Status:

COMPLETED

Pembrolizumab + Epacadostat vs Pembrolizumab + Placebo in Recurrent or Progressive Metastatic Urothelial Carcinoma

Lead Sponsor:

Incyte Corporation

Collaborating Sponsors:

Merck Sharp & Dohme LLC

Conditions:

UC (Urothelial Cancer)

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

The purpose of this study was to evaluate the efficacy and safety of pembrolizumab + epacadostat vs pembrolizumab + placebo as a treatment for recurrent or progressive metastatic urothelial carcinoma ...

Eligibility Criteria

Inclusion

  • Histologically-confirmed diagnosis of urothelial carcinoma of the renal pelvis, ureter, bladder, or urethra, that is transitional cell, or mixed transitional/non-transitional (predominantly transitional) cell type.
  • Progression or recurrence of urothelial carcinoma following one prior platinum containing chemotherapy regimen for metastatic or unresectable locally advanced disease. A participant who receives a neoadjuvant or adjuvant platinum-containing regimen following cystectomy for localized muscle-invasive urothelial carcinoma is acceptable (without further systemic treatment), if recurrence/progression occurs ≤ 12 months following completion of therapy.
  • Measurable disease based on RECIST v1.1.
  • Have provided an archival tumor tissue sample or newly obtained core or excisional biopsy of a tumor lesion not previously irradiated for PD-L1 analysis.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Adequate organ function per protocol-defined criteria.

Exclusion

  • Urothelial carcinoma that is suitable for local therapy with curative intent.
  • History or presence of an abnormal electrocardiogram (ECG) that, in the investigator's opinion, is clinically meaningful.
  • Known additional malignancy that is progressing or has required active treatment within the past 3 years.
  • Known active central nervous system (CNS) metastases and/or carcinomatous meningitis. Participants with previously treated brain metastases may participate provided they are radiologically stable, ie, without evidence of progression for at least 4 weeks by repeat imaging.
  • Active autoimmune disease that has required systemic treatment in past 2 years.
  • Known history of human immunodeficiency virus (HIV) infection. HIV testing is not required unless mandated by local health authority.
  • Known history of or is positive for active hepatitis B (HBsAg reactive) or has active hepatitis C (HCV RNA). Note: Testing must be performed to determine eligibility.
  • Use of protocol-defined prior/concomitant therapy.

Key Trial Info

Start Date :

December 22 2017

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

July 23 2020

Estimated Enrollment :

84 Patients enrolled

Trial Details

Trial ID

NCT03374488

Start Date

December 22 2017

End Date

July 23 2020

Last Update

August 22 2025

Active Locations (135)

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Page 1 of 34 (135 locations)

1

Ironwood Cancer & Research Centers

Chandler, Arizona, United States, 85224

2

University of California Irvine Medical Center

Orange, California, United States, 92868

3

UCSF Helen Diller Family Comprehensive Cancer Center

San Francisco, California, United States, 94158

4

UCLA Hematology Oncology Santa Monica

Santa Monica, California, United States, 90404