Lung NeoplasmsPhase 3NCT04380636
Study of Pembrolizumab With Concurrent Chemoradiation Therapy Followed by Pembrolizumab With or Without Olaparib in Stage III Non-Small Cell Lung Cancer (NSCLC) (MK-7339-012/KEYLYNK-012)
A Phase 3 study testing Pembrolizumab, Olaparib and Etoposide in people with Lung Neoplasms and Carcinoma, Non-Small-Cell Lung, run by Merck Sharp & Dohme LLC at 205 sites in 26 countries.
Trial summary
The purpose of this study is to assess the efficacy and safety of pembrolizumab in combination with concurrent chemoradiation therapy followed by either pembrolizumab with olaparib placebo (Arm 1) or with olaparib (Arm 2) compared to concurrent chemoradiation therapy followed by durvalumab (Arm 3) in participants with… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Lung Neoplasms, Carcinoma, Non-Small-Cell Lung
- What is being tested?
- Pembrolizumab, Olaparib and Etoposide
- Type of treatment
- Pill or oral medicine, Injection or infusion, Surgery or procedure
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 870 participants
- Where
- 205 sitesin 26 countries
- Study dates
- 6 Jul 2020to 6 Jul 2029
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Has pathologically (histologically or cytologically) confirmed diagnosis of NSCLC
- Has Stage IIIA, IIIB, or IIIC NSCLC by American Joint Committee on Cancer Version 8
- Is unable to undergo surgery with curative intent for Stage III NSCLC
- Has no evidence of metastatic disease indicating Stage IV NSCLC
- Has measurable disease as defined by RECIST 1.1
- Has not received prior treatment (chemotherapy, targeted therapy or radiotherapy) for Stage III NSCLC; participants who have received neoadjuvant and/or adjuvant therapy for early stage disease are not eligible
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- Has provided a tumor tissue sample (tissue biopsy [core, incisional, or excisional])
- Has an Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1 assessed within 7 days prior to the first administration of study intervention
- Has a life expectancy of at least 6 months
- A male participant must agree to use contraception and refrain from donating sperm during the intervention period and for at least the time needed to eliminate each study intervention after the last dose of study intervention unless confirmed to be azoospermic (vasectomized or secondary to medical cause). The length of time required to continue contraception for each study intervention is as follows: Olaparib, platinum doublet, and radiotherapy: 90 days
- A female participant is eligible to participate if she is not pregnant, not breastfeeding, and agrees to use contraception and refrain from donating eggs (ova, oocytes) to others or freeze/store for her own use for the purpose of reproduction during the treatment period and for at least the time needed to eliminate each study intervention after the last dose of study intervention and agrees to abstain from breastfeeding during the study intervention period and for at least 120 days after the last dose of study intervention. The length of time required to continue contraception for each study intervention is as follows: Pembrolizumab: 120 days; Olaparib, platinum doublet, and radiotherapy: 180 days
- Has a negative highly sensitive pregnancy test ([urine or serum] as required by local regulations) within 24 hours for urine or within 72 hours for serum before the first dose of study intervention. If a urine test cannot be confirmed as negative (e.g., an ambiguous result), a serum pregnancy test is required. In such cases, the participant must be excluded from participation if the serum pregnancy result is positive.
- Has had her medical history, menstrual history, and recent sexual activity reviewed by the investigator to decrease the risk for inclusion of a woman with an early undetected pregnancy.
- Has adequate pulmonary function tests
- Has adequate organ function
- Has provided written informed consent
Who cannot join
- Has small cell lung cancer or a mixed tumor with presence of small cell elements
- Has myelodysplastic syndrome (MDS)/acute myeloid leukemia (AML) or has features suggestive of MDS/AML
- Has had documented weight loss >10% (from baseline) in the preceding 3 months
- Has received prior radiotherapy to the thorax, including radiotherapy to the esophagus, mediastinum, or for breast cancer
- Has received prior therapy with an anti-programmed cell death 1 (ant-PD-1), anti-programmed cell death ligand 1 (anti-PD-L1), or anti- programmed cell death ligand 2 (anti-PD-L2) agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor
- Has received prior therapy with olaparib or with any other polyadenosine 5'diphosphoribose (polyADP ribose) polymerization (PARP) inhibitor
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- Has had major surgery <4 weeks prior to the first dose of study treatment (except for placement of vascular access)
- Is expected to require any other form of antineoplastic therapy, while on study
- Has received a live or live attenuated vaccine within 30 days before the first dose of study intervention; administration of killed vaccines is allowed
- Has received colony-stimulating factors (e.g., granulocyte colony-stimulating factor [GCSF], granulocyte-macrophage colony-stimulating factor [GM-CSF] or recombinant erythropoietin) within 28 days prior to the first dose of study treatment
- Is currently receiving either strong (phenobarbital, enzalutamide, phenytoin, rifampicin, rifabutin, rifapentine, carbamazepine, nevirapine and St John's Wort) or moderate (e.g. bosentan, efavirenz, modafinil) inducers of CYP3A4 that cannot be discontinued for the duration of the study
- Is currently receiving either strong (eg, itraconazole, telithromycin, clarithromycin, protease inhibitors boosted with ritonavir or cobicistat, indinavir, saquinavir, nelfinavir, boceprevir, telaprevir) or moderate (eg. ciprofloxacin, erythromycin, diltiazem, fluconazole, verapamil) inhibitors of cytochrome P450 (CYP)3A4 that cannot be discontinued for the duration of the study
- Is unable to interrupt aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs), other than an aspirin dose ≤1.3 grams per day, for at least 2 days before, during, and for at least 2 days after administration of pemetrexed
- Is unable/unwilling to take folic acid, vitamin B12, and dexamethasone during administration of pemetrexed
- Has received an investigational agent or has used an investigational device within 4 weeks prior to study treatment
- The presence of uncontrolled, potentially reversible cardiac conditions, as judged by the investigator or has congenital long QT syndrome
- Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy or any other form of immunosuppressive therapy within 7 days prior the first dose of study intervention
- Has a known additional malignancy that is progressing or has required active treatment within the past 5 years with the exception of basal cell carcinoma of the skin, squamous cell carcinoma of the skin, superficial bladder cancer, or carcinoma in situ (excluding carcinoma-in situ-of the bladder) that have undergone potentially curative therapy
- Has severe hypersensitivity (≥Grade 3) to study intervention and/or any of its excipients
- Has an active autoimmune disease that has required systemic treatment in past 2 years
- Has a history of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease
- Has an active infection requiring systemic therapy
- Has a known history of human immunodeficiency virus (HIV) infection
- Has a known history of Hepatitis B or known active Hepatitis C virus infection
- Has active tuberculosis (TB; Mycobacterium tuberculosis) and is receiving treatment
- Has a history or current evidence of any condition, therapy, laboratory abnormality or other circumstance that might confound the results of the study, or interfere with the participant's participation for the full duration of the study, such that it is not in the best interest of the participant to participate, in the opinion of the treating investigator
- Is considered a poor medical risk due to a serious, uncontrolled medical disorder or nonmalignant systemic disease in the opinion of the treating investigator
- Has a known psychiatric or substance abuse disorder that would interfere with the participant's ability to cooperate with the requirements of the study
- Is unable to swallow orally administered medication or has a gastrointestinal disorder affecting absorption
- Has had an allogenic tissue/solid organ transplant
Trial locations and contacts
205 sites in 26 countries.
