AzTrials
AzTrials

Head and Neck NeoplasmsPhase 3NCT03765918

Study of Pembrolizumab Given Prior to Surgery and in Combination With Radiotherapy Given Post-surgery for Advanced Head and Neck Squamous Cell Carcinoma (MK-3475-689)

A Phase 3 study testing Pembrolizumab 200 mg, Radiotherapy 60 Gray and Radiotherapy 66 Gray in people with Head and Neck Neoplasms, run by Merck Sharp & Dohme LLC at 192 sites in 24 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

This is a randomized, active-controlled, open-label study of pembrolizumab given prior to surgery and pembrolizumab in combination with standard of care radiotherapy (with or without cisplatin), as post-surgical therapy in treatment naïve participants with newly diagnosed Stage III/IVA, resectable, locoregionally… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Head and Neck Neoplasms
What is being tested?
Pembrolizumab 200 mg, Radiotherapy 60 Gray and Radiotherapy 66 Gray
Could I receive a placebo?
No, everyone receives an active treatment
How many people
714 participants
Where
192 sitesin 24 countries
Study dates
17 Dec 2018to 17 Nov 2026
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Has histologically confirmed new diagnosis of resectable, non-metastatic, squamous cell carcinoma that is either: Stage III Human Papillomavirus (HPV) positive oropharyngeal primary that is tumor size (T) 4, lymph node involvement (N) 0-2, no distant metastases (M0); Stage III or IVA oropharyngeal HPV negative; or Stage III or IVA larynx/hypopharynx/oral cavity primaries.
  • Is eligible for primary surgery based on investigator decision and per local practice
  • Female and male participants of reproductive potential must agree to use adequate contraception throughout the study period and for up to 180 days after the last dose of study therapy.
  • Male participants must refrain from donating sperm throughout the study period and for up to 180 days after the last dose of study therapy
  • Female participant that is not pregnant or breastfeeding
  • Has evaluable tumor burden (measurable and/or non-measurable tumor lesions) assessed by computed tomography (CT) scan or magnetic resonance imaging (MRI), based on Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1)
Show all 9Show fewer
  • Has provided newly obtained core or excisional biopsy of a tumor lesion not previously irradiated
  • Has results from testing of HPV status for oropharyngeal cancer defined as p16
  • Has Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 performed within 10 days of randomization

Who cannot join

  • Has Stage T4B and/or N3 locoregionally advanced head and neck squamous cell carcinoma (LA HNSCC) and/or distant metastases
  • Has cancer outside of the oropharynx, larynx, and hypopharynx or oral cavity. such as nasopharyngeal, sinus, other para-nasal, or other unknown primary head and neck cancer (HNC)
  • Female participant who has a positive urine pregnancy test within 72 hours prior to study start or within 24 hours prior to the start of radiotherapy with or without cisplatin.
  • Has received prior therapy with an anti-programmed cell death receptor 1 (PD-1), anti-programmed cell death receptor ligand 1(PD-L1), or anti-programmed cell death receptor ligand 2 (PD-L2) agent or with an agent directed to another co-inhibitory T-cell receptor
  • Has received prior radiotherapy treatment or systemic anti-cancer therapy including investigational agents for the HNC under study prior to study start
  • Has received a live vaccine within 30 days prior to randomization
Show all 23Show fewer
  • Is currently participating in or has participated in a study of an investigational agent or has used an investigational device within 4 weeks prior to randomization
  • Has a diagnosis of immunodeficiency or is receiving systemic steroid therapy (in dosing exceeding 10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy within 7 days prior to randomization
  • Has a known additional malignancy that is progressing or has required active treatment within the past 3 years with the exception of basal cell carcinoma of the skin, squamous cell carcinoma of the skin, or carcinoma in situ (e.g. in situ cervical cancer or breast carcinoma) that have undergone potentially curative therapy
  • Has radiographically detectable (even if asymptomatic and/or previously treated) central nervous system metastases and/or carcinomatous meningitis
  • Has Grade ≥2 audiometric hearing loss
  • Has Grade ≥2 neuropathy
  • Has Grade 3-4 bleeding due to the underlying malignancy
  • Has received major surgery or has not recovered adequately from the toxicity and/or complications from the intervention prior to study start
  • Has had previous allogeneic tissue/solid organ transplant
  • Has severe hypersensitivity (≥Grade 3) to pembrolizumab and/or any of its excipients, radiotherapy, cisplatin or their analogs
  • Has an active autoimmune disease that has required systemic treatment in past 2 years
  • Has a history of (non-infectious) pneumonitis that required steroids or has current pneumonitis
  • Has an active infection requiring systemic therapy
  • Has a known history of human immunodeficiency virus (HIV) infection
  • Has a known history of or is positive for Hepatitis B (defined as hepatitis B surface antigen [HBsAg] reactive) or known active Hepatitis C (defined as Hepatitis C virus [HCV] ribonucleic acid is detected).
  • Has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the study, interfere with the participant's participation for the full duration of the study, or is not in the best interest of the participant to participate, in the opinion of the investigator
  • Has a known psychiatric or substance abuse disorder that would interfere with the participant's ability to cooperate with the requirements of the study

Trial locations and contacts

192 sites in 24 countries.

192 sites in 24 countries

United States68 sites
  • The University of New Mexico Comprehensive Cancer Center ( Site 1882)

    Albuquerque, New Mexico, 87131-0001

  • University of Colorado Cancer Center ( Site 1838)

    Aurora, Colorado, 80045

  • University of Maryland ( Site 2031)

    Baltimore, Maryland, 21201

  • Memorial Sloan Kettering Cancer Center Basking Ridge ( Site 2036)

    Basking Ridge, New Jersey, 07920

  • St. Luke's University Health Network ( Site 1801)

    Bethlehem, Pennsylvania, 18015

  • St. Vincent Healthcare Frontier Cancer Center ( Site 1818)

    Billings, Montana, 59102

  • Saint Alphonsus Regional Medical Center ( Site 2021)

    Boise, Idaho, 83706

  • Dana Farber Cancer Center ( Site 1873)

    Boston, Massachusetts, 02215

  • Erie County Medical Center ( Site 2047)

    Buffalo, New York, 14215

  • University of Vermont Medical Center ( Site 2009)

    Burlington, Vermont, 05401

  • Levine Cancer Institute ( Site 2003)

    Charlotte, North Carolina, 28204

  • UVA Health System - Emily Couric Cancer Center ( Site 1826)

    Charlottesville, Virginia, 22908

  • Rush University Medical Center ( Site 1823)

    Chicago, Illinois, 60607

  • University Hospitals ( Site 2032)

    Cleveland, Ohio, 44106

  • University of Missouri Hospital-Otolaryngology - Head and Neck Surgery ( Site 2058)

    Columbia, Missouri, 65212

  • The Ohio State University ( Site 2012)

    Columbus, Ohio, 43210

  • Memorial Sloan-Kettering Cancer Center at Commack ( Site 2038)

    Commack, New York, 11725

  • UT Southwestern Medical Center ( Site 1841)

    Dallas, Texas, 75390

  • Karmanos Cancer Institute ( Site 1870)

    Detroit, Michigan, 48201

  • Henry Ford Health System ( Site 1803)

    Detroit, Michigan, 48202

  • Southdale Cancer Care, University of Minnesota Medical Center- Edina ( Site 2016)

    Edina, Minnesota, 55435

  • NorthShore University HealthSystem ( Site 1812)

    Evanston, Illinois, 60201

  • Inova Schar Cancer Institute ( Site 2026)

    Fairfax, Virginia, 22031

  • Sanford Health Roger Maris Cancer Center ( Site 2034)

    Fargo, North Dakota, 58122

  • University of Florida ( Site 1832)

    Gainesville, Florida, 32608

  • Memorial Sloan-Kettering Cancer Center at West Harrison ( Site 2041)

    Harrison, New York, 10604

  • Moores Cancer Center ( Site 1885)

    La Jolla, California, 92093-0698

  • Monter Cancer Center ( Site 2060)

    Lake Success, New York, 11042

  • University of Kentucky Chandler Medical Center-Medical Oncology ( Site 2069)

    Lexington, Kentucky, 40536

  • University of Southern California Norris Comprehensive Cancer Center ( Site 1850)

    Los Angeles, California, 90033

  • Loyola University Medical Center [Maywood, IL] ( Site 1817)

    Maywood, Illinois, 60153

  • University of Miami, Sylvester Comprehensive Cancer Center ( Site 2008)

    Miami, Florida, 33136

  • Memorial Sloan Kettering Cancer Center- Monmouth ( Site 2039)

    Middletown, New Jersey, 07748

  • MSKCC-Bergen ( Site 2037)

    Montvale, New Jersey, 07645

  • Henry Joyce Cancer Clinic ( Site 1827)

    Nashville, Tennessee, 37232

  • Rutgers Cancer Institute of New Jersey ( Site 2071)

