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Report for Clinical Trial NCT03244384

Developed by Shray Alag, 2020.
SNP Clinical Trial Gene

Phase III Randomized Adjuvant Study of MK-3475 (Pembrolizumab) in Muscle Invasive and Locally Advanced Urothelial Carcinoma (Ambassador) Versus Observation

This randomized phase III trial studies how well pembrolizumab works in treating patients with bladder cancer that has spread into the deep muscle of the bladder wall (muscle-invasive) or urothelial cancer that has spread from where it started to nearby tissue or lymph nodes (locally advanced). Monoclonal antibodies recognizing and blocking checkpoint molecules can enhance the patient's immune response and therefore help fight cancer. Pembrolizumab is one of the monoclonal antibodies that block the PD-1 axis and can interfere with the ability of tumor cells to grow.

NCT03244384 Localized Renal Pelvis and Ureter Urothelial Carcinoma Locally Advanced Bladder Urothelial Carcinoma Locally Advanced Renal Pelvis and Ureter Urothelial Carcinoma Locally Advanced Ureter Urothelial Carcinoma Locally Advanced Urothelial Carcinoma Stage II Bladder Urothelial Carcinoma AJCC v6 and v7 Stage II Renal Pelvis and Ureter Cancer AJCC v7 Stage II Ureter Cancer AJCC v7 Stage III Bladder Urothelial Carcinoma AJCC v6 and v7 Stage III Renal Pelvis and Ureter Cancer AJCC v7 Stage III Ureter Cancer AJCC v7
MeSH:Carcinoma Carcinoma, Transitional Cell Ureteral Neoplasms Kidney Neoplasms
HPO:Carcinoma Neoplasm of the ureter Renal neoplasm

6 Interventions

Name: Clinical Observation

Description: Undergo observation
Type: Other
Group Labels: 1

Arm B (observation)

Name: Laboratory Biomarker Analysis

Description: Correlative studies
Type: Other
Group Labels: 2

Arm A (pembrolizumab) Arm B (observation)

Name: Pembrolizumab

Description: Given IV
Type: Biological
Group Labels: 1

Arm A (pembrolizumab)

Name: Pharmacological Study

Description: Correlative studies
Type: Other
Group Labels: 2

Arm A (pembrolizumab) Arm B (observation)

Name: Quality-of-Life Assessment

Description: Ancillary studies
Type: Other
Group Labels: 2

Arm A (pembrolizumab) Arm B (observation)

Name: Questionnaire Administration

Description: Ancillary studies
Type: Other
Group Labels: 2

Arm A (pembrolizumab) Arm B (observation)


Primary Outcomes

Description: The stratified proportional hazards model will be the primary analysis. The hazard ratio and its 95% confidence interval from the stratified Cox model with a single treatment covariate will be reported. The unstratified hazard ratio will also be presented.

Measure: Overall survival

Time: From randomization to the date of death from any cause, assessed up to 5 years

Description: The stratified proportional hazards model will be the primary analysis. The hazard ratio and its 95% confidence interval from the stratified Cox model with a single treatment covariate will be reported. The unstratified hazard ratio will also be presented.

Measure: Disease-free survival

Time: From randomization to the first metastatic recurrence (presence of any recurrent disease), or death, whichever occurs first, assessed up to 5 years

Secondary Outcomes

Description: The stratified proportional hazards model will be the primary analysis. The hazard ratio and its 95% confidence interval from the stratified Cox model with a single treatment covariate will be reported. The unstratified hazard ratio will also be presented.

Measure: Overall survival in PD-L1 positive and negative patients

Time: From randomization to the date of death from any cause, assessed up to 5 years

Description: The stratified proportional hazards model will be the primary analysis. The hazard ratio and its 95% confidence interval from the stratified Cox model with a single treatment covariate will be reported. The unstratified hazard ratio will also be presented.

Measure: Disease-free survival in PD-L1 positive and negative patients

Time: From randomization to the first metastatic recurrence (presence of any recurrent disease), or death, whichever occurs first, assessed up to 5 years

Purpose: Treatment

Allocation: Randomized

Parallel Assignment


There is one SNP

SNPs


1 rs11568821

PHARMACOGENOMIC STUDY OBJECTIVES: I. To investigate the effect of PDCD1 single-nucleotide polymorphism (SNP) rs11568821 on severe (grade 3 or higher) immune-related toxicity in the MK-3475 (pembrolizumab)-treated cohort.



HPO Nodes


HPO: