NCT03615326

Brief Summary

The study will compare the efficacy and safety of pembrolizumab plus trastuzumab in combination with standard of care (SOC) chemotherapy versus trastuzumab in combination with SOC chemotherapy in participants with HER2-positive gastric cancer. The primary hypotheses of the study are that pembrolizumab plus trastuzumab in combination with chemotherapy is superior to trastuzumab plus chemotherapy in terms of 1) progression free survival (PFS) per Response Evaluation Criteria in Solid Tumors 1.1 (RECIST 1.1) as assessed by blinded independent central review (BICR), and 2) overall survival (OS).

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
738

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Oct 2018

Longer than P75 for phase_3

Geographic Reach
20 countries

192 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 31, 2018

Completed
3 days until next milestone

First Posted

Study publicly available on registry

August 3, 2018

Completed
2 months until next milestone

Study Start

First participant enrolled

October 5, 2018

Completed
5.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 20, 2024

Completed
12 months until next milestone

Results Posted

Study results publicly available

March 17, 2025

Completed
8 months until next milestone

Study Completion

Last participant's last visit for all outcomes

November 12, 2025

Completed
Last Updated

December 11, 2025

Status Verified

November 1, 2025

Enrollment Period

5.5 years

First QC Date

July 31, 2018

Results QC Date

March 4, 2025

Last Update Submit

November 24, 2025

Conditions

Keywords

programmed cell death receptor 1 (PD-1)programmed cell death ligand 1 (PD-L1)anti-PD-1anti PD-1GEJGastric Cancer

Outcome Measures

Primary Outcomes (2)

  • Progression Free Survival (PFS) Per RECIST 1.1 Assessed by BICR

    PFS is defined as the time from randomization to the first documented disease progression per RECIST 1.1 as assessed by BICR or death due to any cause, whichever occurs first. Per RECIST 1.1, progressive disease (PD) is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered progression. PFS was determined for first course pembrolizumab in the Global Cohort. Per statistical analysis plan, participants in the Japan-specific SOX Cohort were not included in the efficacy analysis.

    Up to 46 months

  • Overall Survival (OS)

    OS is defined as the time from randomization to death due to any cause. OS was determined for first course pembrolizumab in the Global Cohort. Per statistical analysis plan, participants in the Japan-specific SOX Cohort were not included in the efficacy analysis.

    Up to 63 months

Secondary Outcomes (4)

  • Objective Response Rate (ORR) Per RECIST 1.1 Assessed by BICR

    Up to 63 months

  • Duration of Response (DOR) Per RECIST 1.1 Assessed by BICR

    Up to 63 months

  • Number of Participants Who Experienced an Adverse Event (AE)

    Up to 63 months

  • Number of Participants Who Discontinued Study Treatment Due to AEs

    Up to 63 months

Study Arms (4)

Global Pembrolizumab + Standard of Care First Course

EXPERIMENTAL

Participants received 200 mg pembrolizumab IV every 3 weeks (Q3W) plus trastuzumab (8 mg/kg loading dose, 6 mg/kg maintenance thereafter) IV Q3W in combination with investigator's choice of FP or CAPOX chemotherapy.

Biological: PembrolizumabDrug: CisplatinDrug: 5-FUDrug: OxaliplatinDrug: CapecitabineBiological: Trastuzumab

Global Standard of Care

ACTIVE COMPARATOR

Participants received matched placebo to pembrolizumab IV Q3W plus trastuzumab (8mg/kg loading dose, 6mg/kg maintenance thereafter) IV Q3W in combination with investigator's choice of FP or CAPOX chemotherapy.

Biological: PlaceboDrug: CisplatinDrug: 5-FUDrug: OxaliplatinDrug: CapecitabineBiological: Trastuzumab

Japan Pembrolizumab + Trastuzumab + S-1 Plus Oxaliplatin

EXPERIMENTAL

Participants received 200 mg pembrolizumab IV every 3 weeks (Q3W) plus trastuzumab (8 mg/kg loading dose, 6 mg/kg maintenance thereafter) IV Q3W in combination with SOX chemotherapy.

Biological: PembrolizumabDrug: OxaliplatinDrug: S-1Biological: Trastuzumab

Japan Trastuzumab + S-1 Plus Oxaliplatin

EXPERIMENTAL

Participants received matched placebo to pembrolizumab IV Q3W plus trastuzumab (8mg/kg loading dose, 6mg/kg maintenance thereafter) IV Q3W in combination with SOX chemotherapy.

