Pembrolizumab (MK-3475) Versus Placebo Following Surgery and Radiation in Participants With Locally Advanced Cutaneous Squamous Cell Carcinoma (MK-3475-630/KEYNOTE-630)
Carcinoma, Squamous Cell
About this trial
This is an interventional treatment trial for Carcinoma, Squamous Cell focused on measuring Programmed Cell Death-1 (PD-1), Programmed Cell Death 1, PD1, Programmed Cell Death Ligand 1 (PD-L1), Programmed Cell Death Ligand 2 (PD-L2), PDL1, PDL2
Eligibility Criteria
Inclusion Criteria:
- Has histologically confirmed cutaneous squamous cell carcinoma (cSCC) as the primary site of malignancy (metastatic skin involvement from another type of primary cancer or from an unknown primary cancer is not permitted)
- Has histologically confirmed LA cSCC with ≥1 high-risk feature(s) as the primary site of malignancy
- Has undergone complete macroscopic resection of all known cSCC disease with or without microscopic positive margins. For those participants with residual microscopic positive margin involvement, confirmation that additional re-excision is not possible must be provided
- Has completed adjuvant radiotherapy (RT) for LA cSCC with last dose of RT ≥4 weeks and ≤16 weeks from randomization
- Has received an adequate post-op dose of RT (either hypofractionated or conventional)
- Is disease free as assessed by the investigator with complete radiographic staging assessment ≤28 days from randomization
- Is not pregnant or breastfeeding
- Is not a woman of childbearing potential (WOCBP)
- Has a negative pregnancy test ≤72 hours before the first dose of study intervention.
- Has provided an archival or newly-obtained tumor tissue sample adequate for Programmed Cell Death Ligand 1 (PD-L1) testing as determined by central laboratory testing
- Has a life expectancy of >3 months
- Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 ≤10 days prior to the first dose of study intervention.
Exclusion Criteria:
- Has macroscopic residual cSCC after surgery and/or recurrence with active cSCC disease before randomization
- Has any other histologic type of skin cancer other than invasive cSCC (eg, basal cell carcinoma) that has not been definitively treated with surgery or radiation; Bowen's disease; Merkel cell carcinoma; or melanoma
- Has received prior therapy with an anti-programmed cell death receptor 1(PD-1), anti- PD-L1, or anti-programmed cell death receptor ligand 2 (PD-L2) agent or with an agent directed to another co-stimulatory or co-inhibitory T-cell receptor (eg, cytotoxic T-lymphocyte-associated protein 4 [CTLA-4], OX-40, CD137)
- Has received prior systemic anticancer therapy including investigational agents for cSCC ≤4 weeks prior to before start of study intervention.
- Has not recovered from all radiation-related toxicities and has not had radiation pneumonitis
- Has received a live vaccine ≤30 days prior to the first dose of study intervention
- Has received an investigational agent or has used an investigational device within 4 weeks prior to the first dose of study treatment.
- Has known additional malignancy that is progressing or has required active treatment within the past 2 years. Note: Participants with basal cell carcinoma of the skin, squamous cell carcinoma of the skin or carcinoma in situ, excluding carcinoma in situ of the bladder, that have undergone potentially curative therapy are not excluded. Other exceptions may be considered with Sponsor consultation. Note: Participants with low risk early-stage prostate cancer defined as below are not excluded: Stage T1c or T2a with a Gleason score ≤6 and a prostate-specific antigen (≤10 ng/ml) either treated with definitive intent or untreated in active surveillance that has been stable for the past year prior to study allocation. Early stage asymptomatic CLL without prior treatment and without any of the risk features (unmutated IGHV, lymphocytes >15,000μL, palpable lymph nodes) will be eligible for the study
- Has an active autoimmune disease that has required systemic treatment in past 2 years except replacement therapy (eg, thyroxine, insulin, or physiologic corticosteroid).
