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Classical Hodgkin LymphomaPhase 2KEYNOTE-C11NCT05008224

Study of Safety and Efficacy of Pembrolizumab and Chemotherapy in Participants With Newly Diagnosed Classical Hodgkin Lymphoma (cHL) (MK-3475-C11/KEYNOTE-C11)

A Phase 2 study testing Pembrolizumab, Doxorubicin and Vinblastine in people with Classical Hodgkin Lymphoma, run by Merck Sharp & Dohme LLC at 48 sites in 11 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to evaluate the safety and efficacy of pembrolizumab (MK-3475) monotherapy, followed by chemotherapy, followed by pembrolizumab consolidation. The primary hypothesis of the study is that the complete response (CR) rate at the end of study intervention according to Lugano 2014 response… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Classical Hodgkin Lymphoma
What is being tested?
Pembrolizumab, Doxorubicin and Vinblastine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
146 participants
Where
48 sitesin 11 countries
Study dates
7 Oct 2021to 26 May 2024
Phase
Phase 2
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

  • The main inclusion criteria include, but are not limited to the following:
  • Has a histologically confirmed diagnosis of Ann Arbor Stage III or IV classical Hodgkin Lymphoma (cHL). Stage I and II participants may be enrolled, but must have at least one National Comprehensive Cancer Network (NCCN) unfavorable risk factor per protocol
  • Has measurable 2-fluorodeoxyglucose (FDG)-avid disease based on investigator assessment according to Lugano 2014 response criteria
  • Has not received prior radiation therapy, chemotherapy, immunotherapy, or other systemic therapy for the treatment of cHL before the first dose of study intervention
  • Has an Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to 1 assessed within 7 days before the start of study intervention

Who cannot join

  • The main exclusion criteria include, but are not limited to the following:
  • Has confirmed nodular lymphocyte-predominant Hodgkin Lymphoma (HL)
  • Has an uncontrolled intercurrent cardiovascular illness
  • Has received prior therapy with an anti-programmed cell death 1 protein (PD-1), anti-programmed cell death ligand 1 protein (PD-L1), or anti- programmed cell death ligand 2 protein (PD-L2) agent or with an agent directed to another stimulatory or coinhibitory T-cell receptor
  • Has received or is expected to receive a live or live-attenuated vaccine within 30 days before the first dose of study intervention
  • Is currently participating in or has participated in a study of an investigational agent or has used an investigational device within 4 weeks before the first dose of study intervention
Show all 13Show fewer
  • Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy or any other form of immunosuppressive therapy within 7 days prior the first dose of study medication
  • Has a known additional malignancy that is progressing or has required active treatment within the past 5 years
  • Has radiographically detectable central nervous system metastases and/or carcinomatous meningitis
  • Has an active autoimmune disease that has required systemic treatment in past 2 years
  • Has a history of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease
  • Has a history or current evidence of pulmonary fibrosis
  • Has had an allogenic tissue/solid organ transplant

Trial locations and contacts

48 sites in 11 countries.

48 sites in 11 countries

United States6 sites
  • Northwestern Memorial Hospital ( Site 0002)

    Chicago, Illinois, 60611

  • St Joseph Heritage Healthcare-Oncology ( Site 0004)

    Fullerton, California, 92835

  • University of Tennessee Medical Center-Cancer Institute ( Site 0006)

    Knoxville, Tennessee, 37920

  • OptumCare Cancer Care-Research Department ( Site 0005)

    Las Vegas, Nevada, 89102

  • Stanford Cancer Center ( Site 0023)

    Palo Alto, California, 94304

  • Texas Oncology-Plano East ( Site 0020)

    Plano, Texas, 75075

Other trials in United States

Israel6 sites
  • Rambam Health Care Campus ( Site 1907)

    Haifa, 3109601

  • Bnai Zion Medical Center-Hematology ( Site 1909)

    Haifa, 3339419

  • Hadassah Medical Center ( Site 1901)

    Jerusalem, 9112001

  • Sheba Medical Center-Hemato Oncology ( Site 1904)

    Ramat Gan, 5265601

  • ZIV Medical Center ( Site 1908)

    Safed, 1311001

  • Sourasky Medical Center ( Site 1905)

    Tel Aviv, 6423906

Other trials in Israel

Australia5 sites
  • Mater Misericordiae Limited ( Site 0904)