Biological: PlaceboDrug: OxaliplatinDrug: S-1Biological: Trastuzumab

Interventions

PembrolizumabBIOLOGICAL

200 mg on Day 1 of each 3-week cycle as an IV infusion.

Also known as: Keytruda®, MK-3475
Global Pembrolizumab + Standard of Care First CourseJapan Pembrolizumab + Trastuzumab + S-1 Plus Oxaliplatin
PlaceboBIOLOGICAL

Solution for IV infusion on Day 1 of each 3-week cycle.

Global Standard of CareJapan Trastuzumab + S-1 Plus Oxaliplatin

80 mg/m\^2 on Day 1 of each 3-week cycle as an IV infusion, administered as part of FP chemotherapy regimen.

Global Pembrolizumab + Standard of Care First CourseGlobal Standard of Care
5-FUDRUG

800 mg/m\^2/day continuous on Days 1-5 of each 3-week cycle (120 hours or per local standard), administered as part of FP chemotherapy regimen.

Global Pembrolizumab + Standard of Care First CourseGlobal Standard of Care

130 mg/m\^2 on Day 1 of each 3-week cycle over 2 hours as an IV infusion, administered as part of CAPOX chemotherapy regimen and as part of SOX chemotherapy regimen.

Global Pembrolizumab + Standard of Care First CourseGlobal Standard of CareJapan Pembrolizumab + Trastuzumab + S-1 Plus OxaliplatinJapan Trastuzumab + S-1 Plus Oxaliplatin

1000 mg/m\^2 as oral capsules BID on Days 1-14 of each 3-week cycle, administered as part of CAPOX chemotherapy regimen.

Global Pembrolizumab + Standard of Care First CourseGlobal Standard of Care
S-1DRUG

Combination product of tegafur, CDHP, and Oxo. Oral capsules BID on Days 1-14 of each 3-week cycle based on body surface area (BSA): \<1.25 m\^2 BSA =40 mg, 1.25 to \<1.5 m\^2 BSA=50 mg, ≥1.5 m\^2 BSA=60 mg. Administered as part of SOX chemotherapy regimen.

Japan Pembrolizumab + Trastuzumab + S-1 Plus OxaliplatinJapan Trastuzumab + S-1 Plus Oxaliplatin
TrastuzumabBIOLOGICAL

8 mg/kg loading dose and then 6 mg/kg maintenance dose administered IV on day 1 of each 3-week cycle.

Also known as: Herceptin®
Global Pembrolizumab + Standard of Care First CourseGlobal Standard of CareJapan Pembrolizumab + Trastuzumab + S-1 Plus OxaliplatinJapan Trastuzumab + S-1 Plus Oxaliplatin

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Histologically or cytologically confirmed diagnosis of previously untreated, locally advanced unresectable or metastatic human epidermal growth factor receptor 2 (HER2) positive gastric or gastroesophageal junction (GEJ) adenocarcinoma
  • HER2-positive defined as either immunohistochemistry (IHC) 3+ or IHC 2+ in combination with in-situ hybridization positive (ISH+) or fluorescent in-situ hybridization (FISH), as assessed by central review on primary or metastatic tumor
  • Has measurable disease as defined by Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) as determined by the site investigator
  • Male participants must agree to use approved contraception
  • Female participants who are not pregnant or breastfeeding, and who are either not a woman of childbearing potential (WOCBP), or are a WOCBP who agrees to use approved contraception
  • Has a performance status of 0 or 1 on the Eastern Cooperative Oncology Group (ECOG) Performance Scale within 3 days prior to the first dose of trial treatment
  • Has a life expectancy of greater than 6 months
  • Has adequate organ function

You may not qualify if:

  • Has had previous therapy for locally advanced unresectable or metastatic gastric/GEJ cancer
  • Has had major surgery, open biopsy or significant traumatic injury within 28 days prior to randomization, or anticipation of the need for major surgery during the course of study treatment
  • Has had radiotherapy within 14 days of randomization
  • Has a known additional malignancy that is progressing or has required active treatment within the past 5 years
  • Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis
  • Has an active autoimmune disease that has required systemic treatment in past 2 years
  • Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy
  • Has a history of (non-infectious) pneumonitis that required steroids or current pneumonitis
  • Has a known history of active tuberculosis (TB; Mycobacterium tuberculosis)
  • Has an active infection requiring systemic therapy
  • Has poorly controlled diarrhea
  • Accumulation of pleural, ascitic, or pericardial fluid requiring drainage or diuretic drugs within 2 weeks prior to enrollment. If the participant is receiving diuretic drugs for other reasons, it is acceptable
  • Has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the trial, interfere with the participant's participation for the full duration of the trial, or is not in the best interest of the participant to participate, in the opinion of the treating investigator
  • Has peripheral neuropathy \> Grade 1
  • Has a known psychiatric or substance abuse disorder that would interfere with cooperation with the requirements of the trial
  • +7 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (192)