205 sites in 26 countries
United States33 sites
Massachusetts General Hospital ( Site 0038)
Boston, Massachusetts, 02114
Novant Health Presbyterian ( Site 0081)
Charlotte, North Carolina, 28204
The Lindner Center for Research and Education at The Christ Hospital ( Site 0060)
Cincinnati, Ohio, 45219
Henry Ford Hospital ( Site 0045)
Detroit, Michigan, 48202
Duke University Medical Center ( Site 0050)
Durham, North Carolina, 27710
Fort Wayne Medical Oncology and Hematology ( Site 0094)
Fort Wayne, Indiana, 46804
Parkview Research Center ( Site 0032)
Fort Wayne, Indiana, 46845
St Joseph Heritage Healthcare-Oncology ( Site 0088)
Fullerton, California, 92835
CHI Health St. Francis ( Site 0053)
Grand Island, Nebraska, 68803
Memorial Regional Hospital-Memorial Cancer Institute ( Site 0095)
Hollywood, Florida, 33021
St. Bernards Medical Center ( Site 0089)
Jonesboro, Arkansas, 72401
Franciscan Health Lafayette East ( Site 0031)
Lafayette, Indiana, 47905
University of Kentucky ( Site 0096)
Lexington, Kentucky, 40536
Long Beach Memorial Medical Center ( Site 0006)
Long Beach, California, 90806
UCLA Hematology/Oncology - Santa Monica ( Site 0013)
Los Angeles, California, 90404
Norton Brownsboro Hospital-Norton Cancer Institute - Brownsboro ( Site 0035)
Louisville, Kentucky, 40241
Miami VA Healthcare System ( Site 0024)
Miami, Florida, 33125
University of South Alabama, Mitchell Cancer Institute ( Site 0003)
Mobile, Alabama, 36604
Rutgers Cancer Institute of New Jersey ( Site 0054)
New Brunswick, New Jersey, 08901
Mid Florida Hematology and Oncology Center ( Site 0022)
Orange City, Florida, 32763
Orlando Health, UF Health Cancer Center Inc ( Site 0092)
Orlando, Florida, 32806
Valley Health Systems - Ridgewood Campus ( Site 0056)
Paramus, New Jersey, 07652
Fox Chase Cancer Center ( Site 0063)
Philadelphia, Pennsylvania, 19111
Pikeville Medical Center ( Site 0036)
Pikeville, Kentucky, 41501
St. Joseph Heritage Healthcare Local Lab ( Site 0011)
Santa Rosa, California, 95403
Veterans Affairs Puget Sound Health Care System [Seattle, WA] ( Site 0075)
Seattle, Washington, 98108
Sanford Cancer Center Oncology Clinic ( Site 0066)
Sioux Falls, South Dakota, 57104
Cancer Care Northwest ( Site 0074)
Spokane Valley, Washington, 99216
VA St. Louis Health Care System ( Site 0047)
St Louis, Missouri, 63106
Washington University Siteman Cancer Center ( Site 0046)
St Louis, Missouri, 63110
Montefiore Einstein Center ( Site 0083)
The Bronx, New York, 10467
Torrance Memorial Physician Network / Cancer Center ( Site 0093)
Torrance, California, 90505
Piedmont Hematology-Oncology Associates ( Site 0080)
Winston-Salem, North Carolina, 27103
China25 sites
Peking Union Medical College Hospital ( Site 3201)
Beijing, Beijing Municipality, 100006
Cancer Hospital Chinese Academy of Medical Sciences ( Site 3213)
Beijing, Beijing Municipality, 100021
Beijing Cancer Hospital ( Site 3212)
Beijing, Beijing Municipality, 100089
Beijing Cancer Hospital ( Site 3224)
Beijing, Beijing Municipality, 130021
Jilin Cancer Hospital ( Site 3230)
Changchun, Jilin, 130012
Xiangya Hospital of Central South University ( Site 3637)
Changsha, Hunan, 410008
Second Xiangya Hospital of Central-South University ( Site 3227)
Changsha, Hunan, 410011
Hunan Cancer Hospital ( Site 3225)
Changsha, Hunan, 410013
Hunan Cancer Hospital ( Site 3238)
Changsha, Hunan, 410013
West China Hospital of Sichuan University ( Site 3202)
Chengdu, Sichuan, 510115
Daping Hospital,Third Military Medical University ( Site 3235)
Chongqing, Chongqing Municipality, 400042
Fujian Provincial Cancer Hospital ( Site 3226)
Fuzhou, Fujian, 350014
The 1st Affil Hosp of College of Medicine, Zhejiang Univ ( Site 3232)
Hangzhou, Zhejiang, 310003
The Second Affiliated Hospital of Nanchang University ( Site 3206)
Nanchang, Jiangxi, 330006
Jiangsu Cancer Hospital ( Site 3234)
Nanjing, Jiangsu, 210000
Shanghai Chest Hospital ( Site 3207)
Shanghai, Shanghai Municipality, 200030
Zhongshan Hospital Fudan University ( Site 3220)
Shanghai, Shanghai Municipality, 200032
Shanghai Pulmonary Hospital ( Site 3203)
Shanghai, Shanghai Municipality, 200443
Peking University Shenzhen Hospital ( Site 3216)
Shenzhen, Guangdong, 518036
Cancer Hospital Chinese Academy Of Medical Sciences. Shenzhen Center ( Site 3200)
Shenzhen, Guangdong, 518116
Tianjin Medical University Cancer Institute & Hospital ( Site 3204)
Tianjin, Tianjin Municipality, 300060
Wuhan Union Hospital Cancer Center ( Site 3222)
Wuhan, Hubei, 430022
Hubei Cancer Hospital ( Site 3218)
Wuhan, Hubei, 430079
The First Affiliated Hospital of Xiamen University ( Site 3219)
Xiamen, Fujian, 361003
Henan Cancer Hospital ( Site 3205)
Zhengzhou, Henan, 450008
Japan12 sites
National Hospital Organization Kyushu Cancer Center ( Site 3104)
Fukuoka, 811-1395
Kansai Medical University Hospital ( Site 3103)
Hirakata, Osaka, 573-1191
Kobe Minimally Invasive Cancer Center ( Site 3100)
Kobe, Hyōgo, 650-0046
Kurume University Hospital ( Site 3112)
Kurume, Fukuoka, 830-0011
Niigata Cancer Center Hospital ( Site 3109)
Niigata, 951-8566
Osaka International Cancer Institute ( Site 3106)
Osaka, 541-8567
Osaka Medical and Pharmaceutical University Hospital ( Site 3110)
Takatsuki, Osaka, 569-8686
Juntendo University Hospital ( Site 3111)
