Trial Outcomes & Findings for Pembrolizumab and Hypofractionated Stereotactic Radiotherapy in Patients With Malignant Pleural Mesothelioma (NCT NCT04166734)

NCT ID: NCT04166734

Last Updated: 2026-02-04

Results Overview

Dose limiting toxicity is assessed using CTCAE v5.0 and defined as any one of: neutropenia with fever grade\>=3; neutropenia grade\>=4; thrombocytopenia with bleeding grade \>=3; thrombocytopenia grade \>=4; any non-haematological toxicity grade \>=3 which is definitely, probably or possibly related to the combination of pembrolizumab and SBRT

Recruitment status

TERMINATED

Study phase

PHASE1

Target enrollment

5 participants

Primary outcome timeframe

Worst grade as assessed at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, up to 12 weeks from last dose of SBRT (i.e. cycle 6 day 1)

Results posted on

2026-02-04

Participant Flow

A total of five participants were recruited to the trial, all to the initial safety cohort. The participants were registered between February 2021 and March 2022.

Participant milestones

Participant milestones
Measure
Initial Safety Cohort
Patients will receive an initial dose of pembrolizumab in week 1 dosed at 200 mg. They will then receive SBRT dosed at 30 Gy in 3 fractions (#) alternate days in week 3. Treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Pembrolizumab: Pembrolizumab will be continued dosed at 200 mg given every 3 weeks Drug: Pembrolizumab Pembrolizumab in week 1 dosed at 200 mg (prior to SBRT) and then treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Stereotactic Body Radiotherapy (SBRT): Stereotactic Body Radiotherapy (SBRT) 30 Gy 3 fractions (#)
Expansion Cohort
An additional 12 patients will be recruited for this cohort. Patients will receive an initial dose of pembrolizumab at 200 mg in week 1. This will be followed in by SBRT dosed at 30 Gy in 3 fractions (#) alternate days in week 3. Treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Pembrolizumab: Pembrolizumab will be continued dosed at 200 mg given every 3 weeks Drug: Pembrolizumab Pembrolizumab in week 1 dosed at 200 mg (prior to SBRT) and then treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Stereotactic Body Radiotherapy (SBRT): Stereotactic Body Radiotherapy (SBRT) 30 Gy 3 fractions (#)
Overall Study
STARTED
5
0
Overall Study
Commenced Pembrolizumab
5
0
Overall Study
Completed 30Gy SBRT in 3 Fractions
5
0
Overall Study
Completed 35 Cycles Pembrolizumab
0
0
Overall Study
COMPLETED
0
0
Overall Study
NOT COMPLETED
5
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Initial Safety Cohort
Patients will receive an initial dose of pembrolizumab in week 1 dosed at 200 mg. They will then receive SBRT dosed at 30 Gy in 3 fractions (#) alternate days in week 3. Treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Pembrolizumab: Pembrolizumab will be continued dosed at 200 mg given every 3 weeks Drug: Pembrolizumab Pembrolizumab in week 1 dosed at 200 mg (prior to SBRT) and then treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Stereotactic Body Radiotherapy (SBRT): Stereotactic Body Radiotherapy (SBRT) 30 Gy 3 fractions (#)
Expansion Cohort
An additional 12 patients will be recruited for this cohort. Patients will receive an initial dose of pembrolizumab at 200 mg in week 1. This will be followed in by SBRT dosed at 30 Gy in 3 fractions (#) alternate days in week 3. Treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Pembrolizumab: Pembrolizumab will be continued dosed at 200 mg given every 3 weeks Drug: Pembrolizumab Pembrolizumab in week 1 dosed at 200 mg (prior to SBRT) and then treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Stereotactic Body Radiotherapy (SBRT): Stereotactic Body Radiotherapy (SBRT) 30 Gy 3 fractions (#)
Overall Study
Lack of Efficacy
2
0
Overall Study
Adverse Event
1
0
Overall Study
Intercurrent illness
1
0
Overall Study
Other
1
0