- Has a history of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease
- Has an active infection requiring systemic therapy
- Has a known history of human immunodeficiency virus (HIV) infection
- Has a known history of hepatitis B (defined as hepatitis B surface antigen [HBsAg] reactive) or known active hepatitis C virus (HCV; defined as HCV RNA [qualitative] is detected) infection
- Is pregnant or breastfeeding or expecting to conceive or father children within the projected duration of the study, starting with the screening visit through 120 days after the last dose of study intervention
- Has had an allogeneic tissue/solid organ transplant
Sites / Locations
- University of South Alabama, Mitchell Cancer Institute ( Site 1562)Recruiting
- City of Hope Medical Center ( Site 1505)Recruiting
- UCSD Moores Cancer Center ( Site 1561)Recruiting
- UCLA Hematology/Oncology - Westwood (Building 100) ( Site 1568)Recruiting
- University of California Davis Comprehensive Cancer Center ( Site 1560)Recruiting
- Stanford University Medical Center ( Site 1503)
- University of Colorado Cancer Center ( Site 1506)Recruiting
- Smilow Cancer Center at Yale-New Haven ( Site 1507)Recruiting
- Boca Raton Regional Hospital ( Site 1551)
- UF Health ( Site 1511)Recruiting
- University of Miami Hospital and Clinics, Sylvester Cancer Center ( Site 1544)Recruiting
- Winship Cancer Institute of Emory University ( Site 1512)
- Indiana University Melvin and Bren Simon Cancer Center ( Site 1515)
- University of Iowa Hospital and Clinics ( Site 1514)Recruiting
- University of Kentucky School of Medicine & Hospitals ( Site 1542)
- Massachusetts General Hospital ( Site 1518)
- Dana Farber Cancer Center ( Site 1519)Recruiting
- John Theurer Cancer Center at Hackensack University Medical Center ( Site 1526)
- Monter Cancer Center-Medical Oncology ( Site 1565)Recruiting
- Icahn School of Medicine at Mount Sinai ( Site 1575)Recruiting
- Cleveland Clinic ( Site 1541)Recruiting
- Providence Portland Medical Center ( Site 1530)Recruiting
- UPMC Hillman Cancer Center ( Site 1570)Recruiting
- MUSC Hollings Cancer Center ( Site 1533)Recruiting
- West Cancer Center - East Campus ( Site 1535)
- Vanderbilt Ingram Cancer Center ( Site 1543)Recruiting
- The University of Texas-MD Anderson Cancer Center ( Site 1536)
- Huntsman Cancer Institute ( Site 1537)Recruiting
- Inova Schar Cancer Institute ( Site 1538)Recruiting
- West Virginia University ( Site 1569)Recruiting
- Centro de Investigaciones Metabólicas (CINME)-Oncology ( Site 0028)Recruiting
- Centro Medico Privado CEMAIC ( Site 0024)Recruiting
- Fundacion Estudios Clinicos-Oncology ( Site 0026)Recruiting
- Centro Oncológico de Rosario ( Site 0003)Recruiting
- Hospital Italiano- Sociedad Italiana de Beneficencia en Buenos Aires ( Site 0009)Recruiting
- CEMIC ( Site 0012)Recruiting
- Fundacion CIDEA ( Site 0001)Recruiting
- Centro Oncologico Riojano Integral ( Site 0002)Recruiting
- Centro Oncologico Norte ( Site 0023)Recruiting
- Chris OBrien Lifehouse ( Site 0051)Recruiting
- Lismore Base Hospital ( Site 0050)Recruiting
- Orange Health Services ( Site 0053)Recruiting
- Royal North Shore Hospital ( Site 0052)Recruiting
- Gold Coast University Hospital ( Site 0054)Recruiting
- Sunshine Coast University Private Hospital-Coastal Cancer Care ( Site 0056)Recruiting
- Alfred Health ( Site 0055)Recruiting
- Oncocentro Ceara ( Site 0108)Recruiting
- Hospital Erasto Gaertner ( Site 0101)
- Hospital Tacchini ( Site 0111)Recruiting
- ONCOSITE - Centro de Pesquisa Clinica em Oncologia ( Site 0100)Recruiting
- Hospital Bruno Born ( Site 0107)Recruiting
- Hospital Sao Vicente de Paulo ( Site 0105)Recruiting
- Instituto Nacional de Câncer José Alencar Gomes da Silva - INCA-Pesquisa Clinica HC II ( Site 0103)Recruiting
- A. C. Camargo Cancer Center ( Site 0116)Recruiting
- Tom Baker Cancer Center ( Site 0161)Recruiting
- Cross Cancer Institute ( Site 0159)
- Juravinski Cancer Center ( Site 0151)Recruiting
- The Ottawa Hospital Cancer Centre ( Site 0154)Recruiting