Tokyo, 113-0033
Tokyo Metropolitan Komagome Hospital ( Site 3108)
Tokyo, 113-8677
Cancer Institute Hospital of JFCR ( Site 3107)
Tokyo, 135-8550
Showa Medical University Hospital ( Site 3105)
Tokyo, 142-8666
Kanagawa Cancer Center ( Site 3101)
Yokohama, Kanagawa, 241-8515
Romania11 sites
MEMORIAL HEALTHCARE INTERNATIONAL S.R.L. ( Site 2500)
Bucharest, Bucharest, 013823
Gral Medical SRL-Medical Oncology ( Site 2511)
Bucharest, Bucharest, 031422
Spitalul Universitar de Urgenta Bucuresti ( Site 2508)
Bucharest, Bucharest, 050098
Institutul Oncologic Prof.Dr. Ion Chiricuta Cluj-Napoca ( Site 2506)
Cluj-Napoca, Cluj, 400015
S.C. Radiotherapy Center Cluj S.R.L ( Site 2503)
Comuna Floresti, Cluj, 407280
Spitalul Clinic Judetean De Urgenta Constanta ( Site 2501)
Constanța, 900591
Centrul de Oncologie Sfantul Nectarie-Medical ( Site 2510)
Craiova, Dolj, 200746
Institutul Regional de Oncologie Iasi ( Site 2505)
Iași, 700483
Radiology Therapeutic Center-Oncology ( Site 2502)
Otopeni, Ilfov, 075100
S C Oncocenter Oncologie Clinica S R L-Medical Oncology ( Site 2509)
Timișoara, Timiș County, 300166
Policlinica Oncomed SRL ( Site 2504)
Timișoara, Timiș County, 300239
Germany9 sites
Zentralklinik Bad Berka GmbH ( Site 0905)
Bad Berka, Thuringia, 99437
Charite-Universitaetsmedizin Berlin Campus Virchow-Klinikum ( Site 0900)
Berlin, 13353
Universitätsmedizin Göttingen - Georg-August-Universität ( Site 0917)
Göttingen, Lower Saxony, 37075
LungenClinic Grosshansdorf GmbH ( Site 0901)
Großhansdorf, Schleswig-Holstein, 22927
Katholisches Marienkrankenhaus gGmbH ( Site 0902)
Hamburg, 22087
Universitaetsklinikum Jena ( Site 0911)
Jena, Thuringia, 07747
Johannes Wesling Klinikum Minden ( Site 0908)
Minden, North Rhine-Westphalia, 32429
GEHO Muenster ( Site 0910)
Münster, North Rhine-Westphalia, 48153
Johanna Etienne Hospital-Klinik für Onkologie ( Site 0916)
Neuss, North Rhine-Westphalia, 41462
South Korea9 sites
Chungbuk National University Hospital ( Site 2802)
Cheongju-si, North Chungcheong, 28644
Keimyung University Dongsan Hospital CRC room 1 ( Site 2807)
Daegu, Taegu-Kwangyokshi, 42601
National Cancer Center ( Site 2800)
Goyang-si, Kyonggi-do, 10408
Gyeongsang National University Hospital ( Site 2804)
Jinju, Kyongsangnam-do, 52727
Seoul National University Bundang Hospital ( Site 2801)
Seongnam-si, Kyonggi-do, 13620
Kangbuk Samsung Hospital ( Site 2806)
Seoul, 03181
Severance Hospital Yonsei University Health System ( Site 2808)
Seoul, 03722
The Catholic University of Korea St. Vincent s Hospital ( Site 2805)
Suwon, Kyonggi-do, 16247
Ajou University Hospital ( Site 2803)
Suwon, Kyonggi-do, 16499
Czechia8 sites
Masarykuv onkologicky ustav ( Site 2206)
Brno, Brno-mesto, 656 53
Krajska nemocnice Liberec, a.s. ( Site 2209)
Liberec, 468 63
Nemocnice Na Plesi s.r.o. ( Site 2202)
Nová Ves pod Pleší, Pribram, 262 04
Fakultni nemocnice Ostrava ( Site 2201)
Ostrava, Ostrava Mesto, 708 52
Fakultni nemocnice Kralovske Vinohrady-Radioterapeuticka a onkologicka klinika ( Site 2200)
Prague, Praha 10, 100 34
Fakultni nemocnice v Motole ( Site 2210)
Prague, Praha 5, 150 006
Vseobecna fakultni nemocnice v Praze ( Site 2208)
Prague, 128 08
Nemocnice Na Bulovce ( Site 2205)
Prague, 180 81
France8 sites
Clinique de l'Europe-Service de pneumologie ( Site 0816)
Amiens, Somme, 80000
Hopital Avicenne ( Site 0803)
Bobigny, Seine-Saint-Denis, 93000
C.H.R.U. de Brest - Hopital Cavale Blanche ( Site 0806)
Brest, Brittany Region, 29200
Centre Hospitalier Annecy Genevois ( Site 0811)
Epagny Metz Tessy, Haute-Savoie, 74730
CHD Vendee ( Site 0807)
La Roche-sur-Yon, Vendee, 85925
Clinique Clairval ( Site 0802)
Marseille, Bouches-du-Rhone, 13009
H.I.A. Sainte-Anne ( Site 0815)
Toulon, Var, 83800
Clinique Teissier Groupe ( Site 0808)
Valenciennes, Nord, 59304
Italy8 sites
Azienda Ospedaliero Universitaria Careggi ( Site 1001)
Florence, 50134
Azienda Ospedaliera Vito Fazzi ( Site 1003)
Lecce, 73100
Fondazione IRCCS Istituto Nazionale dei Tumori di Milano ( Site 1008)
Milan, 20133
Policlinico di Modena ( Site 1007)
Modena, 41124
Policlinico Agostino Gemelli ( Site 1002)
Rome, Lazio, 00168
Istituto Clinico Humanitas Research Hospital ( Site 1000)
Rozzano, Lombardy, 20089
Azienda Ospedaliera Umberto I- Torrette ( Site 1009)
Torrette, Ancona, 60126
A.O.U. Santa Maria della Misericordia di Udine ( Site 1004)
Udine, 33100
Russia8 sites
Chelyabinsk Regional Clinical Oncological Dispensary ( Site 1913)
Chelyabinsk, Chelyabinsk Oblast, 454087
Republican Clinical Oncology Dispensary of Tatarstan MoH named after professor M.Z. Sigal ( Site 1911)
Kazan', Tatarstan, Respublika, 420029
MSROI named after P.A. Hertsen branch of FSBI NMRC Radiology ( Site 1903)
Moscow, Moscow, 125284
Nizhniy Novgorod Region Oncology Dispensary ( Site 1914)
Nizhny Novgorod, Nizhny Novgorod Oblast, 603081
Medical institute named after Berezin Sergey ( Site 1906)
Saint Petersburg, Sankt-Peterburg, 197758
Scientific Research Oncology Institute n.a. N.N.Petrov ( Site 1905)
Saint Petersburg, Sankt-Peterburg, 197758
Yaroslavl Regional SBIH Clinical Oncology Hospital ( Site 1910)
Yaroslavl, Yaroslavl Oblast, 150054
Sverdlovsk Regional Oncology Hospital ( Site 1909)
Yekaterinburg, Sverdlovsk Oblast, 620036