UCLA Hematology/Oncology - Westwood (Building 200 Suite 120) ( Site 0045)

Los Angeles, California, 90095, United States

Location

Pacific Cancer Care ( Site 0063)

Monterey, California, 93940, United States

Location

UC Irvine Medical Center/Chao Family Comprehensive Cancer Center ( Site 0050)

Orange, California, 92868, United States

Location

University of Miami Sylvester Comprehensive Cancer Center - Plantation ( Site 0026)

Miami, Florida, 33136, United States

Location

Southeastern Regional Medical Center, Inc. ( Site 0058)

Newnan, Georgia, 30265, United States

Location

Midwestern Regional Medical Center, Inc. ( Site 0059)

Zion, Illinois, 60099, United States

Location

Beth Israel Deaconess Medical Center ( Site 0070)

Boston, Massachusetts, 02215, United States

Location

Dana-Farber Cancer Institute [Boston, MA] ( Site 0010)

Boston, Massachusetts, 02215, United States

Location

Minnesota Oncology Hematology, PA ( Site 8001)

Minneapolis, Minnesota, 55404, United States

Location

Washington University School of Medicine ( Site 0040)

St Louis, Missouri, 63110, United States

Location

Memorial Sloan Kettering Cancer Center- Monmouth ( Site 0071)

Middletown, New Jersey, 07748, United States

Location

Memorial Sloan-Kettering Cancer Center at West Harrison ( Site 0065)

Harrison, New York, 10604, United States

Location

Memorial Sloan-Kettering Cancer Center ( Site 0017)

New York, New York, 10065, United States

Location

University of Rochester ( Site 0041)

Rochester, New York, 14642, United States

Location

Levine Cancer Institute ( Site 0015)

Charlotte, North Carolina, 28204, United States

Location

Duke Cancer Institute ( Site 0042)

Durham, North Carolina, 27710, United States

Location

CTCA Southwestern ( Site 0060)

Tulsa, Oklahoma, 74133, United States

Location

Cancer Treatment Centers of America-Eastern Regional Medical Center ( Site 0025)

Philadelphia, Pennsylvania, 19124, United States

Location

Allegheny General Hospital ( Site 0053)

Pittsburgh, Pennsylvania, 15212, United States

Location

Sanford Hematology Oncology-Sioux Falls SD ( Site 0004)

Sioux Falls, South Dakota, 57104, United States

Location

University of Texas MD Anderson Cancer Center ( Site 0001)

Houston, Texas, 77030, United States

Location

Oncology & Hematology Assoc. SW Virginia, Inc., DBA Blue Ridge Cancer Care ( Site 8000)

Roanoke, Virginia, 24014, United States

Location

Seattle Cancer Care Alliance ( Site 0038)

Seattle, Washington, 98109, United States

Location

Liverpool Hospital ( Site 2206)

Liverpool, New South Wales, 2170, Australia

Location

Westmead Hospital ( Site 2200)

Westmead, New South Wales, 2145, Australia

Location

Southern Medical Day Care Centre ( Site 2207)

Wollongong, New South Wales, 2500, Australia

Location

Monash Health ( Site 2202)

Clayton, Victoria, 3168, Australia

Location

Instituto do Cancer do Ceara ( Site 0208)

Fortaleza, Ceará, 60430-230, Brazil

Location

Hospital Sao Rafael ( Site 0209)

Salvador, Estado de Bahia, 41253-190, Brazil

Location

CIONC - Centro Integrado de Oncologia de Curitiba ( Site 0205)

Curitiba, Paraná, 80810-050, Brazil

Location

Hospital de Caridade de Ijui ( Site 0202)

Ijuí, Rio Grande do Sul, 98700 000, Brazil

Location

Hospital Nossa Senhora da Conceicao ( Site 0203)

Porto Alegre, Rio Grande do Sul, 91350-200, Brazil

Location

CEPON - Centro de Pesquisas Oncologicas ( Site 0200)

Florianópolis, Santa Catarina, 88034-000, Brazil

Location

Instituto Nacional do Cancer Jose Alencar Gomes da Silva INCA ( Site 0201)

Rio de Janeiro, 20231-050, Brazil

Location

IBCC - Instituto Brasileiro de Controle do Cancer ( Site 0204)

São Paulo, 03102-002, Brazil

Location

Clinica Universidad Catolica del Maule ( Site 0305)