Baseline Characteristics

Pembrolizumab and Hypofractionated Stereotactic Radiotherapy in Patients With Malignant Pleural Mesothelioma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Initial Safety Cohort
n=5 Participants
Patients will receive an initial dose of pembrolizumab in week 1 dosed at 200 mg. They will then receive SBRT dosed at 30 Gy in 3 fractions (#) alternate days in week 3. Treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Pembrolizumab: Pembrolizumab will be continued dosed at 200 mg given every 3 weeks Drug: Pembrolizumab Pembrolizumab in week 1 dosed at 200 mg (prior to SBRT) and then treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Stereotactic Body Radiotherapy (SBRT): Stereotactic Body Radiotherapy (SBRT) 30 Gy 3 fractions (#)
Expansion Cohort
An additional 12 patients will be recruited for this cohort. Patients will receive an initial dose of pembrolizumab at 200 mg in week 1. This will be followed in by SBRT dosed at 30 Gy in 3 fractions (#) alternate days in week 3. Treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Pembrolizumab: Pembrolizumab will be continued dosed at 200 mg given every 3 weeks Drug: Pembrolizumab Pembrolizumab in week 1 dosed at 200 mg (prior to SBRT) and then treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Stereotactic Body Radiotherapy (SBRT): Stereotactic Body Radiotherapy (SBRT) 30 Gy 3 fractions (#)
Total
n=5 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=41 Participants
0 Participants
n=4626 Participants
Age, Categorical
Between 18 and 65 years
2 Participants
n=41 Participants
2 Participants
n=4626 Participants
Age, Categorical
>=65 years
3 Participants
n=41 Participants
3 Participants
n=4626 Participants
Age, Continuous
72 Years
n=41 Participants
72 Years
n=4626 Participants
Sex: Female, Male
Female
2 Participants
n=41 Participants
2 Participants
n=4626 Participants
Sex: Female, Male
Male
3 Participants
n=41 Participants
3 Participants
n=4626 Participants
Race/Ethnicity, Customized
Caucasian (white)
5 Participants
n=41 Participants
5 Participants
n=4626 Participants
Region of Enrollment
United Kingdom
5 participants
n=41 Participants
5 participants
n=4626 Participants

PRIMARY outcome

Timeframe: Worst grade as assessed at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, up to 12 weeks from last dose of SBRT (i.e. cycle 6 day 1)

Population: Patients who remained on trial for the duration of the DLT time frame

Dose limiting toxicity is assessed using CTCAE v5.0 and defined as any one of: neutropenia with fever grade\>=3; neutropenia grade\>=4; thrombocytopenia with bleeding grade \>=3; thrombocytopenia grade \>=4; any non-haematological toxicity grade \>=3 which is definitely, probably or possibly related to the combination of pembrolizumab and SBRT

Outcome measures

Outcome measures
Measure
Initial Safety Cohort
n=3 Participants
Patients will receive an initial dose of pembrolizumab in week 1 dosed at 200 mg. They will then receive SBRT dosed at 30 Gy in 3 fractions (#) alternate days in week 3. Treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Pembrolizumab: Pembrolizumab will be continued dosed at 200 mg given every 3 weeks Drug: Pembrolizumab Pembrolizumab in week 1 dosed at 200 mg (prior to SBRT) and then treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Stereotactic Body Radiotherapy (SBRT): Stereotactic Body Radiotherapy (SBRT) 30 Gy 3 fractions (#)
Expansion Cohort
An additional 12 patients will be recruited for this cohort. Patients will receive an initial dose of pembrolizumab at 200 mg in week 1. This will be followed in by SBRT dosed at 30 Gy in 3 fractions (#) alternate days in week 3. Treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Pembrolizumab: Pembrolizumab will be continued dosed at 200 mg given every 3 weeks Drug: Pembrolizumab Pembrolizumab in week 1 dosed at 200 mg (prior to SBRT) and then treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Stereotactic Body Radiotherapy (SBRT): Stereotactic Body Radiotherapy (SBRT) 30 Gy 3 fractions (#)
Percentage of Patients With Dose Limiting Toxicity (DLT)
0 Participants