Ukraine8 sites
Communal nonprofit enterprise "Kherson Regional Oncology Dispensary" of Kherson Regional Council ( Site 2109)
Antonivka Village, Kherson Oblast, 73000
Medical center Medikal Plaza of Ecodnipro LLC ( Site 2107)
Dnipro, Dnipropetrovsk Oblast, 49055
Medical Center of Yuriy Spizhenko LLC.-Clinical Trial ( Site 2104)
Kapitanivka Village, Kyivska Oblast, 08111
SOGrigoriev Inst for Med Radiolgy and Oncology of NAMS of Ukraine-Clinical oncology and hematology ( Site 2110)
Kharkiv, Kharkiv Oblast, 61024
LLC Ukrainian Center of Tomotherapy ( Site 2105)
Kropyvnytskyi, Kirovohrad Oblast, 25011
SNPE National Cancer Institute ( Site 2101)
Kyiv, Kyivska Oblast, 03022
Medical Center Verum ( Site 2106)
Kyiv, Kyivska Oblast, 03039
Kyiv City Clinical Oncology Center ( Site 2100)
Kyiv, 03115
Spain7 sites
H.U. Vall de Hebron ( Site 1201)
Barcelona, 08035
Hospital Clinic de Barcelona ( Site 1204)
Barcelona, 08036
Hospital Universitario Puerta de Hierro (Majadahonda) ( Site 1202)
Majadahonda, Madrid, 28222
H.R.U Malaga - Hospital General ( Site 1206)
Málaga, Malaga, 29011
Hospital Universitario Quiron Madrid ( Site 1200)
Pozuelo de Alarcón, Madrid, 28223
Hospital Universitario Virgen Macarena ( Site 1205)
Seville, 41009
Hospital Universitario La Fe ( Site 1203)
Valencia, 46026
United Kingdom7 sites
Leeds Teaching Hospitals NHS Trust ( Site 1401)
Leeds, LS9 7TF
Guys and St Thomas NHS Foundation Trust ( Site 1410)
London, London, City of, SE1 9RT
Royal Marsden Hospital (Sutton) ( Site 1407)
London, Surrey, SM3 5PT
University College Hospital NHS Foundation Trust ( Site 1403)
London-Camden, London, City of, NW1 2PG
Christie NHS Foundation Trust ( Site 1409)
Manchester, M20 4BX
Weston Park Hospital ( Site 1406)
Sheffield, Derbyshire, S10 2SJ
Southampton General Hospital ( Site 1400)
Southampton, Worcestershire, SO16 6YD
Peru6 sites
Hospital Nacional Carlos Alberto Seguin Escobedo ESSALUD ( Site 0604)
Arequipa, Ariqipa, 04001
IPOR Instituto Peruano de Oncología & Radioterapia ( Site 0606)
Lima, 15036
Oncosalud ( Site 0605)
Lima, 15036
Clinica San Gabriel ( Site 0601)
Lima, 15088
Hospital Nacional Cayetano Heredia ( Site 0602)
Lima, 15102
Detecta Clínica ( Site 0607)
Surquillo, Muni Metro de Lima, 15038
Turkey (Türkiye)6 sites
Ankara Bilkent Sehir Hastanesi ( Site 2002)
Ankara, Adana, 06800
Memorial Ankara Hastanesi ( Site 2006)
Ankara, 06520
Istanbul Uni. Cerrahpasa Tip Fakultesi ( Site 2000)
Istanbul, 34098
Medipol Universite Hastanesi ( Site 2003)
Istanbul, 34214
Göztepe Prof. Dr. Süleyman Yalçın Şehir Hastanesi-oncology ( Site 2001)
Istanbul, 34722
Ege University Medical Faculty ( Site 2005)
Izmir, 35100
Canada5 sites
Queen Elizabeth II Health Sciences Centre ( Site 0100)
Halifax, Nova Scotia, B3H 1V7
Centre Hospitalier de l Universite de Montreal - CHUM ( Site 0102)
Montreal, Quebec, H2X 0A9
CIUSSS Ouest de l Ile - St-Mary s Hospital ( Site 0108)
Montreal, Quebec, H3T 1M5
McGill University Health Center - Research Institute ( Site 0114)
Montreal, Quebec, H4A 3J1
Centre intégré de cancérologie du CHU de Québec Université Laval, Hôpital de l'Enfant-Jésus ( Site 0110)
Québec, Quebec, G1J 1Z4
Chile5 sites
Bradford Hill Norte ( Site 0204)
Antofagasta, 1240000
OrlandiOncologia ( Site 0201)
Providencia, Region M. de Santiago, 7500713
Bradfordhill ( Site 0200)
Santiago, Region M. de Santiago, 8420383
Centro Investigación del Cáncer James Lind ( Site 0202)
Temuco, Araucania, 4800827
Oncocentro ( Site 0203)
Viña del Mar, Valparaiso, 2520598
Hungary5 sites
Orszagos Koranyi Pulmonologiai Intezet ( Site 2305)
Budapest, 1121
Országos Korányi Pulmonológiai Intézet-VI. Tüdöbelosztály és Bronchológia ( Site 2309)
Budapest, 1121
Petz Aladar Megyei Oktato Korhaz ( Site 2306)
Győr, Győr-Moson-Sopron, 9024
Bekes Megyei Kozponti Korhaz - Pandy Kalman Tagkorhaza ( Site 2303)
Gyula, Bekes County, 5700
Bacs-Kiskun Megyei Korhaz-Onkoradiologiai Kozpont ( Site 2302)
Kecskemét, Bács-Kiskun county, 6000
Norway5 sites
Vestre Viken HF Drammen Sykehus ( Site 1101)
Drammen, Buskerud, 3004
Sykehuset Oestfold ( Site 1107)
Grålum, Østfold fylke, 1714
Akershus Universitetssykehus HF ( Site 1106)
Lorenskog, Akershus, 1478
Oslo Universitetssykehus HF. Ulleval ( Site 1100)
Oslo, 0450
Helse Stavanger HF Stavanger Universitetssjukehus ( Site 1103)
Stavanger, Rogaland, 4011
Mexico4 sites
Hospital Civil de Guadalajara Fray Antonio Alcalde ( Site 0500)
Guadalajara, Jalisco, 44280
Hospital Universitario "Dr. Jose Eleuterio Gonzalez" ( Site 0508)
Monterrey, Nuevo León, 64460
CLIMERS Clinical Medical Research ( Site 0506)
Orizaba, Veracruz, 94300
Instituto Nacional de Cancerologia ( Site 0502)
Tlalpan, 14080
Poland4 sites
Szpital Morski im. PCK. Szpitale Pomorskie Sp. Z o.o ( Site 2400)
Gdynia, Pomeranian Voivodeship, 81-519
SPZOZ MSWIA z Warminsko-Mazurskim Centrum Onkologii w Olsztynie ( Site 2401)
Olsztyn, Warmian-Masurian Voivodeship, 10-228
Mazowiecki Szpital Wojewódzki w Siedlcach-Siedleckie Centrum Onkologii ( Site 2404)
Siedlce, Masovian Voivodeship, 08-110
Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy w Warszawie ( Site 2402)
Warsaw, Masovian Voivodeship, 02-781
Thailand4 sites
Chulalongkorn University ( Site 3003)
Bangkok, Bangkok, 10330
Ramathibodi Hospital. ( Site 3000)