    Brisbane, Queensland, 4101

  • Monash Health-Haematology Research ( Site 0908)

    Clayton, Victoria, 3168

  • Liverpool Hospital-Haematology ( Site 0906)

    Liverpool, New South Wales, 2170

  • Peter MacCallum Cancer Centre ( Site 0905)

    Melbourne, Victoria, 3000

  • Princess Alexandra Hospital-Division of Cancer Services Trials Unit ( Site 0907)

    Woolloongabba, Queensland, 4102

Other trials in Australia

Canada5 sites
  • Cross Cancer Institute ( Site 0207)

    Edmonton, Alberta, T6G 1Z2

  • Centre Intégré de Santé et de Services Sociaux de la Montérégie-Centre ( Site 0205)

    Greenfield Park, Quebec, J4V 2H1

  • Jewish General Hospital ( Site 0200)

    Montreal, Quebec, H3T 1E2

  • McGill University Health Centre ( Site 0209)

    Montreal, Quebec, H4A 3J1

  • Hopital du Sacre-Coeur de Montreal ( Site 0206)

    Montreal, Quebec, H4J 1C5

Other trials in Canada

Chile5 sites
  • Instituto Nacional del Cancer ( Site 1205)

    Chile, Region M. de Santiago, 8380455

  • FALP-UIDO ( Site 1202)

    Santiago, Region M. de Santiago, 6900941

  • Clínica Alemana de Santiago ( Site 1206)

    Santiago, Region M. de Santiago, 8320325

  • Pontificia Universidad Catolica de Chile-Hemato-Oncology ( Site 1204)

    Santiago, Region M. de Santiago, 8330032

  • Centro Investigación del Cáncer James Lind ( Site 1200)

    Temuco, Araucania, 4780000

Other trials in Chile

France5 sites
  • Centre Hospitalier Universitaire Dijon Bourgogne - Hôpital François Mitterrand ( Site 1504)

    Dijon, Cote-d Or, 21000

  • CHU Bordeaux Haut-Leveque ( Site 1505)

    Pessac, Aquitaine, 33600

  • centre hospitalier lyon sud-Service Hématologie ( Site 1501)

    Pierre-Bénite, Rhone, 69310

  • Centre Hospitalier Universitaire de Rennes - Hôpital Pontchaillou-haematology ( Site 1502)

    Rennes, Brittany Region, 35033

  • Centre de Lutte Contre le Cancer - Centre Henri Becquerel Normandie Rouen-Service d'Hématologie ( Si

    Rouen, Seine-Maritime, 76000

Other trials in France

Italy4 sites
  • Policlinico S. Orsola- Malpighi-Istituto di Ematologia L. e A. Seragnoli ( Site 1800)

    Bologna, 40138

  • Azienda Ospedaliera Spedali Civili di Brescia-Hemathology ( Site 1801)

    Brescia, Lombardy, 25123

  • ASST Grande Ospedale Metropolitano Niguarda ( Site 1803)

    Milan, Milano

  • Fondazione Policlinico Universitario Agostino Gemelli-ISTITUTO DI EMATOLOGIA ( Site 1804)

    Roma, 00168

Other trials in Italy

Poland4 sites
  • Uniwersyteckie Centrum Kliniczne-Klinika Hematologii i Transplantologii ( Site 0403)

    Gdansk, Pomeranian Voivodeship, 80-952

  • Szpital Wojewódzki w Opolu-Hematology Department ( Site 0401)

    Opole, Opole Voivodeship, 46-020

  • Klinika Hematologii - Instytut Hematologii i Transfuzjologii-Klinika Hematologii ( Site 0402)

    Warsaw, Masovian Voivodeship, 02-776

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

    Warsaw, Masovian Voivodeship, 02-781

Other trials in Poland

Russia3 sites
  • Moscow City Clinical Hospital S.P. Botkin ( Site 0702)

    Moscow, Moscow, 125284

  • First Pavlov State Medical University of Saint Petersburg-Raisa Gorbacheva Memorial Institut for Pe

    Saint Petersburg, Sankt-Peterburg, 197022

  • Almazov National Medical Research Centre ( Site 0704)

    Saint Petersburg, Sankt-Peterburg, 197341

Other trials in Russia

Turkey (Türkiye)3 sites
  • Ankara University Hospital Cebeci-hematology ( Site 5000)