Talca, Maule Region, 3460000, Chile

Location

Fundacion Arturo Lopez Perez FALP ( Site 0302)

Santiago, Region M. de Santiago, 7500921, Chile

Location

Pontificia Universidad Catolica de Chile ( Site 0301)

Santiago, Region M. de Santiago, 7620002, Chile

Location

Instituto Nacional del Cancer ( Site 0303)

Santiago, Region M. de Santiago, 8380455, Chile

Location

Centro Investigación del Cáncer James Lind ( Site 0300)

Temuco, Región de la Araucanía, 4780000, Chile

Location

Shanghai General Hospital ( Site 2404)

Shanghai, Anhui, 200080, China

Location

Peking Union Medical College Hospital ( Site 2419)

Beijing, Beijing Municipality, 100032, China

Location

Fifth Medical Center of CPLA General Hospital ( Site 2415)

Beijing, Beijing Municipality, 100071, China

Location

Beijing Cancer Hospital ( Site 2413)

Beijing, Beijing Municipality, 100142, China

Location

Fujian Provincial Cancer Hospital ( Site 2418)

Fuzhou, Fujian, 350014, China

Location

900 Hospital of the Joint ( Site 2420)

Fuzhou, Fujian, 350025, China

Location

The First Affiliated Hospital of Xiamen University ( Site 2431)

Xiamen, Fujian, 361003, China

Location

Guangdong General Hospital ( Site 2433)

Guangzhou, Guangdong, 510080, China

Location

Harbin Medical University Cancer Hospital ( Site 2407)

Harbin, Heilongjiang, 150081, China

Location

Henan Cancer Hospital ( Site 2400)

Zhengzhou, Henan, 450008, China

Location

Xiangya Hospital Central-South University ( Site 2426)

Changsha, Hunan, 410008, China

Location

Jiangsu Cancer Hospital ( Site 2432)

Nanjing, Jiangsu, 210009, China

Location

The First Hospital Of Jilin University ( Site 2402)

Changchun, Jilin, 130021, China

Location

Fudan University Shanghai Cancer Center ( Site 2424)

Shanghai, Shanghai Municipality, 200032, China

Location

Zhongshan Hospital affiliated to Fudan University ( Site 2401)

Shanghai, Shanghai Municipality, 200032, China

Location

Cancer Hospital Affiliated to Xinjiang Medical University ( Site 2430)

Ürümqi, Xinjiang, 830001, China

Location

The First Affiliated Hospital.Zhejiang University ( Site 2408)

Hangzhou, Zhejiang, 310003, China

Location

Sir Run Run Shaw Hospital ( Site 2412)

Hangzhou, Zhejiang, 310016, China

Location

Zhejiang Cancer Hospital ( Site 2409)

Hangzhou, Zhejiang, 310022, China

Location

CHU de Rouen ( Site 0912)

Rouen, Ain, 76000, France

Location

HUS Hopital Hautepierre ( Site 0910)

Strasbourg, Bas-Rhin, 67098, France

Location

Hopital Jean Minjoz Besancon ( Site 0901)

Besançon, Doubs, 25030, France

Location

C.H.R.U. de Brest - Hopital Morvan ( Site 0913)

Brest, Finistere, 29200, France

Location

Centre Oscar Lambret ( Site 0911)

Lille, Nord, 59000, France

Location

Centre Leon Berard ( Site 0904)

Lyon, Rhone, 69008, France

Location

Institut de Cancerologie de l Ouest Centre Rene Gauducheau ( Site 0902)

Saint-Herblain, Val-de-Marne, 44805, France

Location

Institut Gustave Roussy ( Site 0900)

Villejuif, Val-de-Marne, 94805, France

Location

CHU Hopital Saint Antoine ( Site 0905)

Paris, 75012, France

Location

SLK-Kliniken Heilbronn ( Site 1015)

Heilbronn, Baden-Wurttemberg, 74078, Germany

Location

Klinikum Ludwigsburg ( Site 1014)

Ludwigsburg, Baden-Wurttemberg, Germany

Location

Innere Medizin I, Universitaetsklinikum Tuebingen ( Site 1020)

Tübingen, Baden-Wurttemberg, 72076, Germany

Location

Klinikum rechts der Isar der Technischen Universitaet ( Site 1027)

Munich, Bavaria, 81675, Germany

Location

Medizinische Hochschule Hannover ( Site 1019)

Hanover, Lower Saxony, 30625, Germany

Location

Universitaetsklinikum Carl Gustav Carus der Technischen Univ ( Site 1001)