Bangkok, Bangkok, 10400
Chiang Mai University Maharaj Nakorn Chiang Mai Hospital ( Site 3001)
Chiang Mai, 50200
Srinagarind Hospital. Khon Kaen University ( Site 3002)
Khon Kaen, 40002
Argentina2 sites
Clinica Adventista Belgrano-Oncology ( Site 4002)
Caba., Buenos Aires, C1430EGF
Instituto Médico Río Cuarto ( Site 4003)
Río Cuarto, Córdoba Province, X5800AEV
Estonia2 sites
North Estonia Medical Centre Foundation ( Site 1601)
Tallinn, Harju, 13419
Tartu University Hospital ( Site 1600)
Tartu, Tartu, 50406
Latvia2 sites
Pauls Stradins Clinical University Hospital ( Site 1501)
Riga, 1002
Riga East Clinical University Hospital ( Site 1500)
Riga, 1079
Lithuania2 sites
Hospital of Lithuanian University of Health Sciences Kauno klinikos-Pulmonology ( Site 4201)
Kaunas, Kaunas County, 50161
National Cancer Institute-Department of Thoracic Surgery and Oncology ( Site 4200)
Vilnius, Vilniaus Miestas, 08660
About this study
Official title: A Phase 3 Study of Pembrolizumab (MK-3475) in Combination With Concurrent Chemoradiation Therapy Followed by Pembrolizumab With or Without Olaparib vs Concurrent Chemoradiation Therapy Followed by Durvalumab in Participants With Unresectable, Locally Advanced, Stage III Non-Small Cell Lung Cancer (NSCLC)
The purpose of this study is to assess the efficacy and safety of pembrolizumab in combination with concurrent chemoradiation therapy followed by either pembrolizumab with olaparib placebo (Arm 1) or with olaparib (Arm 2) compared to concurrent chemoradiation therapy followed by durvalumab (Arm 3) in participants with unresectable, locally advanced NSCLC. Arms 1 and 2 will be studied in a double-blind design and Arm 3 will be open-label. The primary hypotheses are:
- Pembrolizumab with concurrent chemoradiation therapy followed by pembrolizumab with olaparib is superior to concurrent chemoradiation therapy followed by durvalumab with respect to progression-free survival (PFS) and overall survival (OS)
- Pembrolizumab with concurrent chemoradiation therapy followed by pembrolizumab is superior to concurrent chemoradiation therapy followed by durvalumab with respect to PFS and OS
- Conditions
- Lung Neoplasms, Carcinoma, Non-Small-Cell Lung
- Being tested
- Pembrolizumab, Olaparib, Placebo for olaparib, Etoposide, Carboplatin
- Keywords
- Programmed Cell Death Receptor 1 (PD-1, PD1), Programmed Cell Death Receptor Ligand 1 (PD-L1, PDL1), Programmed Cell Death Receptor Ligand 2 (PD-L2, PDL2), polyadenosine 5'diphosphoribose (polyADP ribose) polymerization (PARP) inhibitor
- Medical subject headings
- Lung Neoplasms, Carcinoma, Non-Small-Cell Lung, Parkinson Disease 4, Autosomal Dominant Lewy Body
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PembrolizumabBiological
Also called KEYTRUDA®, MK-3475
intravenous (IV) infusion
OlaparibDrug
Also called LYNPARZA®, MK-7339, AZD2281, KU-0059436
oral tablets
Placebo for olaparibDrug
oral tablets
EtoposideDrug
Also called VEPESID®
IV infusion
CarboplatinDrug
Also called PARAPLATIN®
IV infusion
CisplatinDrug
Also called PLATINOL®
IV infusion
PaclitaxelDrug
Also called TAXOL®
IV infusion
PemetrexedDrug
Also called ALIMTA®
IV infusion
Thoracic RadiotherapyRadiation
external beam radiation
DurvalumabDrug
Also called IMFINZI®
IV infusion
| Study group | Role | What they receive |
|---|---|---|
| pembrolizumab+chemoradiation→pembrolizumab+olaparib placebo | Experimental | Participants will receive pembrolizumab 200 mg intravenously (IV) every 3 weeks (Q3W) in combination with 3 cycles of the investigator's choice of platinum doublet chemotherapy and concurrent standard thoracic radiotherapy (60 Gray (Gy) over 6 weeks) followed by pembrolizumab plus olaparib placebo twice a day (BID) for approximately 1 year. Receives: Biological: Pembrolizumab; Drug: Placebo for olaparib; Drug: Etoposide; Drug: Carboplatin; Drug: Cisplatin; Drug: Paclitaxel; Drug: Pemetrexed; Radiation: Thoracic Radiotherapy |
| pembrolizumab+chemoradiation→pembrolizumab+olaparib | Experimental | Participants will receive pembrolizumab 200 mg IV Q3W in combination with 3 cycles of the investigator's choice of platinum doublet chemotherapy and concurrent standard thoracic radiotherapy (60 Gy over 6 weeks) followed by pembrolizumab plus olaparib 300 mg BID for approximately 1 year. Receives: Biological: Pembrolizumab; Drug: Olaparib; Drug: Etoposide; Drug: Carboplatin; Drug: Cisplatin; Drug: Paclitaxel; Drug: Pemetrexed; Radiation: Thoracic Radiotherapy |
| chemoradiation→durvalumab | Active comparator | Participants will receive 3 cycles of the investigator's choice of platinum doublet chemotherapy with concurrent standard thoracic radiotherapy (60 Gy over 6 weeks) followed by durvalumab 10 mg/kg every 2 weeks (Q2W) for approximately 1 year. Receives: Drug: Etoposide; Drug: Carboplatin; Drug: Cisplatin; Drug: Paclitaxel; Drug: Pemetrexed; Radiation: Thoracic Radiotherapy; Drug: Durvalumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR)
PFS is defined as the time from randomization to the first documented disease progression or death due to any cause, whichever occurs first.
Measured: Up to approximately 48 months
Overall Survival (OS)
OS is the time from randomization to death due to any cause.
