This is a study of pembrolizumab plus gemcitabine/cisplatin versus placebo plus gemcitabine/cisplatin as first-line therapy in participants with advanced and/or unresectable biliary tract carcinoma. The primary hypothesis is pembrolizumab plus gemcitabine/cisplatin is superior to placebo plus gemcitabine/cisplatin with respect to overall survival (OS).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
1,069
Pembrolizumab by intravenous (IV) infusion
Gemcitabine by IV infusion
Cisplatin by IV infusion
Overall Survival (OS)
Overall survival was defined as the time from randomization to death due to any cause.
Time frame: Up to approximately 38 months
Progression-free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Response Evaluation Criteria in Solid Tumors Version 1.1 (BICR)
PFS was defined as the time from randomization to the first documented progressive disease (PD) per RECIST 1.1 by BICR, or death due to any cause, whichever occurred first.
Time frame: Up to approximately 26 months
Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR)
ORR was defined as the percentage of participants who have a confirmed Complete Response (CR: disappearance of all target lesions) or Partial Response (PR: a ≥30% decrease in the sum of diameters \[SOD\] of target lesions) as assessed by BICR per RECIST 1.1, which was adjusted for this study to allow a maximum of 10 target lesions in total and 5 per organ.
Time frame: Up to approximately 26 months
Duration of Response (DOR) Per RECIST 1.1 as Assessed by BICR
For participants who demonstrate a confirmed CR or PR, DOR was the time from the first documented evidence of CR or PR until disease progression or death due to any cause, whichever occurred first.
Time frame: Up to approximately 38 months
Number of Participants Who Experience One or More Adverse Events (AE)
An adverse event (AE) was defined as any unfavorable and unintended sign including an abnormal laboratory finding, symptom or disease associated with the use of a medical treatment or procedure, regardless of whether it was considered related to the medical treatment or procedure, that occurred during the course of the study.
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Placebo to pembrolizumab
University of Alabama at Birmingham Comprehensive Cancer Ctr ( Site 0016)
Birmingham, Alabama, United States
University of California San Diego Moores Cancer Center ( Site 0008)
La Jolla, California, United States
UCLA Hematology/Oncology - Santa Monica ( Site 0014)
Los Angeles, California, United States
University of California - San Francisco ( Site 0030)
San Francisco, California, United States
University of Colorado Hospital ( Site 0011)
Aurora, Colorado, United States
Hartford Hospital ( Site 0057)
Hartford, Connecticut, United States
Yale University ( Site 0053)
New Haven, Connecticut, United States
Winship Cancer Institute of Emory University ( Site 0013)
Atlanta, Georgia, United States
Northwest Georgia Oncology Centers PC ( Site 0045)
Marietta, Georgia, United States
Decatur Memorial Hospital ( Site 0056)
Decatur, Illinois, United States
...and 175 more locations
Time frame: Up to approximately 38 months
Number of Participants Who Discontinued Study Intervention Due to an Adverse Event (AE)
An AE was defined as any unfavorable and unintended sign including an abnormal laboratory finding, symptom or disease associated with the use of a medical treatment or procedure, regardless of whether it was considered related to the medical treatment or procedure, that occurs during the course of the study.
Time frame: Up to approximately 38 months