Dresden, Saxony, 01307, Germany

Location

Universitaetsklinikum Leipzig AOeR ( Site 1007)

Leipzig, Saxony, 04103, Germany

Location

Charite-Universitaetsmedizin Berlin Campus Virchow-Klinikum ( Site 1026)

Berlin, 13353, Germany

Location

Klinikum Bremen Nord ( Site 1017)

Bremen, 28211, Germany

Location

Facharztzentrum Eppendorf ( Site 1025)

Hamburg, 20249, Germany

Location

Asklepios Klinik Altona ( Site 1000)

Hamburg, 22763, Germany

Location

Celan SA ( Site 0504)

Guatemala City, 01010, Guatemala

Location

Oncomedica ( Site 0500)

Guatemala City, 01010, Guatemala

Location

Grupo Angeles SA ( Site 0501)

Guatemala City, 01015, Guatemala

Location

Nucare Center ( Site 0506)

Guatemala City, 01015, Guatemala

Location

Medi-K Cayala ( Site 0505)

Guatemala City, 01016, Guatemala

Location

Centro Regional de Sub Especialidades Medicas SA ( Site 0502)

Quetzaltenango, 09001, Guatemala

Location

Saint James's Hospital ( Site 1505)

Dublin, D08NHY1, Ireland

Location

Beaumont Hospital ( Site 1506)

Dublin, D09 V2N0, Ireland

Location

Tallaght University Hospital ( Site 1513)

Dublin, D24 NR0A, Ireland

Location

Soroka University Medical Center ( Site 1603)

Beersheba, 8410101, Israel

Location

Rambam Health Care Campus ( Site 1606)

Haifa, 3109601, Israel

Location

Edith Wolfson Medical Center ( Site 1605)

Holon, 5822012, Israel

Location

Hadassah Ein Kerem Medical Center ( Site 1604)

Jerusalem, 9112001, Israel

Location

Meir Medical Center ( Site 1609)

Kfar Saba, 4428132, Israel

Location

Rabin Medical Center ( Site 1602)

Petah Tikva, 4941492, Israel

Location

Chaim Sheba Medical Center. ( Site 1607)

Ramat Gan, 5265601, Israel

Location

Sourasky Medical Center ( Site 1601)

Tel Aviv, 6423906, Israel

Location

AUOP Ospedale Santa Chiara ( Site 1100)

Pisa, Tuscany, 56126, Italy

Location

Humanitas Gavazzeni ( Site 1106)

Bergamo, 24125, Italy

Location

Universita Magna Graecia di Catanzaro ( Site 1107)

Catanzaro, 88100, Italy

Location

IEO Istituto Europeo di Oncologia ( Site 1105)

Milan, 20141, Italy

Location

Azienda Ospedaliero - Universitaria Policlinico di Modena ( Site 1102)

Modena, 41124, Italy

Location

A.O.U. Universita degli Studi della Campania-Luigi Vanvitelli ( Site 1103)

Naples, 80131, Italy

Location

Istituto Oncologico Veneto ( Site 1101)

Padua, 35128, Italy

Location

Ospedale Civile Spirito Santo ( Site 1104)

Pescara, 65100, Italy

Location

Aichi Cancer Center Hospital ( Site 2617)

Nagoya, Aichi-ken, 464-8681, Japan

Location

National Cancer Center Hospital East ( Site 2605)

Kashiwa, Chiba, 277-8577, Japan

Location

National Hospital Organization Shikoku Cancer Center ( Site 2615)

Matsuyama, Ehime, 791-0280, Japan

Location

Gunma Prefectural Cancer Center ( Site 2602)

Ohta, Gunma, 373-8550, Japan

Location

Hyogo Cancer Center ( Site 2619)

Akashi, Hyōgo, 673-8558, Japan

Location

Kobe City Medical Center General Hospital ( Site 2614)

Kobe, Hyōgo, 650-0047, Japan

Location

Ibaraki Prefectural Central Hospital ( Site 2611)

Kasama, Ibaraki, 309-1793, Japan

Location

Kagawa University Hospital ( Site 2604)

Kita-gun, Kagawa-ken, 761-0793, Japan

Location

Kanagawa Cancer Center ( Site 2603)

Yokohama, Kanagawa, 241-8515, Japan

Location

Osaki Citizen Hospital ( Site 2626)

Ōsaki, Miyagi, 989-6183, Japan

Location

Kansai Medical University Hospital ( Site 2618)

Hirakata, Osaka, 573-1191, Japan

Location

Kindai University Hospital ( Site 2616)

Sayama, Osaka, 589-8511, Japan

Location

Osaka University Hospital ( Site 2600)