Measured: Up to approximately 72 months
Secondary outcomes (16)
Incidence of Adverse Events (AE)
An AE is defined as any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Measured: Up to approximately 72 months
Discontinuation Rate of Study Intervention Due to an Adverse Event (AE)
An AE is defined as as any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Measured: Up to approximately 72 months
Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR)
ORR is defined as the percentage of participants who have achieved a Complete Response (CR) or a Partial Response (PR).
Measured: Up to approximately 72 months
Duration of Response (DOR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR)
DOR is defined as the time from first documented evidence of Complete Response (CR) or a Partial Response (PR) until disease progression or death due to any cause, whichever occurs first.
Measured: Up to approximately 72 months
Change from Baseline in EORTC Quality of Life Questionnaire-Core 30 (QLQ-C30) Global Health Status/Quality of Life (Items 29 and 30) Scale Score
The EORTC QLQ-C30 is a questionnaire to assess the overall quality of life of cancer patients. Participant responses to the questions "How would you rate your overall health during the past week?" and "How would you rate your overall quality of life during the past week?" are scored on a 7-point scale (1= Very poor to 7=Excellent). Using linear transformation, raw scores are standardized, so that scores range from 0 to 100. A higher score indicates a better overall health status. The change from baseline in EORTC QLQ-C30 Items 29 and 30 scale scores will be presented.
Measured: Baseline (at randomization) and at the end of study (approximately 72 months post randomization)
Change From Baseline in Cough Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Lung Cancer Module 13 (EORTC QLQ-LC13) Item 1 Score
The EORTC QLQ-LC13 is a supplemental lung cancer-specific questionnaire that includes a single-item scale score for cough (Item 1). For this item, individual responses to the question "How much did you cough?" are given on a 4-point scale (1=Not at all; 4=Very much). Using linear transformation, raw scores are standardized, so that scores range from 0 to 100, with a lower score indicating a better outcome. The change from baseline in the EORTC QLQ-LC13 cough scale score will be presented.
Measured: Baseline (at randomization) and at the end of study (approximately 72 months post randomization)
Change From Baseline in Chest Pain Using the EORTC QLQ-LC13 Item 10 Score
The EORTC QLQ-LC13 is a supplemental lung cancer-specific questionnaire that includes a single-item scale score for chest pain (Item 10). For this item, individual responses to the question "Have you had pain in your chest?" are given on a 4-point scale (1=Not at all; 4=Very much). Using linear transformation, raw scores are standardized, so that scores range from 0 to 100, with a lower score indicating a better outcome. The change from baseline in the EORTC QLQ-LC13 chest pain scale score will be presented.
Measured: Baseline (at randomization) and at the end of study (approximately 72 months post randomization)
Change From Baseline in Dyspnea Using the EORTC QLQ-C30 Item 8 Score
The EORTC QLQ-C30 is a questionnaire to assess the overall quality of life of cancer patients and includes a single-item scale score for dyspnea (Item 8). Participant responses to the question "Were you short of breath? are scored on a 4-point scale (1=not at all to 4=very much). Using linear transformation, raw scores are standardized, so that scores range from 0 to 100, with a lower score indicating a better outcome. The change from baseline in the EORTC QLQ-C30 dyspnea scale score will be presented.
Measured: Baseline (at randomization) and at the end of study (approximately 72 months post randomization)
Change From Baseline in Physical Functioning Using the EORTC QLQ-C30 Items 1- 5 Score
The EORTC QLQ-C30 is a questionnaire to assess the overall quality of life of cancer patients. The physical functioning scale consists of participant responses to 5 questions regarding performance of daily activities [1) strenuous activities; 2) long walks; 3) short walks; 4) bed/chair rest; and 5) needing help with eating, dressing, washing themselves or using the toilet]. Participant responses are scored on a 4-point scale (1=Not at All to 4=Very Much). Using linear transformation, raw scores are standardized, so that scores range from 0 to 100, with a higher score indicating a better quality of life. The change from baseline in the EORTC QLQ-C30 physical functioning scale score will be presented.
Measured: Baseline (at randomization) and at the end of study (approximately 72 months post randomization)
Change from Baseline in Role Functioning Using the EORTC QLQ-C30 Items 6-7 Score
The EORTC QLQ-C30 is a questionnaire to assess the overall quality of life of cancer patients. The role functioning scale consists of participant responses to 2 questions regarding limitations in doing work or other activities and pursuing hobbies or leisure activities. Participant responses are scored on a 4-point scale (1=Not at All to 4=Very Much). Using linear transformation, raw scores are standardized, so that scores range from 0 to 100, with a higher score indicating a better quality of life. The change from baseline in the EORTC QLQ-C30 role functioning scale score will be presented.
Measured: Baseline (at randomization) and at the end of study (approximately 72 months post randomization)
Time to Deterioration (TTD) in HRQoL Using the EORTC QLQ-C30 Items 29 and 30 Score
TTD is defined as the time to first onset of a ≥10-point decrease from baseline for EORTC QLQ-C30 Items 29 and 30 scale scores. The EORTC QLQ-C30 is a questionnaire to assess the overall quality of life of cancer patients. Participant responses to the questions "How would you rate your overall health during the past week?" and "How would you rate your overall quality of life during the past week?" are scored on a 7-point scale (1= Very poor to 7=Excellent). Using linear transformation, raw scores are standardized, so that scores range from 0 to 100. A higher score indicates a better overall health status.
Measured: Up to approximately 72 months post randomization
TTD in Cough Using the EORTC QLQ-LC13 Item 1 Score
TTD is defined as the time to first onset of a ≥10-point decrease from baseline for EORTC QLQ-LC13 Item 1 scale score. The EORTC QLQ-LC13 is a supplemental lung cancer-specific questionnaire that includes a single-item scale score for cough (Item 1). For this item, individual responses to the question "How much did you cough?" are given on a 4-point scale (1=Not at all; 4=Very much). Using linear transformation, raw scores are standardized, so that scores range from 0 to 100, with a lower score indicating a better outcome.
Measured: Up to approximately 72 months post randomization
TTD in Chest Pain Using the EORTC QLQ-LC13 Item 10 Score
TTD is defined as the time to first onset of a ≥10-point decrease from baseline for EORTC QLQ-LC13 Item 10 scale score. The EORTC QLQ-LC13 is a supplemental lung cancer-specific questionnaire that includes a single-item scale score for chest pain (Item 10). For this item, individual responses to the question "Have you had pain in your chest?" are given on a 4-point scale (1=Not at all; 4=Very much). Using linear transformation, raw scores are standardized, so that scores range from 0 to 100, with a lower score indicating a better outcome.
Measured: Up to approximately 72 months post randomization
TTD in Dyspnea Using the EORTC QLQ-C30 Item 8 Score
TTD is defined as the time to first onset of a ≥10-point decrease from baseline for EORTC QLQ-C30 Item 8 scale score. The EORTC QLQ-C30 is a questionnaire to assess the overall quality of life of cancer patients and includes a single-item scale score for dyspnea (Item 8). Participant responses to the question "Were you short of breath? are scored on a 4-point scale (1=not at all to 4=very much). Using linear transformation, raw scores are standardized, so that scores range from 0 to 100, with a lower score indicating a better outcome.
