Perioperative Pembrolizumab (MK-3475) Plus Neoadjuvant Chemotherapy Versus Perioperative Placebo Plus Neoadjuvant Chemotherapy for Cisplatin-eligible Muscle-invasive Bladder Cancer (MIBC) (MK-3475-866/KEYNOTE-866)
NCT03924856 · Status: ACTIVE_NOT_RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 907
Last updated 2025-08-28
Summary
A global study to evaluate peri-operative pembrolizumab with chemotherapy versus placebo to pembrolizumab plus chemotherapy in cisplatin eligible patients.
Conditions
Interventions
- DRUG
-
Pembrolizumab 200 mg by intravenous (IV) infusion, given on Day 1 of each 21-day cycle
- DRUG
-
Gemcitabine 1000 mg/m\^2, IV infusion on Days 1 and 8 of each 21-day cycle
- DRUG
-
Cisplatin 70 mg/m\^2, IV infusion on Day 1 of each 21-day cycle
- PROCEDURE
-
Surgery (radical cystectomy (RC) plus Pelvic Lymph Node Dissection [PLND])
Surgical RC+PLND will be done in accordance with the American Urological Association (AUA)/American Society of Clinical Oncology (ASCO)/American Society for Radiation Oncology (ASTRO)/Society of Urologic Oncology (SUO) guidelines.
- DRUG
-
Placebo to pembrolizumab by IV infusion, given on Day 1 of each 21-day cycle
Sponsors & Collaborators
- lead INDUSTRY
Principal Investigators
-
Medical Director · Merck Sharp & Dohme LLC
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-06-13
- Primary Completion
- 2026-01-26
- Completion
- 2026-09-01
- FDA Drug
- Yes
Countries
- United States
- Australia
- Belgium
- Canada
- Denmark
- France
- Germany
- Hungary
- Ireland
- Israel
- Italy
- Japan
- Mexico
- Poland
- Russia
- South Korea
- Spain
- Sweden
- Thailand
- Turkey (Türkiye)
- Ukraine
- United Kingdom
Study Locations
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