    New Brunswick, New Jersey, 08903

  • Ochsner Cancer Institute ( Site 2045)

    New Orleans, Louisiana, 70121

  • Laura and Isaac Perlmutter Cancer Center at NYU Langone Health ( Site 2014)

    New York, New York, 10016

  • Memorial Sloan Kettering Cancer Center ( Site 1857)

    New York, New York, 10021

  • Weill Cornell Medical College ( Site 2050)

    New York, New York, 10065

  • Northwell Health Cancer Institute ( Site 2030)

    New York, New York, 10075

  • Rutgers New Jersey Medical School-department of Hematology oncology ( Site 2053)

    Newark, New Jersey, 07103

  • Hoag Memoriall Hospital Presbyterian ( Site 2056)

    Newport Beach, California, 92663

  • AdventHealth Orlando-AdventHealth Medical Group Hematology & Oncology at Orlandoc ( Site 2054)

    Orlando, Florida, 32804

  • Orlando Health Cancer Institute ( Site 2061)

    Orlando, Florida, 32806

  • Sidney Kimmel Cancer Center - Jefferson Health ( Site 2059)

    Philadelphia, Pennsylvania, 19107

  • Allegheny General Hospital ( Site 1833)

    Pittsburgh, Pennsylvania, 15212

  • Providence Portland Medical Center ( Site 1843)

    Portland, Oregon, 97220

  • Kaiser Permanente Center for Health Research-Kaiser Permanente Medical Center ( Site 2022)

    Portland, Oregon, 97227

  • Oregon Health Science University ( Site 1871)

    Portland, Oregon, 97239

  • Beacon Cancer Care ( Site 2052)

    Post Falls, Idaho, 83854

  • UC Davis Health System ( Site 1864)

    Sacramento, California, 95817

  • University of Utah, Huntsman Cancer Institute ( Site 1855)

    Salt Lake City, Utah, 84112-5550

  • USA Clinical Trials ( Site 2068)

    San Antonio, Texas, 78229

  • St. Joseph Heritage Healthcare ( Site 1806)

    Santa Rosa, California, 95403

  • Seattle Cancer Care Alliance/Univ of Washington Medical Center ( Site 1865)

    Seattle, Washington, 98109

  • Sanford Cancer Center Oncology Clinic ( Site 1859)

    Sioux Falls, South Dakota, 57104

  • Avera Cancer Institute- Research ( Site 2070)

    Sioux Falls, South Dakota, 57105

  • Mercy Clinic Cancer and Hematology - Chub O'Reilly Cancer Center ( Site 1897)

    Springfield, Missouri, 65804

  • Washington University School of Medicine ( Site 1800)

    St Louis, Missouri, 63110

  • Stony Brook University ( Site 2063)

    Stony Brook, New York, 11794

  • Montefiore Einstein Center ( Site 2028)

    The Bronx, New York, 10467

  • Memorial Sloan Kettering Cancer Center - Nassau ( Site 2040)

    Uniondale, New York, 11553

  • MedStar Washington Hospital Center ( Site 2062)

    Washington D.C., District of Columbia, 20010

  • George Washington University Medical Faculty Associates ( Site 2035)

    Washington D.C., District of Columbia, 20037

  • University of Kansas Cancer Center ( Site 2004)

    Westwood, Kansas, 66205

  • Wake Forest Compenhensive Cancer Center ( Site 2029)

    Winston-Salem, North Carolina, 27357

  • University of Massachusetts Memorial Medical Center ( Site 1875)

    Worcester, Massachusetts, 01655

Other trials in United States

Germany12 sites
  • Charite Universitätsmedizin Berlin Campus Benjamin Franklin ( Site 0414)

    Berlin, 12203

  • Universitaetsklinikum Koeln ( Site 0413)

    Cologne, North Rhine-Westphalia, 50937

  • Universitaetsklinikum Erlangen-Strahlenklinik ( Site 0412)

    Erlangen, Bavaria, 91054

  • Universitaetsklinikum Frankfurt ( Site 0403)

    Frankfurt am Main, Hesse, 60590

  • SRH Wald-Klinikum Gera GmbH ( Site 0406)

    Gera, Thuringia, 07548

  • Universitaetsklinikum Hamburg Eppendorf ( Site 0407)

    Hamburg, 20246

  • Klinikum Kassel GmbH ( Site 0404)

    Kassel, Hesse, 34125

  • Universitätsklinikum Schleswig-Holstein ( Site 0411)

    Lübeck, Schleswig-Holstein, 23538

  • Klinikum rechts der Isar der Technischen Universität München-HNO Klinik ( Site 0405)

    München, Bavaria, 81675

  • Klinikum rechts der Isar der Technischen Universitaet ( Site 0409)

    Munich, Bavaria, 81675

  • Universitaetsklinikum Tuebingen - Medizinische Klinik ( Site 0401)

    Tübingen, Baden-Wurttemberg, 72076

  • Universitaetsklinikum Ulm. ( Site 0402)

    Ulm, Baden-Wurttemberg, 89075

Other trials in Germany

Argentina11 sites
  • Centro de Educación Médica e Investigaciones Clínicas (CEMIC)-Medical Oncology ( Site 0019)

    Buenos Aires, Buenos Aires F.D., C1431FWO

  • IDIM - Instituto de Diagnóstico e Investigaciones Metabólicas ( Site 0016)

    Buenos Aires, C1012AAR

  • Hospital Aleman Buenos Aires Argentina ( Site 0004)

    Buenos Aires, C1118AAT

  • Instituto de Oncología Angel Roffo ( Site 0003)

    Buenos Aires, C1417DTB

  • Hospital Britanico de Buenos Aires ( Site 0012)

    Ciudad de Buenos Aires, Buenos Aires F.D., C1280AEB

  • Hospital Universitario Austral ( Site 0009)

    Pilar, Buenos Aires, B1629AHJ

  • Sanatorio Britanico ( Site 0013)

    Rosario, Santa Fe Province, S2000CVB

  • Fundacion Estudios Clinicos-Oncology ( Site 0017)

    Rosario, Santa Fe Province, S2000DEJ

  • Instituto de Oncologia de Rosario ( Site 0002)

    Rosario, Santa Fe Province, S2000KZE

  • Hospital Provincial del Centenario ( Site 0008)

    Rosario, Santa Fe Province, S2002KDS

  • CER San Juan Centro Polivalente de Asistencia e Investigacion Clinica ( Site 0010)

    San Juan, J5402DIL

Other trials in Argentina

Japan11 sites
  • Hyogo Cancer Center ( Site 0656)

    Akashi, Hyōgo, 673-8558

  • Chiba Cancer Center ( Site 0652)

    Chiba, 260-8717

  • National Hospital Organization Kyushu Cancer Center ( Site 0660)

    Fukuoka, 811-1395

  • Hiroshima University Hospital ( Site 0655)

    Hiroshima, 734-8551

  • National Cancer Center Hospital East ( Site 0661)

    Kashiwa, Chiba, 277-8577

  • Kagawa University Hospital ( Site 0651)

    Kita-gun, Kagawa-ken, 761-0793

  • Yokohama City University Hospital ( Site 0657)

    Minato, Tokyo, 107-0052

  • Aichi Cancer Center ( Site 0658)

    Nagoya, Aichi-ken, 464-8681

  • National Cancer Center Hospital ( Site 0650)

    Tokyo, 104-0045

  • Institute of Science Tokyo Hospital ( Site 0654)

    Tokyo, 113-8519

  • Tokyo Medical University Hospital ( Site 0659)

    Tokyo, 160-0023

Other trials in Japan

Brazil9 sites
  • Centro Regional Integrado de Oncologia ( Site 0160)

    Fortaleza, Ceará, 60336-232

  • Hospital Marcio Cunha-Unidade de Pesquisa Clínica ( Site 0177)

    Ipatinga, Minas Gerais, 35162-189

  • Liga Norte Riograndense Contra o Cancer ( Site 0171)

    Natal, Rio Grande do Norte, 59075-740

  • Hospital Nossa Senhora da Conceicao ( Site 0165)

    Porto Alegre, Rio Grande do Sul, 91359-200

  • Instituto Nacional do Cancer Jose Alencar Gomes da Silva INCA ( Site 0169)

    Rio de Janeiro, 20231-050

  • Hospital Santa Izabel - Santa Casa de Misericordia da Bahia ( Site 0155)

    Salvador, Estado de Bahia, 40050-410

  • Hospital de Base de Sao Jose de Rio Preto ( Site 0153)

    São José do Rio Preto, São Paulo, 15090-000

  • Instituto do Cancer do Estado de Sao Paulo - ICESP ( Site 0167)

    São Paulo, 01246-000

  • BP - A Beneficencia Portuguesa de São Paulo-Medical Oncology ( Site 0175)