Measured: Up to approximately 72 months post randomization
TTD in Physical Functioning Using the EORTC QLQ-C30 Items 1- 5 Score
TTD is defined as the time to first onset of a ≥10-point decrease from baseline for EORTC QLQ-C30 Items 1-5 scale scores. The EORTC QLQ-C30 is a questionnaire to assess the overall quality of life of cancer patients. The physical functioning scale consists of participant responses to 5 questions regarding performance of daily activities [1) strenuous activities; 2) long walks; 3) short walks; 4) bed/chair rest; and 5) needing help with eating, dressing, washing themselves or using the toilet]. Participant responses are scored on a 4-point scale (1=Not at All to 4=Very Much). Using linear transformation, raw scores are standardized, so that scores range from 0 to 100, with a higher score indicating a better quality of life.
Measured: Up to approximately 72 months post randomization
TTD in Role Functioning Using the EORTC QLQ-C30 Items 6-7 Score
TTD is defined as the time to first onset of a ≥10-point decrease from baseline for EORTC QLQ-C30 Items 6-7 scale scores. The EORTC QLQ-C30 is a questionnaire to assess the overall quality of life of cancer patients. The role functioning scale consists of participant responses to 2 questions regarding limitations in doing work or other activities and pursuing hobbies or leisure activities. Participant responses are scored on a 4-point scale (1=Not at All to 4=Very Much). Using linear transformation, raw scores are standardized, so that scores range from 0 to 100, with a higher score indicating a better quality of life.
Measured: Up to approximately 72 months post randomization
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 May 2020
- Study start6 Jul 2020
- Primary completion5 May 2027 (estimated)
- Study completion6 Jul 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Lung NeoplasmsStudies of the same condition, open and under way.
- More trials run by Merck Sharp & Dohme LLCThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 870 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Merck Sharp & Dohme LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Merck Sharp & Dohme LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04380636
- Sponsor's protocol ID
- 7339-012
- Other IDs
- MK-7339-012, KEYLYNK-012, 205352, 2023-503591-25-00, U1111-1287-5477, 2019-003237-41, 2019, 2023
- Status last verified
- May 2026
- First submitted
- 5 May 2020
- Last updated
- 15 May 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf
Publications
Jabbour SK, Cho BC, Bria E, Kato T, Bhosle J, Gainor JF, Reguart N, Wang L, Morgensztern D, Shentu Y, Kim SJ, Souza F, Reck M. Rationale and Design of the Phase III KEYLYNK-012 Study of Pembrolizumab and Concurrent Chemoradiotherapy Followed by Pembrolizumab With or Without Olaparib for Stage III Non-Small-Cell Lung Cancer. Clin Lung Cancer. 2022 Sep;23(6):e342-e346. doi: 10.1016/j.cllc.2022.04.003. Epub 2022 Apr 29.
PubMed 35618629
Study at a glance
From the registry record, last updated by the sponsor on 15 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3 Study of Pembrolizumab (MK-3475) in Combination With Concurrent Chemoradiation Therapy Followed by Pembrolizumab With or Without Olaparib vs Concurrent Chemoradiation Therapy Followed by Durvalumab in Participants With Unresectable, Locally Advanced, Stage III Non-Small Cell Lung Cancer (NSCLC)
- ClinicalTrials.gov ID
- NCT04380636
- Acronym / sponsor ID
- 7339-012
- Conditions
- Lung Neoplasms, Carcinoma, Non-Small-Cell Lung
- Keywords
- Programmed Cell Death Receptor 1 (PD-1, PD1), Programmed Cell Death Receptor Ligand 1 (PD-L1, PDL1), Programmed Cell Death Receptor Ligand 2 (PD-L2, PDL2), polyadenosine 5'diphosphoribose (polyADP ribose) polymerization (PARP) inhibitor
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 870 participants (estimated)
- Lead sponsor
- Merck Sharp & Dohme LLCIndustry (pharma, biotech, devices)
- Study start
- 6 Jul 2020 (actual)
- Primary completion
- 5 May 2027 (estimated)
- Study completion
- 6 Jul 2029 (estimated)
- First posted
- 8 May 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to assess the efficacy and safety of pembrolizumab in combination with concurrent chemoradiation therapy followed by either pembrolizumab with olaparib placebo (Arm 1) or with olaparib (Arm 2) compared to concurrent chemoradiation therapy followed by durvalumab (Arm 3) in participants with unresectable, locally advanced NSCLC. Arms 1 and 2 will be studied in a double-blind design and Arm 3 will be open-label. The primary hypotheses are:
- Pembrolizumab with concurrent chemoradiation therapy followed by pembrolizumab with olaparib is superior to concurrent chemoradiation therapy followed by durvalumab with respect to progression-free survival (PFS) and overall survival (OS)
- Pembrolizumab with concurrent chemoradiation therapy followed by pembrolizumab is superior to concurrent chemoradiation therapy followed by durvalumab with respect to PFS and OS
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| pembrolizumab+chemoradiation→pembrolizumab+olaparib placebo | Experimental | Biological: Pembrolizumab, Drug: Placebo for olaparib, Drug: Etoposide, Drug: Carboplatin, Drug: Cisplatin, Drug: Paclitaxel, Drug: Pemetrexed, Radiation: Thoracic RadiotherapyParticipants will receive pembrolizumab 200 mg intravenously (IV) every 3 weeks (Q3W) in combination with 3 cycles of the investigator's choice of platinum doublet chemotherapy and concurrent standard thoracic radiotherapy (60 Gray (Gy) over 6 weeks) followed by pembrolizumab plus olaparib placebo twice a day (BID) for approximately 1 year. |
| pembrolizumab+chemoradiation→pembrolizumab+olaparib | Experimental | Biological: Pembrolizumab, Drug: Olaparib, Drug: Etoposide, Drug: Carboplatin, Drug: Cisplatin, Drug: Paclitaxel, Drug: Pemetrexed, Radiation: Thoracic RadiotherapyParticipants will receive pembrolizumab 200 mg IV Q3W in combination with 3 cycles of the investigator's choice of platinum doublet chemotherapy and concurrent standard thoracic radiotherapy (60 Gy over 6 weeks) followed by pembrolizumab plus olaparib 300 mg BID for approximately 1 year. |
| chemoradiation→durvalumab | Active comparator | Drug: Etoposide, Drug: Carboplatin, Drug: Cisplatin, Drug: Paclitaxel, Drug: Pemetrexed, Radiation: Thoracic Radiotherapy, Drug: DurvalumabParticipants will receive 3 cycles of the investigator's choice of platinum doublet chemotherapy with concurrent standard thoracic radiotherapy (60 Gy over 6 weeks) followed by durvalumab 10 mg/kg every 2 weeks (Q2W) for approximately 1 year. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (16 listed)
- Has pathologically (histologically or cytologically) confirmed diagnosis of NSCLC