Suita, Osaka, 565-0871, Japan

Location

Saitama Cancer Center ( Site 2620)

Kitaadachi-gun, Saitama, 362-0806, Japan

Location

Shizuoka Cancer Center Hospital and Research Institute ( Site 2607)

Sunto-gun, Shizuoka, 411-8777, Japan

Location

Tochigi Cancer Center ( Site 2627)

Utsunomiya, Tochigi, 320-0834, Japan

Location

Kyorin University Hospital ( Site 2608)

Mitaka, Tokyo, 181-8611, Japan

Location

Chiba Cancer Center ( Site 2623)

Chiba, 260-8717, Japan

Location

National Hospital Organization Kyushu Cancer Center ( Site 2609)

Fukuoka, 811-1395, Japan

Location

Gifu University Hospital ( Site 2621)

Gifu, 501-1194, Japan

Location

Hiroshima City Hiroshima Citizens Hospital ( Site 2625)

Hiroshima, 730-8518, Japan

Location

Kumamoto University Hospital ( Site 2601)

Kumamoto, 860-8556, Japan

Location

Niigata Cancer Center Hospital ( Site 2622)

Niigata, 951-8566, Japan

Location

National Hospital Organization - Osaka National Hospital - Institute For Clinical Research ( Site 26

Osaka, 540-0006, Japan

Location

Osaka International Cancer Institute ( Site 2613)

Osaka, 541-8567, Japan

Location

Osaka General Medical Center ( Site 2624)

Osaka, 558-8558, Japan

Location

National Cancer Center Hospital ( Site 2612)

Tokyo, 104-0045, Japan

Location

Toranomon Hospital ( Site 2628)

Tokyo, 105-8470, Japan

Location

Tokyo Metropolitan Komagome Hospital ( Site 2606)

Tokyo, 113-8677, Japan

Location

The Cancer Institute Hospital of JFCR ( Site 2610)

Tokyo, 135-8550, Japan

Location

Auckland City Hospital ( Site 2300)

Auckland, 1023, New Zealand

Location

Przychodnia Lekarska Komed ( Site 1716)

Konin, Greater Poland Voivodeship, 62-500, Poland

Location

Uniwersytecki Szpital Kliniczny im. J. M. Radeckiego we Wroclawiu ( Site 1705)

Wroclaw, Lower Silesian Voivodeship, 50-556, Poland

Location

Dolnoslaskie Centrum Onkologii. ( Site 1712)

Wroclaw, Lower Silesian Voivodeship, 53-413, Poland

Location

Samodzielny Publiczny Szpital Kliniczny Nr 1 w Lublinie ( Site 1709)

Lublin, Lublin Voivodeship, 20-080, Poland

Location

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

Warsaw, Masovian Voivodeship, 02-781, Poland

Location

Szpital Morski im. PCK. Szpitale Pomorskie Sp. Z o.o ( Site 1715)

Gdynia, Pomeranian Voivodeship, 81-519, Poland

Location

Szpital Specjalistyczny w Koscierzynie Sp. z o.o. ( Site 1708)

Kościerzyna, Pomeranian Voivodeship, 83-400, Poland

Location

Beskidzkie Centrum Onkologii im. Jana Pawla II ( Site 1710)

Bielsko-Biala, Silesian Voivodeship, 43-300, Poland

Location

Republican Clinical Oncology Dispensary of Republic of Bashkortostan ( Site 1807)

Ufa, Baskortostan, Respublika, 450054, Russia

Location

Chelyabinsk Regional Clinical Oncological Dispensary ( Site 1815)

Chelyabinsk, Chelyabinsk Oblast, 454087, Russia

Location

Blokhin National Medical Oncology ( Site 1805)

Moscow, Moscow, 115478, Russia

Location

Podolsky City Clinical Hospital ( Site 1817)

Podolsk, Moscow Oblast, 142110, Russia

Location

Medical University REAVIZ ( Site 1816)

Samara, Samara Oblast, 443011, Russia

Location

Leningrad Regional Oncology Center ( Site 1800)

Saint Petersburg, Sankt-Peterburg, 188663, Russia

Location

Scientific Research Oncology Institute n.a. N.N.Petrov ( Site 1801)

Saint Petersburg, Sankt-Peterburg, 197758, Russia

Location

St Petersburg City Clinical Oncology Dispensary ( Site 1812)

Saint Petersburg, Sankt-Peterburg, 198255, Russia

Location

Seoul National University Hospital ( Site 2703)

Seoul, 03080, South Korea

Location

Severance Hospital Yonsei University Health System ( Site 2700)