    São Paulo, 01321-001

Other trials in Brazil

Ukraine9 sites
  • Clinical oncology dispensary of Dnipro ( Site 1706)

    Dnipro, Dnipropetrovsk Oblast, 49055

  • Municipal Non-Profit Enterprise City Clinical Hospital 4 of Dnipro City Council ( Site 1705)

    Dnipro, Dnipropetrovsk Oblast, 49102

  • Dnipropetrovsk Regional Hospital n.a. I.I. Mechnikov ( Site 1709)

    Dnipropetrovsk, Dnipropetrovsk Oblast, 49005

  • Medical Center of Yuriy Spizhenko LLC.-Clinical Trial ( Site 1703)

    Kapitanivka Village, Kyivska Oblast, 08111

  • Ukrainian Center of Tomotherapy ( Site 1708)

    Kropyvnitskiy, Kirovohrad Oblast, 25011

  • PP PPC Acinus Medical and Diagnostic Centre ( Site 1704)

    Kropyvnytskyi, Kirovohrad Oblast, 25006

  • SNPE National Cancer Institute ( Site 1702)

    Kyiv, Kyivska Oblast, 03022

  • Kyiv City Clinical Oncology Centre ( Site 1701)

    Kyiv, 03115

  • LISOD. Hospital ( Site 1707)

    Pliuty, Kyiv Oblast, 08720

Other trials in Ukraine

France7 sites
  • Institut Sainte Catherine ( Site 0352)

    Avignon, Vaucluse, 84918

  • Hopital de la Timone ( Site 0356)

    Marseille, Bouches-du-Rhone, 13385

  • Centre Antoine Lacassagne ( Site 0351)

    Nice, Alpes-Maritimes, 06189

  • Hopital Europeen Georges Pompidou ( Site 0358)

    Paris, 75015

  • Institut Curie ( Site 0350)

    Paris, 75248

  • Institut Claudius Regaud IUCT Oncopole ( Site 0355)

    Toulouse, Haute-Garonne, 31059

  • Institut Gustave Roussy ( Site 0353)

    Villejuif, Val-de-Marne, 94800

Other trials in France

Spain6 sites
  • Hospital Germans Trias i Pujol. ICO de Badalona ( Site 1204)

    Badalona, Barcelona, 08916

  • Hospital Vall D Hebron ( Site 1200)

    Barcelona, 08035

  • ICO L Hospitalet ( Site 1208)

    L'Hospitalet de Llobregat, Barcelona, 08908

  • Hospital Universitario La Paz ( Site 1201)

    Madrid, 28046

  • Hospital Clinico Universitario de Santiago ( Site 1207)

    Santiago de Compostela, La Coruna, 15706

  • Hospital Universitario Virgen del Rocio ( Site 1206)

    Seville, 41013

Other trials in Spain

United Kingdom6 sites
  • Addenbrooke's Hospital ( Site 1610)

    Cambridge, Cambridgeshire, CB2 2QQ

  • Castle Hill Hospital ( Site 1601)

    Cottingham-Hull, Kingston Upon Hull, HU16 5JQ

  • Guy s & St Thomas NHS Foundation Trust ( Site 1604)

    London, London, City of, SE1 9RT

  • Royal Marsden Hospital - Fulham Road London ( Site 1609)

    London, London, City of, SW3 6JJ

  • Imperial College Healthcare NHS Trust, Charing Cross Hospital ( Site 1603)

    London, London, City of, W6 8RF

  • Weston Park Hospital ( Site 1607)

    Sheffield, S10 2SJ

Other trials in United Kingdom

Canada5 sites
  • Cross Cancer Institute ( Site 0201)

    Edmonton, Alberta, T6G 1Z2

  • McGill University Health Centre ( Site 0210)

    Montreal, Quebec, H4A 3J1

  • Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre Hospitalier Univer ( Site 0209)

    Sherbrooke, Quebec, J1H 5N4

  • Sunnybrook Research Institute ( Site 0211)

    Toronto, Ontario, M4N 3M5

  • Princess Margaret Cancer Centre ( Site 0202)

    Toronto, Ontario, M5G 2M9

Other trials in Canada

Israel5 sites
  • Rambam Health Care Campus-Oncology Division ( Site 0550)

    Haifa, 3109601

  • Hadassah Medical Center. Ein Kerem ( Site 0554)

    Jerusalem, 9112001

  • Rabin Medical Center ( Site 0552)

    Petah Tikva, 4963211

  • Chaim Sheba Medical Center. ( Site 0553)

    Ramat Gan, 5265601

  • Sourasky Medical Center ( Site 0551)

    Tel Aviv, 6423906

Other trials in Israel

Poland5 sites
  • Szpitale Pomorskie Sp. z o.o. ( Site 0935)

    Gdynia, Pomeranian Voivodeship, 81-159

  • Narodowy Instytut Onkologii - Oddzial w Gliwicach ( Site 0901)

    Gliwice, Silesian Voivodeship, 44-102

  • Szpital Specjalistyczny im. Ludwika Rydygiera w Krakowie ( Site 0905)

    Krakow, Lesser Poland Voivodeship, 31-826

  • Wojewodzki Szpital Specjalistyczny im. M. Kopernika w Lodzi ( Site 0920)

    Lodz, Łódź Voivodeship, 93-513

  • Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy w Warszawie ( Site 0940)

    Warsaw, Masovian Voivodeship, 02-781

Other trials in Poland

South Korea5 sites
  • National Cancer Center ( Site 0702)

    Goyang-si, Kyonggi-do, 10408

  • Chonnam National University Hwasun Hospital ( Site 0705)

    Hwasun Gun, Jeonranamdo, 58128

  • Seoul National University Bundang Hospital ( Site 0703)

    Seongnam-si, Kyonggi-do, 13620

  • Severance Hospital, Yonsei University Health System ( Site 0701)

    Seoul, 03722

  • The Catholic University of Korea St. Vincent s Hospital ( Site 0704)

    Suwon, Kyonggi-do, 16247

Other trials in South Korea

Austria4 sites
  • Landeskrankenhaus - Universitatsklinikum Graz ( Site 1902)

    Graz, Styria, 8036

  • Ordensklinikum Linz Gmbh - Barmherzige Schwestern ( Site 1901)

    Linz, Upper Austria, 4010

  • Landeskrankenhaus Salzburg - Universitatklinikum der PMU ( Site 1900)

    Salzburg, 5020

  • Medizinische Universität Wien ( Site 1903)

    Vienna, 1090

Other trials in Austria

Colombia4 sites
  • Clinica de la Costa S.A.S. ( Site 0307)

    Barranquilla, Atlántico, 080020

  • Centro de Investigacion Clinica del Country ( Site 0304)

    Bogotá, Bogota D.C., 110221

  • Centro Medico Imbanaco de Cali S.A ( Site 0300)

    Cali, Valle del Cauca Department, 760042

  • Oncologos del Occidente S.A. ( Site 0310)

    Pereira, Risaralda Department, 661002

Other trials in Colombia

Hungary4 sites
  • Eszak-Pesti Centrumkorhaz-Honvedkorhaz ( Site 0453)

    Budapest, 1062

  • Orszagos Onkologiai Intezet-Sugarterapias Kozpont ( Site 0454)

    Budapest, 1122

  • Pecsi Tudomanyegyetem Onkoterapias Intezet ( Site 0452)

    Pécs, Baranya, 7621

  • Jász-Nagykun-Szolnok Vármegyei Hetényi Géza Kórház ( Site 0450)

    Szolnok, Jász-Nagykun-Szolnok, 5004

Other trials in Hungary

Portugal4 sites
  • Unidade Local de Saude de Braga - Hospital de Braga ( Site 0951)

    Braga, 4710-243

  • Unidade Local de Saude de Santa Maria - Hospital de Santa Maria ( Site 0952)

    Lisbon, 1649-035

  • Hospital CUF Descobertas ( Site 0953)

    Lisbon, 1998-018

  • Inst. Portugues de Oncologia de Porto Francisco Gentil EPE ( Site 0950)

    Porto, 4200-072

Other trials in Portugal

Taiwan4 sites
  • Chang Gung Medical Foundation. Kaohsiung Branch ( Site 1303)

    Kaohsiung City, 833

  • Taichung Veterans General Hospital ( Site 1301)

    Taichung, 40705

  • National Cheng Kung University Hospital ( Site 1302)

    Tainan, 704

  • National Taiwan University Hospital ( Site 1300)

    Taipei, 10002

Other trials in Taiwan

Belgium3 sites
  • UZ Gent ( Site 0101)

    Ghent, Oost-Vlaanderen, 9000

  • Hopital de Jolimont ( Site 0103)

    Haine-Saint-Paul, Hainaut, 7100

  • AZ Nikolaas ( Site 0104)

    Sint-Niklaas, Oost-Vlaanderen, 9100

Other trials in Belgium

Russia3 sites
  • Republican Clinical Oncology Dispensary of Tatarstan MoH named after professor M.Z. Sigal ( Site 1000)