- Has Stage IIIA, IIIB, or IIIC NSCLC by American Joint Committee on Cancer Version 8
- Is unable to undergo surgery with curative intent for Stage III NSCLC
- Has no evidence of metastatic disease indicating Stage IV NSCLC
- Has measurable disease as defined by RECIST 1.1
Key exclusion criteria (30 listed)
- Has small cell lung cancer or a mixed tumor with presence of small cell elements
- Has myelodysplastic syndrome (MDS)/acute myeloid leukemia (AML) or has features suggestive of MDS/AML
- Has had documented weight loss >10% (from baseline) in the preceding 3 months
- Has received prior radiotherapy to the thorax, including radiotherapy to the esophagus, mediastinum, or for breast cancer
- Has received prior therapy with an anti-programmed cell death 1 (ant-PD-1), anti-programmed cell death ligand 1 (anti-PD-L1), or anti- programmed cell death ligand 2 (anti-PD-L2) agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PembrolizumabAlso: KEYTRUDA®, MK-3475intravenous (IV) infusion | Biological | pembrolizumab+chemoradiation→pembrolizumab+olaparib, pembrolizumab+chemoradiation→pembrolizumab+olaparib placebo |
| OlaparibAlso: LYNPARZA®, MK-7339, AZD2281, KU-0059436oral tablets | Drug | pembrolizumab+chemoradiation→pembrolizumab+olaparib |
| Placebo for olapariboral tablets | Drug | pembrolizumab+chemoradiation→pembrolizumab+olaparib placebo |
| EtoposideAlso: VEPESID®IV infusion | Drug | chemoradiation→durvalumab, pembrolizumab+chemoradiation→pembrolizumab+olaparib, pembrolizumab+chemoradiation→pembrolizumab+olaparib placebo |
| CarboplatinAlso: PARAPLATIN®IV infusion | Drug | chemoradiation→durvalumab, pembrolizumab+chemoradiation→pembrolizumab+olaparib, pembrolizumab+chemoradiation→pembrolizumab+olaparib placebo |
| CisplatinAlso: PLATINOL®IV infusion | Drug | chemoradiation→durvalumab, pembrolizumab+chemoradiation→pembrolizumab+olaparib, pembrolizumab+chemoradiation→pembrolizumab+olaparib placebo |
| PaclitaxelAlso: TAXOL®IV infusion | Drug | chemoradiation→durvalumab, pembrolizumab+chemoradiation→pembrolizumab+olaparib, pembrolizumab+chemoradiation→pembrolizumab+olaparib placebo |
| PemetrexedAlso: ALIMTA®IV infusion | Drug | chemoradiation→durvalumab, pembrolizumab+chemoradiation→pembrolizumab+olaparib, pembrolizumab+chemoradiation→pembrolizumab+olaparib placebo |
| Thoracic Radiotherapyexternal beam radiation | Radiation | chemoradiation→durvalumab, pembrolizumab+chemoradiation→pembrolizumab+olaparib, pembrolizumab+chemoradiation→pembrolizumab+olaparib placebo |
| DurvalumabAlso: IMFINZI®IV infusion | Drug | chemoradiation→durvalumab |
Primary outcome
Progression-Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR)
Time frame: Up to approximately 48 months
PFS is defined as the time from randomization to the first documented disease progression or death due to any cause, whichever occurs first.
Overall Survival (OS)
Time frame: Up to approximately 72 months
OS is the time from randomization to death due to any cause.
16 secondary outcomes
Incidence of Adverse Events (AE)
Time frame: Up to approximately 72 months
Discontinuation Rate of Study Intervention Due to an Adverse Event (AE)
Time frame: Up to approximately 72 months
Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR)
Time frame: Up to approximately 72 months
Duration of Response (DOR) Per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR)
Time frame: Up to approximately 72 months
Change from Baseline in EORTC Quality of Life Questionnaire-Core 30 (QLQ-C30) Global Health Status/Quality of Life (Items 29 and 30) Scale Score
Time frame: Baseline (at randomization) and at the end of study (approximately 72 months post randomization)
Change From Baseline in Cough Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Lung Cancer Module 13 (EORTC QLQ-LC13) Item 1 Score
Time frame: Baseline (at randomization) and at the end of study (approximately 72 months post randomization)
Change From Baseline in Chest Pain Using the EORTC QLQ-LC13 Item 10 Score
Time frame: Baseline (at randomization) and at the end of study (approximately 72 months post randomization)
Change From Baseline in Dyspnea Using the EORTC QLQ-C30 Item 8 Score
Time frame: Baseline (at randomization) and at the end of study (approximately 72 months post randomization)
Change From Baseline in Physical Functioning Using the EORTC QLQ-C30 Items 1- 5 Score
Time frame: Baseline (at randomization) and at the end of study (approximately 72 months post randomization)
Change from Baseline in Role Functioning Using the EORTC QLQ-C30 Items 6-7 Score
Time frame: Baseline (at randomization) and at the end of study (approximately 72 months post randomization)
Time to Deterioration (TTD) in HRQoL Using the EORTC QLQ-C30 Items 29 and 30 Score
Time frame: Up to approximately 72 months post randomization
TTD in Cough Using the EORTC QLQ-LC13 Item 1 Score
Time frame: Up to approximately 72 months post randomization
TTD in Chest Pain Using the EORTC QLQ-LC13 Item 10 Score
Time frame: Up to approximately 72 months post randomization
TTD in Dyspnea Using the EORTC QLQ-C30 Item 8 Score
Time frame: Up to approximately 72 months post randomization
TTD in Physical Functioning Using the EORTC QLQ-C30 Items 1- 5 Score
Time frame: Up to approximately 72 months post randomization
TTD in Role Functioning Using the EORTC QLQ-C30 Items 6-7 Score
Time frame: Up to approximately 72 months post randomization
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 May 2026.
- Derived from this study: PubMed 35618629Jabbour SK, Cho BC, Bria E, Kato T, Bhosle J, Gainor JF, Reguart N, Wang L, Morgensztern D, Shentu Y, Kim SJ, Souza F, Reck M. Rationale and Design of the Phase III KEYLYNK-012 Study of Pembrolizumab and Concurrent Chemoradiotherapy Followed by Pembrolizumab With or Without Olaparib for Stage III Non-Small-Cell Lung Cancer. Clin Lung Cancer. 2022 Sep;23(6):e342-e346. doi: 10.1016/j.cllc.2022.04.003. Epub 2022 Apr 29.
- Merck Clinical Trials InformationLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Medical Director study director
Merck Sharp & Dohme LLC
205 sites in 26 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Pembrolizumab, Olaparib and Etoposide in people with Lung Neoplasms and Carcinoma, Non-Small-Cell Lung, run by Merck Sharp & Dohme LLC at 205 sites in 26 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 16 inclusion and 30 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 15 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 205 sites in United States, China, Japan, Romania, Germany and 21 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) (time frame: Up to approximately 48 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04380636, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 May 2026.