SECONDARY outcome

Timeframe: Worst grade as assessed at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, up to 12 weeks from last dose of SBRT (i.e. cycle 6 day 1)

Population: All patients who received at least one dose of trial treatment

Number of patients by worst recorded grade of acute toxicity, assessed using CTCAE v5.0

Outcome measures

Outcome measures
Measure
Initial Safety Cohort
n=5 Participants
Patients will receive an initial dose of pembrolizumab in week 1 dosed at 200 mg. They will then receive SBRT dosed at 30 Gy in 3 fractions (#) alternate days in week 3. Treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Pembrolizumab: Pembrolizumab will be continued dosed at 200 mg given every 3 weeks Drug: Pembrolizumab Pembrolizumab in week 1 dosed at 200 mg (prior to SBRT) and then treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Stereotactic Body Radiotherapy (SBRT): Stereotactic Body Radiotherapy (SBRT) 30 Gy 3 fractions (#)
Expansion Cohort
An additional 12 patients will be recruited for this cohort. Patients will receive an initial dose of pembrolizumab at 200 mg in week 1. This will be followed in by SBRT dosed at 30 Gy in 3 fractions (#) alternate days in week 3. Treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Pembrolizumab: Pembrolizumab will be continued dosed at 200 mg given every 3 weeks Drug: Pembrolizumab Pembrolizumab in week 1 dosed at 200 mg (prior to SBRT) and then treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Stereotactic Body Radiotherapy (SBRT): Stereotactic Body Radiotherapy (SBRT) 30 Gy 3 fractions (#)
Worst Acute Toxicity Grade
Max grade 3
3 Participants
0 Participants
Worst Acute Toxicity Grade
Max grade 2
2 Participants

SECONDARY outcome

Timeframe: Response assessed from start of pembrolizumab, every 9 weeks for the first 6 months, then every 12 weeks thereafter, until the first instance of documented disease progression, start of new anti-cancer treatment, death or end of study (24 months)

Population: All patients who commenced trial treatment and who were assessed at least once for response

Proportion of patients with best recorded response as assessed using RECIST v1.1 of complete or partial response

Outcome measures

Outcome measures
Measure
Initial Safety Cohort
n=5 Participants
Patients will receive an initial dose of pembrolizumab in week 1 dosed at 200 mg. They will then receive SBRT dosed at 30 Gy in 3 fractions (#) alternate days in week 3. Treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Pembrolizumab: Pembrolizumab will be continued dosed at 200 mg given every 3 weeks Drug: Pembrolizumab Pembrolizumab in week 1 dosed at 200 mg (prior to SBRT) and then treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Stereotactic Body Radiotherapy (SBRT): Stereotactic Body Radiotherapy (SBRT) 30 Gy 3 fractions (#)
Expansion Cohort
An additional 12 patients will be recruited for this cohort. Patients will receive an initial dose of pembrolizumab at 200 mg in week 1. This will be followed in by SBRT dosed at 30 Gy in 3 fractions (#) alternate days in week 3. Treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Pembrolizumab: Pembrolizumab will be continued dosed at 200 mg given every 3 weeks Drug: Pembrolizumab Pembrolizumab in week 1 dosed at 200 mg (prior to SBRT) and then treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Stereotactic Body Radiotherapy (SBRT): Stereotactic Body Radiotherapy (SBRT) 30 Gy 3 fractions (#)
Overall Response Rate
1 Participants
0 Participants

SECONDARY outcome

Timeframe: Response assessed from start of pembrolizumab, every 9 weeks for the first 6 months, then every 12 weeks thereafter, until the first instance of documented disease progression, start of new anti-cancer treatment, death or end of study (24 months)