    Kazan', Tatarstan, Respublika, 420029

  • N.N. Blokhin NMRCO ( Site 1005)

    Moscow, Moscow, 115478

  • Yaroslavl Regional SBIH Clinical Oncology Hospital ( Site 1001)

    Yaroslavl, Yaroslavl Oblast, 150054

Other trials in Russia

Switzerland3 sites
  • Istituto Oncologica della Svizzera Italiana (IOSI) ( Site 1921)

    Bellinzona, Canton Ticino, 6500

  • Hopitaux Universitaires de Geneve HUG ( Site 1920)

    Geneva, 1211

  • Universitaetsspital Zurich ( Site 1923)

    Zuerich, Canton of Aargau, 8091

Other trials in Switzerland

Australia2 sites
  • Royal Brisbane and Women s Hospital ( Site 0050)

    Herston, Queensland, 4029

  • The Crown Princess Mary Cancer Centre - Westmead Hospital ( Site 0051)

    Westmead, New South Wales, 2145

Other trials in Australia

Chile1 site
  • Fundacion Arturo Lopez Perez FALP ( Site 0251)

    Santiago, Region M. de Santiago, 7500921

Other trials in Chile

Ireland1 site
  • St. James s Hospital ( Site 0500)

    Dublin, Dublin 8

Other trials in Ireland

About this study

Official title: A Phase III, Randomized, Open-label Study to Evaluate Pembrolizumab as Neoadjuvant Therapy and in Combination With Standard of Care as Adjuvant Therapy for Stage III-IVA Resectable Locoregionally Advanced Head and Neck Squamous Cell Carcinoma (LA HNSCC)

This is a randomized, active-controlled, open-label study of pembrolizumab given prior to surgery and pembrolizumab in combination with standard of care radiotherapy (with or without cisplatin), as post-surgical therapy in treatment naïve participants with newly diagnosed Stage III/IVA, resectable, locoregionally advanced, head and neck squamous cell carcinoma (LA-HNSCC). Efficacy outcomes will be stratified by programmed cell death ligand 1 (PD-L1) combined positive score (CPS) status. The primary hypothesis is that pembrolizumab given before surgery and after surgery in combination with radiotherapy (with or without cisplatin) improves event-free survival compared to radiotherapy (with or without cisplatin) given after surgery alone.

Being tested
Pembrolizumab 200 mg, Radiotherapy 60 Gray, Radiotherapy 66 Gray, Radiotherapy 70 Gray, Cisplatin 100 mg/m^2
Keywords
Programmed Cell Death 1 (PD1, PD-1), Programmed Cell Death 1 Ligand 1 (PDL1, PD-L1), Programmed Cell Death 1 Ligand 2 (PDL2, PD-L2)
Medical subject headings
Head and Neck Neoplasms, Parkinson Disease 4, Autosomal Dominant Lewy Body

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Pembrolizumab 200 mgBiological

    Also called KEYTRUDA®, MK-3475

    200 mg administered IV infusion on Day 1 of each 21-day cycle

  • Radiotherapy 60 GrayRadiation

    Low risk participants administered 2 Gray in 30 fractions. Administered using intensity modulated radiation therapy.

  • Radiotherapy 66 GrayRadiation

    High risk participants administered 2 Gray in 33 fractions. Administered using intensity modulated radiation therapy.

  • Radiotherapy 70 GrayRadiation

    Participants with gross residual disease administered 2 Gray in 35 fractions. Administered using intensity modulated radiation therapy.

  • Cisplatin 100 mg/m^2Drug

    Also called Platinol®, Platinol-AQ®

    100 mg/m^2 administered by IV infusion on Day 1 of each 21-day cycle

Study groups in NCT03765918
Study groupRoleWhat they receive
Pembrolizumab + Standard of Care (SOC)ExperimentalNeoadjuvant treatment: Participants received 200 mg pembrolizumab by intravenous (IV) infusion administered on Day 1 of a 21-day cycle for 2 cycles (up to 6 weeks) prior to surgery. Adjuvant treatment: Following surgical resection, participants received 200 mg pembrolizumab, IV infusion, on Day 1 of a 21-day cycle for 15 cycles (up to 45 weeks) plus investigator's choice of SOC treatment regimen consisting of radiotherapy, with or without cisplatin 100 mg/m^2, IV infusion, on Day 1 of a 21-day cycle for 3 cycles (up to 9 weeks).
Receives: Biological: Pembrolizumab 200 mg; Radiation: Radiotherapy 60 Gray; Radiation: Radiotherapy 66 Gray; Radiation: Radiotherapy 70 Gray; Drug: Cisplatin 100 mg/m^2
Standard of Care (SOC)Active comparatorAdjuvant treatment: Following surgical resection, participants received investigator's choice of SOC treatment regimen consisting of radiotherapy, with or without cisplatin 100 mg/m^2, IV infusion, on Day 1 of a 21-day cycle for 3 cycles (up to 9 weeks).
Receives: Radiation: Radiotherapy 60 Gray; Radiation: Radiotherapy 66 Gray; Radiation: Radiotherapy 70 Gray; Drug: Cisplatin 100 mg/m^2

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Event-free Survival (EFS)

    EFS was based on Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as assessed by blinded independent central review (BICR) and was defined as the time from randomization to any of the following events: radiographic disease progression (RDP; participants who undergo a definitive biopsy of the progressed lesion and are found to have no histologic evidence of invasive cancer will not meet criteria for an event), RDP during the neoadjuvant phase that precluded surgery, local or distant disease progression or recurrence (as assessed with imaging or biopsy as indicated), or death due to any cause. A secondary malignancy was not considered an EFS event. Per protocol, RECIST 1.1 was modified to allow up to 10 target lesions total (up to 5 per organ). Per protocol, EFS per RECIST 1.1 as assessed by BICR in all randomized participants was presented.

    Measured: Up to ~66 months

  2. EFS in Participants With Programmed Cell Death Ligand 1 (PD-L1) Combined Positive Score (CPS) ≥10

    EFS was based on RECIST 1.1 as assessed by BICR and was defined as the time from randomization to any of the following events: RDP (participants who undergo a definitive biopsy of the progressed lesion and are found to have no histologic evidence of invasive cancer will not meet criteria for an event), RDP during the neoadjuvant phase that precluded surgery, local or distant disease progression or recurrence (as assessed with imaging or biopsy as indicated), or death due to any cause. A secondary malignancy was not considered an EFS event. Per protocol, RECIST 1.1 was modified to allow up to 10 target lesions total (up to 5 per organ). Per protocol, EFS per RECIST 1.1 as assessed by BICR in participants with PD-L1 CPS ≥10 was presented.

    Measured: Up to ~66 months

  3. EFS in Participants With PD-L1 CPS ≥1

    EFS was based on RECIST 1.1 as assessed by BICR and was defined as the time from randomization to any of the following events: RDP (participants who undergo a definitive biopsy of the progressed lesion and are found to have no histologic evidence of invasive cancer will not meet criteria for an event), RDP during the neoadjuvant phase that precluded surgery, local or distant disease progression or recurrence (as assessed with imaging or biopsy as indicated), or death due to any cause. A secondary malignancy was not considered an EFS event. Per protocol, RECIST 1.1 was modified to allow up to 10 target lesions total (up to 5 per organ). Per protocol, EFS per RECIST 1.1 as assessed by BICR in participants with PD-L1 CPS ≥1 was presented.

    Measured: Up to ~66 months

Secondary outcomes (71)
  1. Major Pathological Response (mPR) Rate

    mPR rate was defined as the percentage of participants having ≤10% invasive squamous cell carcinoma within the resected primary tumor specimen and all sampled regional lymph nodes. Per protocol, mPR rate as assessed by blinded independent pathologist review (BIPR) at the time of definitive surgery in all randomized participants was presented.

    Measured: Up to ~66 months

  2. mPR Rate in Participants With PD-L1 CPS ≥10

    mPR rate was defined as the percentage of participants having ≤10% invasive squamous cell carcinoma within the resected primary tumor specimen and all sampled regional lymph nodes. Per protocol, mPR rate as assessed by BIPR at the time of definitive surgery in participants with PD-L1 CPS ≥10 was presented.

    Measured: Up to ~66 months

  3. mPR Rate in Participants With PD-L1 CPS ≥1

    mPR rate was defined as the percentage of participants having ≤10% invasive squamous cell carcinoma within the resected primary tumor specimen and all sampled regional lymph nodes. Per protocol, mPR rate as assessed by BIPR at the time of definitive surgery in participants with PD-L1 CPS ≥1 was presented.

    Measured: Up to ~66 months

  4. Pathological Complete Response (pCR) Rate

    pCR rate was defined as the percentage of participants having no residual invasive squamous cell carcinoma within the resected primary tumor specimen and all sampled regional lymph nodes. The pCR rate as assessed by BIPR at the time of definitive surgery in all randomized participants was presented.

