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A Randomized, Double-blind, Placebo-controlled, Phase 3 Study of Pembrolizumab Plus Chemotherapy Versus Placebo Plus Chemotherapy for the Treatment of Chemotherapy-Candidate Hormone Receptor-Positive, Human Epidermal Growth Factor Receptor 2-Negative (HR+/HER2-) Locally Recurrent Inoperable or Metastatic Breast Cancer (KEYNOTE-B49)

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
EU CTIS
Registry ID
CTIS2023-506752-24-00
Acronym
MK-3475-B49
Enrollment
177
Registered
2023-11-07
Start date
2021-08-05
Completion date
Unknown
Last updated
2025-09-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Locally recurrent inoperable or metastatic HR+/HER2- breast cancer, which has not been previously treated with cytotoxic chemotherapy in the noncurative setting

Brief summary

Progression-free survival (PFS) per Response Evaluation Criteria in Solid Tumors 1.1 (RECIST 1.1) by Blinded independent Central Review (BICR) in Participants With Combined Positive Score (CPS) ≥1

Detailed description

Overall Survival (OS) in Participants With CPS ≥ 1, PFS per RECIST 1.1 by BICR in Participants With CPS ≥10, Overall Survival (OS) in Participants With CPS ≥ 10, PFS per RECIST 1.1 by Investigator in Participants With CPS ≥10, PFS per RECIST 1.1 by Investigator in Participants With CPS ≥1, Objective Response Rate (ORR) per RECIST 1.1 by BICR in Participants With CPS ≥10, ORR per RECIST 1.1 by BICR in Participants With CPS ≥1, Disease Control Rate (DCR) per RECIST 1.1 by BICR in Participants With CPS ≥10, DCR per RECIST 1.1 by BICR in Participants With CPS ≥1, Duration of Response (DOR) per RECIST 1.1 by BICR in Participants With CPS ≥10, DOR per RECIST 1.1 by BICR in Participants With CPS ≥1, Change From Baseline in Global Health Status/Quality of Life Score on the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) in Participants with CPS ≥10, Change From Baseline in Global Health Status/Quality of Life Score on the EORTC QLQ-C30 in Participants with CPS ≥1, Change From Baseline in Physical Functioning Score on the EORTC QLQ-C30 in Participants with CPS ≥10, Change From Baseline in Physical Functioning Score on the EORTC QLQ-C30 in Participants with CPS ≥1, Change From Baseline in Emotional Functioning Score on the EORTC QLQ-C30 in Participants with CPS ≥10, Change From Baseline in Emotional Functioning Score on the EORTC QLQ-C30 in Participants with CPS ≥1, Change From Baseline in Fatigue Score on the EORTC QLQ-C30 in Participants with CPS ≥10, Change From Baseline in Fatigue Score on the EORTC QLQ-C30 in Participants with CPS ≥1, Change From Baseline in Diarrhea Score on the EORTC QLQ-C30 in Participants with CPS ≥10, Change From Baseline in Diarrhea Score on the EORTC QLQ-C30 in Participants with CPS ≥1, Time to Deterioration (TTD) in Global Health Status/Quality of Life Score on the EORTC QLQ-C30 in Participants with CPS ≥10, TTD in Global Health Status/Quality of Life Score on the EORTC QLQ-C30 in Participants with CPS ≥1, TTD in Physical Functioning Score on the EORTC QLQ-C30 in Participants with CPS ≥10, TTD in Physical Functioning Score on the EORTC QLQ-C30 in Participants with CPS ≥1, TTD in Emotional Functioning Score on the EORTC QLQ-C30 in Participants with CPS ≥10, TTD in Emotional Functioning Score on the EORTC QLQ-C30 in Participants with CPS ≥1, TTD in Fatigue Score on the EORTC QLQ-C30 in Participants with CPS ≥10, TTD in Fatigue Score on the EORTC QLQ-C30 in Participants with CPS ≥1, TTD in Diarrhea Score on the EORTC QLQ-C30 in Participants with CPS ≥10, TTD in Diarrhea Score on the EORTC QLQ-C30 in Participants with CPS ≥1, Percentage of Participants who Experience an Adverse Event (AE), Percentage of Participants who Discontinue Study Drug due to an AE

Interventions

DRUGPlacebo to Keytruda - Dextrose
DRUGDOXORUBICIN HYDROCHLORIDE
DRUGDOXORUBICIN
DRUGCAPECITABINE
DRUGKEYTRUDA 25 mg/mL concentrate for solution for infusion
DRUGPACLITAXEL ALBUMIN-BOUND
DRUGPACLITAXEL

Sponsors

Merck Sharp & Dohme LLC
Lead SponsorINDUSTRY

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Design outcomes

Primary

MeasureTime frame
Progression-free survival (PFS) per Response Evaluation Criteria in Solid Tumors 1.1 (RECIST 1.1) by Blinded independent Central Review (BICR) in Participants With Combined Positive Score (CPS) ≥1

Secondary

MeasureTime frame
Overall Survival (OS) in Participants With CPS ≥ 1, PFS per RECIST 1.1 by BICR in Participants With CPS ≥10, Overall Survival (OS) in Participants With CPS ≥ 10, PFS per RECIST 1.1 by Investigator in Participants With CPS ≥10, PFS per RECIST 1.1 by Investigator in Participants With CPS ≥1, Objective Response Rate (ORR) per RECIST 1.1 by BICR in Participants With CPS ≥10, ORR per RECIST 1.1 by BICR in Participants With CPS ≥1, Disease Control Rate (DCR) per RECIST 1.1 by BICR in Participants With CPS ≥10, DCR per RECIST 1.1 by BICR in Participants With CPS ≥1, Duration of Response (DOR) per RECIST 1.1 by BICR in Participants With CPS ≥10, DOR per RECIST 1.1 by BICR in Participants With CPS ≥1, Change From Baseline in Global Health Status/Quality of Life Score on the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) in Participants with CPS ≥10, Change From Baseline in Global Health Status/Quality of Life Score on the EORTC Q

Countries

Austria, France, Germany, Greece, Hungary, Ireland, Italy, Netherlands, Poland, Portugal, Romania, Spain, Sweden

Outcome results

None listed

Source: EU CTIS · Data processed: Feb 4, 2026