Population: All patients who commenced trial treatment and who were assessed at least once for response

Proportion of patients with best recorded response as assessed using RECIST v1.1 of complete or partial response or stable disease

Outcome measures

Outcome measures
Measure
Initial Safety Cohort
n=5 Participants
Patients will receive an initial dose of pembrolizumab in week 1 dosed at 200 mg. They will then receive SBRT dosed at 30 Gy in 3 fractions (#) alternate days in week 3. Treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Pembrolizumab: Pembrolizumab will be continued dosed at 200 mg given every 3 weeks Drug: Pembrolizumab Pembrolizumab in week 1 dosed at 200 mg (prior to SBRT) and then treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Stereotactic Body Radiotherapy (SBRT): Stereotactic Body Radiotherapy (SBRT) 30 Gy 3 fractions (#)
Expansion Cohort
An additional 12 patients will be recruited for this cohort. Patients will receive an initial dose of pembrolizumab at 200 mg in week 1. This will be followed in by SBRT dosed at 30 Gy in 3 fractions (#) alternate days in week 3. Treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Pembrolizumab: Pembrolizumab will be continued dosed at 200 mg given every 3 weeks Drug: Pembrolizumab Pembrolizumab in week 1 dosed at 200 mg (prior to SBRT) and then treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Stereotactic Body Radiotherapy (SBRT): Stereotactic Body Radiotherapy (SBRT) 30 Gy 3 fractions (#)
Disease Control Rate
3 Participants
0 Participants

SECONDARY outcome

Timeframe: 6 months after start of pembrolizumab treatment

Population: All patients who commenced trial treatment and did not withdraw before 6 months

Proportion of patients alive at six months

Outcome measures

Outcome measures
Measure
Initial Safety Cohort
n=3 Participants
Patients will receive an initial dose of pembrolizumab in week 1 dosed at 200 mg. They will then receive SBRT dosed at 30 Gy in 3 fractions (#) alternate days in week 3. Treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Pembrolizumab: Pembrolizumab will be continued dosed at 200 mg given every 3 weeks Drug: Pembrolizumab Pembrolizumab in week 1 dosed at 200 mg (prior to SBRT) and then treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Stereotactic Body Radiotherapy (SBRT): Stereotactic Body Radiotherapy (SBRT) 30 Gy 3 fractions (#)
Expansion Cohort
An additional 12 patients will be recruited for this cohort. Patients will receive an initial dose of pembrolizumab at 200 mg in week 1. This will be followed in by SBRT dosed at 30 Gy in 3 fractions (#) alternate days in week 3. Treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Pembrolizumab: Pembrolizumab will be continued dosed at 200 mg given every 3 weeks Drug: Pembrolizumab Pembrolizumab in week 1 dosed at 200 mg (prior to SBRT) and then treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Stereotactic Body Radiotherapy (SBRT): Stereotactic Body Radiotherapy (SBRT) 30 Gy 3 fractions (#)
Overall Survival (OS) at Six Months
3 Participants
0 Participants

SECONDARY outcome

Timeframe: 12 months after start of pembrolizumab treatment

Population: All patients who commenced trial treatment and did not withdraw before 12 months