    Measured: Up to ~66 months

  5. pCR Rate in Participants With PD-L1 CPS ≥10

    pCR rate was defined as the percentage of participants having no residual invasive squamous cell carcinoma within the resected primary tumor specimen and all sampled regional lymph nodes. The pCR rate as assessed by BIPR at the time of definitive surgery in all randomized participants with PD-L1 CPS ≥10 was presented.

    Measured: Up to ~66 months

  6. pCR Rate in Participants With PD-L1 CPS ≥1

    pCR rate was defined as the percentage of participants having no residual invasive squamous cell carcinoma within the resected primary tumor specimen and all sampled regional lymph nodes. The pCR rate as assessed by BIPR at the time of definitive surgery in all randomized participants with PD-L1 CPS ≥1 was presented.

    Measured: Up to ~66 months

  7. Neoadjuvant Treatment: Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) Global Health Status (GHS)/Quality of Life (QoL) (Items 29 & 30) Scale Combined Score at Week 4

    EORTC QLQ-C30 is a questionnaire to assess the overall QoL of cancer patients. Participant responses to questions regarding GHS ("How would you rate your overall health during the past week?") and QoL ("How would you rate your overall quality of life during the past week?") were scored on a 7-point scale (1= Very poor to 7=Excellent). The combined score of GHS (Item 29) and QoL (Item 30) were computed by averaging the raw scores of the 2 items and then applying a linear transformation to standardize the average score, so that the combined scores ranged from 0-100. A higher score indicated a better outcome. Per protocol, the change from baseline in GHS and QoL combined score for all randomized participants in the pembrolizumab + SOC arm was presented.

    Measured: Baseline and Week 4

  8. Neoadjuvant Treatment: Change From Baseline in EORTC QLQ-30 GHS/QoL (Items 29 and 30) Scale Combined Score in Participants With PD-L1 CPS ≥10 at Week 4

    EORTC QLQ-C30 is a questionnaire to assess the overall QoL of cancer patients. Participant responses to questions regarding GHS ("How would you rate your overall health during the past week?") and QoL ("How would you rate your overall quality of life during the past week?") were scored on a 7-point scale (1= Very poor to 7=Excellent). The combined score of GHS (Item 29) and QoL (Item 30) were computed by averaging the raw scores of the 2 items and then applying a linear transformation to standardize the average score, so that the combined scores ranged from 0-100. A higher score indicated a better outcome. Per protocol, the change from baseline in GHS and QoL combined score for all randomized participants with PD-L1 CPS ≥10 in the pembrolizumab + SOC arm was presented.

    Measured: Baseline and Week 4

  9. Neoadjuvant Treatment: Change From Baseline in EORTC QLQ-C30 GHS/QOL (Items 29 and 30) Scale Combined Score in Participants With PD-L1 CPS ≥1 at Week 4

    EORTC QLQ-C30 is a questionnaire to assess the overall QoL of cancer patients. Participant responses to questions regarding GHS ("How would you rate your overall health during the past week?") and QoL ("How would you rate your overall quality of life during the past week?") were scored on a 7-point scale (1= Very poor to 7=Excellent). The combined score of GHS (Item 29) and QoL (Item 30) were computed by averaging the raw scores of the 2 items and then applying a linear transformation to standardize the average score, so that the combined scores ranged from 0-100. A higher score indicated a better outcome. Per protocol, the change from baseline in GHS and QoL combined score for all randomized participants with PD-L1 CPS ≥1 in the pembrolizumab + SOC arm was presented.

    Measured: Baseline and Week 4

  10. Neoadjuvant Treatment: Change From Baseline in EORTC QLQ-C30 GHS/QoL (Items 29 and 30) Scale Combined Score at Week 6

    EORTC QLQ-C30 is a questionnaire to assess the overall QoL of cancer patients. Participant responses to questions regarding GHS ("How would you rate your overall health during the past week?") and QoL ("How would you rate your overall quality of life during the past week?") were scored on a 7-point scale (1= Very poor to 7=Excellent). The combined score of GHS (Item 29) and QoL (Item 30) were computed by averaging the raw scores of the 2 items and then applying a linear transformation to standardize the average score, so that the combined scores ranged from 0-100. A higher score indicated a better outcome. Per protocol, the change from baseline in GHS and QoL combined score for all randomized participants in the pembrolizumab + SOC arm was presented.

    Measured: Baseline and Week 6

  11. Neoadjuvant Treatment: Change From Baseline in EORTC QLQ-C30 GHS/QoL (Items 29 and 30) Scale Combined Score in Participants With PD-L1 CPS ≥10 at Week 6

    EORTC QLQ-C30 is a questionnaire to assess the overall QoL of cancer patients. Participant responses to questions regarding GHS ("How would you rate your overall health during the past week?") and QoL ("How would you rate your overall quality of life during the past week?") were scored on a 7-point scale (1= Very poor to 7=Excellent). The combined score of GHS (Item 29) and QoL (Item 30) were computed by averaging the raw scores of the 2 items and then applying a linear transformation to standardize the average score, so that the combined scores ranged from 0-100. A higher score indicated a better outcome. Per protocol, the change from baseline in GHS and QoL combined score for all randomized participants with PD-L1 CPS ≥10 in the pembrolizumab + SOC arm was presented.

    Measured: Baseline and Week 6

  12. Neoadjuvant Treatment: Change From Baseline in EORTC QLQ-C30 GHS/QoL (Items 29 and 30) Scale Combined Score in Participants With PD-L1 CPS ≥1 at Week 6

    EORTC QLQ-C30 is a questionnaire to assess the overall QoL of cancer patients. Participant responses to questions regarding GHS ("How would you rate your overall health during the past week?") and QoL ("How would you rate your overall quality of life during the past week?") were scored on a 7-point scale (1= Very poor to 7=Excellent). The combined score of GHS (Item 29) and QoL (Item 30) were computed by averaging the raw scores of the 2 items and then applying a linear transformation to standardize the average score, so that the combined scores ranged from 0-100. A higher score indicated a better outcome. Per protocol, the change from baseline in GHS and QoL combined score for all randomized participants with PD-L1 CPS ≥1 in the pembrolizumab + SOC arm was presented.

    Measured: Baseline and Week 6

  13. Adjuvant Treatment: Change From Baseline in EORTC QLQ-C30 GHS/QoL (Items 29 and 30) Scale Combined Score at Week 25

    EORTC QLQ-C30 is a questionnaire to assess the overall QoL of cancer patients. Participant responses to questions regarding GHS ("How would you rate your overall health during the past week?") and QoL ("How would you rate your overall quality of life during the past week?") were scored on a 7-point scale (1= Very poor to 7=Excellent). The combined score of GHS (Item 29) and QoL (Item 30) were computed by averaging the raw scores of the 2 items and then applying a linear transformation to standardize the average score, so that the combined scores ranged from 0-100. A higher score indicated a better outcome. Per protocol, the change from baseline in GHS and QoL combined score for all randomized participants was presented.

    Measured: Baseline and Week 25

  14. Adjuvant Treatment: Change From Baseline in EORTC QLQ-C30 GHS/QoL (Items 29 and 30) Scale Combined Score in Participants With PD-L1 CPS ≥10 at Week 25

    EORTC QLQ-C30 is a questionnaire to assess the overall QoL of cancer patients. Participant responses to questions regarding GHS ("How would you rate your overall health during the past week?") and QoL ("How would you rate your overall quality of life during the past week?") were scored on a 7-point scale (1= Very poor to 7=Excellent). The combined score of GHS (Item 29) and QoL (Item 30) were computed by averaging the raw scores of the 2 items and then applying a linear transformation to standardize the average score, so that the combined scores ranged from 0-100. A higher score indicated a better outcome. Per protocol, the change from baseline in GHS and QoL combined score for all randomized participants with PD-L1 CPS ≥10 was presented.

    Measured: Baseline and Week 25

  15. Adjuvant Treatment: Change in EORTC QLQ-C30 GHS/QoL (Items 29 and 30) Scale Combined Score in Participants With PD-L1 CPS ≥1 at Week 25

    EORTC QLQ-C30 is a questionnaire to assess the overall QoL of cancer patients. Participant responses to questions regarding GHS ("How would you rate your overall health during the past week?") and QoL ("How would you rate your overall quality of life during the past week?") were scored on a 7-point scale (1= Very poor to 7=Excellent). The combined score of GHS (Item 29) and QoL (Item 30) were computed by averaging the raw scores of the 2 items and then applying a linear transformation to standardize the average score, so that the combined scores ranged from 0-100. A higher score indicated a better outcome. Per protocol, the change from baseline in GHS and QoL combined score for all randomized participants with PD-L1 CPS ≥1 was presented.

