tumors | Neoplasms, BladderChina
-
Academisch Medisch Centrum - Universiteit van Amsterdam...Bristol-Myers SquibbRecruitingUrinary Bladder Cancer | Invasive Bladder CancerNetherlands
-
GlaxoSmithKlineCompletedNeoplasms, Urinary BladderBelgium
-
Memorial Sloan Kettering Cancer CenterPfizerCompletedBladder Cancer | Urinary BladderUnited States
-
Mansoura UniversityCompletedBladder Cancer | Bladder Disease | Bladder Neoplasm | Micro-RNAEgypt
-
Medical University of ViennaUniversity of Turin, ItalyRecruitingT1 Urinary Bladder CancerAustria
-
Zhujiang HospitalRecruiting
-
Chinese University of Hong KongUnknownUrinary Bladder TumorHong Kong
-
Ziv HospitalAzrieli Faculty of medicine, Bar Ilan University, Safed, ILNot yet recruitingBladder Neoplasm
-
Ziv HospitalNot yet recruitingBladder Neoplasm
Clinical Trials on Pembrolizumab
-
University Medical Center GroningenCompleted
-
Incyte CorporationMerck Sharp & Dohme LLCCompletedMelanomaUnited States, France, Italy, United Kingdom, Spain, Belgium, Israel, Mexico, Japan, Canada, Netherlands, Sweden, Korea, Republic of, Australia, Russian Federation, Chile, Germany, Poland, Ireland, New Zealand, Denmark, Switzerland, South Africa
-
Merck Sharp & Dohme LLCCompletedMelanomaAustralia, South Africa, Spain, Sweden
-
Acerta Pharma BVMerck Sharp & Dohme LLCCompletedMetastatic Urothelial CarcinomaUnited States
-
HUYABIO International, LLC.Active, not recruitingNon Small Cell Lung CancerUnited States
-
Prof. Dr. Matthias PreusserUnknownPrimary Central Nervous System LymphomaAustria
-
Yonsei UniversityNot yet recruitingMucosal Melanoma | Acral MelanomaKorea, Republic of
-
Academisch Medisch Centrum - Universiteit van Amsterdam...Merck Sharp & Dohme LLC; PTC TherapeuticsRecruitingColorectal Cancer | Endometrium CancerNetherlands
-
Michael BoyiadzisMerck Sharp & Dohme LLCCompletedAcute Myeloid LeukemiaUnited States