Proportion of patients alive at twelve months

Outcome measures

Outcome measures
Measure
Initial Safety Cohort
n=3 Participants
Patients will receive an initial dose of pembrolizumab in week 1 dosed at 200 mg. They will then receive SBRT dosed at 30 Gy in 3 fractions (#) alternate days in week 3. Treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Pembrolizumab: Pembrolizumab will be continued dosed at 200 mg given every 3 weeks Drug: Pembrolizumab Pembrolizumab in week 1 dosed at 200 mg (prior to SBRT) and then treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Stereotactic Body Radiotherapy (SBRT): Stereotactic Body Radiotherapy (SBRT) 30 Gy 3 fractions (#)
Expansion Cohort
An additional 12 patients will be recruited for this cohort. Patients will receive an initial dose of pembrolizumab at 200 mg in week 1. This will be followed in by SBRT dosed at 30 Gy in 3 fractions (#) alternate days in week 3. Treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Pembrolizumab: Pembrolizumab will be continued dosed at 200 mg given every 3 weeks Drug: Pembrolizumab Pembrolizumab in week 1 dosed at 200 mg (prior to SBRT) and then treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Stereotactic Body Radiotherapy (SBRT): Stereotactic Body Radiotherapy (SBRT) 30 Gy 3 fractions (#)
Overall Survival (OS) at Twelve Months
2 Participants

SECONDARY outcome

Timeframe: 6 months after commencing pembrolizumab treatment

Population: Patients who commenced trial treatment and did not withdraw before progression and before 6 months

Proportion of patients alive and free from progression at six months

Outcome measures

Outcome measures
Measure
Initial Safety Cohort
n=4 Participants
Patients will receive an initial dose of pembrolizumab in week 1 dosed at 200 mg. They will then receive SBRT dosed at 30 Gy in 3 fractions (#) alternate days in week 3. Treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Pembrolizumab: Pembrolizumab will be continued dosed at 200 mg given every 3 weeks Drug: Pembrolizumab Pembrolizumab in week 1 dosed at 200 mg (prior to SBRT) and then treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Stereotactic Body Radiotherapy (SBRT): Stereotactic Body Radiotherapy (SBRT) 30 Gy 3 fractions (#)
Expansion Cohort
An additional 12 patients will be recruited for this cohort. Patients will receive an initial dose of pembrolizumab at 200 mg in week 1. This will be followed in by SBRT dosed at 30 Gy in 3 fractions (#) alternate days in week 3. Treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Pembrolizumab: Pembrolizumab will be continued dosed at 200 mg given every 3 weeks Drug: Pembrolizumab Pembrolizumab in week 1 dosed at 200 mg (prior to SBRT) and then treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Stereotactic Body Radiotherapy (SBRT): Stereotactic Body Radiotherapy (SBRT) 30 Gy 3 fractions (#)
Progression Free Survival at 6 Months
2 Participants
0 Participants

SECONDARY outcome

Timeframe: 12 months after commencing pembrolizumab treatment

Population: Patients who commenced trial treatment and did not withdraw before progression and before 12 months

Proportion of patients alive and free from progression at twelve months

Outcome measures

Outcome measures
Measure
Initial Safety Cohort
n=4 Participants
Patients will receive an initial dose of pembrolizumab in week 1 dosed at 200 mg. They will then receive SBRT dosed at 30 Gy in 3 fractions (#) alternate days in week 3. Treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Pembrolizumab: Pembrolizumab will be continued dosed at 200 mg given every 3 weeks Drug: Pembrolizumab Pembrolizumab in week 1 dosed at 200 mg (prior to SBRT) and then treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Stereotactic Body Radiotherapy (SBRT): Stereotactic Body Radiotherapy (SBRT) 30 Gy 3 fractions (#)
Expansion Cohort
An additional 12 patients will be recruited for this cohort. Patients will receive an initial dose of pembrolizumab at 200 mg in week 1. This will be followed in by SBRT dosed at 30 Gy in 3 fractions (#) alternate days in week 3. Treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Pembrolizumab: Pembrolizumab will be continued dosed at 200 mg given every 3 weeks Drug: Pembrolizumab Pembrolizumab in week 1 dosed at 200 mg (prior to SBRT) and then treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Stereotactic Body Radiotherapy (SBRT): Stereotactic Body Radiotherapy (SBRT) 30 Gy 3 fractions (#)
Progression Free Survival at 12 Months
2 Participants

