Merck Discontinues Keytruda Prostate Cancer Trial
Merck says it is discontinuing the Phase 3 KEYNOTE-641 trial evaluating Keytruda (pembrolizumab) in combination with enzalutamide and androgen deprivation therapy (ADT) for treating patients with metastatic castration-resistant prostate cancer, based on the recommendation of an independent data monitoring committee. An interim analysis found that the combination therapy did not demonstrate an improvement in radiographic progression-free survival or overall survival (OS), which are the primary endpoints, compared to placebo plus enzalutamide and ADT.
The company also announced that another Phase 3 trial, KEYNOTE-789, evaluating Keytruda in combination with pemetrexed plus platinum-based chemotherapy did not meet its dual primary endpoint of OS for treating patients with metastatic nonsquamous non-small cell lung cancer, with epidermal growth factor receptor-genomic tumor mutations, who have previously progressed on a tyrosine kinase inhibitor. “At the final analysis of the study, there was an improvement in OS for patients who received Keytruda plus pemetrexed with platinum-based chemotherapy compared to pemetrexed with platinum-based chemotherapy; however, these results did not meet statistical significance per the pre-specified statistical plan,” Merck says. “At an earlier interim analysis, the trial’s other dual primary endpoint, progression-free survival was tested and showed an improvement in the Keytruda arm compared to chemotherapy alone, but these results did not reach statistical significance.”