The purpose of the study is to assess the efficacy, safety, and tolerability when combining pembrolizumab with epacadostat or placebo in participants with unresectable or metastatic melanoma
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
706
* Pembrolizumab will be administered intravenously every 3 weeks starting at Day 1 (Week 1) * Epacadostat will be administered orally daily starting at Day 1 (Week 1)
* Pembrolizumab will be administered intravenously every 3 weeks starting at Day 1 (Week 1) * Placebo will be administered orally daily starting at Day 1 (Week 1)
Progression-free Survival
Progression-free survival, defined as the time from date of randomization until the earliest date of disease progression, as determined by independent central review of objective radiographic disease assessments per RECIST 1.1, or death from any cause, whichever comes first.
Time frame: Assessed every 9 weeks for duration of study participation which is estimated to be 24 months
Overall Survival (OS) Rate at 6 Months
Defined as time from date of randomization to date of death due to any cause. OS was calculated using product-limit (Kaplan-Meier) method for censored data.
Time frame: Assessed every 9 weeks of study participation which is estimated to be 24 months. The OS rate at Month 6 was calculated.
Objective Response Rate (ORR)
Objective response rate (ORR) is defined as the percentage of the participants in the analysis population who have a confirmed complete response (CR) or partial response (PR) based on RECIST 1.1 by independent central review.
Time frame: Assessed every 9 weeks for duration of study participation which is estimated to be 24 months
Safety and Tolerability, as Assessed by Percentage of Participants With Adverse Events
Safety and tolerability, as assessed by percentage of participants with adverse events and changes in laboratory parameters.
Time frame: Through up to 90 days after end of treatment, up to 27 months
Duration of Response (DOR)
Defined as the time from the earliest date of qualifying response until earliest date of disease progression, per RECIST v1.1, or death from any cause, whichever comes first. Includes participants with complete response or partial response.
Time frame: Assessed every 9 weeks for duration of study participation which is estimated to be 24 months
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Unnamed facility
Birmingham, Alabama, United States
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Scottsdale, Arizona, United States
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Little Rock, Arkansas, United States
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Los Angeles, California, United States
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San Francisco, California, United States
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Santa Barbara, California, United States
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Santa Monica, California, United States
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Aurora, Colorado, United States
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Denver, Colorado, United States
Unnamed facility
Washington D.C., District of Columbia, United States
...and 119 more locations
Apparent Oral Clearance (CL/F) of Epacadostat
Defined as oral dose clearance.
Time frame: Through up to 30 days after the end of treatment, up to 25 months
Apparent Volume of Distribution (Vd/F) of Epacadostat
Apparent volume of distribution after administration.
Time frame: Through up to 30 days after the end of treatment, up to 25 months
Clearance (CL) of Pembrolizumab
Time frame: Through up to 30 days after the end of treatment, up to 25 months
Volume of Distribution (V) of Pembrolizumab
Time frame: Through up to 30 days after the end of treatment, up to 25 months
Formation of Anti-pembrolizumab Antibodies
Evaluate the measurement of anti-drug antibodies (ADA).
Time frame: Through up to 30 days after the end of treatment, up to 25 months