Gilead/Merck Stop Trodelvy/Keytruda Study
Gilead and Merck say they are discontinuing the KEYNOTE-D46/EVOKE-03 study of Gilead’s Trodelvy (sacituzumab govitecan-hzly) and Merck’s Keytruda (pembrolizumab) as a treatment for certain patients with previously untreated metastatic non-small cell lung cancer whose tumors expressed PD-L1. A statement says the decision was based on a recommendation from the external data monitoring committee following a review of the data from the pre-specified final analysis of progression-free survival and interim analysis of overall survival.
The statement says a numerical improvement in progression-free survival was observed, but did not reach statistical significance. It says the probability of achieving statistically significant overall survival is unlikely at the planned final analysis.
Gilead says Trodelvy is a first-in-class Trop-2-directed antibody-drug conjugate that is being evaluated in multiple ongoing Phase 3 trials across a range of tumor types with high Trop-2 expression. It is currently indicated to treat adults with:
- unresectable locally advanced or metastatic triple-negative breast cancer who have received two or more prior systemic therapies, at least one of them for metastatic disease; and
- unresectable locally advanced or metastatic HR-positive, HER2-negative breast cancer who have received endocrine-based therapy and at least two additional systemic therapies in the metastatic setting.