Adverse Events

Initial Safety Cohort

Serious events: 3 serious events
Other events: 5 other events
Deaths: 2 deaths

Expansion Cohort

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Initial Safety Cohort
n=5 participants at risk
Patients will receive an initial dose of pembrolizumab in week 1 dosed at 200 mg. They will then receive SBRT dosed at 30 Gy in 3 fractions (#) alternate days in week 3. Treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Pembrolizumab: Pembrolizumab will be continued dosed at 200 mg given every 3 weeks Drug: Pembrolizumab Pembrolizumab in week 1 dosed at 200 mg (prior to SBRT) and then treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Stereotactic Body Radiotherapy (SBRT): Stereotactic Body Radiotherapy (SBRT) 30 Gy 3 fractions (#)
Expansion Cohort
An additional 12 patients will be recruited for this cohort. Patients will receive an initial dose of pembrolizumab at 200 mg in week 1. This will be followed in by SBRT dosed at 30 Gy in 3 fractions (#) alternate days in week 3. Treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Pembrolizumab: Pembrolizumab will be continued dosed at 200 mg given every 3 weeks Drug: Pembrolizumab Pembrolizumab in week 1 dosed at 200 mg (prior to SBRT) and then treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Stereotactic Body Radiotherapy (SBRT): Stereotactic Body Radiotherapy (SBRT) 30 Gy 3 fractions (#)
Gastrointestinal disorders
Constipation
20.0%
1/5 • Number of events 1 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Musculoskeletal and connective tissue disorders
Flank pain
20.0%
1/5 • Number of events 1 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Investigations
Alanine aminotransferase increased
20.0%
1/5 • Number of events 1 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Investigations
Aspartate aminotransferase increased
20.0%
1/5 • Number of events 1 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Infections and infestations
Lung infection
20.0%
1/5 • Number of events 1 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Respiratory, thoracic and mediastinal disorders
Pneumonitis
20.0%
1/5 • Number of events 1 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.