    Ankara, 06100

  • Dokuz Eylül Üniversitesi ( Site 5002)

    Balçova, İzmir

  • Vehbi Koc Vakfi - Amerikan Hastanesi ( Site 5001)

    Istanbul, 34365

Other trials in Turkey (Türkiye)

Spain2 sites
  • Instituto Catalan de Oncologia - Hospital Duran i Reynals-Haematology Department ( Site 1031)

    L'Hospitalet Del Llobregat, Barcelona, 08908

  • Hospital Universitario 12 de Octubre ( Site 1032)

    Madrid, 28041

Other trials in Spain

About this study

Official title: Phase 2 Study of Pembrolizumab and Chemotherapy in Patients With Newly Diagnosed Classical Hodgkin Lymphoma (KEYNOTE-C11)

The purpose of this study is to evaluate the safety and efficacy of pembrolizumab (MK-3475) monotherapy, followed by chemotherapy, followed by pembrolizumab consolidation. The primary hypothesis of the study is that the complete response (CR) rate at the end of study intervention according to Lugano 2014 response criteria is higher than conventional chemotherapy.

Being tested
Pembrolizumab, Doxorubicin, Vinblastine, Dacarbazine, Bleomycin
Keywords
Programmed Cell Death 1 (PD-1, PD1), Programmed Cell Death-Ligand 1 (PD-L1, PDL1), Programmed Cell Death-Ligand 2 (PD-L2, PDL2)
Medical subject headings
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.

  • PembrolizumabBiological

    Also called MK-3475, SCH 900475, KEYTRUDA®

    200 mg IV administered on Day 1 of each 3-week cycle for 3 cycles during pembrolizumab monotherapy.

    400 mg IV administered on Day 1 of each 6-week cycle for 4 cycles as pembrolizumab consolidation.

  • DoxorubicinDrug

    Also called Adriamycin, DOXIL®, Rubex®

    25 mg/m^2 IV administered as part of AVD chemotherapy on Days 1 and 15 of each 4-week cycle for 2 cycles in all participants after PET scan 2 and up to 4 additional cycles after PET scan 3 (participants who are PET scan 3 negative, or positive and ≥60 years of age).

    35 mg/m^2 IV administered as part of escBEACOPP chemotherapy on Day 1 of each 3-week cycle for up to 4 cycles after PET scan 3 (participants who are PET scan 3 positive, <60 years of age).

  • VinblastineDrug

    Also called Alkaban-AQ®, Velban®

    6 mg/m^2 IV administered as part of AVD chemotherapy on Days 1 and 15 of each 4-week cycle for 2 cycles after PET scan 2 (all participants) and up to 4 additional cycles after PET scan 3 (participants who are PET scan 3 negative, or positive and ≥60 years of age).

  • DacarbazineDrug

    Also called Dtic-Dome®

    375 mg/m^2 IV administered as part of AVD chemotherapy on Days 1 and 15 of each 4-week cycle for 2 cycles after PET scan 2 (all participants) and up to 4 additional cycles after PET scan 3 (participants who are PET scan 3 negative, or positive and ≥60 years of age).

  • BleomycinDrug

    Also called Blenoxane®

    10 units/m^2 IV administered as part of escBEACOPP chemotherapy on Day 8 of each 3-week cycle for up to 4 cycles after PET scan 3 (participants who are PET scan 3 positive and <60 years of age).

  • EtoposideDrug

    Also called Toposar®, VePesid®, Etopophos®, VP-16

    200 mg/m^2 IV administered as part of escBEACOPP chemotherapy on Days 1-3 of each 3-week cycle for up to 4 cycles after PET scan 3 (participants who are PET scan 3 positive and <60 years of age).

  • CyclophosphamideDrug

    Also called Neosar®, Cytoxan®

    1250 mg/m^2 IV administered as part of escBEACOPP chemotherapy on Day 1 of each 3-week cycle for up to 4 cycles after PET scan 3 (participants who are PET scan 3 positive and <60 years of age).

  • VincristineDrug

    Also called Oncovin®, Vincasar PFS®

    1.4 mg/m^2 IV administered as part of escBEACOPP chemotherapy on Day 8 of each 3-week cycle for up to 4 cycles after PET scan 3 (participants who are PET scan 3 positive and <60 years of age).