- CIUSSS de l'Est-de-l'Île-de-Montréal ( Site 0163)Recruiting
- McGill University Health Centre ( Site 0162)Recruiting
- James Lind Centro de Investigación del Cáncer ( Site 1653)Recruiting
- Bradfordhill ( Site 1651)Recruiting
- Centro de Investigación Oncológica del Norte ( Site 1652)Recruiting
- Oncomedica S.A. ( Site 0205)
- Sociedad de Cirugía de Bogotá - Hospital de San Jose ( Site 0201)Recruiting
- Instituto Nacional de Cancerologia E.S.E ( Site 0204)Recruiting
- Oncologos del Occidente S.A. ( Site 0206)Recruiting
- Fundación Cardiovascular de Colombia ( Site 0207)
- Fundacion Valle del Lili ( Site 0202)Recruiting
- Hopital ARCHET 2 ( Site 0356)Recruiting
- Hopital Saint Joseph ( Site 0376)Recruiting
- Hopital La Timone ( Site 0353)Recruiting
- Centre Hospitalier Universitaire de Caen Normandie-DERMATOLOGY ( Site 0365)Recruiting
- CHU Besancon - Hopital Jean Minjoz ( Site 0359)Recruiting
- Centre Hospitalier de Valence ( Site 0377)Recruiting
- C.H.U. de Nimes. Hopital Caremeau ( Site 0368)Recruiting
- CHU de Bordeaux- Hopital Saint Andre ( Site 0370)Recruiting
- Institut Claudius Regaud IUCT Oncopole ( Site 0354)Recruiting
- Centre Hospitalier Annecy Genevois ( Site 0361)Recruiting
- CHU Montpellier. ( Site 0367)Recruiting
- CHRU de Lille - Hopital Claude Huriez ( Site 0355)Recruiting
- CHU Estaing ( Site 0360)Recruiting
- CH Lyon Sud Hospices Civils de Lyon ( Site 0350)Recruiting
- Hopital Avicenne ( Site 0358)Recruiting
- Institut Gustave Roussy ( Site 0352)Recruiting
- CHU Poitiers ( Site 0375)
- Universitaetsklinikum Tuebingen ( Site 0409)Recruiting
- Klinikum Nürnberg Nord ( Site 0415)Recruiting
- Universitatsklinikum Giessen und Marburg GmbH ( Site 0413)Recruiting
- Elbe Kliniken Stade-Buxtehude, Klinikum Buxtehude-Dermatologisches Zentrum ( Site 0411)Recruiting
- Medizinische Hochschule Hannover ( Site 0405)
- Universitaetsklinikum Essen ( Site 0403)Recruiting
- Universitaetsklinikum Berlin - Charite - Campus Mitte ( Site 0400)Recruiting
- Universitaetsklinikum Hamburg-Eppendorf ( Site 0414)Recruiting
- Andreas Syggros Hospital ( Site 0450)Recruiting
- Attikon University General Hospital of Athens ( Site 0454)Recruiting
- Metropolitan Hospital ( Site 0453)
- Papageorgiou General Hospital ( Site 0451)
- European Interbalkan Medical Center ( Site 0455)Recruiting
- Pecsi Tudomanyegyetem AOK ( Site 0501)Recruiting
- Szegedi Tudomanyegyetem ( Site 0504)Recruiting
- Szabolcs Szatmar Bereg Megyei Korhazak es Egyetemi Oktatokorhaz ( Site 0500)
- Debreceni Egyetem. ( Site 0506)
- Semmelweis Egyetem ( Site 0507)Recruiting
- Szent Imre Egyetemi Oktatokorhaz ( Site 0502)Recruiting
- St. James s Hospital ( Site 1601)Recruiting
- Soroka University Medical Center ( Site 0555)Recruiting
- Rambam Health Care Campus-Oncology Division ( Site 0552)Recruiting
- Haddassah Medical Organization - Ein Kerem ( Site 0553)Recruiting
- Meir Medical Center ( Site 0556)
- Rabin Medical Center ( Site 0550)Recruiting
- Chaim Sheba Medical Center ( Site 0551)
- Sourasky Medical Center ( Site 0554)
- Instituto Tumori Giovanni Paolo II ( Site 0604)Recruiting
- Azienda Ospedaliero Universitaria Pisana ( Site 0603)Recruiting
- Fondazione IRCCS Istituto Nazionale dei Tumori di Milano ( Site 0600)Recruiting
- Istituto Europeo di Oncologia ( Site 0602)Recruiting
- Istituto Nazionale Tumori IRCCS Fondazione Pascale ( Site 0601)Recruiting
- San Lucas Cardiologica del Sureste S.A de C.V. ( Site 0722)Recruiting
- Cimab SA de CV ( Site 0708)
- Centro de Investigación Clínica de Alta Especialidad ( Site 0715)
- Onco-Hematologia de Occidente ( Site 0716)Recruiting
- Hospital de Especialidades Centro Medico de Occidente ( Site 0704)
- Consultorios de Medicina Especializada del Sector Privado ( Site 0701)
- Centro de atencion e investigacion clinica en oncologia ( Site 0706)
- Centro Estatal de Cancerologia de Chihuahua ( Site 0703)Recruiting
- FAICIC Clinical Research ( Site 0700)Recruiting
- New Zealand Clinical Research (Auckland) ( Site 0800)Recruiting