Other adverse events

Other adverse events
Measure
Initial Safety Cohort
n=5 participants at risk
Patients will receive an initial dose of pembrolizumab in week 1 dosed at 200 mg. They will then receive SBRT dosed at 30 Gy in 3 fractions (#) alternate days in week 3. Treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Pembrolizumab: Pembrolizumab will be continued dosed at 200 mg given every 3 weeks Drug: Pembrolizumab Pembrolizumab in week 1 dosed at 200 mg (prior to SBRT) and then treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Stereotactic Body Radiotherapy (SBRT): Stereotactic Body Radiotherapy (SBRT) 30 Gy 3 fractions (#)
Expansion Cohort
An additional 12 patients will be recruited for this cohort. Patients will receive an initial dose of pembrolizumab at 200 mg in week 1. This will be followed in by SBRT dosed at 30 Gy in 3 fractions (#) alternate days in week 3. Treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Pembrolizumab: Pembrolizumab will be continued dosed at 200 mg given every 3 weeks Drug: Pembrolizumab Pembrolizumab in week 1 dosed at 200 mg (prior to SBRT) and then treatment with pembrolizumab will be continued dosed at 200 mg given every 3 weeks. Stereotactic Body Radiotherapy (SBRT): Stereotactic Body Radiotherapy (SBRT) 30 Gy 3 fractions (#)
Respiratory, thoracic and mediastinal disorders
Dyspnea
60.0%
3/5 • Number of events 4 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Nervous system disorders
Lethargy
60.0%
3/5 • Number of events 4 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Investigations
Weight loss
60.0%
3/5 • Number of events 4 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Investigations
Alanine aminotransferase increased
40.0%
2/5 • Number of events 4 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Metabolism and nutrition disorders
Anorexia
40.0%
2/5 • Number of events 2 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Investigations
Aspartate aminotransferase increased
40.0%
2/5 • Number of events 4 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Gastrointestinal disorders
Constipation
40.0%
2/5 • Number of events 2 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Respiratory, thoracic and mediastinal disorders
Cough
40.0%
2/5 • Number of events 4 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Gastrointestinal disorders
Diarrhea
40.0%
2/5 • Number of events 2 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
General disorders
Fatigue
40.0%
2/5 • Number of events 3 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
General disorders
Fever
40.0%
2/5 • Number of events 2 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Investigations
Alkaline phosphatase increased
20.0%
1/5 • Number of events 1 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Blood and lymphatic system disorders
Anemia
20.0%
1/5 • Number of events 1 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Psychiatric disorders
Anxiety
20.0%
1/5 • Number of events 1 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Musculoskeletal and connective tissue disorders
Arthritis
20.0%
1/5 • Number of events 3 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Musculoskeletal and connective tissue disorders
Back pain
20.0%
1/5 • Number of events 2 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Investigations
Blood lactate dehydrogenase increased
20.0%
1/5 • Number of events 1 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Musculoskeletal and connective tissue disorders
Chest wall pain
20.0%
1/5 • Number of events 2 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Gastrointestinal disorders
Dry mouth
20.0%
1/5 • Number of events 1 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Gastrointestinal disorders
Dysphagia
20.0%
1/5 • Number of events 1 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Skin and subcutaneous tissue disorders
Erythroderma
20.0%
1/5 • Number of events 1 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
General disorders
Flu like symptoms
20.0%
1/5 • Number of events 1 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
20.0%
1/5 • Number of events 1 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Skin and subcutaneous tissue disorders
Hyperhidrosis
20.0%
1/5 • Number of events 1 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Metabolism and nutrition disorders
Hyperphosphatemia
20.0%
1/5 • Number of events 1 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Vascular disorders
Hypertension
20.0%
1/5 • Number of events 4 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Metabolism and nutrition disorders
Hyperuricemia
20.0%
1/5 • Number of events 1 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Metabolism and nutrition disorders
Hypoalbuminemia
20.0%
1/5 • Number of events 1 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Metabolism and nutrition disorders
Hypocalcemia
20.0%
1/5 • Number of events 1 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Investigations
Investigations - other, increased C-reactive protein
20.0%
1/5 • Number of events 1 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Investigations
Investigations - other, increased lactate
20.0%
1/5 • Number of events 1 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Psychiatric disorders
Insomnia
20.0%
1/5 • Number of events 1 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Infections and infestations
Lung infection
20.0%
1/5 • Number of events 1 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Investigations
Lymphocyte count decreased
20.0%
1/5 • Number of events 1 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Eye disorders
Papilledema
20.0%
1/5 • Number of events 1 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Respiratory, thoracic and mediastinal disorders
Pneumonitis
20.0%
1/5 • Number of events 3 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Skin and subcutaneous tissue disorders
Rash maculo-papular
20.0%
1/5 • Number of events 2 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Respiratory, thoracic and mediastinal disorders
Rhinorrhea
20.0%
1/5 • Number of events 1 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Skin and subcutaneous tissue disorders
Skin atrophy
20.0%
1/5 • Number of events 1 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Gastrointestinal disorders
Vomiting
20.0%
1/5 • Number of events 1 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
Investigations
Investigations - other, raised urea
20.0%
1/5 • Number of events 1 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.
0/0 • AEs will be graded and recorded from confirmation of entry into the trial, at cycle 1 day 1 of pembrolizumab, at each of three radiotherapy fractions (cycle 1 days 15, 17, 19) and then at day 1 of each 21 day cycle, until the patients final safety follow up at 30 days after their last dose of pembrolizumab (up to 10 months). All cause mortality is recorded until death or end of trial (24 months).
Adverse events were assessed using CTCAE v5.0. Disease progression of the cancer under study is not considered an AE unless the investigator considers it to be IMP-related or it results in hospitalisation or prolongs existing in-patient hospitalisation or death.

Additional Information

MESO-PRIME Trial Manager

The Royal Marsden NHS Foundation Trust

Phone: (+44)2089156666

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place