  • ProcarbazineDrug

    Also called Matulane®

    100 mg/m^2 orally (PO) administered as part of escBEACOPP chemotherapy on Days 1-7 of each 3-week cycle for up to 4 cycles after PET scan 3 (participants who are PET scan 3 positive and <60 years of age).

  • PrednisoneDrug

    Also called Liquid Pred®, Meticorten®, Orasone®, Deltasone®

    40 mg/m^2 PO administered as part of escBEACOPP chemotherapy on Days 1-14 of each 3-week cycle for up to 4 cycles after PET scan 3 (participants who are PET scan 3 positive and <60 years of age).

Study groups in NCT05008224
Study groupRoleWhat they receive
Pembrolizumab Monotherapy + AVD Chemotherapy/escBEACOPP Chemotherapy + Pembrolizumab ConsolidationExperimentalAfter completing Positron Emission Tomography (PET) scan 1 during eligibility screening, participants received pembrolizumab monotherapy intravenous (IV) for three 3-week cycles followed by PET scan 2. Participants next received 2 phases of chemotherapy. In chemotherapy phase 1, all participants received doxorubicin in combination with vinblastine \& dacarbazine (AVD) IV for two 4-week cycles followed by PET scan 3. In chemotherapy phase 2, participants who were PET scan 3 negative, or positive and age ≥60 years, received up to 4 additional cycles of AVD IV, while participants who were PET scan 3 positive and age <60 years received up to four 3-week cycles of escalated bleomycin in combination with etoposide, doxorubicin, cyclophosphamide, vincristine, procarbazine, \& prednisone (escBEACOPP) IV. All participants then received pembrolizumab consolidation IV for four 6-week cycles followed by a final PET scan.
Receives: Biological: Pembrolizumab; Drug: Doxorubicin; Drug: Vinblastine; Drug: Dacarbazine; Drug: Bleomycin; Drug: Etoposide; Drug: Cyclophosphamide; Drug: Vincristine; Drug: Procarbazine; Drug: Prednisone

What is being measured

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

  1. Complete Response (CR) Rate at the End of Study Intervention as Assessed by Blinded Independent Central Review (BICR) Per Lugano 2014 Response Criteria

    CR rate was assessed by BICR using Computed Tomography (CT) and PET scan according to Lugano 2014 response criteria (Cheson, B.D. et al, Journal of Clinical Oncology, 2014). At each timepoint, CR was determined by combining the anatomic response, metabolic response, and clinical data. The criteria for CR included complete metabolic (no/minimal 2-fluorodeoxyglucose [FDG] uptake) and radiologic response (target lesions regress to ≤1.5 cm in longest transverse diameter of a lesion) and no new lesions. Per protocol, participants who discontinued study intervention during pembrolizumab monotherapy, chemotherapy, or pembrolizumab consolidation, or are lost to follow-up, or receive any new non-study anticancer therapy prior to end of treatment were classified as non-responders. The percentage of participants who had CR after the completion of pembrolizumab consolidation is presented.

    Measured: Up to approximately 24 months

Secondary outcomes (6)
  1. CR Rate at the End of Study Intervention as Assessed by Investigator Per Lugano 2014 Response Criteria

    CR rate was assessed by the investigator using CT and PET scan according to Lugano 2014 response criteria (Cheson, B.D. et al, Journal of Clinical Oncology, 2014). At each timepoint, CR was determined by combining the anatomic response, metabolic response, and clinical data. The criteria for CR included complete metabolic (no/minimal FDG uptake) and radiologic response (target lesions regress to ≤1.5 cm in longest transverse diameter of a lesion) and no new lesions. Per protocol, participants who discontinued study intervention during pembrolizumab monotherapy, chemotherapy, or pembrolizumab consolidation, or are lost to follow-up, or receive any new non-study anticancer therapy prior to end of treatment were classified as non-responders. The percentage of participants who had CR after the completion of pembrolizumab consolidation is presented.

    Measured: Up to approximately 31 months

  2. Duration of Complete Response (DurCR) as Assessed by BICR Per Lugano 2014 Response Criteria

    DurCR was defined as the time from CR to progressive disease (PD) or death due to any cause, whichever came first. CR was assessed by BICR using CT and PET scan according to Lugano 2014 response criteria (Cheson, B.D. et al, Journal of Clinical Oncology, 2014). At each timepoint, CR was determined by combining the anatomic response, metabolic response, and clinical data. The criteria for CR included complete metabolic (no/minimal FDG uptake) and radiologic response (target lesions regress to ≤1.5 cm in longest transverse diameter of a lesion) and no new lesions. PD was defined as uptake moderately or markedly higher than the liver and/or new lesions. DurCR was analyzed by the Kaplan-Meier method for censored data and is presented for participants who demonstrated CR.