- Haukeland sykehus ( Site 0851)Recruiting
- St. Olavs Hospital HF ( Site 0852)
- Oslo Universitetssykehus Radiumhospitalet ( Site 0850)Recruiting
- Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Oddzial w Krakowie ( Site 0959)Recruiting
- Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie ( Site 0951)Recruiting
- Uniwersyteckie Centrum Kliniczne-Klinika Chirurgii Onkologicznej, Transplantacyjnej i Ogólnej ( SiteRecruiting
- Narodowy Instytut Onkologii - Oddzial w Gliwicach ( Site 0958)Recruiting
- Hospital Particular do Algarve ( Site 1005)
- Instituto Portugues de Oncologia de Lisboa ( Site 1003)Recruiting
- Hospital CUF - Tejo ( Site 1004)
- CHLN Hospital Santa Maria ( Site 1001)
- Inst. Portugues de Oncologia de Porto Francisco Gentil EPE ( Site 1000)Recruiting
- S C Pelican Impex SRL ( Site 1108)
- Hifu Terramed Conformal SRL ( Site 1111)
- Cardiomed SRL Cluj-Napoca ( Site 1104)Recruiting
- Institutul Oncologic Prof.Dr. Ion Chiricuta Cluj-Napoca ( Site 1113)Recruiting
- Spitalul Universitar CF Cluj-Napoca ( Site 1103)Recruiting
- S.C. Centrul de Oncologie Sf. Nectarie SRL ( Site 1101)Recruiting
- S C Oncocenter Oncologie Medicala S R L ( Site 1106)Recruiting
- Policlinica Oncomed SRL ( Site 1105)Recruiting
- S.C.Focus Lab Plus S.R.L ( Site 1107)Recruiting
- Spitalul de Psihiatrie Titan Dr. Constantin Gorgos ( Site 1112)
- Altay Regional Oncology Dispensary ( Site 1168)
- GBUZ Republican Clinical Oncological Dispensary-Antitumor drug therapy department ( Site 1171)
- A. Tsyb Medical Radiological Research Center - branch of the National Medical Research Radiological
- Oncological Dispensary #2 of Ministry of Health of Krasnodar region ( Site 1159)
- Hadassah Medical-Oncology department ( Site 1173)
- N.N. Blokhin NMRCO ( Site 1153)
- FSCC FMBA of Russia ( Site 1163)
- First Moscow State Medical University n.a. I.M.Sechenov ( Site 1164)
- Nizhniy Novgorod regional clinical oncological dispensary ( Site 1169)
- Railway Hospital of OJSC ( Site 1161)
- Udmurtia Republic Regional Clinical Oncology Dispensary ( Site 1158)
- Yaroslavl Regional SBIH Clinical Oncology Hospital ( Site 1152)
- Hospital Duran i Reynals ( Site 1254)
- Hospital Universitario Marques de Valdecilla ( Site 1256)
- Hospital Clinic i Provincial Barcelona ( Site 1253)Recruiting
- Onkologikoa - Instituto Oncologico de San Sebastian ( Site 1258)Recruiting
- Hospital General Universitari Vall d Hebron ( Site 1252)Recruiting
- Hospital Universitario Ramon y Cajal ( Site 1251)Recruiting
- Hospital Universitario Carlos Haya ( Site 1255)Recruiting
- Communal Non-Commercial Enterprise "Prykarpatski Clinical On-Department for daily treated patient (
- Institute of General and Emergency Surgery named after V.T. Zaitsev NAMS of Ukraine ( Site 1450)
- Limited Liability Company Ukrainian Center of Tomotherapy-Department of Chemotherapy ( Site 1451)
- Sumy regional clinical oncological dispensary-Oncothoracic department ( Site 1452)
- Universal Clinic Oberig-Oncology Center ( Site 1461)
- Royal Cornwall Hospitals NHS Trust ( Site 1402)Recruiting
- University College Hospital London ( Site 1400)Recruiting
- Guy s & St Thomas NHS Foundation Trust ( Site 1407)Recruiting
- The Royal Marsden Hospital-Institute of Cancer Research ( Site 1406)Recruiting
- Royal Marsden NHS Foundation Trust ( Site 1408)
- Churchill Hospital ( Site 1404)
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
Pembrolizumab
Placebo
Participants receive 400 mg pembrolizumab by intravenous (IV) infusion administered on Day 1 of each 42-day cycle (Q6W) for up to 9 cycles. Participants that complete 9 cycles of pembrolizumab and experience biopsy-proven-disease recurrence may be eligible to receive up to 18 additional cycles of pembrolizumab in an open-label design.
Participants receive placebo by IV infusion administered on Day 1 of each 42-day cycle (Q6W) for up to 9 cycles. Participants treated with placebo who experience biopsy-proven-disease recurrence may be eligible to receive up to 18 cycles of pembrolizumab in an open-label design.