Seoul, 03722, South Korea

Location

Asan Medical Center ( Site 2702)

Seoul, 05505, South Korea

Location

Samsung Medical Center ( Site 2701)

Seoul, 06351, South Korea

Location

Hospital General Universitario de Elche ( Site 1404)

Elche, Alicante, 03203, Spain

Location

Hospital Germans Trias i Pujol. ICO de Badalona ( Site 1410)

Badalona, Barcelona, 08916, Spain

Location

Hospital Universitario Marques de Valdecilla ( Site 1405)

Santander, Cantabria, 39008, Spain

Location

Hospital Universitario Quiron Madrid ( Site 1407)

Pozuelo de Alarcón, Madrid, 28223, Spain

Location

Hospital Universitario Central de Asturias ( Site 1402)

Oviedo, Principality of Asturias, 33011, Spain

Location

Hospital General Universitari Vall d Hebron ( Site 1401)

Barcelona, 08035, Spain

Location

Hospital Universitario Ramon y Cajal ( Site 1400)

Madrid, 28034, Spain

Location

Adana Sehir Hastanesi ( Site 2002)

Adana, 01370, Turkey (Türkiye)

Location

Hacettepe Universitesi Tip Fakultesi Hastanesi ( Site 2017)

Ankara, 06100, Turkey (Türkiye)

Location

Abdurrahman Yurtaslan Onkoloji Egitim ve Arastirma Hastanesi ( Site 2006)

Ankara, 06200, Turkey (Türkiye)

Location

Trakya Universitesi Tip Fakultesi ( Site 2015)

Edirne, 22030, Turkey (Türkiye)

Location

Ataturk Universitesi Tip Fakultesi Hastanesi ( Site 2000)

Erzurum, 25240, Turkey (Türkiye)

Location

Istanbul Universitesi Cerrahpasa Tip Fakultesi ( Site 2001)

Istanbul, 34098, Turkey (Türkiye)

Location

Dokuz Eylul Universitesi Tip Fakultesi Hastanesi ( Site 2011)

Izmir, 35340, Turkey (Türkiye)

Location

Malatya Inonu Universitesi Tip Fakultesi Hastanesi ( Site 2009)

Malatya, 44280, Turkey (Türkiye)

Location

Sakarya Universitesi Egitim ve Arastirma Hastanesi ( Site 2012)

Sakarya, 54290, Turkey (Türkiye)

Location

City Clinical Hosp.4 of DCC ( Site 2102)

Dnipro, Dnipropetrovsk Oblast, 49102, Ukraine

Location

MI Kryviy Rih Center of Dnipropetrovsk Regional Council ( Site 2101)

Kryviy Rih, Dnipropetrovsk Oblast, 50048, Ukraine

Location

MI Precarpathian Clinical Oncology Center ( Site 2105)

Ivano-Frankivsk, Ivano-Frankivsk Oblast, 76018, Ukraine

Location

Communal non profit enterprise Regional Clinical Oncology Center ( Site 2112)

Kharkiv, Kharkivs’ka Oblast’, 61070, Ukraine

Location

Medical Center Asklepion LLC ( Site 2115)

Khodosovka, Kyivska Oblast, 08173, Ukraine

Location

Clinic of National Cancer Institute ( Site 2104)

Kyiv, Kyivska Oblast, 03022, Ukraine

Location

Medical and Diagnostic Centre LLC Dobryi Prognoz ( Site 2114)

Kyiv, Kyivska Oblast, 03126, Ukraine

Location

Lviv State Oncology Regional Treatment and Diagnostic Center ( Site 2106)

Lviv, Lviv Oblast, 79031, Ukraine

Location

MI Odessa Regional Oncological Centre ( Site 2108)

Odesa, Odesa Oblast, 65055, Ukraine

Location

Medical Centre LLC Oncolife ( Site 2103)

Zaporizhzhya, Zaporizhzhia Oblast, 69104, Ukraine

Location

Kyiv City Clinical Oncology Centre ( Site 2110)

Kyiv, 03115, Ukraine

Location

Royal Hospital in Derby ( Site 1514)

Derby, Derbyshire, DE22 3NE, United Kingdom

Location

Ninewells Hospital and Medical School ( Site 1504)

Dundee, Dundee City, DD1 9SY, United Kingdom

Location

Castle Hill Hospital ( Site 1501)

Cottingham, East Riding Of Yorkshire, HU16 5JQ, United Kingdom

Location

University College London Hospital NHS Foundation Trust ( Site 1508)