    Measured: Up to approximately 31 months

  3. Rate of PET Negativity Assessed by BICR According to the FDG-PET 5-point Scale After Administration of Pembrolizumab Monotherapy (PET Scan 2)

    The rate of PET negativity was defined as the percentage of participants considered negative on the FDG-PET 5-point scale, as assessed by BICR according to Lugano 2014 response criteria (Cheson, B.D. et al, Journal of Clinical Oncology, 2014). Participants were assigned a single score on the FDG-PET 5-point scale measuring FDG uptake (1 = no uptake above background, 2 = uptake above background but ≤ mediastinum, 3 = uptake > mediastinum but ≤ liver, 4 = uptake moderately > liver, 5 = uptake markedly > liver or new FDG-positive lesions). Higher scores corresponded to greater uptake (greater disease). FDG-PET 5-point scale scores of 1, 2, and 3 were considered negative and scores of 4 and 5 were considered positive. The percentage of participants who were assessed as negative at PET scan 2, after completion of 3 cycles of pembrolizumab monotherapy, is presented.

    Measured: Up to approximately 10 weeks

  4. Rate of PET Negativity Assessed by BICR According to the FDG-PET 5-point Scale After Administration of Pembrolizumab Monotherapy and AVD Chemotherapy (PET Scan 3)

    The rate of PET negativity was defined as the percentage of participants considered negative on the FDG-PET 5-point scale, as assessed by BICR according to Lugano 2014 response criteria (Cheson, B.D. et al, Journal of Clinical Oncology, 2014). Participants were assigned a single score on the FDG-PET 5-point scale measuring FDG uptake (1 = no uptake above background, 2 = uptake above background but ≤ mediastinum, 3 = uptake > mediastinum but ≤ liver, 4 = uptake moderately > liver, 5 = uptake markedly > liver or new FDG-positive lesions). Higher scores corresponded to greater uptake (greater disease). FDG-PET 5-point scale scores of 1, 2, and 3 were considered negative and scores of 4 and 5 were considered positive. The percentage of participants who were assessed as negative at PET scan 3, after completion of 3 cycles of pembrolizumab monotherapy and phase 1 AVD chemotherapy (2 AVD cycles), is presented.

    Measured: Up to approximately 5 months

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

    An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. Per protocol, collection and reporting of AEs was based on the study treatment received by the participant (pembrolizumab, AVD chemotherapy, or escBEACOPP chemotherapy) at the time of the event. The number of participants who experienced an AE is reported.

    Measured: Up to approximately 31 months

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

    An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. Per protocol, collection and reporting of AEs was based on the study treatment received by the participant (pembrolizumab, AVD chemotherapy, or escBEACOPP chemotherapy) at the time of the event. The number of participants who discontinued study intervention due to an AE is reported.

    Measured: Up to approximately 17 months

Timeline

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

  1. First posted17 Aug 2021
  2. Study start7 Oct 2021
  3. Primary completion11 Oct 2023
  4. Study completion26 May 2024

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 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Sequential
Masking
None (open label)
Enrolment
146 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05008224
Sponsor's protocol ID
3475-C11
Other IDs
MK-3475-C11, KEYNOTE-C11, 2022-501615-14-00, U1111-1281-5347, 2021-001244-95
Acronym
KEYNOTE-C11
Status last verified
May 2025
First submitted
13 Aug 2021
Last updated
6 Jun 2025
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Pembrolizumab, Doxorubicin and Vinblastine in people with Classical Hodgkin Lymphoma, run by Merck Sharp & Dohme LLC at 48 sites in 11 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 5 inclusion and 13 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: finished, as of the sponsor's last update on 6 Jun 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 48 sites in United States, Israel, Australia, Canada, Chile and 6 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 16 Oct 2024). 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?

Complete Response (CR) Rate at the End of Study Intervention as Assessed by Blinded Independent Central Review (BICR) Per Lugano 2014 Response Criteria (time frame: Up to approximately 24 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 6 Jun 2025.

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