    Measured: Baseline and Week 25

  16. Adjuvant Treatment: Change From Baseline in EORTC QLQ-C30 GHS/QoL (Items 29 and 30) Scale Combined Score at Week 51

    EORTC QLQ-C30 is a questionnaire to assess the overall QoL of cancer patients. Participant responses to questions regarding GHS ("How would you rate your overall health during the past week?") and QoL ("How would you rate your overall quality of life during the past week?") were scored on a 7-point scale (1= Very poor to 7=Excellent). The combined score of GHS (Item 29) and QoL (Item 30) were computed by averaging the raw scores of the 2 items and then applying a linear transformation to standardize the average score, so that the combined scores ranged from 0-100. A higher score indicated a better outcome. Per protocol, the change from baseline in GHS and QoL combined score for all randomized participants was presented.

    Measured: Baseline and Week 51

  17. Adjuvant Treatment: Change From Baseline in EORTC QLQ-C30 GHS/QoL (Items 29 and 30) Scale Combined Score in Participants With PD-L1 CPS ≥10 at Week 51

    EORTC QLQ-C30 is a questionnaire to assess the overall QoL of cancer patients. Participant responses to questions regarding GHS ("How would you rate your overall health during the past week?") and QoL ("How would you rate your overall quality of life during the past week?") were scored on a 7-point scale (1= Very poor to 7=Excellent). The combined score of GHS (Item 29) and QoL (Item 30) were computed by averaging the raw scores of the 2 items and then applying a linear transformation to standardize the average score, so that the combined scores ranged from 0-100. A higher score indicated a better outcome. Per protocol, the change from baseline in GHS and QoL combined score for all randomized participants with PD-L1 CPS ≥10 was presented.

    Measured: Baseline and Week 51

  18. Adjuvant Treatment: Change From Baseline in EORTC QLQ-C30 GHS/QoL (Items 29 and 30) Scale Combined Score in Participants With PD-L1 CPS ≥1 at Week 51

    EORTC QLQ-C30 is a questionnaire to assess the overall QoL of cancer patients. Participant responses to questions regarding GHS ("How would you rate your overall health during the past week?") and QoL ("How would you rate your overall quality of life during the past week?") were scored on a 7-point scale (1= Very poor to 7=Excellent). The combined score of GHS (Item 29) and QoL (Item 30) were computed by averaging the raw scores of the 2 items and then applying a linear transformation to standardize the average score, so that the combined scores ranged from 0-100. A higher score indicated a better outcome. Per protocol, the change from baseline in GHS and QoL combined score for all randomized participants with PD-L1 CPS ≥1 was presented.

    Measured: Baseline and Week 51

  19. Neoadjuvant Treatment: Change From Baseline in Physical Functioning (EORTC QLQ-C30 Items 1-5) Combined Score at Week 4

    EORTC QLQ-C30 is a questionnaire to assess the overall QoL of cancer patients. Participant responses to 5 questions about their physical functioning (Items 1 to 5) are scored on a 4-point scale (1=Not at All to 4=Very Much). The combined score of items 1 to 5 was computed by averaging the raw scores of the 5 items and then applying a linear transformation to standardize the average score, so that the combined scores ranged from 0-100. A higher score indicated a better outcome. Per protocol, the change from baseline in EORTC QLQ-C30 physical functioning (Items 1-5) combined score for all randomized participants in the pembrolizumab + SOC arm was presented.

    Measured: Baseline and Week 4

  20. Neoadjuvant Treatment: Change From Baseline in Physical Functioning (EORTC QLQ-C30 Items 1-5) Combined Score in Participants With PD-L1 CPS ≥10 at Week 4

    EORTC QLQ-C30 is a questionnaire to assess the overall QoL of cancer patients. Participant responses to 5 questions about their physical functioning (Items 1 to 5) are scored on a 4-point scale (1=Not at All to 4=Very Much). The combined score of items 1 to 5 was computed by averaging the raw scores of the 5 items and then applying a linear transformation to standardize the average score, so that the combined scores ranged from 0-100. A higher score indicated a better outcome. Per protocol, the change from baseline in EORTC QLQ-C30 physical functioning (Items 1-5) combined score for all randomized participants with PD-L1 CPS ≥10 in the pembrolizumab + SOC arm was presented.

    Measured: Baseline and Week 4

  21. Neoadjuvant Treatment: Change From Baseline in Physical Functioning (EORTC QLQ-C30 Items 1-5) Combined Score in Participants With PD-L1 CPS ≥1 at Week 4

    EORTC QLQ-C30 is a questionnaire to assess the overall QoL of cancer patients. Participant responses to 5 questions about their physical functioning (Items 1 to 5) are scored on a 4-point scale (1=Not at All to 4=Very Much). The combined score of items 1 to 5 was computed by averaging the raw scores of the 5 items and then applying a linear transformation to standardize the average score, so that the combined scores ranged from 0-100. A higher score indicated a better outcome. Per protocol, the change from baseline in EORTC QLQ-C30 physical functioning (Items 1-5) combined score for all randomized participants with PD-L1 CPS ≥1 in the pembrolizumab + SOC arm was presented.

    Measured: Baseline and Week 4

  22. Neoadjuvant Treatment: Change From Baseline in Physical Functioning (EORTC QLQ-C30 Items 1-5) Combined Score at Week 6

    EORTC QLQ-C30 is a questionnaire to assess the overall QoL of cancer patients. Participant responses to 5 questions about their physical functioning (Items 1 to 5) are scored on a 4-point scale (1=Not at All to 4=Very Much). The combined score of items 1 to 5 was computed by averaging the raw scores of the 5 items and then applying a linear transformation to standardize the average score, so that the combined scores ranged from 0-100. A higher score indicated a better outcome. Per protocol, the change from baseline in EORTC QLQ-C30 physical functioning (Items 1-5) combined score for all randomized participants in the pembrolizumab + SOC arm was presented.

    Measured: Baseline and Week 6

  23. Neoadjuvant Treatment: Change From Baseline in Physical Functioning (EORTC QLQ-C30 Items 1-5) Combined Score in Participants With PD-L1 CPS ≥10 at Week 6

    EORTC QLQ-C30 is a questionnaire to assess the overall QoL of cancer patients. Participant responses to 5 questions about their physical functioning (Items 1 to 5) are scored on a 4-point scale (1=Not at All to 4=Very Much). The combined score of items 1 to 5 was computed by averaging the raw scores of the 5 items and then applying a linear transformation to standardize the average score, so that the combined scores ranged from 0-100. A higher score indicated a better outcome. Per protocol, the change from baseline in EORTC QLQ-C30 physical functioning (Items 1-5) combined score for all randomized participants with PD-L1 CPS ≥10 in the pembrolizumab + SOC arm was presented.

    Measured: Baseline and Week 6

  24. Neoadjuvant Treatment: Change From Baseline in Physical Functioning (EORTC QLQ-C30 Items 1-5) Combined Score in Participants With PD-L1 CPS ≥1 at Week 6

    EORTC QLQ-C30 is a questionnaire to assess the overall QoL of cancer patients. Participant responses to 5 questions about their physical functioning (Items 1 to 5) are scored on a 4-point scale (1=Not at All to 4=Very Much). The combined score of items 1 to 5 was computed by averaging the raw scores of the 5 items and then applying a linear transformation to standardize the average score, so that the combined scores ranged from 0-100. A higher score indicated a better outcome. Per protocol, the change from baseline in EORTC QLQ-C30 physical functioning (Items 1-5) combined score for all randomized participants with PD-L1 CPS ≥1 in the pembrolizumab + SOC arm was presented.

    Measured: Baseline and Week 6

  25. Adjuvant Treatment: Change From Baseline in Physical Functioning (EORTC QLQ-C30 Items 1-5) Combined Score at Week 25

    EORTC QLQ-C30 is a questionnaire to assess the overall QoL of cancer patients. Participant responses to 5 questions about their physical functioning (Items 1 to 5) are scored on a 4-point scale (1=Not at All to 4=Very Much). The combined score of items 1 to 5 was computed by averaging the raw scores of the 5 items and then applying a linear transformation to standardize the average score, so that the combined scores ranged from 0-100. A higher score indicated a better outcome. Per protocol, the change from baseline in EORTC QLQ-C30 physical functioning (Items 1-5) combined score for all randomized participants was presented.

    Measured: Baseline and Week 25

  26. Adjuvant Treatment: Change From Baseline in Physical Functioning (EORTC QLQ-C30 Items 1-5) Combined Score in Participants With PD-L1 CPS ≥10 at Week 25

    EORTC QLQ-C30 is a questionnaire to assess the overall QoL of cancer patients. Participant responses to 5 questions about their physical functioning (Items 1 to 5) are scored on a 4-point scale (1=Not at All to 4=Very Much). The combined score of items 1 to 5 was computed by averaging the raw scores of the 5 items and then applying a linear transformation to standardize the average score, so that the combined scores ranged from 0-100. A higher score indicated a better outcome. Per protocol, the change from baseline in EORTC QLQ-C30 physical functioning (Items 1-5) combined score for all randomized participants with PD-L1 CPS ≥10 was presented.