London, London, City of, NW1 2PG, United Kingdom

Location

St Georges University Hospitals NHS Foundation Trust. ( Site 1500)

London, London, City of, SW17 0QT, United Kingdom

Location

Royal Marsden Hospital ( Site 1510)

Sutton, Surrey, SM2 5PT, United Kingdom

Location

Royal Marsden NHS Foundation Trust ( Site 1512)

London, SW3 6JJ, United Kingdom

Location

The Christie Hospital NHS Foundation Trust ( Site 1503)

Manchester, M20 4BX, United Kingdom

Location

Mount Vernon Cancer Centre ( Site 1507)

Northwood, HA6 2RN, United Kingdom

Location

Manor Hospital Walsall England ( Site 1515)

Walsall, WS2 9PS, United Kingdom

Location

Related Publications (4)

  • Janjigian YY, Kawazoe A, Bai Y, Xu J, Lonardi S, Metges JP, Yanez P, Wyrwicz LS, Shen L, Ostapenko Y, Bilici M, Chung HC, Shitara K, Qin SK, Van Cutsem E, Tabernero J, Li K, Shih CS, Bhagia P, Rha SY; KEYNOTE-811 Investigators. Pembrolizumab plus trastuzumab and chemotherapy for HER2-positive gastric or gastro-oesophageal junction adenocarcinoma: interim analyses from the phase 3 KEYNOTE-811 randomised placebo-controlled trial. Lancet. 2023 Dec 9;402(10418):2197-2208. doi: 10.1016/S0140-6736(23)02033-0. Epub 2023 Oct 20.

  • Janjigian YY, Kawazoe A, Bai Y, Xu J, Lonardi S, Metges JP, Yanez P, Wyrwicz LS, Shen L, Ostapenko Y, Bilici M, Chung HC, Shitara K, Qin S, Van Cutsem E, Tabernero J, Luo S, Mahave M, Tang Y, Lowery M, Monteiro MMF, Xu L, Shih CS, Sharan KP, Bhagia P, Rha SY. Pembrolizumab in HER2-Positive Gastric Cancer. N Engl J Med. 2024 Oct 10;391(14):1360-1362. doi: 10.1056/NEJMc2408121. Epub 2024 Sep 14. No abstract available.

  • Janjigian YY, Kawazoe A, Yanez P, Li N, Lonardi S, Kolesnik O, Barajas O, Bai Y, Shen L, Tang Y, Wyrwicz LS, Xu J, Shitara K, Qin S, Van Cutsem E, Tabernero J, Li L, Shah S, Bhagia P, Chung HC. The KEYNOTE-811 trial of dual PD-1 and HER2 blockade in HER2-positive gastric cancer. Nature. 2021 Dec;600(7890):727-730. doi: 10.1038/s41586-021-04161-3. Epub 2021 Dec 15.

  • Chung HC, Bang YJ, S Fuchs C, Qin SK, Satoh T, Shitara K, Tabernero J, Van Cutsem E, Alsina M, Cao ZA, Lu J, Bhagia P, Shih CS, Janjigian YY. First-line pembrolizumab/placebo plus trastuzumab and chemotherapy in HER2-positive advanced gastric cancer: KEYNOTE-811. Future Oncol. 2021 Feb;17(5):491-501. doi: 10.2217/fon-2020-0737. Epub 2020 Nov 10.

Related Links

MeSH Terms

Conditions

Stomach NeoplasmsParkinson Disease 4, Autosomal Dominant Lewy Body

Interventions

pembrolizumabCisplatinFluorouracilOxaliplatinCapecitabineS 1 (combination)Trastuzumab

Condition Hierarchy (Ancestors)

Gastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesStomach Diseases

Intervention Hierarchy (Ancestors)

Chlorine CompoundsInorganic ChemicalsNitrogen CompoundsPlatinum CompoundsUracilPyrimidinonesPyrimidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsCoordination ComplexesOrganic ChemicalsDeoxycytidineCytidinePyrimidine NucleosidesDeoxyribonucleosidesNucleosidesNucleic Acids, Nucleotides, and NucleosidesAntibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulins

Results Point of Contact

Title
Senior Vice President, Global Clinical Development
Organization
Merck Sharp & Dohme LLC

Study Officials

  • Medical Director

    Merck Sharp & Dohme LLC

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 31, 2018

First Posted

August 3, 2018

Study Start

October 5, 2018

Primary Completion

March 20, 2024

Study Completion

November 12, 2025

Last Updated

December 11, 2025

Results First Posted

March 17, 2025

Record last verified: 2025-11

Data Sharing

IPD Sharing
Will share

https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf

More information

Locations