    Measured: Baseline and Week 25

  27. Adjuvant Treatment: Change From Baseline in Physical Functioning (EORTC QLQ-C30 Items 1-5) Combined Score in Participants With PD-L1 CPS ≥1 at Week 25

    EORTC QLQ-C30 is a questionnaire to assess the overall QoL of cancer patients. Participant responses to 5 questions about their physical functioning (Items 1 to 5) are scored on a 4-point scale (1=Not at All to 4=Very Much). The combined score of items 1 to 5 was computed by averaging the raw scores of the 5 items and then applying a linear transformation to standardize the average score, so that the combined scores ranged from 0-100. A higher score indicated a better outcome. Per protocol, the change from baseline in EORTC QLQ-C30 physical functioning (Items 1-5) combined score for all randomized participants with PD-L1 CPS ≥1 was presented.

    Measured: Baseline and Week 25

  28. Adjuvant Treatment: Change From Baseline in Physical Functioning (EORTC QLQ-C30 Items 1-5) Combined Score at Week 51

    EORTC QLQ-C30 is a questionnaire to assess the overall QoL of cancer patients. Participant responses to 5 questions about their physical functioning (Items 1 to 5) are scored on a 4-point scale (1=Not at All to 4=Very Much). The combined score of items 1 to 5 was computed by averaging the raw scores of the 5 items and then applying a linear transformation to standardize the average score, so that the combined scores ranged from 0-100. A higher score indicated a better outcome. Per protocol, the change from baseline in EORTC QLQ-C30 physical functioning (Items 1-5) combined score for all randomized participants was presented.

    Measured: Baseline and Week 51

  29. Adjuvant Treatment: Change From Baseline in Physical Functioning (EORTC QLQ-C30 Items 1-5) Combined Score in Participants With PD-L1 CPS ≥10 at Week 51

    EORTC QLQ-C30 is a questionnaire to assess the overall QoL of cancer patients. Participant responses to 5 questions about their physical functioning (Items 1 to 5) are scored on a 4-point scale (1=Not at All to 4=Very Much). The combined score of items 1 to 5 was computed by averaging the raw scores of the 5 items and then applying a linear transformation to standardize the average score, so that the combined scores ranged from 0-100. A higher score indicated a better outcome. Per protocol, the change from baseline in EORTC QLQ-C30 physical functioning (Items 1-5) combined score for all randomized participants with PD-L1 CPS ≥10 was presented.

    Measured: Baseline and Week 51

  30. Adjuvant Treatment: Change From Baseline in Physical Functioning (EORTC QLQ-C30 Items 1-5) Combined Score in Participants With PD-L1 CPS ≥1 at Week 51

    EORTC QLQ-C30 is a questionnaire to assess the overall QoL of cancer patients. Participant responses to 5 questions about their physical functioning (Items 1 to 5) are scored on a 4-point scale (1=Not at All to 4=Very Much). The combined score of items 1 to 5 was computed by averaging the raw scores of the 5 items and then applying a linear transformation to standardize the average score, so that the combined scores ranged from 0-100. A higher score indicated a better outcome. Per protocol, the change from baseline in EORTC QLQ-C30 physical functioning (Items 1-5) combined score for all randomized participants with PD-L1 CPS ≥1 was presented.

    Measured: Baseline and Week 51

  31. Neoadjuvant Treatment: Change From Baseline in EORTC QLQ-Head and Neck Module 35 [H&N35] (Items 35-38) Swallowing Combined Score at Week 4

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the swallowing scale (Items 35-38) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 swallowing symptoms (Items 35-38) combined score for all randomized participants in the pembrolizumab + SOC arm was presented.

    Measured: Baseline and Week 4

  32. Neoadjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 35-38) Swallowing Combined Score in Participants With PD-L1 CPS ≥10 at Week 4

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the swallowing scale (Items 35-38) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 swallowing symptoms (Items 35-38) combined score for all randomized participants with PD-L1 CPS ≥10 in the pembrolizumab + SOC arm was presented.

    Measured: Baseline and Week 4

  33. Neoadjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 35-38) Swallowing Combined Score in Participants With PD-L1 CPS ≥1 at Week 4

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the swallowing scale (Items 35-38) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 swallowing symptoms (Items 35-38) combined score for all randomized participants with PD-L1 CPS ≥1 in the pembrolizumab + SOC arm was presented.

    Measured: Baseline and Week 4

  34. Neoadjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 35-38) Swallowing Combined Score at Week 6

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the swallowing scale (Items 35-38) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 swallowing symptoms (Items 35-38) combined score for all randomized participants in the pembrolizumab + SOC arm was presented.

    Measured: Baseline and Week 6

  35. Neoadjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 35-38) Swallowing Combined Score in Participants With PD-L1 CPS ≥10 at Week 6

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the swallowing scale (Items 35-38) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 swallowing symptoms (Items 35-38) combined score for all randomized participants with PD-L1 CPS ≥10 in the pembrolizumab + SOC arm was presented.

    Measured: Baseline and Week 6

  36. Neoadjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 35-38) Swallowing Combined Score in Participants With PD-L1 CPS ≥1 at Week 6

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the swallowing scale (Items 35-38) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 swallowing symptoms (Items 35-38) combined score for all randomized participants with PD-L1 CPS ≥1 in the pembrolizumab + SOC arm was presented.

    Measured: Baseline and Week 6

  37. Adjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 35-38) Swallowing Combined Score at Week 25

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the swallowing scale (Items 35-38) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 swallowing symptoms (Items 35-38) combined score for all randomized participants was presented.

    Measured: Baseline and Week 25

  38. Adjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 35-38) Swallowing Combined Score in Participants With PD-L1 CPS ≥10 at Week 25

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the swallowing scale (Items 35-38) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 swallowing symptoms (Items 35-38) combined score for all randomized participants with PD-L1 CPS ≥10 was presented.

    Measured: Baseline and Week 25

  39. Adjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 35-38) Swallowing Combined Score in Participants With PD-L1 CPS ≥1 at Week 25

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the swallowing scale (Items 35-38) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 swallowing symptoms (Items 35-38) combined score for all randomized participants with PD-L1 CPS ≥1 was presented.

    Measured: Baseline and Week 25

  40. Adjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 35-38) Swallowing Combined Score at Week 51

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the swallowing scale (Items 35-38) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 swallowing symptoms (Items 35-38) combined score for all randomized participants was presented.

    Measured: Baseline and Week 51

  41. Adjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 35-38) Swallowing Combined Score in Participants With PD-L1 CPS ≥10 at Week 51

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the swallowing scale (Items 35-38) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 swallowing symptoms (Items 35-38) combined score for all randomized participants with PD-L1 CPS ≥10 was presented.

    Measured: Baseline and Week 51

  42. Adjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 35-38) Swallowing Combined Score in Participants With PD-L1 CPS ≥1 at Week 51

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the swallowing scale (Items 35-38) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 swallowing symptoms (Items 35-38) combined score for all randomized participants with PD-L1 CPS ≥1 was presented.

    Measured: Baseline and Week 51

  43. Neoadjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 46, 53-54) Speech Combined Score at Week 4

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the speech scale (Items 46, 53-54) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 speech symptoms (Items 46, 53-54) combined score for all randomized participants in the pembrolizumab + SOC arm was presented.

    Measured: Baseline and Week 4

  44. Neoadjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 46, 53-54) Speech Combined Score in Participants With PD-L1 CPS ≥10 at Week 4

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the speech scale (Items 46, 53-54) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 speech symptoms (Items 46, 53-54) combined score for all randomized participants with PD-L1 CPS ≥10 in the pembrolizumab + SOC arm was presented.

    Measured: Baseline and Week 4

  45. Neoadjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 46, 53-54) Speech Combined Score in Participants With PD-L1 CPS ≥1 at Week 4

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the speech scale (Items 46, 53-54) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 speech symptoms (Items 46, 53-54) combined score for all randomized participants with PD-L1 CPS ≥1 in the pembrolizumab + SOC arm was presented.

    Measured: Baseline and Week 4

  46. Neoadjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 46, 53-54) Speech Combined Score at Week 6

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the speech scale (Items 46, 53-54) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 speech symptoms (Items 46, 53-54) combined score for all randomized participants in the pembrolizumab + SOC arm was presented.

    Measured: Baseline and Week 6

  47. Neoadjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 46, 53-54) Speech Combined Score in Participants With PD-L1 CPS ≥10 at Week 6

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the speech scale (Items 46, 53-54) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 speech symptoms (Items 46, 53-54) combined score for all randomized participants with PD-L1 CPS ≥10 in the pembrolizumab + SOC arm was presented.

    Measured: Baseline and Week 6

  48. Neoadjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 46, 53-54) Speech Combined Score in Participants With PD-L1 CPS ≥1 at Week 6

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the speech scale (Items 46, 53-54) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 speech symptoms (Items 46, 53-54) combined score for all randomized participants with PD-L1 CPS ≥1 in the pembrolizumab + SOC arm was presented.

    Measured: Baseline and Week 6

  49. Adjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 46, 53-54) Speech Combined Score at Week 25

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the speech scale (Items 46, 53-54) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 speech symptoms (Items 46, 53-54) combined score for all randomized participants was presented.

    Measured: Baseline and Week 25

  50. Adjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 46, 53-54) Speech Combined Score in Participants With PD-L1 CPS ≥10 at Week 25

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the speech scale (Items 46, 53-54) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 speech symptoms (Items 46, 53-54) combined score for all randomized participants with PD-L1 CPS ≥10 was presented.

    Measured: Baseline and Week 25

  51. Adjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 46, 53-54) Speech Combined Score in Participants With PD-L1 CPS ≥1 at Week 25

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the speech scale (Items 46, 53-54) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 speech symptoms (Items 46, 53-54) combined score for all randomized participants with PD-L1 CPS ≥1 was presented.

    Measured: Baseline and Week 25

  52. Adjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 46, 53-54) Speech Combined Score at Week 51

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the speech scale (Items 46, 53-54) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 speech symptoms (Items 46, 53-54) combined score for all randomized participants was presented.

    Measured: Baseline and Week 51

  53. Adjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 46, 53-54) Speech Combined Score in Participants With PD-L1 CPS ≥10 at Week 51

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the speech scale (Items 46, 53-54) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 speech symptoms (Items 46, 53-54) combined score for all randomized participants with PD-L1 CPS ≥10 was presented.

    Measured: Baseline and Week 51

  54. Adjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 46, 53-54) Speech Combined Score in Participants With PD-L1 CPS ≥1 at Week 51

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the speech scale (Items 46, 53-54) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 speech symptoms (Items 46, 53-54) combined score for all randomized participants with PD-L1 CPS ≥1 was presented.

    Measured: Baseline and Week 51

  55. Neoadjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 31-34) Pain Combined Score at Week 4

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the pain scale (Items 31-34) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 pain symptoms (Items 31-34) combined score for all randomized participants in the pembrolizumab + SOC arm was presented.

    Measured: Baseline and Week 4

  56. Neoadjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 31-34) Pain Combined Score in Participants With PD-L1 CPS ≥10 at Week 4

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the pain scale (Items 31-34) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 pain symptoms (Items 31-34) combined score for all randomized participants with PD-L1 CPS ≥10 in the pembrolizumab + SOC arm was presented.

    Measured: Baseline and Week 4

  57. Neoadjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 31-34) Pain Combined Score in Participants With PD-L1 CPS ≥1 at Week 4

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the pain scale (Items 31-34) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 pain symptoms (Items 31-34) combined score for all randomized participants with PD-L1 CPS ≥1 in the pembrolizumab + SOC arm was presented.

    Measured: Baseline and Week 4

  58. Neoadjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 31-34) Pain Combined Score at Week 6

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the pain scale (Items 31-34) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 pain symptoms (Items 31-34) combined score for all randomized participants in the pembrolizumab + SOC arm was presented.

    Measured: Baseline and Week 6

  59. Neoadjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 31-34) Pain Combined Score in Participants With PD-L1 CPS ≥10 at Week 6

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the pain scale (Items 31-34) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 pain symptoms (Items 31-34) combined score for all randomized participants with PD-L1 CPS ≥10 in the pembrolizumab + SOC arm was presented.

    Measured: Baseline and Week 6

  60. Neoadjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 31-34) Pain Combined Score in Participants With PD-L1 CPS ≥1 at Week 6

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the pain scale (Items 31-34) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 pain symptoms (Items 31-34) combined score for all randomized participants with PD-L1 CPS ≥1 in the pembrolizumab + SOC arm was presented.

    Measured: Baseline and Week 6

  61. Adjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 31-34) Pain Combined Score at Week 25

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the pain scale (Items 31-34) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 pain symptoms (Items 31-34) combined score for all randomized participants was presented.

    Measured: Baseline and Week 25

  62. Adjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 31-34) Pain Combined Score in Participants With PD-L1 CPS ≥10 at Week 25

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the pain scale (Items 31-34) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 pain symptoms (Items 31-34) combined score for all randomized participants with PD-L1 CPS ≥10 was presented.

    Measured: Baseline and Week 25

  63. Adjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 31-34) Pain Combined Score in Participants With PD-L1 CPS ≥1 at Week 25

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the pain scale (Items 31-34) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 pain symptoms (Items 31-34) combined score for all randomized participants with PD-L1 CPS ≥1 was presented.

    Measured: Baseline and Week 25

  64. Adjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 31-34) Pain Combined Score at Week 51

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the pain scale (Items 31-34) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 pain symptoms (Items 31-34) combined score for all randomized participants was presented.

    Measured: Baseline and Week 51

  65. Adjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 31-34) Pain Combined Score in Participants With PD-L1 CPS ≥10 at Week 51

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the pain scale (Items 31-34) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 pain symptoms (Items 31-34) combined score for all randomized participants with PD-L1 CPS ≥10 was presented.

    Measured: Baseline and Week 51

  66. Adjuvant Treatment: Change From Baseline in EORTC QLQ-H&N35 (Items 31-34) Pain Combined Score in Participants With PD-L1 CPS ≥1 at Week 51

    EORTC QLQ-H\&N35 is a 35-item questionnaire to assess QoL of head and neck cancer participants and consists of 7 multi-item scales (pain in the mouth, problems with swallowing, senses, speech, social eating, social contact, and sexuality). Participant responses to the pain scale (Items 31-34) were scored on a 4-point scale (1=Not at all to 4=Very much). Raw scores were standardized by linear transformation so that scores ranged from 0 to 100; a higher score indicated more problems. Per protocol, the change from baseline in EORTC QLQ-H\&N35 pain symptoms (Items 31-34) combined score for all randomized participants with PD-L1 CPS ≥1 was presented.

    Measured: Baseline and Week 51

  67. Overall Survival (OS)

    OS was defined as the time from randomization to death due to any cause. OS for all randomized participants was presented.

    Measured: Up to ~92 months

  68. OS in Participants With PD-L1 CPS ≥10

    OS was defined as the time from randomization to death due to any cause. OS for all randomized participants with PD-L1 CPS ≥10 was presented.

    Measured: Up to ~92 months

  69. OS in Participants With PD-L1 CPS ≥1

    OS was defined as the time from randomization to death due to any cause. OS for all randomized participants with PD-L1 CPS ≥1 was presented.

    Measured: Up to ~92 months

  70. Number of Participants Who Experienced an Adverse Event (AE)

    An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. An AE could have been any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated). The number of participants who experienced one or more AEs was reported.

    Measured: Up to ~92 months

  71. Number of Participants Who Discontinued Study Treatment Due to an AE

    An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. An AE could have been any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated). The number of participants who discontinued study treatment due to an AE was reported.

    Measured: Up to ~92 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Dec 2018
  2. Study start17 Dec 2018
  3. Primary completion25 Jul 2024
  4. Study completion17 Nov 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
714 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03765918
Sponsor's protocol ID
3475-689
Other IDs
MK-3475-689, 2022-500254-41-00, U1111-1274-2398, 2017-001139-38, 2017
Status last verified
Jul 2026
First submitted
6 Nov 2018
Last updated
31 Jul 2026
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf

Publications

  • Uppaluri R, Haddad RI, Tao Y, Le Tourneau C, Lee NY, Westra W, Chernock R, Tahara M, Harrington KJ, Klochikhin AL, Brana I, Vasconcelos Alves G, Hughes BGM, Oliva M, Pinto Figueiredo Lima I, Ueda T, Rutkowski T, Schroeder U, Mauz PS, Fuereder T, Laban S, Oridate N, Popovtzer A, Mach N, Korobko Y, Costa DA, Hooda-Nehra A, Rodriguez CP, Bell RB, Manschot C, Benjamin K, Gumuscu B, Adkins D; KEYNOTE-689 Investigators. Neoadjuvant and Adjuvant Pembrolizumab in Locally Advanced Head and Neck Cancer. N Engl J Med. 2025 Jul 3;393(1):37-50. doi: 10.1056/NEJMoa2415434. Epub 2025 Jun 18.

    PubMed 40532178

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Pembrolizumab 200 mg, Radiotherapy 60 Gray and Radiotherapy 66 Gray in people with Head and Neck Neoplasms, run by Merck Sharp & Dohme LLC at 192 sites in 24 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 23 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 31 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 192 sites in United States, Germany, Argentina, Japan, Brazil and 19 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 20 Aug 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Event-free Survival (EFS) (time frame: Up to ~66 months). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03765918, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Jul 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in